Test Bank for PMHNP Boards Exam Questions and Correct
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Answers (Verified by Expert) b9 b9 b9 b9
What is true of interprofessionality? ✔✔ All health professionals have individual
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professional competencies
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What is the significance of an experimental p-value of 0.05 ✔✔ There is a 5%
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
chance of a similar result occurring by chance alone
b9 b9 b9 b9 b9 b9 b9 b9 b9
What percentage of children with oppositional defiance disorder will develop conduct
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
disorder? ✔✔ 30%
b9 b9 b9
In the DSM-5, selective mutism is now considered what type of disorder? ✔✔
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anxiety disorder
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Symptoms of selective mutism must persist for at least ✔✔ 1 month
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
Common competencies ✔✔ overlap more than one health care professional,
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although not necessarily all health care professionals, and are competencies
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
expected of all health care professionals
b9 b9 b9 b9 b9 b9
Complementary competencies ✔✔ enhance the qualities of other professions in
b9 b9 b9 b9 b9 b9 b9 b9 b9
provision of care
b9 b9 b9
Collaborative competencies ✔✔ those that each individual profession must possess
b9 b9 b9 b9 b9 b9 b9 b9 b9
to work with others, including those who practice within different specialties within
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a profession.
b9 b9
Interpersonal collaboration is b9 b9 centered ✔✔ patient b9 b9
Cognitive therapy is recommended for patients that have ✔✔ negative cognitive
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
distortions
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irrational beliefs b9
faulty conceptions
b9 b9
Humanistic Therapy focuses on assisting patients with ✔✔ self-actualization and
b9 b9 b9 b9 b9 b9 b9 b9 b9
self- directed growth
b9 b9 b9
Behavioral Therapy focuses on ✔✔ changing maladaptive behaviors through the
b9 b9 b9 b9 b9 b9 b9 b9 b9
use of behavioral modification techniques
b9 b9 b9 b9 b9
Existential therapy is for ✔✔ reflection on life
b9 b9 b9 b9 b9 b9 b9
confronting self
b9 b9
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
eating lettuce and developing diarrhea? ✔✔ 6 ((120X160)/(80x40))
b9 b9 b9 b9 b9 b9 b9 b9
The New Freedom Commission on Mental Health (NFCMH) released a report
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
that suggested ✔✔ implementation a national campaign to reduce the stigma of
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
seeking care
b9 b9
Focusing on promoting recovery and building resilience
b9 b9 b9 b9 b9 b9
The efficacy of mental health treatments was found to be well documented in ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
influential report issued by US Surgeon General in 1999
b9 b9 b9 b9 b9 b9 b9 b9
State of high negative emotion and pessimism ✔✔ neuroticism
b9 b9 b9 b9 b9 b9 b9 b9
Commonly known as an optimistic outlook on life They are are outgoing, like
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
social interaction, respond to external rewards, have more active dopamine
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
networks, and are responsive to positive reinforcement. ✔✔ Extraversion (high
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
levels protect from psychiatric illness)
b9 b9 b9 b9 b9
Introverts are more likely to be b9 motivated and more likely to respond to
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
reinforcement ✔✔ internally b9 b9
negative (more likely to interact with internal motivation/self-image)
b9 b9 b9 b9 b9 b9 b9
Interpersonal trait of cooperation, easy going nature. Tend to have smooth
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
relationships often at the expense of self-assertion ✔✔ Agreeableness
b9 b9 b9 b9 b9 b9 b9 b9 b9
Associated with self-control and a focused, organized approach to life. Are
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
achievement-oriented goal setters who can delay immediate gratification to obtain
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
their long term desired outcome. They are considered responsible, reliable, and
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
dependable.
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✔✔ conscientiousness
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In behavioral couples therapy, the initial sessions are spent doing a functional
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
analysis of behavior (FAB). What is true about FAB? ✔✔ FAB is concerned only
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
with observable stimuli connected to operant behavior
b9 b9 b9 b9 b9 b9 b9
FAB is based on operant conditioning (identifying antecedent stimuli, operant
b9 b9 b9 b9 b9 b9 b9 b9 b9
behaviors, and consequent stimuli)
b9 b9 b9 b9
The goal of FAB is modifying willful operant behavior
b9 b9 b9 b9 b9 b9 b9 b9
Gestalt theory deals with
b9 b9 b9 , notb9 ✔✔ perceptual psychology
b9 b9
behavior
b9
Medication that can delay ejaculation in patients with premature ejaculation ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
Paroxetine (and other SSRIs) b9 b9 b9
(others include:
b9 b9
,Topical anesthetic b9
Tramadol
b9
Phosphodiesterase-5 inhibitors) b9
First line treatment for lithium induced diabetes insipidus ✔✔ Amiloride (K potassium
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
diuretic) in addition to dc lithium when possible.
