PMHNP Exam Reported Questions
What is dissemination? correct answersGetting 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
What does a 17 on MMSE mean? correct answersModerate cognitive impairment
What is Tegretol in the CYP450 system? correct answersInducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? correct answersInducer - will lower dose of Lamictal
What is a Type I research error? correct answersThere IS a difference but you say there isn't a difference.
What is a Type II research error? correct answersThere is NO difference but you say there is a difference.
What is pseudo-dementia? correct answersCognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? correct answersYes.
What is a drug 1/2 life? correct answersThe time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? correct answersZyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? correct answersSerotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? correct answersHLAB-
1502
When might you see toxic epidermal necrolysis? correct answersWith worsening of SJS How many generations do you include for a genogram? correct answers1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? correct answersAmino Acids
What is epigenetics? correct answersFactors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? correct answersBasal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? correct answersDendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? correct answers10-25 yo
When do females typically present with schizophrenia? correct answers25-35 yo
What does Erythromycin to trileptal? correct answersYou will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? correct answersHeart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs correct answersLeukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? correct answersAgranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? correct answersCKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? correct answersCKMB
What is the risk of a seriously elevated CKMB? correct answersPolymyositis
Rhabdo
What is a normal CKMB? correct answers0.3 mcg/L
What psychoactives does Detrol interact with? correct answersTopamax
KCL Zonegran
What CN are you assessing when you have the patient shrug their shoulders? correct answersCN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? correct answersCD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? correct answersSelf-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? correct answersHelps rule-out disease = True Positive = Snout
What is specificity? correct answersHelps rule-in disease = True Negative = Spin
What does a sed rate measure? correct answersInflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? correct answers0-22 males
0-29 females
What is a retic count? correct answersMeasures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? correct answersAnemia - acute or chronic
bleeding
What does an increased retic count indicate? correct answersBone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? correct answersDoesn't diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? correct answersIncrease tegretol levels.
What happens if a pregnant women takes Accutane? correct answersBirth defects.
What labs do you get with RA? correct answersSed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
What is dissemination? correct answersGetting 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
What does a 17 on MMSE mean? correct answersModerate cognitive impairment
What is Tegretol in the CYP450 system? correct answersInducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? correct answersInducer - will lower dose of Lamictal
What is a Type I research error? correct answersThere IS a difference but you say there isn't a difference.
What is a Type II research error? correct answersThere is NO difference but you say there is a difference.
What is pseudo-dementia? correct answersCognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? correct answersYes.
What is a drug 1/2 life? correct answersThe time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? correct answersZyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? correct answersSerotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? correct answersHLAB-
1502
When might you see toxic epidermal necrolysis? correct answersWith worsening of SJS How many generations do you include for a genogram? correct answers1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? correct answersAmino Acids
What is epigenetics? correct answersFactors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? correct answersBasal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? correct answersDendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? correct answers10-25 yo
When do females typically present with schizophrenia? correct answers25-35 yo
What does Erythromycin to trileptal? correct answersYou will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? correct answersHeart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs correct answersLeukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? correct answersAgranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? correct answersCKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? correct answersCKMB
What is the risk of a seriously elevated CKMB? correct answersPolymyositis
Rhabdo
What is a normal CKMB? correct answers0.3 mcg/L
What psychoactives does Detrol interact with? correct answersTopamax
KCL Zonegran
What CN are you assessing when you have the patient shrug their shoulders? correct answersCN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? correct answersCD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? correct answersSelf-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? correct answersHelps rule-out disease = True Positive = Snout
What is specificity? correct answersHelps rule-in disease = True Negative = Spin
What does a sed rate measure? correct answersInflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? correct answers0-22 males
0-29 females
What is a retic count? correct answersMeasures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? correct answersAnemia - acute or chronic
bleeding
What does an increased retic count indicate? correct answersBone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? correct answersDoesn't diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? correct answersIncrease tegretol levels.
What happens if a pregnant women takes Accutane? correct answersBirth defects.
What labs do you get with RA? correct answersSed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
