Certification Exam Questions With Verified Answers

Dopamine deficit {Ans: Poor impulse control, poor spatiality, lack of abstract thought, substance abuse/anhedonia/parkinson's disease/depression}Schizotypal PD {Ans: NO hallucinations or delusions, ideas of reference, odd beliefs, magical thinking, paranoid ideation, inappropriate/constricted affect, odd/eccentric behavior, few or no close friends}CIWA-Ar {Ans: Assess alcohol withdrawal Treatment starts at 8+ PRN meds Score of 15+ on scheduled meds (Valium or Ativan)(Librium) *Ativan if patient has liver dysfnx. d/t short half-life*}Labs needed for Lithium {Ans: Creatinine (0.6-1.2), BUN (10-20), urinalysis Thyroid functions Pregnancy (risk of congenital heart defect - ebstein anomaly) *Kidney disease, NSAIDs, ACE inhibitors, thiazides, dehydration, and hyponatremia decrease renal clearance and increase lithium levels!}Drug Abuse Screening Test (DAST-10) {Ans: Assesses drug use (not including alcohol or tobacco use) in the past 12 months 10 item brief screening tool that can be self-administered}Platelets {Ans: 150,000-450,000}Valproic acid {Ans: Black box: Hepatotoxicity and pancreatitis}Decrease effectiveness of PO contraceptives {Ans: Carbamazepine, topiramate, and phenytoin.}Transtheoretical Model of Change {Ans: 1. Precontemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance}Glutamate function {Ans: Memory and sustained automatic functions Most abundant excitatory neurotransmitter}Acute dystonia treatment {Ans: Cogentin (Benztropine)}Clozaril & Carbamazepine {Ans: D/C at ANC <1000 d/t risk