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PMHNP Board Prep 1 – 12, Top Exam Questions and answers, rated A+
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PMHNP Board Prep 1 – 12, Top Exam Questions and answers, rated A+ symptom presentation - -affective, cognitive, physical autosomal dominant - -genetic inheritance. will present in more than one generation. 50/50 chance of passing on trait (Huningtons) autosomal recessive - -two copies ...

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  • February 8, 2023
  • 41
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • pmhnp board prep 1 – 12
  • cognitive
  • top exam questions and answers
  • rated a symptom presentation affective
  • physical autosomal dominant genetic inheritance will present in more than one gen

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PMHNP Board Prep 1 – 12, Top Exam
Questions and answers, rated A+

symptom presentation - ✔✔-affective, cognitive, physical



autosomal dominant - ✔✔-genetic inheritance. will present in more than one generation. 50/50 chance
of passing on trait (Huningtons)



autosomal recessive - ✔✔-two copies must be present (cystic fibrosis



prior to MSE - ✔✔-assessment includes ROS, VS, heart tone, lung sounds, neuro exam, muscle tone,
rigidity



SLUMS - ✔✔-11 items. Max 30, 27-30 normal for high school education, 21-60 mild neurocognitive
disorder, 0-20 dementia



MMSE - ✔✔-11 components. Max 30, no impairment 24-30

Delirium/dementia 18-23 mild, 0-7 severe



SLAP - ✔✔-suicide assessment. Social support, Lethality, Access to means, Plan/Previous attempt



Hamilton Anxiety Rating scale - ✔✔-most popular anxiety scale



Vanderbilt Assessment Scale - ✔✔-free ADHD assessment tool



Abnormal Involuntary Movement Scale (AIMS) - ✔✔-total score is less important than monitoring areas
of the body. 2 or more is positive. Question 7 examines trunk movements

,WHODAS - ✔✔-36 item, measures six domains, understanding and communicating, getting around, self
care, getting along with people, life activities and participation with society. 0=no disability, 100=full
disability



Metabolic syndrome - ✔✔-abdominal obesity and any two of the following: triglycerides >150, HDL
>40/50, BP >130/85, FSBS >100 or prior type 2 diabetes



general screening labs - ✔✔-CBC, chemistry panel, thyroid labs, hepatic panel, B12/folate and vitamin D



PET scan - ✔✔-localizes mental activities, primarily as experimental basis and is very expensive



cranial nerves - ✔✔-olfactory=smell, sensory

optic=vision, sensory

oculomotor=most EOM, motor

trochlear=downward and inward eye movement, motor

trigeminal=mastication muscles, sensation of face, both

abducens=lateral eye movmement, motor

facial=move face, close eyes, taste, saliva, tears, both

acoustic=hearing and balance, sensory

glossopharyngeal=phonation, gag, carotid, swallowing, taste, both

vagus=talk, swallow, carotid, both

spinal accessory=shrug shoulders, motor

hypoglossal=moves the tounge, motor



tender lymph node - ✔✔-classic sign of infection



rubbery lymph node - ✔✔-classic sign of lymphoma



soft lymph node - ✔✔-insignificant

,nontender lymph node - ✔✔-classic sign of potential malignancy



lymph node size - ✔✔-insignificant if less than 2cm, 3cm in axilla and inguinal. but if supraclavicular
fossa, >1cm is significant



lasts longest in the urine - ✔✔-cannabis. 3 days to 4 weeks



pneumococcal vaccine - ✔✔-give to 19-64 year old smoker or if have asthma



Pap smear - ✔✔-every 3 years, HPV every 5 years. discontinue at age 65-70 if have 3 consecutive
negative and no abnormal tests in 10 years



prostate exam - ✔✔-digital begin at age 40 and PSA at age 40 if have family history of prostate cancer or
AA. ALL males 50 years and older should get screening



colorectal screening - ✔✔-starting at 50 years old, annual fecal occult blood test, flex sig every 5 years
and colonoscopy every 10 years



Medicare B screening coverage - ✔✔-for cervical, breast, prostate, colorectal cancer



top 4 killers of adults in US - ✔✔-heart disease, cancer, lower resp disease, CVA



lung cancer - ✔✔-highest cancer mortality in women and men,



primary prevention - ✔✔-PROMOTES health PRIOR. healthy diet, exercise, avoiding things



secondary prevention - ✔✔-focuses on early identification and treatment of existing problems. includes
REGULAR exams and screening like pap

, tertiary prevention - ✔✔-rehab and restoration of health



hepatitis A vaccine - ✔✔-for military, travelers to endemic areas, men who have sex with men



diabetes screening - ✔✔-impaired if FSBS 100-125

diabetes if >126 on two separate occasions



cholesterol screening - ✔✔-evaluate serum lipid levels

Total cholesterol <200

Triglycerides <150

HDL 40-60

LDL <100 (<70 if heart disease)



Joint National Committee Classifications (JNC) to treat hypertension - ✔✔-AA start of thiazide diuretics,
Ca channel blockers



mitral regurgitation - ✔✔-S3 at 5th ICS MCL, musical



TSH >20 - ✔✔-weight gain is more likely

>4.2 indicates hypothyroid



low T4 - ✔✔-indicates disease state is due to thyroid gland



hyperthyroid - ✔✔-low TSH, high or normal T4

mimics mania



hypothyroid - ✔✔-high TSH, low T4

mimics depression

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