100+ Free Concours AFA MEO Practice Questions

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Concours AFA Direct — Académie des Forces Armées Zambakro (Côte d'Ivoire)

Practice Questions100 questions

2026 Statistics

Key Facts: Concours AFA MEO Exam

45 places

2026 quota: 15 generalists, 5 pharmacists, 5 veterinarians, 7 dental surgeons, 13 specialists

Circulaire n° 001309/VPM-MINDEF/DGAF/DRH du 04-03-2026

30 / 35 years

Maximum age at 31 December 2026 (30 generalists, dentists, pharmacists, vets; 35 specialists and DES)

Circulaire n° 001309/VPM-MINDEF/DGAF/DRH du 04-03-2026

33,000 FCFA

Non-refundable online registration fee payable via mobile money

Circulaire n° 001309/VPM-MINDEF/DGAF/DRH du 04-03-2026

3 years

Service required in a troop unit before a recruited general practitioner may specialise

Circulaire n° 001309/VPM-MINDEF/DGAF/DRH du 04-03-2026

Role 1 to 4

Echeloned military health support doctrine utilized by FACI and SSA

SSA Operational Guidelines

Geneva Conventions

International legal framework guaranteeing military medical neutrality

International Humanitarian Law

TCCC Protocol

Tactical Combat Casualty Care standard practiced by operational medical teams

Military Medical Resuscitation Standards

Free 100-question English MCQ study bank for the Côte d'Ivoire Concours AFA Médecins Élèves Officiers, which opened 45 places in 2026. The official French-language competition combines four written papers, medical screening, and sports events.

Sample Concours AFA MEO Practice Questions

Try these sample questions to test your Concours AFA MEO exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Under Tactical Combat Casualty Care (TCCC) guidelines, what is the primary medical intervention permitted during the Care Under Fire (CUF) phase?

A.Application of a limb tourniquet to control life-threatening hemorrhage

B.Performing a surgical cricothyroidotomy for an obstructed airway

C.Needle decompression of a suspected tension pneumothorax

D.Endotracheal intubation and cervical spine immobilization

Explanation: During Care Under Fire (CUF), the only medical priority is stopping life-threatening external extremity hemorrhage using a limb tourniquet. Fire superiority and moving the casualty to cover are paramount. Advanced airway procedures, needle thoracostomy, and detailed assessments are deferred until the Tactical Field Care (TFC) phase.

2What is the recommended anatomical placement for an arterial tourniquet applied over clothing during the Care Under Fire (CUF) phase?

A.Directly over a joint immediately adjacent to the wound

B.High and tight on the injured extremity, proximal to the wound

C.2 to 3 inches distal to the amputation site

D.Circumferentially around the mid-torso or abdomen

Explanation: In Care Under Fire, when the exact wound site cannot be visualized due to clothing or tactical threat, the tourniquet must be placed high and tight on the affected limb. Once in Tactical Field Care, it can be reassessed and potentially replaced by a tourniquet placed 2 to 3 inches directly above the bleeding site over exposed skin.

3What is the standard needle gauge and length recommended by TCCC guidelines for emergency needle decompression of a tension pneumothorax in an adult soldier?

A.18-gauge, 1.5-inch needle with catheter

B.14-gauge or 10-gauge, 3.25-inch needle with catheter

C.22-gauge, 1.0-inch needle with catheter

D.16-gauge, 1.0-inch needle with catheter

Explanation: Current TCCC guidelines specify a 14-gauge or 10-gauge needle catheter of at least 3.25 inches (approx. 8 cm) in length. Standard 1.5-inch needles fail to penetrate the thick chest wall and pectoral musculature of modern combatants in over 50% of cases.

4Which of the following describes the preferred primary anatomical site for needle chest decompression according to TCCC?

A.2nd intercostal space in the midclavicular line or 5th intercostal space in the anterior axillary line

B.1st intercostal space in the parasternal line

C.7th intercostal space in the posterior scapular line

D.4th intercostal space directly over the sternal angle

Explanation: The two approved sites for needle thoracostomy in TCCC are the 2nd intercostal space in the midclavicular line (just superior to the 3rd rib) and the 5th intercostal space in the anterior axillary line. Both sites provide reliable access to the pleural space while avoiding the cardiac silhouette and major subcostal neurovascular bundles.

