LMR GEORGETTE PMHNP EXAM 4 2026
PSYCHIATRIC DIAGNOSIS WORKBOOK
SOLVED QUESTIONS COMPILATION
◉ Relationship between TSH & T3/T4?
Answer: Inverse
◉ Hyperthyroidism can present as?
Answer: Mania
◉ Hypothyroidism can present as?
Answer: Depression
◉ Normal depakote level?
Answer: 50-125
◉ Toxic depakote level?
Answer: 150+
◉ Birth defect caused by depakote?
Answer: Spina Bifida
,◉ S/S of depakote toxicity?
Answer: Disorientation, lethargy, decreased respiratory rate, and
N/V
◉ What to do if there is depakote toxicity?
Answer: D/C depakote and check VPA level, LFTs, and ammonia
◉ S/S of hepatotoxicity?
Answer: RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated LFTs
◉ Normal AST?
Answer: 5-40
◉ Normal ALT?
Answer: 5-35
◉ Kava kava can cause?
Answer: Liver damage and heavy sedation
◉ Kava kava is c/i with?
,Answer: Benzos or sedatives
◉ Mood stabilizer most associated with SJS?
Answer: Lamictal
◉ Mood stabilizer with least weight gain?
Answer: Lamictal
◉ SGAs with least weight gain?
Answer: ziprasidone, abilify, and latuda
◉ Least sedating SGA?
Answer: Abilify
◉ Routine labs with SGAs?
Answer: BMI, hip to waist ratio, glucose, A1C, and lipid panel
◉ Management of metabolic syndrome with SGAs?
Answer: 1. Nonpharm = exercise or nutritional counseling
2. Pharm = switch to other SGA with lower chance of metabolic
syndrome
, ◉ Carbamazepine can cause?
Answer: Agranulocytosis and aplastic anemia
◉ What should you screen for prior to starting Asians on
carbamazepine and why?
Answer: HLAB1502 Allele; risk of SJS
◉ When should you d/c carbamazepine if agranulocytosis is
suspected?
Answer: If ANC is < 1000 with or without s/s of infection
◉ Lithium range?
Answer: 0.6 - 1.2
◉ What to do if lithium is 1.3 or 1.4?
Answer: Monitor
◉ What to do if lithium is 1.5+?
Answer: D/C
◉ Benefits of lithium?
PSYCHIATRIC DIAGNOSIS WORKBOOK
SOLVED QUESTIONS COMPILATION
◉ Relationship between TSH & T3/T4?
Answer: Inverse
◉ Hyperthyroidism can present as?
Answer: Mania
◉ Hypothyroidism can present as?
Answer: Depression
◉ Normal depakote level?
Answer: 50-125
◉ Toxic depakote level?
Answer: 150+
◉ Birth defect caused by depakote?
Answer: Spina Bifida
,◉ S/S of depakote toxicity?
Answer: Disorientation, lethargy, decreased respiratory rate, and
N/V
◉ What to do if there is depakote toxicity?
Answer: D/C depakote and check VPA level, LFTs, and ammonia
◉ S/S of hepatotoxicity?
Answer: RUQ pain, reddish brown urine, jaundice, fatigue, and
elevated LFTs
◉ Normal AST?
Answer: 5-40
◉ Normal ALT?
Answer: 5-35
◉ Kava kava can cause?
Answer: Liver damage and heavy sedation
◉ Kava kava is c/i with?
,Answer: Benzos or sedatives
◉ Mood stabilizer most associated with SJS?
Answer: Lamictal
◉ Mood stabilizer with least weight gain?
Answer: Lamictal
◉ SGAs with least weight gain?
Answer: ziprasidone, abilify, and latuda
◉ Least sedating SGA?
Answer: Abilify
◉ Routine labs with SGAs?
Answer: BMI, hip to waist ratio, glucose, A1C, and lipid panel
◉ Management of metabolic syndrome with SGAs?
Answer: 1. Nonpharm = exercise or nutritional counseling
2. Pharm = switch to other SGA with lower chance of metabolic
syndrome
, ◉ Carbamazepine can cause?
Answer: Agranulocytosis and aplastic anemia
◉ What should you screen for prior to starting Asians on
carbamazepine and why?
Answer: HLAB1502 Allele; risk of SJS
◉ When should you d/c carbamazepine if agranulocytosis is
suspected?
Answer: If ANC is < 1000 with or without s/s of infection
◉ Lithium range?
Answer: 0.6 - 1.2
◉ What to do if lithium is 1.3 or 1.4?
Answer: Monitor
◉ What to do if lithium is 1.5+?
Answer: D/C
◉ Benefits of lithium?
