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APEA PMHNP 3P EXAM M ANUAL
QUESTIONS WITH ANSWE RS
GRADED A+
Question :CAGE
CORRECT ANSWER: :items responses are scored either 1 or 0. A score 2 or higher is considered clinically significant
Question :OCD
CORRECT ANSWER: :obsessive thoughts interfere with your daily life-are you concern about things being contaminated, keeping things in perfect order-do you feel driven to perform certain acts over and over again?-have unwanted images or thought that you cant seem to get out of your head
Question :layman's explanation of mental illness
CORRECT ANSWER: :Abnormal functioning of neurotransmitters. Neuroanatomical differences have been found in some cases.-can arise from multiple
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sources, not a single or consistent cause has been established
Question :biomedical psychiatry
CORRECT ANSWER: :mental illness is conceptualized as a disorder of the brain circuit caused by a complex interplay of genetic and environmental factor
Question :state-dependent learning
CORRECT ANSWER: :when a memory is formed a new neural pathway is created. If the memory was formed under specific chemical conditions (on a drug, manic), then the pathway will be primed to work most effectively under these circumstances.-state-dependent learning in bipolar. Bipolar individuals in a depressed episode may not be able to recall details of manic episodes.Corroboration is needed.
Question :Assessment tools to screen for cognitive
impairment
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CORRECT ANSWER: :-folstein mini-mental: perfect score is 30. <24 impairment. If only 9th grade education <17
Question :Abnormal sodium levels
CORRECT ANSWER: :-increased: dehydration,
methyldopa, -decreased: SIADH, heart failure, nephrotic
syndrome, hepatic disease.
Question :Abnormal Potassium levels
CORRECT ANSWER: :Increased: amiloride, spirolactone, lithium, propranolol.Decreased
Question :alpha 1 antagonists
CORRECT ANSWER: :-vasodilator and used for hypertension-raynauds-PTSD and GAD-benign prostatic
hyperplasia (tamsulosin)-agonism: vasoconstrictor -
trazadone and many antipsychotics
Question :ESR-erythrocyte sedimentation rate
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CORRECT ANSWER: :high values indicate autoimmune, malignancies, infections
Question :absolute neurophil count calculations
CORRECT ANSWER: :total WBC x percentage of neurophil in differential=ANC
Question :Calcium
CORRECT ANSWER: :-increased: >10.8 caused by hyperparathyroidism from tumor of renal disease, lithium
Question :PET vs. fMRI
CORRECT ANSWER: :measures brain activity by associated changes in blood flow. Relies on fact that cerebral blood flow and neuronal activity are coupled. -In addition, PET has the advantage of being able to identify specific receptors associated with neurotransmitter through its ability to image radioactive ligands
