PMHNP Exam Reported Questions and answers
1. 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
2. What do...
PMHNP Exam Reported Questions and answers
1. 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
2. What does a 17 on MMSE mean?: Moderate cognitive impairment
3. What is Tegretol in the CYP450 system?: Inducer -->will lower dose of Lam- ictal and
BCP's
4. What do BCP's do to Lamictal?: Inducer - will lower dose of Lamictal
5. What is a Type I research error?: There IS a difference but you say there isn't a difference.
6. What is a Type II research error?: There is NO difference but you say there is a difference.
7. What is pseudo-dementia?: Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
8. Is it normal for a 1 month old to have a palmar grasp?: Yes.
9. What is a drug 1/2 life?: The time it takes for 50% of a drug to be eliminated from the body.
10. What 3 atypicals can be used with teens?: Zyprexa, Abilify, Seroquel - low doses
11. What is a risk of using Tramadol?: Serotonin Syndrome as it is very seroton- ergic.
12. What is the allele seen in Asians that increase the risk of SJS?: -
,HLAB-1502
13. When might you see toxic epidermal necrolysis?: With worsening of SJS
14. How many generations do you include for a genogram?: 1st degree - mother, father,
siblings
2nd degree - grandparents & cousins
3rd degree -
15. What does messenger RNA code for?: Amino Acids
16. What is epigenetics?: Factors that affect genes - environmental, smoking, stress, etc...
17. What part of the brain is involved with OCD?: Basal Ganglia
Occipito-Frontal
18. What happens to the brain during adolescence?: Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
19. When do males typically present with schizophrenia?: 10-25 yo
20. When do females typically present with schizophrenia?: 25-35 yo
21. What does Erythromycin to trileptal?: You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
22. ACE Inhibitors are the drug of choice for what?: Heart Failure
HTN
,23. 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
24. What should you watch for with Tegretol?: Agranulocytosis and Hypona- tremia
25. What are the 3 CK muscle enzyme tests?: CKBB, CKMM, CKMB
26. Which one of the 3 muscle enzymes are related to cardiac muscle dam- age?: CKMB
27. What is the risk of a seriously elevated CKMB?: Polymyositis
Rhabdo
28. What is a normal CKMB?: 0.3 mcg/L
29. What psychoactives does Detrol interact with?: Topamax
KCL Zonegran
30. What CN are you assessing when you have the patient shrug their shoul- ders?: CN XI -
Spinal Accessory
31. What do you see in labs with HIV & Dementia?: CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
32. 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
, 33. What is sensitivity?: Helps rule-out disease = True Positive = Snout
34. What is specificity?: Helps rule-in disease = True Negative = Spin
35. What does a sed rate measure?: Inflammation (ESR - Erythrocyte Sedimen- tation Rate) =
distance in mm RBC's have descended in 1 hour.
36. What is a normal sed rate or ESR?: 0-22 males
0-29 females
37. What is a retic count?: Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
38. What does a decreased retic count indicate?: Anemia - acute or chronic bleeding
39. What does an increased retic count indicate?: Bone marrow disorder or
Vitamin Deficiency
40. What does an abnormal retic ount indicate in general?: Doesn't diagnose anything. First
step is ID source of the issue.
41. What happens when you mix tegretol and macrolides?: Increase tegretol levels.
42. What happens if a pregnant women takes Accutane?: Birth defects.
43. What labs do you get with RA?: 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.
44. Where does the NP Code of Ethics come from?: ANA
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