GEORGETTE'S LMR PMHNP CERTIFICATION EXAM
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS 2025/2026
What 4 drugs can cause mania? - Steroids, Disulfiram
(Antabuse), Isoniazid (INH), Antidepressants (in BPD) - ANSWER
->Drugs Inducing Mania
What 6 drugs can induce depression? - Steroids, Beta blockers,
Interferon, Isotretinoin (Accutane), Retroviral drugs,
Antineoplastic drugs, Benzodiazepines, Progesterone - ANSWER
->Drugs Inducing Depression
Steroids can induce what 3 psychiatric states? - Mania,
Depression, Psychosis - ANSWER ->Steroids and Psychiatric
States
What medication to treat acne cause cause birth defects? - Isotretinoin
(Accutane) - ANSWER ->Isotretinoin Birth Defects What is the
therapeutic range for lithium? - 0.6-1.2 mEq/L - ANSWER ->Lithium
Therapeutic Range
What medication has a neuroprotective effect for bipolar disorder? -
Lithium - ANSWER ->Lithium Neuroprotective Effect
What is the gold standard for treating manic episodes - Lithium
- ANSWER ->Gold Standard for Manic Episodes
,What mood stabilizer has anti-suicidal effects? - Lithium - ANSWER -
>Lithium Anti-Suicidal Effects
What are 5 labs should be drawn with lithium? - Thyroid panel
(TSH), Serum creatinine, BUN, Urinalysis, HCG - ANSWER - >Lithium Labs
What is a normal SCr range? - 0.6-1.2 mg/dL - ANSWER >Normal
SCr Range
What is the normal range for BUN? - 10-20 mg/dL - ANSWER
>Normal BUN Range
When should you suspect kidney disease with a urinalysis? - 4+ protein -
ANSWER ->Kidney Disease Urinalysis
4+ protein in the kidney suggests - Kidney disease - ANSWER -
>4+ Protein and Kidney Disease
What are 7 side effects of lithium? - Hypothyroidism, Fine hand
tremors, Maculopapular rash, GI upset (N/V/D, cramps, anorexia),
Polyuria, polydipsia, diabetes insipidus, T-wave inversions, Leucocytosis
- ANSWER ->Lithium Side Effects
What are 7 signs of lithium toxicity? - Severe nausea, vomiting,
diarrhea, Confusion, Drowsiness, Muscle weakness, Heart palpitations,
Coarse hand tremor, Unsteadiness while standing or walking - ANSWER
->Lithium Toxicity Signs
Which 3 drugs can increase lithium levels by decreasing renal
clearance? - NSAIDs (ibuprofen, indomethacin), Thiazides, ACEI
,- ANSWER ->Drugs Increasing Lithium Levels
What is a toxic level of lithium? - 1.5 mEq/L or higher - ANSWER
->Lithium Toxic Level
At what level do you monitor lithium closely (but not discontinue)? - 1.3
mEq/L or higher - ANSWER ->Lithium
Monitoring Level
With suspected lithium toxicity, what do you do first? - Lithium level
(not VS) - ANSWER ->Lithium Toxicity First Action
What is the appropriate action if lithium level is 1.5 mEq/L? - DC
lithium, Check lithium level - ANSWER ->Lithium Level Action What 2
conditions can increase lithium levels? - Dehydration,
Hyponatremia - ANSWER ->Conditions Increasing Lithium Levels
What birth defect can lithium cause? - Ebstein anomaly
(congenital heart defect) - ANSWER ->Lithium Birth Defect
What 3 neurotransmitters are associated with ADHD? - DNS - ANSWER -
>ADHD Neurotransmitters
What 3 parts of the brain are affected with ADHD? - Frontal cortex,
Basal ganglia, Reticular Activating System - ANSWER
>ADHD Affected Brain Parts
The Frontal cortex, Basal ganglia, Reticular Activating System are
associated with which psychiatric disorder? - ADHD - ANSWER ->ADHD
Associated Brain Parts
, Inattentive Type ADHD demonstrates abnormalities in which part of the
brain? - Prefrontal cortex - ANSWER ->Inattentive
Type ADHD Brain Abnormality
What should be done before placing a patient on stimulants for
ADHD (priority)? - Cardiac history - ANSWER ->Stimulants for
ADHD Priority
Excessive worry, apprehension, or anxiety about events or activities
that occurs more days than not for a period of at least
6 months is - GAD - ANSWER ->Generalized Anxiety Disorder
If a patient is receiving Haldol 5 mg PO bid, how much Haldol Decanoate
should they receive? - 20 x 10 mg = 200 mg (q month) - ANSWER -
>Haldol Conversion to Depot Form
What is the formula for converting oral Haldol to depot form? - 20 x
daily dose - ANSWER ->Haldol Conversion Formula
What does thought process assess? - thoughts and ideas - ANSWER -
>Thought Process Assessment
The way a patient organizes his thoughts and ideas is called - Thought
process - ANSWER ->Thought Organization
A normal thought process is described as - Logical, Linear,
Coherent, Goal-oriented - ANSWER ->Normal Thought Process
Moving from thought to thought and never getting to the point
QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED
PASS 2025/2026
What 4 drugs can cause mania? - Steroids, Disulfiram
(Antabuse), Isoniazid (INH), Antidepressants (in BPD) - ANSWER
->Drugs Inducing Mania
What 6 drugs can induce depression? - Steroids, Beta blockers,
Interferon, Isotretinoin (Accutane), Retroviral drugs,
Antineoplastic drugs, Benzodiazepines, Progesterone - ANSWER
->Drugs Inducing Depression
Steroids can induce what 3 psychiatric states? - Mania,
Depression, Psychosis - ANSWER ->Steroids and Psychiatric
States
What medication to treat acne cause cause birth defects? - Isotretinoin
(Accutane) - ANSWER ->Isotretinoin Birth Defects What is the
therapeutic range for lithium? - 0.6-1.2 mEq/L - ANSWER ->Lithium
Therapeutic Range
What medication has a neuroprotective effect for bipolar disorder? -
Lithium - ANSWER ->Lithium Neuroprotective Effect
What is the gold standard for treating manic episodes - Lithium
- ANSWER ->Gold Standard for Manic Episodes
,What mood stabilizer has anti-suicidal effects? - Lithium - ANSWER -
>Lithium Anti-Suicidal Effects
What are 5 labs should be drawn with lithium? - Thyroid panel
(TSH), Serum creatinine, BUN, Urinalysis, HCG - ANSWER - >Lithium Labs
What is a normal SCr range? - 0.6-1.2 mg/dL - ANSWER >Normal
SCr Range
What is the normal range for BUN? - 10-20 mg/dL - ANSWER
>Normal BUN Range
When should you suspect kidney disease with a urinalysis? - 4+ protein -
ANSWER ->Kidney Disease Urinalysis
4+ protein in the kidney suggests - Kidney disease - ANSWER -
>4+ Protein and Kidney Disease
What are 7 side effects of lithium? - Hypothyroidism, Fine hand
tremors, Maculopapular rash, GI upset (N/V/D, cramps, anorexia),
Polyuria, polydipsia, diabetes insipidus, T-wave inversions, Leucocytosis
- ANSWER ->Lithium Side Effects
What are 7 signs of lithium toxicity? - Severe nausea, vomiting,
diarrhea, Confusion, Drowsiness, Muscle weakness, Heart palpitations,
Coarse hand tremor, Unsteadiness while standing or walking - ANSWER
->Lithium Toxicity Signs
Which 3 drugs can increase lithium levels by decreasing renal
clearance? - NSAIDs (ibuprofen, indomethacin), Thiazides, ACEI
,- ANSWER ->Drugs Increasing Lithium Levels
What is a toxic level of lithium? - 1.5 mEq/L or higher - ANSWER
->Lithium Toxic Level
At what level do you monitor lithium closely (but not discontinue)? - 1.3
mEq/L or higher - ANSWER ->Lithium
Monitoring Level
With suspected lithium toxicity, what do you do first? - Lithium level
(not VS) - ANSWER ->Lithium Toxicity First Action
What is the appropriate action if lithium level is 1.5 mEq/L? - DC
lithium, Check lithium level - ANSWER ->Lithium Level Action What 2
conditions can increase lithium levels? - Dehydration,
Hyponatremia - ANSWER ->Conditions Increasing Lithium Levels
What birth defect can lithium cause? - Ebstein anomaly
(congenital heart defect) - ANSWER ->Lithium Birth Defect
What 3 neurotransmitters are associated with ADHD? - DNS - ANSWER -
>ADHD Neurotransmitters
What 3 parts of the brain are affected with ADHD? - Frontal cortex,
Basal ganglia, Reticular Activating System - ANSWER
>ADHD Affected Brain Parts
The Frontal cortex, Basal ganglia, Reticular Activating System are
associated with which psychiatric disorder? - ADHD - ANSWER ->ADHD
Associated Brain Parts
, Inattentive Type ADHD demonstrates abnormalities in which part of the
brain? - Prefrontal cortex - ANSWER ->Inattentive
Type ADHD Brain Abnormality
What should be done before placing a patient on stimulants for
ADHD (priority)? - Cardiac history - ANSWER ->Stimulants for
ADHD Priority
Excessive worry, apprehension, or anxiety about events or activities
that occurs more days than not for a period of at least
6 months is - GAD - ANSWER ->Generalized Anxiety Disorder
If a patient is receiving Haldol 5 mg PO bid, how much Haldol Decanoate
should they receive? - 20 x 10 mg = 200 mg (q month) - ANSWER -
>Haldol Conversion to Depot Form
What is the formula for converting oral Haldol to depot form? - 20 x
daily dose - ANSWER ->Haldol Conversion Formula
What does thought process assess? - thoughts and ideas - ANSWER -
>Thought Process Assessment
The way a patient organizes his thoughts and ideas is called - Thought
process - ANSWER ->Thought Organization
A normal thought process is described as - Logical, Linear,
Coherent, Goal-oriented - ANSWER ->Normal Thought Process
Moving from thought to thought and never getting to the point
