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EFA exit exam questions and answers — Set 3

Set 3 of the Elementary First Aid (EFA) exit exam bank — 30 of 291 questions, with the correct option marked and a one-line explanation for every one. Read it end to end, jump to a single set, or search it — then sit the same bank as a timed paper. The real DG Shipping exit exam is 30 marks with 15 to pass.

These are the bank's original groupings. Practising deals the whole bank out again every time you reshuffle, so a practice “Set 3” is a different 30 questions each time — the set numbers below are the source file's, and are only used here so the key stays navigable. Options are listed in their original order with fixed letters; when you practise, those move too.

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Set 3 — 30 EFA exit exam questions with answers

1. What key responsibility belongs to seafarers performing watchkeeping duties for regulatory compliance and STCW code requirements under Elementary First Aid?

  • A. Continuous monitoring of operational parameters and immediate reporting of anomalies
  • B. Bypassing safety trips during routine operations
  • C. Leaving watchkeeping station unattended
  • D. Operating equipment beyond design pressure limits
Answer: A — Continuous monitoring of operational parameters and immediate reporting of anomalies
Continuous vigilance and prompt communication are core watchkeeping duties under STCW.

2. Which document contains detailed hazard data and emergency handling instructions for substances involved in regulatory compliance and STCW code requirements during Elementary First Aid?

  • A. Ship's Cargo Manifest summary page
  • B. Bill of Lading description
  • C. Crew List document
  • D. Safety Data Sheet (SDS) / Material Safety Data Sheet (MSDS)
Answer: D — Safety Data Sheet (SDS) / Material Safety Data Sheet (MSDS)
Safety Data Sheets provide critical hazard identification, PPE requirements, and first aid response steps.

3. When caring for someone who is allergic to bees and has just been stung, you should:

  • A. Give them an injection with their Epi-pen
  • B. Apply a heat pack to ease pain
  • C. Apply a cold pack
  • D. Both A and C
Answer: D — Both A and C
If a person with a known severe bee allergy is stung, assist them immediately with their prescribed epinephrine auto-injector (Epi-pen) to prevent anaphylaxis, and apply a cold pack to reduce local swelling and pain.

4. Signals of an allergic reaction to a bee sting are:

  • A. Feeling of tightness in the chest and throat
  • B. Swelling of the face, neck, and tongue
  • C. Rash, dizziness, or confusion
  • D. All of the above
Answer: D — All of the above
Signs of an allergic reaction or anaphylaxis include respiratory distress (tightness in chest/throat), angioedema (swelling of face, neck, tongue), skin hives/rashes, and neurological symptoms like dizziness or confusion.

5. When caring for a person who is suffering from heat cramps, you should:

  • A. Apply cold packs
  • B. Give cool water or sports drink
  • C. Have them keep walking slowly to work the cramp out
  • D. Massage the muscle vigorously to increase circulation
Answer: B — Give cool water or sports drink
Heat cramps are caused by the depletion of water and electrolytes from heavy sweating. First aid involves resting in a cool environment, gentle stretching, and drinking cool water or electrolyte solutions.

6. What symptoms are associated with heat exhaustion?

  • A. Cool, moist, pale, or flushed skin
  • B. Rapid weak pulse
  • C. Rapid, shallow breathing
  • D. All of the above
Answer: D — All of the above
Heat exhaustion presents with heavy sweating, cool clammy or flushed skin, dizziness, headache, nausea, a rapid and weak pulse, and fast shallow breathing.

7. Which of the following characteristics describe heat stroke?

  • A. Causes very high body temperature
  • B. Hot, red, or dry skin
  • C. Rapid weak pulse and shallow breathing
  • D. All of the above
Answer: D — All of the above
Heat stroke is a severe medical emergency characterized by a body temperature above 40°C (104°F), hot red dry or moist skin, rapid weak pulse, and confusion or loss of consciousness.

8. When caring for someone who is suffering from frostbite, you should NOT:

  • A. Soak affected part in warm water (100°F to 105°F)
  • B. Rub vigorously until skin appears red and feels warm
  • C. Handle the area gently
  • D. Avoid breaking blisters
Answer: B — Rub vigorously until skin appears red and feels warm
You must never rub frostbitten skin vigorously, as frozen ice crystals in the tissues will cause severe cellular and tissue damage.

