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Heart and Stroke Foundation of Canada

Basic Life Support for Lay Public.

(please do not write on this exam!)

With each question, select the best answer.

1. AED is the abbreviation for: (put answer on answer page)

2. VF is the abbreviation for the most likely initial cardiac rhythm that can be defibrillated : (put answer on answer page)

3. The AED pads should be placed as follows...

a) One pad on the center of the chest and one pad on the lower abdomen

b) One pad on the upper left side and the other on the lower right side.

c) One pad on the upper right chest and one on the lower left side of the chest.

d) Both pads on the upper chest.

4. Which of these precautions apply when using an AED?

a) Don’t touch the victim while the AED is analyzing.

b) Don’t touch the victim while defibrillating.

c) Don’t use AED while victim is lying in water.

d) All of the above.

5. A stroke is:

a) caused by a sudden blockage of the coronary arteries which feed the heart

b) caused by a blockage or bleeding of the blood vessels which supply the brain

c) caused by food particles or small objects becoming lodged at the back of the throat

d) the same thing as a heart attack

6. The warning signs of stroke are:

a) sudden weakness, numbness or tingling in the face, arm or leg

b) loss of speech or trouble understanding speech

c) sudden loss of sight, or seeing double

d) all of the above

7. The term cardiac arrest describes:

a) ventricular tachycardia

b) a heart attack

c) a heart unable to create adequate blood flow to produce pulses and provide adequate blood flow to the brain.

d) angina

8. Which of the following signs may occur in someone having a heart attack:

a) chest pain

b) sweating

c) shortness of breath

d) all of the above

9. If someone is having chest pain, you should:

a) leave the person alone

b) insist on starting CPR

c) call EMS and remain with the person

d) call the person’s doctor

10. A person having a heart attack will often:

a) go to sleep

b) deny they are having a heart attack

c) take a nap until the pain goes away

d) become afraid and faint

11. The medical term for chest discomfort which indicates reduced blood flow to the heart is:

a) atherosclerosis

b) stroke

c) angina

d) heart attack

12. If a 50 year old man is found to be UNRESPONSIVE and you are alone, you should:

a) activate EMS and get the AED then proceed with the assessment steps

b) do nothing and wait for help to arrive

c) perform CPR for 2 minutes, then activate the EMS

d) get your CPR book and look up what to do

13. A person may be having a heart attack. He looks pale, feels dizzy and has chest pain.

a) lay the person down

b) assist the person taking his brother’s nitro

c) sit them up.

d) support the person standing

14. When performing CPR, how often should the person compressing the chest compressions be relieved:

a) when the EMS arrive

b) when the compressor feels tired

c) every minute to maintain effectiveness

d) every two minutes to maintain effectiveness

15. Coming upon a collapsed person you should:

a) make sure the area is safe

b) determine unresponsiveness

c) phone first before starting CPR – call EMS

d) all of the above

16. According to the guidelines of the Heart and Stroke Foundation of Canada, CHILD CPR is performed on a person:

a) 10 to 12 years of age

b) 8 to 10 years of age

c) 1 to 8 years of age

d) under adolescence, with no secondary sex characteristics

17. Brain damage may be possible following cardiac arrest if CPR is NOT begun:

a) within 4-6 minutes of the arrest

b) between 6-8 minutes of the arrest

c) between 8-10 minutes of the arrest

d) within 10-15 minutes of the arrest

18. You initially determine the unconscious adult is not breathing normally. You next action should be:

a) give 2 breaths

b) perform chest compressions

c) check for circulation (pulse)

d) lay the person in recovery position

19. Before performing CPR, you should:

a) phone first if possibly cardiac – call EMS

b) place the person on their back on a firm surface

c) assess for normal breathing

d) all of the above

20. To landmark for chest compressions on an adult or child:

a) place the heel of your hand(s) between the nipples

b) place the heel of your hand(s) a finger width above the bottom of the breast bone

c) place the heel of your hand just below the nipple line.

d) place the heel of your hand(s) half way down the breast bone

21. Once one-rescuer CPR has begun, the rescuer should reassess the patient:

a) after the first minute of CPR and every few minutes thereafter

b) after the first 5 minutes of CPR and when you notice a change

c) after every 2 minutes of CPR

d) only if there are signs of circulation – coughing, movement, normal breathing or consciousness.

22. When performing chest compressions on an ADULT, the sternum should be depressed:

a) 2.5 to 4 cm (1 to 1 ½ inches)

b) 4 to 5 cm (1 ½ to 2 inches)

c) 5 cm plus (2 inches plus)

d) 7 cm plus (2 ½ inches plus)

23. The number of compressions and breaths in one set of INFANT and CHILD CPR:

a) 1 compression and 5 breaths

b) 5 compressions and 1 breath

c) 15 compressions and 2 breaths

d) 30 compressions and 2 breaths

24. When performing chest compressions on a CHILD, use the:

a) tips of the index and middle fingers of one hand

b) heels of both hands

c) thumbs of both hands

d) heel of one or two hands

25. The rate of chest compressions for an infant or child is:

a) less than 50 compressions per minute

b) between 60 and 80 compressions per minute

c) 100 compressions per minute

d) 150 compressions per minute

26. In performing CPR, the chest of an INFANT or CHILD should be compressed:

a) 1 to 2.5 cm (1/2 to 1 inch)

b) 2.5 to 4 cm (1 to 1 ½ inches)

c) 4 to 5 cm (1 ½ to 2 inches)

d) 1/3 the depth of the chest

27. To prepare to use an AED, what is the first thing you should do?

a) Compress for 2 minutes.

b) Open the unit and lay it down beside the victim and power on the AED

c) Apply the pads to the victim’s chest.

d) Analyze the patient’s rhythm.

