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TSAC-F Wellness Intervention

Total questions: 90

Worksheet time: 45mins

Name
Class
Date
1.

What is the minimum amount of fluid a tactical athlete should drink for each pound of body weight lost during a mission? P 109

a)

32 oz

b)

16 oz

c)

10 oz

d)

23 oz

2.

What is the primary purpose of an awareness program within a tactical wellness intervention? P 560

a)
To educate participants about health and wellness issues.
b)
To encourage competitive sports among participants.
c)
To provide financial advice to participants.
d)
To promote physical fitness activities only.
3.

Which of the following is an example of a cultural challenge that may hinder the success of a wellness intervention program for tactical athletes? P 559

a)
Access to advanced technology for performance tracking.
b)
Improved nutrition plans tailored to individual needs.
c)
Increased physical training intensity without support.
d)

Stigma around fear of change

4.

Which of the following are the three major constraints that will affect the long-term success of fitness, health, and well-being programs? P 558

a)

Fiscal constraints, cultural challenges, and leadership investment

b)

Environmental barriers, program duration, and exercise modality

c)

Dietary preferences, Budget allocations, equipment selection, and training frequency

5.

Which of these is not considered one of the side effects of anabolic-androgenic steroid (AAS) use? P128-131

a)

Skin issues

b)

Increased heart attack risk

c)

hypotension

d)

Tendon ruptures

6.

ou suspect one of your tactical athletes might be using AAS. Which of the following is not one of the signs and symptoms of AAS use? P 131

a)

Excessive hair growth

b)

Gynecomastia

c)

Reduced muscle mass

d)

Acne

7.

What is the minimum recommended amount of sleep per night to maintain optimal health, performance, and recovery in tactical athletes? P 556

a)

6 hours

b)

7 hours

c)

5 hours

d)

4 hours

8.

Which of the following is not a recognized benefit of implementing wellness programs for tactical athletes? P 554

a)

Improved post-career longevity

b)

Improved tactical decision making under pressure

c)

Decreased fiscal costs

9.

Which of the following is the primary reason that rates of tobacco use are higher in U.S. Marines than in U.S. Air Force personnel? P 555

a)

Greater exposure to combat training enviroments

b)

Maladaptive coping behaviors to stress and shift work

c)

Peer pressure during basic training

10.

What are the primary obstacles frequently mentioned as limitations to the enduring success of fitness, health, and well-being initiatives for tactical athletes? P 558

a)

Fiscal constraints, cultural challenges and commitment issues

b)

Fiscal constraints, cultural challenges, and leadership investment

c)

Leadership investment, availability, and injuries

d)

Injuries, cultural challenges and political issues

11.

Which of the following is an indirect negative health outcome associated with tactical athletes frequently eating lunch at their desks? P557

a)

Decreased focus in afternoon tasks

b)

Increased time at the computer

c)

Short-term mood fluctuations related to multitasking

12.

A female athlete is diagnosed with a stress fracture of her tibia after complaining of pain in her lower leg for several weeks. Which of the following options would best categorize a bone stress injury? P435-437

a)

Acute injury

b)

Overuse injury

c)

Chronic injury

13.

Which of the following has not been attributed to an increased cardiovascular demand that raises the risk of severe disability or death among firefighters? P 553

a)

Alarm response

b)

Fire-suppression

c)

Salvage and overhaul operations

14.

Which of the following is a solution recommended by law enforcement leadership to support investment in physical activity among tactical personnel? P 560

a)

Implementing an on-duty exercise program

b)

Recommending officers track calories in a food app

c)

Requiring officers to purchase personal fitness tracjers

15.

Which of the following types of squats is considered the primary technique in the return-to-function phase because it is associated with lower stress to the lumbar spine? P 446

a)
Front squat
b)
Overhead squat
c)

Sumo squat

d)

Back squat

16.

To maximize functional movement while protecting the knee joint during rehabilitation training, all the following exercises would be ideal for a tactical athlete except: P 442

a)

Facilitated split squat

b)

Single-leg rotational reach

c)

Single T stance with assistance

d)

Strap-assisted squat

17.

