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DG Exit Exam
Answer Key

EFA exit exam questions and answers — Set 5

Set 5 of the Elementary First Aid (EFA) exit exam bank — 30 of 291 questions, with the correct option marked, and 28 of them also carry a one-line explanation. 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 5 — 30 EFA exit exam questions with answers

1. What should you do for a person with an object like a knife, stuck in their leg?

  • A. Rinse the wound with water, and apply antibiotic ointment and a sterile dressing
  • B. Quickly remove the object and apply direct pressure to stop the bleeding
  • C. Always cut the object shorter to make it easier to transport the person
  • D. Call medical help, control bleeding, and stabilize the object in place
Answer: D — Call medical help, control bleeding, and stabilize the object in place
Never remove an impaled or embedded foreign object at the scene. Stabilize it in place with bulky dressings and bandaging to prevent further tissue and vessel damage.

2. Muscles are attached to the bones by:

  • A. Ligaments
  • B. Meninges
  • C. Cartilage
  • D. Tendons
Answer: D — Tendons
Tendons are strong fibrous connective tissues that attach skeletal muscles to bones, facilitating joint movement and physical locomotion.

3. When performing CPR on a child you give:

  • A. 4 slow breaths & 20 chest compressions
  • B. 1 slow breath & 5 chest compressions
  • C. 2 slow breaths & 10 chest compressions
  • D. 2 slow breaths & 15 chest compressions
Answer: D — 2 slow breaths & 15 chest compressions
Untrained bystanders witnessing sudden cardiac arrest are advised to call emergency services and perform hands-only chest compressions to maintain vital organ perfusion until help arrives.

4. A victim has a large piece of glass sticking out of her leg. You should:

  • A. Leave the glass in her leg and control the bleeding
  • B. Call your local emergency phone number
  • C. Remove the glass and then control the bleeding
  • D. Both A and B
Answer: D — Both A and B
Never remove an impaled or embedded foreign object at the scene. Stabilize it in place with bulky dressings and bandaging to prevent further tissue and vessel damage.

5. If someone gets diabetic shock, what do you do?

  • A. Drive the bus straight to the hospital
  • B. Ask him where his insulin is and give him a shot
  • C. Do not give him food or drink
  • D. Make him comfortable; give him a non-diet drink, candy, or something with sugar in it
Answer: D — Make him comfortable; give him a non-diet drink, candy, or something with sugar in it
An alert diabetic casualty showing confusion, sweating, or irritability is typically experiencing hypoglycemia; administering quick-acting oral carbohydrates (sugar/candy/fruit juice) is the critical first-line aid.

6. If Mouth-to-Mouth (M-T-M) ventilation by itself is unsuccessful and the casualty's heart stops, or has stopped beating, you must perform External Chest Compression (ECC) in conjunction with M-T-M. What is the complete rate when performing ECC?

  • A. Complete 15 compressions at the rate of 80 compressions per minute
  • B. Complete 20 compressions at the rate of 60 compressions per minute
  • C. Complete 25 compressions at the rate of 75 compressions per minute
  • D. Complete 10 compressions at the rate of 40 compressions per minute
Answer: A — Complete 15 compressions at the rate of 80 compressions per minute
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

7. To clear the victim's airway, you should:

  • A. Push chin down, tilt head back
  • B. Lift chin up, turn head to the left
  • C. Lift chin up, tilt head forward
  • D. Lift chin up, tilt head back
Answer: D — Lift chin up, tilt head back
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

8. A blood-soaked dressing on the arm indicates that bleeding has not yet been controlled. You should now:

  • A. Remove the dressing and check the wound
  • B. Apply pressure to the femoral artery
  • C. Place a clean dressing on top and apply more pressure
  • D. Apply a tourniquet
Answer: C — Place a clean dressing on top and apply more pressure
When sterile dressings become saturated with blood, do not remove them as this disrupts active clotting; instead, apply additional dressings directly on top and maintain firm pressure.

