MICP – Mobile Intensive Care Paramedic (Alaska)
Advanced Certification Review Updated 2026 |
300+ Practice Questions & Verified Answers |
Complete Alaska EMS Licensing Study Guide,
Mobile Intensive Care Paramedic Exam Prep,
Advanced Airway Management, ECG & Cardiology,
Critical Care Transport, Trauma Management,
Emergency Pharmacology, Pediatric, Obstetric &
Medical Emergencies, Clinical Decision-Making,
Detailed Rationales
Question 1: Which document specifically defines the authorized procedures
and medication limits for an Alaska MICP?
A. National EMS Scope of Practice Manual
B. Alaska State Medical Board Protocol Handbook
C. Federal EMS Guidebook
D. National Registry of EMTs Guidelines
CORRECT ANSWER: B. Alaska State Medical Board Protocol Handbook
Rationale: The Alaska State Medical Board Protocol Handbook outlines the exact
scope, including procedures and medication limits, for MICPs practicing in Alaska .
Question 2: In pre-hospital ethics, the principle of beneficence requires the
provider to:
A. Respect the patient's wishes above all else
B. Provide care that maximizes benefit and minimizes harm
C. Distribute resources equally among all patients
D. Avoid any intervention without explicit consent
CORRECT ANSWER: B. Provide care that maximizes benefit and minimizes
harm
Rationale: Beneficence obligates clinicians to act in the patient's best interest,
delivering beneficial care while limiting potential harm .
Question 3: When documenting a refusal of care, which element is least
essential to include in the PCR?
A. Patient's verbal statement refusing care
B. Provider's assessment of the patient's decision-making capacity
C. The exact time the refusal occurred
D. The provider's personal opinion on the patient's condition
CORRECT ANSWER: D. The provider's personal opinion on the patient's
condition
,Rationale: Personal opinions are not required; objective facts such as the statement,
capacity assessment, and time are mandatory .
Question 4: Under Alaska law, a suspected case of child abuse must be
reported to:
A. The local police department only
B. The Alaska Department of Health and Social Services within 24 hours
C. The patient's primary care physician
D. The regional medical director
CORRECT ANSWER: B. The Alaska Department of Health and Social Services
within 24 hours
Rationale: Alaska statutes require reporting suspected child abuse to the Department of
Health and Social Services promptly, typically within 24 hours .
Question 5: Which of the following best describes a "peer review" in a quality
assurance program?
A. Real-time supervision of field performance
B. Retrospective evaluation of patient care by colleagues
C. Public posting of performance metrics
D. Random drug testing of crew members
CORRECT ANSWER: B. Retrospective evaluation of patient care by colleagues
Rationale: Peer review involves colleagues reviewing past cases to identify strengths
and areas for improvement .
Question 6: The primary goal of a safety culture in EMS is to:
A. Reduce liability costs for the agency
B. Encourage reporting of near-misses without fear of punishment
C. Increase the number of transports per shift
D. Eliminate all patient interactions
CORRECT ANSWER: B. Encourage reporting of near-misses without fear of
punishment
Rationale: A just culture promotes safety by encouraging the reporting of errors and
near-misses to allow for system improvements without punitive measures .
Question 7: According to Alaska regulations, a person enrolled in an MICP
training program may perform authorized activities outside a hospital only
when supervised by:
A. Any registered nurse
B. A licensed MICP, physician sponsor, or the sponsor's designee
C. A hospital administrator
D. A certified EMT-III
,CORRECT ANSWER: B. A licensed MICP, physician sponsor, or the sponsor's
designee
Rationale: The activities that take place outside a hospital must be supervised by a
licensed mobile intensive care paramedic, a physician sponsor, or the physician
sponsor's designee .
Question 8: What is the maximum duration an intern may perform MICP
activities in Alaska without becoming licensed?
A. 200 hours or three months
B. 480 hours or six calendar months
C. 500 hours or one year
D. 1000 hours or 18 months
CORRECT ANSWER: B. 480 hours or six calendar months
Rationale: While functioning as an intern in Alaska, a person may not perform
authorized activities for more than 480 hours, or for more than six calendar months,
without becoming licensed .
Question 9: According to 12 AAC 40.370, the scope of authorized activities for
an MICP does NOT include:
A. Endotracheal intubation
B. Defibrillation
C. Primary care for nonemergency conditions unless specifically authorized
D. Gastric suction by intubation
CORRECT ANSWER: C. Primary care for nonemergency conditions unless
specifically authorized
Rationale: The scope does not include primary patient care, such as dispensing
nonemergency medications and performing physical examinations for nonemergency
purposes, unless specifically authorized by the board .
