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PMHNP Exam Reported Questions – well answered 2023/2024

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What is dissemination? - answer 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? - answer Moderate co...

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  • December 7, 2023
  • 39
  • 2023/2024
  • Exam (elaborations)
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What is dissemination? - answerGetting 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? - answerModerate cognitive impairment



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



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



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



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



What is pseudo-dementia? - answerCognitive 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? - answerYes.



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



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



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



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

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



How many generations do you include for a genogram? - answer1st degree - mother, father, siblings

2nd degree - grandparents & cousins

3rd degree -



What does messenger RNA code for? - answerAmino Acids



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



What part of the brain is involved with OCD? - answerBasal Ganglia

Occipito-Frontal



What happens to the brain during adolescence? - answerDendritic pruning

Emotions are controlled by amygdala

By adulthood, PFC involved as well



When do males typically present with schizophrenia? - answer10-25 yo



When do females typically present with schizophrenia? - answer25-35 yo



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



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

HTN

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



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



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



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



What is the risk of a seriously elevated CKMB? - answerPolymyositis

Rhabdo



What is a normal CKMB? - answer0.3 mcg/L



What psychoactives does Detrol interact with? - answerTopamax

KCL

Zonegran



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



What do you see in labs with HIV & Dementia? - answerCD4 <200

Viral Load is high

<20% get it with antiretroviral treatment



What is the scoring with the Beck Depression Inventory? - answerSelf-Report - 0-63

0-13 - minimal

14-19 - mild

20-28 - moderate

, 29-63 - severe



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



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



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



What is a normal sed rate or ESR? - answer0-22 males

0-29 females



What is a retic count? - answerMeasures % 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? - answerAnemia - acute or chronic bleeding



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



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



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



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



What labs do you get with RA? - answerSed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps
confirm diagnosis.

CRP and ESR are both increased in RA but NOT in osteoarthritis.

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