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GEORGETTE'S LMR PMHNP CERTIFICATION EXAM
REVIEW 2026-COMPLETE EXAM SET WITH ACTUAL
QUESTIONS AND ANSWERS
What drugs should be avoided with Kava Kava? - correct-answer -Alprazolam, CNS
depressants (e.g., phenobarbital, zolpidem)
What are the 3 functions of a Cultural Formulation Interview? - correct-answer -
Clarify meaning of illness, Empower the patient, Validate symptoms within the
cultural context
What does a cultural formulation interview do? - correct-answer -Cultural
assessment
What is the normal range for TSH? - correct-answer -0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism? - correct-answer -Decreased TSH,
Increased T4 and T3
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What are lab values in Hypothyroidism? - correct-answer -Increased TSH,
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - correct-answer -Heat
intolerance, Agitation, Anxiety, Irritability, Tachycardia, Mood swings, Weight loss
What are 4 primary symptoms of Hypothyroidism? - correct-answer -Cold
intolerance, Lethargy, Weight gain, Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - correct-answer -
Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - correct-answer
-Mania
What teratogenic effect does Valproic acid produce? - correct-answer -Spina bifida
(neural tube defect)
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What is the primary organ where Valproic acid is toxic? - correct-answer -Liver
(hepatotoxicity)
What are 4 signs of hepatotoxicity? - correct-answer -Abdominal pain in the RUQ,
Reddish-brown urine, Yellowing of the skin and sclera, Fatigue
What is the therapeutic range for Valproic acid? - correct-answer -50-125 mcg/ml
What is a toxic level of Valproic acid? - correct-answer ->150 mcg/ml
What are 4 signs of Valproic acid toxicity? - correct-answer -Disorientation,
Lethargy, Respiratory depression, Nausea/vomiting
With suspected toxicity from Valproic acid, what labs should be drawn? - correct-
answer -D/C drug, Check drug level, Obtain LFTs, Obtain ammonia level
What is the major side effect of Kava Kava? - correct-answer -Liver damage
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What herbal supplement is used for anxiety, stress, and insomnia? - correct-
answer -Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - correct-answer -Fever,
Body aches, Severe red rash, Peeling skin, Facial and tongue swelling
Which mood stabilizer causes the least weight gain? - correct-answer -Lamotrigine
(Lamictal)
Which 3 SGAs cause the least weight gain? - correct-answer -Lurasidone (Latuda),
Aripiprazole (Abilify), Ziprasidone (Geodon)
Which SGA is the least sedating? - correct-answer -Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - correct-answer -Acute disturbance
of LOC, Impaired cognition, Inattention
GEORGETTE'S LMR PMHNP CERTIFICATION EXAM
REVIEW 2026-COMPLETE EXAM SET WITH ACTUAL
QUESTIONS AND ANSWERS
What drugs should be avoided with Kava Kava? - correct-answer -Alprazolam, CNS
depressants (e.g., phenobarbital, zolpidem)
What are the 3 functions of a Cultural Formulation Interview? - correct-answer -
Clarify meaning of illness, Empower the patient, Validate symptoms within the
cultural context
What does a cultural formulation interview do? - correct-answer -Cultural
assessment
What is the normal range for TSH? - correct-answer -0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism? - correct-answer -Decreased TSH,
Increased T4 and T3
,2|Page
What are lab values in Hypothyroidism? - correct-answer -Increased TSH,
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - correct-answer -Heat
intolerance, Agitation, Anxiety, Irritability, Tachycardia, Mood swings, Weight loss
What are 4 primary symptoms of Hypothyroidism? - correct-answer -Cold
intolerance, Lethargy, Weight gain, Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - correct-answer -
Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - correct-answer
-Mania
What teratogenic effect does Valproic acid produce? - correct-answer -Spina bifida
(neural tube defect)
,3|Page
What is the primary organ where Valproic acid is toxic? - correct-answer -Liver
(hepatotoxicity)
What are 4 signs of hepatotoxicity? - correct-answer -Abdominal pain in the RUQ,
Reddish-brown urine, Yellowing of the skin and sclera, Fatigue
What is the therapeutic range for Valproic acid? - correct-answer -50-125 mcg/ml
What is a toxic level of Valproic acid? - correct-answer ->150 mcg/ml
What are 4 signs of Valproic acid toxicity? - correct-answer -Disorientation,
Lethargy, Respiratory depression, Nausea/vomiting
With suspected toxicity from Valproic acid, what labs should be drawn? - correct-
answer -D/C drug, Check drug level, Obtain LFTs, Obtain ammonia level
What is the major side effect of Kava Kava? - correct-answer -Liver damage
, 4|Page
What herbal supplement is used for anxiety, stress, and insomnia? - correct-
answer -Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - correct-answer -Fever,
Body aches, Severe red rash, Peeling skin, Facial and tongue swelling
Which mood stabilizer causes the least weight gain? - correct-answer -Lamotrigine
(Lamictal)
Which 3 SGAs cause the least weight gain? - correct-answer -Lurasidone (Latuda),
Aripiprazole (Abilify), Ziprasidone (Geodon)
Which SGA is the least sedating? - correct-answer -Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - correct-answer -Acute disturbance
of LOC, Impaired cognition, Inattention
