What are some psychiatric side effects seen with some asthma drugs - Correct Answer -
Leukotriene receptor agonists - singular, accolade, Zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - Correct Answer - Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - Correct Answer - CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - Correct
Answer - CKMB
What is the risk of a seriously elevated CKMB? - Correct Answer - Polymyositis
Rhabdom
What is a normal CKMB? - Correct Answer - 0.3 mcg/L
What psychoactive does Detrol interact with? - Correct Answer - Topamax
KCL
Zonogram
What CN are you assessing when you have the patient shrug their shoulders? - Correct
Answer - CN XI - Spinal Accessory
pg. 1
,What do you see in labs with HIV & Dementia? - Correct Answer - CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - Correct Answer - Self-Report
- 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is the purpose of telepsychiatry? - Correct Answer - Increase the ability to reach
rural and underserved areas.
What is the purpose of Motivational Interviewing? - Correct Answer - Explore ambiguity
Maintain passive position
What is required for Medicare submission? - Correct Answer - ICD 10 and narrative or
CPT
What is the neurotransmitter problem in Schizophrenia? - Correct Answer - Excess
dopamine in mesolimbic pathway.
What is the neurotransmitter problem in ADHD? - Correct Answer - Dopamine,
norepinephrine and serotonergic dysfunction
What is the benefit of play therapy? - Correct Answer - Don't have to confront emotions
head on.
What is sensitivity? - Correct Answer - Helps rule-out disease = True Positive = Snout
What does a sed rate measure? - Correct Answer - Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - Correct Answer - 0-22 males
0-29 females
What is a retic count? - Correct Answer - Measures % of reticulocytes in blood
(immature RBC's) Indicates whether enough RBCs are being produced by bone
marrow.
What does a decreased retic count indicate? - Correct Answer - Anemia - acute or
chronic bleeding
What does an increased retic count indicate? - Correct Answer - Bone marrow disorder
or Vitamin Deficiency
What does an abnormal retic out indicate in general? - Correct Answer - Doesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix Tegretol and macrolides? - Correct Answer - Increase
Tegretol levels.
What happens if a pregnant woman takes Accutane? - Correct Answer - Birth defects.
What labs do you get with RA? - Correct Answer - Sed rate, RF, ANA, C reactive
protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
pg. 3
, Where does the NP Code of Ethics come from? - Correct Answer - ANA
When do you assume informed consent? - Correct Answer - Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - Correct Answer -
Same as with informed consent
Who can declare a patient incompetent and appoint a guardian? - Correct Answer -
Only a court
Does impaired judgment mean one is incompetent? - Correct Answer - No.
Can an advanced directive ever be revoked? - Correct Answer - Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in
Fact? - Correct Answer - Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - Correct Answer - No.
How do Asians see HC providers? - Correct Answer - As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? -
Correct Answer - Sign of respect
What is the evil eye? - Correct Answer - When a stronger or more powerful person looks
at a weaker person - often infant/child resulting in a hex which presents in illness such
as HA, fever, diarrhea, disturbed sleep, increased fussiness.
pg. 4
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