Neurocognitive D/O

Question 1

Delirium

Answer 1

A disturbance in attention and awareness
B. Quick Onset, change from baseline, fluctuates in course of day
C. An additional disturbance in cognition
D. NBE another d/o or coma
E. evidence that this is a physiological consequence of something else
● Specify whether:
Substance
Acute/Persistent
Hyperactive/Hypoactive/Mixed

Question 2

Alzheimers

Answer 2

A. The criteria are met for major or mild neurocognitive disorder.
B. insidious onset/gradual progression of impairment in one or more cognitive domains (for major neurocognitive disorder, at least two domains must be impaired).
C. Criteria are met for either probable or possible Alzheimer’s disease as follows:
For major neurocognitive disorder (1sx):
1. family hx/genetic testing for alzheimer’s mutation
2. all 3 sx
a. decline in memory and learning and at least one other cognitive domain
b. Steadily progressive, gradual decline in cognition, without extended plateaus.
c. nbe medical/mental/substance

Question 3

Frontotemporal Neurocognitive D/O

Answer 3

A. Criteria are met for major/mild neurocognitive disorder.
B. insidious onset and gradual progression.
C. Either (1) or (2);
1. Behavioral variant;
a. 3+sx
i. Behavioral disinhibition.
ii. Apathy or inertia.
iii. Loss of sympathy or empathy.
iv. Perseverative, stereotyped or compulsive/ritualistic behavior.
v. dietary changes.
b. Prominent decline in social cognition and/or executive abilities.
2. Language variant:
a. Decline in language ability
D. Relative sparing of learning and memory and perceptual-motor function.
E. NBE Medical

Question 4

Neurocognitive D/O with Lewy Bodies

Answer 4

A. Criteria are met for major or mild neurocognitive disorder.
B. Insidious onset and gradual progression.
C. Meets criteria- Probable (2sx), Possible (1sx)
1. Core diagnostic features:
a. Fluctuating cognition
b. Recurrent visual hallucinations that are well formed
c. Spontaneous features of parkinsonism
2. Suggestive diagnostic features;
a. Meets criteria for rapid eye movement sleep behavior disorder.
b. Severe neuroleptic sensitivity- antipsychotic drugs
D. NBE Medical/Mental

Question 5

Vascular Neurocognitive D/O

Answer 5

A. Criteria are met for major or mild neurocognitive disorder.
B. The clinical features are consistent with a vascular etiology
1. Onset of the cognitive deficits is temporally related to one or more cerebrovascular events.
2. Evidence for decline is prominent in complex attention and frontal-executive function.
C. Evidence of cerebrovascular disease
D. The symptoms are not better explained by another brain disease or systemic disorder.
Probable (1+)
1. Criteria are supported by neuroimaging evidence of cerebrovascular injury
2. Sx are temporally related to vascular event
3. evidence of cerebrovascular disease is present.
Possible is diagnosed if the clinical criteria are met but neuroimaging is not available and the temporal relationship is not established.

Question 6

V/Z Codes to know (Family)

Answer 6

● Noncompliance With Treatment
● Parent/Child Relational Problem
● Sibling Relational Problem
● Child Affected by Parental Relational Distress
● Upbringing Away from Parents
● Disruption of Family by Separation/Divorce

Question 7

V/Z Codes to know (Abuse)

Answer 7

● Child Physical Abuse
● Child Sexual Abuse
● Child Psychological Abuse
● Child Neglect

Question 8

V/Z Codes to know (Relationships)

Answer 8

● Relationship Distress with Partner
● Spouse or Partner Violence (Specify: Physical, Sexual, Psychological)
● Relational Problem Related to Mental Disorders or General

Question 9

V/Z Codes to know (Internal/External Factors)

Answer 9

● Medical Condition
● Occupational Problem
● Academic Problem
● Acculturation Problem
● Phase of Life Problem
● Religious/Spiritual Problem