Question 10: In the management of a cold water near drowning patient, an
MICP should start CPR if:
A. The patient is apneic and pulseless after a pulse check of up to 60 seconds
B. The patient is cold to the touch
C. The patient has a palpable carotid pulse
D. The patient is shivering
CORRECT ANSWER: A. The patient is apneic and pulseless after a pulse check
of up to 60 seconds
Rationale: Start CPR if the patient is pulseless after a pulse check of up to 60 seconds
for cold water near drowning victims .
, Question 11: For a stable diving emergency patient, the recommended
transport altitude by air is:
A. Sea level pressure
B. Less than 1,000 feet, if possible
C. Above 5,000 feet
D. At cruising altitude of 10,000 feet
CORRECT ANSWER: B. Less than 1,000 feet, if possible
Rationale: Transport the patient by aircraft flying at the lowest safe altitude, preferably
less than 1,000 feet, to minimize the risk of gas bubble expansion .
Question 12: For a frostbite patient, which of the following actions is
contraindicated?
A. Protecting the area from refreezing
B. Constructing a frame to keep blankets off the area
C. Rubbing the frozen part to restore circulation
D. Preventing the patient from walking if feet are involved
CORRECT ANSWER: C. Rubbing the frozen part to restore circulation
Rationale: Do not rub the frozen part, as this can cause further tissue damage from ice
crystals .
Question 13: For a severe hypothermic patient with no life signs, what is the
recommended approach to CPR?
A. Start CPR immediately if no pulse is found
B. Ventilate for at least 3 minutes with 100% O2 prior to intubation attempts
C. Avoid ventilations and focus only on chest compressions
D. Do not start CPR if transport time is less than 3 hours
CORRECT ANSWER: B. Ventilate for at least 3 minutes with 100% O2 prior to
intubation attempts
Rationale: Ventilate for at least 3 minutes with 100% O2 prior to intubation attempts in
severe hypothermia .
Question 14: In treating a heatstroke patient, which action is the highest
priority?
A. Establishing an IV line
B. Immediate cooling by wetting the patient and fanning briskly
C. Oral rehydration with electrolyte solution
D. Placing a Foley catheter
CORRECT ANSWER: B. Immediate cooling by wetting the patient and fanning
briskly
Advanced Certification Review Updated 2026 |
300+ Practice Questions & Verified Answers |
Complete Alaska EMS Licensing Study Guide,
Mobile Intensive Care Paramedic Exam Prep,
Advanced Airway Management, ECG & Cardiology,
Critical Care Transport, Trauma Management,
Emergency Pharmacology, Pediatric, Obstetric &
Medical Emergencies, Clinical Decision-Making,
Detailed Rationales
Question 1: Which document specifically defines the authorized procedures
and medication limits for an Alaska MICP?
A. National EMS Scope of Practice Manual
B. Alaska State Medical Board Protocol Handbook
C. Federal EMS Guidebook
D. National Registry of EMTs Guidelines
CORRECT ANSWER: B. Alaska State Medical Board Protocol Handbook
Rationale: The Alaska State Medical Board Protocol Handbook outlines the exact
scope, including procedures and medication limits, for MICPs practicing in Alaska .
Question 2: In pre-hospital ethics, the principle of beneficence requires the
provider to:
A. Respect the patient's wishes above all else
B. Provide care that maximizes benefit and minimizes harm
C. Distribute resources equally among all patients
D. Avoid any intervention without explicit consent
CORRECT ANSWER: B. Provide care that maximizes benefit and minimizes
harm
Rationale: Beneficence obligates clinicians to act in the patient's best interest,
delivering beneficial care while limiting potential harm .
Question 3: When documenting a refusal of care, which element is least
essential to include in the PCR?
A. Patient's verbal statement refusing care
B. Provider's assessment of the patient's decision-making capacity
C. The exact time the refusal occurred
D. The provider's personal opinion on the patient's condition
CORRECT ANSWER: D. The provider's personal opinion on the patient's
condition
,Rationale: Personal opinions are not required; objective facts such as the statement,
capacity assessment, and time are mandatory .
Question 4: Under Alaska law, a suspected case of child abuse must be
reported to:
A. The local police department only
B. The Alaska Department of Health and Social Services within 24 hours
C. The patient's primary care physician
D. The regional medical director
CORRECT ANSWER: B. The Alaska Department of Health and Social Services
within 24 hours
Rationale: Alaska statutes require reporting suspected child abuse to the Department of
Health and Social Services promptly, typically within 24 hours .
