LMR GEORGETTE PMHNP EXAM 4 2026
MENTAL HEALTH CLINICAL PRACTICE SET
ANSWERS FULL SOLUTION
◉ Why is Clozaril used?
Answer: Treatment resistant schizophrenia, improves SI, and
improves negative symptoms of schizophrenia
◉ What two medications have the highest risk of agranulocytosis
and aplastic anemia?
Answer: Clozaril and Tegretol
◉ What symptoms may mean a Clozaril induced infection?
Answer: Sore throats, sores in mouth/gums, fever
◉ When should you discontinue Clozaril or Tegretol?
Answer: WBC < 2000 or ANC <1000
◉ What should you check in Asian patients taking Tegretol?
Answer: For the HLA-B*1502 allele (higher risk of SJS)
◉ What two epidermal issues can arise from Tegretol or Lamictal?
,Answer: Toxic epidermal necrosis and SJS
◉ What may be the issue if a patient on Lamictal presents with a
fever and severe headache?
Answer: Aspetic meningitis
◉ What three antipsychotics have very low weight gaining effects?
Answer: Geodon, Abilify, and Latuda
◉ Mini-Cog
Answer: 3 word recall and
clock drawing
◉ MMSE scoring
Answer: 24-30 severe impairment
18-23 mild impairment
17 and less no impairment
◉ What happens during pruning?
Answer: Brain eliminates extra synapses during infancy
◉ autism and pruning
,Answer: Excess synapses caused by under-pruning (patient
oversensitive to light/sounds and seizures)
◉ schizophrenia and pruning
Answer: Fewer synapses caused by over-pruning
◉ grey matter vs white matter
Answer: Grey matter- synapses, working area of brain, dendrites
White matter- myelinated axons
◉ axons and dendrites
Answer: axon away from cell and dendrites to neuron's cell body
◉ CNS is made up of
Answer: brain and spinal cord
◉ PNS consists of
Answer: cranial nerves and spinal nerves- responsible for voluntary
movement
◉ somatic nervous system
, Answer: the division of the peripheral nervous system that controls
the body's skeletal muscles
◉ autonomic nervous system
Answer: the part of the peripheral nervous system that controls the
glands and the muscles of the internal organs
◉ parasympathetic nervous system
Answer: the division of the autonomic nervous system that calms
the body, conserving its energy
◉ sympathetic nervous system
Answer: the division of the autonomic nervous system that arouses
the body, mobilizing its energy in stressful situations
◉ prefrontal cortex
Answer: part of frontal lobe responsible for thinking, planning, and
language
◉ What part of the brain is responsible for perception of pain?
Answer: Prefrontal cortex- Explains TMS
◉ What is the dorsolateral prefrontal cortex responsible for?
MENTAL HEALTH CLINICAL PRACTICE SET
ANSWERS FULL SOLUTION
◉ Why is Clozaril used?
Answer: Treatment resistant schizophrenia, improves SI, and
improves negative symptoms of schizophrenia
◉ What two medications have the highest risk of agranulocytosis
and aplastic anemia?
Answer: Clozaril and Tegretol
◉ What symptoms may mean a Clozaril induced infection?
Answer: Sore throats, sores in mouth/gums, fever
◉ When should you discontinue Clozaril or Tegretol?
Answer: WBC < 2000 or ANC <1000
◉ What should you check in Asian patients taking Tegretol?
Answer: For the HLA-B*1502 allele (higher risk of SJS)
◉ What two epidermal issues can arise from Tegretol or Lamictal?
,Answer: Toxic epidermal necrosis and SJS
◉ What may be the issue if a patient on Lamictal presents with a
fever and severe headache?
Answer: Aspetic meningitis
◉ What three antipsychotics have very low weight gaining effects?
Answer: Geodon, Abilify, and Latuda
◉ Mini-Cog
Answer: 3 word recall and
clock drawing
◉ MMSE scoring
Answer: 24-30 severe impairment
18-23 mild impairment
17 and less no impairment
◉ What happens during pruning?
Answer: Brain eliminates extra synapses during infancy
◉ autism and pruning
,Answer: Excess synapses caused by under-pruning (patient
oversensitive to light/sounds and seizures)
◉ schizophrenia and pruning
Answer: Fewer synapses caused by over-pruning
◉ grey matter vs white matter
Answer: Grey matter- synapses, working area of brain, dendrites
White matter- myelinated axons
◉ axons and dendrites
Answer: axon away from cell and dendrites to neuron's cell body
◉ CNS is made up of
Answer: brain and spinal cord
◉ PNS consists of
Answer: cranial nerves and spinal nerves- responsible for voluntary
movement
◉ somatic nervous system
, Answer: the division of the peripheral nervous system that controls
the body's skeletal muscles
◉ autonomic nervous system
Answer: the part of the peripheral nervous system that controls the
glands and the muscles of the internal organs
◉ parasympathetic nervous system
Answer: the division of the autonomic nervous system that calms
the body, conserving its energy
◉ sympathetic nervous system
Answer: the division of the autonomic nervous system that arouses
the body, mobilizing its energy in stressful situations
◉ prefrontal cortex
Answer: part of frontal lobe responsible for thinking, planning, and
language
◉ What part of the brain is responsible for perception of pain?
Answer: Prefrontal cortex- Explains TMS
◉ What is the dorsolateral prefrontal cortex responsible for?
