LMR – Georgette’s
2023 Qbank
Georgette’s PMHNP
Certification Exam
Review; Latest 2023
What drugs should be avoided with Kava Kava?
- Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3 functions? – Clarify meaning of
illness
Empower the patient
Validate symptoms within cultural context
What does a cultural formulation interview do? – cultural assessment
What is the normal range for TSH? – 0.5 – 5.0 mu/L
What are lab values in Hyperthyroidism – Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism? – Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? – Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism? – Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? – Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? – Mania
Valproic acid produces what teratogenic effect? – Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic? – Liver (hepatoxicity)
What are 4 signs of hepatoxicity? – Abdominal pain in the
URQ Reddish-brown urine
Yellowing of the skin and
sclera Fatigue
Abdominal pain in the URQ, Reddish-brown urine, Yellowing of the skin and sclera,
and Fatigue are signs of – Hepatoxicity
What is the therapeutic range for valproic acid? – 50-125 mcg/ml
What is a toxic level of valproic acid? – >150 mcg/ml
What are 4 signs of valproic acid toxicity? – Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and Nausea/vomiting are symptoms
of toxicity with what drug? – Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn? – DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava? – Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? – Kava Kava
What are 5 symptoms of Stephen’s Johnson Syndrome? – Fever
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Severe red rash, Fever, Body aches, Peeling skin, and Facial and tongue swelling are
symptoms of – Stephen’s Johnson Syndrome
Which mood stabilizer causes the least weight gain? – Lamotrigine (Lamictal)
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Terms in this set (526)
What drugs should be avoided with Kava Kava?
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH? 0.5 – 5.0 mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
Heat intolerance
What are 5 primary symptoms of Agitation, Anxiety, Irritability
Hyperthyroidism? Tachycardia
Mood swings
Weight loss
Cold intolerance
What are 4 primary symptoms of Lethargy
Hypothyroidism? Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what
psychiatric disorder?
Depression
Hyperthyroidism mimics symptoms of what
psychiatric disorder?
Mania
Valproic acid produces what teratogenic effect? Spina bifida (neural tube defect)
What is the primary organ where valproic acid
is toxic?
Liver (hepatoxicity)
What are 4 signs of hepatoxicity?
Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and
sclera Fatigue
What is the therapeutic range for valproic acid? 50-125 mcg/ml
What is a toxic level of valproic acid? >150 mcg/ml
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Disorientation
What are 4 signs of valproic acid toxicity? Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the
URQ and Reddish-brown urine. What do you
suspect? What do you do?
Hepatotoxicity; hold med, draw LFT’s (priority), DVP level
With suspected toxicity with valproic acid, what
steps/labs should be drawn?
D/C drug Add to class or folder
Check drug level Print
Obtain LFTs Combine
Obtain ammonia level
Embed
A pregnant pt is taking accutane, zyprexa and
abilify; what med needs to be d/c’d?
Report
Accutane (used for acne; Causes birth Defects!!!)
What herbal supplement is used for anxiety,
stress, and insomnia? What is the major side effect
with Kava Kava?
Kava Kava
liver damage
What are 5 symptoms of Stephen’s Johnson
Syndrome?
Fever -Key sx to suspect SJS; high yield
(HY) burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight
gain?
Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? Aripiprazole (Abilify)
Your pt is taking Kava and you need to add an
AS to manage their SCZ, which do you add?
Aripiprazole (least sedating)
Acute onset
What are 2 hallmark symptoms of delirium? disturbance of LOC
impaired cognition
inattention
How are agitation and psychotic
symptoms treated in delirium?
Low dose Haldol (QTc check first)
LMR – Georgette’s
7/20/23, 1:1 AM LMR – Georgette’s Flashcards |
Quizlet
LMR – Georgette’s
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LMR – Georgette’s flashcard 2023/2024
Terms in this set (526)
What drugs should be avoided with Kava Kava?
Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
What is the normal range for TSH? 0.5 – 5.0 mu/L
What are lab values in Hyperthyroidism
Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?
Increased TSH
Decreased T4 and T3
Heat intolerance
What are 5 primary symptoms of Agitation, Anxiety, Irritability
Hyperthyroidism? Tachycardia
Mood swings
Weight loss
Cold intolerance
What are 4 primary symptoms of Lethargy
Hypothyroidism? Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what
psychiatric disorder?
Depression
Hyperthyroidism mimics symptoms of what
psychiatric disorder?
Mania
Valproic acid produces what teratogenic effect? Spina bifida (neural tube defect)
What is the primary organ where valproic acid
is toxic?
Liver (hepatoxicity)
What are 4 signs of hepatoxicity?
Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and
sclera Fatigue
What is the therapeutic range for valproic acid? 50-125 mcg/ml
What is a toxic level of valproic acid? >150 mcg/ml
Share
7/20/23, 1:18
AM
LMR – Georgette’s Flashcards |
Quizlet
https://quizlet.com/703148276/lmr-georgettesflash-cards/
2/8
Disorientation
What are 4 signs of valproic acid toxicity? Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the
URQ and Reddish-brown urine. What do you
suspect? What do you do?
Hepatotoxicity; hold med, draw LFT’s (priority), DVP level
With suspected toxicity with valproic acid, what
steps/labs should be drawn?
D/C drug Add to class or folder
Check drug level Print
Obtain LFTs Combine
Obtain ammonia level
Embed
A pregnant pt is taking accutane, zyprexa and
abilify; what med needs to be d/c’d?
Report
Accutane (used for acne; Causes birth Defects!!!)
What herbal supplement is used for anxiety,
stress, and insomnia? What is the major side effect
with Kava Kava?
Kava Kava
liver damage
What are 5 symptoms of Stephen’s Johnson
Syndrome?
Fever -Key sx to suspect SJS; high yield
(HY) burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight
gain?
Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?
Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating? Aripiprazole (Abilify)
Your pt is taking Kava and you need to add an
AS to manage their SCZ, which do you add?
Aripiprazole (least sedating)
Acute onset
What are 2 hallmark symptoms of delirium? disturbance of LOC
impaired cognition
inattention
How are agitation and psychotic
symptoms treated in delirium?
Low dose Haldol (QTc check first)
LMR – Georgette’