[Revision JUNE 2021]-1

CMC Maritime Academy -Chennai

MFA-Exit Exam Questions

1. Most important step in managing shock is to:

a) Keep the patient warm
b) Elevate the lower extremities
c) Give CPR as soon as possible
d) Give First aid for the illness or injury

2. When treating a third degree burn you should:

a) Cool the burn with ice
b) Activate EMS or rush patient to nearest hospital
c) Remove clothing from charred area
d) None of the above

3. (None of the above, since we should first cool the patient with large amount of normal
temperature water)Which of the following should you NOT do when treating cuts and
scrapes?
a) Apply pressure on the wound with a clean cloth or bandage.
b) Wash the wound with soap
c) Apply an antibiotic to the wound
d) Cover the wound

4. First Aid treatment for a chemical-burn involves:

a) Applying ointment over the affected area
b) Remove dead skin
c) Neutralizing the chemical
d) Flushing the chemicals off the affected area, with cool, gently running water for 10 to 20
min.

5. At what temperature of water should you bathe frostbitten skin?

a) At 32*F (Zero *C)
b) 104~107.6*F (40~42*C)
c) 120~150*F (50~70*C)
d) You should never submerge frostbite affected areas in water

6. How long would you check to see if an unconscious casualty is breathing normally?
a) No more than 10 sec
b) Approx. 10 Sec
c) Exactly 10 secs
d) At least 10 secs

7. Your Co-worker needs CPR but you are not trained for it. Which of the following should
you do?
a) Give rescue breaths only
b) Wait for emergency personnel to arrive
c) Perform chest compressions only
d) Lift the patient’s head
8. During the Primary Assessment of a responsive adult patient, you detect a breathing rate
of 28 breaths/ minute. You would categories this as:
a) Above normal
b) Below Normal
c) Normal
d) Indeterminate

9. You come upon a person who has lost a significant amount of blood, has a very pale skin
colour, and is confused. What do you suspect the cause to be?
a) Seizures
b) Low Blood Sugar
c) Stroke
d) Shock

10.Unresponsive patient has a pulse, but does not appear to be breathing. You find you are
unable to give them CPR. What is your next course of action?
a) Begin CPR
b) Repeat the Head-tilt/Chin lift method and attempt the breath again
c) Abdominal thrusts
d) Heimlich Maneuver

11.Which test should you use if you suspect that a patient has had a stroke?
a) Face, Arms, Speech test
b) Alert, Voice, Pain, Unresponsive
c) Response, Airway, Breathing, Circulation
d) Pulse, Respiratory rate, temperature

12. Which one of the following Hypothermia statements is correct?

a) Victim must be heated up as fast as possible
b) Caused by temperatures below freezing
c) Can be caused by exposure to swimming in waters below 70 *F (21*C)
d) Is not life threatening

13. Two-person CPR for the adult victim will be compressions to breaths.
a) 15:02
b) 30:02
c) 30:15
d) 15:30

14. Two-person CPR ratio for the child and infant will be compressions to breaths.
a) 15:02
b) 30:02
c) 30:15
d) 15:3

15. You find someone at the bottom of the stairs, who appear to have fallen and seem
badly hurt. After calling for help you would:
a) Roll the patient onto his stomach keeping the head and back in a straight line
b) Roll the patient onto one side
c) Position the patient onto one side
d) Attempt to keep the victim from moving
16. How would you manage a deep, bleeding cut on the hand?
a) Rest, Ice, Compression & Elevation (R.I.C.E)
b) Apply an ice pack every 20 minutes
c) Heat pack for 15 min, every 02 hrs for first 24 hrs
d) Massage and exercise

17. Asthma patient has lost her inhaler. When the attack is serious, we should:
a) Leave them alone
b) Buy new inhaler
c) Use any available inhaler
d) Go to sleep

18. What do you do for a chemical burn?

a) Flush with large amount of water & cover
b) with large amounts of warm water till help arrives
c) Flush with water, dry and cover
d) Flush with large amounts of cool water till help arrives

19. Hypoxia is caused due to the lack of in the body/blood:

a) Carbon Dioxide
b) Oxygen
c) Sodium
d) Potassium

20. You have tried to control the patients bleeding with direct pressure and elevation, by
the bleeding does not stop. Where would you apply pressure to slow the slow the flow of
blood to a wound on the forearm?
a) Outside the arm, midway between the shoulder and elbow
b) On the inside of the elbow
c) Inside the arm, between the shoulder and the elbow
d) Any of the above will slow the flow of blood.