Which of the following pairs is not mutually inclusive? P 552

a)

Fitness and health

b)

Motivation and praise

c)

Endurance and hypertrophy

d)

Power and strength

18.

All of the following are examples of support services staff commonly involved in wellness interventions for tactical personnel except: P 560

a)

Physical therapists

b)

Sports trainers

c)

Firearms training officer

19.

At times, law enforcement officers must quickly transition from a sedentary, resting condition to a high-intensity activity. This type of activity change increases the risk for diseases of which type? P554

a)

Pulmonary

b)

Central nervous system

c)

Cardiovascular

20.

Which of the following could result in low dissemination of well-being programs and negatively affect their overall success among tactical athletes? P 559

a)

Focus on general population guidelines rather than tactical-specific data

b)

Preference for traditional training over wellness modules

c)

Poor leadership

21.

During the rehabilitation of a firefighter who has sustained an ankle injury and is returning to weight-bearing activities, which exercise would effectively shift the center of gravity backward, thereby reducing stress on the ankle joint? P 441

a)

Front squat

b)

Lunge

c)

Box jump

d)

Heel raise

22.

Which two known health detractors are just as prevalent in the tactical athlete population, if not more so, especially following a traumatic event? P 552

a)

High cholesterol and sedentary behavior

b)

Drinking and Smoking

c)

Poor sleep and high blood pressure

23.

How many hours of sustained wakefulness in tactical athletes has been found to impair cognitive performance to a level equivalent to a blood alcohol concentration (BAC) of 0.05%? P 5556

a)

17

b)

12

c)

22

d)

30

24.

Which of the following is not a common time for sudden cardiac death due to coronary heart disease in tactical personnel? P 553

a)

While performing fitness testing assessments

b)

During or immediately after live fire suppression

c)

While returning to the station following an emergency call

25.

Which of the following is a chronic hip condition that is increasingly recognized in tactical populations? P 443

a)

Patellofemoral pain syndrome

b)

Ischial bursitis

c)

Syndesmotic injury

d)

Femoroacetabular impingement

26.

Which of the following causes the most significant decrease in cognitive function among tactical populations? P 556

a)

Acute stress

b)

Nutritional habits

c)

Sleep disruption

27.

Which of the following tactical athlete populations is most at risk for sedentary behavior due to the nature of their daily job responsibilities? P 552

a)

EMS responders

b)

Law enforcement officers

c)

Firefighters

28.

What is a key difference between tactical athletes and the general population when it comes to alcohol consumption? P 556

a)

Tactical athletes tend to drink more in a single session

b)

Tactical athletes tend to avoid alcohol due to job restrictions

c)

Tactical athletes consume less alcohol on average per year

29.

For tactical athletes who experience a painful arc of motion during pressing activities, which of the following exercises would be ideal for the shoulders? P 447

a)

Military press

b)

Clean and press

c)

Push press

d)

Power clean

30.

Which of the following is not considered a major contributing factor to Syndrome X? P 553

a)

Elevated LDL cholesterol

b)

Elevated triglycerides

c)

Abdominal obesity

31.

Which of these is not classified as one of the seven lifestyle habits for good health as identified by Belloc and Breslow? P 557

a)

Eat breakfast daily

b)

Dont smoke

c)

Workout 5-6 days/week

d)

Sleep 7-8 hours per night

32.

Which of the following should be included in a wellness program to improve its cost-effectiveness? P 560

a)

Single-focus behavioral change classes

b)

Injury rehabilitation resources

c)

Education sessions

33.

Which of the following is one of the best reasons to implement and sustain a wellness program for tactical personnel? P 559

a)

Strengthen interdepartmental collaboration

b)

Increased workplace satisfaction

c)

Boost intra-team communication

34.

Which of the following is not one of the seven foundational lifestyle habits for good health identified by Belloc and Breslow? P 557

a)

Eating breakfast everyday

b)

Getting 7-8 hours of sleep

c)

Maintaining a light weight

35.

Which of the following is not a potential consequence of skipping breakfast every day? P 557

a)

Decreased cortisol levels

b)

Reduced mental health

c)

Increased BMI

36.

