PMHNP Board Prep 1 – 12, Top Exam Questions and answers, rated A+
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Course
PMHNP
Institution
PMHNP
PMHNP Board Prep 1 – 12, Top Exam Questions and answers, rated A+
symptom presentation - -affective, cognitive, physical
autosomal dominant - -genetic inheritance. will present in more than one generation. 50/50 chance of passing on trait (Huningtons)
autosomal recessive - -two copies ...
Abnormal Involuntary Movement Scale (AIMS) - ✔✔-total score is less important than monitoring areas
of the body. 2 or more is positive. Question 7 examines trunk movements
,WHODAS - ✔✔-36 item, measures six domains, understanding and communicating, getting around, self
care, getting along with people, life activities and participation with society. 0=no disability, 100=full
disability
Metabolic syndrome - ✔✔-abdominal obesity and any two of the following: triglycerides >150, HDL
>40/50, BP >130/85, FSBS >100 or prior type 2 diabetes
general screening labs - ✔✔-CBC, chemistry panel, thyroid labs, hepatic panel, B12/folate and vitamin D
PET scan - ✔✔-localizes mental activities, primarily as experimental basis and is very expensive
cranial nerves - ✔✔-olfactory=smell, sensory
optic=vision, sensory
oculomotor=most EOM, motor
trochlear=downward and inward eye movement, motor
trigeminal=mastication muscles, sensation of face, both
abducens=lateral eye movmement, motor
facial=move face, close eyes, taste, saliva, tears, both
acoustic=hearing and balance, sensory
glossopharyngeal=phonation, gag, carotid, swallowing, taste, both
vagus=talk, swallow, carotid, both
spinal accessory=shrug shoulders, motor
hypoglossal=moves the tounge, motor
tender lymph node - ✔✔-classic sign of infection
rubbery lymph node - ✔✔-classic sign of lymphoma
soft lymph node - ✔✔-insignificant
,nontender lymph node - ✔✔-classic sign of potential malignancy
lymph node size - ✔✔-insignificant if less than 2cm, 3cm in axilla and inguinal. but if supraclavicular
fossa, >1cm is significant
lasts longest in the urine - ✔✔-cannabis. 3 days to 4 weeks
pneumococcal vaccine - ✔✔-give to 19-64 year old smoker or if have asthma
Pap smear - ✔✔-every 3 years, HPV every 5 years. discontinue at age 65-70 if have 3 consecutive
negative and no abnormal tests in 10 years
prostate exam - ✔✔-digital begin at age 40 and PSA at age 40 if have family history of prostate cancer or
AA. ALL males 50 years and older should get screening
colorectal screening - ✔✔-starting at 50 years old, annual fecal occult blood test, flex sig every 5 years
and colonoscopy every 10 years
Medicare B screening coverage - ✔✔-for cervical, breast, prostate, colorectal cancer
top 4 killers of adults in US - ✔✔-heart disease, cancer, lower resp disease, CVA
lung cancer - ✔✔-highest cancer mortality in women and men,
primary prevention - ✔✔-PROMOTES health PRIOR. healthy diet, exercise, avoiding things
secondary prevention - ✔✔-focuses on early identification and treatment of existing problems. includes
REGULAR exams and screening like pap
, tertiary prevention - ✔✔-rehab and restoration of health
hepatitis A vaccine - ✔✔-for military, travelers to endemic areas, men who have sex with men
Joint National Committee Classifications (JNC) to treat hypertension - ✔✔-AA start of thiazide diuretics,
Ca channel blockers
mitral regurgitation - ✔✔-S3 at 5th ICS MCL, musical
TSH >20 - ✔✔-weight gain is more likely
>4.2 indicates hypothyroid
low T4 - ✔✔-indicates disease state is due to thyroid gland
hyperthyroid - ✔✔-low TSH, high or normal T4
mimics mania
hypothyroid - ✔✔-high TSH, low T4
mimics depression
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