EFA exit exam questions and answers — Set 39 — Elementary First Aid
Set 39 of the Elementary First Aid (EFA) exit exam bank — 30 of 1185 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 39 — 30 EFA exit exam questions with answers
1. Using the AVPU scale, a casualty who opens his eyes only when his ear lobe is pinched is graded:
- A. A - alert
- B. V - responds to voice
- C. U - unresponsive
- D. P - responds to pain
2. The Glasgow Coma Scale gives a total score ranging from:
- A. 5 to 20
- B. 1 to 5
- C. 0 to 10
- D. 3 to 15
3. A casualty is knocked out, recovers and seems normal, but some hours later becomes drowsy and confused with unequal pupils. This suggests:
- A. Recovery from concussion
- B. Low blood sugar only
- C. Simple fainting
- D. Compression of the brain from bleeding inside the skull
4. Which of the following is NOT a common cause of unconsciousness?
- A. Poisoning by toxic gas
- B. Low blood sugar in a diabetic
- C. A sprained ankle
- D. Head injury
5. An unresponsive casualty is making occasional slow, noisy gasps. You should:
- A. Treat it as not breathing normally and start CPR
- B. Give him water
- C. Wait to see if breathing improves
- D. Place him in the recovery position as he is breathing
6. During the examination of an unconscious casualty you should look for:
- A. A medical warning bracelet, necklace or card
- B. His cabin key
- C. His shore leave pass
- D. His bank card
7. For an unconscious casualty who is breathing, tight clothing around the neck, chest and waist should be:
- A. Tightened to support the body
- B. Removed completely, even in cold weather
- C. Left alone
- D. Loosened
8. When opening the airway of an unconscious casualty who wears dentures:
- A. All dentures must always be pushed further into the mouth
- B. The casualty should be turned face down to remove them
- C. Dentures must never be touched
- D. Well-fitting dentures may be left in place, but loose or broken ones should be removed
9. After a head injury, clear watery fluid is seen coming from the casualty's nose or ear. This may indicate:
- A. A fractured skull
- B. A common cold
- C. A minor bruise
- D. Dehydration
10. An unconscious casualty should be watched continuously mainly because:
- A. It is required for the logbook only
- B. He might wake up and leave
- C. His airway may become obstructed and breathing may stop
- D. He might become hungry
11. The minimum standard of competence in elementary first aid required of all seafarers is set out in the STCW Code in:
- A. Table A-II/1
- B. Table A-VI/4-1
- C. Table A-VI/1-3
- D. Table A-VI/4-2
12. A seafarer designated to provide medical first aid on board must meet the standard of competence in STCW Code:
- A. Table A-VI/1-3
- B. Table A-VI/1-4
- C. Table A-VI/2-1
- D. Table A-VI/4-1
13. Under MLC 2006, a ship carrying 100 or more persons on an international voyage of more than three days must normally carry:
- A. Only a first aid kit
- B. A pharmacist
- C. A dentist
- D. A qualified medical doctor
14. Under MLC 2006, the ship's medicine chest and medical equipment must be inspected at intervals not exceeding:
- A. 3 months
- B. 5 years
- C. 24 months
- D. 12 months
15. Which publication is the principal medical reference recommended for use on board merchant ships?
- A. The ILO/IMO/WHO International Medical Guide for Ships
- B. The Nautical Almanac
- C. The IMDG Code Volume 2
- D. The International Code of Signals general section
16. The Medical First Aid Guide for Use in Accidents Involving Dangerous Goods (MFAG) is published as a supplement to the:
- A. SOLAS Convention
- B. MARPOL Convention
- C. Load Line Convention
- D. IMDG Code
17. In the International Code of Signals, the signals of the medical section begin with the letter:
- A. M
- B. D
- C. A
- D. N
18. Before requesting radio medical advice, the first aider should have ready:
- A. The casualty's age, symptoms, vital signs, history and any treatment or medicine given
- B. The casualty's salary details
- C. Only the ship's name
- D. The cargo manifest
19. On arriving at an accident scene, the correct order of concern for safety is:
- A. Bystanders, then the casualty, then yourself
- B. The ship's equipment first
- C. Yourself, then bystanders, then the casualty
- D. The casualty, then yourself, then bystanders
20. Disposable gloves and other items contaminated with blood after first aid should be:
- A. Thrown overboard
- B. Left at the scene
- C. Placed in a sealed bag for disposal as clinical waste
- D. Reused after rinsing in water
21. A casualty record made by the first aider should include:
- A. Times of the incident, observations and treatment given
- B. Nothing in writing; verbal reports are sufficient
- C. Only the casualty's name
- D. The first aider's opinion of who was to blame
22. The main muscle of breathing, which separates the chest from the abdomen, is the:
- A. Trapezius
- B. Pectoral muscle
- C. Diaphragm
- D. Biceps
23. The windpipe (trachea) divides into two tubes leading to the lungs called the:
- A. Ureters
- B. Alveoli
- C. Bronchi
- D. Pleurae
24. Oxygen is carried in the blood mainly by:
- A. Platelets
- B. Haemoglobin in the red blood cells
- C. White blood cells
- D. Plasma proteins
25. The blood cells that help blood to clot and stop bleeding are the:
- A. Platelets
- B. Red blood cells
- C. White blood cells
- D. Lymphocytes only
26. The main function of white blood cells is to:
- A. Fight infection
- B. Clot the blood
- C. Carry carbon dioxide
- D. Carry oxygen
27. The right side of the heart pumps blood:
- A. To the kidneys only
- B. To the rest of the body
- C. To the lungs
- D. To the brain
28. Which blood vessel carries deoxygenated blood away from the heart?
- A. Aorta
- B. Pulmonary artery
- C. Carotid artery
- D. Pulmonary vein
29. Which blood vessels contain valves that stop blood flowing backwards?
- A. Arterioles
- B. Capillaries
- C. Veins
- D. Arteries
30. The exchange of oxygen and carbon dioxide between blood and tissues takes place through the walls of the:
- A. Veins
- B. Capillaries
- C. Heart chambers
- D. Arteries
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