PMHNP Boards - Scientific Foundation
and Advance Practice Skills EXAMS
100%
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above - ✔✔a. Acute alcohol intoxication
In the pharmacological treatment of psychosis, when antipsychotics are administered, which block
dopamine, a secondary effect is blocking in another tract, which causes potential prolactin problems,
such as gynecomastia in males. This tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical - ✔✔b. tuberoinfundibular
A six-year-old patient with autism spectrum disorder has not responded to six months of psychosocial
interventions and continues to demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - ✔✔3. risperidone (Risperdal) 0.25 mg once a day.
Which drug is likely to produce liver failure and hepatitis?
,1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate - ✔✔3. Carbamazepine
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis - ✔✔a. D2 blockade in the nigrostriatial tract
Which drug carries a higher risk of metabolic effects than the other second generation antipsychotics:
weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon - ✔✔b. Zyprexa
A patient has not had any relief of symptoms with Fluoxetine, and is going to be started on an MAOI.
How long before starting the MAOI should the Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - ✔✔a. 2 weeks
,Which drug can produce serious side effect of rash in some Asians, and the FDA has mandated genetic
testing before the administration of this drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol - ✔✔d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate - ✔✔a. Paroxetine (Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion, and aggression; also responsible for
connecting sensory smell information with emotions - ✔✔amygdala
Regulates memory and converts short-term memory into long-term memory - ✔✔
Plays key roles in various regulatory functions such as appetite, sensations of hunger and thirst, water
balance, circadian rhythms, body temperature, libido, and hormonal regulation - ✔✔
Patient on lithium and cipro Cipro _____________ lithium level - ✔✔
Patient on psych meds and dexamethasone will complain of what? - ✔✔
Patient w/ schizophrenia, structural changes of the brain on CT - ✔✔
, Which lab is checked with clozaril? - ✔✔ANC
Lobes of the Brain - Fred Tore his Pants Off - ✔✔Frontal - executive fx, logical thinking
Temporal (tempo) sound
Occipital (optic) vision
Parietal (pat) touch
You ask a patient to clench her teeth, which cranial nerve are you testing? - ✔✔Cranial nerve 5 -
TRIGEMINAL
What does the frontal lobe affect? (LIMP) - ✔✔Executive functions:
Language
Intelligence (cognitive functoning)
Motor Function
Personality
What does temporal lobe affect? (LAME) - ✔✔Language
Affective Component of speech
Memory
Emotion
In which lobe of the brain does the limbic system reside? - ✔✔The temporal lobe
What is Wernicke's area responsible for and where does it reside in the brain? - ✔✔Wernicke's area is
responsible for receptive speech and it resides in the temporal lobe.
and Advance Practice Skills EXAMS
100%
Which of the following is a contraindication to benzodiazepines?
a. Acute alcohol intoxication
b. Acute narrow angle glaucoma
c. Psychosis
d. All the above - ✔✔a. Acute alcohol intoxication
In the pharmacological treatment of psychosis, when antipsychotics are administered, which block
dopamine, a secondary effect is blocking in another tract, which causes potential prolactin problems,
such as gynecomastia in males. This tract is the:
a. mesolimbic
b. tuberoinfundibular
c. nigrostrial dopamine tract
d. mesocortical - ✔✔b. tuberoinfundibular
A six-year-old patient with autism spectrum disorder has not responded to six months of psychosocial
interventions and continues to demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes:
1. carbamazepine (Tegretol) 200 mg once a day.
2. haloperidol (Haldol) 2 mg once a day.
3. risperidone (Risperdal) 0.25 mg once a day.
4. venlafaxine ER (Effexor XR) 37.5 mg once a day. - ✔✔3. risperidone (Risperdal) 0.25 mg once a day.
Which drug is likely to produce liver failure and hepatitis?
,1. Lamotrigine
2. Gabapentin
3. Carbamazepine
4. Topiramate - ✔✔3. Carbamazepine
EPS arises from:
a. D2 blockade in the nigrostriatial tract
b. D2 blockade in the tuberoinfundibular tract
c. D2 blockade in the alpha-1 adrenergic receptor blockade
d. D2 blockade in the HPA axis - ✔✔a. D2 blockade in the nigrostriatial tract
Which drug carries a higher risk of metabolic effects than the other second generation antipsychotics:
weight gain, diabetes, dyslipidemia ?
a. Clozaril
b. Zyprexa
c. Risperdal
d. Geodon - ✔✔b. Zyprexa
A patient has not had any relief of symptoms with Fluoxetine, and is going to be started on an MAOI.
How long before starting the MAOI should the Fluoxetine be withdrawn?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - ✔✔a. 2 weeks
,Which drug can produce serious side effect of rash in some Asians, and the FDA has mandated genetic
testing before the administration of this drug?
a. Dilantin
b. Lamictal
c. Depakote
d. Tegretol - ✔✔d. Tegretol
Which is considered the most sedating SSRI?
a. Paroxetine
b. Sertraline
c. Fluoxetine
d. Escitalopram Oxalate - ✔✔a. Paroxetine (Paxil is EVIL)
Brain structure responsible for mediating mood, fear, emotion, and aggression; also responsible for
connecting sensory smell information with emotions - ✔✔amygdala
Regulates memory and converts short-term memory into long-term memory - ✔✔
Plays key roles in various regulatory functions such as appetite, sensations of hunger and thirst, water
balance, circadian rhythms, body temperature, libido, and hormonal regulation - ✔✔
Patient on lithium and cipro Cipro _____________ lithium level - ✔✔
Patient on psych meds and dexamethasone will complain of what? - ✔✔
Patient w/ schizophrenia, structural changes of the brain on CT - ✔✔
, Which lab is checked with clozaril? - ✔✔ANC
Lobes of the Brain - Fred Tore his Pants Off - ✔✔Frontal - executive fx, logical thinking
Temporal (tempo) sound
Occipital (optic) vision
Parietal (pat) touch
You ask a patient to clench her teeth, which cranial nerve are you testing? - ✔✔Cranial nerve 5 -
TRIGEMINAL
What does the frontal lobe affect? (LIMP) - ✔✔Executive functions:
Language
Intelligence (cognitive functoning)
Motor Function
Personality
What does temporal lobe affect? (LAME) - ✔✔Language
Affective Component of speech
Memory
Emotion
In which lobe of the brain does the limbic system reside? - ✔✔The temporal lobe
What is Wernicke's area responsible for and where does it reside in the brain? - ✔✔Wernicke's area is
responsible for receptive speech and it resides in the temporal lobe.
