Question:
At a high altitude of 3000 m, a person complains of breathlessness. All of the following can be used for the management of this person except:
At a high altitude of 3000 m, a person complains of breathlessness. All of the following can be used for the management of this person except:
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Three of these fight hypoxia or speed acclimatisation; one is a cardiac drug with no altitude role.
Updated On: Jun 23, 2026
- Intravenous digoxin
- Oxygen supplementation
- Immediate descent
- Acetazolamide
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The Correct Option is A
Solution and Explanation
Step 1: The picture fits acute mountain sickness (AMS) / high-altitude illness from hypobaric hypoxia.
Step 2: Core management: descend to a lower altitude (a drop of only 500 to 1000 m often resolves AMS), give supplementary oxygen, and use acetazolamide, which speeds acclimatisation by inducing a mild metabolic acidosis that stimulates ventilation. All three are valid, so they are NOT the exception.
Step 3: Intravenous digoxin has no role in altitude illness. It is a cardiac glycoside for heart failure and rate control in atrial fibrillation, and it does nothing for hypoxia. So option A is the correct 'except' answer.
Ref: standard high-altitude medicine guidelines (NCBI review on AMS/HACE).
Step 2: Core management: descend to a lower altitude (a drop of only 500 to 1000 m often resolves AMS), give supplementary oxygen, and use acetazolamide, which speeds acclimatisation by inducing a mild metabolic acidosis that stimulates ventilation. All three are valid, so they are NOT the exception.
Step 3: Intravenous digoxin has no role in altitude illness. It is a cardiac glycoside for heart failure and rate control in atrial fibrillation, and it does nothing for hypoxia. So option A is the correct 'except' answer.
Ref: standard high-altitude medicine guidelines (NCBI review on AMS/HACE).
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