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PMHNP BOARD EXAM REVIEW NEWEST 2025
ACTUAL EXAM| COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
What is the Gold Standard tx for Mania? - ANSWER - Lithium
Which medication is the Gold Standard for anti-suicidal effects and is the neuroprotective treatment of choice for bipolar disorder? What is the recommended tx for Bipolar with depression? - ANSWER - Lithium (Eskalith), bipolar with depression tx is Lamictal
What were the 8 high yield side effects of Lithium? - ANSWER - hypothyroidism, maculopapular rash, fine hand tremors, GI upset (diarrhea, vomiting, cramps, anorexia), T-wave inversions, and Leukocytosis (increased WBC), Diabetes insipidus (polyuria, polydipsia)
What mood stabilizer is used to tx seizure disorders, manic phase of bipolar and prevent migraine headaches? - ANSWER - Valproate Acid (Depakote)
Spinal bifida and neural tube defects can be caused by which mood stabilizer? - ANSWER - Valproate Acid (Depakote)
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pg. 2 Most common MAOI's ? - ANSWER - selegiline, Marplan (isocarboxazid), phenelzine, and tranylcypromine.
Monoamine oxidase inhibitors inhibit the activity of one or both
monoamine oxidase enzymes: monoamine oxidase A and monoamine
oxidase B. They are best known as effective antidepressants in the tx for? - ANSWER - Treatment-resistant depression and atypical depression.
HTN Crisis occurs when MAOIs are taken in conjunction with? - ANSWER - Tyramine (a dietary precursor to norepinephrine, Meperidine (Demerol contains Meperidine), Simulants (Methylphenidate) and other sympathomimetics, decongestants
Symptoms of HTN crisis? - ANSWER - elevated BP, Sudden explosive- like headache (usually in occipital region (back of head). Facial flushing, palpitations, pupils dilate, diaphoresis, fever. TX dc offending agent
(MAOI)
Lamotrigine (Lamictal) (anticonvulsant) has a black box warning for?symptoms? - ANSWER - Stevens Johnson Syndrome (severe rash).Symptoms fever, prodromal HA, arthralgia (joint stiffness)
Carbamazepine (Tegretol) high yield three black box warnings?Particularly in what race? - ANSWER - Agranulocytosis (decreased
WBC), aplastic anemia (symptoms:pallor, fatigue, headache, fever,
nosebleeds, bleeding gums, skin rash, SOB). Three A's - Agranuloctosis/aplastic anemia/Asians 2 / 4
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pg. 3 In addition, Steven-Johnson syndrome, particularly in Asians (screen for HLAB-1602 allele before initiating therapy). HLA-B 1502 allele is highly associated with carbamaepine-induced Stevens Johnson Syndrome.
Check pregnancy status (HCG) before starting a female patient on psychotropic medication of what childbearing age range? - ANSWER - 12-51 years of age
What dose of folic acid is recommended when planning or capable of becoming pregnant? - ANSWER - 0.4mg-0.8mg of folic acid daily is recommended
DC Tx of Carbamazepine (Tegretol) when absolute neutrophil count (ANC) is? - ANSWER - <1000, because of neutropenia (increases risk of infection)
Clozapine (Clozaril) atypical anti-psychotic, risk of agranulocytosis. DC Clozaril when WBC is between? - ANSWER - 2000-3000 Risk of agranulocytosis (4500-11000 normal WBC)
Neutropenia is monitored by ANC only, and not in conjunction with? -
ANSWER - WBC
How often should you monitor absolute neutrophil count (ANC) during Clozapine (Clozaril) therapy? - ANSWER - During the first 6 months test weekly 3 / 4
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pg. 4 Second 6 months every two weeks, then monthly if ANC is WNL thereafter.
Clozapine (Clozaril) can decrease risk of suicide in pts with? - ANSWER - Schizophrenia
Norepinephrine-dopamine reuptake inhibitors (NDRI) target? Common NDRI - ANSWER - norepinephrie and dopamine. Wellbutrin
What lobe of the brain controls executive functioning? - ANSWER - Frontal Lobe
What lobe of the brain controls language, EXPRESSIVE speech? - ANSWER - Frontal lobe (Broca's Area)
What part of the brain control Personality? - ANSWER - The frontal lobe problems in the frontal lobe can lead to personality changes, emotional changes, intellectual changes, social skill problems, behavioral changes and aggression.
What part of the brain controls RECEPTIVE speech, language COMPREHENSION? - ANSWER - Temporal Lobe (Wernickes Area)
What part of the brain controls auditory and memory? - ANSWER - Temporal Lobe, problems in the temporal lobe can lead to auditory hallucinations, aphasia, and amnesia.
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