9. Which statement regarding hypothermia is correct?

  • A. Is not life threatening
  • B. Victims must be heated up as fast as possible
  • C. Is caused only by exposure to temperatures below freezing
  • D. Can be caused by swimming in waters below 70°F (21°C)
Answer: D — Can be caused by swimming in waters below 70°F (21°C)
Hypothermia can develop in water temperatures below 70°F (21°C) because water conducts heat away from the body 25 times faster than air.

10. Snake bites can be very serious. When caring for a snake bite victim, which should you NOT do?

  • A. Wash the wound gently
  • B. Apply ice to the bitten area
  • C. Keep bitten part still and below the heart
  • D. Get professional medical care promptly
Answer: B — Apply ice to the bitten area
Never apply ice, cold packs, tourniquets, or attempt to cut or suck venom from a snake bite. Keep the victim calm and still with the bite site below heart level.

11. When performing infant CPR or rescue breathing, what kind of breaths should you give to avoid forcing air into the infant’s stomach?

  • A. Hard and fast
  • B. Smooth and fast
  • C. Slowly and gently
  • D. Long and hard
Answer: C — Slowly and gently
Deliver rescue breaths slowly and gently over 1 second, giving just enough volume to see the chest rise, to prevent gastric inflation and regurgitation.

12. Your role in making the Emergency Medical Services (EMS) system work effectively includes which four steps?

  • A. Elevate, Identify, decide, execute
  • B. Check, call, care, protect
  • C. Recognize, decide, call, provide
  • D. None of the above
Answer: C — Recognize, decide, call, provide
The four key steps in citizen emergency response are: Recognize the emergency, Decide to act, Call emergency services (EMS), and Provide first aid care until help arrives.

13. When should you give rescue breathing?

  • A. Conscious choking victim
  • B. Unconscious choking victim
  • C. Unconscious, no pulse, not breathing
  • D. Unconscious, not breathing, but has a pulse
Answer: D — Unconscious, not breathing, but has a pulse
Rescue breathing is indicated for a patient who is in respiratory arrest (not breathing) but still has a palpable pulse (heart is beating). If there is no pulse, full CPR is required.

14. What would you do if a victim had a severed (amputated) body part?

  • A. Wrap severed body part in sterile gauze
  • B. Place the wrapped part in a clean plastic bag
  • C. Put the sealed plastic bag on ice and take it to the hospital with victim
  • D. All of the above
Answer: D — All of the above
Preserve amputated tissue by wrapping it in sterile dressing, sealing in a watertight bag, placing the bag on ice (not submerged directly), and sending it with the patient.

15. What should you do for a victim who is suspected of having internal bleeding?

  • A. Keep the victim quiet and lying down
  • B. Bend knees to make them comfortable
  • C. Both A and B
  • D. None of the above
Answer: C — Both A and B
For suspected internal bleeding, keep the casualty resting quietly and lying flat to minimize shock. Bending the knees helps relax the abdominal wall and reduce discomfort.

16. To care for a victim with an open (sucking) chest wound, you should:

  • A. Cover the wound completely with a sterile absorbent gauze pad
  • B. Cover the wound with a dressing that doesn’t allow air to pass through
  • C. Apply an ice pack to the wound
  • D. Both A and C
Answer: B — Cover the wound with a dressing that doesn’t allow air to pass through
An occlusive or airtight dressing (taped on three sides) must be applied over a sucking chest wound to prevent external air from entering the thoracic cavity.

17. Internal bleeding can be caused by:

  • A. Trauma and physical injury
  • B. Medical illness or disease
  • C. Medications such as blood thinners
  • D. All of the above
Answer: D — All of the above
Internal bleeding can occur secondary to blunt or penetrating trauma, medical conditions (e.g. gastrointestinal ulcers), or pharmacological anticoagulation.

18. When caring for a choking infant, what position should the infant be held in?

  • A. Upside down by the ankles and shoulders
  • B. Face up on a flat surface
  • C. Face down on your forearm with head lower than the body
  • D. Face down on your knee with head higher than the body
Answer: C — Face down on your forearm with head lower than the body
Hold the infant face-down along your forearm, supporting the head and jaw, with the head positioned lower than the trunk to deliver effective back blows.

19. Closed soft tissue wounds should be cared for by:

  • A. Heat application and elastic bandages
  • B. Ice application and elevation
  • C. Applying direct pressure on the area to cut down on bleeding under skin
  • D. Both B and C
Answer: D — Both B and C
First aid for closed soft tissue injuries uses the RICE protocol: applying cold/ice packs, compression/pressure to minimize swelling and internal bruising, and elevation.

