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PMHNP Exam Reported Questions And
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Answers Rated 100% Correct!!
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What is dissemination? - Answer Getting the research information out to those who
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need to know it!
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Publication - highest level
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Presenting at National Conference
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Presenting at Local Conference
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Journal Club where one person reviews an article
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What does a 17 on MMSE mean? - Answer Moderate cognitive impairment
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What is Tegretol in the CYP450 system? - Answer Inducer -->will lower dose of
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Lamictal and BCP's
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What do BCP's do to Lamictal? - Answer Inducer - will lower dose of Lamictal
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Sp
What is a Type I research error? - Answer There IS a difference but you say there
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isn't a difference.
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What is a Type II research error? - Answer There is NO difference but you say there
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Sp
is a difference.
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What is pseudo-dementia? - Answer Cognitive impairment secondary to depression
that clears when treated in the elderly. Dementia won't improve.
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sh
Sp
Is it normal for a 1 month old to have a palmar grasp? - Answer Yes.
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What is a drug 1/2 life? - Answer The time it takes for 50% of a drug to be eliminated
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from the body.
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sh
Sp
What 3 atypicals can be used with teens? - Answer Zyprexa, Abilify, Seroquel - low
doses
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la
What is a risk of using Tramadol? - Answer Serotonin Syndrome as it is very
serotonergic.
sh
Sp
What is the allele seen in Asians that increase the risk of SJS? - Answer HLAB-1502
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la
When might you see toxic epidermal necrolysis? - Answer With worsening of SJS
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sh
Sp
How many generations do you include for a genogram? - Answer 1st degree -
mother, father, siblings
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2nd degree - grandparents & cousins
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3rd degree -
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What does messenger RNA code for? - Answer Amino Acids
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What is epigenetics? - Answer Factors that affect genes - environmental, smoking,
stress, etc...
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Sp
What part of the brain is involved with OCD? - Answer Basal Ganglia
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Occipito-Frontal
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What happens to the brain during adolescence? - Answer Dendritic pruning
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Emotions are controlled by amygdala
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Sp
By adulthood, PFC involved as well
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When do males typically present with schizophrenia? - Answer 10-25 yo
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When do females typically present with schizophrenia? - Answer 25-35 yo
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Sp
What does Erythromycin to trileptal? - Answer You will need to decreases the level
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because Trileptal(inducer) and erythromycin is a inhibitor
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ACE Inhibitors are the drug of choice for what? - Answer Heart Failure
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Sp
HTN
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What are some psychiatric side effects seen with some asthma drugs - Answer
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Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
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sh
Sp
What should you watch for with Tegretol? - Answer Agranulocytosis and
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Hyponatremia
What are the 3 CK muscle enzyme tests? - Answer CKBB, CKMM, CKMB la
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Sp
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
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Answer CKMB
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What is the risk of a seriously elevated CKMB? - Answer Polymyositis
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sh
Sp
Rhabdo
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What is a normal CKMB? - Answer 0.3 mcg/L
la
What psychoactives does Detrol interact with? - Answer Topamax
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Sp
KCL
Zonegran
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la
What CN are you assessing when you have the patient shrug their shoulders? -
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Answer CN XI - Spinal Accessory
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Sp
What do you see in labs with HIV & Dementia? - Answer CD4 <200
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Viral Load is high
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<20% get it with antiretroviral treatment
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Sp
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What is the scoring with the Beck Depression Inventory? - Answer Self-Report - 0-63
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0-13 - minimal
14-19 - mild
20-28 - moderate
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29-63 - severe
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Sp
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What is sensitivity? - Answer Helps rule-out disease = True Positive = Snout
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What is specificity? - Answer Helps rule-in disease = True Negative = Spin
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What does a sed rate measure? - Answer Inflammation (ESR - Erythrocyte
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Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
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What is a normal sed rate or ESR? - Answer 0-22 males
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0-29 females
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What is a retic count? - Answer Measures % of reticulocytes in blood (immature
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RBC's) Indicates whether enough RBC's are being produced by bone marrow.
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What does a decreased retic count indicate? - Answer Anemia - acute or chronic
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Sp
bleeding
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What does an increased retic count indicate? - Answer Bone marrow disorder or
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Vitamin Deficiency
tz
sh
Sp
What does an abnormal retic ount indicate in general? - Answer Doesn't diagnose
anything. First step is ID source of the issue.
ne
la
What happens when you mix tegretol and macrolides? - Answer Increase tegretol
levels.
sh
Sp
What happens if a pregnant women takes Accutane? - Answer Birth defects.
ne
la
What labs do you get with RA? - Answer Sed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagnosis.
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sh
Sp
CRP and ESR are both increased in RA but NOT in osteoarthritis.
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Where does the NP Code of Ethics come from? - Answer ANA
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When do you assume informed consent? - Answer Unconscious
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Incompetent
Life Threatening Situation
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What are the legal ramifications of treating w/o informed consent? - Answer Same as
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with informed consent
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Who can declare a patient incompetent and appoint a guardian? - Answer Only a
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court
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Does impaired judgment mean one is incompetent? - Answer No.
