kaplan1 - nishi

[ArchivalUser]

A 35-year-old woman is an avid rock climber and decides to try climbing a mountain. She has not attempted such an expedition before and starts climbing with little preparation. Halfway up the mountain, she becomes nauseated and lightheaded. An emergency evacuation team determines that she has high altitude sickness and is concerned she has metabolic alkalosis. Which of the following medications should be administered to this patient at this time?
A. Acetazolamide
B. Desmopressin
C. Furosemide
D. Hydrochlorothiazide
E. Triamterene

[ArchivalUser]

D.

[ArchivalUser]

D..

[ArchivalUser]

A.

[ArchivalUser]

A...........

[ArchivalUser]

aa

[ArchivalUser]

answer is A. Acetazolamide inhibits carbonic anhydrase in the brush border and the intracellular carbonic anhydrase in the proximal convoluted tubule cells. It results in a bicarbonate diuresis, and a metabolic acidosis results. It is used to treat mountain sickness.

[ArchivalUser]

thanks nishi, confused with hydro