MSF – MÉDECINS SANS FRONTIÈRES WRITTEN EXAM 2026/2027 | LATEST ACTUAL EXAM | QUESTIONS AND
CORRECT SOLUTIONS JUST RELEASED THIS YEAR………...
Core Domains:
1. Humanitarian Principles and Ethics
2. Global Health and Epidemiology
3. Project Management in Crisis Settings
4. Medical Logistics and Supply Chain
5. Security and Safety Management
6. Financial Management and Budgeting
7. Human Resources and Team Leadership
8. Legal Frameworks and Advocacy
9. Cross-Cultural Communication and Negotiation
10. Monitoring, Evaluation, and Reporting
Introduction:
This comprehensive examination is designed to rigorously assess the competencies required for effective service
with Médecins Sans Frontières. It evaluates a candidate's foundational knowledge, applied professional skills, and
critical decision-making abilities in complex humanitarian environments. The assessment is structured using
multiple-choice questions and scenario-based inquiries to gauge not only theoretical understanding but also the
practical application of MSF's protocols, ethical frameworks, and operational standards. Success in this exam
demonstrates a candidate's readiness to navigate the multifaceted challenges of field missions, prioritizing real-
world application, patient-centered care, and the core humanitarian principles of neutrality, impartiality, and
independence.
,SECTION ONE: QUESTIONS 1 – 100
1. A field coordinator is overseeing a project in a region with active armed conflict. The local military
commander requests a list of all national staff members to verify their backgrounds. What is the MOST
appropriate initial response based on MSF's principles?
A. Provide the list immediately to maintain good relations with the authorities.
B. Provide the list but omit the names of staff living in opposition-controlled areas.
C. Refuse the request and explain that MSF does not share personnel lists, citing the organization's commitment
to confidentiality and security.
D. Offer to verify the backgrounds of the staff internally and share only unverified information.
🟢 C. Refuse the request and explain that MSF does not share personnel lists, citing the organization's
commitment to confidentiality and security.
🔴 RATIONALE: MSF's principle of neutrality and independence requires protecting staff from potential harm or
political targeting. Sharing personnel lists with armed actors compromises security and breaches confidentiality
protocols. The correct response is a firm refusal based on organizational policy.
2. In a mass casualty incident, you are triaging patients. A patient presents with a penetrating chest wound,
is cyanotic, and has a respiratory rate of 40/min. What is the correct color-coded triage category for this
patient?
A. Red (Immediate)
B. Yellow (Delayed)
C. Green (Minor)
D. Black (Deceased/Expectant)
,🟢 A. Red (Immediate)
🔴 RATIONALE: This patient is in respiratory distress with a life-threatening chest wound, indicating a need for
immediate life-saving interventions. The "Red" category is for patients who require immediate surgery or critical
intervention within minutes.
3. When calculating the costs for a new health project, which of the following is considered a DIRECT cost?
A. Salaries for the central coordination team in the capital.
B. The cost of purchasing antibiotics for the project.
C. The administrative overhead of the main headquarters.
D. The cost of international staff flights into the country.
🟢 B. The cost of purchasing antibiotics for the project.
🔴 RATIONALE: Direct costs are expenses that can be directly attributed to a specific project. Medical supplies
like antibiotics are a direct cost. Salaries of central coordination (A) and headquarters overhead (C) are indirect
costs.
4. A logistician is tasked with setting up a temporary clinic in a remote area. The primary water source is a
nearby river known to be contaminated. Which of the following interventions is the MOST effective and
sustainable for providing safe drinking water?
A. Boiling all water before use.
B. Distributing individual chlorine tablets to patients.
C. Installing a slow sand filter system for the entire clinic.
D. Importing bottled water for staff and patients.
, 🟢 C. Installing a slow sand filter system for the entire clinic.
🔴 RATIONALE: A slow sand filter system is a sustainable, effective, and low-technology solution for treating
water at a community or clinic level, reducing pathogens. Boiling (A) is unsustainable for large volumes. Tablets
(B) require patient compliance.
5. According to the SPHERE Project standards, what is the minimum acceptable amount of water per person
per day for survival in a humanitarian crisis?
A. 5 liters
B. 10 liters
C. 15 liters
D. 20 liters
🟢 C. 15 liters
🔴 RATIONALE: The SPHERE standards provide a minimum guideline of 15 liters per person per day for
drinking, cooking, and essential hygiene. While 5 liters (A) is for extreme survival, 15 is the standard for a
humanitarian response.
6. A doctor is working in a cholera treatment center (CTC). A patient arrives with severe dehydration. The
doctor is preparing to administer IV fluids. Which of the following is the MOST appropriate first-line fluid for
resuscitation in a resource-limited setting?
