pg. 1 PMHNP Exam Reported Questions with Correct Answers/ Latest 2024-2025
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.
- / 4
pg. 2 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 2 / 4
pg. 3
ACE Inhibitors are the drug of choice for what? - ANSWER - Heart Failure HTN
What are some psychiatric side effects seen with some asthma drugs - ANSWER - Leukotriene 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? - ANSWER - CKMB
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? - ANSWER - CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWER - CD4 <200 Viral Load is high <20% get it with antiretroviral treatment
- / 4
pg. 4 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.
- / 4