- | Page
LMR GEORGETTE
REVIEW(PMHNP)
Question : What drugs should be avoided with Kava
Kava?
CORRECT ANSWER : Alprazolam
CNS depressants (e.g., phenobarbital, zolpidem)
Question : What is the normal range for TSH?
CORRECT ANSWER : 0.5 - 5.0 mu/L
Question : What are lab values in Hyperthyroidism
CORRECT ANSWER : Decreased TSH
Increased T4 and T3
Question : What are labs in Hypothyroidism?
CORRECT ANSWER : Increased TSH
Decreased T4 and T3
- | Page
Question : What are 5 primary symptoms of
Hyperthyroidism?
CORRECT ANSWER : Heat intolerance
Agitation, Anxiety, Irritability Tachycardia Mood swings Weight loss
Question : What are 4 primary symptoms of
Hypothyroidism?
CORRECT ANSWER : Cold intolerance
Lethargy Weight gain Decreased libido
Question : Hypothyroidism mimics symptoms of what
psychiatric disorder?
CORRECT ANSWER : Depression
- | Page
Question : Hyperthyroidism mimics symptoms of what
psychiatric disorder?
CORRECT ANSWER : Mania
Question : Valproic acid produces what teratogenic
effect?
CORRECT ANSWER : Spina bifida (neural tube defect)
Question : What is the primary organ where valproic acid
is toxic?
CORRECT ANSWER : Liver (hepatoxicity)
Question : What are 4 signs of hepatoxicity?
CORRECT ANSWER : Abdominal pain in the URQ
Reddish-brown urine Yellowing of the skin and sclera Fatigue
- | Page
Question : What is the therapeutic range for valproic
acid?
CORRECT ANSWER : 50-125 mcg/ml
Question : What is a toxic level of valproic acid?
CORRECT ANSWER : >150 mcg/ml
Question : What are 4 signs of valproic acid toxicity?
CORRECT ANSWER : Disorientation
Lethargy Respiratory depression Nausea/vomiting
Question : A pt on Depakote C/O Abdominal pain in the
URQ and Reddish-brown urine. What do you suspect?What do you do?
CORRECT ANSWER : Hepatotoxicity; hold med, draw
LFT's (priority), DVP level