LMR GEORGETTE PMHNP CERTIFICATION
ACTUAL TEST SCRIPT 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
◉ What are the 3 functions of a Cultural Formulation Interview?
Answer: Clarify meaning of illness, Empower the patient, Validate
symptoms within the cultural context
◉ What does a cultural formulation interview do? Answer: Cultural
assessment
◉ What is the normal range for TSH? Answer: 0.5 - 5.0 mu/L
◉ What are lab values in Hyperthyroidism? Answer: Decreased TSH,
Increased T4 and T3
◉ What are lab values in Hypothyroidism? Answer: Increased TSH,
Decreased T4 and T3
◉ What are 5 primary symptoms of Hyperthyroidism? Answer: Heat
intolerance, Agitation, Anxiety, Irritability, Tachycardia, Mood
swings, Weight loss
,◉ What are 4 primary symptoms of Hypothyroidism? Answer: Cold
intolerance, Lethargy, Weight gain, Decreased libido
◉ Hypothyroidism mimics symptoms of what psychiatric disorder?
Answer: Depression
◉ Hyperthyroidism mimics symptoms of what psychiatric disorder?
Answer: Mania
◉ What teratogenic effect does Valproic acid produce? Answer:
Spina bifida (neural tube defect)
◉ What is the primary organ where Valproic acid is toxic? Answer:
Liver (hepatotoxicity)
◉ What are 4 signs of hepatotoxicity? Answer: Abdominal pain in
the RUQ, Reddish-brown urine, Yellowing of the skin and sclera,
Fatigue
◉ What is the therapeutic range for Valproic acid? Answer: 50-125
mcg/ml
◉ What is a toxic level of Valproic acid? Answer: >150 mcg/ml
,◉ What are 4 signs of Valproic acid toxicity? Answer: Disorientation,
Lethargy, Respiratory depression, Nausea/vomiting
◉ With suspected toxicity from Valproic acid, what labs should be
drawn? Answer: D/C drug, Check drug level, Obtain LFTs, Obtain
ammonia level
◉ What is the major side effect of Kava Kava? Answer: Liver damage
◉ What herbal supplement is used for anxiety, stress, and insomnia?
Answer: Kava Kava
◉ What are 5 symptoms of Stephen's Johnson Syndrome? Answer:
Fever, Body aches, Severe red rash, Peeling skin, Facial and tongue
swelling
◉ Which mood stabilizer causes the least weight gain? Answer:
Lamotrigine (Lamictal)
◉ Which 3 SGAs cause the least weight gain? Answer: Lurasidone
(Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon)
◉ Which SGA is the least sedating? Answer: Aripiprazole (Abilify)
, ◉ What are 3 hallmark symptoms of delirium? Answer: Acute
disturbance of LOC, Impaired cognition, Inattention
◉ How are agitation and psychotic symptoms treated in delirium?
Answer: Low dose Haldol
◉ What 4 drugs can cause mania? Answer: Steroids, Disulfiram
(Antabuse), Isoniazid (INH), Antidepressants (in BPD)
◉ What 6 drugs can induce depression? Answer: Steroids, Beta
blockers, Interferon, Isotretinoin (Accutane), Retroviral drugs,
Antineoplastic drugs, Benzodiazepines, Progesterone
◉ Steroids can induce what 3 psychiatric states? Answer: Mania,
Depression, Psychosis
◉ What medication used to treat acne can cause birth defects?
Answer: Isotretinoin (Accutane)
◉ What is agranulocytosis? Answer: <500 ANC
◉ What is neutropenia? Answer: <2000 PMNs (neutrophils)
ACTUAL TEST SCRIPT 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
◉ What are the 3 functions of a Cultural Formulation Interview?
Answer: Clarify meaning of illness, Empower the patient, Validate
symptoms within the cultural context
◉ What does a cultural formulation interview do? Answer: Cultural
assessment
◉ What is the normal range for TSH? Answer: 0.5 - 5.0 mu/L
◉ What are lab values in Hyperthyroidism? Answer: Decreased TSH,
Increased T4 and T3
◉ What are lab values in Hypothyroidism? Answer: Increased TSH,
Decreased T4 and T3
◉ What are 5 primary symptoms of Hyperthyroidism? Answer: Heat
intolerance, Agitation, Anxiety, Irritability, Tachycardia, Mood
swings, Weight loss
,◉ What are 4 primary symptoms of Hypothyroidism? Answer: Cold
intolerance, Lethargy, Weight gain, Decreased libido
◉ Hypothyroidism mimics symptoms of what psychiatric disorder?
Answer: Depression
◉ Hyperthyroidism mimics symptoms of what psychiatric disorder?
Answer: Mania
◉ What teratogenic effect does Valproic acid produce? Answer:
Spina bifida (neural tube defect)
◉ What is the primary organ where Valproic acid is toxic? Answer:
Liver (hepatotoxicity)
◉ What are 4 signs of hepatotoxicity? Answer: Abdominal pain in
the RUQ, Reddish-brown urine, Yellowing of the skin and sclera,
Fatigue
◉ What is the therapeutic range for Valproic acid? Answer: 50-125
mcg/ml
◉ What is a toxic level of Valproic acid? Answer: >150 mcg/ml
,◉ What are 4 signs of Valproic acid toxicity? Answer: Disorientation,
Lethargy, Respiratory depression, Nausea/vomiting
◉ With suspected toxicity from Valproic acid, what labs should be
drawn? Answer: D/C drug, Check drug level, Obtain LFTs, Obtain
ammonia level
◉ What is the major side effect of Kava Kava? Answer: Liver damage
◉ What herbal supplement is used for anxiety, stress, and insomnia?
Answer: Kava Kava
◉ What are 5 symptoms of Stephen's Johnson Syndrome? Answer:
Fever, Body aches, Severe red rash, Peeling skin, Facial and tongue
swelling
◉ Which mood stabilizer causes the least weight gain? Answer:
Lamotrigine (Lamictal)
◉ Which 3 SGAs cause the least weight gain? Answer: Lurasidone
(Latuda), Aripiprazole (Abilify), Ziprasidone (Geodon)
◉ Which SGA is the least sedating? Answer: Aripiprazole (Abilify)
, ◉ What are 3 hallmark symptoms of delirium? Answer: Acute
disturbance of LOC, Impaired cognition, Inattention
◉ How are agitation and psychotic symptoms treated in delirium?
Answer: Low dose Haldol
◉ What 4 drugs can cause mania? Answer: Steroids, Disulfiram
(Antabuse), Isoniazid (INH), Antidepressants (in BPD)
◉ What 6 drugs can induce depression? Answer: Steroids, Beta
blockers, Interferon, Isotretinoin (Accutane), Retroviral drugs,
Antineoplastic drugs, Benzodiazepines, Progesterone
◉ Steroids can induce what 3 psychiatric states? Answer: Mania,
Depression, Psychosis
◉ What medication used to treat acne can cause birth defects?
Answer: Isotretinoin (Accutane)
◉ What is agranulocytosis? Answer: <500 ANC
◉ What is neutropenia? Answer: <2000 PMNs (neutrophils)