b9 b9 b9 b9 b9 b9 b9 b9
Ways to reduce polyuria associated with lithium toxicity ✔✔ reduce lithium dose to
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
minimum effective dose
b9 b9 b9
take once daily at night (may be 5-30% lower than when given in divided doses
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
over the day)
b9 b9 b9
Encourage adequate fluid intake b9 b9 b9
What is true about ECT in Parkinson's disease ✔✔ it's more likely to cause
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
transient delirium (worsened dyskinesias induced by l-dopa)
b9 b9 b9 b9 b9 b9 b9
Lithium effects with Parkison's disease ✔✔ may worsen tremor
b9 b9 b9 b9 b9 b9 b9 b9
nonselective MAOIs decrease the efficacy of b9 b9 b9 b9 b9 and increase the risk of a
b9 b9 b9 b9 b9
✔✔ l-dopa products b9 b9
hypertensive crisis
b9 b9
Selegiline is selective for ✔✔ MAO-B b9 b9 b9 b9 b9
(after 10mg there is an increase in risk of serotonin syndrome if given with other
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
meds that increase serotonin)
b9 b9 b9 b9
SSRI's can b9 Parkinsonism tremor ✔✔ worsen (and decrease 'off time') b9 b9 b9 b9 b9 b9 b9
b9 Process describes the mechanism by which the hippocampus stores memories
b9 b9 b9 b9 b9 b9 b9 b9 b9
✔✔
b9
long-term potentiation b9
loss of memory relating to a particular category of information (inability to recall
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
important autobiographical information, usually of a traumatic or stressful nature,
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
that is inconsistent with ordinary forgetting) ✔✔ systematized amnesia
b9 b9 b9 b9 b9 b9 b9 b9 b9
Lack of memories from a circumscribed period of time, usually immediately following
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
a traumatic event ✔✔ localized amnesia
b9 b9 b9 b9 b9 b9
Person can recall some but not all of events from a particular time period ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
selective amnesia
b9 b9
Lack of memory of the patient's entire life ✔✔ generalized
b9 b9 b9 b9 b9 b9 b9 b9 b9
amnesia The drugs that are FDA approved for GAD ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
b9 Paroxetine
, Citalopram
Escitalopram
b9
Venlafaxine
Duloxetine
b9
Buspar
A surrogate has the right to terminate pregnancy if ✔✔ the pregnancy threatens
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
her health or life
b9 b9 b9 b9
or
she is a genetic parent
b9 b9 b9 b9
If the surrogate receives both ovum and sperm from couple, she loses the right to ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
determine whether or not child will be aborted (this is up to the couple)
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
Which medication is most effective for treating social phobia/social anxiety disorder,
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
especially when refractory? ✔✔ Phenelzine
b9 b9 b9 b9 b9
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
edema bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
block. Which of the following BP medications should be avoided? ✔✔ Calcium
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
Channel Blockers
b9 b9
3 Contraindications to use a calcium channel blocker ✔✔ 1st or second degree
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
heart block
b9 b9
Bradycardia
CHF
b9
4 Side effects of calcium channel blockers ✔✔ Headache
b9 b9 b9 b9 b9 b9 b9 b9
Lower extremity edema
b9 b9 b9
Bradycardia
Heart Block
b9 b9
An NP is evaluating a 78 year old female with depression. She suspects the patient
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
may have Parkinson's disease. Which of the following is consistent with that
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
diagnosis? ✔✔ Postural instability
b9 b9 b9 b9
Pill-rolling tremor b9
Shuffling Gait
b9 b9
Difficulty initiating movement b9 b9
Mask-like facies (difficulty initiating movement)
b9 b9 b9 b9
Writhing movements occur with ✔✔ Huntington's chorea
b9 b9 b9 b9 b9 b9
10 Non-motor manifestations of Parkinsons ✔✔ Autonomic dysfunction
b9 b9 b9 b9 b9 b9 b9
Gastrointestical dysfunction
b9 b9
b9 b9 b9 b9 b9 b9 b9 b9
Answers (Verified by Expert) b9 b9 b9 b9
What is true of interprofessionality? ✔✔ All health professionals have individual
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
professional competencies
b9 b9
What is the significance of an experimental p-value of 0.05 ✔✔ There is a 5%
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
chance of a similar result occurring by chance alone
b9 b9 b9 b9 b9 b9 b9 b9 b9
What percentage of children with oppositional defiance disorder will develop conduct
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
disorder? ✔✔ 30%
b9 b9 b9
In the DSM-5, selective mutism is now considered what type of disorder? ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
anxiety disorder
b9 b9
Symptoms of selective mutism must persist for at least ✔✔ 1 month
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
Common competencies ✔✔ overlap more than one health care professional,
b9 b9 b9 b9 b9 b9 b9 b9 b9
although not necessarily all health care professionals, and are competencies
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
expected of all health care professionals
b9 b9 b9 b9 b9 b9
Complementary competencies ✔✔ enhance the qualities of other professions in
b9 b9 b9 b9 b9 b9 b9 b9 b9
provision of care
b9 b9 b9
Collaborative competencies ✔✔ those that each individual profession must possess
b9 b9 b9 b9 b9 b9 b9 b9 b9
to work with others, including those who practice within different specialties within
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
a profession.
