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Short Answer Questions for ED Fellowship Study

Case: Altitude illness and HAPE

You are the expedition doctor for a tour group of adults completing a 3-week trek in the Nepalese Himalayas. The highest planned altitude is 5,650 m.

1. List four climb-related and four patient-related risk factors for altitude illness. 8 marks

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2. List two key clinical features of acute mountain sickness and high altitude cerebral oedema. 4 marks

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Five days into the trek at an altitude of 4,200 m, one climber develops breathlessness with SpO₂ 86% on a portable oximeter.

3. State the key steps in management including medications. 4 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.