WFR Wilderness Pharmacology & Medications 3

Question 1

A backcountry patient develops symptoms consistent with a urinary tract infection. Which class of medication would appropriately address the underlying cause?

Accepted Answer

Antibiotics

Answer

Antihistamines

Answer

NSAIDs for symptom control only

Answer

Antifungals

Question 2

Dexamethasone (Decadron) is used as a rescue medication in the wilderness primarily for which high-altitude emergency?

Accepted Answer

High Altitude Cerebral Edema (HACE)

Answer

Acute Mountain Sickness (AMS) prevention

Answer

Frostbite management at altitude

Answer

Sunburn and UV radiation damage

Question 3

Which of the following is NOT one of the classic 'five rights' of medication administration?

Accepted Answer

Right insurance authorization

Answer

Right patient and right drug

Answer

Right dose and right route

Answer

Right time of administration

Question 4

A patient in the backcountry is experiencing a severe asthma attack with audible wheezing. Which medication is most appropriate as first-line treatment?

Accepted Answer

Albuterol inhaler

Answer

Epinephrine auto-injector (EpiPen)

Answer

Diphenhydramine (Benadryl)

Answer

Ibuprofen

Question 5

In the wilderness context, obtaining informed consent before administering medication means:

Accepted Answer

The patient understands the medication, its risks, benefits, and alternatives before voluntarily agreeing

Answer

The patient accepts the medication without raising questions

Answer

The WFR reads the drug label aloud to the patient

Answer

A physician has provided remote authorization via radio

Question 6

Oral rehydration salts (ORS) are superior to plain water during dehydration primarily because they:

Accepted Answer

Contain electrolytes that activate co-transport mechanisms to enhance intestinal fluid absorption

Answer

Are sterile and free of waterborne contaminants

Answer

Provide high caloric content to prevent hypoglycemia

Answer

Contain antiemetic compounds to suppress vomiting

Question 7

A patient develops hives, wheezing, and hypotension shortly after receiving a medication in the field. What is the most appropriate immediate intervention?

Accepted Answer

Administer epinephrine IM immediately

Answer

Administer diphenhydramine orally and monitor closely

Answer

Discontinue the medication and observe for 30 minutes

Answer

Give oral fluids and place the patient in a recovery position