PMHNP Exam Reported Questions
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DBT (dialectical behavior therapy) Ans: relaxation muscle prior
to DBT
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Greatest patient at risk for Violence Ans: Substance abuse
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EMDR (eye movement desensitization and reprocessing) Ans:
eye movement desensitization and reprocessing
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What is dissemination? Ans: 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? Ans: Moderate cognitive
impairment
What is Tegretol in the CYP450 system? Ans: Inducer -->will
lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? Ans: Inducer - will lower dose of
Lamictal
, 2
What is a Type I research error? Ans: There IS a difference but
you say there isn't a difference.
What is a Type II research error? Ans: There is NO difference
but you say there is a difference.
What is pseudo-dementia? Ans: Cognitive impairment
secondary to depression that clears when treated in the
elderly. Dementia won't improve.
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Is it normal for a 1 month old to have a palmar grasp? Ans:
Yes.
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What is a drug 1/2 life? Ans: The time it takes for 50% of a
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drug to be eliminated from the body.
What 3 atypicals can be used with teens? Ans: Zyprexa, Abilify,
Seroquel - low doses
What is a risk of using Tramadol? Ans: Serotonin Syndrome as
it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS?
Ans: HLAB-1502
When might you see toxic epidermal necrolysis? Ans: With
worsening of SJS
How many generations do you include for a genogram? Ans:
1st degree - mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
, 3
What does messenger RNA code for? Ans: Amino Acids
What is epigenetics? Ans: Factors that affect genes -
environmental, smoking, stress, etc...
What part of the brain is involved with OCD? Ans: Basal
Ganglia
Occipito-Frontal
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What happens to the brain during adolescence? Ans: Dendritic
pruning
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Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? Ans: 10-
25 yo
When do females typically present with schizophrenia? Ans:
25-35 yo
What does Erythromycin to trileptal? Ans: You will need to
decreases the level because Trileptal(inducer) and
erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? Ans: Heart
Failure
HTN
What are some psychiatric side effects seen with some asthma
drugs Ans: Leukotriene receptor agonists - singulair, accolade,
, 4
zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor
What should you watch for with Tegretol? Ans:
Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? Ans: CKBB, CKMM,
CKMB
Which one of the 3 muscle enzymes are related to cardiac
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muscle damage? Ans: CKMB
What is the risk of a seriously elevated CKMB? Ans:
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Polymyositis
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Rhabdo
What is a normal CKMB? Ans: 0.3 mcg/L
What psychoactives does Detrol interact with? Ans: Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug
their shoulders? Ans: CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? Ans: CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment