PMHNP Exam Reported Questions and Answers(2023/2024)

PMHNP Exam Reported Questions and

Answers(2022/2023)

What is dissemination? Answer- 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

What does a 17 on MMSE mean? Answer- Moderate cognitive impairment

What is Tegretol in the CYP450 system? Answer- Inducer -->will lower dose of Lamictal

and BCP's

What do BCP's do to Lamictal? Answer- Inducer - will lower dose of Lamictal

What is a Type I research error? Answer- There IS a difference but you say there isn't a

difference.

What is a Type II research error? Answer- There is NO difference but you say there is a

difference.

What is pseudo-dementia? Answer- Cognitive impairment secondary to depression that

clears when treated in the elderly. Dementia won't improve.

Is it normal for a 1 month old to have a palmar grasp? Answer- Yes.

What is a drug 1/2 life? Answer- The time it takes for 50% of a drug to be eliminated

from the body.

What 3 atypicals can be used with teens? Answer- Zyprexa, Abilify, Seroquel - low

doses

What is a risk of using Tramadol? Answer- Serotonin Syndrome as it is very

serotonergic.

What is the allele seen in Asians that increase the risk of SJS? Answer- HLAB-1502

When might you see toxic epidermal necrolysis? Answer- With worsening of SJS

How many generations do you include for a genogram? Answer- 1st degree - mother,

father, siblings

2nd degree - grandparents & cousins

3rd degree -

What does messenger RNA code for? Answer- Amino Acids

What is epigenetics? Answer- Factors that affect genes - environmental, smoking,

stress, etc...

What part of the brain is involved with OCD? Answer- Basal Ganglia

Occipito-Frontal

What happens to the brain during adolescence? Answer- Dendritic pruning

Emotions are controlled by amygdala

By adulthood, PFC involved as well

When do males typically present with schizophrenia? Answer- 10-25 yo

When do females typically present with schizophrenia? Answer- 25-35 yo

What does Erythromycin to trileptal? Answer- You will need to decreases the level

because Trileptal(inducer) and erythromycin is a inhibitor

ACE Inhibitors are the drug of choice for what? Answer- Heart Failure

HTN

What are some psychiatric side effects seen with some asthma drugs AnswerLeukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,

anxiety, hallucinations, depression, insomnia, SI, tremor

What should you watch for with Tegretol? Answer- Agranulocytosis and Hyponatremia

What are the 3 CK muscle enzyme tests? Answer- CKBB, CKMM, CKMB

Which one of the 3 muscle enzymes are related to cardiac muscle damage? AnswerCKMB

What is the risk of a seriously elevated CKMB? Answer- Polymyositis

Rhabdo

What is a normal CKMB? Answer- 0.3 mcg/L

What psychoactives does Detrol interact with? Answer- Topamax

KCL

Zonegran

What CN are you assessing when you have the patient shrug their shoulders? AnswerCN XI - Spinal Accessory

What do you see in labs with HIV & Dementia? Answer- CD4 <200>

Viral Load is high

<20>

What is the scoring with the Beck Depression Inventory? Answer- Self-Report - 0-63

0-13 - minimal

14-19 - mild

20-28 - moderate

29-63 - severe

What is sensitivity? Answer- Helps rule-out disease = True Positive = Snout

What is specificity? Answer- Helps rule-in disease = True Negative = Spin

What does a sed rate measure? Answer- Inflammation (ESR - Erythrocyte

Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.

What is a normal sed rate or ESR? Answer- 0-22 males

0-29 females

What is a retic count? Answer- Measures % of reticulocytes in blood (immature RBC's)

Indicates whether enough RBC's are being produced by bone marrow.

What does a decreased retic count indicate? Answer- Anemia - acute or chronic

bleeding

What does an increased retic count indicate? Answer- Bone marrow disorder or Vitamin

Deficiency

What does an abnormal retic ount indicate in general? Answer- Doesn't diagnose

anything. First step is ID source of the issue.

What happens when you mix tegretol and macrolides? Answer- Increase tegretol levels.

What happens if a pregnant women takes Accutane? Answer- Birth defects.

What labs do you get with RA? Answer- 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.

Where does the NP Code of Ethics come from? Answer- ANA