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PMHNP Exam Reported Questions
1.What is dissemination?: 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
2.What does a 17 on MMSE mean?: Moderate cognitive impairment
3.What is Tegretol in the CYP450 system?: Inducer –>will lower dose of
Lam- ictal and BCP’s
4.What do BCP’s do to Lamictal?: Inducer – will lower dose of Lamictal
5.What is a Type I research error?: There IS a difference but you say
there isn’t a difference.
6.What is a Type II research error?: There is NO difference but you say
there is a difference.
7.What is pseudo-dementia?: Cognitive impairment secondary to
depression that clears when treated in the elderly. Dementia won’t
improve.
8.Is it normal for a 1 month old to have a palmar grasp?: Yes.
9.What is a drug 1/2 life?: The time it takes for 50% of a drug to be
eliminated from the body.
10.What 3 atypicals can be used with teens?: Zyprexa, Abilify, Seroquel
- low doses
11.What is a risk of using Tramadol?: Serotonin Syndrome as it is very
seroton- ergic.
- What is the allele seen in Asians that increase the risk of SJS?: –
HLAB-1502
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13.When might you see toxic epidermal necrolysis?: With worsening of SJS14.How many generations do you include for a genogram?: 1st
degree – mother, father, siblings
2nd degree – grandparents &
cousins 3rd degree –
15.What does messenger RNA code for?: Amino Acids
16.What is epigenetics?: Factors that affect genes – environmental,
smoking, stress, etc…
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17.What part of the brain is involved with OCD?: Basal
Ganglia Occipito-Frontal
18.What happens to the brain during adolescence?: Dendritic
pruning Emotions are controlled by amygdala
By adulthood, PFC involved as well
19.When do males typically present with schizophrenia?: 10-25 yo
20.When do females typically present with schizophrenia?: 25-35 yo
21.What does Erythromycin to trileptal?: You will need to decreases the
level because Trileptal(inducer) and erythromycin is a inhibitor
22.ACE Inhibitors are the drug of choice for what?: Heart
Failure HTN
23.What are some psychiatric side effects seen with some asthma drugs:
- Leukotriene receptor agonists – singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
24.What should you watch for with Tegretol?: Agranulocytosis and
Hypona- tremia
25.What are the 3 CK muscle enzyme tests?: CKBB, CKMM, CKMB
26.Which one of the 3 muscle enzymes are related to cardiac muscle
dam- age?: CKMB
27.What is the risk of a seriously elevated CKMB?:
Polymyositis Rhabdo
28.What is a normal CKMB?: 0.3 mcg/L
29.What psychoactives does Detrol interact with?:
Topamax KCL
Zonegran
30.What CN are you assessing when you have the patient shrug their
shoul- ders?: CN XI – Spinal Accessory
31.What do you see in labs with HIV & Dementia?: CD4
<200 Viral Load is high
<20% get it with antiretroviral treatment
32.What is the scoring with the Beck Depression Inventory?: Self-Report - 0-63
0-13 – minimal
14-19 – mild
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20-28 – moderate
29-63 – severe
33.What is sensitivity?: Helps rule-out disease = True Positive = Snout
34.What is specificity?: Helps rule-in disease = True Negative = Spin
35.What does a sed rate measure?: Inflammation (ESR – Erythrocyte
Sedimen- tation Rate) = distance in mm RBC’s have descended in 1
hour.
36.What is a normal sed rate or ESR?: 0-22
males 0-29 females
37.What is a retic count?: Measures % of reticulocytes in blood
(immature RBC’s) Indicates whether enough RBC’s are being
produced by bone marrow.
38.What does a decreased retic count indicate?: Anemia – acute or
chronic bleeding
39.What does an increased retic count indicate?: Bone marrow
disorder or Vitamin Deficiency
40.What does an abnormal retic ount indicate in general?: Doesn’t
diagnose anything. First step is ID source of the issue.
41.What happens when you mix tegretol and macrolides?: Increase
tegretol levels.
42.What happens if a pregnant women takes Accutane?: Birth defects.
43.What labs do you get with RA?: 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.
44.Where does the NP Code of Ethics come from?: ANA
45.When do you assume informed consent?:
Unconscious Incompetent
Life Threatening Situation
46.What are the legal ramifications of treating w/o informed consent?:
Same as with informed consent
47.Who can declare a patient incompetent and appoint a guardian?: Only
a court
48.Does impaired judgment mean one is incompetent?: No.