b9 b9
Interpersonal collaboration is b9 b9 centered ✔✔ patient b9 b9
Cognitive therapy is recommended for patients that have ✔✔ negative cognitive
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
distortions
b9
irrational beliefs b9
faulty conceptions
b9 b9
Humanistic Therapy focuses on assisting patients with ✔✔ self-actualization and
b9 b9 b9 b9 b9 b9 b9 b9 b9
self- directed growth
b9 b9 b9
Behavioral Therapy focuses on ✔✔ changing maladaptive behaviors through the
b9 b9 b9 b9 b9 b9 b9 b9 b9
use of behavioral modification techniques
b9 b9 b9 b9 b9
Existential therapy is for ✔✔ reflection on life
b9 b9 b9 b9 b9 b9 b9
confronting self
b9 b9
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
eating lettuce and developing diarrhea? ✔✔ 6 ((120X160)/(80x40))
b9 b9 b9 b9 b9 b9 b9 b9
The New Freedom Commission on Mental Health (NFCMH) released a report
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
that suggested ✔✔ implementation a national campaign to reduce the stigma of
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
seeking care
b9 b9
Focusing on promoting recovery and building resilience
b9 b9 b9 b9 b9 b9
The efficacy of mental health treatments was found to be well documented in ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
influential report issued by US Surgeon General in 1999
b9 b9 b9 b9 b9 b9 b9 b9
State of high negative emotion and pessimism ✔✔ neuroticism
b9 b9 b9 b9 b9 b9 b9 b9
Commonly known as an optimistic outlook on life They are are outgoing, like
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
social interaction, respond to external rewards, have more active dopamine
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
networks, and are responsive to positive reinforcement. ✔✔ Extraversion (high
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
levels protect from psychiatric illness)
b9 b9 b9 b9 b9
Introverts are more likely to be b9 motivated and more likely to respond to
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
reinforcement ✔✔ internally b9 b9
negative (more likely to interact with internal motivation/self-image)
b9 b9 b9 b9 b9 b9 b9
Interpersonal trait of cooperation, easy going nature. Tend to have smooth
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
relationships often at the expense of self-assertion ✔✔ Agreeableness
b9 b9 b9 b9 b9 b9 b9 b9 b9
Associated with self-control and a focused, organized approach to life. Are
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
achievement-oriented goal setters who can delay immediate gratification to obtain
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
their long term desired outcome. They are considered responsible, reliable, and
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
dependable.
b9
✔✔ conscientiousness
b9
In behavioral couples therapy, the initial sessions are spent doing a functional
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
analysis of behavior (FAB). What is true about FAB? ✔✔ FAB is concerned only
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
with observable stimuli connected to operant behavior
b9 b9 b9 b9 b9 b9 b9
FAB is based on operant conditioning (identifying antecedent stimuli, operant
b9 b9 b9 b9 b9 b9 b9 b9 b9
behaviors, and consequent stimuli)
b9 b9 b9 b9
The goal of FAB is modifying willful operant behavior
b9 b9 b9 b9 b9 b9 b9 b9
Gestalt theory deals with
b9 b9 b9 , notb9 ✔✔ perceptual psychology
b9 b9
behavior
b9
Medication that can delay ejaculation in patients with premature ejaculation ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
Paroxetine (and other SSRIs) b9 b9 b9
(others include:
b9 b9
,Topical anesthetic b9
Tramadol
b9
Phosphodiesterase-5 inhibitors) b9
First line treatment for lithium induced diabetes insipidus ✔✔ Amiloride (K potassium
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
diuretic) in addition to dc lithium when possible.
