Download Georgette review for Boards questions with correct answers and more Exams Nursing in PDF only on Docsity! Georgette review for Boards questions with correct answers substantia nigra Correct Answer-dopamine is produced here Aplastic anemia Correct Answer-Tegretol side effect Serotonin discontinuation syndrome Correct Answer-Sensory disturbance, sleeping disturbance, disequilibrium, flu like sx, dizzy, n/v Sign of fetal alcohol syndrome Correct Answer-small head, smooth palpebral fissure, inner epicanthal folds *sign of serotonin syndrome Correct Answer-hyperthermia, shivering, anxiety, diaphoresis, diarrhea to get reluctant patient to engage use what Correct Answer-open ended questions Rhett syndrome Correct Answer-a rare disorder found virtually exclusively in girls, is a neurodevelopmental disorder in which the child usually develops normally unitl about 6 to 18 months of age at which characteristics of the syndrome emerge; characteristics include: hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth, and disinterest in play activities Risk factor for serotonin syndrome Correct Answer-more than 1 SSRI, St Johns wart, tramadol, demerol, Ultram State board of nursing, ANA, regulates what Correct Answer-Scope of practice PHQ-9 over 20 Correct Answer-Severe depression Cranial nerve VII, sensory and motor Correct Answer-Puff cheeks Trichotillomania/OCD Correct Answer-Pulling hair out Raphi Nuclei Correct Answer-Serotonergic neurons in the brain, produce serotonin "I don't know answers" Correct Answer-Pseudo dementia, depression PANDAS associated with Correct Answer-Strep, Pediatric autoimmune neuropsychiatric disorder. If OCD, did they have strep recently Lyrica Correct Answer-Patient has neuropathic pain, gabapentin not helping. What med may Almost completely absorbed, 3 times more than gabapentin Correct Answer-Why Lyrica works better for pain Conversion syndrome Correct Answer-Patient lost friend and now experiences paralysis. Repressed unconscious intrapsychic conflicts Tardive dyskinesia Correct Answer-a person with EPS will most likely experience Alpha 2 delta protein Correct Answer-pain is linked to ability to bind to what Anxiety Correct Answer-SSRI started in 65yr old can cause this. Expect increased side effects, do ekg Accutane Correct Answer-This can cause depression and birth defect Congestive heart failure Correct Answer-Drugs known as ace inhibitors ending in "pril" can cause this Nucleus basal is of Meynert Correct Answer-These are vulnerable in age related neurodegenerative disease such as Alzheimer's due to decreased acetylcholine in brain Hip disease Correct Answer-Abnormal trendelenberg test indicates Adjustment disorder Correct Answer-Symptoms within 3 months but not more than 6 months. Reaction to specific life event (stressor) Normal Tanner stage, start by 16 Correct Answer-14yr old no axillary hair no period Concern for rhabdomyalysis Correct Answer-Adolescent with substance abuse but works out and muscle aches. What may this indicate What does Erythromycin do to Tegretol Correct Answer-Inhibitor, so it increases the level, you need to decrease the dose What is first line neuroprotective med for bipolar Correct Answer-Lithium First symptom of metabolic syndrome Correct Answer-Large waist circumference Flonase interacts with what mood stabilizer Correct Answer-Tegretol Flonase has what in it Correct Answer-Steroids Steroids are an inhibitor and lead to increase in what level Correct Answer- Tegretol Tegretol has a known risk for what, which means if you give it with steroid you do what to dosing Correct Answer-Agranulocytosis, decrease First sign of frontal lobe dementia Correct Answer-Personality changes, social changes Patient with irritability, depression, edginess should be screened for what Correct Answer-Bipolar if 7/13 bipolar likely How long does Parkinsonism take to develop Correct Answer-Months How long does akathisia take to develop Correct Answer-Days How long does tardive dyskinesia take to decelop Correct Answer-Years Grade 2/5 hoarse systolic heart murmur indicates Correct Answer-Aortic stenosis Most commonly used anxiety scale is what Correct Answer-Hamilton Hamilton anxiety scale 14 indicates, 18-24 indicates, 25-30 indicates Correct Answer-Lower is mild, over 25 severe Hamilton depression scale normal range is what Correct Answer-0-7 Hamilton depression scale mild is scored as what Correct Answer-8-13 Hamilton depression scale of 19-23 indicates what and what do you monitor for Correct Answer-Severe depression, suicide Health care policy is assess, cost, and what Correct Answer-Quality How does Tegretol interact with Cipro Correct Answer-Cipro and erythromycin are inhibitors, decrease dose How you get paid for Medicare Correct Answer-CPT, current procedural terminology How does ibuprofen effect lithium Correct Answer-Increases serum level of lithium to double Organization accountability focus on universal safety in healthcare to find error and what went wrong is defined as Correct Answer-Just culture What is quantitative data Correct Answer-In numbers What to do for patient on Tagamet but also Benzo or coumadin Correct Answer- Increase benzo increase coumadin To be diagnosed Tourette's the patient has to have symptoms for how long and usually occurs by what age Correct Answer-1 year and by 3-9 A patient has to have these symptoms by what age to get diagnosed..involuntary