CRITICAL CARE PARAMEDIC MOCK EXAM
WITH ANSWER RATIONALES 2026
◉ Living Will
Question asked which choice best explained a living will.
Answer: Instructions given by competent individuals specifying
what actions should be taken for their health in the event that they
are no longer able to make decisions due to illness or incapacity.
◉ EMTALA
Question asked which choice best explained EMTALA.
Answer: The Emergency Medical Treatment and Active Labor Act.
Requires doctor to doctor contact and is considered the "Anti-
Dumping Act."
Hospitals are responsible for 250 yards.
◉ COBRA
Question asked which choice best explained COBRA
,Answer: The Consolidated Omnibus Budget Reconciliation Act.
Passed in 1986, EMTALA was part of this Act. Designed to prevent
financially motivated transfers of patients in unstable condition.
◉ HIPPA
Scenario: CCP worked a call with multiple DOA's and informed the
media of the patient's name and details of the call.
Answer: The Health Information Portability and Accountability Act.
Kepps patient's health information private.
◉ Online Medical Direction
Scenario: Transferring a cardiac patient from an outlying facility
back to your facility for possible PTCA. Patient needs a medication
and who do you need to contact. Choices consisted of the sending
facility, the receiving facility ER charge nurse, the receiving facility
medical director and another choice
Answer: Medical direction for a transport should be decided by both
the receiving and sending physicians. They may be dictated by
communication availability. If the sending physician is requesting
treatment that is outside the standing protocols for the transferring
unit, written documentation and orders should accompany the
transfer team. The ultimate responsibility for the action or inaction
of a CCP rests with the medical director.
,◉ 7 P's of Intubation
Answer: 1. Preparation
2. Pre-oxygenate
3. Pre-treatment
4. Paralysis with induction
5. Positioning
6. Proof of placement
7. Post intubation management
◉ Succinylcholine (Anectine)
Answer: - Causes fasiculations
- Only depolarizing neuromuscular blocking agent
- Watch for malignant hyperthermia (rapid increase in temperature)
◉ Causes for High Pressure Alarm on Ventilator
One question just asked a reason for a high pressure alarm and
decreased lung compliance was a choice. Unsure about the second
question.
Answer: 1. Decreased Lung Compliance
2. Kinks in tube
, 3. Coughing/Gagging/Secretions blockage
4. Improper flow rates and/or I:E ratio
5. Bronchospasms
6. Breathing "asynchronously"
7. Alveolar over distention
8. Sensitivity too high
9. Vibrations
*Increase sedation on patient
◉ Cormack-Lehane Grading Systme
The question asked which choice was a grade 2.
Answer: Grade 1 - The entire glottis opening is visible
Grade 2 - The arytenoid cartilages or the posterior portion of the
glottis opening is visible
Grad 3 - Epiglottis only is visible
Grade 4 - Tongue and/or soft palate only is visible
◉ ET Tube Depth
WITH ANSWER RATIONALES 2026
◉ Living Will
Question asked which choice best explained a living will.
Answer: Instructions given by competent individuals specifying
what actions should be taken for their health in the event that they
are no longer able to make decisions due to illness or incapacity.
◉ EMTALA
Question asked which choice best explained EMTALA.
Answer: The Emergency Medical Treatment and Active Labor Act.
Requires doctor to doctor contact and is considered the "Anti-
Dumping Act."
Hospitals are responsible for 250 yards.
◉ COBRA
Question asked which choice best explained COBRA
,Answer: The Consolidated Omnibus Budget Reconciliation Act.
Passed in 1986, EMTALA was part of this Act. Designed to prevent
financially motivated transfers of patients in unstable condition.
◉ HIPPA
Scenario: CCP worked a call with multiple DOA's and informed the
media of the patient's name and details of the call.
Answer: The Health Information Portability and Accountability Act.
Kepps patient's health information private.
◉ Online Medical Direction
Scenario: Transferring a cardiac patient from an outlying facility
back to your facility for possible PTCA. Patient needs a medication
and who do you need to contact. Choices consisted of the sending
facility, the receiving facility ER charge nurse, the receiving facility
medical director and another choice
Answer: Medical direction for a transport should be decided by both
the receiving and sending physicians. They may be dictated by
communication availability. If the sending physician is requesting
treatment that is outside the standing protocols for the transferring
unit, written documentation and orders should accompany the
transfer team. The ultimate responsibility for the action or inaction
of a CCP rests with the medical director.
,◉ 7 P's of Intubation
Answer: 1. Preparation
2. Pre-oxygenate
3. Pre-treatment
4. Paralysis with induction
5. Positioning
6. Proof of placement
7. Post intubation management
◉ Succinylcholine (Anectine)
Answer: - Causes fasiculations
- Only depolarizing neuromuscular blocking agent
- Watch for malignant hyperthermia (rapid increase in temperature)
◉ Causes for High Pressure Alarm on Ventilator
One question just asked a reason for a high pressure alarm and
decreased lung compliance was a choice. Unsure about the second
question.
Answer: 1. Decreased Lung Compliance
2. Kinks in tube
, 3. Coughing/Gagging/Secretions blockage
4. Improper flow rates and/or I:E ratio
5. Bronchospasms
6. Breathing "asynchronously"
7. Alveolar over distention
8. Sensitivity too high
9. Vibrations
*Increase sedation on patient
◉ Cormack-Lehane Grading Systme
The question asked which choice was a grade 2.
Answer: Grade 1 - The entire glottis opening is visible
Grade 2 - The arytenoid cartilages or the posterior portion of the
glottis opening is visible
Grad 3 - Epiglottis only is visible
Grade 4 - Tongue and/or soft palate only is visible
◉ ET Tube Depth
