LMR GEORGETTE’S PMHNP FINAL EXAM LATEST
QUESTIONS WITH VERIFIED ANSWERS NEW
UPDATE 2024/2025
What drugs should be avoided with Kava Kava?
Correct Ans:- Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3 functions?
Correct Ans:- Clarify meaning of illness
Empower the patient
Validate symptoms within cultural context
What does a cultural formulation interview do?
Correct Ans:- cultural assessment
What is the normal range for TSH?
Correct Ans:- 0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism
Correct Ans:- Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Correct Ans:- Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?
Correct Ans:- Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?
Correct Ans:- Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?
Correct Ans:- Depression
,Valproic acid produces what teratogenic effect?
Correct Ans:- Spina bifida (neural tube defect)
Hyperthyroidism mimics symptoms of what psychiatric disorder?
Correct Ans:- Mania
What is the primary organ where valproic acid is toxic?
Correct Ans:- Liver (hepatoxicity)
What are 4 signs of hepatoxicity?
Correct Ans:- Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera, and
Fatigue are signs of
Correct Ans:- Hepatoxicity
What is the therapeutic range for valproic acid?
Correct Ans:- 50-125 mcg/ml
What is a toxic level of valproic acid?
Correct Ans:- >150 mcg/ml
What are 4 signs of valproic acid toxicity?
Correct Ans:- Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are symptoms of
toxicity with what drug?
Correct Ans:- Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn?
Correct Ans:- DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava?
Correct Ans:- Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? .
,Correct Ans:- Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome?
Correct Ans:- Fever
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain?
Correct Ans:- Lamotrigine (Lamictal)
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling are
symptoms of
Correct Ans:- Stephen's Johnson Syndrome
Which 3 SGAs cause the least weight gain?
Correct Ans:- Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Correct Ans:- Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium?
Correct Ans:- Acute disturbance of LOC
impaired cognition
inattention
Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of
Correct Ans:- Delirium
How are agitation and psychotic symptoms treated in delirium?
Correct Ans:- Low dose Haldol
What 4 drugs can cause mania?
Correct Ans:- Steroids
Disulfiram (Antabuse)
Isoniazid (INH)
Antidepressants (in BPD)
Steroids, Disulfiram (Antabuse), and Isoniazid (INH) can induce
Correct Ans:- Mania
What 6 drugs can induce depression?
Correct Ans:- Steroids
, Beta blockers
Interferon, Isotretinoin (Accutane)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Progesterone
Steroids can induce what 3 psychiatric states?
Correct Ans:- Mania
Depression
Psychosis
What is the therapeutic range for lithium?
Correct Ans:- 0.6-1.2 mEq/L
What medication to treat acne cause cause birth defects?
Correct Ans:- Isotretinoin (Accutane)
What medication has a neuroprotective effect for bipolar disorder?
Correct Ans:- Lithium
What is the gold standard for treating manic episodes
Correct Ans:- Lithium
What mood stabilizer has anti-suicidal effects?
Correct Ans:- Lithium
What 5 labs should be drawn with lithium?
Correct Ans:- Thyroid panel (TSH)
Serum creatinine
BUN
Urinalysis
HCG
What is a normal SCr range?
Correct Ans:- 0.6-1.2 mg/dL
What is the normal range for BUN?
Correct Ans:- 10-20 mg/dL
When should you suspect kidney disease with a urinalysis?
Correct Ans:- 4+ protein
4+ protein in the kidney suggests
Correct Ans:- Kidney disease
What are 7 side effects of lithium?
QUESTIONS WITH VERIFIED ANSWERS NEW
UPDATE 2024/2025
What drugs should be avoided with Kava Kava?
Correct Ans:- Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3 functions?
Correct Ans:- Clarify meaning of illness
Empower the patient
Validate symptoms within cultural context
What does a cultural formulation interview do?
Correct Ans:- cultural assessment
What is the normal range for TSH?
Correct Ans:- 0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism
Correct Ans:- Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Correct Ans:- Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?
Correct Ans:- Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?
Correct Ans:- Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?
Correct Ans:- Depression
,Valproic acid produces what teratogenic effect?
Correct Ans:- Spina bifida (neural tube defect)
Hyperthyroidism mimics symptoms of what psychiatric disorder?
Correct Ans:- Mania
What is the primary organ where valproic acid is toxic?
Correct Ans:- Liver (hepatoxicity)
What are 4 signs of hepatoxicity?
Correct Ans:- Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera, and
Fatigue are signs of
Correct Ans:- Hepatoxicity
What is the therapeutic range for valproic acid?
Correct Ans:- 50-125 mcg/ml
What is a toxic level of valproic acid?
Correct Ans:- >150 mcg/ml
What are 4 signs of valproic acid toxicity?
Correct Ans:- Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are symptoms of
toxicity with what drug?
Correct Ans:- Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn?
Correct Ans:- DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava?
Correct Ans:- Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? .
,Correct Ans:- Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome?
Correct Ans:- Fever
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain?
Correct Ans:- Lamotrigine (Lamictal)
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling are
symptoms of
Correct Ans:- Stephen's Johnson Syndrome
Which 3 SGAs cause the least weight gain?
Correct Ans:- Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?
Correct Ans:- Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium?
Correct Ans:- Acute disturbance of LOC
impaired cognition
inattention
Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of
Correct Ans:- Delirium
How are agitation and psychotic symptoms treated in delirium?
Correct Ans:- Low dose Haldol
What 4 drugs can cause mania?
Correct Ans:- Steroids
Disulfiram (Antabuse)
Isoniazid (INH)
Antidepressants (in BPD)
Steroids, Disulfiram (Antabuse), and Isoniazid (INH) can induce
Correct Ans:- Mania
What 6 drugs can induce depression?
Correct Ans:- Steroids
, Beta blockers
Interferon, Isotretinoin (Accutane)
Retroviral drugs, Antineoplastic drugs
Benzodiazepines
Progesterone
Steroids can induce what 3 psychiatric states?
Correct Ans:- Mania
Depression
Psychosis
What is the therapeutic range for lithium?
Correct Ans:- 0.6-1.2 mEq/L
What medication to treat acne cause cause birth defects?
Correct Ans:- Isotretinoin (Accutane)
What medication has a neuroprotective effect for bipolar disorder?
Correct Ans:- Lithium
What is the gold standard for treating manic episodes
Correct Ans:- Lithium
What mood stabilizer has anti-suicidal effects?
Correct Ans:- Lithium
What 5 labs should be drawn with lithium?
Correct Ans:- Thyroid panel (TSH)
Serum creatinine
BUN
Urinalysis
HCG
What is a normal SCr range?
Correct Ans:- 0.6-1.2 mg/dL
What is the normal range for BUN?
Correct Ans:- 10-20 mg/dL
When should you suspect kidney disease with a urinalysis?
Correct Ans:- 4+ protein
4+ protein in the kidney suggests
Correct Ans:- Kidney disease
What are 7 side effects of lithium?
