PMHNP Exam Reported Questions -
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
What does a sed rate measure? - (correct Answer) - Inflammation (ESR - Erythrocyte Sedimentation
Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - (correct Answer) - 0-22 males
0-29 females
What is a retic count? - (correct Answer) - Measures % of reticulocytes in blood (immature RBC's)
Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - (correct Answer) - Anemia - acute or chronic bleeding
What does an increased retic count indicate? - (correct Answer) - Bone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? - (correct Answer) - Doesn't diagnose anything.
First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - (correct Answer) - Increase tegretol levels.
, What happens if a pregnant women takes Accutane? - (correct Answer) - Birth defects.
What labs do you get with RA? - (correct Answer) - Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP
- helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - (correct Answer) - ANA
When do you assume informed consent? - (correct Answer) - Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - (correct Answer) - Same as with
informed consent
Who can declare a patient incompetent and appoint a guardian? - (correct Answer) - Only a court
Does impaired judgment mean one is incompetent? - (correct Answer) - No.
Can an advanced directive ever be revoked? - (correct Answer) - Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? - (correct
Answer) - Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - (correct Answer) - No.
How do Asians see HC providers? - (correct Answer) - As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? - (correct Answer) -
SIgn of respect
What is the evil eye? - (correct Answer) - When a stronger or more powerful person looks at a weaker
person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea,
disturbed sleep, increased fussiness.
How do you protect from the evil eye? - (correct Answer) - Red ribbon on an infant
Amulet for adults
How do you treat for evil eye? - (correct Answer) - Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist? - (correct Answer) - Relationship
What is a proximate cause? - (correct Answer) - Connection between A + B.
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
What does a sed rate measure? - (correct Answer) - Inflammation (ESR - Erythrocyte Sedimentation
Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - (correct Answer) - 0-22 males
0-29 females
What is a retic count? - (correct Answer) - Measures % of reticulocytes in blood (immature RBC's)
Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - (correct Answer) - Anemia - acute or chronic bleeding
What does an increased retic count indicate? - (correct Answer) - Bone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? - (correct Answer) - Doesn't diagnose anything.
First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - (correct Answer) - Increase tegretol levels.
, What happens if a pregnant women takes Accutane? - (correct Answer) - Birth defects.
What labs do you get with RA? - (correct Answer) - Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP
- helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - (correct Answer) - ANA
When do you assume informed consent? - (correct Answer) - Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - (correct Answer) - Same as with
informed consent
Who can declare a patient incompetent and appoint a guardian? - (correct Answer) - Only a court
Does impaired judgment mean one is incompetent? - (correct Answer) - No.
Can an advanced directive ever be revoked? - (correct Answer) - Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? - (correct
Answer) - Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - (correct Answer) - No.
How do Asians see HC providers? - (correct Answer) - As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? - (correct Answer) -
SIgn of respect
What is the evil eye? - (correct Answer) - When a stronger or more powerful person looks at a weaker
person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea,
disturbed sleep, increased fussiness.
How do you protect from the evil eye? - (correct Answer) - Red ribbon on an infant
Amulet for adults
How do you treat for evil eye? - (correct Answer) - Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist? - (correct Answer) - Relationship
What is a proximate cause? - (correct Answer) - Connection between A + B.
