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DG Exit Exam
Answer Key

EFA exit exam questions and answers — Set 7

Set 7 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 7 — 30 EFA exit exam questions with answers

1. A worker has had his hand caught in a car door. You suspect several fractured bones in the hand. The hand should be splinted:

  • A. Conduction, convection, evaporation, and refrigeration
  • B. Submersion, convection, radiation and respiration
  • C. Flat against the splint
  • D. In a position of function (holding a roll of bandage/soft fist)
Answer: D — In a position of function (holding a roll of bandage/soft fist)
Proper immobilization with splints stabilizes broken bone ends, reduces severe pain, controls internal bleeding, and prevents neurovascular injury. Assess circulation, sensation, and motor function before and after.

2. Crepitus is:

  • A. Poor distal circulation
  • B. A grating sound caused by bone ends rubbing together
  • C. A type of splint
  • D. A type of fracture
Answer: B — A grating sound caused by bone ends rubbing together
The correct answer is: "A grating sound caused by bone ends rubbing together". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

3. In the case of suspected fracture of the clavicle, emergency responders should use:

  • A. An arm sling supported with broad bandages
  • B. A St. John tubular sling tie down the injured side
  • C. A St. John tubular sling tie down the uninjured side
  • D. Rigid splints to support the arm and support the shoulder
Answer: C — A St. John tubular sling tie down the uninjured side

4. Force on a joint may cause bone ends to come out of their proper position. This type of injury is called a:

  • A. Sprain
  • B. Fracture
  • C. Dislocation
  • D. Strain
Answer: C — Dislocation
The correct answer is: "Dislocation". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

5. After an extremity fracture has been immobilized, the responder should check for circulation:

  • A. In the injured limb only
  • B. Distal to the injury
  • C. Proximal to the injury
  • D. At the site of the fracture
Answer: B — Distal to the injury
Proper immobilization with splints stabilizes broken bone ends, reduces severe pain, controls internal bleeding, and prevents neurovascular injury. Assess circulation, sensation, and motor function before and after.

6. Effective immobilization of the tibia includes immobilization of the:

  • A. Knee, tibia, fibula and ankle
  • B. Femur, knee, tibia and ankle
  • C. Femur and ankle
  • D. Hip, femur, knee, tibia and ankle
Answer: A — Knee, tibia, fibula and ankle
The correct answer is: "Knee, tibia, fibula and ankle". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

7. The longest, strongest bone in the body is the:

  • A. Humerus
  • B. Fibula
  • C. Tibia
  • D. Femur
Answer: D — Femur
The correct answer is: "Femur". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

8. If the patient has an open fracture responders should:

  • A. Attempt to push bones back into the wound
  • B. Use bulky dressings to pad around the protruding bones ends
  • C. Apply pressure directly over the fracture to control bleeding
  • D. Apply a tourniquet above the fracture site
Answer: B — Use bulky dressings to pad around the protruding bones ends
Proper immobilization with splints stabilizes broken bone ends, reduces severe pain, controls internal bleeding, and prevents neurovascular injury. Assess circulation, sensation, and motor function before and after.

9. You are examining the head of an infant who has been involved in a car crash. You need to be aware of:

  • A. Soft spots in the infant's skull
  • B. Infant's pupils react too differently than adults
  • C. Whether or not the infant can cry forcefully
  • D. The startle reflex
Answer: A — Soft spots in the infant's skull
The correct answer is: "Soft spots in the infant's skull". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

10. When immobilizing a patient on a spine board, which part of the body is the first to be strapped?

  • A. Chest
  • B. Pelvis
  • C. Legs
  • D. Head
Answer: A — Chest
When a casualty is found injured after a fall, suspect spinal trauma and minimize any movement to avoid secondary neurological injury while waiting for medical assistance.

11. Cerebral contusions are:

  • A. Usually controlled with direct pressure
  • B. Very serious for the patient due to increased pressure in the brain
  • C. Usually associated with scalp lacerations
  • D. Almost always seen in children
Answer: B — Very serious for the patient due to increased pressure in the brain
The correct answer is: "Very serious for the patient due to increased pressure in the brain". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

12. Which one of the following changes in vital signs is characteristic of brain injury:

  • A. Increase in pulse rate
  • B. Constant respiratory rate
  • C. Increase in blood pressure
  • D. A decrease in blood pressure
Answer: C — Increase in blood pressure
The secondary survey consists of a detailed head-to-toe physical assessment and continuous monitoring of baseline vital signs (pulse, respiration, blood pressure, temperature, pupils).

