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AACN NEURO-Encepalopathy BLUEPRINT ACNPC-AG Questions and answers
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AACN NEURO-Encepalopathy BLUEPRINT ACNPC-AG Questions and answers
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Solution 2024/2025Pepper
AACN NEURO-Encepalopathy BLUEPRINT
ACNPC-AG
Encephalopathy ANS✔✔ 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
, Solution 2024/2025
Pepper
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
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
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