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    Abnormal Vitals and Shock - Clinical Patient Case of the Week

    Abnormal Vitals and Shock, Acute Mountain Sickness (AMS) - Clinical Patient Case of the Week

    Try this free Abnormal Vitals and Shock Case Q&A courtesy of Med-Challenger.

    This abnormal vitals and shock case comes from our ABEM MyEMCert Review.

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    Try this case and test your knowledge of abnormal vitals and shock.

    A 20-year-old man is planning a trip to snowboard at a ski area located at an elevation of 9200 feet. He had a previous episode of acute mountain sickness (AMS) at an altitude of 11,000 feet.


    How should you advise him about the use of acetazolamide for AMS prophylaxis?

    Answer Options:

    Acetazolamide prophylaxis is not needed because AMS rarely occurs below 10,000 feet.

    He should not take acetazolamide if he has a sulfa allergy.

    He should begin the medication 3 days prior to his ascent and take the medication for his entire trip.

    Taking one-half of the conventional treatment dose is sufficient as prophylaxis and may decrease peripheral paresthesias, an adverse side-effect (AE) of acetazolamide.


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