MICP – Mobile Intensive Care Paramedic (Alaska)
Comprehensive Board Review Updated 2026 | 300+
Practice Questions & Verified Answers | Elite
Alaska Paramedic Certification Study Guide,
Advanced Mobile Intensive Care Exam Prep,
Critical Care Transport, Advanced Airway
Management, ECG Interpretation, ACLS & PALS,
Trauma Life Support, Emergency Pharmacology,
Medical Emergencies, Clinical Case Studies,
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 is the definitive source
that outlines the exact scope, including authorized procedures and medication limits, for
MICPs practicing in Alaska . While national guidelines exist, state-specific protocols
govern practice within 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 is the ethical obligation to act in the patient's best interest by
delivering beneficial care while limiting potential harm . This differs from respect for
autonomy (A), justice (C), and informed consent requirements (D).
Question 3: When documenting a refusal of care, which element is least
essential to include in the Patient Care Report?
,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 for legal documentation; objective facts
such as the patient's statement, capacity assessment, and time are mandatory .
Documentation should remain objective and factual.
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 . While law enforcement
may also be notified, the mandated report goes to DHSS.
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 . It is a retrospective process focused on quality
improvement rather than supervision or punishment.
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 safety culture promotes the reporting of near-misses and errors without
fear of punishment to identify system weaknesses and prevent future harm . It focuses
on system improvement rather than individual blame.
Question 7: An Alaskan MICP is licensed by which regulatory body?
A. National Registry of Emergency Medical Technicians
B. Alaska Department of Health and Social Services
C. Alaska State Medical Board
D. U.S. Department of Transportation
CORRECT ANSWER: C. Alaska State Medical Board
Rationale: Mobile Intensive Care Paramedics in Alaska are licensed by the Alaska State
Medical Board, which oversees their scope of practice and licensure requirements .
Question 8: What is the minimum age requirement for MICP licensure in
Alaska?
A. 18 years old
B. 19 years old
C. 21 years old
D. 25 years old
CORRECT ANSWER: B. 19 years old
Rationale: An Alaska MICP must be at least 19 years of age and a high school graduate
to be eligible for licensure .
Question 9: The required internship for Alaska MICP licensure must consist of
at least how many hours?
A. 240 hours
B. 360 hours
C. 480 hours
D. 600 hours
CORRECT ANSWER: C. 480 hours
, Rationale: The paramedic program culminates in a 480-hour internship where the
candidate works under the direct supervision of a physician sponsor or other qualified
professional .
Question 10: A patient's ETCO₂ reading of 15 mm Hg during CPR most likely
indicates:
A. Adequate ventilation
B. Low cardiac output or impending arrest
C. Hyperventilation with alkalosis
D. Faulty capnography equipment
CORRECT ANSWER: B. Low cardiac output or impending arrest
Rationale: Low ETCO₂ during CPR correlates with poor perfusion and may predict a
poor chance of ROSC . Normal ETCO₂ during CPR should be higher, and values below
20 mm Hg suggest inadequate perfusion.
Question 11: Which is the most accurate limitation of pulse oximetry in severe
hypothermia?
A. Overestimation of oxygen saturation due to peripheral vasoconstriction
B. Underestimation because of cold-induced sensor malfunction
C. No limitation; SpO₂ is reliable at any temperature
D. It provides a direct measurement of arterial PaO₂
CORRECT ANSWER: A. Overestimation of oxygen saturation due to peripheral
vasoconstriction
Rationale: Peripheral vasoconstriction can cause the sensor to read falsely high
saturations despite poor tissue oxygenation . Pulse oximetry measures oxygen
saturation, not PaO₂ directly.
Question 12: The Pediatric Assessment Triangle (PAT) includes all of the
following EXCEPT:
A. Appearance
B. Work of breathing
C. Circulation to the skin
D. Respiratory effort
CORRECT ANSWER: C. Circulation to the skin
Rationale: The three PAT components are Appearance, Work of Breathing, and
Circulation to the Skin . While "Circulation to the skin" assesses perfusion, it is not a
separate component of the PAT.
