OEC Chapter 28 Test questions with
correct answers graded A+
You have a 32-year-old male patient who just arrived at the aid room on the top of a 9,000-foot peak. He
is exhibiting signs of altitude sickness and HAPE. You recognize that the final key to a successful outcome
of treatment is to: - correct answer ✔✔Recognize the patient's signs and descend to a lower elevation.
Given that 50 percent of patients with HAPE also have symptoms of AMS, it is important that you ask
patients if they have had which of the following groups of signs/symptoms? - correct answer ✔✔Fatigue,
nausea, difficulty sleeping
You are with a group of hikers on the third day of an 11,000-foot mountain ascent. One of the hikers has
not been feeling well for a couple of days. Today, members of the group notice that he is having difficulty
getting dressed and speaking. From your training in outdoor emergency care, you recognize that these
signs and symptoms are most often associated with: - correct answer ✔✔HACE
The height or vertical elevation above a fixed point is known as: - correct answer ✔✔Altitude
As altitude increases: - correct answer ✔✔The partial pressure of oxygen decreases.
You have a 32-year-old male patient who just arrived at the aid room on the top of a 9,000-foot peak.
You think he may be exhibiting signs of altitude sickness. You recognize that the key to a successful
outcome of treatment is to: - correct answer ✔✔recognize the patient's signs and descend to a lower
elevation.
In an otherwise healthy individual, the presence of a headache and feelings of sickness at high altitude is
known as: - correct answer ✔✔Acute mountain sickness
Your group of climbers has reached an elevation of 8,500 feet. One of the climbers is increasingly short
of breath and now has audible chest congestion. Your party has a limited supply of oxygen, which you
immediately apply to the climber at 15 LPM via a nonrebreather mask. Based on your assessment that
the climber has HAPE, you recognize that the next necessary treatment is: - correct answer ✔✔a rapid
descent of at least 1,500 to 3,000 feet.
, You are working at a mountain resort and are presented with a 50-year-old woman who states that she
does not feel well. From your assessment, which of the following findings would seemingly indicate that
the patient is being adversely affected by the high altitude? - correct answer ✔✔A complaint of feeling
short of breath on exertion
Your group of climbers has reached an elevation of 8,500 feet. One of the climbers is increasingly short
of breath and now has audible chest congestion. Your party has a limited supply of oxygen, which you
immediately apply to the climber at 15 LPM via a nonrebreather mask. Based on your assessment that
the climber has HAPE, you recognize that the next necessary treatment is: - correct answer ✔✔a rapid
descent of at least 1,500 to 3,000 feet.
Which of the following processes does not occur during acclimatization? - correct answer ✔✔A. Dilation
of pulmonary blood vessels
(Answer A is Correct)
B. An increase in red blood cell production
C. An increase in heart rate
D. An increase in respiratory rate and depth
You are accompanying a team of hikers up a high mountain. The next morning you are summoned to a
tent and find one of the climbers confused and complaining of a headache. His airway is patent and his
respirations are 24 per minute. He has no medical history and was in good health until found ill this
morning by his friend. Suspicious of high-altitude cerebral edema (HACE), which of the following actions
should you takes? - correct answer ✔✔Provide high-flow oxygen
Which of these conditions at altitude should be presumed due to HACE? - correct answer
✔✔Unsteadiness or inability to maintain one's balance
Which of the following does NOT affect risk of altitude illness? - correct answer ✔✔A.
Family history
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