PRIMARY CARE PSYCHIATRY ROBERT
MCCARRON CERTIFICATION EVALUATION
2026 TEST PAPER QUESTIONS AND
SOLUTIONS 100% CORRECT
◉ What psychoactives does Detrol interact with? Answer: Topamax
KCL
Zonegran
◉ What CN are you assessing when you have the patient shrug their
shoulders? Answer: CN XI - Spinal Accessory
◉ What do you see in labs with HIV & Dementia? Answer: CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
◉ What is the scoring with the Beck Depression Inventory? Answer:
Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
,29-63 - severe
◉ What is sensitivity? Answer: Helps rule-out disease = True
Positive = Snout
◉ What is specificity? Answer: Helps rule-in disease = True Negative
= Spin
◉ What does a sed rate measure? Answer: Inflammation (ESR -
Erythrocyte Sedimentation Rate) = distance in mm RBC's have
descended in 1 hour.
◉ What is a normal sed rate or ESR? Answer: 0-22 males
0-29 females
◉ What is a retic count? Answer: Measures % of reticulocytes in
blood (immature RBC's) Indicates whether enough RBC's are being
produced by bone marrow.
◉ What does a decreased retic count indicate? Answer: Anemia -
acute or chronic bleeding
◉ What does an increased retic count indicate? Answer: Bone
marrow disorder or Vitamin Deficiency
,◉ What does an abnormal retic ount indicate in general? Answer:
Doesn't diagnose anything. First step is ID source of the issue.
◉ What happens when you mix tegretol and macrolides? Answer:
Increase tegretol levels.
◉ What happens if a pregnant women takes Accutane? Answer:
Birth defects.
◉ What labs do you get with RA? Answer: Sed rate, RF, ANA, C
reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
◉ Where does the NP Code of Ethics come from? Answer: ANA
◉ When do you assume informed consent? Answer: Unconscious
Incompetent
Life Threatening Situation
◉ What are the legal ramifications of treating w/o informed
consent? Answer: Same as with informed consent
, ◉ Who can declare a patient incompetent and appoint a guardian?
Answer: Only a court
◉ Does impaired judgment mean one is incompetent? Answer: No.
◉ Can an advanced directive ever be revoked? Answer: Yes, at any
time.
◉ What is the different between a Healthcare Agent, Proxy,
Surrogate, and Attorney in Fact? Answer: Nothing. They are all the
same.
◉ Does the de facto rule of proxy apply in same sex marriages?
Answer: No.
◉ How do Asians see HC providers? Answer: As in a position of
authority.
Expect to give instructions and help make decisions
◉ What does it mean when an Asian patient does not make eye
contact with the NP? Answer: SIgn of respect
◉ What is the evil eye? Answer: When a stronger or more powerful
person looks at a weaker person - often infant/child resulting in a
MCCARRON CERTIFICATION EVALUATION
2026 TEST PAPER QUESTIONS AND
SOLUTIONS 100% CORRECT
◉ What psychoactives does Detrol interact with? Answer: Topamax
KCL
Zonegran
◉ What CN are you assessing when you have the patient shrug their
shoulders? Answer: CN XI - Spinal Accessory
◉ What do you see in labs with HIV & Dementia? Answer: CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
◉ What is the scoring with the Beck Depression Inventory? Answer:
Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
,29-63 - severe
◉ What is sensitivity? Answer: Helps rule-out disease = True
Positive = Snout
◉ What is specificity? Answer: Helps rule-in disease = True Negative
= Spin
◉ What does a sed rate measure? Answer: Inflammation (ESR -
Erythrocyte Sedimentation Rate) = distance in mm RBC's have
descended in 1 hour.
◉ What is a normal sed rate or ESR? Answer: 0-22 males
0-29 females
◉ What is a retic count? Answer: Measures % of reticulocytes in
blood (immature RBC's) Indicates whether enough RBC's are being
produced by bone marrow.
◉ What does a decreased retic count indicate? Answer: Anemia -
acute or chronic bleeding
◉ What does an increased retic count indicate? Answer: Bone
marrow disorder or Vitamin Deficiency
,◉ What does an abnormal retic ount indicate in general? Answer:
Doesn't diagnose anything. First step is ID source of the issue.
◉ What happens when you mix tegretol and macrolides? Answer:
Increase tegretol levels.
◉ What happens if a pregnant women takes Accutane? Answer:
Birth defects.
◉ What labs do you get with RA? Answer: Sed rate, RF, ANA, C
reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
◉ Where does the NP Code of Ethics come from? Answer: ANA
◉ When do you assume informed consent? Answer: Unconscious
Incompetent
Life Threatening Situation
◉ What are the legal ramifications of treating w/o informed
consent? Answer: Same as with informed consent
, ◉ Who can declare a patient incompetent and appoint a guardian?
Answer: Only a court
◉ Does impaired judgment mean one is incompetent? Answer: No.
◉ Can an advanced directive ever be revoked? Answer: Yes, at any
time.
◉ What is the different between a Healthcare Agent, Proxy,
Surrogate, and Attorney in Fact? Answer: Nothing. They are all the
same.
◉ Does the de facto rule of proxy apply in same sex marriages?
Answer: No.
◉ How do Asians see HC providers? Answer: As in a position of
authority.
Expect to give instructions and help make decisions
◉ What does it mean when an Asian patient does not make eye
contact with the NP? Answer: SIgn of respect
◉ What is the evil eye? Answer: When a stronger or more powerful
person looks at a weaker person - often infant/child resulting in a
