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What is the best way to prevent development of altitude illness?
a. never hike more than 6 hours in a day
b. maintain adequate hydration
c. ensure peak physical conditioning
d. ascend gradually ✔Correct Answer-d. ascend gradually
What is the most important treatment guideline for a person you expect has HACE?
a. watchful waiting, ascend cautiously
b. stay in place as descent can cause further brain damage
c. stay in place and administer oxygen expecting full recover in 2-3 hours.
d. Immediate descent ✔Correct Answer-d. immediate descent
which is the only definitive treatment for all altitude-related illness?
a. hyperbaric chamber
b. fluids
c. oxygen therapy
d. descent
e. rest ✔Correct Answer-d. descent
What is the main reason that people develop altitude related illness?
a. dehydration
b. failure to acclimatize
c. lack of sleep
d. poor physical fitness ✔Correct Answer-b. failure to acclimatize
You have been climbing for 3 days when another climber approaches you complaining of being short
of breath at rest, coughing up pink frothy sputum, and being too out of breath to climb. He is
breathing heavily and you notice he has a blue discoloration around his lips. What condition has this
climber likely developed due to being at high altitude?
a. HACE
b. HAPE
c. AMS
d. pneumonia ✔Correct Answer-b. high altitude pulmonary edema
At what elevation are altitude illnesses usually seen?
a. above 500 meters (1640ft)
b. above 2000 meters (6560 ft)
c. above 1000 meters (3289 ft)
d. above 200 meters (656 ft) ✔Correct Answer-b. above 2000 meters (6560ft)
A patient has AMS. How soon can he or she re-ascent?
a. after resting for 48hrs, even if symptoms persist.
b. once symptoms begin to resolve
c. after descending to sea-level
, d. once symptom free for 24 hours ✔Correct Answer-d. once symptom free for 24 hours
What is the essential symptom for the diagnosis of AMS?
a. headache
b. insomnia
c. dizziness
d. fatigue
e. nausea/vomiting ✔Correct Answer-a. headache
While at basecamp at 14000 ft, a climber is brought to you by members of his party who say that he
has developed an unsteady gate, is confused, and is becoming sleepy to the point where he is
difficult to arouse. Before these symptoms started, he had been complaining of having a headache,
being tired, and feeling dizzy. What is the most likely condition that this climber has developed due
to a rapid gain in altitude?
a. HAPE
B. AMS
C. HACE ✔Correct Answer-C. HACE
How are treatments for AMS and HACE different?
a. AMS and HACE can both be treated at altitude
b. AMS requires immediate descent, but HACE can be treated at altitude
c. AMS and HACE both require immediate descent
d. AMS can often be treated at altitude whereas HACE must be treated with immediate descent.
✔Correct Answer-d. AMS can often be treated at altitude whereas HACE must be treated with
immediate descent.
Which of the altitude illness can be treated by descent only, and do not require complete evacuation
to a hospital?
a. all altitude conditions require full evacuation for resolution
b. HACE and HAPE
c. AMS and HACE
d. AMS only ✔Correct Answer-d. AMS only
What are the most important pieces of information needed to help establish the diagnosis of AMS?
a. age
b. history of smoking
c. level of fitness
d. amount of elevation gain and rate of elevation gain. ✔Correct Answer-d. amount of elevation
gain and rate of elevation gain.
You have been caught in an avalanche and buried under the snow. Your chest movement is not
restricted and an air pocket is around your face. Which of the following is not one of the ways that
your air pocket can fail?
a. mouth dryness causing an increased amount of carbon dioxide
b. heat from the expired air causes an ice lens to form on the air-snow interface, preventing
continuous gas exchange
c. re-breathing expired air with increased carbon dioxide and decreased oxygen ✔Correct Answer-
a. mouth dryness causing an increased amount of carbon dioxide
You and a friend are snowmobiling in the back country when suddenly one of you triggers an
avalanche. Your friend gets buried by the avalanche. What is the biggest threat to his life?