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Georgette Review PMHNP study set | 387 questions & Complete Solutions| Verified Answers
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Georgette Review PMHNP study set | 387 questions & Complete Solutions| Verified Answers
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Georgette Review PMHNP study set | 387questions & Complete Solutions| Verified Answers
Your patient with bipolar disorder is admitted to a medical hospital. The internist contacts your
office and asks whether the lithium you prescribed him is effecting his ECG. How do you
respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval - ✔✔Answer: Lithium can invert the t waves.
Mary is a 45-year-old African American female who has been treated on Isocarboxazid
(Marplan) for over 6 years. Mary is going in for a surgical procedure. Which medication is
strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen - ✔✔Answer: Methylphenidate
You are treating a client with schizophrenia who takes clozapine. What lab values will indicate
the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000 - ✔✔Answer: ANC less than 1000
If given during pregnancy, socium valproate can cause which of the following medical problems
in the baby?
A. SJS
,B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate - ✔✔A. Spina bifida
Which mood stabilizer is associated with potential life-threatening rash in the Asian
population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
D. Lamictal - ✔✔A. Carbamazepine
Bulimia, weight is ___________ - ✔✔within the normal range.
Pharm treatment for bulimia - ✔✔Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa - ✔✔low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia - ✔✔there is none
therapy
Which of the following physical exam findings would help the PMHNP differentiate anorexia
nervosa from bulimia nervosa?
,A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands - ✔✔Low BMI
If a patient is depression, low energy, fatigued, you would prescribe - ✔✔Wellbutrin
Wellbutrin is contraindicated in patients with - ✔✔seizure disorder or conditions that
increase risk of seizures such as eating disorder.
Which of the following medications has a unique mechanism that is both a norepinephrine and
dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta) - ✔✔bupropion
CLozaril is metabolized by - ✔✔cytochrome P450 enzyme CYP1A2
INducers - ✔✔induce metabolism and therefore decrease serum levels of other drugs that
are substrates
Smoking will do what to drug levels - ✔✔decrease therapeutic levels of the drug
Bull Shit CRAP GPS Induces my rage - ✔✔Barbituates
St. Johns Wart
Carbamazepine
Rifampicin
, Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulphonylureas
If your patient is a smoker you will need ___________doses of their medication. - ✔✔higher
Inhibitors - ✔✔inhibit metabolism and therefore increase levels of the drug.
SICKFACES.com for Inhibitors - ✔✔Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Alcohol
Chloramphenicol
Erythromycin
Sulfonamine
Cipro
Omeprazole
Metronidazole
Which cytochrome enzyme is implicated as a tobacco inducer when an individual is treated
with clozapine
a. 2D6
b. 1A2
c. 2C19
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