9. A rapid body survey should take no longer than:

  • A. 30 seconds
  • B. 45 seconds
  • C. 60 seconds
  • D. 90 seconds
Answer: A — 30 seconds
The correct answer is: "30 seconds". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

10. When helping an unconscious choking victim, you would give an adult chest thrusts. For an infant you would give back blows and chest thrusts in the ratio of:

  • A. 3, 3, 3
  • B. 5, 3, 3
  • C. 5, 5, 5
  • D. 3, 5, 5
Answer: C — 5, 5, 5

11. Where is the carotid artery located?

  • A. Inside the wrist just above the hand
  • B. On the neck to the right or left of the windpipe
  • C. Behind the kneecap
  • D. Inside the arm between the elbow and shoulder
Answer: B — On the neck to the right or left of the windpipe
The carotid artery is situated in the anterior neck adjacent to the trachea (windpipe) and is the primary site used to check central pulse in unresponsive adults.

12. A man is having a heart attack, he has medication with him, what should you do?

  • A. Give the medicine to him, placing it under the tongue. Call medical help
  • B. Assist him with the medicine. Call medical help, reassure him until help arrives
  • C. Call medical help, place medicine in mouth and begin CPR
  • D. Have the victim lay down. Call medical help
Answer: B — Assist him with the medicine. Call medical help, reassure him until help arrives
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

13. Insulin is produced in the:

  • A. Spleen
  • B. Liver
  • C. Pancreas
  • D. Gall bladder
Answer: C — Pancreas
Insulin is an essential endocrine hormone produced and secreted by the beta cells of the islets of Langerhans in the pancreas to regulate blood glucose homeostasis.

14. A casualty has been injured by crushing his hand in an item of machinery. Which of the following should never be done?

  • A. Give the patient a shot of alcohol to help ease the pain
  • B. Apply direct pressure to the wound
  • C. Have the casualty lie down
  • D. Give the patient some water provided there is no injury to the abdomen
Answer: A — Give the patient a shot of alcohol to help ease the pain
The correct answer is: "Give the patient a shot of alcohol to help ease the pain". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

15. You are part of a team of two First Aiders in a resuscitation situation. What is the rhythm of resuscitation with two First Aiders?

  • A. 10 compressions within every 3 inflations
  • B. 5 compressions after every 1 inflation
  • C. 3 compressions after every 1 inflation
  • D. 7 inflations before every 5 compressions
Answer: B — 5 compressions after every 1 inflation
The correct answer is: "5 compressions after every 1 inflation". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

16. If Mouth-to-Mouth (M-T-M) ventilation by itself is unsuccessful and the casualty's heart stops, or has stopped beating, you must perform External Chest Compression (ECC) in conjunction with M-T-M. When performing ECC, where do you place your hand on the casualty's body?

  • A. Place the heel of your two hands on the top of the breastbone
  • B. Place the heel of your hand on the top of the heart position. Cover the hand with the heel of the other hand
  • C. The correct position of your hands are of no importance
  • D. Place the heel of one hand, two finger breadths above the bottom of breastbone. Cover the hand with the heel of the other hand
Answer: D — Place the heel of one hand, two finger breadths above the bottom of breastbone. Cover the hand with the heel of the other hand
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

17. What is meant by an open fracture?

  • A. One where an end of one of the bones pierces the skin
  • B. One where more than one bone is involved
  • C. One where the bone has broken into more than one piece
  • D. One that occurs at the end of a bone
Answer: A — One where an end of one of the bones pierces the skin

18. What is the rhythm when performing mouth-to-mouth ventilation in combination with chest compressions by one first aider only?

