PMHNP Fitzgerald Review: Q&A for Psychiatric-Mental Health Nurse Practitioners, Exams of Health sciences

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PMHNP FITZGERALD REVIEW

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A 76-year-old woman presents with worsening fatigue during the past 6 months. She is currently being treated with an SSRI for MDD. Her lab results are: Hb=9.3 g/dL (13-17) (93 g/L [130-170]) MCV=71 fL (80-96 fL) This most likely represents: - ANSWERIron-deficiency anemia Is dry skin a mark of hyperthyroidism, hypothyroidism, or both? - ANSWERBoth For a patient receiving valproate therapy, regular monitoring for all of the following is recommended except" ALT and AST Bilirubin TSH Plt Count - ANSWERTSH A potential laboratory indicator for alcohol abuse is: Elevated ALT Diminished creatinine Elevated alkaline phosphatase Elevated creatine kinase - ANSWERElevated ALT The most accurate laboratory measurement for kidney function is - ANSWERGFR Calculated glomerular filtration rate Which of the following medications does not require initial laboratory testing before implementing therapy? Carbamazepine Lamotrigine Valproate Lithium - ANSWERLamotrigine Ciprofloxacin is an inhibitor of - ANSWERCiprofloxacin is an inhibitor of CYP1A pathway Which of the following medications should an alternative to oral contraceptive pills (OCPs) be used as a method of contraception? Duloxetine Valproic Acid Oxcarbazepine Lithium - ANSWEROxcarbazepine Oxcarbazepine is an inducer of... - ANSWEROxcarbazepine is an inducer of CYP3A Which metabolizes estrogen

Which second-generation antipsychotic should be avoided in an overweight patient at risk for diabetes? - ANSWEROlanzapine (Zyprexa) 45-year-old man with OCD, schizoid personality disorder, HTN, hyperlipidemia, Type 2 DM. Which medication would be considered to manage cholesterol? - ANSWERModerate intensity statin therapy 45-year-old man with OCD, schizoid personality disorder, HTN, hyperlipidemia, Type 2 DM. Pt develops psychotic symptoms. Based on metabolic profile, which antipsychotic would be most appropriate? - ANSWERZiprasidone Lab testing of 34-year-old M taking valproate for 2 months for bipolar disorder reveals: AST 240 (ref. 0-40), ALT 132 (ref 0-40) The PMHNP considers: Discontinuing valproate therapy Decreasing the dose Making no changes and repeat testing in 2 weeks This is an anticipated elevation - ANSWERDiscontinue valproate therapy The dopamine pathway related to prolactin regulation is the - ANSWERTuberoinfundibular dopamine pathway The dopamine pathway related to motor function is the - ANSWERNigrostriatal dopamine pathway While conducting a therapy session with a 24-year-old male with MDD, all of the following techniques are used during CBT except: Downward arrow Joining statement Labeling of distortions Cognitive restructuring - ANSWERJoining statement Which neurotransmitter is involved with benzodiazepines? - ANSWERGABA Gamma-aminobutyric acid Which neurotransmitter is involved with venlafaxine? - ANSWERSerotonin and norepinephrine Which neurotransmitter is involved with methylphenidate? - ANSWERDopamine and norepinephrine Which neurotransmitter is involved with antipsychotics? - ANSWERDopamine Which neurotransmitter is involved with bupropion? - ANSWERDopamine and norepinephrine

A patient diagnosed with Alzheimer's dementia is likely to have dysfunction of which part of the brain? - ANSWERHippocampus The ability of a person who has had a stroke to regain speech ability by recruiting other areas of the brain to compensate for damaged regions is an example of - ANSWERNeural plasticity The dopamine pathway responsible for the positive symptoms of schizophrenia is the - ANSWERMesolimbic dopamine pathway Mrs. Engel is a 75-year-old woman with a history of Type 2 DM referred for new-onset visual hallucinations. She sees familiar scenes and people, does not hear voices. She is aware that these are not real. During periods of hallucination she is lucid and alert. No cognitive impairment and no past psychiatric history. Vision slowly deteriorating. What is most likely explanation? - ANSWERCharles Bonnet syndrome The dopamine pathway related to mood disorders is the - ANSWERMesolimbic dopamine pathway The dopamine pathway related to cognition and planning is the - ANSWERMesocortical dopamine pathway Rationalization is an example of what defense mechanism? - ANSWERNeurotic Stranger anxiety typically starts with children at age... - ANSWER9 months old Do you require parental consent before treating a child/adolescent's psychiatric condition? - ANSWERNo The most common inherited form of intellectual disability is: - ANSWERFragile X Clinical features supporting the diagnosis of conduct disorder in a 14 y/o boy include all of the following except: Theft Aggression to animals Destruction of property Poor academic performance - ANSWERPoor academic performance True or False? 1/3 of children with Tourette syndrome will be symptom-free in adulthood - ANSWERTrue Do parents have the right to know what their teen reports to NP during psychotherapy appt? - ANSWERNO