PMHNP Board Exam Questions With
Correct Answers
Kindling - answerSensitization development of behavioral seizures in response to repeated
electrical or chemical stimuli. ETOH can cause seizures.
Potency - answerRelative dose required to achieve certain effects
High potency - answerHaldol (need...
What 3 parts of the brain are affected by ADHD - answer✔1. Frontal cortex
2. Basal ganglia (motor control/ learning)
3. Reticular activity (ability to focus/fight or flight)
What 3 neurotransmitters are associated with ADHD? - answer✔DNS (dopamine,
norepinephrine, serotonin)
How many settings do symptoms of ADHD have to be assessed in to diagnose? - answer✔2
How many criteria does a child vs an adult have to meet to be diagnosed with ADHD? -
answer✔Child-6
Adult-5
What type of medications are lipophilic and highly protein bound? - answer✔Psychiatric
medications
side effects of stimulants - answer✔-weight loss
-GI upset
-Anorexia
-increased heart rate and blood pressure
What must you assess before starting a stimulant? - answer✔Cardiac functions and family heart
history
Average and mean age of onset for ADHD - answer✔Avg.: 3 years
Mean: 9 years
What type of drug class is intuniv (guanfacine) and what ages has the FDA approved it for? -
answer✔Alpha agonist and ages 6-17 yrs.
What alpha agonist is used to treat ADHD but not FDA approved? - answer✔clonidine
Agitation, anxiety, mood swings, increased mood, increased HR and BP, heart palpitations and
tremors are all symptoms of what substance abuse? - answer✔Stimulants
What type of therapy is used to treat ADHD? - answer✔Behavioral therapy
What must you assess in school aged children with ADHD? - answer✔The presence of learning
disorders.
What scale for ADHD is available to the public? - answer✔Vanderbilt ADHD DIAGNOSIS:
Parent and teacher rating scale
What would you do for a patient that has tics and is taking a stimulant? - answer✔Discontinue
medication. Tics are contraindicated in stimulants.
What cluster is Borderline Personality Disorder? What is the mainstay treatment? -
answer✔Cluster B
DBT
What medication can help with self harming behavior? - answer✔Lithium
What cluster is Antisocial Personality Disorder in? - answer✔Cluster B
antisocial personality disorder - answer✔A personality disorder in which the person (usually a
man) exhibits reckless disregard for the welfare of others, lack of remorse, inflict pain.
What therapy is used for antisocial personality disorder and at what age can it be diagnosed? -
answer✔CBT
18 or >
First factors for Autism Spectrum Disordee - answer✔-Male gender
-Intellectual disability
-Genetic loading ( family history )
What behavior is hallmark for children. With autism? - answer✔Lining up, stacking, or
organizing toys in long, tidy rows
3 Autism screening scales - answer✔1. M-CHAT ( Modified Checklist for Autism in Toddlers)
2. ADOS-G (Autism Diagnosis Observation Scale Generic)
3. ASQ (Ages and Stages Questionnaires)
Medications for ADHD - answer✔Risperdal -FDA approved
Antipsychotics (help with aggressive, self harm behavior and tantrums)
Naltrexone, clonidine, and stimulants
Rhett Syndrome - answer✔X-linked dominant found in girls
-baby is Normal until 5-7 months then loss of purposeful hand skills
-deceleration of head growth
-loss of social engagement
-severely impaired expressive and receptive language development
-Seizure
What age range is DMDD diagnosed in? - answer✔6 years - 17 years
3 Main symptoms of DMDD - answer✔1.Disregulated mood (chronically)
2. Temper tantrums
3. Irritability
What 4 drug classes are indicated for DMDD? - answer✔1. Antipsychotics
2. SSRIs
3. Mood stabilizers
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