Training to the point of abnormal stress applied to the tissue with little recovery time can result in what? P 436-437

a)

Macrotrauma

b)

Microtrauma

c)

Contusion

37.

What is the most significant health issue facing military service members? P 343

a)

Stroke

b)

Diabetes

c)

PTSD

d)

Injuries

38.

n addition to reducing the pool of qualified recruits, obesity in tactical personnel is most directly linked to which of the following negative outcomes? P 553

a)

Workplace absenteeism following injury

b)

Workplace productivity during high stress operations

c)

Recovery time following strength training

39.

What law enforcement unit is often required to carry an additional 22 kilograms of gear? P 489

a)

General duty unit

b)

Police academy unit

c)

SWAT unit

d)

Motorcycle unit

40.

What is the main reason for a tactical athlete undergoing intense field training, involving extended periods of energy deficit, to consume two grams of protein per kilogram of body weight daily? P 109

a)

Decrease body fat percentage

b)

Increase lean muscle mass

c)

Improve aerobic capacity

d)

Maintain physical performance

41.

Which of the following is often the most overlooked factor in the health and wellness of tactical populations? P 556

a)

Sleep patterns

b)

Tobacco use

c)

Nutritional habits

d)

Alcohol comsumption

42.

A regular habit of skipping breakfast has been shown to lead to many health issues. Which of the following health issues has not been connected to skipping breakfast? P 557

a)

Increased BMI and Obesity

b)

Mental Health issues

c)

Sleep disruption

d)

Loss of nutrients

43.

Which of the following is not considered one of the greatest contributors to cancer risk in tactical personnel? P 554

a)

Inadequate use of PPE

b)

Sleep deprivation during 24-hour shifts

c)

Exposure to peripheral smoke during overhaul when respiratory protection is not used

44.

Which of the following is a common type of cancer among tactical populations that affects the nervous system? P 554

a)

Kidney

b)

Thyroid

c)

Brain

d)

Lung

45.

What is the leading cause of significant cognitive function decline in tactical populations? P 556

a)

Acute Stress

b)

Tabacco use

c)

Nutritional habits

d)

Sleep disruption

46.

Which of the following would be considered a higher risk ergogenic aid? P 123-124, 17-130

a)

Nitric oxide stimulators

b)

Beta hydroxy beta methylbutyrate (HMB)

c)

Creatine

d)

Testosterone boosters

47.

Which of the following would not be considered an educational session for a wellness intervention aimed at tactical personnel? P 560

a)

CPR certification renewal

b)

Tabacco cessation

c)

Alcohol moderation

48.

As a trainer, it is important to recognize the symptoms of certain conditions in order to refer them to the appropriate healthcare professional. Which of the following is not part of the group of risk factors known as metabolic syndrome? P 553

a)

Low resting heart rate

b)

Obesity

c)

High-triglycerides

49.

How much greater is the risk of a cancer diagnosis for firefighters when compared with the general population? P 554

a)

Firefighters have the same level of risk 

b)

Firefighters may have triple the risk

c)

Firefighters may have 4 times the risk

d)

Firefighters may have double the risk

50.

Which of the following is considered the most harmful coping behavior when managing stress in tactical athletes? P 552

a)

Increased alcohol comsumption

b)

Increased caffeine consumption

c)

Playing video games after a shift

51.

You have a tactical athlete who must return to running following an injury. Before you begin a systematic approach to a running progression program, which of the following must happen first? P 450

a)

Tactical athlete can walk 30 minutes without symptoms

b)

Tactical athlete clears the vertical jump

c)

Tactical athlete has completed the endurance focused training program

d)

Tactical athlete can perform 50 consecutive bodyweight squats

52.

Which of the following is not one of the recommended ways to prevent NFOR and OTS within the tactical athlete population? P 438

a)

Educate the atctical athlete

b)

Look for early warning signs

c)

Use occupational fitness programs exclusively

d)

Monitor the tactical athlete with comprehensive testing

53.

What components should be incorporated into a wellness program to enhance its cost-efficiency? P 560

a)

Single focus behavioral change classes

b)

opt outs for physicalactivity

c)

Injury rehabilitation services

d)

Education sessions

54.

