Pmhnp Tessy UPDATED Actual Questions
and CORRECT Answers
Reflexes expected at 1 month - CORRECT ANSWER- ✔✔Moro until 4 months, Palmer until
4 months, Plantar util 8 months, Babinski (2 years is disease)
Signs of fetal alcohol syndrome - CORRECT ANSWER- ✔✔small head, shoey palpebral
fissure, inner epicanthal folds. Do IEP and early intervention specialist
Rhett Syndrome - CORRECT ANSWER- ✔✔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 - CORRECT ANSWER- ✔✔Tardive dyskinesia happen after years (eps is a
precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
Where do EPS originate - CORRECT ANSWER- ✔✔nigrostiatal tract.
How does tegretol interact with cipro - CORRECT ANSWER- ✔✔cipro and erythromycin
are inhibitors. Cause increased level of Tegretol. Black box warning
Tegretol side effects - CORRECT ANSWER- ✔✔Aplastic anemia, agranulocytosis, steven
johnsons, hyponatremia. Watch with cipro and erythro
nuchal rigidity - CORRECT ANSWER- ✔✔stiffness in cervical neck area, meningitis
ACE inhibitors - CORRECT ANSWER- ✔✔-pril, CHF
signs of serotonin syndrome - CORRECT ANSWER- ✔✔-shivering
-anxiety
-diaphoresis
, -hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
Serotonin Discontinuation Syndrome - CORRECT ANSWER- ✔✔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 - CORRECT ANSWER- ✔✔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 - CORRECT ANSWER- ✔✔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
Risk factors for serotonin syndrome - CORRECT ANSWER- ✔✔more than 1 SSRI, st johns
wart, tramadol, demerol, ultram, maperidone, 5HT
Grade 2/5 hoarse systolic heart murmur - CORRECT ANSWER- ✔✔aortic stenosis
Woman with GAD advise on medication - CORRECT ANSWER- ✔✔stop benzos because
can cause floppy baby syndrome and cleft palate, cotinue buspar
