Test Bank for PMHNP Boards Exam Questions and Correct
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Answers (Verified by Expert) hj hj hj
What is true of interprofessionality? ✔✔ All h ealth professionals h ave individual professi
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onal competencies hj
What is the significance of an experimental p-
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value of 0.05 ✔✔ There is a 5% chance of a similar result occurring by chance alone
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What percentage of children with oppositional defiance disorder will develop conduct dis
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order? ✔✔ 30% hj hj
In the DSM-
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5, selective mutism is now considered what type of disorder? ✔✔ anxiety disorder
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Symptoms of selective mutism must persist for at least ✔✔ 1 month
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Common competencies ✔✔ overlap more than one h ealth care professional, although n
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ot necessarily all health care professionals, and are competencies expected of all health
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care professionals
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Complementary competencies ✔✔ enhance the qualities of other professions in provisio hj hj hj hj hj hj hj hj hj hj
n of care
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Collaborative competencies ✔✔ those that each individual profession must possess to w
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ork with others, including those who practice within different specialties within a professi
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on.
Interpersonal collaboration is hj hj centered ✔✔ patient hj hj
Cognitive therapy is recommended for patients that h ave ✔✔ negative cognitive distortio
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ns
irrational beliefs fau hj hj
lty conceptions
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Humanistic Therapy focuses on assisting patients with ✔✔ self-actualization and self-
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directed growth
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Behavioral Therapy focuses on ✔✔ changing maladaptive behaviors through the use of
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behavioral modification techniques hj hj
Existential therapy is for ✔✔ reflection on life confrontin
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g self
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,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhe
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a ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and
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developing diarrhea? ✔✔ 6 ((120X160)/(80x40))
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The New Freedom Commission on Mental Health (NFCMH) released a report that su
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ggested ✔✔ implementation a national campaign to reduce the stigma of seeking care
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Focusing on promoting recovery and building resilience
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The efficacy of mental h ealth treatments was found to be well documented in ✔✔
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influential report issued by US Surgeon General in 1999hj hj hj hj hj hj hj hj
State of high negative emotion and pessimism ✔✔ neuroticism
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Commonly known as an optimistic outlook on life They are are outgoing, like social inter
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action, respond to external rewards, have more active dopamine n etworks, and are resp
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onsive to positive reinforcement. ✔✔ Extraversion (high levels protect from psychiatric il
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lness)
Introverts are more likely to be motivated and more likely to respond to
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reinforcement ✔✔ internally hj hj
negative (more likely to interact with internal motivation/self-image)
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Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships
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often at the expense of self-assertion ✔✔ Agreeableness
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Associated with self- hj hj
control and a focused, organized approach to life. Are achievement-
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oriented goal setters who can delay immediate gratification to obtain their long term desi
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red outcome. They are considered responsible, reliable, and dependable.
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✔✔ conscientiousness
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In behavioral couples therapy, the initial sessions are spent doing a functional analysis
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of behavior (FAB). W hat is true about FAB? ✔✔ FAB is concerned only with observable
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stimuli connected to operant behavior
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FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors,
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and consequent stimuli)
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The goal of FAB is modifying willful operant behavior
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Gestalt theory deals with hj hj hj , nothj
✔✔ perceptual psychology behavior
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Medication that can delay ejaculation in patients with premature ejaculation ✔✔
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Paroxetine (and other SSRIs) (ot hj hj hj hj
hers include: hj
,Topical anesthetic hj hj
Tramadol
Phosphodiesterase-5 inhibitors) hj
First line treatment for lithium induced diabetes insipidus ✔✔ Amiloride (K potassium diur
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etic) in addition to dc lithium when possible.