b9 b9 b9 b9 b9 b9 b9 b9
Ways to reduce polyuria associated with lithium toxicity ✔✔ reduce lithium dose to
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
minimum effective dose
b9 b9 b9
take once daily at night (may be 5-30% lower than when given in divided doses
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
over the day)
b9 b9 b9
Encourage adequate fluid intake b9 b9 b9
What is true about ECT in Parkinson's disease ✔✔ it's more likely to cause
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
transient delirium (worsened dyskinesias induced by l-dopa)
b9 b9 b9 b9 b9 b9 b9
Lithium effects with Parkison's disease ✔✔ may worsen tremor
b9 b9 b9 b9 b9 b9 b9 b9
nonselective MAOIs decrease the efficacy of b9 b9 b9 b9 b9 and increase the risk of a
b9 b9 b9 b9 b9
✔✔ l-dopa products b9 b9
hypertensive crisis
b9 b9
Selegiline is selective for ✔✔ MAO-B b9 b9 b9 b9 b9
(after 10mg there is an increase in risk of serotonin syndrome if given with other
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
meds that increase serotonin)
b9 b9 b9 b9
SSRI's can b9 Parkinsonism tremor ✔✔ worsen (and decrease 'off time') b9 b9 b9 b9 b9 b9 b9
b9 Process describes the mechanism by which the hippocampus stores memories
b9 b9 b9 b9 b9 b9 b9 b9 b9
✔✔
b9
long-term potentiation b9
loss of memory relating to a particular category of information (inability to recall
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
important autobiographical information, usually of a traumatic or stressful nature,
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
that is inconsistent with ordinary forgetting) ✔✔ systematized amnesia
b9 b9 b9 b9 b9 b9 b9 b9 b9
Lack of memories from a circumscribed period of time, usually immediately following
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
a traumatic event ✔✔ localized amnesia
b9 b9 b9 b9 b9 b9
Person can recall some but not all of events from a particular time period ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
selective amnesia
b9 b9
Lack of memory of the patient's entire life ✔✔ generalized
b9 b9 b9 b9 b9 b9 b9 b9 b9
amnesia The drugs that are FDA approved for GAD ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
b9 Paroxetine
, Citalopram
Escitalopram
b9
Venlafaxine
Duloxetine
b9
Buspar
A surrogate has the right to terminate pregnancy if ✔✔ the pregnancy threatens
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
her health or life
b9 b9 b9 b9
or
she is a genetic parent
b9 b9 b9 b9
If the surrogate receives both ovum and sperm from couple, she loses the right to ✔✔
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
determine whether or not child will be aborted (this is up to the couple)
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
Which medication is most effective for treating social phobia/social anxiety disorder,
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
especially when refractory? ✔✔ Phenelzine
b9 b9 b9 b9 b9
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
edema bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
block. Which of the following BP medications should be avoided? ✔✔ Calcium
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
Channel Blockers
b9 b9
3 Contraindications to use a calcium channel blocker ✔✔ 1st or second degree
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
heart block
b9 b9
Bradycardia
CHF
b9
4 Side effects of calcium channel blockers ✔✔ Headache
b9 b9 b9 b9 b9 b9 b9 b9
Lower extremity edema
b9 b9 b9
Bradycardia
Heart Block
b9 b9
An NP is evaluating a 78 year old female with depression. She suspects the patient
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
may have Parkinson's disease. Which of the following is consistent with that
b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9 b9
diagnosis? ✔✔ Postural instability
b9 b9 b9 b9
Pill-rolling tremor b9
Shuffling Gait
b9 b9
Difficulty initiating movement b9 b9
Mask-like facies (difficulty initiating movement)
b9 b9 b9 b9
Writhing movements occur with ✔✔ Huntington's chorea
b9 b9 b9 b9 b9 b9
10 Non-motor manifestations of Parkinsons ✔✔ Autonomic dysfunction
b9 b9 b9 b9 b9 b9 b9
Gastrointestical dysfunction
b9 b9
