LMR GEORGETTE’S PMHNP CERTIFICATION EXAM LATEST 2025 QUESTIONS AND CORRECT ANSWERS

LMR GEORGETTE’S PMHNP
CERTIFICATION EXAM LATEST 2025
QUESTIONS AND CORRECT ANSWERS

WhatA2doesA2ADPIEA2standA2for?A2-A2Ans--Assessment
Diagnosis
Planning
Implementation
Evaluation

WhatA2shouldA2youA2doA2whenA2aA2motherA2reportsA2herA2childA2wokeA2upA2screamingA2in
A2theA2middleA2ofA2theA2night?A2-A2Ans--
AskA2herA2ifA2it'sA2happenedA2beforeA2toA2assessA2forA2sleepA2issueA2patterns

WhatA2doA2youA2doA2ifA2aA2patientA2comesA2inA2withA2fungusA2onA2theirA2toenail?A2-A2Ans--
ScrapeA2nailA2andA2sendA2forA2testing

WhatA2doA2youA2doA2ifA2aA2patientA2onA2lithiumA2hasA2darkA2brownA2urine?A2-A2Ans--
CheckA2renalA2function

WhatA2doA2youA2doA2ifA2aA2patientA2presentsA2withA2feverA2whileA2onA2Clozaril?A2-A2Ans--
CheckA2ANCA2levelA2toA2assessA2forA2agranulocytosis

WhatA2canA2causeA2serotoninA2syndrome?A2-A2Ans--
Antidepressants,A2St.A2John'sA2Wort,A2Same-E,A2KavaA2Kava,A2andA2Tryptophan

WhatA2labsA2areA2indicativeA2ofA2NMS?A2-A2Ans--
ElevatedA2WBCA2(overA211,000)A2andA2elevatedA2CPK

S/SA2ofA2NMSA2-A2Ans--
muscleA2rigidity,A2hyperthermia,A2tachycardia,A2abnormalA2bp,A2sweating,A2alteredA2ment
alA2status,A2cherryA2coloredA2urine

WhatA2shouldA2youA2doA2ifA2aA2patientA2presentsA2withA2cherryA2coloredA2urine?A2-A2Ans--
CheckA2forA2rhabdoA2withA2CPK

s/sA2ofA2serotoninA2syndromeA2-A2Ans--
hyperreflexia,A2muscleA2spasms,A2myoclonusA2(involuntaryA2muscleA2jerk),A2fever,A2tachy
cardia,A2HTN,A2shitsA2andA2shivers

WhatA2twoA2medicationsA2toA2giveA2withA2NMS?A2-A2Ans--bromocriptineA2(Parlodel)-
A2D2A2agonistA2dantrolene-A2muscleA2relaxer

,WhatA2medicationA2toA2giveA2duringA2SS?A2-A2Ans--cyproheptadineA2(Periactin)-A25HT-
2AA2receptorA2antagonist

WhatA2isA2theA2onsetA2andA2typicalA2lengthA2ofA2NMS?A2-A2Ans--SlowA2onsetA2(1-
2A2weeksA2afterA2changingA2orA2startingA2therapy)A2andA2resolvesA2withinA29-14A2days

WhatA2isA2theA2onsetA2ofA2SS?A2-A2Ans--WithinA224A2hoursA2ofA2starting/
changingA2medicationA2andA2resolvesA2withinA2aA2fewA2days

HowA2doA2youA2distinguishA2betweenA2NMSA2andA2acuteA2dystonia?A2-A2Ans--
NMSA2hasA2aA2slowerA2onsetA2whileA2acuteA2dystoniaA2occursA2withinA2hours

WhatA2happensA2withA2lithiumA2andA2NSAIDs?A2-A2Ans--
IncreasedA2riskA2ofA2lithiumA2toxicityA2(goutA2meds,A2ibuprophen,A2naproxen,A2etc.)

