PMHNP ANCC REVIEW EXAM PREP STUDY
GUIDE PRACTICE QUESTIONS AND
ACCURATE SOLUTIONS
●● What does a 17 on MMSE mean?
Answer: Moderate cognitive impairment
●● What is Tegretol in the CYP450 system?
Answer: Inducer -->will lower dose of Lamictal and BCP's
●● What do BCP's do to Lamictal?
Answer: Inducer - will lower dose of Lamictal
●● What is a Type I research error?
Answer: There IS a difference but you say there isn't a difference.
●● What is a Type II research error?
Answer: There is NO difference but you say there is a difference.
●● What is pseudo-dementia?
Answer: Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
,●● Is it normal for a 1 month old to have a palmar grasp?
Answer: Yes.
●● What is a drug 1/2 life?
Answer: The time it takes for 50% of a drug to be eliminated from the
body.
●● What 3 atypicals can be used with teens?
Answer: Zyprexa, Abilify, Seroquel - low doses
●● What is a risk of using Tramadol?
Answer: Serotonin Syndrome as it is very serotonergic.
●● What is the allele seen in Asians that increase the risk of SJS?
Answer: HLAB-1502
●● When might you see toxic epidermal necrolysis?
Answer: With worsening of SJS
●● How many generations do you include for a genogram?
Answer: 1st degree - mother, father, siblings
,2nd degree - grandparents & cousins
3rd degree -
●● What does messenger RNA code for?
Answer: Amino Acids
●● What is epigenetics?
Answer: Factors that affect genes - environmental, smoking, stress, etc...
●● What part of the brain is involved with OCD?
Answer: Basal Ganglia
Occipito-Frontal
●● What happens to the brain during adolescence?
Answer: Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
●● When do males typically present with schizophrenia?
Answer: 10-25 yo
●● When do females typically present with schizophrenia?
, Answer: 25-35 yo
●● What does Erythromycin to trileptal?
Answer: You will need to decreases the level because Trileptal(inducer)
and erythromycin is a inhibitor
●● ACE Inhibitors are the drug of choice for what?
Answer: Heart Failure
HTN
●● What are some psychiatric side effects seen with some asthma drugs
Answer: Leukotriene receptor agonists - singulair, accolade, zyflo =
agitation, aggression, anxiety, hallucinations, depression, insomnia, SI,
tremor
●● What should you watch for with Tegretol?
Answer: Agranulocytosis and Hyponatremia
●● What are the 3 CK muscle enzyme tests?
Answer: CKBB, CKMM, CKMB
●● Which one of the 3 muscle enzymes are related to cardiac muscle
damage?
GUIDE PRACTICE QUESTIONS AND
ACCURATE SOLUTIONS
●● What does a 17 on MMSE mean?
Answer: Moderate cognitive impairment
●● What is Tegretol in the CYP450 system?
Answer: Inducer -->will lower dose of Lamictal and BCP's
●● What do BCP's do to Lamictal?
Answer: Inducer - will lower dose of Lamictal
●● What is a Type I research error?
Answer: There IS a difference but you say there isn't a difference.
●● What is a Type II research error?
Answer: There is NO difference but you say there is a difference.
●● What is pseudo-dementia?
Answer: Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
,●● Is it normal for a 1 month old to have a palmar grasp?
Answer: Yes.
●● What is a drug 1/2 life?
Answer: The time it takes for 50% of a drug to be eliminated from the
body.
●● What 3 atypicals can be used with teens?
Answer: Zyprexa, Abilify, Seroquel - low doses
●● What is a risk of using Tramadol?
Answer: Serotonin Syndrome as it is very serotonergic.
●● What is the allele seen in Asians that increase the risk of SJS?
Answer: HLAB-1502
●● When might you see toxic epidermal necrolysis?
Answer: With worsening of SJS
●● How many generations do you include for a genogram?
Answer: 1st degree - mother, father, siblings
,2nd degree - grandparents & cousins
3rd degree -
●● What does messenger RNA code for?
Answer: Amino Acids
●● What is epigenetics?
Answer: Factors that affect genes - environmental, smoking, stress, etc...
●● What part of the brain is involved with OCD?
Answer: Basal Ganglia
Occipito-Frontal
●● What happens to the brain during adolescence?
Answer: Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
●● When do males typically present with schizophrenia?
Answer: 10-25 yo
●● When do females typically present with schizophrenia?
, Answer: 25-35 yo
●● What does Erythromycin to trileptal?
Answer: You will need to decreases the level because Trileptal(inducer)
and erythromycin is a inhibitor
●● ACE Inhibitors are the drug of choice for what?
Answer: Heart Failure
HTN
●● What are some psychiatric side effects seen with some asthma drugs
Answer: Leukotriene receptor agonists - singulair, accolade, zyflo =
agitation, aggression, anxiety, hallucinations, depression, insomnia, SI,
tremor
●● What should you watch for with Tegretol?
Answer: Agranulocytosis and Hyponatremia
●● What are the 3 CK muscle enzyme tests?
Answer: CKBB, CKMM, CKMB
●● Which one of the 3 muscle enzymes are related to cardiac muscle
damage?
