PMHNP Exam Reported Questions

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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.

12. What is the allele seen in Asians that increase the risk of SJS?: -

HLAB-1502 1 / 4

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13.When might you see toxic epidermal necrolysis?: With worsening of SJS

14.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... 2 / 4

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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 3 / 4

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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.

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