After rapid ascent to 3,600 m, a climber has headache, nausea and poor sleep but a normal gait, normal mentation and clear lungs. Which plan is most

Question

After rapid ascent to 3,600 m, a climber has headache, nausea and poor sleep but a normal gait, normal mentation and clear lungs. Which plan is most appropriate?

Accepted Answer

Stop ascent, treat symptoms and descend if not improving

Answer

Remain at altitude with nocturnal oxygen and routine alcohol avoidance

Answer

Begin dexamethasone while continuing ascent under close observation

Answer

Undertake graded exercise while using acetazolamide for acclimatisation

Answer

Continue gradual ascent with analgesia while gait remains normal

Acute mountain sickness — DTM&H MCQ

After rapid ascent to 3,600 m, a climber has headache, nausea and poor sleep but a normal gait, normal mentation and clear lungs. Which plan is most appropriate?