Georgette PMHNP Review Practice Questions
and Answers | Complete Exam Prep Resource |
A+ Pass Guaranteed
• 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
• What to give to agitated pt in seclusion -✓✓IM Geodon
• Labs for macrocytic anemia -✓✓Folic acid, vitamin B12, ESR/CRP, HGB, MCV (liver)
• When to assess a patient in restraints for face/face -✓✓1 hour then 8 hours
• therapeutic communication -✓✓open ended, 'tell me'
• Reluctant/silent patient -✓✓open ended questions
• Patients husband shows up but not the patient -✓✓both people need to be present,
reschedule
• Abnormal Trendelenburg Test -✓✓Hip disease, refer child out, assessed during head
to toe
• Hamilton Depression Scale -✓✓i. Severe 19- 23 (monitor for SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
and Answers | Complete Exam Prep Resource |
A+ Pass Guaranteed
• 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
• What to give to agitated pt in seclusion -✓✓IM Geodon
• Labs for macrocytic anemia -✓✓Folic acid, vitamin B12, ESR/CRP, HGB, MCV (liver)
• When to assess a patient in restraints for face/face -✓✓1 hour then 8 hours
• therapeutic communication -✓✓open ended, 'tell me'
• Reluctant/silent patient -✓✓open ended questions
• Patients husband shows up but not the patient -✓✓both people need to be present,
reschedule
• Abnormal Trendelenburg Test -✓✓Hip disease, refer child out, assessed during head
to toe
• Hamilton Depression Scale -✓✓i. Severe 19- 23 (monitor for SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
