Deck 6: Emergencies

Question 1

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.

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

Answer 1

Automated external defibrillator (AED)

Question 2

One of the methods that fitness facilities use to reduce risk is to make use of screening questionnaires, especially for members who are at high risk for cardiovascular disease. Which of the following is an example of such a screening tool?

A)Physical Activity Readiness Questionnaire
B)Functional Independence Measure
C)Short Form 36 Health Survey
D)Informed Consent Form

Answer 2

Physical Activity Readiness Questionnaire

Question 3

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?

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

Answer 3

The Jaw-Thrust Method

Question 4

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:

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

Question 5

During an emergency, one of the secondary assessments that should be made by a responder is the presence or absence of any medical alert jewelry. Medical alert jewelry is LEAST likely to tell the responder the following:

A)Home address
B)Drug allergies
C)Medical conditions
D)Do Not Resuscitate status

Question 6

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:

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

Question 7

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?

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 8

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

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

Question 9

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?

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 10

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?

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

Question 11

You enter the locker-room and find a woman having a grand-mal seizure. You clear the area to prevent head trauma, place a soft item under her head, place her in the recovery position, place a non-breakable item in her mouth to prevent her from swallowing her tongue, and have someone activate the EMS. Which of the above was a WRONG choice?

A)Placing her in the recovery position
B)Activating the EMS
C)Placing an item in the mouth
D)Clearing the area

Question 12

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:

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

Question 13

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?

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

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?

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

Few injuries are as eye-popping for the athlete as a "stinger" or "burner." A stinger is a term used to describe:

A)A loss of sensation to the entire upper extremity after a head injury
B)A loss of sensation to the entire upper extremity after a shoulder injury
C)A dull, icy pain down the arm after a head or shoulder injury
D)A sharp, burning pain down the arm after a head or shoulder injury

Question 16

Kyphosis, an exaggerated posterior rounding of the thoracic spine, is a condition common to all the following populations EXCEPT:

A)Swimmers
B)Body builders
C)Ballet dancers
D)People with osteoporosis

Question 17

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?

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

Question 18

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?

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 19

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?

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

Question 20

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

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

Question 21

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?

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

Question 22

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

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 23

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?

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 24

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:

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

Question 25

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?

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