Georgette PMHNP LMR Final Review 2026 | Latest Update 2026 |
100% Verified Answers | Board Exam Prep
What is the normal range for TSH? 0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Heat intolerance
Hyperthyroidism? Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Cold intolerance
Hypothyroidism? Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what Depression
psychiatric disorder?
Hyperthyroidism mimics symptoms of what Mania
psychiatric disorder?
Valproic acid produces what teratogenic Spina bifida (neural tube defect)
effect?
What is the primary organ where valproic Liver (hepatoxicity)
acid is toxic?
What are 4 signs of hepatoxicity? Abdominal pain in the RUQ
Reddish-brown urine
Yellowing of the skin/sclera
Fatigue
, What is the therapeutic range for valproic 50-125 mcg/ml
acid?
What is a toxic level of valproic acid? >150 mcg/ml
What are 4 signs of valproic acid toxicity? Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A patient on depakote complains of Suspect: hepatotoxicity
abdominal pain in the RUQ and reddish-
brown urine. What do you suspect? What Interventions:
do you do? -hold med
-draw LFT's (priority)
-VPA/DVP level
With suspected toxicity with valproic acid, D/C drug
what steps/labs should be drawn? Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant patient is taking accutane, Accutane
zyprexa, and abilify. What medication needs
to be discontinued? Accutane is used for acne and is contraindicated in
pregnancy as it can cause birth defects
What herbal supplement is used for anxiety, Kava Kava
stress, and insomnia?
What is a major side effect of Kava Kava? Liver damage
What drugs should be avoided with Kava Alprazolam
Kava? CNS depressants (e.g., phenobarbital, zolpidem)
What are 5 symptoms of Stephen's Johnson Key symptoms:
Syndrome (SJS)? -Fever
-Burning of mouth/eyes
Additional symptoms:
100% Verified Answers | Board Exam Prep
What is the normal range for TSH? 0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Heat intolerance
Hyperthyroidism? Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Cold intolerance
Hypothyroidism? Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what Depression
psychiatric disorder?
Hyperthyroidism mimics symptoms of what Mania
psychiatric disorder?
Valproic acid produces what teratogenic Spina bifida (neural tube defect)
effect?
What is the primary organ where valproic Liver (hepatoxicity)
acid is toxic?
What are 4 signs of hepatoxicity? Abdominal pain in the RUQ
Reddish-brown urine
Yellowing of the skin/sclera
Fatigue
, What is the therapeutic range for valproic 50-125 mcg/ml
acid?
What is a toxic level of valproic acid? >150 mcg/ml
What are 4 signs of valproic acid toxicity? Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A patient on depakote complains of Suspect: hepatotoxicity
abdominal pain in the RUQ and reddish-
brown urine. What do you suspect? What Interventions:
do you do? -hold med
-draw LFT's (priority)
-VPA/DVP level
With suspected toxicity with valproic acid, D/C drug
what steps/labs should be drawn? Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant patient is taking accutane, Accutane
zyprexa, and abilify. What medication needs
to be discontinued? Accutane is used for acne and is contraindicated in
pregnancy as it can cause birth defects
What herbal supplement is used for anxiety, Kava Kava
stress, and insomnia?
What is a major side effect of Kava Kava? Liver damage
What drugs should be avoided with Kava Alprazolam
Kava? CNS depressants (e.g., phenobarbital, zolpidem)
What are 5 symptoms of Stephen's Johnson Key symptoms:
Syndrome (SJS)? -Fever
-Burning of mouth/eyes
Additional symptoms:
