{"id":120112,"date":"2023-09-21T00:12:03","date_gmt":"2023-09-21T00:12:03","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120112"},"modified":"2023-09-21T00:12:04","modified_gmt":"2023-09-21T00:12:04","slug":"georgettes-pmhnp-certification-review-bundle","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/21\/georgettes-pmhnp-certification-review-bundle\/","title":{"rendered":"Georgette\u2019s PMHNP Certification Review Bundle"},"content":{"rendered":"\n<p>ANCC Certification PMHNP Chapter 7<br>Mood Disorders &#8211; Most common psych illnesses<br>Primary characteristic is persistent disturbance in mood &#8211; Major Depressive Disorder<br>Often occurs without precipitating event &#8211; MDD<br>Object loss theory &#8211; Fairbairn, Winnicott &amp; guntrip<br>Aggression turned inward theory of MDD &#8211; Freud<br>Cognitive Theory &#8211; Beck<br>Learned Helplessness-Hopelessness Theory &#8211; Seligman<br>Genetic predisposition &#8211; Strong genetic load for depression for child of depressed parent<br>-having 3 fold increase in lifetime risk of MDD &amp; 40% chance of depressive episode<br>before age 18.<br>Endocrine dysfunction Theory &#8211; Probably related to etiology of MDD<br>Sleep disturbances, appetite disturbances, libido disturbances, lethargy, anhedonia are<br>neurovegitative symptoms that are related to functions of the &#8211; Hypothalamus and<br>pituitary gland secretions<br>Endocrine dysfunction and pregnancy &#8211; A high incidence of postpartum mood<br>disturbances is suggested with this<br>Hypothalamic-pituitary-adrenal axis (HPA) &#8211; A theory of MDD, may be a result of an<br>abnormal stress response related to dysregulation of this system<br>HPA axis &#8211; Controls the physiological response to stress and is composed of<br>interconnective feedback pathways between the hypothalamus, pituitary gland, and<br>adrenal gland.<br>Hypothalamus releases &#8211; corticotropin-releasing hormone (CRH)<br>Adrenocorticotropin hormone (ACTH) &#8211; Released by pituitary in response to CRH by<br>hypothalamus<br>Cortisol &#8211; Released by adrenal glands in response to ACTH by pituitary gland<\/p>\n\n\n\n<p>Hyperactivity of the HPA axis &#8211; Demonstrated to be present in individuals with MDD.<br>May also have elevated cortisol levels<br>Elevated cortisol levels &#8211; Over time damages the CNS by altering neurotransmission<br>and electrical signal conduction. Cortisol over time can cause changes in size and<br>function of brain tissue<br>Dexamethasone suppression test (DST) &#8211; Not commonly used in clinical practice for<br>screening of depression as it is too non specific.<br>Hypovolemic hippocampus and hypovolemic prefrontal cortex-limbic striatal regions &#8211;<br>Abnormalities demonstrated by neuroimaging in individuals with chronic and severe<br>depression<br>Brain damage, including that from stroke and trauma &#8211; Depression is a acommon<br>comorbidity in individuals who have experienced these events<br>What is the Chronobiological theory of MDD &#8211; Desynchronization of the circadian<br>rhythms produces the symptom constellation collectively called MDD<br>Circadian rhythms control these biological processes that are frequent problems with<br>depressed individuals &#8211; Sleep-rest cycle disturbances * Increased cortisol secretions *<br>REM abnormalities Increased emotional reactivity<br>Frequent waking<br>More intensified dreaming<br>Diurnal variations to circadian-related behaviors<br>Decreased arousal and energy levels<br>Decreased activity patterns *<br>Incidence of MDD &#8211; 5% of U.S. population ages 18 and older each year. About 9.9<br>million Americans<br>Most common psychiatric illness seen in primary care practices; only 50% of people<br>receive treatment &#8211; MDD<br>25% women, 12% men &#8211; Risk during reproductive years<br>Risk of MDD is <strong><em>__<\/em><\/strong> for both genders below puberty and after menopause &#8211; equal<br>MDD is (greater) or (lesser) source of morbidity for women than other illnesses. &#8211;<br>Greater<br>Fifteen percent (15%) &#8211; Of people with MDD will commit suicide<br>People with MDD &#8211; Four times greater risk of premature death &#8211; Than normal control<br>population<\/p>\n\n\n\n<p>Georgettes LMR study set\/PMHNP Review items<br>When questions ask for a priority action\u2026think about\u2026 &#8211; THE CORRECT ASNWER IS<br>ABC, airway breathing, circulation<br>Maslows hierarchy<br>If undecided on an answer due to high similarities, choose: &#8211; THE CORRECT ASNWER<br>IS the umbrella answer<br>What is the most common side effect of olanzapine\/zyprexa &#8211; THE CORRECT<br>ASNWER IS metabolic syndrome<br>what is the difference between typical and atypical antipsychotics &#8211; THE CORRECT<br>ASNWER IS Atypical 5HT2A specific<br>1st psychotic break\u2026 two actions to take &#8211; THE CORRECT ASNWER IS UDS and r\/o<br>sub<br>Consider IM Geodon or Invega<br>Three AP with least weight gain &#8211; THE CORRECT ASNWER IS Latuda, Abilify, Geodon<br>Always encourage interprofessional collaboration &#8211; THE CORRECT ASNWER IS<br>between therapists\/pcps\/SW\/RN, the ENTIRE team<br>TSH High, then\u2026.t3\/t4 &#8211; THE CORRECT ASNWER IS T3, T4 low<br>TSH low, then\u2026t3\/t4 &#8211; THE CORRECT ASNWER IS T3, T4 high<br>cold\/hot sensitivity with t3\/t4 relationship &#8211; THE CORRECT ASNWER IS T3\/T4 low,<br>hypothyroid, cold, slow<br>T3\/T4 high, hyperthyroid, hot, flushed, tachy<br>What birth defect can be caused by depakote? &#8211; THE CORRECT ASNWER IS Spina<br>bifida<br>What organ does depakote cause toxicity? and what sx would you expect to see? labs<br>to run? &#8211; THE CORRECT ASNWER IS Hepatotoxicity: RUQ pain, reddish brown urineDo LFTs<br>kava kava is used to treat &#8211; THE CORRECT ASNWER IS anxiety and insomnia<br>Rash and fever associated with tegretol, suspect &#8211; THE CORRECT ASNWER IS<br>What allele is HLAB 1502 associated? &#8211; THE CORRECT ASNWER IS Asians. They<br>CANNOT have tegretol. Test all asians for this allele.<\/p>\n\n\n\n<p>what rare and dangerous side effects are associated with tegretol &#8211; THE CORRECT<br>ASNWER IS Aplastic anemia<br>Agranulocytosis-DC at ANC less than 1000<br>Sx&#8217;s of agranulocytosis &#8211; THE CORRECT ASNWER IS unusual bleeding or bruising,<br>mouth sores, infections, fever, sore throat, fatigue<br>if starting a woman on lithium what test should be done? why? &#8211; THE CORRECT<br>ASNWER IS HCG&#8211;risk of ebstein anomaly<br>adverse s\/e of lamictal\/lamotrigine &#8211; THE CORRECT ASNWER IS SJS<br>labs to checke BEFORE starting on lithium &#8211; THE CORRECT ASNWER IS BUN<br>CRE<br>urine protein<br>What does protein in urine indicate &#8211; THE CORRECT ASNWER IS kidney impairment;<br>4+ protein in urine=you cannot start on lithium<br>best choice med for decreasing si in bipolar disorder. &#8211; THE CORRECT ASNWER IS<br>lithium<br>best choice med for si in schizophrenia &#8211; THE CORRECT ASNWER IS clozaril<br>best choice med for SI in borderline &#8211; THE CORRECT ASNWER IS lithium<br>What medications will INCREASE Li levels &#8211; THE CORRECT ASNWER IS NSAIDS<br>ACE&#8217;s<br>Thiazides\/HCTZ<br>Besides medications, what else can cause increased Li levels &#8211; THE CORRECT<br>ASNWER IS dehydration<br>hyponatremia<br>lithium s\/e inc N\/V, which will effect electrolytes, and dehydration status<br>what type of tremors will you see with lithium toxicity? &#8211; THE CORRECT ASNWER IS<br>course tremors<br>lithium can cause what other comorbidities? &#8211; THE CORRECT ASNWER IS<br>hypothyroidism<br>maculopapular rash<br>leukocytosis<br>twave inversion<\/p>\n\n\n\n<p>what is a defining characteristic of NMS vs SS &#8211; THE CORRECT ASNWER IS muscle<br>rigidity<br>Sx&#8217;s\/labs associated with NMS &#8211; THE CORRECT ASNWER IS Inc CPK, WBC, LFT<br>Rhabdomyolosis<br>myoglobinuria<br>Can lead to mutism<br>myoglobinuria\/rhabdo can cause cherry colored urine<br>Treatment for NMS and what each does &#8211; THE CORRECT ASNWER IS DC the<br>offending agent<br>bromocriptin-D2 agonis<br>dantrolene: muscle relaxant<br>Make sure if ? is asking for agonist or relaxant<br>Sx of SS &#8211; THE CORRECT ASNWER IS HYPERREFLEXIA<br>myoclonic jerks<br>treatment for SS &#8211; THE CORRECT ASNWER IS ciproheptadine<br>how to best PREVENT SS &#8211; THE CORRECT ASNWER IS follow proper transition<br>protocols<br>SSRI to MAOI=14 days<br>Prozac to MAOI=5-6 weeks<br>Triptans can also cause SS due to serotonin increase with use<br>Why are SSRIs considered the safest for use in depression &#8211; THE CORRECT ASNWER<br>IS safest for OD<br>depressed patient presents with fatigue and low energy, consider: &#8211; THE CORRECT<br>ASNWER IS NDRI wellbutrin<br>sexual s\/e with ssri? try\u2026 &#8211; THE CORRECT ASNWER IS wellbutrin due to lower risk of<br>sexual s\/e<br>What medication must be avoided if client has seizure history or eating disorder? why? &#8211;<br>THE CORRECT ASNWER IS wellbutrin due to decreasing the seizure threshold<br>if client has depression and neuropathic pain &#8211; THE CORRECT ASNWER IS SNRI or<br>TCA for treatment of BOTH<br>What med class treats neuropathic pain well &#8211; THE CORRECT ASNWER IS alpha 2<br>delta ligands<br>Gabapentin<br>Lyrica<\/p>\n\n\n\n<p>ANCC Georgette Review For Boards<br>3 yr old play with self, says naughty things. Normal for which theorist &#8211; THE CORRECT<br>ASNWER IS Piaget<br>Which cranial nerve for 14yr old clenching teeth &#8211; THE CORRECT ASNWER IS<br>Trigeminal, Cranial nerve V<br>16yr old falls with wrong crowd may have what disorder &#8211; THE CORRECT ASNWER IS<br>Conduct disorder<br>Ace inhibitors are drug choice for what &#8211; THE CORRECT ASNWER IS Heart failure,<br>HTN<br>Acute distress disorder must occur within what time frame &#8211; THE CORRECT ASNWER<br>IS 1 month of trauma and resolve within the month<br>Exposure to a major stressor with anxiety, dissociation, nightmares, sleep disturbances,<br>concentration problems from trauma 3 weeks prior leads to what diagnosis &#8211; THE<br>CORRECT ASNWER IS Acute Stress Disorder<br>If symptoms of traumatic event lead to anxiety ,nightmares, sleep issues, concentration<br>problems and last past one month, what is the diagnosis &#8211; THE CORRECT ASNWER IS<br>PTSD<br>Med for adult with panic disorder &#8211; THE CORRECT ASNWER IS Buspar<br>What is used as a bridge medication for panic disorder when starting an SSRI or<br>another antidepressant &#8211; THE CORRECT ASNWER IS Benzodiazepine<br>Term for fear of open spaces &#8211; THE CORRECT ASNWER IS Agoraphobia<br>Medication for Agoraphobia short term &#8211; THE CORRECT ASNWER IS Benzodiazepine<br>3 SSRI to treat agoraphobia long term &#8211; THE CORRECT ASNWER IS Prozac, Paxil,<br>and Zoloft<br>One SNRI to treat Agoraphobia long term &#8211; THE CORRECT ASNWER IS Effexor<br>What part of the brain regulates fear, anxiety, aggression &#8211; THE CORRECT ASNWER<br>IS Amygdala<br>what style of therapy for a patient with anorexia &#8211; THE CORRECT ASNWER IS Family<br>therapy<\/p>\n\n\n\n<p>Hospitalization criteria for anorexia &#8211; THE CORRECT ASNWER IS Weight loss over<br>30% in 6 months, heart rate less than 40, hypokalemia less than 3 mEq<br>To qualify for anorexia Nervosa the BMI would be less than what &#8211; THE CORRECT<br>ASNWER IS 18.5<br>an eating disorder in which an irrational fear of weight gain leads people to starve<br>themselves &#8211; THE CORRECT ASNWER IS Anorexia Nervosa<br>Cell death in aging\/elderly is known as what &#8211; THE CORRECT ASNWER IS Apoptosis<br>A process of building on what works rather than focusing on and fixing what doesn&#8217;t is<br>known as what &#8211; THE CORRECT ASNWER IS Appreciative Inquiry<br>In this stage a person has no intent to change &#8211; THE CORRECT ASNWER IS<br>Precontemplation<br>In this stage the person is thinking of change and aware of the problem but not<br>committed to change &#8211; THE CORRECT ASNWER IS Contemplation<br>In this stage the person has made the decision to change and is ready for action &#8211; THE<br>CORRECT ASNWER IS Preparation<br>In this stage the person is engaging in specific actions to change &#8211; THE CORRECT<br>ASNWER IS Action<br>This is taken 15 minutes before sex &#8211; THE CORRECT ASNWER IS Avanafil (Stendra)<br>Take this 45 minutes before sex &#8211; THE CORRECT ASNWER IS Tadalafil (Cialis) and<br>Vardenafil (Levitra)<br>Take this one hour before sex &#8211; THE CORRECT ASNWER IS Sildenafil (Viagra)<br>According to Beck depression scale, 0-13 is considered &#8211; THE CORRECT ASNWER IS<br>Minimal Depression<br>According to Beck depression scale, 14-19 is considered &#8211; THE CORRECT ASNWER<br>IS Mild Depression<br>According to Beck depression scale, 20-28 is considered &#8211; THE CORRECT ASNWER<br>IS Moderate Depression<br>According to Beck depression scale, 29-63 is considered &#8211; THE CORRECT ASNWER<br>IS Severe Depression<\/p>\n\n\n\n<p>PMHNP certification Exam<br>Which patient is at highest risk for SI<br>A. 30y\/o married AA female with previous SI attempt *1 risk factor<br>B. 35 y\/o single Asian male with previous SI attempt *3 risk factors<br>C. 38 y\/o single AA male who is a manager of a bank *2 risk factors<br>D. 68 y\/o single white male with depression *5 risk factors (age, male, white,<br>depression) &#8211; THE CORRECT ASNWER IS D. 68 y\/o single white male with depression<br>*5 risk factors (age, male, white, depression)<br>Count the risk factors<br>When interview teenagers (16 y\/o) that arrive with their parents what should you do? &#8211;<br>THE CORRECT ASNWER IS interview them separately from parents.<br>-This helps Build therapeutic rapport with teens by telling them the info is confidential.<br>Parents may be upset but remember you are advocating for the child.<br>Which Ethnic group has the highest rate of suicide? &#8211; THE CORRECT ASNWER IS<br>Native Americans<br>Example A patient is being treated for schizophrenia with olanzapine. Which of the<br>following is the most common side effect of olanzapine?<br>A. Increased waist circumference<br>B. EPS (not as common in atypical antipsychotics d\/t 5HT2A)-receptor antagonism<br>C. Increased Lipids<br>D. Metabolic Syndrome &#8211; THE CORRECT ASNWER IS D. Metabolic Syndrome<br>(UMBRELLA ANSWER)<br>Which antipsychotics have the least weight gain? &#8211; THE CORRECT ASNWER IS<br>Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic syndrome<br>consider switching to one of the medications above. Or if the patient is overly sedated<br>try switching to ABILIFY<br>Which mood stabilizer have the least weight gain? &#8211; THE CORRECT ASNWER IS<br>Lamictal<br>-But remember all mood stabilizers cause some weight gain<br>When presented with a question about typical vs atypical antipsychotic the answer is<br>usually to start of a &#8211; THE CORRECT ASNWER IS atypical<br>A client presents with complains of changes in appetite, feeling fatigued, problems with<br>sleep-rest cycle, and changes in libido. What is the neuroanatomical area of the brain<br>that is responsible for the normal regulation of these functions?<\/p>\n\n\n\n<p>A. Thalamus<br>B. Hypothalamus<br>C. Limbic System<br>D. Hippocampus &#8211; THE CORRECT ASNWER IS Hypothalamus<br>A, B, &amp; D are all part of the limbic system so you can rule that out<br>When a patient is hesitant to participate in treatment you should encourage? &#8211; THE<br>CORRECT ASNWER IS Bring a support person like a husband<br>Thyroid-Stimulating hormone normal level &#8211; THE CORRECT ASNWER IS 0.5-5.0 Mu\/L<br>When T4 and T3 are high and TSH is low what is the diagnosis &#8211; THE CORRECT<br>ASNWER IS HYPERTHYROIDISM, TSH secretion decreases: TSH LOW \u00e0 key<br>symptoms HEAT INTOLERANCE<br>Key symptoms of Heat Intolerance &#8211; THE CORRECT ASNWER IS Hyperthyroidism<br>When T4 and T3 are Low and TSH is high what is the diagnosis &#8211; THE CORRECT<br>ASNWER IS (HYPOTHYROIDISM) TSH secretion increased: TSH HIGH \u00e0 COLD<br>INTERANCE<br>Key symptoms of Cold Intolerance &#8211; THE CORRECT ASNWER IS Hypothyroidism<br>Hyperthyroid can mimic &#8211; THE CORRECT ASNWER IS Mania<br>Hypothyroid can mimic &#8211; THE CORRECT ASNWER IS Depression<br>A patient on depakote complains of RUQ pain and has reddish\/brown urine &#8211; THE<br>CORRECT ASNWER IS Hepatoxicity<br>-Check LFTs<br>Signs of Depakote toxicity &#8211; THE CORRECT ASNWER IS Disorientation, confusion,<br>lethargy<br>You suspect depakote toxicity what do you do? &#8211; THE CORRECT ASNWER IS Check<br>-LFT<br>-Ammonia<br>-Depakote Level<br>What herbal supplement can cause hepatoxicity? &#8211; THE CORRECT ASNWER IS Kava<br>Kava<br>When taking Kava Kava in combinations with other medications you should caution<br>about &#8211; THE CORRECT ASNWER IS Risk of Hepatoxicity and Sedation<br>TCAs carry a risk of &#8211; THE CORRECT ASNWER IS Hepatotoxicity<\/p>\n\n\n\n<p>Signs of Stevens-Johnson Syndrome &#8211; THE CORRECT ASNWER IS -fever, mouth<br>pain, swelling, burning eyes, blisters, skin pain<br>two psychotropics known to cause steven johnson syndrome &#8211; THE CORRECT<br>ASNWER IS lamictal and tegretol<br>What nationality is most suseptible of getting steven johnson? &#8211; THE CORRECT<br>ASNWER IS Asians<br>When treating asians with tegretal screen for? &#8211; THE CORRECT ASNWER IS HLAB1502 Allele<br>What two medications cause agranulocytosis? &#8211; THE CORRECT ASNWER IS Clozaril<br>&amp; Tegretal<br>Agranulocytosis when to discontinue medication &#8211; THE CORRECT ASNWER IS Less<br>than 1000<br>When monitoring for agranulocytosis in patients look for s\/s of what? &#8211; THE CORRECT<br>ASNWER IS Infection<br>-Fever, sore throat, fatigue, chills<br>Before starting any mood stabilizer in a female of childbearing age be sure to check? &#8211;<br>THE CORRECT ASNWER IS HCG<br>Which two medications may decrease the risk of suicide? &#8211; THE CORRECT ASNWER<br>IS clozaril and lithium<br>Medications that increase lithium level &#8211; THE CORRECT ASNWER IS NSAID-ibuprofen,<br>INDOCIN<br>THIAZIDES-hydrochlorithiazide ACE INHIBITORS-lisinopril<br>Ace inhibitors are treatment of choice for? &#8211; THE CORRECT ASNWER IS Heart Failure<br>Certain medications are known to increase lithium level, but HOW? &#8211; THE CORRECT<br>ASNWER IS by reducing renal clearance<br>When educating a patient about lithium teach them about &#8211; THE CORRECT ASNWER<br>IS Hyponatremia<br>Dehydration-hot days, exercise<br>Normal Lithium Level &#8211; THE CORRECT ASNWER IS 0.6-1.2<br>Lithium Toxicity &#8211; THE CORRECT ASNWER IS 1.5 or above<br>Discontinue and re-order lithium level<\/p>\n\n\n\n<p>Lithium level of 1.4 &#8211; THE CORRECT ASNWER IS Monitor for toxicity<br>Labs before starting lithium &#8211; THE CORRECT ASNWER IS TSH, BUN, CREATININE,<br>HCG, U\/A to check for presence of protein in the urine (4+ protein is concerning for<br>renal impairment)\u00e04+ protein in urine=MONITOR FOR TOXICITY<br>4+ protein in the urine of a patient on lithium &#8211; THE CORRECT ASNWER IS 4+ protein<br>is concerning for renal impairment<br>4+ protein in urine=MONITOR FOR TOXICITY<br>Lithium side effects &#8211; THE CORRECT ASNWER IS hypothyroid, leukocytosis,<br>maculopapular rash, t-wave inversion, Coarse Hand Tremor, GI upset (nausea,<br>vomiting, anorexia)<br>-Some of these are also signs of toxicity<br>Signs of lithium toxicity &#8211; THE CORRECT ASNWER IS confusion, ataxia, GI upset,<br>palpitation, tremor<br>NMS &#8211; THE CORRECT ASNWER IS muscle rigidity, mutism (because of muscle<br>rigidity), increased CPK (caused by muscle contraction and muscle destruction),<br>increase WBC, increased WBC, myoglobinuria (also from muscle destruction)<br>Cherry colored urine in a patient that exercises a lot &#8211; THE CORRECT ASNWER IS test<br>for myoglobinuria may be a sign of rhabdo<br>Serotonin Syndrome &#8211; THE CORRECT ASNWER IS With any drug that increases 5-HT<br>(e.g., MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus,<br>cardiovascular instability, flushing, diarrhea, seizures.<br>-Treatment: cyproheptadine (5-HT2 receptor antagonist).<br>Treatment for NMS &#8211; THE CORRECT ASNWER IS Stop Offending Medication<br>-Dantrolene (muscle relaxer)<br>-Bromocriptine (Dopamine D2 agonist).<br>*In question focus on what they are asking for\u2026.dopamine agonist vs muscle relaxer<br>Treatment for Serotonin Syndrome &#8211; THE CORRECT ASNWER IS Stop Med (1 or more<br>SSRI, SSNRI, TCA, MOAI)<br>-Cyproheptadine<br>Triptans &#8211; THE CORRECT ASNWER IS Used for MIGRAINES<br>-These meds increase serotonin<br>example SUMATRIPTAN<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ANCC Certification PMHNP Chapter 7Mood Disorders &#8211; Most common psych illnessesPrimary characteristic is persistent disturbance in mood &#8211; Major Depressive DisorderOften occurs without precipitating event &#8211; MDDObject loss theory &#8211; Fairbairn, Winnicott &amp; guntripAggression turned inward theory of MDD &#8211; FreudCognitive Theory &#8211; BeckLearned Helplessness-Hopelessness Theory &#8211; SeligmanGenetic predisposition &#8211; Strong genetic load for depression [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-120112","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120112","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=120112"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120112\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=120112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=120112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=120112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}