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PMHNP Exam Reported Questions -

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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...

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  • February 2, 2024
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  • 2023/2024
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PMHNP Exam Reported Questions -
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.

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