PMHNP Exam Reported Questions With Accurate Answers.
DBT (dialectical behavior therapy) - accurate answers-relaxation muscle prior
to DBT
Greatest patient at risk for Violence - accurate answers-Substance abuse
EMDR (eye movement desensitization and reprocessing) - accurate answers-
eye movement desensitization and reprocessing
What is dissemination? - accurate answers-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? - accurate answers-Moderate cognitive
impairment
What is Tegretol in the CYP450 system? - accurate answers-Inducer -->will
lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? - accurate answers-Inducer - will lower dose of
Lamictal
What is a Type I research error? - accurate answers-There IS a difference but
you say there isn't a difference.
What is a Type II research error? - accurate answers-There is NO difference
but you say there is a difference.
What is pseudo-dementia? - accurate answers-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? - accurate answers-Yes.
,What is a drug 1/2 life? - accurate answers-The time it takes for 50% of a drug
to be eliminated from the body.
What 3 atypicals can be used with teens? - accurate answers-Zyprexa, Abilify,
Seroquel - low doses
What is a risk of using Tramadol? - accurate answers-Serotonin Syndrome as
it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - accurate
answers-HLAB-1502
When might you see toxic epidermal necrolysis? - accurate answers-With
worsening of SJS
How many generations do you include for a genogram? - accurate answers-1st
degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - accurate answers-Amino Acids
What is epigenetics? - accurate answers-Factors that affect genes -
environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - accurate answers-Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - accurate answers-Dendritic
pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - accurate answers-10-
25 yo
When do females typically present with schizophrenia? - accurate answers-
25-35 yo
,What does Erythromycin to trileptal? - accurate answers-You will need to
decreases the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - accurate answers-Heart
Failure
HTN
What are some psychiatric side effects seen with some asthma drugs -
accurate answers-Leukotriene receptor agonists - singulair, accolade, zyflo =
agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - accurate answers-Agranulocytosis
and Hyponatremia
What are the 3 CK muscle enzyme tests? - accurate answers-CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
accurate answers-CKMB
What is the risk of a seriously elevated CKMB? - accurate answers-
Polymyositis
Rhabdo
What is a normal CKMB? - accurate answers-0.3 mcg/L
What psychoactives does Detrol interact with? - accurate answers-Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
accurate answers-CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - accurate answers-CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - accurate answers-
Self-Report - 0-63
, 0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - accurate answers-Helps rule-out disease = True Positive
= Snout
What is specificity? - accurate answers-Helps rule-in disease = True Negative
= Spin
What does a sed rate measure? - accurate answers-Inflammation (ESR -
Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1
hour.
What is a normal sed rate or ESR? - accurate answers-0-22 males
0-29 females
What is a retic count? - accurate answers-Measures % of reticulocytes in
blood (immature RBC's) Indicates whether enough RBC's are being produced
by bone marrow.
What does a decreased retic count indicate? - accurate answers-Anemia -
acute or chronic bleeding
What does an increased retic count indicate? - accurate answers-Bone
marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - accurate answers-
Doesn't diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - accurate answers-
Increase tegretol levels.
What happens if a pregnant women takes Accutane? - accurate answers-Birth
defects.
What labs do you get with RA? - accurate answers-Sed rate, RF, ANA, C
reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
DBT (dialectical behavior therapy) - accurate answers-relaxation muscle prior
to DBT
Greatest patient at risk for Violence - accurate answers-Substance abuse
EMDR (eye movement desensitization and reprocessing) - accurate answers-
eye movement desensitization and reprocessing
What is dissemination? - accurate answers-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? - accurate answers-Moderate cognitive
impairment
What is Tegretol in the CYP450 system? - accurate answers-Inducer -->will
lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? - accurate answers-Inducer - will lower dose of
Lamictal
What is a Type I research error? - accurate answers-There IS a difference but
you say there isn't a difference.
What is a Type II research error? - accurate answers-There is NO difference
but you say there is a difference.
What is pseudo-dementia? - accurate answers-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? - accurate answers-Yes.
,What is a drug 1/2 life? - accurate answers-The time it takes for 50% of a drug
to be eliminated from the body.
What 3 atypicals can be used with teens? - accurate answers-Zyprexa, Abilify,
Seroquel - low doses
What is a risk of using Tramadol? - accurate answers-Serotonin Syndrome as
it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - accurate
answers-HLAB-1502
When might you see toxic epidermal necrolysis? - accurate answers-With
worsening of SJS
How many generations do you include for a genogram? - accurate answers-1st
degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - accurate answers-Amino Acids
What is epigenetics? - accurate answers-Factors that affect genes -
environmental, smoking, stress, etc...
What part of the brain is involved with OCD? - accurate answers-Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - accurate answers-Dendritic
pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - accurate answers-10-
25 yo
When do females typically present with schizophrenia? - accurate answers-
25-35 yo
,What does Erythromycin to trileptal? - accurate answers-You will need to
decreases the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - accurate answers-Heart
Failure
HTN
What are some psychiatric side effects seen with some asthma drugs -
accurate answers-Leukotriene receptor agonists - singulair, accolade, zyflo =
agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - accurate answers-Agranulocytosis
and Hyponatremia
What are the 3 CK muscle enzyme tests? - accurate answers-CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
accurate answers-CKMB
What is the risk of a seriously elevated CKMB? - accurate answers-
Polymyositis
Rhabdo
What is a normal CKMB? - accurate answers-0.3 mcg/L
What psychoactives does Detrol interact with? - accurate answers-Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
accurate answers-CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - accurate answers-CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - accurate answers-
Self-Report - 0-63
, 0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - accurate answers-Helps rule-out disease = True Positive
= Snout
What is specificity? - accurate answers-Helps rule-in disease = True Negative
= Spin
What does a sed rate measure? - accurate answers-Inflammation (ESR -
Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1
hour.
What is a normal sed rate or ESR? - accurate answers-0-22 males
0-29 females
What is a retic count? - accurate answers-Measures % of reticulocytes in
blood (immature RBC's) Indicates whether enough RBC's are being produced
by bone marrow.
What does a decreased retic count indicate? - accurate answers-Anemia -
acute or chronic bleeding
What does an increased retic count indicate? - accurate answers-Bone
marrow disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - accurate answers-
Doesn't diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - accurate answers-
Increase tegretol levels.
What happens if a pregnant women takes Accutane? - accurate answers-Birth
defects.
What labs do you get with RA? - accurate answers-Sed rate, RF, ANA, C
reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