vocal sounds, twitching, spasmodic Correct Answer-Tourette's 18 Serotonin and Norepinephrine are the two associated with Correct Answer- Depression This medicine can cause glaucoma Correct Answer-Trazodone Patient starting trazodone (desyrel) should have what Base line test completed Correct Answer-EKG Most severe reaction to trazodone perhaps by overdose is what Correct Answer- Priapism, QT prolongation, respiratory arrest, seizure Normal development 6yr old diagnosed leukemia 1 month ago what do you expect Correct Answer-Thinks he is being punished for doing something wrong When should a patient take Vardenafil (Levitra) Correct Answer-45 minutes prior to sex This is a statistical measure of 2 independent samples significantly different Correct Answer-T test Chromosomal disorder in female X chromosome missing making coffee instead of xx, or part of X chromosome deleted, delayed puberty, amenorrhea, poor social skills, web neck, osteoporosis Correct Answer-Turner syndrome In schizophrenia most all structures decrease but what Correct Answer-Ventricles To start a consulting firm you need what to show economic viability Correct Answer-Revenue and expenses What birth control pills do to lamictal Correct Answer-Inducer so lowers the level of lamictal What does a 17 indicate on mmse Correct Answer-Moderate cognitive impairment What does a decreased reticulocyte count indicate Correct Answer-Anemia, acute or chronic bleeding What does an abnormal reticulocyte count indicate in general Correct Answer- Doesn't diagnose anything first step is to identify source of issue What does increased reticulocyte count indicate Correct Answer-Bone marrow disorder or vitamin deficiency A test to measure reticulocyte in your blood and should range 0.5 to 1.5% Correct Answer-Reticulocyte count I'll Correct Answer- Hamilton depression scale 14-18 indicates what Correct Answer-Moderate depression What are two important things to measure when using zyprexa Correct Answer- Lipid and abdomen circumference What class controlled substance is Np approved prescribing Correct Answer- Schedule II-V only What cranial nerve assessed when patient shrug shoulders Correct Answer-Spinal accessory 11 (XI) What cranial nerve tested patient clench jaw and assess temporal muscle Correct Answer-Trigeminal 5 V What schedule drug is PCP, heroin, MDMA Correct Answer-1 nobody has these What schedule drug significant abuse potential Correct Answer-2, morphine, methadone, methylphenidate What schedule has moderate abuse potential Correct Answer-3 hydrocodone, codeine What schedule has low abuse potential Correct Answer-Benzo, ambien, phentermine What schedule has very low abuse potential Correct Answer-5 antitussive, lomotil What does low dopamine do to prolactin Correct Answer-Increases and cause milk extract High dopamine in the hypothalmus does what to prolactin Correct Answer- decrease If FSH is inhibited what happens Correct Answer-Amenorrhea, galactorrhea What does antipsychotic do to mesolimbicc pathway Correct Answer-decreases dopamine but too much causes parkinsonism Greatest risk of EPS and NMS comes from typical or atypical antipsychotic Correct Answer-Typical such as Haldol This atypical antipsychotic increases prolactin Correct Answer-Risperidone This drug causes high risk of agranulocytosis and what lab should you obtain Correct Answer-clozaril, run CBC Oculogyric crisis, sustained muscle contraction is example of what Correct Answer-Dystonia Restless, Pacing, knees tapping quickly, example of what Correct Answer- Akathesia A patient having akathesia should be given what Correct Answer-Beta blocker to relax Cogwheel rigidity, shuffling gait, tremor, example of what Correct Answer- parkinsonism Treatment for dystonia or parkinsonism Correct Answer-Anticholinergic, cogentin or benadryl Lip, tongue smacking repetitive is an example of Correct Answer-tardive dyskinesia treatment for tardive dyskinesia Correct Answer-discontinue antipsychotic and start clozaril Danrolene is what Correct Answer-dopamine agonist Which lobe impacted if working memory or impulse control issue Correct Answer- frontal lobe Which lobe cause auditory visual hallucinations, aphasia, amnesia Correct Answer- temporal Obsession is Correct Answer-a recurrent, unwanted thought, idea, or image Compulsion is Correct Answer-uncontrollable urge to perform an act repeatedly Babinski reflex disappears, (goes up and other toes fan out) Correct Answer-9 months MMSE score 25-30 Correct Answer-normal MMSE: Score that indicates mild cognitive impairment Correct Answer-21-24 MMSE score of less than ___ is suggestive of dementia (total maximum is 30). Correct Answer-10 Dementia due to HIIV disease Correct Answer-Subcortical dementia If person age 5 or even 40 can complete project they are in what stage Correct Answer-formal operation Lack of self control or self esteem shows failure when Correct Answer-Early childhood A failure of infancy stage leads to Correct Answer-unable to form meaningful relationship Inability to set goals or self initiated behavior is a failure when Correct Answer- late childhood Psych disorder schizo, substance abuse, paranoia associated with failure of what stage Correct Answer-Oral according to Freud Inability to form social relationships is failure of what stage Correct Answer- Latency Depressive disorders associated with failure of what stage Correct Answer-Anal stage