LMR Georgette’s PMHNP Certification Exam Latest
Questions And Correct Answers(Verified Answers)
When you have hyperthyroidism , your TSH is - ANSWER: Lower , and T3 and T4
elevated
When you have Hypothyroidism Your tsh is - ANSWER: Elevated, T3 and T4 are lower
Depakote can cause what birth defect - ANSWER: Spina Bifida
What are signs of Depakote Hepatoxicity - ANSWER: Right upper abdomen pain
Red Brownish urine
Yellow skin
white sclera
What are normal Depakote levels - ANSWER: 50-125
toxic over 150
What are the interventions for Depakote toxicity - ANSWER: d/c agent
check Depakote levels
check liver function test
check ammonia
Depakote affects the liver! not the kidneys
what is the signs of Depakote toxicity - ANSWER: AMS
lethargic
Resp Depression
N/V
What are signs of pancreatitis caused by Depakote - ANSWER: oily stool
Right upper abdomen pain radiating to back
rapid pulse
n/v
abdomen tenderness
Kava can cause - ANSWER: liver damage; monitor liver enzymes
Do NOT take Kava-kava with - ANSWER: CNS suppressants - increases effects
MAOIs - increases effects
example -alprazolam
benzo "pam's"
phenobarbital
what mood stabilizer has least weight gain - ANSWER: lamictal
, what is black box warning for lamictal - ANSWER: can cause Steven Johnson
syndrome
what are signs of Steven Johnson syndrome - ANSWER: fever
body aches
red rash
face and tongue swelling
Name 3 antipsychotics ZAL - ANSWER: Zeisprasidone
Abilify
Lurasidone
What is least sedating antipsychotic - ANSWER: Abilify
Which antipsychotic is least likely to cause weight gain - ANSWER: Lurasidone
If a patient gains weight on an antipsychotic what do you do - ANSWER: exercise
nutritional counseling
bmi
hips to waist ratio
Carbamazepine black box warning - ANSWER: aplastic anemia and agranulocytosis
Steven Johnson syndrome (screen for HLAB 1502)
What meds can cause Agranulocytosis - ANSWER: clozaril and carbamazepine
signs of agranulocytosis - ANSWER: Sore throat, sudden fever, malaise, weakness
if a patient has agranulocytosis from carbamazepine and clozaril what interventions
can you do - ANSWER: D/C agent check labs if ANC less than 1000 d/c if patient
showing infection or not
what is the only antipsychotic shown to reduce suicidality in schizophrenia patients -
ANSWER: Clozaril
what is lithium levels - ANSWER: 0.6-1.2
1.5 is toxic
S/S of lithium toxicity - ANSWER: severe Nausea, confusion, course hand tremors
what is the gold standard for mania - ANSWER: Lithium
what labs do you order for lithium - ANSWER: tsh
serum creatinine (Kidney)
bun'
urinalysis
Questions And Correct Answers(Verified Answers)
When you have hyperthyroidism , your TSH is - ANSWER: Lower , and T3 and T4
elevated
When you have Hypothyroidism Your tsh is - ANSWER: Elevated, T3 and T4 are lower
Depakote can cause what birth defect - ANSWER: Spina Bifida
What are signs of Depakote Hepatoxicity - ANSWER: Right upper abdomen pain
Red Brownish urine
Yellow skin
white sclera
What are normal Depakote levels - ANSWER: 50-125
toxic over 150
What are the interventions for Depakote toxicity - ANSWER: d/c agent
check Depakote levels
check liver function test
check ammonia
Depakote affects the liver! not the kidneys
what is the signs of Depakote toxicity - ANSWER: AMS
lethargic
Resp Depression
N/V
What are signs of pancreatitis caused by Depakote - ANSWER: oily stool
Right upper abdomen pain radiating to back
rapid pulse
n/v
abdomen tenderness
Kava can cause - ANSWER: liver damage; monitor liver enzymes
Do NOT take Kava-kava with - ANSWER: CNS suppressants - increases effects
MAOIs - increases effects
example -alprazolam
benzo "pam's"
phenobarbital
what mood stabilizer has least weight gain - ANSWER: lamictal
, what is black box warning for lamictal - ANSWER: can cause Steven Johnson
syndrome
what are signs of Steven Johnson syndrome - ANSWER: fever
body aches
red rash
face and tongue swelling
Name 3 antipsychotics ZAL - ANSWER: Zeisprasidone
Abilify
Lurasidone
What is least sedating antipsychotic - ANSWER: Abilify
Which antipsychotic is least likely to cause weight gain - ANSWER: Lurasidone
If a patient gains weight on an antipsychotic what do you do - ANSWER: exercise
nutritional counseling
bmi
hips to waist ratio
Carbamazepine black box warning - ANSWER: aplastic anemia and agranulocytosis
Steven Johnson syndrome (screen for HLAB 1502)
What meds can cause Agranulocytosis - ANSWER: clozaril and carbamazepine
signs of agranulocytosis - ANSWER: Sore throat, sudden fever, malaise, weakness
if a patient has agranulocytosis from carbamazepine and clozaril what interventions
can you do - ANSWER: D/C agent check labs if ANC less than 1000 d/c if patient
showing infection or not
what is the only antipsychotic shown to reduce suicidality in schizophrenia patients -
ANSWER: Clozaril
what is lithium levels - ANSWER: 0.6-1.2
1.5 is toxic
S/S of lithium toxicity - ANSWER: severe Nausea, confusion, course hand tremors
what is the gold standard for mania - ANSWER: Lithium
what labs do you order for lithium - ANSWER: tsh
serum creatinine (Kidney)
bun'
urinalysis
