Pmhnp Board Review 2023-2024 Questions And Answers

1 / 32PMHNP Board Review 20231. Positive Romberg Sign: (r/t etoh) loss of balance that occurs when closing the eyes2. ETOH withdrawal delirium may result in?: Seizures or death3. DSM Severity for ETOH: Mild = 2-3 sx Moderate = 4-5 sxSevere = >= 6 sx4. DSM ETOH Remission Criteria: Early = >3 mos & 12 mos5. Screening & Early Intervention scale for SUD: SBIRT Screening, Brief Inter- vention & Refereal to Treatment6. CAGE: Cut down AnnoyedGuiltyEye-Opener>=2 is clinically significant2 / 327. Labs for AUD: ETOH/SUD Blood & urine BACEle. AST, ALT, MCV, CDT (Carb deficit transfer) Dec. Hgb, B12, folic acid8. ETOH W/D Sx: Most common = tremors (w/i hours of cessation) Ele. b/p. tachy, n/v, poss. hyperthermia9. Sx of ETOH W/D Emergency: Hallucinations = 7 - 48 hoursDTs - 48 - 72 hours, peaks on 4th day, can last for 2 weeks10. CIWA: Clinical Institute Withdrawal Assessment0-8 Support &Monitoring w/o meds! (NO meds unless >=8)8-14 = Pharm Intervention15 = IMMEDIATE Pharm Int!11. Disulfiram (Antabuse) Dosage for ETOH: Usually 250 mg/day NO perfumes or mouthwash!12. Meds Used for ETOH W/D Sx including Seizures: Benzos & Carbamazepine (Tegretol)13. Vitamin to be given during ETOH detox: Thiamine >300 mg/day14. CRAFFT: SUD screening