WFR Wilderness Pharmacology & Medications 2

Question 1

Acetazolamide (Diamox) is carried by wilderness travelers primarily to prevent and treat:

Accepted Answer

Acute Mountain Sickness (AMS)

Answer

Hypothermia

Answer

Severe dehydration

Answer

Frostbite

Question 2

The standard adult epinephrine auto-injector (EpiPen) delivers which dose intramuscularly?

Accepted Answer

0.3 mg

Answer

0.1 mg

Answer

0.5 mg

Answer

1.0 mg

Question 3

Ondansetron (Zofran) is most useful in the wilderness for controlling:

Accepted Answer

Nausea and vomiting

Answer

Diarrhea and cramping

Answer

Pain from fractures

Answer

Anxiety and agitation

Question 4

A key contraindication to acetazolamide (Diamox) use is a known allergy to:

Accepted Answer

Sulfa drugs

Answer

Penicillin

Answer

Latex

Answer

Iodine

Question 5

When should a second dose of epinephrine be considered after the first injection for anaphylaxis?

Accepted Answer

If symptoms persist or return after 5–15 minutes

Answer

Immediately after the first dose as standard protocol

Answer

Only if the patient becomes unresponsive

Answer

After a mandatory 30-minute observation period

Question 6

Ibuprofen should generally be avoided in a wilderness patient who is:

Accepted Answer

Moderately dehydrated with poor peripheral perfusion

Answer

Running a mild fever below 101°F

Answer

Experiencing mild muscle soreness 24 hours after injury

Answer

Taking vitamin C supplements

Question 7

When a patient is unconscious or actively vomiting in the wilderness, the preferred route of medication administration is:

Accepted Answer

Intramuscular (IM injection)

Answer

Oral (swallowed)

Answer

Sublingual (under the tongue)

Answer

Rectal suppository