Georgette Review. PMHNP Questions and
Answers Latest (Verified Answers) | A+
Assured | 100% Correct
• Signs of fetal alcohol syndrome -✓✓small head, shoey palpebral
fissure, inner epicanthal folds. Do IEP and early intervention specialist
• Rhett Syndrome -✓✓a rare disorder found virtually exclusively in
girls, is a neurodevelopmental disorder in which the child usually
develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact, decelerated head
growth, and disinterest in play activities
• EPS types -✓✓Tardive dyskinesia happen after years (eps is a
precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
• Where do EPS originate -✓✓nigrostiatal tract.
• How does tegretol interact with cipro -✓✓cipro and erythromycin are
inhibitors. Cause increased level of Tegretol. Black box warning
• Tegretol side effects -✓✓Aplastic anemia, agranulocytosis, steven
johnsons, hyponatremia. Watch with cipro and erythro
• nuchal rigidity -✓✓stiffness in cervical neck area, meningitis
• ACE inhibitors -✓✓-pril, CHF
• signs of serotonin syndrome -✓✓-shivering
-anxiety
-diaphoresis
, -hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature,
vital sign instability, encephalopathy, restlessness, sweating
• Serotonin Discontinuation Syndrome -✓✓syndrome caused by abrupt
withdrawal of an antidepressant drug, resulting in sensory disturbances,
sleeping disturbances, disequilibrium, flu-like symptoms, dizzy, vertigo,
paresthesia (brain zaps), nausea/vomiting, and gastrointestinal effects
• NMS -✓✓neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood
cell count/cpk, rigidity
• Levels of Prevention -✓✓Primary: prevent/promotion, classes, safety
initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
• Risk factors for serotonin syndrome -✓✓more than 1 SSRI, st johns
wart, tramadol, demerol, ultram, maperidone, 5HT
• Grade 2/5 hoarse systolic heart murmur -✓✓aortic stenosis
• Woman with GAD advise on medication -✓✓stop benzos because can
cause floppy baby syndrome and cleft palate, cotinue buspar
Answers Latest (Verified Answers) | A+
Assured | 100% Correct
• Signs of fetal alcohol syndrome -✓✓small head, shoey palpebral
fissure, inner epicanthal folds. Do IEP and early intervention specialist
• Rhett Syndrome -✓✓a rare disorder found virtually exclusively in
girls, is a neurodevelopmental disorder in which the child usually
develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact, decelerated head
growth, and disinterest in play activities
• EPS types -✓✓Tardive dyskinesia happen after years (eps is a
precursor). Acute dystonia (hours), Parkinsons (weeks), Akathisia (days)
• Where do EPS originate -✓✓nigrostiatal tract.
• How does tegretol interact with cipro -✓✓cipro and erythromycin are
inhibitors. Cause increased level of Tegretol. Black box warning
• Tegretol side effects -✓✓Aplastic anemia, agranulocytosis, steven
johnsons, hyponatremia. Watch with cipro and erythro
• nuchal rigidity -✓✓stiffness in cervical neck area, meningitis
• ACE inhibitors -✓✓-pril, CHF
• signs of serotonin syndrome -✓✓-shivering
-anxiety
-diaphoresis
, -hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature,
vital sign instability, encephalopathy, restlessness, sweating
• Serotonin Discontinuation Syndrome -✓✓syndrome caused by abrupt
withdrawal of an antidepressant drug, resulting in sensory disturbances,
sleeping disturbances, disequilibrium, flu-like symptoms, dizzy, vertigo,
paresthesia (brain zaps), nausea/vomiting, and gastrointestinal effects
• NMS -✓✓neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood
cell count/cpk, rigidity
• Levels of Prevention -✓✓Primary: prevent/promotion, classes, safety
initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day
treatment, social skills
• Risk factors for serotonin syndrome -✓✓more than 1 SSRI, st johns
wart, tramadol, demerol, ultram, maperidone, 5HT
• Grade 2/5 hoarse systolic heart murmur -✓✓aortic stenosis
• Woman with GAD advise on medication -✓✓stop benzos because can
cause floppy baby syndrome and cleft palate, cotinue buspar