  • A. 15 compressions followed by 2 full ventilations
  • B. 10 compressions followed by 3 full ventilations
  • C. 5 compressions followed by 5 full ventilations
  • D. 20 compressions followed by 5 full ventilations
Answer: A — 15 compressions followed by 2 full ventilations
The correct answer is: "15 compressions followed by 2 full ventilations". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

19. After checking for open airway, giving the first two inflations and checking the pulse to make sure that the heart is beating, what is the rate of inflations given until natural breathing is restored?

  • A. 12 - 16 times per minute
  • B. 25 - 27 times per minute
  • C. 10 - 12 times per minute
  • D. 6 - 8 times per minute
Answer: A — 12 - 16 times per minute
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

20. The acronym SAMPLE stands for signs and symptoms, allergies, medications, past history, and:

  • A. Location of pain
  • B. Last bowel movement
  • C. Last meal
  • D. Latest related injury
Answer: C — Last meal
SAMPLE is an assessment mnemonic representing Signs/Symptoms, Allergies, Medications, Past medical history, Last oral intake (last meal), and Events leading to injury.

21. Which one of the following is not a system of the body:

  • A. Respiratory
  • B. Musculoskeletal
  • C. Endocrine
  • D. Follicular
Answer: D — Follicular
The correct answer is: "Follicular". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

22. The most important step in managing shock is to:

  • A. Keep the patient warm
  • B. Give CPR as soon as possible
  • C. Give first aid for the illness or injury
  • D. Elevate the lower extremities
Answer: C — Give first aid for the illness or injury
Shock represents systemic circulatory failure where tissue perfusion and oxygen delivery are inadequate to meet cellular metabolic demands. Immediate first aid includes bleeding control, warmth, and elevation.

23. A small percentage of casualties with chronic obstructive pulmonary disease have a hypoxic drive. These patients breathe because of a:

  • A. High oxygen level
  • B. Low oxygen level
  • C. High carbon dioxide level
  • D. Low carbon dioxide level
Answer: B — Low oxygen level
The correct answer is: "Low oxygen level". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

24. The emergency responder is one link in the chain of services known as the:

  • A. Emergency Patient Care (EPC) system
  • B. Emergency Medical Services (EMS) system
  • C. Professional Emergency Care (PEC) system
  • D. Community Medical Care (CMC) system
Answer: B — Emergency Medical Services (EMS) system
The correct answer is: "Emergency Medical Services (EMS) system". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

25. The acronym used to assist the emergency responder assessing the patient's level of responsiveness is:

  • A. SAMPLE
  • B. EMCA
  • C. OPQRST
  • D. AVPU
Answer: D — AVPU
The correct answer is: "AVPU". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

26. An industrial worker sustains a severe laceration to his forearm. Direct pressure to the wound fails to control the bleeding. The correct arterial pressure point to control the bleeding is the:

  • A. Carotid
  • B. Radial
  • C. Femoral
  • D. Brachial
Answer: D — Brachial
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

27. Pressing on a fingernail-bed to observe the return of normal color is done to check for:

  • A. Normal blood circulation to that part
  • B. The presence of fractured fingers
  • C. Pain in the area
  • D. A lack of oxygen in the blood
Answer: A — Normal blood circulation to that part
The correct answer is: "Normal blood circulation to that part". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

28. Which one of the following conditions may mimic the signs of acute alcohol intoxication?

  • A. Hypoglycemia
  • B. Congestive heart failure
  • C. Absence seizures
  • D. Anaphylactic shock
Answer: A — Hypoglycemia
The correct answer is: "Hypoglycemia". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

29. Which one of the following breathing diseases is included in C.O.P.D.:

  • A. Croup
  • B. Hyperventilation
  • C. Emphysema
  • D. Dyspnea
Answer: C — Emphysema
The correct answer is: "Emphysema". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

30. A condition where air builds up in the pleural space, collapses the lung and puts pressure on the heart is called:

  • A. Closed pneumothorax
  • B. Tension pneumothorax
  • C. Hemothorax
  • D. Open pneumothorax
Answer: B — Tension pneumothorax
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

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