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pmhnp TesT 2024 ALREADY PASSED
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Reflexes expected at 1 month - Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease) Signs of fetal alcohol syndrome - small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early intervention specialist Rhett Syndrome - a rare disorde...

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  • February 2, 2024
  • 15
  • 2023/2024
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pmhnp TesT 2024 ALREADY
PASSED
Reflexes expected at 1 month - ✔✔Moro until 4 months, Palmer until 4 months, Plantar util 8 months,
Babinski (2 years is disease)



Signs of fetal alcohol syndrome - ✔✔small head, shoey palpebral fissure, inner epicanthal folds. Do IEP
and early intervention specialist



Rhett Syndrome - ✔✔a rare disorder found virtually exclusively in girls, is a neurodevelopmental
disorder in which the child usually develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include: hypotonia (loss of muscle tone),
reduced eye contact, decelerated head growth, and disinterest in play activities



EPS types - ✔✔Tardive dyskinesia happen after years (eps is a precursor). Acute dystonia (hours),
Parkinsons (weeks), Akathisia (days)



Where do EPS originate - ✔✔nigrostiatal tract.



How does tegretol interact with cipro - ✔✔cipro and erythromycin are inhibitors. Cause increased level
of Tegretol. Black box warning



Tegretol side effects - ✔✔Aplastic anemia, agranulocytosis, steven johnsons, hyponatremia. Watch
with cipro and erythro



nuchal rigidity - ✔✔stiffness in cervical neck area, meningitis



ACE inhibitors - ✔✔-pril, CHF

, signs of serotonin syndrome - ✔✔-shivering

-anxiety

-diaphoresis

-hyperthermia



Shits and Shivers

diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating



Serotonin Discontinuation Syndrome - ✔✔syndrome caused by abrupt withdrawal of an antidepressant
drug, resulting in sensory disturbances, sleeping disturbances, disequilibrium, flu-like symptoms, dizzy,
vertigo, paresthesia (brain zaps), nausea/vomiting, and gastrointestinal effects



NMS - ✔✔neuroleptic malignant syndrome

*S*evere fever

*C*hanging LOC

*A*utonomic instability

*R*igidity

*S*weating and drooling



FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk, rigidity



Levels of Prevention - ✔✔Primary: prevent/promotion, classes, safety initiatives, education, classes,
modifying environment

Secondary: screen-early detection, crisis hotlines, disaster

Tertiary: treat- to prevent further deterioration, rehab, restoration, day treatment, social skills

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