PMHNP Exam Reported Questions and

Answers

What is dissemination? Correct 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? Correct answer- Moderate cognitive impairment

What is Tegretol in the CYP450 system? Correct answer- Inducer -->will lower dose of

Lamictal and BCP's

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

What is a Type I research error? Correct answer- There IS a difference but you say

there isn't a difference.

What is a Type II research error? Correct answer- There is NO difference but you say

there is a difference.

What is pseudo-dementia? Correct 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? Correct answer- Yes.

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

eliminated from the body.

What 3 atypicals can be used with teens? Correct answer- Zyprexa, Abilify, Seroquel -

low doses

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

serotonergic.

What is the allele seen in Asians that increase the risk of SJS? Correct answer- HLAB1502

When might you see toxic epidermal necrolysis? Correct answer- With worsening of

SJS

How many generations do you include for a genogram? Correct answer- 1st degree -

mother, father, siblings

2nd degree - grandparents & cousins

3rd degree -

What does messenger RNA code for? Correct answer- Amino Acids

What is epigenetics? Correct answer- Factors that affect genes - environmental,

smoking, stress, etc...

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

Occipito-Frontal

What happens to the brain during adolescence? Correct answer- Dendritic pruning

Emotions are controlled by amygdala

By adulthood, PFC involved as well

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

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

What does Erythromycin to trileptal? Correct 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? Correct answer- Heart Failure

HTN

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

anxiety, hallucinations, depression, insomnia, SI, tremor

What should you watch for with Tegretol? Correct answer- Agranulocytosis and

Hyponatremia

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

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

answer- CKMB

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

Rhabdo

What is a normal CKMB? Correct answer- 0.3 mcg/L

What psychoactives does Detrol interact with? Correct answer- Topamax

KCL

Zonegran

What CN are you assessing when you have the patient shrug their shoulders? Correct

answer- CN XI - Spinal Accessory

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

Viral Load is high

<20>

What is the scoring with the Beck Depression Inventory? Correct answer- Self-Report -

0-63

0-13 - minimal

14-19 - mild

20-28 - moderate

29-63 - severe

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

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

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

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

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

0-29 females

What is a retic count? Correct 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? Correct answer- Anemia - acute or chronic

bleeding

What does an increased retic count indicate? Correct answer- Bone marrow disorder or

Vitamin Deficiency

What does an abnormal retic ount indicate in general? Correct answer- Doesn't

diagnose anything. First step is ID source of the issue.

What happens when you mix tegretol and macrolides? Correct answer- Increase

tegretol levels.

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