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PMHNP Exam Reported Questions Latest Update with Complete Solutions What is dissemination? ✔✔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? ✔✔Moderate cognitive impairment What is Tegretol in the CYP450 system? ✔✔Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? ✔✔Inducer - will lower dose of Lamictal What is a Type I research error? ✔✔There IS a difference but you say there isn't a difference. What is a Type II research error? ✔✔There is NO difference but you say there is a difference. What is pseudo-dementia? ✔✔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? ✔✔Yes. What is a drug 1/2 life? ✔✔The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? ✔✔Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? ✔✔Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? ✔✔HLAB-1502 When might you see toxic epidermal necrolysis? ✔✔With worsening of SJS How many generations do you include for a genogram? ✔✔1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? ✔✔Amino Acids What is epigenetics? ✔✔Factors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? ✔✔Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? ✔✔Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? ✔✔10-25 yo When do females typically present with schizophrenia? ✔✔25-35 yo What does Erythromycin to trileptal? ✔✔You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? ✔✔Heart Failure HTN What are some psychiatric side effects seen with some asthma drugs ✔✔Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? ✔✔Agranulocytosis a

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