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REVIEWED: Georgette LMR PMHNP Exam Guide - Reported Questions and Answers

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A comprehensive collection of reported questions and answers for the PMHNP board exam. This study guide covers key topics including psychopharmacology, psychiatric assessment, diagnostics, legal/ethical issues, neurology, and nursing theory to help you prepare effectively and pass your certification.

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REVIEWED GEORGETTE LMR PMHNP p p p




EXAM REPORTED QUESTIONS AND p p p




ANSWERS
p




What is dissemination? - CORRECT ANSWER -Getting the research information out to those who need
p p p p p p p p p p p p p p


to know it!
p p p




Publication - highest level
p p p




Presenting at National Conference
p p p p




Presenting at Local Conference
p p p p




Journal Club where one person reviews an article
p p p p p p p




What does a 17 on MMSE mean? - CORRECT ANSWER -Moderate cognitive impairment
p p p p p p p p p p p p




What is Tegretol in the CYP450 system? - CORRECT ANSWER -Inducer -->will lower dose of Lamictal and
p p p p p p p p p p p p p p p p


BCP's
p




What do BCP's do to Lamictal? - CORRECT ANSWER -Inducer - will lower dose of Lamictal
p p p p p p p p p p p p p p p




What is a Type I research error? - CORRECT ANSWER -There IS a difference but you say there isn't a
p p p p p p p p p p p p p p p p p p p


difference.
p




What is a Type II research error? - CORRECT ANSWER -There is NO difference but you say there is a
p p p p p p p p p p p p p p p p p p p


difference.
p

,What is pseudo-dementia? - CORRECT ANSWER -Cognitive impairment secondary to depression that
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clears when treated in the elderly. Dementia won't improve.
p p p p p p p p p




Is it normal for a 1 month old to have a palmar grasp? - CORRECT ANSWER -Yes.
p p p p p p p p p p p p p p p p




What is a drug 1/2 life? - CORRECT ANSWER -The time it takes for 50% of a drug to be eliminated
p p p p p p p p p p p p p p p p p p p p


from the body.
p p p




What 3 atypicals can be used with teens? - CORRECT ANSWER -Zyprexa, Abilify, Seroquel - low doses
p p p p p p p p p p p p p p p p




What is a risk of using Tramadol? - CORRECT ANSWER -Serotonin Syndrome as it is very serotonergic.
p p p p p p p p p p p p p p p p




What is the allele seen in Asians that increase the risk of SJS? - CORRECT ANSWER -HLAB-1502
p p p p p p p p p p p p p p p p




When might you see toxic epidermal necrolysis? - CORRECT ANSWER -With worsening of SJS
p p p p p p p p p p p p p




How many generations do you include for a genogram? - CORRECT ANSWER -1st degree - mother,
p p p p p p p p p p p p p p p


father, siblings
p p




2nd degree - grandparents & cousins
p p p p p




3rd degree -
p p p




What does messenger RNA code for? - CORRECT ANSWER -Amino Acids
p p p p p p p p p p




What is epigenetics? - CORRECT ANSWER -Factors that affect genes - environmental, smoking, stress,
p p p p p p p p p p p p p


etc...
p




What part of the brain is involved with OCD? - CORRECT ANSWER -Basal Ganglia
p p p p p p p p p p p p p

,Occipito-Frontal



What happens to the brain during adolescence? - CORRECT ANSWER -Dendritic pruning
p p p p p p p p p p p




Emotions are controlled by amygdala
p p p p p




By adulthood, PFC involved as well
p p p p p




When do males typically present with schizophrenia? - CORRECT ANSWER -10-25 yo
p p p p p p p p p p p




When do females typically present with schizophrenia? - CORRECT ANSWER -25-35 yo
p p p p p p p p p p p




What does Erythromycin to trileptal? - CORRECT ANSWER -You will need to decreases the level
p p p p p p p p p p p p p p


because Trileptal(inducer) and erythromycin is a inhibitor
p p p p p p p




ACE Inhibitors are the drug of choice for what? - CORRECT ANSWER -Heart
p p p p p p p p p p p p




Failure HTN
p p




What are some psychiatric side effects seen with some asthma drugs - CORRECT ANSWER -
p p p p p p p p p p p p p p


Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety,
p p p p p p p p p p


hallucinations, depression, insomnia, SI, tremor
p p p p p




What should you watch for with Tegretol? - CORRECT ANSWER -Agranulocytosis and Hyponatremia
p p p p p p p p p p p p




What are the 3 CK muscle enzyme tests? - CORRECT ANSWER -CKBB, CKMM, CKMB
p p p p p p p p p p p p p




Which one of the 3 muscle enzymes are related to cardiac muscle damage? - CORRECT ANSWER -CKMB
p p p p p p p p p p p p p p p p




What is the risk of a seriously elevated CKMB? - CORRECT ANSWER -Polymyositis
p p p p p p p p p p p p

, Rhabdo



What is a normal CKMB? - CORRECT ANSWER -0.3 mcg/L
p p p p p p p p p




What psychoactives does Detrol interact with? - CORRECT ANSWER -Topamax
p p p p p p p p p




KCL
p




Zonegran



What CN are you assessing when you have the patient shrug their shoulders? - CORRECT ANSWER -CN
p p p p p p p p p p p p p p p p


pXI
- Spinal Accessory
p p




What do you see in labs with HIV & Dementia? - CORRECT ANSWER -CD4 <200
p p p p p p p p p p p p p p




Viral Load is high
p p p p




<20% get it with antiretroviral treatment
p p p p p




What is the scoring with the Beck Depression Inventory? - CORRECT ANSWER -Self-Report - 0-
p p p p p p p p p p p p p p




63 0-13 - minimal
p p p




14-19 - mild p p




20-28 - moderatep p




29-63 - severe p p




What is sensitivity? - CORRECT ANSWER -Helps rule-out disease = True Positive = Snout
p p p p p p p p p p p p p




What is specificity? - CORRECT ANSWER -Helps rule-in disease = True Negative = Spin
p p p p p p p p p p p p p

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