5When treating an open, sucking chest wound in Tactical Field Care, what is the initial recommended dressing?

A.A dry sterile gauze dressing taped loosely on all four sides

B.A vented chest seal applied directly over the entry wound during exhalation

C.A circumferential pressure dressing tightly wrapped around the thorax

D.Direct application of granular celox powder followed by elastic bandage

Explanation: An open pneumothorax is managed by applying a vented (or one-way valve) chest seal to allow trapped air and blood to escape while preventing atmospheric air ingress. It should be applied over the wound, and the casualty must be continuously monitored for the development of tension pneumothorax.

6What is the definitive surgical airway intervention indicated on the battlefield when upper airway obstruction cannot be managed non-invasively?

A.Surgical cricothyroidotomy

B.Formal tracheostomy at the 4th tracheal ring

C.Nasopharyngeal airway insertion with blind finger sweep

D.Submandibular open laryngectomy

Explanation: Surgical cricothyroidotomy is the definitive battlefield emergency surgical airway. The cricothyroid membrane is superficial, relatively avascular, and rapid to identify and incise under austere combat conditions compared to a formal tracheostomy.

7In the Simple Triage and Rapid Treatment (START) triage protocol, what is the first action taken by the triage officer upon arriving at a mass casualty incident (MCI)?

A.Direct all walking wounded to move to a designated collection point

B.Check radial pulses and capillary refill on the nearest unconscious casualty

C.Begin immediate chest compressions on all pulseless victims

D.Administer intramuscular morphine to all vocal casualties

Explanation: The initial step of START triage is calling out to the casualties: 'Anyone who can hear my voice and needs help, walk to [designated area]'. Those who can follow commands and walk are immediately categorized as 'Minor' (Green / Delayed), instantly clearing the scene so responders can focus on non-ambulatory casualties.

8In mass casualty triage protocols (such as START or SALT), which triage category and color tag is assigned to a casualty who is not breathing after simple airway repositioning?

A.Immediate (Red)

B.Delayed (Yellow)

C.Expectant / Deceased (Black)

D.Minimal (Green)

Explanation: In disaster and combat triage, a casualty who remains apneic after opening the airway is tagged as Deceased/Expectant (Black). In austere mass casualty scenarios, scarce medical resources must be allocated to viable casualties with life-threatening but treatable injuries.

9Which blast injury mechanism category accounts for traumatic amputations and penetrating injuries caused by flying shrapnel, bomb casing fragments, and debris?

A.Primary blast injury

B.Secondary blast injury

C.Tertiary blast injury

D.Quaternary blast injury

Explanation: Secondary blast injuries result from flying debris, shrapnel, nails, and casing fragments energized by the explosive blast wave. Primary injuries are caused solely by the supersonic overpressure shockwave affecting gas-containing organs; tertiary injuries occur when the casualty is physically thrown against hard objects; quaternary injuries encompass burns, toxic gas inhalation, and crush trauma.

10Which organ is the most frequently injured and sensitive hollow organ indicator of primary blast barotrauma?

A.Liver

B.Tympanic membrane

C.Urinary bladder

D.Spleen

Explanation: The tympanic membrane (eardrum) is the most vulnerable anatomical structure to blast overpressure waves, rupturing at pressures as low as 5 psi (35 kPa). While tympanic rupture indicates significant blast exposure, its absence does not completely rule out occult primary blast lung injury.

