PMHNP Exam with Verified Answers
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 the amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ✅✅ 10-25 year old
When do females typically present with schizophrenia? - ✅✅ 25-35 year old
What does Erythromycin to trileptal? - ✅✅ You will need to decreases the level
because Trileptal (inducer) and erythromycin is an 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 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 the amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ✅✅ 10-25 year old
When do females typically present with schizophrenia? - ✅✅ 25-35 year old
What does Erythromycin to trileptal? - ✅✅ You will need to decreases the level
because Trileptal (inducer) and erythromycin is an 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.
