PMHNP-BC LMR EXAM 2026-2027 \NEWEST VERSION
WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS \VERIFIED 100% GRADED A+ \BRAND NEW
!! ACTUAL PRACTICE EXAM
> chills
> aversion to cold
> body aches
Wind-cold symptom
> nasal congestion
manifestations
> headache
> possibly mild fever
More pronounced symptoms from wind-cold
> chills
> aversion to cold
> body aches
> nasal congestion
"Wind-Heat" symptom
manifestations > headache
> fever
> sweating
> thirst
Common among Cambodian and other Asian cultures.
Kyal (wind) attacks
Manifested by neck soreness and tinnitus.
Benign tumor of the adrenal medulla that secretes
Pheochromocytosis
epinephrine. Anxiety, heart palpitations, dyspnea,
profuse sweating, headache, and nausea.
Cell death
Neuronal
Apoptosis loss Cell
extinction
Cell
Shrinkage
Cell
Disintegrati
, on
> 0.5 - 5.0 Mu/L
Thyroid Stimulating Hormone
> 0.4 value, hyper
(TSH) range
> 7.0 value, hypo
Hypothyroidism mimics... symptoms of depression
Hyperthyroidism mimics... symptoms of mania
Hyperthyroidism
When T3 and T4 are high =
> TSH secretion decreases
Hypothyroidism
When T3 and T4 are low =
> TSH secretion increases
> heat intolerance
> agitation
> anxiety
> irritability
Hyperthyroidism symptoms
> tachycardia
> mood swings
> weight loss
> cold intolerance
> lethargy
Hypothyroidism symptoms
> weight gain
> decreased libido
can cause:
divalproex sodium (Depakote) > spina bifida (neural tube defect)
> hepatotoxicity (liver toxicity)
, = liver toxicity
> caused by divalproex sodium (Depakote)
> abdominal pain in RUQ
Hepatotoxicity
> reddish brown urine
>yellowing of skin and whites of eye
> fatigue
divalproex sodium (Depakote) DC offending agent and run liver function test (LFT)
toxicity intervention (hepatotoxicity)
AST range 5 - 40 U/l
ALT range 5 - 35 U/l
Valproic Acid (Depakote) 50-125 ug/mL
range
> disorientation
> lethargy
Valproic Acid (Depakote)
> respiratory depression
Toxicity Symptoms > nausea
> vomiting
pancreatitis
> upper abdominal pain
> radiates to your back
> tenderness with touch
> fever
> rapid pulse
Valproic acid can cause
> nausea
> Vomiting
> oily stool
> check ammonia levels - can elevate plasma ammonia
levels increasing the risk of encephalopathy
Kava or Kava kava other name Piper methysticum
Kava used as herbal supplement for anxiety, stress, insomnia, muscle tension
Kava Side Effect hepatotoxicity (liver damage)
< alcohol - increases liver toxicity
< meds metabolized by liver - effect metabolism of meds
Kava kava major interactions
processed by liver altering their efficacy i.e. benzos
> benzos - potentiate sedative effects increasing drowsiness and
impairment
, > beta blocker
> don't take with:
-paroxetine
Metoprolol (Lopressor)
-fluoxetine
-bupropion
due to risk of hypotension and bradycardia
> Vit B12
Supplements to reduce > Vit B6
depressive symptoms > Folate
> Omega 3 Fatty Acid
> Ziprasidone
> Quetiapine
Psychotropics causing QT
> Haloperidol
Prolongation
> Citalopram
WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS \VERIFIED 100% GRADED A+ \BRAND NEW
!! ACTUAL PRACTICE EXAM
> chills
> aversion to cold
> body aches
Wind-cold symptom
> nasal congestion
manifestations
> headache
> possibly mild fever
More pronounced symptoms from wind-cold
> chills
> aversion to cold
> body aches
> nasal congestion
"Wind-Heat" symptom
manifestations > headache
> fever
> sweating
> thirst
Common among Cambodian and other Asian cultures.
Kyal (wind) attacks
Manifested by neck soreness and tinnitus.
Benign tumor of the adrenal medulla that secretes
Pheochromocytosis
epinephrine. Anxiety, heart palpitations, dyspnea,
profuse sweating, headache, and nausea.
Cell death
Neuronal
Apoptosis loss Cell
extinction
Cell
Shrinkage
Cell
Disintegrati
, on
> 0.5 - 5.0 Mu/L
Thyroid Stimulating Hormone
> 0.4 value, hyper
(TSH) range
> 7.0 value, hypo
Hypothyroidism mimics... symptoms of depression
Hyperthyroidism mimics... symptoms of mania
Hyperthyroidism
When T3 and T4 are high =
> TSH secretion decreases
Hypothyroidism
When T3 and T4 are low =
> TSH secretion increases
> heat intolerance
> agitation
> anxiety
> irritability
Hyperthyroidism symptoms
> tachycardia
> mood swings
> weight loss
> cold intolerance
> lethargy
Hypothyroidism symptoms
> weight gain
> decreased libido
can cause:
divalproex sodium (Depakote) > spina bifida (neural tube defect)
> hepatotoxicity (liver toxicity)
, = liver toxicity
> caused by divalproex sodium (Depakote)
> abdominal pain in RUQ
Hepatotoxicity
> reddish brown urine
>yellowing of skin and whites of eye
> fatigue
divalproex sodium (Depakote) DC offending agent and run liver function test (LFT)
toxicity intervention (hepatotoxicity)
AST range 5 - 40 U/l
ALT range 5 - 35 U/l
Valproic Acid (Depakote) 50-125 ug/mL
range
> disorientation
> lethargy
Valproic Acid (Depakote)
> respiratory depression
Toxicity Symptoms > nausea
> vomiting
pancreatitis
> upper abdominal pain
> radiates to your back
> tenderness with touch
> fever
> rapid pulse
Valproic acid can cause
> nausea
> Vomiting
> oily stool
> check ammonia levels - can elevate plasma ammonia
levels increasing the risk of encephalopathy
Kava or Kava kava other name Piper methysticum
Kava used as herbal supplement for anxiety, stress, insomnia, muscle tension
Kava Side Effect hepatotoxicity (liver damage)
< alcohol - increases liver toxicity
< meds metabolized by liver - effect metabolism of meds
Kava kava major interactions
processed by liver altering their efficacy i.e. benzos
> benzos - potentiate sedative effects increasing drowsiness and
impairment
, > beta blocker
> don't take with:
-paroxetine
Metoprolol (Lopressor)
-fluoxetine
-bupropion
due to risk of hypotension and bradycardia
> Vit B12
Supplements to reduce > Vit B6
depressive symptoms > Folate
> Omega 3 Fatty Acid
> Ziprasidone
> Quetiapine
Psychotropics causing QT
> Haloperidol
Prolongation
> Citalopram