About the Concours AFA MEO Exam

The Concours Médecins Élèves Officiers (MEO) recruits qualified doctors, pharmacists, dental surgeons, and veterinarians into the military health officer corps of the Forces Armées de Côte d'Ivoire. The 2026 circular opened 45 places — 15 general practitioners, 5 pharmacists, 5 veterinarians, 7 dental surgeons, and 13 specialist posts in anaesthesia-intensive care, digestive surgery, trauma surgery, general surgery, and psychiatry. Candidates must be at most 30 (generalists, dentists, pharmacists, vets) or 35 (specialists and DES candidates) at 31 December 2026, must have defended their thesis before the final results, must measure at least 1.70 m, and must not be hospital interns. Selection combines a preliminary medical visit and DSASA interview, four written papers (Culture générale, Français, Anglais, and an Épreuves spécifiques paper in the candidate's own discipline), an in-depth medical examination at HMA, and sports events. The official competition is conducted in French. This 100-question practice test is an English-language MCQ study adaptation of the operational military-medicine knowledge these officers must carry into service.

Assessment

Three phases. Preliminary phase (11 March - 24 April 2026): online registration and payment of 33,000 FCFA on defense.ciconcours.net, upload of the legalised State doctorate and DESUP diploma recognition, photograph appointment with deposit of a red flap folder, then a preliminary medical visit followed by an interview with a doctor of the Direction de la Santé et de l'Action Sociale des Armées (DSASA). Written admissibility (Saturday 23 May 2026, in an Abidjan school): Culture générale 45 min coefficient 0.5, Français 2h30 coefficient 2, Anglais 2h00 coefficient 1, and Épreuves spécifiques 3h00 coefficient 3 set by the health discipline chosen at registration. Final phase (August 2026): in-depth medical examination at the Hôpital Militaire d'Abidjan, then sports events at the Groupement des Sapeurs-Pompiers Militaires and the new Akouédo camp (5 m rope climb, 10 pull-ups for men / 5 for women, 50 m freestyle swim, 50 sit-ups for men / 30 for women, 8,000 m endurance run), with sport at coefficient 1. Withdrawing from any physical event eliminates the candidate. Official examinations are sat in French. This bank is an English-language MCQ study adaptation, not an official translation or a format simulation.

Time Limit

About 8 hours 15 minutes of written papers, plus the preliminary medical visit and interview, the in-depth medical examination, and the sports events

Passing Score

Admission by order of merit against 45 places allocated by corps (15 general practitioners, 5 pharmacists, 5 veterinarians, 7 dental surgeons, 13 specialist posts); definitive admission is proclaimed by the Vice-Premier Ministre, Ministre de la Défense after authentication of civil-status documents and diplomas

Exam Fee

33,000 FCFA non-refundable registration fee payable via mobile money (MTN, Orange, Wave) on defense.ciconcours.net (Ministère d'État, Ministère de la Défense / Service de Santé des Armées (SSA) / AFA Zambakro)

Concours AFA MEO Exam Content Outline

25% of our practice bank

Military Combat Medicine and Mass Casualty Triage

Tactical Combat Casualty Care (TCCC), war surgery principles, blast and ballistic injury management, catastrophe triage protocols (START, SALT, MIMMS), mass casualty incidents (MASCAL), and CBRN medical countermeasures.

25% of our practice bank

Tropical Pathology and Operational Field Epidemiology

Endemic and epidemic infectious diseases in West Africa (malaria, yellow fever, cholera, Ebola, dengue, meningitis, tuberculosis, HIV), field hygiene, vector control, safe drinking water deployment, and troop immunization protocols.

20% of our practice bank

Pharmacology, Toxicology, and Operational Logistics

Essential military formulary medicines, battlefield analgesia (ketamine, fentanyl, morphine), broad-spectrum antimicrobial prophylaxis, chemical/biological antidotes (atropine, oximes), and austere cold chain supply chain logistics.

15% of our practice bank

Military Health Organization, Medevac, and Deontology

Structure of the Service de Santé des Armées (Role 1 battalion aid stations to Role 4 general military hospitals), tactical medical evacuation (MEDEVAC/CASEVAC/STRATEVAC), Geneva Conventions, medical neutrality, and military ethics.

15% of our practice bank

Clinical Emergencies and Damage Control Resuscitation

Acute medical emergencies (septic shock, acute coronary syndrome, anaphylaxis, severe respiratory distress), damage control resuscitation (massive transfusion protocols, tranexamic acid), and environmental trauma (heat stroke, severe envenomation).

