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PMHNP Exam Reported Questions and answers

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pmhnp exam reported questions and answers

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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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