1|Page
Georgette Review PMHNP Exam Preparation Newest
With Complete Questions And Correct Detailed
Answers| Brand New Version!.
What drugs should be avoided with Kava Kava? - ANSWER-
Alprazolam, CNS depressants (e.g., phenobarbital, zolpidem)
What are the 3 functions of a Cultural Formulation Interview? -
ANSWER-Clarify meaning of illness, Empower the patient, Validate
symptoms within the cultural context
What does a cultural formulation interview do? - ANSWER-Cultural
assessment
What is the normal range for TSH? - ANSWER-0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism? - ANSWER-Decreased TSH,
Increased T4 and T3
What are lab values in Hypothyroidism? - ANSWER-Increased TSH,
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - ANSWER-Heat
intolerance, Agitation, Anxiety, Irritability, Tachycardia, Mood swings,
Weight loss
What are 4 primary symptoms of Hypothyroidism? - ANSWER-Cold
intolerance, Lethargy, Weight gain, Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? -
ANSWER-Depression
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Hyperthyroidism mimics symptoms of what psychiatric disorder? -
ANSWER-Mania
What teratogenic effect does Valproic acid produce? - ANSWER-Spina
bifida (neural tube defect)
What is the primary organ where Valproic acid is toxic? - ANSWER-
Liver (hepatotoxicity)
What are 4 signs of hepatotoxicity? - ANSWER-Abdominal pain in the
RUQ, Reddish-brown urine, Yellowing of the skin and sclera, Fatigue
What is the therapeutic range for Valproic acid? - ANSWER-50-125
mcg/ml
What is a toxic level of Valproic acid? - ANSWER->150 mcg/ml
What are 4 signs of Valproic acid toxicity? - ANSWER-Disorientation,
Lethargy, Respiratory depression, Nausea/vomiting
With suspected toxicity from Valproic acid, what labs should be drawn?
- ANSWER-D/C drug, Check drug level, Obtain LFTs, Obtain ammonia
level
What is the major side effect of Kava Kava? - ANSWER-Liver damage
What herbal supplement is used for anxiety, stress, and insomnia? -
ANSWER-Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - ANSWER-
Fever, Body aches, Severe red rash, Peeling skin, Facial and tongue
swelling
Which mood stabilizer causes the least weight gain? - ANSWER-
Lamotrigine (Lamictal)
,3|Page
Which 3 SGAs cause the least weight gain? - ANSWER-Lurasidone
(Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon)
Which SGA is the least sedating? - ANSWER-Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - ANSWER-Acute
disturbance of LOC, Impaired cognition, Inattention
How are agitation and psychotic symptoms treated in delirium? -
ANSWER-Low dose Haldol
What 4 drugs can cause mania? - ANSWER-Steroids, Disulfiram
(Antabuse), Isoniazid (INH), Antidepressants (in BPD)
What 6 drugs can induce depression? - ANSWER-Steroids, Beta
blockers, Interferon, Isotretinoin (Accutane), Retroviral drugs,
Antineoplastic drugs, Benzodiazepines, Progesterone
Steroids can induce what 3 psychiatric states? - ANSWER-Mania,
Depression, Psychosis
What medication used to treat acne can cause birth defects? - ANSWER-
Isotretinoin (Accutane)
What is agranulocytosis? - ANSWER-<500 ANC
What is neutropenia? - ANSWER-<2000 PMNs (neutrophils)
What ANC level should clozapine be stopped? - ANSWER-<1000
cells/µL
What are 4 symptoms of agranulocytosis? - ANSWER-Sudden fever,
chills, sore throat, weakness
, 4|Page
What does DIGFAST stand for? - ANSWER-Distractibility,
Indiscretion, Grandiosity, Flight of Ideas, Activity increased, Sleep
decreased, Talkativeness
What are 5 neurological symptoms in Conversion Disorder? -
ANSWER-Blindness, mutism, paralysis, paresthesia (glove and stocking
syndrome), seizures
When do symptoms typically begin with Conversion Disorder? -
ANSWER-After a stressful experience (suddenly)
What are 5 stressful events in a child's life that can cause adjustment
disorder? - ANSWER-Family move, parent divorce/separation, loss of
pet, birth of sibling, sudden or chronic illness
What symptoms may a child with adjustment disorder with disturbances
of conduct exhibit? - ANSWER-Not going to school, destroying
property, driving recklessly, or fighting
What is the required duration of behavior for a DSM-5 diagnosis of
Oppositional Defiant Disorder (ODD)? - ANSWER-6 months
How many symptoms must a child with ODD display to meet DSM-5
criteria? - ANSWER-4
What is the mainstay treatment of Oppositional Defiant Disorder
(ODD)? - ANSWER-Therapy
What is the primary therapy used to treat Oppositional Defiant Disorder
(ODD)? - ANSWER-Child and parent problem-solving skills training
What is Conduct Disorder? - ANSWER-A repetitive and persistent
pattern of behavior in which the rights of others or societal norms or
rules are violated.