Comprehensive Board Review Updated 2026 | 300+
Practice Questions & Verified Answers | Elite
Alaska Paramedic Certification Study Guide,
Advanced Mobile Intensive Care Exam Prep,
Critical Care Transport, Advanced Airway
Management, ECG Interpretation, ACLS & PALS,
Trauma Life Support, Emergency Pharmacology,
Medical Emergencies, Clinical Case Studies,
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 is the definitive source
that outlines the exact scope, including authorized procedures and medication limits, for
MICPs practicing in Alaska . While national guidelines exist, state-specific protocols
govern practice within 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 is the ethical obligation to act in the patient's best interest by
delivering beneficial care while limiting potential harm . This differs from respect for
autonomy (A), justice (C), and informed consent requirements (D).
Question 3: When documenting a refusal of care, which element is least
essential to include in the Patient Care Report?
,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 for legal documentation; objective facts
such as the patient's statement, capacity assessment, and time are mandatory .
Documentation should remain objective and factual.
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 . While law enforcement
may also be notified, the mandated report goes to DHSS.
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 . It is a retrospective process focused on quality
improvement rather than supervision or punishment.
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 safety culture promotes the reporting of near-misses and errors without
fear of punishment to identify system weaknesses and prevent future harm . It focuses
on system improvement rather than individual blame.
Question 7: An Alaskan MICP is licensed by which regulatory body?
A. National Registry of Emergency Medical Technicians
B. Alaska Department of Health and Social Services
C. Alaska State Medical Board
D. U.S. Department of Transportation
CORRECT ANSWER: C. Alaska State Medical Board
Rationale: Mobile Intensive Care Paramedics in Alaska are licensed by the Alaska State
Medical Board, which oversees their scope of practice and licensure requirements .
Question 8: What is the minimum age requirement for MICP licensure in
Alaska?
A. 18 years old
B. 19 years old
C. 21 years old
D. 25 years old
CORRECT ANSWER: B. 19 years old
Rationale: An Alaska MICP must be at least 19 years of age and a high school graduate
to be eligible for licensure .
Question 9: The required internship for Alaska MICP licensure must consist of
at least how many hours?
A. 240 hours
B. 360 hours
C. 480 hours
D. 600 hours
CORRECT ANSWER: C. 480 hours
, Rationale: The paramedic program culminates in a 480-hour internship where the
candidate works under the direct supervision of a physician sponsor or other qualified
professional .
Question 10: A patient's ETCO₂ reading of 15 mm Hg during CPR most likely
indicates:
A. Adequate ventilation
B. Low cardiac output or impending arrest
C. Hyperventilation with alkalosis
D. Faulty capnography equipment
CORRECT ANSWER: B. Low cardiac output or impending arrest
Rationale: Low ETCO₂ during CPR correlates with poor perfusion and may predict a
poor chance of ROSC . Normal ETCO₂ during CPR should be higher, and values below
20 mm Hg suggest inadequate perfusion.
Question 11: Which is the most accurate limitation of pulse oximetry in severe
hypothermia?
A. Overestimation of oxygen saturation due to peripheral vasoconstriction
B. Underestimation because of cold-induced sensor malfunction
C. No limitation; SpO₂ is reliable at any temperature
D. It provides a direct measurement of arterial PaO₂
CORRECT ANSWER: A. Overestimation of oxygen saturation due to peripheral
vasoconstriction
Rationale: Peripheral vasoconstriction can cause the sensor to read falsely high
saturations despite poor tissue oxygenation . Pulse oximetry measures oxygen
saturation, not PaO₂ directly.
Question 12: The Pediatric Assessment Triangle (PAT) includes all of the
following EXCEPT:
A. Appearance
B. Work of breathing
C. Circulation to the skin
D. Respiratory effort
CORRECT ANSWER: C. Circulation to the skin
Rationale: The three PAT components are Appearance, Work of Breathing, and
Circulation to the Skin . While "Circulation to the skin" assesses perfusion, it is not a
separate component of the PAT.