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Ways to reduce polyuria associated with lithium toxicity ✔✔ reduce lithium dose to minim
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um effective dose
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take once daily at night (may be 5-
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30% lower than when given in divided doses over the day)
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Encourage adequate fluid intake hj hj hj
What is true about ECT in Parkinson's disease ✔✔ it's more likely to cause transient delir
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ium (worsened dyskinesias induced by l-dopa)
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Lithium effects with Parkison's disease ✔✔ may worsen tremor
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nonselective MAOIs decrease the efficacy of hj hj hj hj hj and increase the risk of a
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✔✔ l- hj
dopa products hypertensive crisi
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s
Selegiline is selective f or ✔✔ MAO-B hj hj hj hj hj
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds th
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at increase serotonin)
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SSRI's can hj
Parkinsonism tremor ✔✔ worsen (and decrease 'off time') Pro hj hj hj hj hj hj hj hj
cess describes the mechanism by which the h ippocampus stores memories ✔✔
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long-term potentiation hj
loss of memory relating to a particular category of information (inability to recall importa
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nt autobiographical information, usually of a traumatic or stressful nature, that is inconsis
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tent with ordinary forgetting) ✔✔ systematized amnesia
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Lack of memories from a circumscribed period of time, usually immediately following a tr
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aumatic event ✔✔ localized amnesia hj hj hj hj
Person can recall some but not all of events from a particular time period ✔✔ selective a
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mnesia
Lack of memory of the patient's entire life ✔✔ generalized amnesia T
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he drugs that are FDA approved for GAD ✔✔ Paroxetine
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, Citalopram Escitalo hj
pram
Venlafaxine Duloxe hj
tine
Buspar
A surrogate h as the right to terminate pregnancy if ✔✔ the pregnancy threatens h er healt
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h or life
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or
she is a genetic parent
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If the surrogate receives both ovum and sperm from couple, she loses the right to ✔✔
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determine whether or n ot child will be aborted (this is up to the couple)
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Which medication is most effective for treating social phobia/social anxiety disorder, esp
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ecially when refractory? ✔✔ Phenelzine
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A 55-year-
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old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally, but
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her lungs are clear. Her ECG reveals 2nd degree heart block. Which of the following BP
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medications should be avoided? ✔✔ Calcium Channel Blockers hj hj hj hj hj hj hj
3 Contraindications to use a calcium channel blocker ✔✔ 1st or second degree h eart blo
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ck
Bradycardia hj
CHF
4 S ide effects of calcium channel blockers ✔✔ Headache Lo
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wer extremity edema
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Bradycardia hj
Heart Block hj
An NP is evaluating a 78 year old f emale with depression. She suspects the patient may hav
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e Parkinson's disease. Which of the following is consistent with that diagnosis? ✔✔ Postural
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instability
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Pill-
rolling tremor Sh hj hj
uffling Gait hj
Difficulty initiating movement hj hj
Mask-like facies (difficulty initiating movement) hj hj hj hj
Writhing movements occur with ✔✔ Huntington's chorea
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10 Non- hj
motor manifestations of P arkinsons ✔✔ Autonomic dysfunction Gastrointestical dysfu
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nction
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Answers (Verified by Expert) hj hj hj
What is true of interprofessionality? ✔✔ All h ealth professionals h ave individual professi
hj hj hj hj hj hj hj hj hj hj hj
onal competencies hj
What is the significance of an experimental p-
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value of 0.05 ✔✔ There is a 5% chance of a similar result occurring by chance alone
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
What percentage of children with oppositional defiance disorder will develop conduct dis
hj hj hj hj hj hj hj hj hj hj hj
order? ✔✔ 30% hj hj
In the DSM-
hj hj
5, selective mutism is now considered what type of disorder? ✔✔ anxiety disorder
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Symptoms of selective mutism must persist for at least ✔✔ 1 month
hj hj hj hj hj hj hj hj hj hj hj
Common competencies ✔✔ overlap more than one h ealth care professional, although n
hj hj hj hj hj hj hj hj hj hj hj
ot necessarily all health care professionals, and are competencies expected of all health
hj hj hj hj hj hj hj hj hj hj hj hj
care professionals
hj hj
Complementary competencies ✔✔ enhance the qualities of other professions in provisio hj hj hj hj hj hj hj hj hj hj
n of care
hj hj
Collaborative competencies ✔✔ those that each individual profession must possess to w
hj hj hj hj hj hj hj hj hj hj hj
ork with others, including those who practice within different specialties within a professi
hj hj hj hj hj hj hj hj hj hj hj hj
on.