How to Pass the Concours AFA MEO Exam

What You Need to Know

Passing score: Admission by order of merit against 45 places allocated by corps (15 general practitioners, 5 pharmacists, 5 veterinarians, 7 dental surgeons, 13 specialist posts); definitive admission is proclaimed by the Vice-Premier Ministre, Ministre de la Défense after authentication of civil-status documents and diplomas
Assessment: Three phases. Preliminary phase (11 March - 24 April 2026): online registration and payment of 33,000 FCFA on defense.ciconcours.net, upload of the legalised State doctorate and DESUP diploma recognition, photograph appointment with deposit of a red flap folder, then a preliminary medical visit followed by an interview with a doctor of the Direction de la Santé et de l'Action Sociale des Armées (DSASA). Written admissibility (Saturday 23 May 2026, in an Abidjan school): Culture générale 45 min coefficient 0.5, Français 2h30 coefficient 2, Anglais 2h00 coefficient 1, and Épreuves spécifiques 3h00 coefficient 3 set by the health discipline chosen at registration. Final phase (August 2026): in-depth medical examination at the Hôpital Militaire d'Abidjan, then sports events at the Groupement des Sapeurs-Pompiers Militaires and the new Akouédo camp (5 m rope climb, 10 pull-ups for men / 5 for women, 50 m freestyle swim, 50 sit-ups for men / 30 for women, 8,000 m endurance run), with sport at coefficient 1. Withdrawing from any physical event eliminates the candidate. Official examinations are sat in French. This bank is an English-language MCQ study adaptation, not an official translation or a format simulation.
Time limit: About 8 hours 15 minutes of written papers, plus the preliminary medical visit and interview, the in-depth medical examination, and the sports events
Exam fee: 33,000 FCFA non-refundable registration fee payable via mobile money (MTN, Orange, Wave) on defense.ciconcours.net

Keys to Passing

Work through all 100 available questions
Review every answer and explanation
Track weak areas and revisit them
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Concours AFA MEO Study Tips from Top Performers

1Master the three phases of Tactical Combat Casualty Care (TCCC): Care Under Fire (CUF), Tactical Field Care (TFC), and Tactical Evacuation Care (TACEVAC).

2Understand damage control resuscitation: early 1:1:1 balanced blood component transfusion, tranexamic acid (TXA) administration within 3 hours, and permissive hypotension.

3Review management of West African endemic infectious diseases: severe falciparum malaria treatment protocols (IV artesunate), hemorrhagic fevers, yellow fever surveillance, and cholera rehydration.

4Study operational medical logistics: maintenance of vaccine and blood cold chains in high-temperature field conditions and water sanitation in remote deployments.

5Learn the Geneva Conventions and Additional Protocols regarding the protection of wounded military personnel, medical facilities, and the neutral status of health workers.

Frequently Asked Questions

What is the Concours AFA Médecins Élèves Officiers (MEO) in Côte d'Ivoire?

It is the direct competitive recruitment examination organized by the Ministry of Defense for certified physicians, pharmacists, dentists, and veterinarians to become commissioned military medical officers in the Service de Santé des Armées (SSA).

What are the eligibility requirements for MEO applicants?

Candidates must be Ivorian citizens holding a recognized State Doctorate in Medicine, Pharmacy, Dental Surgery, or Veterinary Medicine, aged up to 30 years (or 35 for medical specialists/DES residents), and pass comprehensive medical screening at HMA.

What subjects are covered in the MEO examination?

The examination evaluates battlefield trauma resuscitation (TCCC), tropical infectious disease management, emergency pharmacology, mass casualty triage, military health organization (Roles 1-4), and international humanitarian law.

What rank do MEO graduates attain upon commissioning?

Upon completing officer training at AFA Zambakro and military medical orientation, candidates are commissioned as Médecin Sous-Lieutenant (or Pharmacien/Dentiste/Vétérinaire Sous-Lieutenant), advancing to Médecin Capitaine upon graduation.

Is this practice test an official simulation of the MEO exam?

No. The official examination is sat in French with written clinical compositions and oral panel interviews. This 100-question practice test is an English-language MCQ study adaptation.