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LMR GEORGETTE’S PMHNP CERTIFICATION EXAM | NEWEST ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS GRADED A+ | 100% CORRECT | 2024 UPDATE!!

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LMR GEORGETTE’S PMHNP CERTIFICATION EXAM | NEWEST ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS GRADED A+ | 100% CORRECT | 2024 UPDATE!! What alpha 2 delta ligands are approved for neuropathic pain tx? - Correct Answer Lyrica and gabapentin What to prescribe for Tourette's - Correct Answer Risperdal Why dose cimetidine, zantac, and omeprazole 2 hours apart from Risperdal? - Correct Answer They are inhibitors and will decrease the absorption of Risperdal in liver Substance abuse neurotransmitters - Correct Answer decrease in opioid neuropeptides Alcohol abuse neurotransmitters - Correct Answer increase in GABA and dopamine and decrease in serotoninDepression neurotransmitters - Correct Answer decrease in serotonin, dopamine, and norepinephrine sleep neurotransmitters - Correct Answer low serotonin causes insomnia (Melatonin is pre-cursor) Schizophrenia neurotransmitters - Correct Answer increased dopamine and decreased serotonin negative symptoms of schizophrenia - Correct Answer disturbance of affect, blunting (severe reduction in the intensity of affect expression), flat affect, inappropriate affect (might laugh hysterically while describing someones death) positive symptoms of schizophrenia - Correct Answer Delusions of reference, delusions of persecution, delusions of grandeur, thought broadcasting, though insertion, hallucinations, disorganized thought, disorganized behavior, catatonia Side effects of atypical antipsychotics - Correct Answer Risk of metabolic syndrome: increased weight, blood glucose, triglycerides, and insulin resistance Zyprexa (Olanzapine) side effect - Correct Answer Excessive weight gainSeroquel side effects - Correct Answer weight gain and sedation; cataracts (assess with slit lamp) Thorazine (chlorpromazine) - Correct Answer corneal deposits Geodon (ziprasidone) - Correct Answer weight neutral, take with food, monitor for QT prolongation Latuda (lurasidone) - Correct Answer eat with med 360 calories Risperdal and Reglan - Correct Answer Reglan is a D2 dopamine antagonist and should be avoided with Risperdal for 2 hours. It decreases the absorption of the Risperdal. First line antipsychotic in children - Correct Answer Risperdal (max 3 mg/day)

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LMR GEORGETTE’S PMHNP CERTIFICATION
EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!

What alpha 2 delta ligands are approved for neuropathic pain tx? -
✔✔✔ Correct Answer > Lyrica and gabapentin


What to prescribe for Tourette's - ✔✔✔ Correct Answer > Risperdal


Why dose cimetidine, zantac, and omeprazole 2 hours apart from
Risperdal? - ✔✔✔ Correct Answer > They are inhibitors and will
decrease the absorption of Risperdal in liver


Substance abuse neurotransmitters - ✔✔✔ Correct Answer >
decrease in opioid neuropeptides


Alcohol abuse neurotransmitters - ✔✔✔ Correct Answer > increase
in GABA and dopamine and decrease in serotonin

,Depression neurotransmitters - ✔✔✔ Correct Answer > decrease in
serotonin, dopamine, and norepinephrine


sleep neurotransmitters - ✔✔✔ Correct Answer > low serotonin
causes insomnia (Melatonin is pre-cursor)


Schizophrenia neurotransmitters - ✔✔✔ Correct Answer > increased
dopamine and decreased serotonin


negative symptoms of schizophrenia - ✔✔✔ Correct Answer >
disturbance of affect, blunting (severe reduction in the intensity of
affect expression), flat affect, inappropriate affect (might laugh
hysterically while describing someones death)


positive symptoms of schizophrenia - ✔✔✔ Correct Answer >
Delusions of reference, delusions of persecution, delusions of grandeur,
thought broadcasting, though insertion, hallucinations, disorganized
thought, disorganized behavior, catatonia


Side effects of atypical antipsychotics - ✔✔✔ Correct Answer > Risk
of metabolic syndrome: increased weight, blood glucose, triglycerides,
and insulin resistance


Zyprexa (Olanzapine) side effect - ✔✔✔ Correct Answer > Excessive
weight gain

,Seroquel side effects - ✔✔✔ Correct Answer > weight gain and
sedation; cataracts (assess with slit lamp)


Thorazine (chlorpromazine) - ✔✔✔ Correct Answer > corneal
deposits


Geodon (ziprasidone) - ✔✔✔ Correct Answer > weight neutral, take
with food, monitor for QT prolongation


Latuda (lurasidone) - ✔✔✔ Correct Answer > eat with med 360
calories


Risperdal and Reglan - ✔✔✔ Correct Answer > Reglan is a D2
dopamine antagonist and should be avoided with Risperdal for 2 hours.
It decreases the absorption of the Risperdal.


First line antipsychotic in children - ✔✔✔ Correct Answer > Risperdal
(max 3 mg/day)


arcus senilis - ✔✔✔ Correct Answer > gray-white arc or circle around
the limbus of the iris that is common with aging; hyperlipidemia

, Protection of ischemic injuries - ✔✔✔ Correct Answer > atypical
antipsychotics


Ages of Schizophrenia - ✔✔✔ Correct Answer > 18-25 males
25-35 females


Celexa and Lexapro side effect - ✔✔✔ Correct Answer > Prolonged
QT interval


Effexor side effect - ✔✔✔ Correct Answer > elevated bp


false positives - ✔✔✔ Correct Answer > benzos- zoloft


what to avoid with MAOIs - ✔✔✔ Correct Answer > Tyramine (aged
cheese, wine, pickled herring)


What can happen when TCAs and MAOIs are combined? - ✔✔✔
Correct Answer > Increased norepinephrine causing a hypertensive
crisis (flushing, explosive headache in the back of head)


How to treat hypertensive crisis from MAOI and TCA combo - ✔✔✔
Correct Answer > Phentolamine

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