LMR Georgette’s PMHNP Certification Exam
Review Study Guide | Latest 2025/ 2026
Update | Questions and Verified Answers |
100% Correct | GRADED A |
Question:
Which of these brain structures puts emotional meaning on a stimulus, forms,
emotional memories and is involved with rage and fear Answer: amygdala
Question:
A client presents with complaints of changes in appetite, feeling fatigued, problems
with sleep-rest cycle, and changes in libido. What is the neuroanatomical areas off
the brain that is responsible for the regulation of these functions?
Answer:
Hypothalamus
Question:
Which serotonin receptor antagonism makes an antipsychotic "atypical" Answer:
5HT2A
Question:
Excess dopamine in this area causes positive schizophrenic symptoms Answer:
.
.
, meoslimbic pathway
Question:
decreased dopamine leads to negative symptoms of schizophrenia Answer:
mesocortical pathway
Question:
Increased blockade of dopamine here leads to EPS Answer:
nigrostriatal pathway
Question:
Blockade of dopamine in this pathway can lead to increased prolactin levels
Answer:
tuberoinfundibular pathway
Question:
Muscle spasms ninth face, neck, tongue, back/neck muscles Answer:
acute dystonia
Question:
.
.
, Oculogyric crisis, which can lead to permanent injury. Patients have prolonged
involuntary upwards deviation of the eyes bilaterally.
Answer:
Rare presentation of acute dystonia.
Question:
Pharm treatment for dystonia Answer:
cogentin (IM first then oral)
Question:
Restlessness, inability to sit still. Pacing.
Answer:
Mistaken for anxiety.
Akathisia
Question:
Commonly used rating scale for akathisia is Answer:
Barnes Akathisia rating scale and extrapyramidal symptom rating scale.
Question:
Treatment for akathisis Answer:
1st line
.
.
, 2nd line
3rd line
1st: beta blocker
2nd: Cogentin
3rd: bnzodiazepine
Question:
Absence of movement or difficulty initiating movement akinesia
Answer:
Treatment: cogentin
Question:
Presence of symptoms of Parkinson's produced by D2 blockade in the nigrostriatal
pathway
Answer:
Pseudo-Parkinsonism
Question: Signs of
Parkinsons
Answer:
muscle rigidity shuffling
gait mask like facial
.
.
Review Study Guide | Latest 2025/ 2026
Update | Questions and Verified Answers |
100% Correct | GRADED A |
Question:
Which of these brain structures puts emotional meaning on a stimulus, forms,
emotional memories and is involved with rage and fear Answer: amygdala
Question:
A client presents with complaints of changes in appetite, feeling fatigued, problems
with sleep-rest cycle, and changes in libido. What is the neuroanatomical areas off
the brain that is responsible for the regulation of these functions?
Answer:
Hypothalamus
Question:
Which serotonin receptor antagonism makes an antipsychotic "atypical" Answer:
5HT2A
Question:
Excess dopamine in this area causes positive schizophrenic symptoms Answer:
.
.
, meoslimbic pathway
Question:
decreased dopamine leads to negative symptoms of schizophrenia Answer:
mesocortical pathway
Question:
Increased blockade of dopamine here leads to EPS Answer:
nigrostriatal pathway
Question:
Blockade of dopamine in this pathway can lead to increased prolactin levels
Answer:
tuberoinfundibular pathway
Question:
Muscle spasms ninth face, neck, tongue, back/neck muscles Answer:
acute dystonia
Question:
.
.
, Oculogyric crisis, which can lead to permanent injury. Patients have prolonged
involuntary upwards deviation of the eyes bilaterally.
Answer:
Rare presentation of acute dystonia.
Question:
Pharm treatment for dystonia Answer:
cogentin (IM first then oral)
Question:
Restlessness, inability to sit still. Pacing.
Answer:
Mistaken for anxiety.
Akathisia
Question:
Commonly used rating scale for akathisia is Answer:
Barnes Akathisia rating scale and extrapyramidal symptom rating scale.
Question:
Treatment for akathisis Answer:
1st line
.
.
, 2nd line
3rd line
1st: beta blocker
2nd: Cogentin
3rd: bnzodiazepine
Question:
Absence of movement or difficulty initiating movement akinesia
Answer:
Treatment: cogentin
Question:
Presence of symptoms of Parkinson's produced by D2 blockade in the nigrostriatal
pathway
Answer:
Pseudo-Parkinsonism
Question: Signs of
Parkinsons
Answer:
muscle rigidity shuffling
gait mask like facial
.
.