28. If the victim regurgitates (vomit flows up out of the mouth) while you are analyzing…

a) Immediately turn the victim in their side and clear their mouth.

b) Do not interfere or delay the analysis and defibrillation.

c) After analysis, turn the clear the victim’s mouth them press defibrillate if advised.

d) Begin chest thrusts to both clear the airway and provide circulation.

29. For the person who is coughing forcefully and wheezing from a partial foreign body obstruction in the airway, a rescuer should:

a) give back blows

b) give something to drink

c) encourage the victim to continue coughing

d) give abdominal thrusts

30. If the airway seems obstructed after the first attempt to ventilate an UNRESPONSIVE person, the rescuer should:

a) reposition the head and attempt to ventilate again

b) give two breaths right away

c) open the victims mouth and perform a finger sweep

d) immediately give chest thrusts

31. The proper location for abdominal thrusts on a RESPONSIVE CHILD with an

obstructed airway is:

a) just above the hips

b) on the abdomen just above the navel

c) on the middle of the sternum

d) on the lower half of the sternum

32. Recovery position is most often used when:

a) the person is unresponsive and has signs of circulation and is breathing

b) the person is unresponsive and has no signs of circulation or breathing

c) the person is unresponsive and has signs of circulation but is not breathing

d) the person is conscious and has signs of circulation and is breathing

33. With a victim in cardiac arrest, if a head, neck or spinal injury is suspected, open the airway using:

a) head-tilt/chin lift

b) jaw-thrust manoeuvre

c) any of the above

d) do not open the airway

34. The link in the Chain of Survival most likely to help a person who has suffered cardiac arrest from electric shock is:

a) early access

b) early CPR

c) early advanced care

d) early defibrillation

35.Early defibrillation is a critical link in the Chain of Survival because:

a) the most correctible initial cardiac rhythm in sudden cardiac arrest is ventricular fibrillation

b) the most effective treatment for ventricular defibrillation is defibrillation

c) the probability of successful defibrillation decreases rapidly with time

d) all of the above

36. Rescuers who may be exposed to communicable disease during rescue breathing should:

a) substitute mouth-to-nose ventilations

b) use a barrier device (face mask) for protection

c) avoid all mouth-to-mouth contact by not ventilating the person

d) use a barrier such as paper tissue, to ventilate the person

37. You should continue CPR until:

a) you are too exhausted or it is unsafe

b) another trained rescuer takes over

c) the person begins to move

d) any of the above

38. The Chain of Survival:

a) is as strong as its weakest link

b) has only two links applicable to the lay public

c) is only for health care professionals

d) is CPR Only

39. CPR is best remembered by the CABD’s of emergency cardiac care. They are:

a) circulation, airway, breathing, defibrillation

b) circulation, airway, breathing, deadly bleeding

c) chest compressions, airway, backblows, defibrillation

d) circulation, airway, breathing, delicate spine

40. Exposure to second-hand smoke:

a) does not pose a risk for non-smokers

b) increases the chances of cardiovascular disease for people who do not smoke

c) cannot be avoided

d) does not cause serious health problems

41. Regular daily physical activity has been shown to help:

a) you reduce stress

b) you maintain a healthy weight

c) your heart work better

d) all of the above

42. We know that making healthy lifestyle choices reduces the risk of cardiovascular disease. Some important healthy choices are:

a) Manage diabetes, know family history, know the effects of gender, consider age

b) know the effects of gender, consider age, reduce high blood pressure

c) being smoke free, eating a healthy low-fat diet, being physically active

d) reduce high blood pressure, know family history, consider age, manage diabetes

43. Accidents involving INFANTS and CHILDREN may be prevented by:

a) providing adult supervision

b) maintaining a safe home environment

c) using infant/child seats and seat belts in cars

d) all of the above

44. To encourage children to have healthy hearts you should:

a) never let them watch TV

b) never let them eat meat

c) set a good example of healthy heart living

d) make them sleep 10 hours every night

45. Why is it important to allow the chest to recoil after each compression:

a) it is less tiring for the compressor

b) less ribs are broken

c) more air can be ventilated into the chest

d) it allows more blood to fill the chest before the next compression

46. The initial effectiveness of an AED decreases:

a) by 3-5% every minute without any initial CPR

b) by 7-10% every minute without any initial CPR

c) if CPR is performed before application.

d) if an AED is employed immediately following a cardiac arrest

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