FREC 3 LEVEL 3 FIRST RESPONSE
EMERGENCY CARE PRACTICE EXAM
1. When assessing a patient using the M.A.R.C.H. algorithm, what does the ‘M’ represent and
what is its priority?
A. Medication; administered after airway is cleared
B. Massive Hemorrhage; it is the first priority to stop life-threatening bleeding
C. Maintenance; checking equipment before patient contact
D. Movement; assessing the patient’s ability to walk
Answer: B
Conceptual Explanation: M.A.R.C.H. prioritizes Massive Hemorrhage over Airway because
a patient can bleed to death faster than they can suffocate.
2. A 45-year-old male is in hypovolemic shock. His heart rate is 125 bpm, blood pressure is
95/70 mmHg, and he is anxious. Which class of shock is he likely in?
A. Class I
B. Class II
C. Class III
,D. Class IV
Answer: C
Conceptual Explanation: Class III shock is characterized by significant tachycardia (120-
140 bpm), tachypnea, and a decrease in systolic blood pressure.
3. What is the correct flow rate for oxygen when using a Non-Rebreather Mask (NRM) for a
critically ill patient?
A. 10-15 liters per minute
B. 5-10 liters per minute
C. 2-6 liters per minute
D. 1-4 liters per minute
Answer: A
Conceptual Explanation: A Non-Rebreather Mask requires a high flow rate of 10-15
L/min to ensure the reservoir bag remains inflated and delivers high concentrations of
oxygen.
4. In the GCS (Glasgow Coma Scale), what score is given to a patient who opens their eyes
only to painful stimuli?
A. 1
B. 3
C. 2
, D. 4
Answer: C
Conceptual Explanation: In GCS eye opening: 4 is spontaneous, 3 is to speech, 2 is to pain,
and 1 is none.
5. Which of the following is a ‘Red Flag’ symptom for Sepsis in an adult?
A. Non-blanching rash or mottled skin
B. Systolic blood pressure of 110 mmHg
C. Temperature of 37.5 degrees Celsius
D. Normal urine output
Answer: A
Conceptual Explanation: Mottled skin, cyanosis, or a non-blanching rash are high-risk red
flags indicating severe systemic infection or sepsis.
6. What is the recommended cooling time for a thermal burn according to current UK
guidelines?
A. 5 minutes
B. 20 minutes
C. 10 minutes
D. 60 minutes
EMERGENCY CARE PRACTICE EXAM
1. When assessing a patient using the M.A.R.C.H. algorithm, what does the ‘M’ represent and
what is its priority?
A. Medication; administered after airway is cleared
B. Massive Hemorrhage; it is the first priority to stop life-threatening bleeding
C. Maintenance; checking equipment before patient contact
D. Movement; assessing the patient’s ability to walk
Answer: B
Conceptual Explanation: M.A.R.C.H. prioritizes Massive Hemorrhage over Airway because
a patient can bleed to death faster than they can suffocate.
2. A 45-year-old male is in hypovolemic shock. His heart rate is 125 bpm, blood pressure is
95/70 mmHg, and he is anxious. Which class of shock is he likely in?
A. Class I
B. Class II
C. Class III
,D. Class IV
Answer: C
Conceptual Explanation: Class III shock is characterized by significant tachycardia (120-
140 bpm), tachypnea, and a decrease in systolic blood pressure.
3. What is the correct flow rate for oxygen when using a Non-Rebreather Mask (NRM) for a
critically ill patient?
A. 10-15 liters per minute
B. 5-10 liters per minute
C. 2-6 liters per minute
D. 1-4 liters per minute
Answer: A
Conceptual Explanation: A Non-Rebreather Mask requires a high flow rate of 10-15
L/min to ensure the reservoir bag remains inflated and delivers high concentrations of
oxygen.
4. In the GCS (Glasgow Coma Scale), what score is given to a patient who opens their eyes
only to painful stimuli?
A. 1
B. 3
C. 2
, D. 4
Answer: C
Conceptual Explanation: In GCS eye opening: 4 is spontaneous, 3 is to speech, 2 is to pain,
and 1 is none.
5. Which of the following is a ‘Red Flag’ symptom for Sepsis in an adult?
A. Non-blanching rash or mottled skin
B. Systolic blood pressure of 110 mmHg
C. Temperature of 37.5 degrees Celsius
D. Normal urine output
Answer: A
Conceptual Explanation: Mottled skin, cyanosis, or a non-blanching rash are high-risk red
flags indicating severe systemic infection or sepsis.
6. What is the recommended cooling time for a thermal burn according to current UK
guidelines?
A. 5 minutes
B. 20 minutes
C. 10 minutes
D. 60 minutes
