PMHNP Exam Reported
Questions & Answers
2022/2023 Update
,DBT (dialectical behavior therapy) - (answer) relaxation muscle prior to DBT
Greatest patient at risk for Violence - (answer) Substance abuse
EMDR (eye movement desensitization and reprocessing) - (answer) eye movement desensitization and
reprocessing
What is dissemination? - (answer) Getting the research information out to those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - (answer) Moderate cognitive impairment
What is Tegretol in the CYP450 system? - (answer) Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? - (answer) Inducer - will lower dose of Lamictal
What is a Type I research error? - (answer) There IS a difference but you say there isn't a difference.
What is a Type II research error? - (answer) There is NO difference but you say there is a difference.
What is pseudo-dementia? - (answer) Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - (answer) Yes.
What is a drug 1/2 life? - (answer) The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? - (answer) Zyprexa, Abilify, Seroquel - low doses
,What is a risk of using Tramadol? - (answer) Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - (answer) HLAB-1502
When might you see toxic epidermal necrolysis? - (answer) With worsening of SJS
How many generations do you include for a genogram? - (answer) 1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - (answer) Amino Acids
What is epigenetics? - (answer) Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - (answer) Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - (answer) Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - (answer) 10-25 yo
When do females typically present with schizophrenia? - (answer) 25-35 yo
What does Erythromycin to trileptal? - (answer) You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - (answer) Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - (answer) Leukotriene receptor
agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor
What should you watch for with Tegretol? - (answer) Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - (answer) CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - (answer) CKMB
What is the risk of a seriously elevated CKMB? - (answer) Polymyositis
Rhabdo
, What is a normal CKMB? - (answer) 0.3 mcg/L
What psychoactives does Detrol interact with? - (answer) Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - (answer) CN XI - Spinal
Accessory
What do you see in labs with HIV & Dementia? - (answer) CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - (answer) Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - (answer) Helps rule-out disease = True Positive = Snout
What is specificity? - (answer) Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - (answer) Inflammation (ESR - Erythrocyte Sedimentation Rate) =
distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - (answer) 0-22 males
0-29 females
What is a retic count? - (answer) Measures % of reticulocytes in blood (immature RBC's) Indicates
whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - (answer) Anemia - acute or chronic bleeding
What does an increased retic count indicate? - (answer) Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - (answer) Doesn't diagnose anything. First step is
ID source of the issue.
What happens when you mix tegretol and macrolides? - (answer) Increase tegretol levels.
Questions & Answers
2022/2023 Update
,DBT (dialectical behavior therapy) - (answer) relaxation muscle prior to DBT
Greatest patient at risk for Violence - (answer) Substance abuse
EMDR (eye movement desensitization and reprocessing) - (answer) eye movement desensitization and
reprocessing
What is dissemination? - (answer) Getting the research information out to those who need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - (answer) Moderate cognitive impairment
What is Tegretol in the CYP450 system? - (answer) Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? - (answer) Inducer - will lower dose of Lamictal
What is a Type I research error? - (answer) There IS a difference but you say there isn't a difference.
What is a Type II research error? - (answer) There is NO difference but you say there is a difference.
What is pseudo-dementia? - (answer) Cognitive impairment secondary to depression that clears when
treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - (answer) Yes.
What is a drug 1/2 life? - (answer) The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? - (answer) Zyprexa, Abilify, Seroquel - low doses
,What is a risk of using Tramadol? - (answer) Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - (answer) HLAB-1502
When might you see toxic epidermal necrolysis? - (answer) With worsening of SJS
How many generations do you include for a genogram? - (answer) 1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - (answer) Amino Acids
What is epigenetics? - (answer) Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - (answer) Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - (answer) Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - (answer) 10-25 yo
When do females typically present with schizophrenia? - (answer) 25-35 yo
What does Erythromycin to trileptal? - (answer) You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - (answer) Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - (answer) Leukotriene receptor
agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia,
SI, tremor
What should you watch for with Tegretol? - (answer) Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - (answer) CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - (answer) CKMB
What is the risk of a seriously elevated CKMB? - (answer) Polymyositis
Rhabdo
, What is a normal CKMB? - (answer) 0.3 mcg/L
What psychoactives does Detrol interact with? - (answer) Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - (answer) CN XI - Spinal
Accessory
What do you see in labs with HIV & Dementia? - (answer) CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - (answer) Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - (answer) Helps rule-out disease = True Positive = Snout
What is specificity? - (answer) Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - (answer) Inflammation (ESR - Erythrocyte Sedimentation Rate) =
distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - (answer) 0-22 males
0-29 females
What is a retic count? - (answer) Measures % of reticulocytes in blood (immature RBC's) Indicates
whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - (answer) Anemia - acute or chronic bleeding
What does an increased retic count indicate? - (answer) Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - (answer) Doesn't diagnose anything. First step is
ID source of the issue.
What happens when you mix tegretol and macrolides? - (answer) Increase tegretol levels.