Interpersonal collaboration is hj hj centered ✔✔ patient hj hj
Cognitive therapy is recommended for patients that h ave ✔✔ negative cognitive distortio
hj hj hj hj hj hj hj hj hj hj hj
ns
irrational beliefs fau hj hj
lty conceptions
hj
Humanistic Therapy focuses on assisting patients with ✔✔ self-actualization and self-
hj hj hj hj hj hj hj hj hj hj
directed growth
hj hj
Behavioral Therapy focuses on ✔✔ changing maladaptive behaviors through the use of
hj hj hj hj hj hj hj hj hj hj hj hj
behavioral modification techniques hj hj
Existential therapy is for ✔✔ reflection on life confrontin
hj hj hj hj hj hj hj hj
g self
hj
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhe
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
a ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
developing diarrhea? ✔✔ 6 ((120X160)/(80x40))
hj hj hj hj hj
The New Freedom Commission on Mental Health (NFCMH) released a report that su
hj hj hj hj hj hj hj hj hj hj hj hj
ggested ✔✔ implementation a national campaign to reduce the stigma of seeking care
hj hj hj hj hj hj hj hj hj hj hj hj
Focusing on promoting recovery and building resilience
hj hj hj hj hj hj
The efficacy of mental h ealth treatments was found to be well documented in ✔✔
hj hj hj hj hj hj hj hj hj hj hj hj hj
influential report issued by US Surgeon General in 1999hj hj hj hj hj hj hj hj
State of high negative emotion and pessimism ✔✔ neuroticism
hj hj hj hj hj hj hj hj
Commonly known as an optimistic outlook on life They are are outgoing, like social inter
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
action, respond to external rewards, have more active dopamine n etworks, and are resp
hj hj hj hj hj hj hj hj hj hj hj hj
onsive to positive reinforcement. ✔✔ Extraversion (high levels protect from psychiatric il
hj hj hj hj hj hj hj hj hj hj hj
lness)
Introverts are more likely to be motivated and more likely to respond to
hj hj hj hj hj hj hj hj hj hj hj
reinforcement ✔✔ internally hj hj
negative (more likely to interact with internal motivation/self-image)
hj hj hj hj hj hj hj
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships
hj hj hj hj hj hj hj hj hj hj hj hj
often at the expense of self-assertion ✔✔ Agreeableness
hj hj hj hj hj hj hj
Associated with self- hj hj
control and a focused, organized approach to life. Are achievement-
hj hj hj hj hj hj hj hj hj
oriented goal setters who can delay immediate gratification to obtain their long term desi
hj hj hj hj hj hj hj hj hj hj hj hj hj
red outcome. They are considered responsible, reliable, and dependable.
hj hj hj hj hj hj hj hj
✔✔ conscientiousness
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In behavioral couples therapy, the initial sessions are spent doing a functional analysis
hj hj hj hj hj hj hj hj hj hj hj hj hj
of behavior (FAB). W hat is true about FAB? ✔✔ FAB is concerned only with observable
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
stimuli connected to operant behavior
hj hj hj hj
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors,
hj hj hj hj hj hj hj hj hj hj hj
and consequent stimuli)
hj hj
The goal of FAB is modifying willful operant behavior
hj hj hj hj hj hj hj hj
Gestalt theory deals with hj hj hj , nothj
✔✔ perceptual psychology behavior
hj hj hj
Medication that can delay ejaculation in patients with premature ejaculation ✔✔
hj hj hj hj hj hj hj hj hj hj
Paroxetine (and other SSRIs) (ot hj hj hj hj
hers include: hj
,Topical anesthetic hj hj
Tramadol
Phosphodiesterase-5 inhibitors) hj
First line treatment for lithium induced diabetes insipidus ✔✔ Amiloride (K potassium diur
hj hj hj hj hj hj hj hj hj hj hj hj
etic) in addition to dc lithium when possible.
