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PMHNP Exam Reported Questions – well answered 2023/2024
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What is dissemination? - answer Getting the research information out to those who need to know it! 
 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
 
What does a 17 on MMSE mean? - answer Moderate cognitive impairment 
 
What is Tegretol in the CYP450 system? - answer Inducer -->w 
ill lower dose of Lamictal and BCP's 
 
What do BCP's do to Lamictal? - answer Inducer - will lower dose of Lamict...
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APEA Practice Exam #2 questions with correct answers
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A liability policy that pays claims even after the policy is no longer active is termed: 
a) Claims-made policy 
b) Tail coverage 
c) Liability protection 
d) "all-protect" Answer B 
 
A patient you are caring for in your clinic has Medicare Part B. What does this mean? 
a) The federal government will pay for his visit to your clinic today 
b) His Medicare benefit covers outpatient services 
c) He will have to pay a copay for his visit today 
d) His prescriptions will be partly paid for toda...
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Hematology (APEA) questions with correct answers
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Anemia is defined as reduction in one or more RBC measurements: Answer RBC count 
Hgb 
Hct 
 
Lab value to look at size of RBC Answer MCV 
 
Lab value to look at color of RBC Answer MCH 
 
Lab value to look at degree of variation of RBC size (<15% is normal) Answer RDW 
 
Why would the bone marrow make small RBC? Answer Not enough iron 
 
Iron lab values Answer Serum iron 
Serum ferritin 
TIBC 
 
Serum iron Answer Measure of iron in circulation 
 
Serum ferritin Answer Measure of iron in stor...
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Neurology- APEA questions with correct answers
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Bell's Palsy: 
Description Answer Disruption of facial nerve (cranial nerve VII) that results in interruption of messages to brain. 
 
Bell's Palsy: 
Etiology (5) Answer 1. Edema, inflammation or compression of CN 7 (facial) 
 
2. Idiopathic 
 
3. Viral Illnesses (Reactivation of the HSV) 
 
4. Cold climates 
 
5. Facial Trauma 
 
Bell's Palsy: 
RF (9) Answer -Lyme disease* 
-Third trimester of pregnancy 
-Family history 
-Headaches 
-Chronic middle ear infection 
-High blood pressure 
-Dia...
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APEA –STD questions with correct answers
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Metronidazole (Flagyl) should not be administered in conjunction with: 
-Disulfiram (Antabuse) 
-Lamotrigine (Lamictal) 
-Olanzapine (Zyprexa) 
-Prednisolone (Prelone) Answer Disulfiram (Antabuse) 
 
In the treatment of pelvic inflammatory disease, the best medication to cover anaerobic organism activity is: 
-Azithromycin (Zithromax) 
-Doxycycline (Vibramycin) 
-Erythromycin (PCE) 
-Metronidazole (Flagyl) Answer Metronidazole (Flagyl) 
+It's a 3rd generation cephalosprin 
 
TX= Ceftriaxone (...
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Derm APEA questions with correct answers
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Pediculosis capitis RX Answer 1. 1% permethrin (Nix) - most effective 
 
Macule 2 Answer - Flat 
- Change in skin color 
 
Papule 4 Answer - Raised 
- Solid lesion 
- Change is skin color 
- <0.5cm 
 
Plaque (3) Answer - Raised 
- Solid 
- >0.5 cm 
 
Nodule (2) Answer - Solid 
- 0.5-2cm 
 
Tumor (2) Answer - Solid 
- >2cm 
 
Vesicle Answer - Raised 
- Fluid 
- <0.5cm
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APEA questions with correct answers
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When examining the scrotum in a young male child, test the cremasteric reflex by: Answer scratching the medial aspect of the thigh 
 
A 33 year old male presents for examination because of a scrotal complaint. The exam reveals the presence of 2 testicles and palpable tissue resembling a "bag of worms" over the left testicle. When in the supine position with the scrotum elevated, the "bag of worms" disappears. This condition is suggestive of a: Answer varicocele of the spermatic cord 
 
Dur...
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APEA Cardiac questions with correct answers.
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A common side effect of thiazide diuretics is: Answer erectile dysfunction 
 
Mrs. Brandy is having contrast dye nest week for a heart catheterization. What drug does NOT need to be stopped prior to her catheterization? Answer Losartan 
 
Pharmacologic treatment for children who have hypertension should be initiated for: Answer Diabetics with hypertension 
 
A 75-year-old patient with longstanding hypertension takes an ACE inhibitor and a thiazide daily. He has developed dyspnea on exertion and ...
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APEA Endo questions with correct answers.
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When patients administer regular insulin (Humulin R U-500), they should be taught: Answer 10 units of Humulin R U-500 is equal to 10 units on a U-500 insulin syringe. 
 
Radioiodine therapy is safe to administer to: Answer A 30-year-old man who desires natural fatherhood-used to tx hyperthyroidism and does not cause infantility or birth defects in the offspring of tx'd pts 
 
A pt who has Addison's disease has received a prescription for fludrocortisone. Fludrocortisone acts by: Answer Regulat...
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APEA GASTRO questions with correct answers
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Metoclopramide (Reglan), an antiemetic, increases gastric motility by: Answer blocking dopamine and serotonin receptors and enhancing the action of acetylcholine 
 
The class of medications most useful in the tx of chemo induced nausea and vomiting is the: Answer Serotonin receptor antagonists-5-HT3 receptors antagonists ending in -setron 
 
The length of tx for oral metoclopramide should not exceed: Answer 12 weeks, for adult use only, risk the development of tardive dyskinesia 
 
For pts who d...
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APEA ASSESSMENT questions with correct answers
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Wound Stages Answer Stage 1: 
- intact skin with non-blanchable redness of a localized area usually over a bony prominence. 
-Area may be painful, firm, soft, warmer or cooler as composed to adjacent tissue. 
 
Stage 2: 
-Partial-thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, without slough 
- may also be present as an intact or open/ ruptured serum filled blister 
 
Stage 3: 
- full-thickness loss and subcutaneous fat may be visible but bone, tendon o...
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