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DG Exit Exam
Answer Key

EFA exit exam questions and answers — Set 8

Set 8 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 8 — 30 EFA exit exam questions with answers

1. The priorities of MCIs (Mass Casualty Incidents) include all but one of the following:

  • A. Overestimating the resources that may be required
  • B. Comprehensive individual definitive care of all patients on scene
  • C. Planning for the positioning of all vehicles
  • D. Arranging for advanced level care providers at the scene
Answer: B — Comprehensive individual definitive care of all patients on scene
The correct answer is: "Comprehensive individual definitive care of all patients on scene". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

2. To help control bleeding after the baby is born:

  • A. Pack the vagina with pads
  • B. Massage the mother's uterus
  • C. Elevate the mother's legs above heart level
  • D. Place the mother on her right side
Answer: B — Massage the mother's uterus
The correct answer is: "Massage the mother's uterus". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

3. Crowning occurs:

  • A. In the first stage of labour
  • B. In the second stage of labour
  • C. In the third stage of labour
  • D. In the fourth stage of pregnancy
Answer: B — In the second stage of labour
The correct answer is: "In the second stage of labour". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

4. When suctioning a newborn you should use:

  • A. A bulb syringe
  • B. A V-Vac suction device
  • C. A straw
  • D. A battery powered suction device
Answer: A — A bulb syringe
The correct answer is: "A bulb syringe". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

5. One of the most difficult things to assess in infants and young children is:

  • A. Blood pressure
  • B. Pain
  • C. Adequate perfusion
  • D. Level of consciousness
Answer: B — Pain
The correct answer is: "Pain". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

6. Assessments of children should take into consideration:

  • A. No splints should be used in calls designed for adult patients
  • B. Abdominal injuries are less serious since muscles are less developed
  • C. The skull has not completely fused, so head injuries are uncommon
  • D. Chest injury is likely to involve organs without damage to ribs
Answer: D — Chest injury is likely to involve organs without damage to ribs
The correct answer is: "Chest injury is likely to involve organs without damage to ribs". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

7. The responder who suspects a child to be the victim of abuse should:

  • A. Question parents immediately
  • B. Focus on management of injuries to the child
  • C. Gather evidence and question bystanders
  • D. Immediately remove the child from parents or caregivers
Answer: B — Focus on management of injuries to the child
The correct answer is: "Focus on management of injuries to the child". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

8. A child with history of a sore throat, fever and painful swallowing, has breathing difficulties. You should:

  • A. Arrange for immediate transport to a medical facility
  • B. Start mouth-to-mouth artificial respiration
  • C. Stand by and encourage coughing
  • D. Begin abdominal thrusts
Answer: A — Arrange for immediate transport to a medical facility
The correct answer is: "Arrange for immediate transport to a medical facility". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

9. The mammalian diving reflex refers to:

  • A. An increase in heart rate and respiration
  • B. A decrease in heart rate and dilation of blood vessels
  • C. An increase in heart rate and constriction of pupils
  • D. A decrease in heart rate and constriction of peripheral blood vessels
Answer: D — A decrease in heart rate and constriction of peripheral blood vessels
The correct answer is: "A decrease in heart rate and constriction of peripheral blood vessels". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

10. Three common scuba related emergencies are:

  • A. Air embolism, decompression sickness and mammalian reflex
  • B. Air embolism, decompression sickness and barotrauma
  • C. Decompression sickness, the bends and barotrauma
  • D. Air embolism, barotrauma and the squeeze
Answer: B — Air embolism, decompression sickness and barotrauma
The correct answer is: "Air embolism, decompression sickness and barotrauma". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

11. In cases of near drowning:

  • A. The lungs are often filled with water and require deep suctioning
  • B. Laryngospasm prevents water from entering the lungs
  • C. Abdominal thrusts should always be performed before ventilating the patient
  • D. Manual suction devices are not powerful enough to remove water and fluids from the Airway
Answer: B — Laryngospasm prevents water from entering the lungs
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

12. To reduce the risk of respiratory infection and pneumonia where medical care is delayed, responders should:

  • A. Have the patient breathe deeply and cough
  • B. Provide the patient with adequate hydration
  • C. Position the patient in the position of comfort
  • D. Ensure the patient is kept warm and at rest
Answer: A — Have the patient breathe deeply and cough
The correct answer is: "Have the patient breathe deeply and cough". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

13. You have been helping in a water rescue when one of the divers begins to have problems. You suspect air embolism. This patient should receive:

  • A. Oxygen at 15 lpm
  • B. Oxygen at 6 lpm
  • C. Epinephrine
  • D. Inhaled steroids
Answer: B — Oxygen at 6 lpm
The correct answer is: "Oxygen at 6 lpm". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

14. When positioning a patient, responders should consider that:

  • A. Raising arms and legs will produce swelling
  • B. Semi-sitting will improve blood flow to the heart
  • C. Knees raised will reduce pressure on the abdomen
  • D. Recovery position will often improve breathing
Answer: C — Knees raised will reduce pressure on the abdomen
The correct answer is: "Knees raised will reduce pressure on the abdomen". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

15. When caring for wounds over extended periods, always:

  • A. Remove dressings and bandages regularly to check the wound
  • B. Clean wounds with antiseptic before applying dressings
  • C. Apply a tourniquet to prevent excessive bleeding
  • D. Check regularly for signs of infection or reduced circulation
Answer: D — Check regularly for signs of infection or reduced circulation
The correct answer is: "Check regularly for signs of infection or reduced circulation". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

