PMHNP Exam Reported Questions 2024
complete update A+ graded
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
When do you assume informed consent? Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? Same as with informed
consent
Who can declare a patient incompetent and appoint a guardian? Only a court
complete update A+ graded
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
When do you assume informed consent? Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? Same as with informed
consent
Who can declare a patient incompetent and appoint a guardian? Only a court
