PMHNP Exam Reported Questions -
What is dissemination? - ✔✔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? - ✔✔Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ✔✔Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? - ✔✔Inducer - will lower dose of Lamictal
What is a Type I research error? - ✔✔There IS a difference but you say there isn't a difference.
What is a Type II research error? - ✔✔There is NO difference but you say there is a difference.
What is pseudo-dementia? - ✔✔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? - ✔✔Yes.
What is a drug 1/2 life? - ✔✔The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? - ✔✔Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - ✔✔Serotonin Syndrome as it is very serotonergic.
,What is the allele seen in Asians that increase the risk of SJS? - ✔✔HLAB-1502
When might you see toxic epidermal necrolysis? - ✔✔With worsening of SJS
How many generations do you include for a genogram? - ✔✔1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ✔✔Amino Acids
What is epigenetics? - ✔✔Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - ✔✔Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ✔✔Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ✔✔10-25 yo
When do females typically present with schizophrenia? - ✔✔25-35 yo
What does Erythromycin to trileptal? - ✔✔You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ✔✔Heart Failure
HTN
,What are some psychiatric side effects seen with some asthma drugs - ✔✔Leukotriene receptor
agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression,
insomnia, SI, tremor
What should you watch for with Tegretol? - ✔✔Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - ✔✔CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ✔✔CKMB
What is the risk of a seriously elevated CKMB? - ✔✔Polymyositis
Rhabdo
What is a normal CKMB? - ✔✔0.3 mcg/L
What psychoactives does Detrol interact with? - ✔✔Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - ✔✔CN XI - Spinal
Accessory
What do you see in labs with HIV & Dementia? - ✔✔CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ✔✔Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
, What is sensitivity? - ✔✔Helps rule-out disease = True Positive = Snout
What is specificity? - ✔✔Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ✔✔Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance
in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ✔✔0-22 males
0-29 females
What is a retic count? - ✔✔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? - ✔✔Anemia - acute or chronic bleeding
What does an increased retic count indicate? - ✔✔Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ✔✔Doesn't diagnose anything. First step is
ID source of the issue.
What happens when you mix tegretol and macrolides? - ✔✔Increase tegretol levels.
What happens if a pregnant women takes Accutane? - ✔✔Birth defects.
What labs do you get with RA? - ✔✔Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps
confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ✔✔ANA
What is dissemination? - ✔✔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? - ✔✔Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ✔✔Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? - ✔✔Inducer - will lower dose of Lamictal
What is a Type I research error? - ✔✔There IS a difference but you say there isn't a difference.
What is a Type II research error? - ✔✔There is NO difference but you say there is a difference.
What is pseudo-dementia? - ✔✔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? - ✔✔Yes.
What is a drug 1/2 life? - ✔✔The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens? - ✔✔Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - ✔✔Serotonin Syndrome as it is very serotonergic.
,What is the allele seen in Asians that increase the risk of SJS? - ✔✔HLAB-1502
When might you see toxic epidermal necrolysis? - ✔✔With worsening of SJS
How many generations do you include for a genogram? - ✔✔1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ✔✔Amino Acids
What is epigenetics? - ✔✔Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - ✔✔Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ✔✔Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ✔✔10-25 yo
When do females typically present with schizophrenia? - ✔✔25-35 yo
What does Erythromycin to trileptal? - ✔✔You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ✔✔Heart Failure
HTN
,What are some psychiatric side effects seen with some asthma drugs - ✔✔Leukotriene receptor
agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression,
insomnia, SI, tremor
What should you watch for with Tegretol? - ✔✔Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - ✔✔CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ✔✔CKMB
What is the risk of a seriously elevated CKMB? - ✔✔Polymyositis
Rhabdo
What is a normal CKMB? - ✔✔0.3 mcg/L
What psychoactives does Detrol interact with? - ✔✔Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - ✔✔CN XI - Spinal
Accessory
What do you see in labs with HIV & Dementia? - ✔✔CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ✔✔Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
, What is sensitivity? - ✔✔Helps rule-out disease = True Positive = Snout
What is specificity? - ✔✔Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ✔✔Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance
in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ✔✔0-22 males
0-29 females
What is a retic count? - ✔✔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? - ✔✔Anemia - acute or chronic bleeding
What does an increased retic count indicate? - ✔✔Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ✔✔Doesn't diagnose anything. First step is
ID source of the issue.
What happens when you mix tegretol and macrolides? - ✔✔Increase tegretol levels.
What happens if a pregnant women takes Accutane? - ✔✔Birth defects.
What labs do you get with RA? - ✔✔Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps
confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ✔✔ANA
