Exam (elaborations)

PMHNP Exam Reported Questions -

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Course
PMHNP

Institution
PMHNP

-What does Erythromycin to trileptal? - -You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor -ACE Inhibitors are the drug of choice for what? - -Heart Failure HTN -What are some psychiatric side effects seen with some asthma drugs - -Leukotriene re...

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pmhnp exam reported questions

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PMHNP Exam Reported Questions and
Answers

What is dissemination? - -Getting the research information out to those who
need to know it!

Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article

-What does a 17 on MMSE mean? - -Moderate cognitive impairment

-What is Tegretol in the CYP450 system? - -Inducer -->will lower dose of
Lamictal and BCP's

-What do BCP's do to Lamictal? - -Inducer - will lower dose of Lamictal

-What is a Type I research error? - -There IS a difference but you say there
isn't a difference.

-What is a Type II research error? - -There is NO difference but you say there
is a difference.

-What is pseudo-dementia? - -Cognitive impairment secondary to depression
that clears when treated in the elderly. Dementia won't improve.

-Is it normal for a 1 month old to have a palmar grasp? - -Yes.

-What is a drug 1/2 life? - -The time it takes for 50% of a drug to be
eliminated from the body.

-What 3 atypicals can be used with teens? - -Zyprexa, Abilify, Seroquel - low
doses

-What is a risk of using Tramadol? - -Serotonin Syndrome as it is very
serotonergic.

-What is the allele seen in Asians that increase the risk of SJS? - -HLAB-1502

-When might you see toxic epidermal necrolysis? - -With worsening of SJS

-How many generations do you include for a genogram? - -1st degree -
mother, father, siblings

,2nd degree - grandparents & cousins
3rd degree -

-What does messenger RNA code for? - -Amino Acids

-What is epigenetics? - -Factors that affect genes - environmental, smoking,
stress, etc...

-What part of the brain is involved with OCD? - -Basal Ganglia
Occipito-Frontal

-What happens to the brain during adolescence? - -Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well

-When do males typically present with schizophrenia? - -10-25 yo

-When do females typically present with schizophrenia? - -25-35 yo

-What does Erythromycin to trileptal? - -You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor

-ACE Inhibitors are the drug of choice for what? - -Heart Failure
HTN

-What are some psychiatric side effects seen with some asthma drugs - -
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor

-What should you watch for with Tegretol? - -Agranulocytosis and
Hyponatremia

-What are the 3 CK muscle enzyme tests? - -CKBB, CKMM, CKMB

-Which one of the 3 muscle enzymes are related to cardiac muscle damage?
- -CKMB

-What is the risk of a seriously elevated CKMB? - -Polymyositis
Rhabdo

-What is a normal CKMB? - -0.3 mcg/L

-What psychoactives does Detrol interact with? - -Topamax
KCL
Zonegran

, -What CN are you assessing when you have the patient shrug their
shoulders? - -CN XI - Spinal Accessory

-What do you see in labs with HIV & Dementia? - -CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment

-What is the scoring with the Beck Depression Inventory? - -Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe

-What is sensitivity? - -Helps rule-out disease = True Positive = Snout

-What is specificity? - -Helps rule-in disease = True Negative = Spin

-What does a sed rate measure? - -Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.

-What is a normal sed rate or ESR? - -0-22 males
0-29 females

-What is a retic count? - -Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are being produced by bone marrow.

-What does a decreased retic count indicate? - -Anemia - acute or chronic
bleeding

-What does an increased retic count indicate? - -Bone marrow disorder or
Vitamin Deficiency

-What does an abnormal retic ount indicate in general? - -Doesn't diagnose
anything. First step is ID source of the issue.

-What happens when you mix tegretol and macrolides? - -Increase tegretol
levels.

-What happens if a pregnant women takes Accutane? - -Birth defects.

-What labs do you get with RA? - -Sed rate, RF, ANA, C reactive protein, CBC,
CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.

-Where does the NP Code of Ethics come from? - -ANA

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