2
AACN NEURO-encepalopathy BLUEPRINT ACNPC-AG || || || ||
Exam with verified detailed answers || || || ||
Encephalopathy - ✔✔Definition: Inability to carry out a coherent plan of thought or || || || || || || || || || || || ||
Action.
What mental status exam tests would you do in an
|| || || || || || || || ||
encephalopathic patient? level of alertness, orientation, and attention || || || || || || ||
What test for encephalopathy? Vital signs and labs; Brain imaging can be normal but EEG
|| || || || || || || || || || || || || || ||
shows encephalopathy, EEG can be useful for testing encephalopathy because [1] can help
|| || || || || || || || || || || || ||
to differentiate neuro vs. psych; [2]. Rule out subclinical seizures or "non-convulsive status
|| || || || || || || || || || || || ||
epilepticus" (encephalopathy mimic) || ||
Mimics of Encephalopathy include: Dementia with Lewy Bodies; REM sleep behavior
|| || || || || || || || || || ||
disorder (act out dreams) and parasomnias (sleepwalking); Wernicke's aphasia; Psychosis,
|| || || || || || || || || ||
mania, depression; Nonconvulsive status epilepticus (last two: differentiate with EEG)
|| || || || || || || || ||
The hallmark of encephalopathy is: Impaired ATTENTION (early finding in delirium, late
|| || || || || || || || || || ||
finding in dementia) || ||
Symptoms of encephalopathy include: Hallucinations, delusions, agitation or lethargy;
|| || || || || || || || ||
Irritation to light touch; Withdraw limbs unequally; Asterixis, myoclonus, tremor,
|| || || || || || || || || ||
sometimes hyperreflexia (acute liver malfunction)/hyporeflexia (thyroid derangement)
|| || || || || ||
T/F: Encephalopathy is often multifactorial: TRUE
|| || || || ||
, 2
Why does encephalopathy occur? Metabolic homeostasis imbalance
|| || || || || ||
What can global disruption of metabolic homeostasis result in:
|| || || || || || || ||
Behavior change, poor coordination, ataxia, confusion, seizures, stupor and coma; May be a
|| || || || || || || || || || || || ||
lag in recovery of CNS symptoms after the metabolic problem is corrected
|| || || || || || || || || || ||
Encephalopathy causes include: || ||
VIITTAMIN: Vascular, Inflammatory, Infectious, Traumatic, Toxins, Autoimmune,
|| || || || || || ||
Metabolic, Idopathic/Genetic; Neoplastic
|| ||
Vascular- Hypertensive encephalopathy
|| ||
Inflammatory- Urinary tract infection in elderly; Infection of the
|| || || || || || || ||
CNS (encephalitis)
||
Infectious- meningitis ||
Traumatic, Toxins, ||
|| Autoimmune, ||
Metabolic- endocrine disorders that cause
|| || || ||
encepha
What mental status exam tests would you do in an
|| || || || || || || || ||
encephalopathic patient? - ✔✔level of alertness, orientation, and attention
|| || || || || || || ||
What test for encephalopathy? - ✔✔Vital signs and labs; Brain imaging can be normal but
|| || || || || || || || || || || || || || ||
EEG shows encephalopathy,
|| ||
AACN NEURO-encepalopathy BLUEPRINT ACNPC-AG || || || ||
Exam with verified detailed answers || || || ||
Encephalopathy - ✔✔Definition: Inability to carry out a coherent plan of thought or || || || || || || || || || || || ||
Action.
What mental status exam tests would you do in an
|| || || || || || || || ||
encephalopathic patient? level of alertness, orientation, and attention || || || || || || ||
What test for encephalopathy? Vital signs and labs; Brain imaging can be normal but EEG
|| || || || || || || || || || || || || || ||
shows encephalopathy, EEG can be useful for testing encephalopathy because [1] can help
|| || || || || || || || || || || || ||
to differentiate neuro vs. psych; [2]. Rule out subclinical seizures or "non-convulsive status
|| || || || || || || || || || || || ||
epilepticus" (encephalopathy mimic) || ||
Mimics of Encephalopathy include: Dementia with Lewy Bodies; REM sleep behavior
|| || || || || || || || || || ||
disorder (act out dreams) and parasomnias (sleepwalking); Wernicke's aphasia; Psychosis,
|| || || || || || || || || ||
mania, depression; Nonconvulsive status epilepticus (last two: differentiate with EEG)
|| || || || || || || || ||
The hallmark of encephalopathy is: Impaired ATTENTION (early finding in delirium, late
|| || || || || || || || || || ||
finding in dementia) || ||
Symptoms of encephalopathy include: Hallucinations, delusions, agitation or lethargy;
|| || || || || || || || ||
Irritation to light touch; Withdraw limbs unequally; Asterixis, myoclonus, tremor,
|| || || || || || || || || ||
sometimes hyperreflexia (acute liver malfunction)/hyporeflexia (thyroid derangement)
|| || || || || ||
T/F: Encephalopathy is often multifactorial: TRUE
|| || || || ||
, 2
Why does encephalopathy occur? Metabolic homeostasis imbalance
|| || || || || ||
What can global disruption of metabolic homeostasis result in:
|| || || || || || || ||
Behavior change, poor coordination, ataxia, confusion, seizures, stupor and coma; May be a
|| || || || || || || || || || || || ||
lag in recovery of CNS symptoms after the metabolic problem is corrected
|| || || || || || || || || || ||
Encephalopathy causes include: || ||
VIITTAMIN: Vascular, Inflammatory, Infectious, Traumatic, Toxins, Autoimmune,
|| || || || || || ||
Metabolic, Idopathic/Genetic; Neoplastic
|| ||
Vascular- Hypertensive encephalopathy
|| ||
Inflammatory- Urinary tract infection in elderly; Infection of the
|| || || || || || || ||
CNS (encephalitis)
||
Infectious- meningitis ||
Traumatic, Toxins, ||
|| Autoimmune, ||
Metabolic- endocrine disorders that cause
|| || || ||
encepha
What mental status exam tests would you do in an
|| || || || || || || || ||
encephalopathic patient? - ✔✔level of alertness, orientation, and attention
|| || || || || || || ||
What test for encephalopathy? - ✔✔Vital signs and labs; Brain imaging can be normal but
|| || || || || || || || || || || || || || ||
EEG shows encephalopathy,
|| ||