How many carbohydrates per hour should a tactical athlete ingest during extended missions that last several hours? P 110

a)

20 to 40 g per hour

b)

80 to 120 g per hour

c)

30 to 60 g per hour

d)

120 to 140 g per hour

55.

Which of these is appropriate for decreasing injury risk when creating a safe and effective training program for tactical athletes that are well-conditioned? P 429

a)

Use primary single joint exercises

b)

Use low to moderate volumes and intensities year round

c)

Decrease training to accommodate higher volumes or intensities of on the job activity

d)

Maintain the same intensity and volume throughout multiple blocks to ensure consistency

56.

Which of the following is not one of the cited reasons that tactical athletes choose not to exercise? P 555

a)

Allocation of time

b)

Lethargy

c)

Fatigue

d)

Lack of activities

57.

Which of the following is the leading cause of mortality in the U.S. population and worldwide? P 553

a)

Diabetes

b)

Cardiovascular disease

c)

Cancer

d)

Car accidents

58.

Which of these ergogenic aids is considered to have low risk and is associated with demonstrated high benefits for the tactical athlete? P 121, 124-125

a)

Growth hormone

b)

Glutamine

c)

Creatine

59.

During the return-to-function phase of rehabilitation, traditional lifts such as the deadlift may be resumed. Which of the following should be used to keep the load close to the spine, thus reducing stress to that area? P 446

a)

Hexagonal bar

b)

Resistance bands

c)

Ketlebells

d)

Dumbbells

60.

ou are training a tactical athlete who is recovering from an ankle injury. Which of the following functional exercises would be ideal to select because it demands less of the ankle joint? P 441

a)

Trap bar squat

b)

Jump squat

c)

Back squat

d)

Box squat

61.

Dietitians, physical therapists, sports trainers, and strength and conditioning coaches for the tactical population are all examples of which of the following? P 560

a)

Awareness programs

b)

Support services

c)

Education sessions

d)

Operational units

62.

Which of the following is considered the leading factor in the success or failure of a health and wellness programs among tactical populations? P 559

a)

Leadership investment

b)

Program duration

c)

Equipment quality

d)

Facility location

63.

Which of the following is not a recognized obstacle to establishing a successful wellness program? P 558-560

a)

Leadership buy-in

b)

Budget

c)

Intrinsic risk factors

d)

Culture

64.

Heart attacks are the leading cause of death for firefighters. When do 75% of these deaths occur? p 111, 468-169, 553

a)

During physical exertion on the job

b)

Within 24 hours of physical exertion on the job

c)

When off duty

d)

In the morning

65.

At what stage of the healing process for traumatic injuries do low-load range of motion (ROM) and stretching exercises become recommended? p 436

a)

Inflammatory

b)

Return-to-function

c)

Remodeling

d)

Repair

66.

Which of the following is not a guideline for returning to sport, essential for ensuring a unit is fully prepared for its mission-specific physical demands through functional phase Physical Readiness Training (PRT)? P 439

a)

Pain free, full range of motion (ROM)

b)

Psychological readiness

c)

Focus on the occupational based training

d)

Good proprioception and balance

67.

Which of the following is considered an intrinsic risk factor? P 515-516

a)

Equipment

b)

Job task requirements

c)

Ambient temperature

d)

Low fitness level

68.

What body temperature range is most likely to disrupt normal thermoregulation? P 103

a)

97.7

b)

99.5

c)

104

d)

101

69.

What is the main side effect of beta-alanine supplementation? P 121-123

a)

Increased blood pressure

b)

Diarrhea

c)

Paresthesia

d)

Headaches

70.

What is the most appropriate first step to take when someone exhibits symptoms of heatstroke? P 511

a)

Extra electrolyte intake

b)

Decreased sun exposure

c)

Ice bath

d)

Gradual cool-down session

71.

Which of the following is best described as a grouping of factors that increase a person's chance of developing cardiovascular disease? P 553

a)

Cardiac array syndrome

b)

Metabolic profile complex

c)

Cardiovascular risk array

d)

Syndrome X

72.