21. Heat stroke affects the body’s vital organs except:

a) Heart
b) Bones
c) Brain
d) None of the above

22. What is the proper first aid for LPG in the eye?
a) Wait for it to evaporate
b) Apply Ice
c) Apply heat-pack
d) Flush the eye with plenty of water

23. The sorting of accident victims according to the severity of their injury is called:
a) Arbitrage
b) Triage
c) General Average
d) Particular Average
24. A comminuted fracture is one in which the bones are:
a) Broken in one place
b) Broken into pieces which are floating
c) Cracked
d) Broken in many places

25. Signs of Anaphylactic shock, such as from a bee-sting or consumption of peanuts) are:
a) Feeling of tightness in the chest and throat
b) swelling of the dace, neck and tongue
c) Rashes, dizziness and confusion
d) All of the above

26. Person suffering from heat cramps should be given:

a) Energy drinks (Red Bull, Monster)
b) Sports drinks (Gatorade)
c) Tea/Coffee
d) Alcohol

27. Adult CPR we should deliver Chest Compressions at a rate of , with a depth of :
a) 100/min, 2 inches
b) 80/min, 1.5 inches
c) 60-100/min, 2 inches
d) 100/min, 1.5 inches

28. During 2 rescuers CPR on adults, how many cycles of CPR to be performed before
switching roles?
a) 30:2 cycles
b) 2 Cycles
c) 5 cycles
d) 4 Cycles

29. You suspect a head and neck injury in a victim who is unresponsive and not breathing.
How would you open the airway to give breaths?
a) Jaw-thrust technique
b) Head Tilt/Chin lift
c) E-C clamp technique
d) Thumb & index lift

30. If a crew member receives third degree burns:

a) Do not cool with water unless it is a chemical burn
b) Both A & B
c) Do not bandage the burn tightly
d) None of the above
`

[Revision JULY 2021]-2

CMC Maritime Academy -Chennai

MFA-Exit Exam Questions

1. Contusions are
a) Usually controlled by applying direct pressure
b) Usually associated with scalp lacerations
c) Very serious for crew due to increased pressure in brain
d) Almost always seen in children

2. You should move an injured crew only when:

a) The scene becomes unsafe
b) They are panicking
c) They asked to be moved
d) They are hot or cold

3. How can you help someone who is having a seizure?

a) Put something in their mouth
b) Restrain them
c) Keep them safe from injury
d) None of the above

4. Exhaled breaths of human adults contain approximately:

a) 21% O2 & 1% CO2
b) 18% O2 & 4% CO2
c) 18% O2 & 1% CO2
d) 21% O2 & 4% CO2

5. Which one of these is not one of the types of muscle tissues?

a) Cardiac Muscle
b) Skeletal muscles
c) Flexible muscles
d) Smooth muscles

6. Which one of the following is not crucial in cases of abdominal distress?

a) Establish cause of the pain
b) Be prepared to deal with vomiting
c) Give oxygen by non-breather mask
d) Monitor the crew for signs of hypovolemic shock

7. In performing rescue breathing, you should:

a) Avoid excessive ventilation
b) Provide a breath every two seconds
c) Do not allow the chest to expand between breaths
d) All of the above are correct

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8. Adults and child’s responsiveness is checked by:

a) Using smelling salts
b) Shaking the patient and shouting
c) Poring cold water on the face
d) All of the above

9. Infants responsiveness is checked by:

a) Using smelling salts
b) Shaking the patient and shouting
c) Patting the patient’s feet & shoulders
d) All of the above

10. CPR Chest Compressions when administered to children should be:

a) Half hand, half inch
b) 1 hand 1 inch
c) 2 hands, 2 inches
d) None of the above

11. When checking for circulation/pulse you should locate:

a) Carotid artery if patient is a child
b) Brachial artery if patient is an infant
c) Carotid artery if patient is an adult
d) All of the above are correct

12. In case of emergency you should not:

a) Leave the victim unattended
b) Try to make them drink
c) Try to put them in sitting position
d) All of the above

13. Heimlich maneuver can be carried out by standing:

a) Behind the patient
b) In front of the patient
c) Above the patient
d) Below the patient

14. What technique is used for bag-mask ventilation during two-rescuer CPR?
a) Thumb Index technique
b) E-C Clamp technique
c) Jaw-thrust technique
d) None of the above

15. Which of the following statements is incorrect about performing chest compressions:
a) Allow only partial recoil of the chest
b) Press down at least 2 inches in adults
c) Position yourself at the side of the patient
d) Minimize interruptions

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16. If someone is going into shock, you should not give them:
a) Blanket
b) Comfort
c) Water
d) Assurance

