PMHNP BOARDS SCIENTIFIC
FOUNDATION AND ADVANCED PRACTICE
SKILLS COMPREHENSIVE EXAMINATION
TEST QUESTIONS AND SOLUTIONS GRADED
A+
●● In the pharmacological treatment of psychosis, when antipsychotics
are administered, which block dopamine, a secondary effect is blocking
in another tract, which causes potential prolactin problems, such as
gynecomastia in males. This tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical.
Answer: b. tuberoinfundibular
●● A six-year-old patient with autism spectrum disorder has not
responded to six months of psychosocial interventions and continues to
demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
,4. venlafaxine ER (Effexor XR) 37.5 mg once a day..
Answer: 3. risperidone (Risperdal) 0.25 mg once a day.
●● Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate.
Answer: 3. Carbamazepine
●● EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis.
Answer: a. D2 blockade in the nigrostriatial tract
●● Which drug carries a higher risk of metabolic effects than the other
second generation antipsychotics: weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
,d. Geodon.
Answer: b. Zyprexa
●● A patient has not had any relief of symptoms with Fluoxetine, and is
going to be started on an MAOI. How long before starting the MAOI
should the Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks.
Answer: a. 2 weeks
●● Which drug can produce serious side effect of rash in some Asians,
and the FDA has mandated genetic testing before the administration of
this drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol.
Answer: d. Tegretol
●● Which is considered the most sedating SSRI?
a. Paroxetine
, b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate.
Answer: a. Paroxetine (Paxil is EVIL)
●● Brain structure responsible for mediating mood, fear, emotion, and
aggression; also responsible for connecting sensory smell information
with emotions.
Answer: amygdala
●● Regulates memory and converts short-term memory into long-term
memory.
Answer:
●● Plays key roles in various regulatory functions such as appetite,
sensations of hunger and thirst, water balance, circadian rhythms, body
temperature, libido, and hormonal regulation.
Answer:
●● Patient on lithium and cipro Cipro _____________ lithium level.
Answer:
●● Patient on psych meds and dexamethasone will complain of what?.
FOUNDATION AND ADVANCED PRACTICE
SKILLS COMPREHENSIVE EXAMINATION
TEST QUESTIONS AND SOLUTIONS GRADED
A+
●● In the pharmacological treatment of psychosis, when antipsychotics
are administered, which block dopamine, a secondary effect is blocking
in another tract, which causes potential prolactin problems, such as
gynecomastia in males. This tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical.
Answer: b. tuberoinfundibular
●● A six-year-old patient with autism spectrum disorder has not
responded to six months of psychosocial interventions and continues to
demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
,4. venlafaxine ER (Effexor XR) 37.5 mg once a day..
Answer: 3. risperidone (Risperdal) 0.25 mg once a day.
●● Which drug is likely to produce liver failure and hepatitis?
1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate.
Answer: 3. Carbamazepine
●● EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis.
Answer: a. D2 blockade in the nigrostriatial tract
●● Which drug carries a higher risk of metabolic effects than the other
second generation antipsychotics: weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
,d. Geodon.
Answer: b. Zyprexa
●● A patient has not had any relief of symptoms with Fluoxetine, and is
going to be started on an MAOI. How long before starting the MAOI
should the Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks.
Answer: a. 2 weeks
●● Which drug can produce serious side effect of rash in some Asians,
and the FDA has mandated genetic testing before the administration of
this drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol.
Answer: d. Tegretol
●● Which is considered the most sedating SSRI?
a. Paroxetine
, b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate.
Answer: a. Paroxetine (Paxil is EVIL)
●● Brain structure responsible for mediating mood, fear, emotion, and
aggression; also responsible for connecting sensory smell information
with emotions.
Answer: amygdala
●● Regulates memory and converts short-term memory into long-term
memory.
Answer:
●● Plays key roles in various regulatory functions such as appetite,
sensations of hunger and thirst, water balance, circadian rhythms, body
temperature, libido, and hormonal regulation.
Answer:
●● Patient on lithium and cipro Cipro _____________ lithium level.
Answer:
●● Patient on psych meds and dexamethasone will complain of what?.
