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PMHNP GEORGETTE REVIEW REAL EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
NEW MODIFED EXAM TESTED AND
APPROVED!!!
Which of the following physical exam findings would help the PMHNP differentiate anorexia
nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands -- ANSWER--Low BMI
Mary is a 45-year-old African American female who has been treated on Isocarboxazid
(Marplan) for over 6 years. Mary is going in for a surgical procedure. Which medication is
strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen -- ANSWER--Answer: Methylphenidate
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You are treating a client with schizophrenia who takes clozapine. What lab values will
indicate the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000 -- ANSWER--Answer: ANC less than 1000
If given during pregnancy, socium valproate can cause which of the following medical
problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate -- ANSWER--A. Spina bifida
Which mood stabilizer is associated with potential life-threatening rash in the Asian
population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
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D. Lamictal -- ANSWER--A. Carbamazepine
Your patient with bipolar disorder is admitted to a medical hospital. The internist contacts
your office and asks whether the lithium you prescribed him is effecting his ECG. How do
you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval -- ANSWER--Answer: Lithium can invert the t
waves.
Depakote normal level -- ANSWER--50-125
Depakote toxicity level -- ANSWER--greater than 150
Teratogenic effects of Depakote -- ANSWER--spina bifida
Adverse effects of depakote -- ANSWER--alopecia hepatotoxicity (RUQ pain or brown/red
urine--order LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue
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Signs of Depakote toxicity -- ANSWER--disorientation, lethargy, respiratory depression,
nausea/vomiting
Intervention for depakote toxicity -- ANSWER--DC med check
level
LFT ammonia
MAOI + tyramine causes -- ANSWER--hypertensive crisis
Symptoms of hypertensive crisis -- ANSWER--elevated BP
sudden explosive like headache facial flushing palpitations
pupillary dilation diaphoresis fever
Bulimia, weight is ___________ -- ANSWER--within the normal range.
Pharm treatment for bulimia -- ANSWER--Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa -- ANSWER--low BMI
PMHNP GEORGETTE REVIEW REAL EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
NEW MODIFED EXAM TESTED AND
APPROVED!!!
Which of the following physical exam findings would help the PMHNP differentiate anorexia
nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands -- ANSWER--Low BMI
Mary is a 45-year-old African American female who has been treated on Isocarboxazid
(Marplan) for over 6 years. Mary is going in for a surgical procedure. Which medication is
strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen -- ANSWER--Answer: Methylphenidate
, Page 2 of 126
You are treating a client with schizophrenia who takes clozapine. What lab values will
indicate the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000 -- ANSWER--Answer: ANC less than 1000
If given during pregnancy, socium valproate can cause which of the following medical
problems in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate -- ANSWER--A. Spina bifida
Which mood stabilizer is associated with potential life-threatening rash in the Asian
population?
A. Carbamazepine (tegretol)
B. Depakote
C. Lithium
, Page 3 of 126
D. Lamictal -- ANSWER--A. Carbamazepine
Your patient with bipolar disorder is admitted to a medical hospital. The internist contacts
your office and asks whether the lithium you prescribed him is effecting his ECG. How do
you respond?
A. Lithium can prolong the QT interval
B. Lithium has no effect on his ECG
C. Lithium can invert the t waves
D. Lithium can shorten the PR interval -- ANSWER--Answer: Lithium can invert the t
waves.
Depakote normal level -- ANSWER--50-125
Depakote toxicity level -- ANSWER--greater than 150
Teratogenic effects of Depakote -- ANSWER--spina bifida
Adverse effects of depakote -- ANSWER--alopecia hepatotoxicity (RUQ pain or brown/red
urine--order LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue
, Page 4 of 126
Signs of Depakote toxicity -- ANSWER--disorientation, lethargy, respiratory depression,
nausea/vomiting
Intervention for depakote toxicity -- ANSWER--DC med check
level
LFT ammonia
MAOI + tyramine causes -- ANSWER--hypertensive crisis
Symptoms of hypertensive crisis -- ANSWER--elevated BP
sudden explosive like headache facial flushing palpitations
pupillary dilation diaphoresis fever
Bulimia, weight is ___________ -- ANSWER--within the normal range.
Pharm treatment for bulimia -- ANSWER--Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa -- ANSWER--low BMI
