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PMHNP Exam Reported Questions with correct Answers
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PMHNP Exam Reported Questions with correct Answers
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PMHNP Exam Reported Questions with correct AnswersWhat 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 cognitive impairment
What is Tegretol in the CYP450 system? - Answer- Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? - Answer- Inducer - will lower dose of Lamictal
What is a Type I research error? - Answer- There IS a difference but you say there isn't a difference.
What is a Type II research error? - Answer- There is NO difference but you say there is a difference.
What is pseudo-dementia? - Answer- 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? - Answer- Yes.
What is a drug 1/2 life? - Answer- The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? - Answer- Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - Answer- Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - Answer- HLAB-1502
When might you see toxic epidermal necrolysis? - Answer- With worsening of SJS How many generations do you include for a genogram? - Answer- 1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - Answer- Amino Acids
What is epigenetics? - Answer- Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - Answer- Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - Answer- Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - Answer- 10-25 yo
When do females typically present with schizophrenia? - Answer- 25-35 yo
What does Erythromycin to trileptal? - Answer- You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - Answer- Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - Answer- Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - Answer- Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - Answer- CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - Answer- CKMB
What is the risk of a seriously elevated CKMB? - Answer- Polymyositis
Rhabdo
What is a normal CKMB? - Answer- 0.3 mcg/L
What psychoactives does Detrol interact with? - Answer- Topamax
KCL
Zonegran What CN are you assessing when you have the patient shrug their shoulders? - Answer- CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - Answer- CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - Answer- Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - Answer- Helps rule-out disease = True Positive = Snout
What is specificity? - Answer- Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - Answer- Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - Answer- 0-22 males
0-29 females
What is a retic count? - Answer- 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? - Answer- Anemia - acute or chronic bleeding
What does an increased retic count indicate? - Answer- Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - Answer- Doesn't diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - Answer- Increase tegretol levels.
What happens if a pregnant women takes Accutane? - Answer- Birth defects.
What labs do you get with RA? - Answer- 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? - Answer- ANA
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