Georgette Review PMHNP Exam Preparation Newest
With Complete Questions And Correct Detailed
Answers| Brand New Version!.
What drugs should be avoided with Kava Kava? - ANSWER-
Alprazolam, CNS depressants (e.g., phenobarbital, zolpidem)
What are the 3 functions of a Cultural Formulation Interview? -
ANSWER-Clarify meaning of illness, Empower the patient, Validate
symptoms within the cultural context
What does a cultural formulation interview do? - ANSWER-Cultural
assessment
What is the normal range for TSH? - ANSWER-0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism? - ANSWER-Decreased TSH,
Increased T4 and T3
What are lab values in Hypothyroidism? - ANSWER-Increased TSH,
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - ANSWER-Heat
intolerance, Agitation, Anxiety, Irritability, Tachycardia, Mood swings,
Weight loss
What are 4 primary symptoms of Hypothyroidism? - ANSWER-Cold
intolerance, Lethargy, Weight gain, Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? -
ANSWER-Depression
,2|Page
Hyperthyroidism mimics symptoms of what psychiatric disorder? -
ANSWER-Mania
What teratogenic effect does Valproic acid produce? - ANSWER-Spina
bifida (neural tube defect)
What is the primary organ where Valproic acid is toxic? - ANSWER-
Liver (hepatotoxicity)
What are 4 signs of hepatotoxicity? - ANSWER-Abdominal pain in the
RUQ, Reddish-brown urine, Yellowing of the skin and sclera, Fatigue
What is the therapeutic range for Valproic acid? - ANSWER-50-125
mcg/ml
What is a toxic level of Valproic acid? - ANSWER->150 mcg/ml
What are 4 signs of Valproic acid toxicity? - ANSWER-Disorientation,
Lethargy, Respiratory depression, Nausea/vomiting
With suspected toxicity from Valproic acid, what labs should be drawn?
- ANSWER-D/C drug, Check drug level, Obtain LFTs, Obtain ammonia
level
What is the major side effect of Kava Kava? - ANSWER-Liver damage
What herbal supplement is used for anxiety, stress, and insomnia? -
ANSWER-Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - ANSWER-
Fever, Body aches, Severe red rash, Peeling skin, Facial and tongue
swelling
Which mood stabilizer causes the least weight gain? - ANSWER-
Lamotrigine (Lamictal)
,3|Page
Which 3 SGAs cause the least weight gain? - ANSWER-Lurasidone
(Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon)
Which SGA is the least sedating? - ANSWER-Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - ANSWER-Acute
disturbance of LOC, Impaired cognition, Inattention
How are agitation and psychotic symptoms treated in delirium? -
ANSWER-Low dose Haldol
What 4 drugs can cause mania? - ANSWER-Steroids, Disulfiram
(Antabuse), Isoniazid (INH), Antidepressants (in BPD)
What 6 drugs can induce depression? - ANSWER-Steroids, Beta
blockers, Interferon, Isotretinoin (Accutane), Retroviral drugs,
Antineoplastic drugs, Benzodiazepines, Progesterone
Steroids can induce what 3 psychiatric states? - ANSWER-Mania,
Depression, Psychosis
What medication used to treat acne can cause birth defects? - ANSWER-
Isotretinoin (Accutane)
What is agranulocytosis? - ANSWER-<500 ANC
What is neutropenia? - ANSWER-<2000 PMNs (neutrophils)
What ANC level should clozapine be stopped? - ANSWER-<1000
cells/µL
What are 4 symptoms of agranulocytosis? - ANSWER-Sudden fever,
chills, sore throat, weakness
, 4|Page
What does DIGFAST stand for? - ANSWER-Distractibility,
Indiscretion, Grandiosity, Flight of Ideas, Activity increased, Sleep
decreased, Talkativeness
What are 5 neurological symptoms in Conversion Disorder? -
ANSWER-Blindness, mutism, paralysis, paresthesia (glove and stocking
syndrome), seizures
When do symptoms typically begin with Conversion Disorder? -
ANSWER-After a stressful experience (suddenly)
What are 5 stressful events in a child's life that can cause adjustment
disorder? - ANSWER-Family move, parent divorce/separation, loss of
pet, birth of sibling, sudden or chronic illness
What symptoms may a child with adjustment disorder with disturbances
of conduct exhibit? - ANSWER-Not going to school, destroying
property, driving recklessly, or fighting
What is the required duration of behavior for a DSM-5 diagnosis of
Oppositional Defiant Disorder (ODD)? - ANSWER-6 months
How many symptoms must a child with ODD display to meet DSM-5
criteria? - ANSWER-4
What is the mainstay treatment of Oppositional Defiant Disorder
(ODD)? - ANSWER-Therapy
What is the primary therapy used to treat Oppositional Defiant Disorder
(ODD)? - ANSWER-Child and parent problem-solving skills training
What is Conduct Disorder? - ANSWER-A repetitive and persistent
pattern of behavior in which the rights of others or societal norms or
rules are violated.
