PMHNP NURSING EXAM WITH DETAILED
QUESTIONS AND CORRECT
ANSWERS||LATEST EXAM||ALREADY
GRADED A+
What is dissemination? -ANSWER 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
What does a 17 on MMSE mean? -ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? -ANSWER Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? -ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? -ANSWER There IS a difference but you say there isn't
a difference.
What is a Type II research error? -ANSWER There is NO difference but you say there is
a difference.
What is pseudo-dementia? -ANSWER Cognitive 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? -ANSWER Yes.
What is a drug 1/2 life? -ANSWER The time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypicals can be used with teens? -ANSWER Zyprexa, Abilify, Seroquel - low
doses
What is a risk of using Tramadol? -ANSWER Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? -ANSWER HLAB-1502
When might you see toxic epidermal necrolysis? -ANSWER With worsening of SJS
,How many generations do you include for a genogram? -ANSWER 1st degree - mother,
father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? -ANSWER Amino Acids
What is epigenetics? -ANSWER Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? -ANSWER Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? -ANSWER Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? -ANSWER 10-25 yo
When do females typically present with schizophrenia? -ANSWER 25-35 yo
What does Erythromycin to trileptal? -ANSWER You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? -ANSWER Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs -ANSWER
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? -ANSWER Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? -ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -ANSWER
CKMB
What is the risk of a seriously elevated CKMB? -ANSWER Polymyositis
Rhabdo
What is a normal CKMB? -ANSWER 0.3 mcg/L
What psychoactives does Detrol interact with? -ANSWER Topamax
KCL
, Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
ANSWER CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? -ANSWER CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? -ANSWER Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? -ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? -ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? -ANSWER Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? -ANSWER 0-22 males
0-29 females
What is a retic count? -ANSWER Measures % 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? -ANSWER Anemia - acute or chronic
bleeding
What does an increased retic count indicate? -ANSWER Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? -ANSWER Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? -ANSWER Increase tegretol
levels.
What happens if a pregnant women takes Accutane? -ANSWER Birth defects.
What labs do you get with RA? -ANSWER 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.
QUESTIONS AND CORRECT
ANSWERS||LATEST EXAM||ALREADY
GRADED A+
What is dissemination? -ANSWER 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
What does a 17 on MMSE mean? -ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? -ANSWER Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? -ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? -ANSWER There IS a difference but you say there isn't
a difference.
What is a Type II research error? -ANSWER There is NO difference but you say there is
a difference.
What is pseudo-dementia? -ANSWER Cognitive 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? -ANSWER Yes.
What is a drug 1/2 life? -ANSWER The time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypicals can be used with teens? -ANSWER Zyprexa, Abilify, Seroquel - low
doses
What is a risk of using Tramadol? -ANSWER Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? -ANSWER HLAB-1502
When might you see toxic epidermal necrolysis? -ANSWER With worsening of SJS
,How many generations do you include for a genogram? -ANSWER 1st degree - mother,
father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? -ANSWER Amino Acids
What is epigenetics? -ANSWER Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? -ANSWER Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? -ANSWER Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? -ANSWER 10-25 yo
When do females typically present with schizophrenia? -ANSWER 25-35 yo
What does Erythromycin to trileptal? -ANSWER You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? -ANSWER Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs -ANSWER
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? -ANSWER Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? -ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -ANSWER
CKMB
What is the risk of a seriously elevated CKMB? -ANSWER Polymyositis
Rhabdo
What is a normal CKMB? -ANSWER 0.3 mcg/L
What psychoactives does Detrol interact with? -ANSWER Topamax
KCL
, Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
ANSWER CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? -ANSWER CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? -ANSWER Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? -ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? -ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? -ANSWER Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? -ANSWER 0-22 males
0-29 females
What is a retic count? -ANSWER Measures % 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? -ANSWER Anemia - acute or chronic
bleeding
What does an increased retic count indicate? -ANSWER Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? -ANSWER Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? -ANSWER Increase tegretol
levels.
What happens if a pregnant women takes Accutane? -ANSWER Birth defects.
What labs do you get with RA? -ANSWER 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.