WhatA2happensA2withA2lithiumA2andA2ACEA2inhibitors?A2-A2Ans--
IncreasedA2riskA2ofA2lithiumA2toxicityA2relatedA2toA2theA2increasedA2urinationA2fromA2theA2A
CEA2inhibitors

WhyA2shouldA2aA2patientA2onA2lithiumA2avoidA2calciumA2channelA2blockers?A2-A2Ans--
RiskA2ofA2fatalA2nephrotoxicity

WhatA2isA2aA2fetalA2sideA2effectA2ofA2lithium?A2-A2Ans--Epstein'sA2anomaly

WhatA2labA2shouldA2youA2checkA2forA2athletesA2onA2lithium?A2-A2Ans--
SpecificA2gravityA2toA2assessA2forA2dehydrationA2(dehydrationA2isA2>1.015)

WhatA2doA2youA2doA2ifA2theA2lithiumA2levelA2isA21.3?A2-A2Ans--
DoA2notA2giveA2theA2nextA2doseA2andA2assessA2forA2s/s

AtA2whatA2levelA2isA2lithiumA2toxicityA2aA2medicalA2emergency?A2-A2Ans-->3

S/SA2ofA2lithiumA2toxicityA2-A2Ans--
vomiting,A2diarrhea,A2slurredA2speech,A2handA2tremor,A2dryA2mouth/
thirst,A2muscleA2weakness/twitching

WhyA2checkA2anA2EKGA2withA2lithium?A2-A2Ans--InvertedA2T-waves

WhatA2medicationA2shouldA2treatA2hypothyroidismA2causedA2byA2lithiumA2use?A2-A2Ans--
Synthroid

WhatA2doA2youA2doA2ifA2patientA2isA2prescribedA2bothA2depakoteA2andA2lamictal?A2-A2Ans--
DecreasedA2lamictalA2doseA2byA250%

DepakoteA2andA2pregnancyA2-A2Ans--SpinaA2bifida

, WhatA2emergencyA2mayA2beA2occuringA2ifA2patientA2onA2depakoteA2reportsA2upperA2abdo
minalA2pain?A2-A2Ans--Pancreatitis

WhatA2labA2shouldA2youA2checkA2ifA2patientA2hasA2rightA2upperA2quadrantA2painA2andA2dar
kA2brownA2urine?A2-A2Ans--LFTs

WhatA2labA2meansA2pregnancy?A2-A2Ans--HCG

WhyA2isA2ClozarilA2used?A2-A2Ans--
TreatmentA2resistantA2schizophrenia,A2improvesA2SI,A2andA2improvesA2negativeA2sympto
msA2ofA2schizophrenia

WhatA2twoA2medicationsA2haveA2theA2highestA2riskA2ofA2agranulocytosisA2andA2aplasticA2a
nemia?A2-A2Ans--ClozarilA2andA2Tegretol

WhatA2symptomsA2mayA2meanA2aA2ClozarilA2inducedA2infection?A2-A2Ans--
SoreA2throats,A2soresA2inA2mouth/gums,A2fever

WhenA2shouldA2youA2discontinueA2ClozarilA2orA2Tegretol?A2-A2Ans--
WBCA2<A22000A2orA2ANCA2<1000

WhatA2shouldA2youA2checkA2inA2AsianA2patientsA2takingA2Tegretol?A2-A2Ans--
ForA2theA2HLA-B*1502A2alleleA2(higherA2riskA2ofA2SJS)

WhatA2twoA2epidermalA2issuesA2canA2ariseA2fromA2TegretolA2orA2Lamictal?A2-A2Ans--
ToxicA2epidermalA2necrosisA2andA2SJS

WhatA2mayA2beA2theA2issueA2ifA2aA2patientA2onA2LamictalA2presentsA2withA2aA2feverA2andA2
severeA2headache?A2-A2Ans--AspeticA2meningitis

WhatA2threeA2antipsychoticsA2haveA2veryA2lowA2weightA2gainingA2effects?A2-A2Ans--
Geodon,A2Abilify,A2andA2Latuda

Mini-CogA2-A2Ans--3A2wordA2recallA2andA2
clockA2drawing

MMSEA2scoringA2-A2Ans--24-30A2severeA2impairment
18-23A2mildA2impairment
17A2andA2lessA2noA2impairment

WhatA2happensA2duringA2pruning?A2-A2Ans--
BrainA2eliminatesA2extraA2synapsesA2duringA2infancy

autismA2andA2pruningA2-A2Ans--ExcessA2synapsesA2causedA2byA2under-
pruningA2(patientA2oversensitiveA2toA2light/soundsA2andA2seizures)