Question 5: Which of the following best describes a "peer review" in a quality
assurance program?
A. Real-time supervision of field performance
B. Retrospective evaluation of patient care by colleagues
C. Public posting of performance metrics
D. Random drug testing of crew members
CORRECT ANSWER: B. Retrospective evaluation of patient care by colleagues
Rationale: Peer review involves colleagues reviewing past cases to identify strengths
and areas for improvement .
Question 6: The primary goal of a safety culture in EMS is to:
A. Reduce liability costs for the agency
B. Encourage reporting of near-misses without fear of punishment
C. Increase the number of transports per shift
D. Eliminate all patient interactions
CORRECT ANSWER: B. Encourage reporting of near-misses without fear of
punishment
Rationale: A just culture promotes safety by encouraging the reporting of errors and
near-misses to allow for system improvements without punitive measures .
Question 7: According to Alaska regulations, a person enrolled in an MICP
training program may perform authorized activities outside a hospital only
when supervised by:
A. Any registered nurse
B. A licensed MICP, physician sponsor, or the sponsor's designee
C. A hospital administrator
D. A certified EMT-III
,CORRECT ANSWER: B. A licensed MICP, physician sponsor, or the sponsor's
designee
Rationale: The activities that take place outside a hospital must be supervised by a
licensed mobile intensive care paramedic, a physician sponsor, or the physician
sponsor's designee .
Question 8: What is the maximum duration an intern may perform MICP
activities in Alaska without becoming licensed?
A. 200 hours or three months
B. 480 hours or six calendar months
C. 500 hours or one year
D. 1000 hours or 18 months
CORRECT ANSWER: B. 480 hours or six calendar months
Rationale: While functioning as an intern in Alaska, a person may not perform
authorized activities for more than 480 hours, or for more than six calendar months,
without becoming licensed .
Question 9: According to 12 AAC 40.370, the scope of authorized activities for
an MICP does NOT include:
A. Endotracheal intubation
B. Defibrillation
C. Primary care for nonemergency conditions unless specifically authorized
D. Gastric suction by intubation
CORRECT ANSWER: C. Primary care for nonemergency conditions unless
specifically authorized
Rationale: The scope does not include primary patient care, such as dispensing
nonemergency medications and performing physical examinations for nonemergency
purposes, unless specifically authorized by the board .
Question 10: In the management of a cold water near drowning patient, an
MICP should start CPR if:
A. The patient is apneic and pulseless after a pulse check of up to 60 seconds
B. The patient is cold to the touch
C. The patient has a palpable carotid pulse
D. The patient is shivering
CORRECT ANSWER: A. The patient is apneic and pulseless after a pulse check
of up to 60 seconds
Rationale: Start CPR if the patient is pulseless after a pulse check of up to 60 seconds
for cold water near drowning victims .
, Question 11: For a stable diving emergency patient, the recommended
transport altitude by air is:
A. Sea level pressure
B. Less than 1,000 feet, if possible
C. Above 5,000 feet
D. At cruising altitude of 10,000 feet
CORRECT ANSWER: B. Less than 1,000 feet, if possible
Rationale: Transport the patient by aircraft flying at the lowest safe altitude, preferably
less than 1,000 feet, to minimize the risk of gas bubble expansion .
Question 12: For a frostbite patient, which of the following actions is
contraindicated?
A. Protecting the area from refreezing
B. Constructing a frame to keep blankets off the area
C. Rubbing the frozen part to restore circulation
D. Preventing the patient from walking if feet are involved
CORRECT ANSWER: C. Rubbing the frozen part to restore circulation
Rationale: Do not rub the frozen part, as this can cause further tissue damage from ice
crystals .
Question 13: For a severe hypothermic patient with no life signs, what is the
recommended approach to CPR?
A. Start CPR immediately if no pulse is found
B. Ventilate for at least 3 minutes with 100% O2 prior to intubation attempts
C. Avoid ventilations and focus only on chest compressions
D. Do not start CPR if transport time is less than 3 hours
CORRECT ANSWER: B. Ventilate for at least 3 minutes with 100% O2 prior to
intubation attempts
Rationale: Ventilate for at least 3 minutes with 100% O2 prior to intubation attempts in
severe hypothermia .
Question 14: In treating a heatstroke patient, which action is the highest
priority?
A. Establishing an IV line
B. Immediate cooling by wetting the patient and fanning briskly
C. Oral rehydration with electrolyte solution
D. Placing a Foley catheter
CORRECT ANSWER: B. Immediate cooling by wetting the patient and fanning
briskly
