2024 LMR - GEORGETTE'S PMHNP CERTIFICATION EXAM
LATEST 2024 REAL EXAM 630+ QUESTIONS AND CORRECT ANSWERS|AGRADE
What drugs should be avoided with Kava Kava? - Correct Answer -Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3 functions? - Correct Answer -
Clarify meaning of illness
Empower the patient
Validate symptoms within cultural context
What does a cultural formulation interview do? - Correct Answer -cultural
assessment
What is the normal range for TSH? - Correct Answer -0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism - Correct Answer -Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? - Correct Answer -Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - Correct Answer -Heat
intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
,What are 4 primary symptoms of Hypothyroidism? - Correct Answer -Cold
intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - Correct Answer
-Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - Correct
Answer -Mania
Valproic acid produces what teratogenic effect? - Correct Answer -Spina bifida
(neural tube defect)
What is the primary organ where valproic acid is toxic? - Correct Answer -Liver
(hepatoxicity)
What are 4 signs of hepatoxicity? - Correct Answer -Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera,
and Fatigue are signs of - Correct Answer -Hepatoxicity
What is the therapeutic range for valproic acid? - Correct Answer -50-125
mcg/ml
,What is a toxic level of valproic acid? - Correct Answer ->150 mcg/ml
What are 4 signs of valproic acid toxicity? - Correct Answer -Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are
symptoms of toxicity with what drug? - Correct Answer -Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn? - Correct
Answer -DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava? - Correct Answer -Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? - Correct
Answer -Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - Correct Answer -
Fever Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling
are symptoms of - Correct Answer -Stephen's Johnson Syndrome
, Which mood stabilizer causes the least weight gain? - Correct Answer -
Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain? - Correct Answer -Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? - Correct Answer -Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - Correct Answer -Acute disturbance
of LOC
impaired cognition
inattention
Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of -
Correct Answer -Delirium
How are agitation and psychotic symptoms treated in delirium? - Correct Answer
-Low dose Haldol
What 4 drugs can cause mania? - Correct Answer -Steroids
Disulfiram (Antabuse)
Isoniazid (INH)
Antidepressants (in BPD)
Steroids, Disulfiram (Antabuse), and Isoniazid (INH) can induce - Correct Answer -
Mania
What 6 drugs can induce depression? - Correct Answer -Steroids
Beta blockers
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LATEST 2024 REAL EXAM 630+ QUESTIONS AND CORRECT ANSWERS|AGRADE
What drugs should be avoided with Kava Kava? - Correct Answer -Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3 functions? - Correct Answer -
Clarify meaning of illness
Empower the patient
Validate symptoms within cultural context
What does a cultural formulation interview do? - Correct Answer -cultural
assessment
What is the normal range for TSH? - Correct Answer -0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism - Correct Answer -Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? - Correct Answer -Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - Correct Answer -Heat
intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
,What are 4 primary symptoms of Hypothyroidism? - Correct Answer -Cold
intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? - Correct Answer
-Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? - Correct
Answer -Mania
Valproic acid produces what teratogenic effect? - Correct Answer -Spina bifida
(neural tube defect)
What is the primary organ where valproic acid is toxic? - Correct Answer -Liver
(hepatoxicity)
What are 4 signs of hepatoxicity? - Correct Answer -Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera,
and Fatigue are signs of - Correct Answer -Hepatoxicity
What is the therapeutic range for valproic acid? - Correct Answer -50-125
mcg/ml
,What is a toxic level of valproic acid? - Correct Answer ->150 mcg/ml
What are 4 signs of valproic acid toxicity? - Correct Answer -Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are
symptoms of toxicity with what drug? - Correct Answer -Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn? - Correct
Answer -DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava? - Correct Answer -Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? - Correct
Answer -Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - Correct Answer -
Fever Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling
are symptoms of - Correct Answer -Stephen's Johnson Syndrome
, Which mood stabilizer causes the least weight gain? - Correct Answer -
Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain? - Correct Answer -Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? - Correct Answer -Aripiprazole (Abilify)
What are 3 hallmark symptoms of delirium? - Correct Answer -Acute disturbance
of LOC
impaired cognition
inattention
Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of -
Correct Answer -Delirium
How are agitation and psychotic symptoms treated in delirium? - Correct Answer
-Low dose Haldol
What 4 drugs can cause mania? - Correct Answer -Steroids
Disulfiram (Antabuse)
Isoniazid (INH)
Antidepressants (in BPD)
Steroids, Disulfiram (Antabuse), and Isoniazid (INH) can induce - Correct Answer -
Mania
What 6 drugs can induce depression? - Correct Answer -Steroids
Beta blockers
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