MR Georgette’s PMHNP Certification
Exam 2022/2022 LATEST
What drugs should be avoided with Kava Kava?ANS== Alprazolam
CNS depressants (e.g.,
... [Show More] phenobarbital, zolpidem)
What is the normal range for TSH?ANS== 0.5 - 5.0 mu/L
What are lab values in HyperthyroidismANS== Decreased TSH
Increased T4 and T3
What are labs in Hypothyroidism?ANS== Increased TSH
Decreased T4 and T3
What are 5 primary symptoms of Hyperthyroidism?ANS== Heat intolerance
Agitation, Anxiety, Irritability
Tachycardia
Mood swings
Weight loss
What are 4 primary symptoms of Hypothyroidism?ANS== Cold intolerance
Lethargy
Weight gain
Decreased libido
Hypothyroidism mimics symptoms of what psychiatric disorder?ANS== Depression
Hyperthyroidism mimics symptoms of what psychiatric disorder?ANS== Mania
Valproic acid produces what teratogenic effect?ANS== Spina bifida (neural tube
defect)
What is the primary organ where valproic acid is toxic?ANS== Liver (hepatoxicity)
Abdominal pain in the URQ
Reddish-brown urine
Yellowing of the skin and sclera
Fatigue
What is the therapeutic range for valproic acid?ANS== 50-125 mcg/ml
What is a toxic level of valproic acid?ANS== >150 mcg/ml
What are 4 signs of hepatoxicity?ANS==
What are 4 signs of valproic acid toxicity?ANS== Disorientation
Lethargy
Respiratory depression
Nausea/vomiting
A pt on Depakote C/O Abdominal pain in the URQ and Reddish-brown urine. What do
you suspect? What do you do?ANS== Hepatotoxicity; hold med, draw LFT's (priority),
DVP level
With suspected toxicity with valproic acid, what steps/labs should be drawn?ANS==
D/C drug
Check drug level
Obtain LFTs
Obtain ammonia level
A pregnant pt is taking accutane, zyprexa and abilify; what med needs to be
d/c'd?ANS== Accutane (used for acne; Causes birth Defects!!!)
What herbal supplement is used for anxiety, stress, and insomnia? What is the major
side effect with Kava Kava?ANS== Kava Kava
liver damage
What are 5 symptoms of Stephen's Johnson Syndrome?ANS== Fever -Key sx to
suspect SJS; high yield (HY)
burning of mouth/eyes -HY
Body aches
Severe red rash
Peeling skin
Facial and tongue swelling
Which mood stabilizer causes the least weight gain?ANS== Lamotrigine (Lamictal)
Which 3 SGAs cause the least weight gain?ANS== Lurasidone (Latuda)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Which SGA is the least sedating?ANS== Ar [Show Less]