Page |1
LMR GEORGETTE’S PMHNP CERTIFICATION
EXAM 2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
One of your patients receiving psychiatric medication develops an
infection. What do you consider?
Agranulocytosis
What antipsychotic is anti-suicidal in schizophrenia?
Clozapine
When a young woman is suspected of a toxic dose of lithium, what
lab should you obtain initially?
HCG
If a patient has signs/symptoms of lithium toxicity but you have no
labs available, what do you do?
DC lithium
A patient with what medical condition is at risk for lithium toxicity?
Cardiac failure (hyponatremia)
What are the key indicators for NMS?
Extreme muscle rigidity
Increased CPK
If a depressed patient is taking a triptan for migraines, what should
you prescribe for depression?
Bupropion
What is first line treatment for MDD? Why?
, Page |2
SSRIs
Safer in OD
What are the 2 antidepressants of choice in a depressed patient with
cancer? Why?
Citalopram (Celexa)
Escitalopram (Lexapro)
less risk for Drug-Drug Interaction
What is the antidepressant of choice in a depressed patient with
sexual dysfunction?
Bupropion
What is the antidepressant of choice in a depressed patient with
decreased energy?
Bupropion
What are 3 treatments for depressed patients with neuropathic pain?
SNRI
TCA (think safety tho)
Gabapentin/Pregabalin (alpha2 delta ligands)
BOLD = know
Which SSRI is most likely to cause insomnia?
Fluoxetine (Prozac)
What question is important to ask in the social history with a
depressed patient?
Alcohol intake (self-medicating)
Suicidal ideation for children, adolescents, and young adults <24
years is a BBW with what medications?
all Antidepressants
What question should ask all adolescent patients at each visit?
Self harm (frequency and severity)
, Page |3
Which 2 groups is it especially important to ask about SI at each
visit?
Adolescence
Schizophrenics
Alpha 2 adrenergic receptor blockers (Clonidine and Guanfacine)
have lower tolerability in patients with schizophrenia. What effects
from these meds are limited in this population?
the neuroprotective effects
Why do children have a decreased placebo response with
antidepressants?
Few evidence-based studies
What is the onset of schizophrenia in males?
18-25
What is the onset of schizophrenia in females?
25-35
What question should ask schizophrenic patients at each visit?
SI
What is the most likely diagnosis in a patient with homicidal ideation?
Antisocial Personality Disorder
What would yo expect to see on an MRI/Pet scan in a patient with
schizophrenia?
All structures decreased EXCEPT Ventricles, they are enlarged
Which class of agents should be avoided in patients with
schizophrenia?
Stimulants (will increase DA)
Abnormalities, changes/deficits in which structures of the brain are
associated with aggressive and impulsive behavior ?
, Page |4
Prefrontal cortex
Amygdala
Hippocampus
Basal ganglia
limbic Regions
What is Assertive Community Treatment (ACT)?
Form of rehabilitation post hospitalization for Severe Mental Illness (SMI)
Case management approach
24/7 services
Can patients receive Assertive Community Treatment (ACT) while in
the hospital?
No; think "community" in ACT
What is the best treatment program for SMI patients with a long Hx of
poor medication adherence?
Assertive Community Treatment (ACT)
Social skills training in a schizophrenic patient is what type of
prevention?
Tertiary
What are 3 benefits of aerobic exercise in schizophrenic patients?
Increased cognition
mproves Quality of Life
improves Long-term health
What is a delusion?
A firm belief despite contrary evidence
Ex: Church members are part of a cult
How often is Haldol Decanoate typically adminitered?
monthly
If a patient is receiving Haldol 5 mg PO bid, how much Haldol
Decanoate should they receive for the 1st month?
LMR GEORGETTE’S PMHNP CERTIFICATION
EXAM 2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
One of your patients receiving psychiatric medication develops an
infection. What do you consider?
Agranulocytosis
What antipsychotic is anti-suicidal in schizophrenia?
Clozapine
When a young woman is suspected of a toxic dose of lithium, what
lab should you obtain initially?
HCG
If a patient has signs/symptoms of lithium toxicity but you have no
labs available, what do you do?
DC lithium
A patient with what medical condition is at risk for lithium toxicity?
Cardiac failure (hyponatremia)
What are the key indicators for NMS?
Extreme muscle rigidity
Increased CPK
If a depressed patient is taking a triptan for migraines, what should
you prescribe for depression?
Bupropion
What is first line treatment for MDD? Why?
, Page |2
SSRIs
Safer in OD
What are the 2 antidepressants of choice in a depressed patient with
cancer? Why?
Citalopram (Celexa)
Escitalopram (Lexapro)
less risk for Drug-Drug Interaction
What is the antidepressant of choice in a depressed patient with
sexual dysfunction?
Bupropion
What is the antidepressant of choice in a depressed patient with
decreased energy?
Bupropion
What are 3 treatments for depressed patients with neuropathic pain?
SNRI
TCA (think safety tho)
Gabapentin/Pregabalin (alpha2 delta ligands)
BOLD = know
Which SSRI is most likely to cause insomnia?
Fluoxetine (Prozac)
What question is important to ask in the social history with a
depressed patient?
Alcohol intake (self-medicating)
Suicidal ideation for children, adolescents, and young adults <24
years is a BBW with what medications?
all Antidepressants
What question should ask all adolescent patients at each visit?
Self harm (frequency and severity)
, Page |3
Which 2 groups is it especially important to ask about SI at each
visit?
Adolescence
Schizophrenics
Alpha 2 adrenergic receptor blockers (Clonidine and Guanfacine)
have lower tolerability in patients with schizophrenia. What effects
from these meds are limited in this population?
the neuroprotective effects
Why do children have a decreased placebo response with
antidepressants?
Few evidence-based studies
What is the onset of schizophrenia in males?
18-25
What is the onset of schizophrenia in females?
25-35
What question should ask schizophrenic patients at each visit?
SI
What is the most likely diagnosis in a patient with homicidal ideation?
Antisocial Personality Disorder
What would yo expect to see on an MRI/Pet scan in a patient with
schizophrenia?
All structures decreased EXCEPT Ventricles, they are enlarged
Which class of agents should be avoided in patients with
schizophrenia?
Stimulants (will increase DA)
Abnormalities, changes/deficits in which structures of the brain are
associated with aggressive and impulsive behavior ?
, Page |4
Prefrontal cortex
Amygdala
Hippocampus
Basal ganglia
limbic Regions
What is Assertive Community Treatment (ACT)?
Form of rehabilitation post hospitalization for Severe Mental Illness (SMI)
Case management approach
24/7 services
Can patients receive Assertive Community Treatment (ACT) while in
the hospital?
No; think "community" in ACT
What is the best treatment program for SMI patients with a long Hx of
poor medication adherence?
Assertive Community Treatment (ACT)
Social skills training in a schizophrenic patient is what type of
prevention?
Tertiary
What are 3 benefits of aerobic exercise in schizophrenic patients?
Increased cognition
mproves Quality of Life
improves Long-term health
What is a delusion?
A firm belief despite contrary evidence
Ex: Church members are part of a cult
How often is Haldol Decanoate typically adminitered?
monthly
If a patient is receiving Haldol 5 mg PO bid, how much Haldol
Decanoate should they receive for the 1st month?
