PMHNP Exam Reported Questions -
Study online at https://quizlet.com/_6sersh
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 Lamictal 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 serotonergic.
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
, PMHNP Exam Reported Questions -
Study online at https://quizlet.com/_6sersh
21. What does Erythromycin to trileptal?: You will need to decreases the level because Trileptal(in-
ducer) 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 Hyponatremia
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 damage?-
: 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 Sedimentation Rate) = distance
in mm RBC's have descended in 1 hour.
, PMHNP Exam Reported Questions -
Study online at https://quizlet.com/_6sersh
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
45. When do you assume informed consent?: Unconscious
Incompetent
Life Threatening Situation
46. What are the legal ramifications of treating w/o informed consent?: Same as with
informed consent
47. Who can declare a patient incompetent and appoint a guardian?: Only a court
48. Does impaired judgment mean one is incompetent?: No.
49. Can an advanced directive ever be revoked?: Yes, at any time.
50. What is the different between a Healthcare Agent, Proxy, Surrogate, and
Attorney in Fact?: Nothing. They are all the same.
51. Does the de facto rule of proxy apply in same sex marriages?: No.
52. How do Asians see HC providers?: As in a position of authority.
Expect to give instructions and help make decisions
53. What does it mean when an Asian patient does not make eye contact with
the NP?: SIgn of respect
54. What is the evil eye?: When a stronger or more powerful person looks at a weaker person - often
infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness.
Study online at https://quizlet.com/_6sersh
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 Lamictal 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 serotonergic.
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
, PMHNP Exam Reported Questions -
Study online at https://quizlet.com/_6sersh
21. What does Erythromycin to trileptal?: You will need to decreases the level because Trileptal(in-
ducer) 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 Hyponatremia
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 damage?-
: 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 Sedimentation Rate) = distance
in mm RBC's have descended in 1 hour.
, PMHNP Exam Reported Questions -
Study online at https://quizlet.com/_6sersh
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
45. When do you assume informed consent?: Unconscious
Incompetent
Life Threatening Situation
46. What are the legal ramifications of treating w/o informed consent?: Same as with
informed consent
47. Who can declare a patient incompetent and appoint a guardian?: Only a court
48. Does impaired judgment mean one is incompetent?: No.
49. Can an advanced directive ever be revoked?: Yes, at any time.
50. What is the different between a Healthcare Agent, Proxy, Surrogate, and
Attorney in Fact?: Nothing. They are all the same.
51. Does the de facto rule of proxy apply in same sex marriages?: No.
52. How do Asians see HC providers?: As in a position of authority.
Expect to give instructions and help make decisions
53. What does it mean when an Asian patient does not make eye contact with
the NP?: SIgn of respect
54. What is the evil eye?: When a stronger or more powerful person looks at a weaker person - often
infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness.