17. A poison can enter into the body through eating, drinking, inhaling, absorption through
skin, and:
a) Injection
b) Intolerance
c) Imbalance of electrolytes
d) None of the above

18. Trauma to male and female genitals:

a) Is not usually painful due to protective nerve endings
b) Usually results in sterility
c) Often involves significant bleeding
d) Often results in post-traumatic infection

19. If there is no air-exchange and an airway-obstruction exists:

a) Remove obstruction from patient’s mouth and start rescue breaths
b) Start CPR
c) Give additional air using ventilator
d) Use defibrillator

20. Blood vessels that supply oxygen and nutrients to the skin are found in:
a) Dermis
b) Epidermis
c) Stratum Ludlum
d) Stratum carenum

21. The Glasgow COMA scale measures three basic functions. They are
a) Eye, verbal and motor response
b) Pulse rate, speech, involuntary movement
c) Pulse rate, respiration rate, eye response
d) Respiration rate, eye response, voluntary movement

22. You can best control the swelling and pain of a sprained ankle by:
a) Tight bandages and a heating pad
b) Rest, immobilization, application of cold and elevation
c) Rigid splints and bandages
d) Compression, elevation and application of heat

23. Tiny air sacks in the lungs are known as:

a) Bronchioles
b) Alveoli
c) Trachea
d) Bronchi

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24. Voice box is also known as:

a) Alveoli
b) Trachea
c) Motor mouth
d) Larynx

25. OPQRST is used to measure:

a) Pain
b) Level of consciousness
c) Vision
d) Hearing

26. The simple pick-a-back (or piggy-back) method for ERT is use only when the casualty is:
a) Conscious and able to hold
b) Conscious and not able to hold
c) Both A & C
d) Unconscious

27. Burns are classified by the following:

a) Small, medium & large
b) 1st, 2nd & 3rd Degree
c) Minor, medium & severe
d) Superficial, partial thickness and full thickness

28. Which of the following can cause a stroke?

a) A blood clot in the artery in the brain
b) A blood clot in the artery in the heart
c) A blood clot in the artery in the leg
d) A blood clot in the artery in the lungs

29. Difficulty in breathing may be a sign of:

a) Heart attack
b) Anaphylaxis
c) Asthma attack
d) All of the above

30. Treatment for frostbite includes:

a) Place the hands under the armpits
b) Place the body part in warm water of 40*C/104*F
c) Move them indoors or somewhere warm
d) All of the above

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[Revision JULY 2021]-3

CMC Maritime Academy -Chennai

MFA-Exit Exam Questions

1. You find a child that is unresponsive. After yelling for help, you check and find the child is
not breathing
a) Leave the child and search for an AED
b) Deliver rescue breaths as most cardiac arrest occur due to breathing problems
c) Begin back blows and chest thrusts
d) Deliver 30 chest compressions

2. If the crew 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

3. Hypothermia?
a) Is not life threatening
b) Crews must be heated up as fast as possible
c) Is caused by exposure to temperatures below freezing
d) Can be caused by swimming in waters below 70° F

4. Crewel protective equipment (PPE) is the protection of:

a) Head, torso, arms, hands, feet, etc.…
b) Gloves, aprons, gowns, face protectors, masks, etc.…
c) Medical equipment and work stations
d) All of the above

5. Heat stroke?
a) Causes very high body temperature
b) Hot red very dry skin
c) Rapid weak pules, shallow breathing
d) All of the above

6. 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) Decrease in blood pressure

7. _________ is a brain injury which is caused by a blood clot entering the brain?
a) Asphyxia
b) Stroke
c) Shock

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8. What is the average heartbeat of an adult at rest?

a) 72
b) 70-90
c) 60-90
d) 100

9. Which artery is given pressure to stop bleeding on upper arm?

a) Brachial artery
b) Femoral artery
c) Carotid artery
d) Facial artery

10. The crew is likely to recover whilst you are performing CPR?
a) True
b) False

11. The action of the drug refers to?

a) The harmful effects
b) The side effects
c) The expected effects
d) The method of administration

12. Symptoms of a stroke can be

a) Poisoning, burns, and / or blood loss
b) Droopy face, arm, and / or speech
c) Lack of oxygen, wheezing, and / or sweating

13. A soft tissue injury resulting from the impact of a blunt object is called?
a) A laceration
b) An avulsion
c) A contusion
d) A concussion

14. When assessing the crew, you should feel for a pulse for?
a) 3 seconds
b) 5-6 seconds
c) 15-20 seconds
d) 20-30 seconds

