Health Care > EXAM > LMR GEORGETTE’S PMHNP FINAL EXAM LATEST 2023 QUSTIONS WITH ANSWERS NEW UPDATE (All)
LMR GEORGETTE’S PMHNP FINAL EXAM LATEST 2023 QUSTIONS WITH ANSWERS NEW UPDATE
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LMR GEORGETTE’S PMHNP FINAL EXAM LATEST 2023 QUSTIONS WITH ANSWERS NEW UPDATE What drugs should be avoided with Kava Kava?ANS== Alprazolam CNS depressants (e.g., phenobarbital, zolpidem) Wh... at 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 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== Aripiprazole (Abilify) Your pt is taking Kava and you need to add an AS to manage their SCZ, which do you add?ANS== Aripiprazole (least sedating) What are 2 hallmark symptoms of delirium?ANS== Acute onset disturbance of LOC impaired cognition inattention [Show More]
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