PMHNP Board Review
(2024)Questions with
Correct (100% ) Solutions
Denning [Date] [Course title]
,Positive Romberg Sign - Correct Answers: (r/t etoh) loss of balance that occurs when closing the eyes
ETOH withdrawal delirium may result in? - Correct Answers: Seizures or death
DSM Severity for ETOH - Correct Answers: Mild = 2-3 sx
Moderate = 4-5 sx
Severe = >= 6 sx
DSM ETOH Remission Criteria - Correct Answers: Early = >3 mos & <12 mos
Substantial Remission = >12 mos
Screening & Early Intervention scale for SUD - Correct Answers: SBIRT Screening, Brief Intervention &
Refereal to Treatment
CAGE - Correct Answers: Cut down
Annoyed
Guilty
Eye-Opener
>=2 is clinically significant
Labs for AUD - Correct Answers: ETOH/SUD Blood & urine
BAC
Ele. AST, ALT, MCV, CDT (Carb deficit transfer)
Dec. Hgb, B12, folic acid
ETOH W/D Sx - Correct Answers: Most common = tremors (w/i hours of cessation)
Ele. b/p. tachy, n/v, poss. hyperthermia
Sx of ETOH W/D Emergency - Correct Answers: Hallucinations = 7 - 48 hours
, DTs - 48 - 72 hours, peaks on 4th day, can last for 2 weeks
CIWA - Correct Answers: Clinical Institute Withdrawal Assessment
0-8 Support &Monitoring w/o meds! (NO meds unless >=8)
8-14 = Pharm Intervention
15 = IMMEDIATE Pharm Int!
Disulfiram (Antabuse) Dosage for ETOH - Correct Answers: Usually 250 mg/day
NO perfumes or mouthwash!
Meds Used for ETOH W/D Sx including Seizures - Correct Answers: Benzos & Carbamazepine (Tegretol)
Vitamin to be given during ETOH detox - Correct Answers: Thiamine >300 mg/day
CRAFFT - Correct Answers: SUD screening tool for adolescents (12-21)
COWS - Correct Answers: Clinical Opiate Withdrawal Scale
5-12 = mild
13-24 = moderate
25-36 = moderately severe
>36 = severe withdrawal
Meds used for Opiod Detox & Maintenance - Correct Answers: Buprenorphine (Suboxone)
Naloxone (Naltrexone)
Methadone
Clonidine (use with care! may mask VS changes & inc. seizure risk!)
Phenobarbital
(2024)Questions with
Correct (100% ) Solutions
Denning [Date] [Course title]
,Positive Romberg Sign - Correct Answers: (r/t etoh) loss of balance that occurs when closing the eyes
ETOH withdrawal delirium may result in? - Correct Answers: Seizures or death
DSM Severity for ETOH - Correct Answers: Mild = 2-3 sx
Moderate = 4-5 sx
Severe = >= 6 sx
DSM ETOH Remission Criteria - Correct Answers: Early = >3 mos & <12 mos
Substantial Remission = >12 mos
Screening & Early Intervention scale for SUD - Correct Answers: SBIRT Screening, Brief Intervention &
Refereal to Treatment
CAGE - Correct Answers: Cut down
Annoyed
Guilty
Eye-Opener
>=2 is clinically significant
Labs for AUD - Correct Answers: ETOH/SUD Blood & urine
BAC
Ele. AST, ALT, MCV, CDT (Carb deficit transfer)
Dec. Hgb, B12, folic acid
ETOH W/D Sx - Correct Answers: Most common = tremors (w/i hours of cessation)
Ele. b/p. tachy, n/v, poss. hyperthermia
Sx of ETOH W/D Emergency - Correct Answers: Hallucinations = 7 - 48 hours
, DTs - 48 - 72 hours, peaks on 4th day, can last for 2 weeks
CIWA - Correct Answers: Clinical Institute Withdrawal Assessment
0-8 Support &Monitoring w/o meds! (NO meds unless >=8)
8-14 = Pharm Intervention
15 = IMMEDIATE Pharm Int!
Disulfiram (Antabuse) Dosage for ETOH - Correct Answers: Usually 250 mg/day
NO perfumes or mouthwash!
Meds Used for ETOH W/D Sx including Seizures - Correct Answers: Benzos & Carbamazepine (Tegretol)
Vitamin to be given during ETOH detox - Correct Answers: Thiamine >300 mg/day
CRAFFT - Correct Answers: SUD screening tool for adolescents (12-21)
COWS - Correct Answers: Clinical Opiate Withdrawal Scale
5-12 = mild
13-24 = moderate
25-36 = moderately severe
>36 = severe withdrawal
Meds used for Opiod Detox & Maintenance - Correct Answers: Buprenorphine (Suboxone)
Naloxone (Naltrexone)
Methadone
Clonidine (use with care! may mask VS changes & inc. seizure risk!)
Phenobarbital