hj hj hj hj hj hj hj
Ways to reduce polyuria associated with lithium toxicity ✔✔ reduce lithium dose to minim
hj hj hj hj hj hj hj hj hj hj hj hj hj
um effective dose
hj hj
take once daily at night (may be 5-
hj hj hj hj hj hj hj
30% lower than when given in divided doses over the day)
hj hj hj hj hj hj hj hj hj hj
Encourage adequate fluid intake hj hj hj
What is true about ECT in Parkinson's disease ✔✔ it's more likely to cause transient delir
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ium (worsened dyskinesias induced by l-dopa)
hj hj hj hj hj
Lithium effects with Parkison's disease ✔✔ may worsen tremor
hj hj hj hj hj hj hj hj
nonselective MAOIs decrease the efficacy of hj hj hj hj hj and increase the risk of a
hj hj hj hj hj
✔✔ l- hj
dopa products hypertensive crisi
hj hj hj
s
Selegiline is selective f or ✔✔ MAO-B hj hj hj hj hj
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds th
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
at increase serotonin)
hj hj
SSRI's can hj
Parkinsonism tremor ✔✔ worsen (and decrease 'off time') Pro hj hj hj hj hj hj hj hj
cess describes the mechanism by which the h ippocampus stores memories ✔✔
hj hj hj hj hj hj hj hj hj hj
long-term potentiation hj
loss of memory relating to a particular category of information (inability to recall importa
hj hj hj hj hj hj hj hj hj hj hj hj hj
nt autobiographical information, usually of a traumatic or stressful nature, that is inconsis
hj hj hj hj hj hj hj hj hj hj hj hj
tent with ordinary forgetting) ✔✔ systematized amnesia
hj hj hj hj hj hj
Lack of memories from a circumscribed period of time, usually immediately following a tr
hj hj hj hj hj hj hj hj hj hj hj hj hj
aumatic event ✔✔ localized amnesia hj hj hj hj
Person can recall some but not all of events from a particular time period ✔✔ selective a
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
mnesia
Lack of memory of the patient's entire life ✔✔ generalized amnesia T
hj hj hj hj hj hj hj hj hj hj hj
he drugs that are FDA approved for GAD ✔✔ Paroxetine
hj hj hj hj hj hj hj hj hj
, Citalopram Escitalo hj
pram
Venlafaxine Duloxe hj
tine
Buspar
A surrogate h as the right to terminate pregnancy if ✔✔ the pregnancy threatens h er healt
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
h or life
hj hj
or
she is a genetic parent
hj hj hj hj
If the surrogate receives both ovum and sperm from couple, she loses the right to ✔✔
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
determine whether or n ot child will be aborted (this is up to the couple)
hj hj hj hj hj hj hj hj hj hj hj hj hj
Which medication is most effective for treating social phobia/social anxiety disorder, esp
hj hj hj hj hj hj hj hj hj hj hj
ecially when refractory? ✔✔ Phenelzine
hj hj hj hj
A 55-year-
hj
old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally, but
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
her lungs are clear. Her ECG reveals 2nd degree heart block. Which of the following BP
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
medications should be avoided? ✔✔ Calcium Channel Blockers hj hj hj hj hj hj hj
3 Contraindications to use a calcium channel blocker ✔✔ 1st or second degree h eart blo
hj hj hj hj hj hj hj hj hj hj hj hj hj hj
ck
Bradycardia hj
CHF
4 S ide effects of calcium channel blockers ✔✔ Headache Lo
hj hj hj hj hj hj hj hj hj
wer extremity edema
hj hj
Bradycardia hj
Heart Block hj
An NP is evaluating a 78 year old f emale with depression. She suspects the patient may hav
hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj hj
e Parkinson's disease. Which of the following is consistent with that diagnosis? ✔✔ Postural
hj hj hj hj hj hj hj hj hj hj hj hj hj
instability
hj
Pill-
rolling tremor Sh hj hj
uffling Gait hj
Difficulty initiating movement hj hj
Mask-like facies (difficulty initiating movement) hj hj hj hj
Writhing movements occur with ✔✔ Huntington's chorea
hj hj hj hj hj hj
10 Non- hj
motor manifestations of P arkinsons ✔✔ Autonomic dysfunction Gastrointestical dysfu
hj hj hj hj hj hj hj hj
nction