13. The Glasgow Coma Scale measures three basic functions. They are:

  • A. Eye, verbal and motor responses
  • B. Pulse rate, speech, involuntary movement
  • C. Pulse rate, respiration rate, eye response
  • D. Respiration rate, eye response, voluntary movement
Answer: A — Eye, verbal and motor responses
The correct answer is: "Eye, verbal and motor responses". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

14. "Raccoon eyes" indicates:

  • A. Possible eye injury
  • B. Possible fracture of the jaw
  • C. Possible scalp laceration
  • D. Possible head injury
Answer: D — Possible head injury
The correct answer is: "Possible head injury". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

15. You are called to the scene of a motorcycle crash. The rider is dazed and walking around. You should:

  • A. Suspect spinal injury and manage accordingly
  • B. Not worry about the spinal injury because the person is mobile
  • C. Advise the person to lie down in case of fainting
  • D. Determine the chief complaint and provide first aid for it
Answer: A — Suspect spinal injury and manage accordingly
The correct answer is: "Suspect spinal injury and manage accordingly". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

16. A skeletal injury to the lower back could result from direct trauma to the:

  • A. Cervical vertebrae
  • B. Thoracic vertebrae
  • C. Lumbar vertebrae
  • D. Coccygeal vertebrae
Answer: C — Lumbar vertebrae
The correct answer is: "Lumbar vertebrae". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

17. Which one of the following is a function of the skin?

  • A. Regulation of oxygen levels
  • B. Production of proteins
  • C. Regulation of body temperature
  • D. Removal of carbon dioxide
Answer: C — Regulation of body temperature
The correct answer is: "Regulation of body temperature". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

18. Urine is expelled from the body through the:

  • A. Kidneys
  • B. Bladder
  • C. Ureters
  • D. Urethra
Answer: D — Urethra
The correct answer is: "Urethra". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

19. When communicating with patients:

  • A. Stay at eye level & maintain eye contact
  • B. Stay as close to the patient as possible
  • C. Use medical terminology to enhance credibility
  • D. Hide facts if the situation is serious
Answer: A — Stay at eye level & maintain eye contact
The correct answer is: "Stay at eye level & maintain eye contact". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

20. Remove contact lenses only if:

  • A. There is a chemical burn to the eye
  • B. The eyeball is injured
  • C. Transport time is short
  • D. The casualty is wearing hard lenses
Answer: A — There is a chemical burn to the eye
The correct answer is: "There is a chemical burn to the eye". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

21. You discover a particle embedded in the casualty's cornea. You should:

  • A. Remove the particle with a moist corner of a facial tissue or clean cloth
  • B. Flush the eye with water for 10 minutes
  • C. Use a splinter forceps to remove the particle
  • D. Cover the eye and transport the casualty to medical help
Answer: D — Cover the eye and transport the casualty to medical help
The correct answer is: "Cover the eye and transport the casualty to medical help". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

22. Signs and symptoms of intense light burns to the eyes include:

  • A. Bleeding from the conjunctiva
  • B. Gritty feeling in the eyes
  • C. Lacerations to the globe
  • D. Cataracts formation immediately
Answer: B — Gritty feeling in the eyes

23. Eye injuries that include lacerations:

  • A. Should be covered with clean, moist dressings
  • B. Indicate possible skull fracture
  • C. Usually involve a great deal of bleeding
  • D. Require moderate pressure on the eye to control bleeding
Answer: C — Usually involve a great deal of bleeding
The correct answer is: "Usually involve a great deal of bleeding". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

24. Irrigate eyes with:

  • A. Diluted vinegar
  • B. Saline solution
  • C. An appropriate chemical antidote
  • D. Sodium bicarbonate
Answer: B — Saline solution
The correct answer is: "Saline solution". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

25. Signs and symptoms of acute abdomen include:

  • A. Excessive hunger or thirst
  • B. Hypertension and bradycardia
  • C. Distension with rebound tenderness
  • D. Fever with deep, shallow breathing
Answer: C — Distension with rebound tenderness
The correct answer is: "Distension with rebound tenderness". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

26. Signs that a hernia is serious include:

  • A. Pain and tenderness at site
  • B. Pale, ashen skin color at site
  • C. Hernia can be pushed back into body
  • D. Hernia is above the diaphragm
Answer: A — Pain and tenderness at site
The correct answer is: "Pain and tenderness at site". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

27. Which one of the following is not crucial in cases of abdominal distress:

  • A. Establish the exact medical cause of the pain
  • B. Monitor the patient for signs of hypovolemic shock
  • C. Be prepared to deal with vomiting
  • D. Give oxygen by non-rebreather mask
Answer: A — Establish the exact medical cause of the pain
The correct answer is: "Establish the exact medical cause of the pain". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

28. In the case of abdominal evisceration, the emergency responder should:

  • A. Irrigate the wound before dressing it
  • B. Give oxygen by nasal cannula
  • C. Dress the wound with a moist, sterile dressing
  • D. Gently reposition the organs in the abdominal cavity
Answer: C — Dress the wound with a moist, sterile dressing
The correct answer is: "Dress the wound with a moist, sterile dressing". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

29. "Referred pain":

  • A. Occurs when the sensation of pain is delayed
  • B. Results when the two nervous systems come into contact
  • C. Is pain felt in a part of the body other than its actual source
  • D. Is the description of pain as recorded on the patient care report
Answer: C — Is pain felt in a part of the body other than its actual source
The correct answer is: "Is pain felt in a part of the body other than its actual source". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

30. Trauma to male and female genitalia:

  • A. Often involves significant bleeding
  • B. Is not usually painful because of protected nerve endings
  • C. Usually results in sterility
  • D. Often results in post-traumatic infection
Answer: A — Often involves significant bleeding
The correct answer is: "Often involves significant bleeding". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

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