PMHNP Exam Reported Questions and answers
2024\2025 A+ Grade
What is dissemination?
- correct answer 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?
- correct answer Moderate cognitive impairment
What is Tegretol in the CYP450 system?
- correct answer Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal?
- correct answer Inducer - will lower dose of Lamictal
What is a Type I research error?
- correct answer There IS a difference but you say there isn't a difference.
What is a Type II research error?
- correct answer There is NO difference but you say there is a difference.
What is pseudo-dementia?
- correct answer 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?
- correct answer Yes.
What is a drug 1/2 life?
- correct answer The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens?
- correct answer Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol?
- correct answer Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS?
- correct answer HLAB-1502
When might you see toxic epidermal necrolysis?
- correct answer With worsening of SJS
How many generations do you include for a genogram?
- correct answer 1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for?
- correct answer Amino Acids
What is epigenetics?
- correct answer Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD?
- correct answer Basal Ganglia
Occipito-Frontal
,What happens to the brain during adolescence?
- correct answer Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia?
- correct answer 10-25 yo
When do females typically present with schizophrenia?
- correct answer 25-35 yo
What does Erythromycin to trileptal?
- correct answer You will need to decreases the level because Trileptal(inducer) and erythromycin is a
inhibitor
ACE Inhibitors are the drug of choice for what?
- correct answer Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs
- correct answer Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol?
- correct answer Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests?
- correct answer CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage?
- correct answer CKMB
, What is the risk of a seriously elevated CKMB?
- correct answer Polymyositis
Rhabdo
What is a normal CKMB?
- correct answer 0.3 mcg/L
What psychoactives does Detrol interact with?
- correct answer Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders?
- correct answer CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia?
- correct answer CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory?
- correct answer Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity?
- correct answer Helps rule-out disease = True Positive = Snout
What is specificity?
- correct answer Helps rule-in disease = True Negative = Spin
2024\2025 A+ Grade
What is dissemination?
- correct answer 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?
- correct answer Moderate cognitive impairment
What is Tegretol in the CYP450 system?
- correct answer Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal?
- correct answer Inducer - will lower dose of Lamictal
What is a Type I research error?
- correct answer There IS a difference but you say there isn't a difference.
What is a Type II research error?
- correct answer There is NO difference but you say there is a difference.
What is pseudo-dementia?
- correct answer 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?
- correct answer Yes.
What is a drug 1/2 life?
- correct answer The time it takes for 50% of a drug to be eliminated from the body.
What 3 atypicals can be used with teens?
- correct answer Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol?
- correct answer Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS?
- correct answer HLAB-1502
When might you see toxic epidermal necrolysis?
- correct answer With worsening of SJS
How many generations do you include for a genogram?
- correct answer 1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for?
- correct answer Amino Acids
What is epigenetics?
- correct answer Factors that affect genes - environmental, smoking, stress, etc...
What part of the brain is involved with OCD?
- correct answer Basal Ganglia
Occipito-Frontal
,What happens to the brain during adolescence?
- correct answer Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia?
- correct answer 10-25 yo
When do females typically present with schizophrenia?
- correct answer 25-35 yo
What does Erythromycin to trileptal?
- correct answer You will need to decreases the level because Trileptal(inducer) and erythromycin is a
inhibitor
ACE Inhibitors are the drug of choice for what?
- correct answer Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs
- correct answer Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol?
- correct answer Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests?
- correct answer CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage?
- correct answer CKMB
, What is the risk of a seriously elevated CKMB?
- correct answer Polymyositis
Rhabdo
What is a normal CKMB?
- correct answer 0.3 mcg/L
What psychoactives does Detrol interact with?
- correct answer Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders?
- correct answer CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia?
- correct answer CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory?
- correct answer Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity?
- correct answer Helps rule-out disease = True Positive = Snout
What is specificity?
- correct answer Helps rule-in disease = True Negative = Spin