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Sp
la
h ne
PMHNP Exam Reported Questions And
as
ne
Answers Rated 100% Correct!!
l
tz
h
Sp
as
What is dissemination? - Answer Getting the research information out to those who
ne
need to know it!
l
Publication - highest level
h
Sp
Presenting at National Conference
as
Presenting at Local Conference
ne
Journal Club where one person reviews an article
l
tz
What does a 17 on MMSE mean? - Answer Moderate cognitive impairment
sh
Sp
What is Tegretol in the CYP450 system? - Answer Inducer -->will lower dose of
ne
Lamictal and BCP's
la
What do BCP's do to Lamictal? - Answer Inducer - will lower dose of Lamictal
sh
Sp
What is a Type I research error? - Answer There IS a difference but you say there
ne
isn't a difference.
la
What is a Type II research error? - Answer There is NO difference but you say there
tz
sh
Sp
is a difference.
ne
What is pseudo-dementia? - Answer Cognitive impairment secondary to depression
that clears when treated in the elderly. Dementia won't improve.
la
sh
Sp
Is it normal for a 1 month old to have a palmar grasp? - Answer Yes.
ne
What is a drug 1/2 life? - Answer The time it takes for 50% of a drug to be eliminated
la
from the body.
tz
sh
Sp
What 3 atypicals can be used with teens? - Answer Zyprexa, Abilify, Seroquel - low
doses
ne
la
What is a risk of using Tramadol? - Answer Serotonin Syndrome as it is very
serotonergic.
sh
Sp
What is the allele seen in Asians that increase the risk of SJS? - Answer HLAB-1502
e
la
When might you see toxic epidermal necrolysis? - Answer With worsening of SJS
n
tz
sh
Sp
How many generations do you include for a genogram? - Answer 1st degree -
mother, father, siblings
ne
2nd degree - grandparents & cousins
la
3rd degree -
sh
Sp
la
, t
h ne
What does messenger RNA code for? - Answer Amino Acids
as
ne
What is epigenetics? - Answer Factors that affect genes - environmental, smoking,
stress, etc...
l
tz
h
Sp
What part of the brain is involved with OCD? - Answer Basal Ganglia
as
Occipito-Frontal
ne
What happens to the brain during adolescence? - Answer Dendritic pruning
l
Emotions are controlled by amygdala
h
Sp
By adulthood, PFC involved as well
as
ne
When do males typically present with schizophrenia? - Answer 10-25 yo
l
tz
When do females typically present with schizophrenia? - Answer 25-35 yo
sh
Sp
What does Erythromycin to trileptal? - Answer You will need to decreases the level
ne
because Trileptal(inducer) and erythromycin is a inhibitor
la
ACE Inhibitors are the drug of choice for what? - Answer Heart Failure
sh
Sp
HTN
ne
What are some psychiatric side effects seen with some asthma drugs - Answer
la
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
tz
sh
Sp
What should you watch for with Tegretol? - Answer Agranulocytosis and
ne
Hyponatremia
What are the 3 CK muscle enzyme tests? - Answer CKBB, CKMM, CKMB la
sh
Sp
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ne
Answer CKMB
la
What is the risk of a seriously elevated CKMB? - Answer Polymyositis
tz
sh
Sp
Rhabdo
ne
What is a normal CKMB? - Answer 0.3 mcg/L
la
What psychoactives does Detrol interact with? - Answer Topamax
sh
Sp
KCL
Zonegran
e
la
What CN are you assessing when you have the patient shrug their shoulders? -
n
Answer CN XI - Spinal Accessory
tz
sh
Sp
What do you see in labs with HIV & Dementia? - Answer CD4 <200
ne
Viral Load is high
la
<20% get it with antiretroviral treatment
sh
Sp
la
, t
h ne
What is the scoring with the Beck Depression Inventory? - Answer Self-Report - 0-63
as
ne
0-13 - minimal
14-19 - mild
20-28 - moderate
l
tz
29-63 - severe
h
Sp
as
What is sensitivity? - Answer Helps rule-out disease = True Positive = Snout
ne
What is specificity? - Answer Helps rule-in disease = True Negative = Spin
l
h
Sp
What does a sed rate measure? - Answer Inflammation (ESR - Erythrocyte
as
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
ne
What is a normal sed rate or ESR? - Answer 0-22 males
l
tz
0-29 females
sh
Sp
What is a retic count? - Answer Measures % of reticulocytes in blood (immature
ne
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
la
What does a decreased retic count indicate? - Answer Anemia - acute or chronic
sh
Sp
bleeding
ne
What does an increased retic count indicate? - Answer Bone marrow disorder or
la
Vitamin Deficiency
tz
sh
Sp
What does an abnormal retic ount indicate in general? - Answer Doesn't diagnose
anything. First step is ID source of the issue.
ne
la
What happens when you mix tegretol and macrolides? - Answer Increase tegretol
levels.
sh
Sp
What happens if a pregnant women takes Accutane? - Answer Birth defects.
ne
la
What labs do you get with RA? - Answer Sed rate, RF, ANA, C reactive protein,
CBC, CMP, CRP - helps confirm diagnosis.
tz
sh
Sp
CRP and ESR are both increased in RA but NOT in osteoarthritis.
ne
Where does the NP Code of Ethics come from? - Answer ANA
la
When do you assume informed consent? - Answer Unconscious
sh
Sp
Incompetent
Life Threatening Situation
e
la
What are the legal ramifications of treating w/o informed consent? - Answer Same as
n
with informed consent
tz
sh
Sp
Who can declare a patient incompetent and appoint a guardian? - Answer Only a
ne
court
la
Does impaired judgment mean one is incompetent? - Answer No.
sh
Sp
la