15. If a permanent tooth is knocked out ,put in a container of milk and see a dentist within
a) 3 to 15 minutes
b) 5 to 30 minutes
c) 5 to 60 minutes
d) 2 to 24 hours

16. To treat a nosebleed, hold pressure on the bridge of the nose and have the crew
a) Lean slightly back
b) Lean slightly forward
c) Apply a heat pack to the nose
d) Lie flat on the floor

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17. The most knowledgeable responder in the first ambulance is generally assigned to role at
a) Incident manager
b) Triage officer
c) Staging officer
d) Communication officer

18. When caring for a crew 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

19. Which one of the following is not a system of the body?

a) Respiratory
b) Musculoskeletal
c) Endocrine
d) Follicular

20. You can suspect that a crew has been poisoned if they?
a) Are experiencing nausea, vomiting or diarrhea
b) Have chest or abdominal pain, breathing difficulty
c) Burns around the lips, tongue, or on the skin
d) All of the above

21. You are attempting to relieve choking in an infant. The infant now become unresponsive,
what is the next step?
a) Leave the infant to get help
b) Do a blind finger sweep
c) Begin CRP
d) Do abdominal thrusts

22. If a crew does not respond after a shock from an AED,how many minutes of CPR should
be performed
a) 1
b) 2
c) 3
d) 4

23. A first degree burn

a) Involves only the top layer of skin
b) Is red blistered
c) Destroys all layers of skin
d) Is the most serious of burns

24. Manual support of the head and neck of the crew with suspected spiral injury can be
released
a) Once the breathing has been checked
b) When a hard collar has been applied
c) If the crew is unconscious
d) When the crew is fully immobilized to a backboard

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25. Difficulty breathing may be a sign of

a) Heart attack
b) Asthma attack
c) Anaphylaxis(severe allergic reaction)
d) All of the above

26. In mouth to mouth (M-T-M) ventilation by itself is unsuccessful and the casualty’s heart
stops or has stopped breathing you may do compression(EC in conjunction with M-T-M
What is the rhythm when performing M-T-M in combination with ECG with
a) 15 compression followed by 2 full ventilations
b) 16 compression followed by 2 full ventilations
c) 11 compression followed by 2 full ventilations
d) 18 compression followed by 2 full ventilations

27. Chest compressions should be started within ____ of recognition of cardiac arrested
a) 2 seconds
b) 20 seconds
c) 10 seconds
d) 15 seconds

28. Which of the following is the priority when treating fracture ribs on a conscious casualty?
a) Help the casualty into the half-sitting position
b) Lay the casualty on their back with legs raised
c) Immediately treat any sucking chest wound
d) Support the limb on the injured side in an elevated sling

29. If someone is unresponsive and breathing, how do you help keep their airway open?
a) Roll them on their side and tilt their head back
b) Lie them on their front and tip their head back
c) Make sure nothing is obstructing their nose

30. When you deliver the first rescue breath, what should you do if crew’s chest does not rise?
a) Deliver a sharp blow to the center of the chest
b) Give another breath
c) Perform the head tilt-chin lift
d) Stop performing CPR

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 [Revision August 2021]-4

CMC Maritime Academy -Chennai

MFA-Model Q & A Questions
1. What are the causes of fatigue?
a. Improper rest hours.
b. Anaemia, thyroid imbalance and other medical condition.
c. Both A & B.

2. A Crew, who is unconscious, not breathing, has a weak pulse, needs

a. CPR
b. Heimlich maneuverer
c. Rescue breathing.
d. Back blows and chest thrusts.

3. What is the average heartbeat of an adult at rest?

a. 72
b. 70-90
c. 60-90
d. 100

4. After activating the emergency response system the next step is to?
a. Check for a pulse for 3 to 5 seconds
b. Start chest compressions at a ratio of 15: 2
c. Check for a pulse for 5 to 10 seconds
d. Start chest compressions at a ratio of 30: 2

5. What should you not do before carrying out abdominal thrusts on someone who is choking?
a. Tell the Crew who is choking to cough
b. Shout for help
c. Lean the Crew who is choking backwards
d. Up to 5 sharp back blows between the shoulder blades

6. Which of the following should the first aid provider do when helping a Crew with snakebite?
a. Do not remove jewellery or clothing in the area of the bite.
b. If a Crew is bit on the arm, elevate the arm above the level of the heart.
c. If the snake is still there, back away and approach from another direct ion to offer help.
d. Suck the venom from the snakebite.

7. When administering CPR to an infant:

a. Cover his nose and mouth with your mouth.
b. Puff air from your cheeks, not your lungs.
c. Allow the infant to exhale on his own.
d. All of the above.

