PMHNP Certification Exam/632 Questions and Answers.

PMHNP Certification Exam/632 Questions and Answers.

What drugs should be avoided with Kava Kava? - Correct Answer -
Alprazolam CNS depressants (e.g., phenobarbital, zolpidem)
Cultural Formulation Interview perform what 3 functions? - Correct
Answer
-Clarify meaning of
illness Empower the
patient
Validate symptoms within cultural context
What does a cultural formulation interview do? - Correct Answer -
cultural assessment
What is the normal range for TSH? - Correct Answer -0.5 - 5.0 mu/L
What are lab values in Hyperthyroidism - Correct Answer -Decreased
TSH Increased T4 and T3
What are labs in Hypothyroidism? - Correct Answer -Increased
TSH Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism? - Correct
Answer -Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism? - Correct Answer
-Cold intolerance
Lethargy
Weight
gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder? -
Correct Answer -Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder? -
Correct Answer -Mania
Valproic acid produces what teratogenic effect? - Correct Answer -
Spina bifida (neural tube defect)
What is the primary organ where valproic acid is toxic? - Correct
Answer
-Liver (hepatoxicity)
What are 4 signs of hepatoxicity? - Correct Answer -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 - Correct Answer -Hepatoxicity
What is the therapeutic range for valproic acid? - Correct Answer -50-
125 mcg/ml
What is a toxic level of valproic acid? - Correct Answer ->150 mcg/ml
What are 4 signs of valproic acid toxicity? - Correct Answer -
Disorientation Lethargy
Respiratory
depression
Nausea/vomiting
Disorientation, Lethargy, Respiratory depression, and
Nausea/vomiting are symptoms of toxicity with what drug? - Correct
Answer -Valproic acid
With suspected toxicity with valproic acid, what labs should be drawn?
- Correct Answer -DC drug
Check drug level
Obtain LFTs
Obtain ammonia level
What is the major side effect with Kava Kava? - Correct Answer -
Liver damage
What herbal supplement is sued for anxiety, stress, and insomnia? -
Correct Answer -Kava Kava
What are 5 symptoms of Stephen's Johnson Syndrome? - Correct
Answer
-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 - Correct Answer -Stephen's Johnson
Syndrome

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