PMHNP Certification Exam Review; Latest

LMR - Georgette's 2023 Qbank Georgette's PMHNP Certification Exam Review; Latest 2023

Georgette's LMR PMHNP Certification Exam Review, 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)

Which 3 SGAs cause the least weight gain? - Lurasidone (Latuda) Aripiprazole (Abilify) Ziprasidone (Geodon)

Which SGA is the least sedating? - Aripiprazole (Abilify)

What are 3 hallmark symptoms of delirium? - Acute disturbance of LOC impaired cognition inattention

Acute disturbance of LOC, cognition, and inattention are hallmark symptoms of - Delirium

How are agitation and psychotic symptoms treated in delirium? - Low dose Haldol

What 4 drugs can cause mania? - Steroids Disulfiram (Antabuse) Isoniazid (INH) Antidepressants (in BPD)

Steroids, Disulfiram (Antabuse), and Isoniazid (INH) can induce - Mania

What 6 drugs can induce depression? - Steroids Beta blockers Interferon, Isotretinoin (Accutane) Retroviral drugs, Antineoplastic drugs Benzodiazepines Progesterone

Steroids can induce what 3 psychiatric states? - Mania Depression Psychosis

What medication to treat acne cause cause birth defects? - Isotretinoin (Accutane)

What is the therapeutic range for lithium? - 0.6-1.2 mEq/L

What medication has a neuroprotective effect for bipolar disorder? - Lithium

What is the gold standard for treating manic episodes - Lithium