PMHNP Exam Reported Questions & Answers, 100% Accurate, rated A+
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...
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.
What does a decreased retic count indicate? - ✔✔-Anemia - acute or chronic bleeding
What does an increased retic count indicate? - ✔✔-Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ✔✔-Doesn't diagnose anything. First step is ID
source of the issue.
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