8. For any Crew, the correct compression rate is:

a. At least 120 per minute
b. At least 80 per minute
c. At least 90 per minute
d. 100 to 120 per minute

9. In Silvestre method, how many times per minute the Crews arm should be moved forward/backwards
a. 12 times per minute
b. 15 times per minute
c. 1Otimes per minute
d. 5 times per minute

10. Splint an injury to a muscle. Done, or joint Only when

a. You have to move or transport the Crew
b. You can do so without hurting the Crew
c. You have splinting materials available.
d. Both A and B
11. What types of muscle do you not control?
a. Striated Muscle
b. Voluntary Muscles
c. Involuntary Muscles
d. Unconscious Muscles

12. What is the main difference in care when finding an unresponsive adult versus an unresponsive child
if you must leave the Crew to activate EMS?
a. There is no difference.
b. Perform CPR first when with an adult; go for help first when with a child.
c. Perform two minutes of CPR when with a child, then go for help; call for help immediately when
with an adult.
d. It depends on the age of the child.

13. Shock is the body's response to

a. Blood loss
b. Emotional distress
c. Severe allergic reaction
d. All of the above

14. OPQRST is used to assess:

a. Pain
b. Level of consciousness
c. Vision
d. Hearing

15. What documentation must the Master inspect when signing on a new rating?
a. The AB's Certificate (or equivalent), the seaman's discharge book, the medical certificate
b. The seaman's discharge book,
c. The medical certificate
d. None of the above

16. What is the first step in managing a First Aid situation?

a. Move the casualty out of the car
b. Ask the casualty if they are in pain
c. Sit the casualty up
d. Check for danger, using all your senses

17. A small percentage of casualties with chronic obstructive pulmonary disease have hypoxic drive.
These Crews breathe because of a:
a. High oxygen level.
b. Low oxygen level.
c. High carbon dioxide level.
d. Low carbon dioxide level.

18. When using an AED:

a. Check pulse before resuming compressions after a shock.
b. Do not place on medication patches.
c. After a shock is delivered, allow 1o seconds before resuming CPR.
d. A hairy chest is a contraindication to AED usage.

19. A diabetic has eaten too little food and the Crew may feel dizzy and lightheaded. The skin becomes
pale, with profuse sweating. Limbs may begin to tremble and pulse becomes rapid. The urine glucose
reaction is negative. What kind of medicine will the Crew need as soon as possible?
a. Sugar lump, sugar drink or something sweet.
b. Sugar drink or something sweet.
c. Sugar lump, something sweet.
d. Sugar lump, sugar.

20. For a responsive Crew, get consent to help then assess the Crew by doing the following:
a. Ask questions to help find out what is wrong.
b. Watch and listen for difficulty breathing.
c. Look head to toe for injuries, and check for medical alert jewellery.
d. All of the above Workbook
21. What is the average heartbeat of an adult at rest?
a. 72
b. 70-90
c. 60-90
d. 100

22. When giving care for external bleeding, what should you do first?
a. Elevate the injury.
b. Apply direct pressure.
c. Apply a loose dressing.
d. Apply a tourniquet.

23. You approach a Crew that is unconscious and wearing a medical alert tag indicating a diabetic
condition. You would:
a. Begin Rescue Breathing
b. Begin CPR
c. Administer the Crews insulin
d. Check Crew for breathing & pulse

24. Which is the final method to arrest bleeding when all other measures failed?
a. Tourniquet
b. Direct pressure
c. Elevation
d. Pressure points

25. Contusions are:

a. Usually controlled with direct pressure
b. Very serious for the Crew due to increased pressure in the brain.
c. Usually associated with scalp lacerations
d. Almost always seen in children.

26. Cardio pulmonary resuscitation is administered when

a. Crew is not breathing due to airway blockages.
b. Crew is not breathing but airway is clear.
c. Both A & B.

27. Burns that involve all layers of the skin are:

a. Superficial.
b. Partial thickness.
c. Full thickness.
d. First degree.

28. On finding a casualty

a. Look to your own safety
b. If necessary, remove the casualty from danger
c. Remove danger from casualty
d. All of the above

29. To reduce the risk of respiratory infection and pneumonia where medical care is delayed, responders
should:
a. Have the Crew breathe deeply and cough.
b. Provide the Crew with adequate hydration.
c. Position the Crew in the position of comfort.
d. Ensure the Crew is kept warm and at rest.

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

a. Hummers.
b. Fibula.
c. Tibia.
d. Femur.