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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
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 Double Serum Lithium level - correct answer NSAID and Ace inhibitors do what to lithium NMS labs - correct answer increased creatinine kinase, WBC, LDH, LFT's (rhabdomyolysis due to muscle tremors and rigidity) Norepinephrine - correct answer helps control alertness and arousal, mood hunger and sleep This is synthesized in the Locus Coeruleus - correct answer Norepinephrine Identify NMS with these key features - correct answer Rigidity, Autonomic instability, fever, change LOC, drooling
Meningitis - correct answer nuchal rigidity, stiffness in cervical neck These can cause mania - correct answer steroids, antabuse, isonaizid, antidepressants in bipolar MMSE - correct answer test for abstract versus concrete operations MMSE 0 - 17 shows - correct answer Severe cognitive impairment MMSE 24 - 40 - correct answer No cognitive impairment Dopamine and GABA - correct answer Neurotransmitters involved in alcoholism Dantrolene - correct answer Muscle relaxant for NMS
motivational interviewing is - correct answer non-confrontational style, helps patients move further along the continuum of change, based on transtheoretical model of stages of change Ace and Arbs - correct answer Two classes of meds shouldn't be used together Renal dysfunction - correct answer Don't give Ace and Arbs together because they cause this 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
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 is qualitative data - correct answer Measures natural setting like observation Research like experimental design but uses naturally occurring groups rather than assigning subjects to groups - correct answer Quasi-experimental design Rare complication anorexia nervosa binge purge includes - correct answer Delayed gastric emptying and motility
Law makes sure people with mental health issues get same financial treatment - correct answer Mental health parity act requires annual lifetime dollar limits be no lower than any medical surgical benefits. 1996 Pt with severe diarrhea, n/v, metallic taste, tremor, slurred speech, May be going through what - correct answer Lithium toxicity What intervention for lithium toxicity and what level is emergent - correct answer Give fluids, 3 Tegretol strong inducer of what neurotransmitter - correct answer 3A Tergretol (carbamazepine) induces Flonase so you need to do what to flonase - correct answer Increase the Flonase How to test for fungal Infection - correct answer Shavings of toes How to check for dementia - correct answer Have patient tell you risk/benefits and test capacity
Involuntary, spasmodic, twitching, uncontrolled vocal sounds, inappropriate words indicates - correct answer Tourette's What does Tagamet (cimetidine) do - correct answer Prevents acid from backing up into esophagus and causing heartburn Tagamet is an antacid and blocks what neuro receptor - correct answer H 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
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 does messenger RNA code for - correct answer Amino acids What is normal lab for ANC - correct answer 1500 - 8000 What to do if or on Tegretol and ANC is less than 1000 - correct answer Stop and repeat lab What erythromycin does to trileptal - correct answer Inhibits so increases Trileptal you need to decrease trileptal Patient with HIV dementia lab shows CD4 level as - correct answer Less than 200 and viral load is high Delano year inhibits lamictal so what does it do to the lamictal level - correct answer Increases lamictal level Risk in using tramadol - correct answer Serotonin syndrome
Often times this is mistaken for depression in the neginning - correct answer Hiv related dementia What is often common in patient with fibromyalgia - correct answer Sexual abuse Refeeding syndrome - correct answer Anorexic teen with pain when eating due to delayed gastric emptying Aggression in the brain - correct answer Dysfunction in the amygdala and prefrontal cortex leading to violent tendencies can cause hypothalmus - correct answer believed to regulate aggression apoptosis - correct answer programmed cell death, neuron loss due to suffocation ,enzyme breakdown CN V Trigeminal - correct answer Clenched teeth CBT - correct answer Best therapy for negative thinking