16. When administering medication, responders should consider that:

  • A. Right medication, right amount, right person, right time, and right method
  • B. Right nutrition, right method, right time, right person, right amount
  • C. Right medication, right action, right person, right time, right responsibility
  • D. Right medication, right amount, right person, right responsibility, right action
Answer: A — Right medication, right amount, right person, right time, and right method
The correct answer is: "Right medication, right amount, right person, right time, and right method". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

17. Lividity refers to:

  • A. Stiffening of the joints postmortem
  • B. Cooling of the body postmortem
  • C. Settling of blood in the body due to gravity
  • D. The beginning signs of decomposition
Answer: C — Settling of blood in the body due to gravity
The correct answer is: "Settling of blood in the body due to gravity". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

18. Later signs of death include:

  • A. Staining, milky corneas and flushed skin
  • B. Staining, lividity and decomposition
  • C. Rigor mortis, lividity and milky corneas
  • D. Rigor mortis, flushed skin and decomposition
Answer: C — Rigor mortis, lividity and milky corneas
The correct answer is: "Rigor mortis, lividity and milky corneas". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

19. Your check of the scene suggests that a victim has suffered an electrical shock. The first thing to do is:

  • A. Cover all burns with a dry loose dressing
  • B. Ask a bystander to help you move the victim
  • C. Place the victim on one side with the head down
  • D. Make sure the power is turned off
Answer: D — Make sure the power is turned off
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.

20. A victim of a car accident has just vomited and now appears to be coughing up blood. He is breathing very quickly and his pulse is weak and fast. What is most likely wrong?

  • A. He is having a seizure
  • B. He has internal bleeding
  • C. He is having a heart attack
  • D. He is having a diabetic emergency
Answer: B — He has internal bleeding
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

21. You are caring for a victim with a burned hand. Put the hand in cool water if:

  • A. The burns are very deep
  • B. There are burns with open blisters
  • C. The burns are minor with no open blisters
  • D. You should put the hand in cool water for all of the above
Answer: D — You should put the hand in cool water for all of the above
Burn care prioritizes cooling with clean, running water, preventing hypothermia, covering with sterile dry/non-stick dressings to minimize infection, and treating for shock.

22. In general a splint should be:

  • A. Loose, so that the victim can still move the injured limb
  • B. Snug, but not so tight that it slows circulation
  • C. Tied with cravats over the injured area
  • D. None of the above
Answer: B — Snug, but not so tight that it slows circulation
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.

23. A victim has lost a lot of blood through a deep cut in his leg. He is breathing fast and seems pale and restless. He is probably:

  • A. Having a stroke
  • B. Having a heart attack
  • C. In shock
  • D. Choking
Answer: C — In shock
The correct answer is: "In shock". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

24. You suspect that a person has been poisoned. She is conscious. Your first call should be to:

  • A. The Poison Control Center or your local emergency phone number
  • B. The victim's physician
  • C. The hospital emergency department
  • D. The local pharmacy
Answer: A — The Poison Control Center or your local emergency phone number
The correct answer is: "The Poison Control Center or your local emergency phone number". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

25. Which would you do when caring for a seizure victim?

  • A. Remove nearby objects that might cause injury
  • B. Place a small object, such as a rolled up piece of cloth, between the victim's teeth
  • C. Try to hold the person still
  • D. All of the above
Answer: A — Remove nearby objects that might cause injury
The correct answer is: "Remove nearby objects that might cause injury". This aligns with maritime first aid standards, DG Shipping exam syllabi, and international emergency resuscitation guidelines.

26. Splint an injury to a muscle, bone, or joint only when:

  • A. You have to move or transport the victim
  • B. You can do so without hurting the victim
  • C. You have splinting materials available
  • D. Both A and B
Answer: D — Both A and B
Tendons are strong fibrous connective tissues that attach skeletal muscles to bones, facilitating joint movement and physical locomotion.

27. For which of the following burn victims should you immediately call your local emergency phone number?

  • A. A 40 year old man who has burned his hand with hot coffee
  • B. A 68 year old woman who has a blistered grease burn on her hands and arms
  • C. A 26 year old woman who has sunburn on her shoulders
  • D. All of the above
Answer: B — A 68 year old woman who has a blistered grease burn on her hands and arms
Burn care prioritizes cooling with clean, running water, preventing hypothermia, covering with sterile dry/non-stick dressings to minimize infection, and treating for shock.

28. A 15 year old boy has just splashed a chemical on his face. After sending someone to call for an ambulance, you would:

  • A. Cover the burned area
  • B. Have the victim stay calm until ambulance arrives
  • C. Flush the burned area with large amounts of water until the ambulance arrives
  • D. Immediately drive the victim to the hospital
Answer: C — Flush the burned area with large amounts of water until the ambulance arrives
The human ear comprises the outer, middle, and inner ear, serving the dual sensory functions of acoustic hearing and vestibular balance (equilibrium).

29. Why should you cover burns with a clean or sterile dressing?

  • A. To prevent infection
  • B. To cool burned area
  • C. To keep the burned area warm
  • D. Both A and C
Answer: A — To prevent infection
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.

30. A woman has fallen and turned her ankle. She says she heard something snap. She looks pale and is sweating. What should you do?

  • A. Have the victim walk on the injured ankle
  • B. Care for the injury as if it were serious
  • C. Apply heat and elevate the injury
  • D. Apply a dressing and loosely bandage
Answer: B — Care for the injury as if it were serious
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.

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