Question 1

Lisa attends your 2:00 class religiously and has been losing weight rapidly. On Tuesday, she complains of feeling cold and then faints. She is pale, has dry skin and you notice her hair is thin and patchy, which was not the case a month ago. Her pulse and breathing are normal. Although you are not qualified to diagnose Lisa, your first inclination is to wonder if Lisa is suffering from:

Accepted Answer

A)  A heart attack
B)  Kidney failure
C)  An eating disorder
D)  A stroke C

Question 2

In an emergency situation, skin color can provide excellent insight into a victim's health status. Grayish, pale skin is MOST indicative of which of the following:

Accepted Answer

A)  Heat exhaustion
B)  Liver disease
C)  Poor circulation
D)  Head trauma C

Question 3

Under "universal precautions," all individuals should be considered as potential carriers of blood-borne pathogens. Which of the following body fluids would require the use of universal precautions?

Accepted Answer

A)  Urine
B)  Saliva
C)  Sweat
D)  Synovial fluid D

Question 4

Over 80% of the adult population will experience back pain at some phase of life. One of the most distressing sources of pain, disk herniation, can create a shooting or burning sensation and/or paresthesias (abnormal sensations, such as tingling) in the buttock, upper and lower leg. Which levels of the spine are the MOST susceptible to herniation?

Accepted Answer

A)  C6-T1
B)  T11-L1
C)  L3-L5
D)  L4-S1

Question 5

Under "universal precautions," individuals who come into contact with blood or body fluids should do all of the following EXCEPT:

Accepted Answer

A)  Wear gloves
B)  Use a protective barrier device during CPR
C)  Dispose of heavily soiled items in trash
D)  Wash hands immediately afterwards

Question 6

If a victim is found unresponsive and not breathing and trauma is assumed, which of the following techniques should be used instead of the traditional head tilt-chin lift maneuver?

Accepted Answer

A)  The Chin-Tuck Maneuver
B)  The Jaw-Thrust Method
C)  The Controlled Lift Maneuver
D)  The Jaw-Tuck Maneuver

Question 7

The skillful Group Fitness Instructor will incorporate proper body mechanics into the class setting both through example and through verbal instruction. Which of the following would be an IMPROPER instruction regarding lifting techniques?

Accepted Answer

A)  Keep items close to your body to reduce the load
B)  Use the legs to lift instead of the back
C)  Inhale during the lift to provide good abdominal and thorax support
D)  Do not flex and twist the spine simultaneously when lifting a heavy load

Question 8

Under normal circumstances, brain death will occur in the absence of oxygen in:

Accepted Answer

A)  3-4 minutes
B)  4-6 minutes
C)  7-10 minutes
D)  10-12 minutes

Question 9

As a general rule, an individual infected with the HIV virus should continue to be active. However, ONE of the following conditions should signal the need to discontinue competition and not exercise to exhaustion. Which one?

Accepted Answer

A)  A CD4 count above 500
B)  A CD4 count below 500
C)  A T-helper count above 500
D)  A cortisol count below 500

Question 10

Every Group Fitness Instructor should be aware of where their facility's First-Aid Kit is located and what it contains. Which is the following is LEAST likely to be included inside a First-Aid Kit.

Accepted Answer

A)  Stethoscope
B)  Blood pressure cuff
C)  Pocket mask
D)  Automated external defibrillator (AE
D)

Question 11

Which of the following is unlikely to be a MAJOR problem with calling in an emergency from a cell phone instead of a land line?

Accepted Answer

A)  Cell phone signals may be weak and calls may be dropped
B)  Cell phones do not typically offer 9-1-1 coverage
C)  Cell phone callers must provide their location and additional information, which takes time away from dealing with the emergency at hand

Question 12

Departing the club after teaching a particularly stellar Weight Training class, you notice a woman lying at the bottom of the stairs, moaning and clutching her ankle. As the first responder on the scene, you assess the situation and note the following signs and symptoms in the victim's ankle: significant swelling, bruising, an inability to weight bear, and a difference in angle and positioning from the other side. Which of the following is MOST likely to be the cause?

Accepted Answer

A)  Bone spur
B)  Strain
C)  Fracture
D)  Tear of cartilage

Question 13

Tanya is diabetic, but she has been managing it well with proper diet and exercise. She is running late to the 1PM outdoor T'ai Chi class and confides in you that she did not eat all her lunch. During class, she stops participating and looks pale and uneasy. As the Group Fitness Instructor, which of the following would be the LEAST appropriate plan of action?

Accepted Answer

A)  Have her sit down and check her blood glucose level
B)  Knowing she did not eat, have her eat a small portion of something which has rapidly absorbing carbohydrates
C)  Do not allow her to leave until her glucose level is normal
D)  Activate the EMS

Question 14

You are teaching your health club's beloved outdoor Mixed Martial Arts class. A woman in the back row trips and falls -- directly into the path of an oncoming gaggle of cyclists. As you approach, the first thing you notice is a protruding bone in her wrist. You: Keep her still, cut away her shirt sleeve at the wrist, gently place the protruding bone back into place, cover the open area with a clean t-shirt from your duffel bag, and immobilize the limb. Which of these steps was problematic?

Accepted Answer

A)  Cutting the shirt sleeve and exposing the area
B)  Placing the protruding bone back in place
C)  Covering the open area
D)  Immobilizing the limb

Question 15

An asthmatic attack is horrible to view and worse to experience. Which of the following should NOT be done in helping a class member to manage an asthmatic attack?

Accepted Answer

A)  Have the person use inhaler as prescribed
B)  Have the person cease activity
C)  Have the person drink cold fluids
D)  Pursue emergency care if breathing is shallow

Question 16

During your 5:45 T'ai Chi class, a woman in the third row back (next to the guy in the full-body spandex) succumbs to an episode of syncope. What happened?

Accepted Answer

A)  She became severely short of breath
B)  She began to choke
C)  She fainted
D)  She had a seizure

Question 17

During your mini-marathon indoor cycling class, a participant gets into the groove, jumps up high in the saddle, and comes down off-kilter, falling off the bike in the process. He suffers a jagged tear of the skin of his nether regions caused by both shear and tensile forces of contact with the bike on the way down. This tear is BEST described as:

Accepted Answer

A)  An abrasion
B)  An incision
C)  A laceration
D)  A puncture

Question 18

Which of the following situations is LEAST likely to warrant a call to 9-1-1 (the Emergency Medical Services) by the Group Fitness Instructor? When a victim:

Accepted Answer

A)  Is assaulted and injured
B)  Is unresponsive
C)  Has trouble breathing
D)  Has broken a wrist

Question 19

Which of the following diseases is NOT communicable through blood or other bodily fluids?

Accepted Answer

A)  HIV virus
B)  Hepatitis B virus
C)  Hepatitis C virus
D)  Tuberculosis

Question 20

One of the greatest considerations when managing an emergency situation is to assess the victim for shock. Shock occurs when the body's natural circulation patterns are disturbed - and the results can be catastrophic. Which of the following are the 4 major types of shock?

Accepted Answer

A)  Hypervolemic, congestive, distributive and cardiogenic
B)  Hypovolemic, obstructive, distributive and cardiogenic
C)  Hypervolemic, pulmonary, dysfunctional and cardiogenic
D)  Hypovolemic, obstructive, dysfunctional and cardiogenic

Exam 6: Emergencies