What is the recommended amount of protein in grams that a tactical athlete should consume before a mission? P 110

a)

25 to 30 g

b)

10 to 15 g

c)

15 to 20 g

d)

20 to 25 g

73.

What is considered the baseline for obesity when using a body mass index (BMI) measurement? P 110, 469, 552

a)

20

b)

25

c)

30

d)

35

74.

Which of the following are behaviors that contribute to good sleep hygiene? P 491, 556-557

a)

Taking long naps, eating a large meal before bedtime, and getting natural sunlight exposure

b)

Reducing stress, taking long naps, and avoiding natural sunlight exposure

c)

Limiting alcohol consumption, eating a large meal before bedtime, and including relaxing activities before bedtime

d)

Avoiding naps, getting natural sunlight exposure, and limiting alcohol consumption

75.

Which of the following is not one of the risk factors for chronic illnesses and disease in tactical populations? P 554

a)

Tobacco usage

b)

Stress

c)

Moderate weight

d)

Sleep disruption

76.

What is the greatest risk factor for injury? P 452-453

a)

BMI over 35

b)

Movement impairment

c)

Low fitness level

d)

Previou injury

77.

A stress fracture to the foot is what type of injury? P 436-437

a)

Macrotrauma

b)

Acute

c)

Overuse

78.

Which of the following is not  considered a marker of overtraining? P 437-438

a)

Increased blood pressure

b)

Increase testosterone to cortisol ratio

c)

Increased resting heart rate

d)

Reduced training capacity

79.

Which of the following is a common type of cancer among tactical populations that affects the endocrinal system? P 554

a)

Kidney

b)

Thyroid

c)

Brain

d)

qlung

80.

Of the following ergogenic aids, which one is not illegal? P 121, 123-124

a)

Dehydroepiandrosterone (DHEA)

b)

Beta hydroxy beta methylbutyrate (HMB)

c)

Aromatase inhibitors

d)

Erythropoien (EPO)

81.

What is not considered a symptom of overtraining? P 437

a)

Diminished quality of sleep

b)

Decreased blood pressure

c)

Mood changes

d)

Elevated heart rate

82.

Which of the following is not cited as one of the limitations and considerations for enhancing long-term success among tactical athlete occupations? P 558

a)

Fiscal constraints

b)

Leadership investment

c)

Cultural challenges

d)

Wellness program

83.

A military personnel member is on a mission at 15,000 feet. This person initially begins to experience difficulty performing regular physical activities. Which of the following best describes what this person is experiencing? P 512-514

a)

 High-altitude cerebral edema: Fluid accumulation and brain swelling

b)

Hypoxic-effect: When the body's core temperature decreases

c)

Hypoxic-effect: When less oxygen is delivered to the tissues of the body

84.

Which type of dietary fat should a tactical athlete avoid before, during, and after a mission? P 110

a)

Monounsaturated fat

b)

Saturated fat

c)

Unsaturated fat

d)

Trans fat

85.

A lack of sleep can affect which of the following, feeding into a negative cycle compounding the lack of physical activity? P 557

a)

Hydration levels

b)

Motivation

c)

Vision aculty

d)

Joint flexibility

86.

An athlete takes a dose of caffeine prior to his workout routine. Which of the following is the least likely side effect? P 121, 124

a)

Restlessness

b)

Headaches

c)

Hypotension

87.

Which of the following is not identified as one of the seven lifestyle habits that form the foundation of good health? P 557

a)

No smoking

b)

No alcohol

c)

Three meals a day with no smoking

d)

Five to six hours of sleep

88.

What type of disease risk is increased for law enforcement officers who frequently transition from a sedentary state to high-intensity activity? P 554

a)

Pulmonary

b)

CNS

c)

Cardiovascular

d)

Thyroid

89.

What is the most frequent type of injury associated with carrying loads? P 541

a)

Rucksack palsy

b)

Knee pain

c)

Stress fractures

d)

Foot blisters

90.

Which of the following is considered the greatest risk factor for an injury? P 452

a)

Muscle mass

b)

Weight / body fat percentage

c)

Training program

d)

Previous injury