20. What should you do for a chemical burn?

  • A. Flush with water, dry, and cover
  • B. Flush with large amounts of water and apply ointment
  • C. Flush with large amounts of warm water until help arrives
  • D. Flush with large amounts of cool water until help arrives
Answer: D — Flush with large amounts of cool water until help arrives
Continuous, copious irrigation with cool running water for at least 15 to 20 minutes (or until medical help arrives) is critical to dilute and remove chemical agents.

21. What is the most common reason an infant’s heart stops?

  • A. Allergies
  • B. Traumatic injury
  • C. Breathing and respiratory problems
  • D. Sudden Infant Death Syndrome (SIDS)
Answer: C — Breathing and respiratory problems
In infants and young children, cardiac arrest is most frequently the end result of respiratory failure and hypoxia rather than primary cardiac disease.

22. When is it appropriate to move an injured victim?

  • A. When you need to care for another victim with more critical injuries
  • B. When the victim is in immediate environmental danger
  • C. When it is necessary to provide proper lifesaving care
  • D. All of the above
Answer: D — All of the above
Casualties should only be moved when immediate danger threatens life (fire, collapse, toxic fumes), to access a more critically injured person, or to deliver effective care (e.g. firm surface for CPR).

23. What do you do for a victim who has a bleeding injury to the mouth and you are sure that there is no head, neck, or spine injury?

  • A. Keep victim seated with head tilted slightly forward
  • B. Keep victim seated with head tilted slightly backward
  • C. Have the victim lie down flat on their back
  • D. None of the above
Answer: A — Keep victim seated with head tilted slightly forward
Sit the casualty upright and lean them slightly forward so blood drains outward, preventing blood from entering the airway or being swallowed.

24. Which of the following heat-related illnesses is the most serious?

  • A. Heat Stroke
  • B. Heat Exhaustion
  • C. Heat Cramps
  • D. Heat Rash
Answer: A — Heat Stroke
Heat stroke is the most severe heat emergency, characterized by thermoregulatory breakdown and core temperature over 40°C, carrying high risk of mortality.

25. To encourage people to help others in emergency situations, laws that protect rescuers from liability when acting in good faith are called:

  • A. The Good-Will Law
  • B. The First Aid No-Fault Law
  • C. The Good Samaritan Law
  • D. The Rescuer Protection Act
Answer: C — The Good Samaritan Law
Good Samaritan laws protect voluntary first responders and bystanders from legal liability when providing reasonable emergency assistance in good faith.

26. Signals of serious head and spine injuries include:

  • A. Blood or other fluids in the ears or nose
  • B. Unusual bumps or depressions on the head or over the spine
  • C. Seizures, severe headaches, or slurred speech
  • D. All of the above
Answer: D — All of the above
Symptoms of severe cranial or spinal trauma include cerebrospinal fluid/blood leakage from ears/nose, anatomical deformities, altered consciousness, seizures, and neurological impairment.

27. Anaphylaxis (severe allergic reaction) is primarily treated with:

  • A. Analgesic tablet
  • B. A tablet under the tongue
  • C. An Epi-pen injection of adrenaline (epinephrine)
  • D. An injection of insulin
Answer: C — An Epi-pen injection of adrenaline (epinephrine)
Intramuscular epinephrine (adrenaline) via an EpiPen is the lifesaving first-line medical treatment to reverse severe airway bronchospasm and hypotension during anaphylaxis.

28. Which form of hyperthermia (high body temperature illness) is the most severe?

  • A. Heat stress
  • B. Heat cramps
  • C. Heat stroke
  • D. Heat exhaustion
Answer: C — Heat stroke
Heat stroke represents the most severe form of hyperthermia, causing severe thermoregulatory failure and rapid multi-organ injury without prompt cooling.

29. Standard contents of a marine first aid kit include the following EXCEPT:

  • A. Micropore tape
  • B. Macropore
  • C. Bandages
  • D. Scissors
Answer: B — Macropore
Standard first aid kits contain micropore surgical tape, bandages, antiseptic dressings, and scissors. 'Macropore' is not a standard first aid supply.

30. What is the most severe type of burn involving deep subcutaneous tissues?

  • A. 1st degree burn
  • B. 2nd degree burn
  • C. 3rd degree burn
  • D. Superficial burn
Answer: C — 3rd degree burn
Third-degree burns are full-thickness burns that destroy the entire epidermis and dermis and damage underlying fat, muscle, or bone, requiring advanced medical graft care.

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