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100+ Free STCW Medical First Aid Practice Questions

STCW Medical First Aid On Board Ship (Table A-VI/4-1) practice questions are available now; exam metadata is being verified.

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2026 Statistics

Key Facts: STCW Medical First Aid Exam

A-VI/4-1

STCW competence table for medical first aid

STCW Code

~32 hrs

Recommended course length

IMO Model Course 1.14

30:2

Adult CPR compression-to-ventilation ratio

Current resuscitation guidelines

100-120

Chest compressions per minute for adults

Current resuscitation guidelines

9%

Whole arm under the burns rule of nines

Rule of nines

UN number

How MFAG advice is indexed for chemicals

IMO MFAG

100

Practice questions in this free bank

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STCW Medical First Aid On Board Ship (Table A-VI/4-1) is required for designated crew, often officers in charge of a navigational watch, and goes well beyond the elementary first aid in basic safety training. Based on IMO Model Course 1.14, the roughly 32-hour, 4-day course covers immediate action and the first-aid kit; body structure and casualty examination with vital signs and the AVPU scale; injuries and trauma including head and spinal injuries, burns (rule of nines), fractures, hypothermia and heatstroke; resuscitation and life support with CPR at 30:2 and 100-120 compressions per minute, AED use, bleeding control, and shock; toxicological hazards using the Medical First Aid Guide by UN number; and radio medical advice, pharmacology, sterilization, and care of rescued persons. There is no single international exam; flag-state-approved centers run their own written test plus a practical evaluation, with refresher training commonly on about a 5-year cycle.

Sample STCW Medical First Aid Practice Questions

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

1You discover a collapsed crew member in an enclosed cargo space. Before touching the casualty, what is the FIRST priority under the immediate-action sequence?
A.Ensure the scene is safe so you do not become a second casualty
B.Begin chest compressions to restart circulation
C.Call the master to the bridge for a status report
D.Loosen the casualty's clothing to improve breathing
Explanation: The immediate-action module of IMO Model Course 1.14 places scene safety first: in an enclosed space the atmosphere may be the cause of collapse, so the first responder must confirm it is safe (or ventilated/oxygen-tested) before approaching, otherwise a rescuer becomes a second casualty.
2During the primary survey of an unresponsive casualty, which sequence correctly orders the assessment after confirming unresponsiveness?
A.Circulation, then Breathing, then Airway
B.Airway, then Breathing, then Circulation
C.Breathing, then Circulation, then Airway
D.Disability, then Airway, then Breathing
Explanation: The primary survey follows the ABC order: open and clear the Airway, check Breathing, then assess Circulation. A blocked airway must be corrected before breathing and circulation can be meaningfully evaluated or supported.
3What is the normal resting pulse rate range for a healthy adult that a person in charge of medical first aid uses as a baseline?
A.40 to 60 beats per minute
B.100 to 140 beats per minute
C.60 to 100 beats per minute
D.20 to 40 beats per minute
Explanation: A normal resting adult pulse is 60 to 100 beats per minute. Knowing this baseline lets the first-aid provider recognise tachycardia (a sign of shock, pain, or fever) or bradycardia when monitoring an injured or ill crew member.
4A 70 kg seafarer is in cardiac arrest with no advanced airway in place. What compression-to-ventilation ratio should a single rescuer use during CPR?
A.15 compressions to 2 breaths
B.5 compressions to 1 breath
C.10 compressions to 2 breaths
D.30 compressions to 2 breaths
Explanation: For an adult in cardiac arrest without an advanced airway, current resuscitation guidelines specify a 30:2 compression-to-ventilation ratio for single- or two-rescuer CPR, maintaining high-quality compressions with minimal interruption.
5At what rate should chest compressions be delivered to an adult in cardiac arrest?
A.100 to 120 compressions per minute
B.60 to 80 compressions per minute
C.140 to 160 compressions per minute
D.40 to 60 compressions per minute
Explanation: High-quality CPR requires a compression rate of 100 to 120 per minute. Rates that are too slow do not generate adequate perfusion, while rates above 120 reduce the time for the chest to recoil and the heart to refill.
6The Medical First Aid Guide (MFAG) carried aboard ships is primarily intended for use in which type of emergency?
A.Routine dental complaints among the crew
B.Accidents involving dangerous goods and chemical poisoning
C.Childbirth and obstetric emergencies at sea
D.Psychiatric crises requiring sedation
Explanation: The MFAG is the IMO/WHO/ILO chemical supplement to the International Medical Guide for Ships, giving advice on the initial management of poisoning and injury from substances in the IMDG Code and the IMSBC/BC Code.
7A crew member's chemical-exposure casualty must be reported for shore medical advice. To use the MFAG correctly you first need which key piece of information about the substance?
A.The purchase price of the cargo
B.The country where the cargo was manufactured
C.The proper shipping name or UN number of the dangerous good
D.The colour of the cargo's packaging
Explanation: The MFAG and IMDG documentation are keyed by proper shipping name and UN number. Identifying the substance this way lets you find the correct MFAG table number and the signs, symptoms, and treatment advice for that chemical group.
8A seafarer has splashed a corrosive chemical into one eye. What is the correct immediate first-aid action?
A.Apply a dry eye pad and wait for shore medical advice
B.Instil an oily ointment to neutralise the acid
C.Rub the eye firmly to dislodge the chemical
D.Irrigate the eye continuously with clean water for at least 15 minutes
Explanation: MFAG guidance for chemical eye contact is prolonged irrigation with copious clean water (or saline) for at least 15 minutes, holding the lids open. Dilution and removal of the chemical limits ongoing corneal damage.
9A casualty has suspected hypothermia after immersion. Their core temperature is measured at 30 degrees Celsius. Which stage of hypothermia does this represent?
A.Moderate hypothermia
B.Mild hypothermia
C.Severe hypothermia
D.Normal core temperature
Explanation: A core temperature of about 28 to 32 degrees Celsius is moderate hypothermia, typically marked by a slowing heartbeat, slurred speech, and drowsiness. Mild is 32 to 35 degrees and severe is below 28 degrees.
10A conscious but shivering survivor is recovered from cold water. Which rewarming approach is correct for first aid aboard ship?
A.Immerse the survivor in a hot bath to warm them quickly
B.Remove wet clothing, insulate with dry blankets, and give warm sweet drinks in a warm room not exceeding about 22 degrees Celsius
C.Vigorously rub the limbs to restore peripheral circulation
D.Give the survivor alcohol to dilate the blood vessels and warm them
Explanation: For a conscious, shivering survivor, remove wet clothing, insulate with dry blankets, and provide warm sweet drinks in a moderately warm environment. Gentle, gradual rewarming avoids the dangerous after-drop seen with aggressive methods.

About the STCW Medical First Aid Practice Questions

Verified exam format metadata for STCW Medical First Aid On Board Ship (Table A-VI/4-1) is pending. The practice questions above remain available while official exam length, timing, passing score, fee, and administrator details are reviewed.