Basic First Aid Skills Examination Question Bank

At present, the common core of the basic first aid skills examination question bank in China covers the four major modules of cardiopulmonary resuscitation (CPR), trauma first aid, common emergency treatment, and accidental injury response. According to the different assessment positioning of the issuing agency (Red Cross Society of China, National Health Commission, Ministry of Emergency Management, etc.), there is a 15%-30% fluctuation in question setting, practical operation proportion, and scoring standards. All test points are designed to fit real first aid scenarios, and there are no purely theoretical test questions that are divorced from practical operations.

To be honest, I have taken the first aid certification test from different institutions three times, and I have also helped communities and companies prepare several internal assessment questions. The most intuitive feeling is that don’t believe the gimmick on the Internet that “memorize 100 questions and you will pass”. The difference between the question banks of different systems is really not small. For example, last time I accompanied the security officer of the community to take the first aid certificate test of the Red Cross Society. He had spent three days studying the basic first aid question bank used by the National Health Commission for medical staff. However, during the theoretical test, he encountered a question of "What to do first when someone is found to be fainting." It’s not that who is right or wrong. The question bank of the Red Cross Society is aimed at the general public without a medical background. It must first teach everyone to avoid responsibilities and avoid on-site chaos. The question bank of the medical care system is aimed at personnel with professional qualifications. Naturally, the priority of disposal is given first. Both standards are suitable for the population, and there is nothing to argue with.

Oh, yes, many people don’t know that the proportion of practical questions in the question bank is actually much higher than that of theory. In most assessments for the general public, the proportion of practical questions is more than 60%. When I took the AHA HeartSaver certification last year, how detailed were the scoring details for the practical part? Whether the heel of your hand leaves the chest wall when compressing, whether you completely relax between compressions, and whether you lower your head to observe the rise and fall of the chest, each item is scored, and even whether you specify the specific address when you call someone to get the AED, are all included in the scoring points. At that time, there was a college student who took the test together. He got perfect marks on the theory questions. During the actual operation, he pressed too fast, with a frequency of 130 times a minute. The examiner immediately stopped, saying that the blood could not be pumped out at this speed. Even if he memorized the "100-120 times/minute" value, it would be useless. He had to really find the rhythm.

There is also an interesting controversial point that I encountered many times when I was sorting out the question bank: Should I squeeze the blood first if my foot is pricked by a rusty iron nail? The answer in the old first aid textbook and the question bank before 2019 is "Squeeze the blood from the proximal end to the distal end." However, the domestic and foreign guidelines updated after 2020 have changed, saying that if the wound is deeply penetrated, blind squeezing will push the superficial pathogenic bacteria into deeper tissues, increasing the risk of infection. The correct approach is to flush the wound with flowing water first, and then seek medical treatment for tetanus in time. Nowadays, many institutions use a mix of old and new question banks. If you encounter this question, you can mention the difference between different versions of the guide, and the examiner will basically give you a correct answer.

Don't think that the questions in the question bank are all dead. Many scenario questions are taken from real cases. The last time I conducted an assessment for an online ride-hailing driver, I came up with a question: “The passenger you brought in was eating fish in the car and got stuck in his throat. He couldn’t cough it out or swallow it, but he was still conscious. What should you do? ”Many people answered "slapping on the back", "drinking vinegar" and "swallowing steamed buns". They are all wrong. The correct thing is to stand behind the passenger and do the Heimlich maneuver. If the passenger is so fat that you can't hold your waist, or is pregnant, hit the lower half of the sternum. This question is a real case that happened in our city last year. At that time, the driver didn't know how to handle it and almost lost time.

By the way, a reminder, many of the so-called "real first aid exam questions" that you can search online now are old questions before 2020. For example, they still say that the sequence of CPR is "open airway - artificial respiration - chest compressions". In fact, after 2010, the guideline changed to " Chest compressions-open airway-artificial respiration". In 2020, it was added that if there is an AED around, you should give priority to defibrillation. If you encounter this old question bank, it will be a bad thing if you memorize it wrong. When looking for questions, try to find a version updated after 2021 and marked with the corresponding issuing agency.

In fact, to put it bluntly, the core of these question banks is not to defeat people. Each question corresponds to knowledge points that may save lives. When you really encounter something, you can remember the steps, which is much more useful than getting 100 points on the test.