1
LMR Georgette’s PMHNP Certification Exam
Latest Questions and Correct Answers Top Rated
A+
Why is Clozaril used?
Treatment resistant schizophrenia, improves SI, and improves
negative symptoms of schizophrenia
What two medications have the highest risk of
agranulocytosis and aplastic anemia?
Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection?
Sore throats, sores in mouth/gums, fever
When should you discontinue Clozaril or Tegretol?
WBC < 2000 or ANC <1000
What should you check in Asian patients taking Tegretol?
For the HLA-B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or
Lamictal?
Toxic epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with
a fever and severe headache?
Aspetic meningitis
What three antipsychotics have very low weight gaining
effects?
Geodon, Abilify, and Latuda
Mini-Cog
3 word recall and
clock drawing
MMSE scoring
24-30 severe impairment
18-23 mild impairment
17 and less no impairment
What happens during pruning?
,2
Brain eliminates extra synapses during infancy
autism and pruning
Excess synapses caused by under-pruning (patient oversensitive
to light/sounds and seizures)
schizophrenia and pruning
Fewer synapses caused by over-pruning
grey matter vs white matter
Grey matter- synapses, working area of brain, dendrites
White matter- myelinated axons
axons and dendrites
axon away from cell and dendrites to neuron's cell body
CNS is made up of
brain and spinal cord
PNS consists of
cranial nerves and spinal nerves- responsible for voluntary
movement
somatic nervous system
the division of the peripheral nervous system that controls the
body's skeletal muscles
autonomic nervous system
the part of the peripheral nervous system that controls the glands
and the muscles of the internal organs
parasympathetic nervous system
the division of the autonomic nervous system that calms the body,
conserving its energy
sympathetic nervous system
the division of the autonomic nervous system that arouses the
body, mobilizing its energy in stressful situations
prefrontal cortex
part of frontal lobe responsible for thinking, planning, and
language
What part of the brain is responsible for perception of pain?
Prefrontal cortex- Explains TMS
What is the dorsolateral prefrontal cortex responsible for?
Executive functioning- undergoes maturation until adulthood
, 3
orbitofrontal cortex
a region of the brain that controls impulses and attention (ADHD
explained)
frontal lobe
associated with reasoning, planning, parts of speech (Broca-
forming), movement, emotions, and problem solving
parietal lobe
A region of the cerebral cortex whose functions include memory,
attention, perception, cognition, taste, and reading/writing
occipital lobe
A region of the cerebral cortex that processes visual information
temporal lobe
A region of the cerebral cortex responsible for hearing, agnosia,
and language (Wernicke's area-receptive speech)
Issues with what lobe can lead to visual/auditory
hallucinations?
Temporal
How does the amygdala work?
Sends signal to hypothalamus when in distress, which then
communicates to the rest of the body through the nervous system
anterior cingulate cortex
critical for stress; implicated in childhood trauma
basal ganglia
directs intentional movements and is also called the corpus
striatum
Hypothalamus
brain region controlling appetite, sleep, libido, heart rate
Hippocampus
A neural center located in the limbic system that helps process
explicit memories for storage.
mesolimbic pathway
positive symptoms of schizophrenia due to increased dopamine
mesocortical pathway
negative symptoms of schizophrenia due to decreased dopamine
Nigrostriatal pathway
LMR Georgette’s PMHNP Certification Exam
Latest Questions and Correct Answers Top Rated
A+
Why is Clozaril used?
Treatment resistant schizophrenia, improves SI, and improves
negative symptoms of schizophrenia
What two medications have the highest risk of
agranulocytosis and aplastic anemia?
Clozaril and Tegretol
What symptoms may mean a Clozaril induced infection?
Sore throats, sores in mouth/gums, fever
When should you discontinue Clozaril or Tegretol?
WBC < 2000 or ANC <1000
What should you check in Asian patients taking Tegretol?
For the HLA-B*1502 allele (higher risk of SJS)
What two epidermal issues can arise from Tegretol or
Lamictal?
Toxic epidermal necrosis and SJS
What may be the issue if a patient on Lamictal presents with
a fever and severe headache?
Aspetic meningitis
What three antipsychotics have very low weight gaining
effects?
Geodon, Abilify, and Latuda
Mini-Cog
3 word recall and
clock drawing
MMSE scoring
24-30 severe impairment
18-23 mild impairment
17 and less no impairment
What happens during pruning?
,2
Brain eliminates extra synapses during infancy
autism and pruning
Excess synapses caused by under-pruning (patient oversensitive
to light/sounds and seizures)
schizophrenia and pruning
Fewer synapses caused by over-pruning
grey matter vs white matter
Grey matter- synapses, working area of brain, dendrites
White matter- myelinated axons
axons and dendrites
axon away from cell and dendrites to neuron's cell body
CNS is made up of
brain and spinal cord
PNS consists of
cranial nerves and spinal nerves- responsible for voluntary
movement
somatic nervous system
the division of the peripheral nervous system that controls the
body's skeletal muscles
autonomic nervous system
the part of the peripheral nervous system that controls the glands
and the muscles of the internal organs
parasympathetic nervous system
the division of the autonomic nervous system that calms the body,
conserving its energy
sympathetic nervous system
the division of the autonomic nervous system that arouses the
body, mobilizing its energy in stressful situations
prefrontal cortex
part of frontal lobe responsible for thinking, planning, and
language
What part of the brain is responsible for perception of pain?
Prefrontal cortex- Explains TMS
What is the dorsolateral prefrontal cortex responsible for?
Executive functioning- undergoes maturation until adulthood
, 3
orbitofrontal cortex
a region of the brain that controls impulses and attention (ADHD
explained)
frontal lobe
associated with reasoning, planning, parts of speech (Broca-
forming), movement, emotions, and problem solving
parietal lobe
A region of the cerebral cortex whose functions include memory,
attention, perception, cognition, taste, and reading/writing
occipital lobe
A region of the cerebral cortex that processes visual information
temporal lobe
A region of the cerebral cortex responsible for hearing, agnosia,
and language (Wernicke's area-receptive speech)
Issues with what lobe can lead to visual/auditory
hallucinations?
Temporal
How does the amygdala work?
Sends signal to hypothalamus when in distress, which then
communicates to the rest of the body through the nervous system
anterior cingulate cortex
critical for stress; implicated in childhood trauma
basal ganglia
directs intentional movements and is also called the corpus
striatum
Hypothalamus
brain region controlling appetite, sleep, libido, heart rate
Hippocampus
A neural center located in the limbic system that helps process
explicit memories for storage.
mesolimbic pathway
positive symptoms of schizophrenia due to increased dopamine
mesocortical pathway
negative symptoms of schizophrenia due to decreased dopamine
Nigrostriatal pathway