A. 5% Dextrose
B. Normal Saline (0.9% NaCl)
C. Ringer's Lactate
D. 3% Hypertonic Saline
CORRECT SOLUTIONS JUST RELEASED THIS YEAR………...
Core Domains:
1. Humanitarian Principles and Ethics
2. Global Health and Epidemiology
3. Project Management in Crisis Settings
4. Medical Logistics and Supply Chain
5. Security and Safety Management
6. Financial Management and Budgeting
7. Human Resources and Team Leadership
8. Legal Frameworks and Advocacy
9. Cross-Cultural Communication and Negotiation
10. Monitoring, Evaluation, and Reporting
Introduction:
This comprehensive examination is designed to rigorously assess the competencies required for effective service
with Médecins Sans Frontières. It evaluates a candidate's foundational knowledge, applied professional skills, and
critical decision-making abilities in complex humanitarian environments. The assessment is structured using
multiple-choice questions and scenario-based inquiries to gauge not only theoretical understanding but also the
practical application of MSF's protocols, ethical frameworks, and operational standards. Success in this exam
demonstrates a candidate's readiness to navigate the multifaceted challenges of field missions, prioritizing real-
world application, patient-centered care, and the core humanitarian principles of neutrality, impartiality, and
independence.
,SECTION ONE: QUESTIONS 1 – 100
1. A field coordinator is overseeing a project in a region with active armed conflict. The local military
commander requests a list of all national staff members to verify their backgrounds. What is the MOST
appropriate initial response based on MSF's principles?
A. Provide the list immediately to maintain good relations with the authorities.
B. Provide the list but omit the names of staff living in opposition-controlled areas.
C. Refuse the request and explain that MSF does not share personnel lists, citing the organization's commitment
to confidentiality and security.
D. Offer to verify the backgrounds of the staff internally and share only unverified information.
🟢 C. Refuse the request and explain that MSF does not share personnel lists, citing the organization's
commitment to confidentiality and security.
🔴 RATIONALE: MSF's principle of neutrality and independence requires protecting staff from potential harm or
political targeting. Sharing personnel lists with armed actors compromises security and breaches confidentiality
protocols. The correct response is a firm refusal based on organizational policy.
2. In a mass casualty incident, you are triaging patients. A patient presents with a penetrating chest wound,
is cyanotic, and has a respiratory rate of 40/min. What is the correct color-coded triage category for this
patient?
A. Red (Immediate)
B. Yellow (Delayed)
C. Green (Minor)
D. Black (Deceased/Expectant)
,🟢 A. Red (Immediate)
🔴 RATIONALE: This patient is in respiratory distress with a life-threatening chest wound, indicating a need for
immediate life-saving interventions. The "Red" category is for patients who require immediate surgery or critical
intervention within minutes.
3. When calculating the costs for a new health project, which of the following is considered a DIRECT cost?
A. Salaries for the central coordination team in the capital.
B. The cost of purchasing antibiotics for the project.
C. The administrative overhead of the main headquarters.
D. The cost of international staff flights into the country.
🟢 B. The cost of purchasing antibiotics for the project.
🔴 RATIONALE: Direct costs are expenses that can be directly attributed to a specific project. Medical supplies
like antibiotics are a direct cost. Salaries of central coordination (A) and headquarters overhead (C) are indirect
costs.
4. A logistician is tasked with setting up a temporary clinic in a remote area. The primary water source is a
nearby river known to be contaminated. Which of the following interventions is the MOST effective and
sustainable for providing safe drinking water?
A. Boiling all water before use.
B. Distributing individual chlorine tablets to patients.
C. Installing a slow sand filter system for the entire clinic.
D. Importing bottled water for staff and patients.
, 🟢 C. Installing a slow sand filter system for the entire clinic.
🔴 RATIONALE: A slow sand filter system is a sustainable, effective, and low-technology solution for treating
water at a community or clinic level, reducing pathogens. Boiling (A) is unsustainable for large volumes. Tablets
(B) require patient compliance.
5. According to the SPHERE Project standards, what is the minimum acceptable amount of water per person
per day for survival in a humanitarian crisis?
A. 5 liters
B. 10 liters
C. 15 liters
D. 20 liters
🟢 C. 15 liters
🔴 RATIONALE: The SPHERE standards provide a minimum guideline of 15 liters per person per day for
drinking, cooking, and essential hygiene. While 5 liters (A) is for extreme survival, 15 is the standard for a
humanitarian response.
6. A doctor is working in a cholera treatment center (CTC). A patient arrives with severe dehydration. The
doctor is preparing to administer IV fluids. Which of the following is the MOST appropriate first-line fluid for
resuscitation in a resource-limited setting?
A. 5% Dextrose
B. Normal Saline (0.9% NaCl)
C. Ringer's Lactate
D. 3% Hypertonic Saline
