Critical care paramedic Exam | Verified Exam Questions and Answers | Latest Updated
Study Material 2026
---
Table of Contents
1. Exam Overview
2. Domain 1: Critical Care Transport (50 Questions)
3. Domain 2: Airway, Anesthesia & Analgesics (90 Questions)
4. Domain 3: General Medical Patient (60 Questions)
5. Domain 4: Cardiac Patient (80 Questions)
6. Domain 5: Neurologic Patient (55 Questions)
7. Domain 6: Respiratory Patient (60 Questions)
8. Domain 7: Toxic Exposure & Environmental Patient (45 Questions)
9. Domain 8: Trauma/Burn Patient (60 Questions)
---
Exam Overview
The Critical Care Paramedic (CCP-C) examination is administered by the Board for Critical
Care Transport Paramedic Certification (BCCTPC), a subsidiary of the International Board of
Specialty Certifications (IBSC). This certification validates the advanced knowledge and skills
required for paramedics who transport critically ill or injured patients by ground or air.
Exam Format:
- 135 questions (110 scored, 25 unscored pilot items)
,- 2.5 hours allotted
- Multiple-choice format with four options per question
- Computer-based testing at authorized testing centers
Eligibility Requirements:
- Current paramedic certification (NREMT or state)
- Minimum of 3 years of full-time paramedic experience OR 4,000 hours of patient care
- Completion of an accredited critical care paramedic course
Content Domains (Weighted):
| Domain | Weight | Approx. Questions |
|--------|--------|-------------------|
| Critical Care Transport | 10% | 12 |
| Airway, Anesthesia & Analgesics | 15% | 15 |
| General Medical Patient | 14% | 14 |
| Cardiac Patient | 21% | 21 |
| Neurologic Patient | 16% | 16 |
| Respiratory Patient | 10% | 11 |
| Toxic Exposure & Environmental | 5% | 5 |
| Trauma/Burn Patient | 10% | 12 |
| Special Populations | 10% | 12 |
This practice test bank contains 500 questions distributed across all core domains of the
CCP-C examination, providing comprehensive preparation for certification. Each question
includes four answer options, the verified correct answer, and a detailed rationale explaining
the clinical reasoning behind the correct response.
---
,Domain 1: Critical Care Transport
(50 Questions)
Question 1
A critical care transport team is preparing to transfer a patient with an intra-aortic balloon
pump (IABP) by ground ambulance. Which consideration is most critical for safe transport?
A) Ensuring the IABP console is secured and has adequate battery life
B) Increasing the transport speed to minimize transport time
C) Disconnecting the IABP during transport to prevent malfunction
D) Placing the patient in Trendelenburg position for the entire transport
Correct Answer: A) Ensuring the IABP console is secured and has adequate battery life
Rationale: The IABP console must be secured to prevent movement during transport, and
battery life must be sufficient for the anticipated transport duration plus a safety margin.
Disconnecting the IABP would be lethal. Transport speed should be safe and appropriate.
Trendelenburg is not routinely indicated.
---
Question 2
During an interfacility transport, the paramedic notes that the patient's condition has
deteriorated. The receiving facility is 30 minutes away and the sending facility is 10 minutes
behind. What is the most appropriate action?
A) Continue to the receiving facility and manage the patient en route
B) Return to the sending facility for stabilization
C) Stop the vehicle and attempt to stabilize the patient on the roadside
, D) Divert to the nearest emergency department
Correct Answer: A) Continue to the receiving facility and manage the patient en route
Rationale: In general, the transport should continue to the receiving facility while the
paramedic manages the patient's condition en route. Returning to the sending facility may
not provide the definitive care needed. Stopping on the roadside is rarely appropriate.
Diverting to a closer ED may be appropriate if the patient is unstable and the receiving
facility cannot be reached safely, but this should be communicated with medical control.
---
Question 3
A patient is being transported by helicopter at 8,000 feet altitude. The patient has a
pneumothorax with a chest tube in place. What is the most important consideration?
A) The chest tube must be functioning properly to prevent tension pneumothorax
B) The patient should be placed in Trendelenburg position
C) The chest tube should be clamped during ascent
D) The patient should receive 100% oxygen
Correct Answer: A) The chest tube must be functioning properly to prevent tension
pneumothorax
Rationale: At altitude, gas expands according to Boyle's Law. A pneumothorax can enlarge
and become a tension pneumothorax if the chest tube is not functioning properly. The chest
tube should never be clamped during transport. Trendelenburg is not indicated. Oxygen
should be administered as needed, but the chest tube function is the priority.
---
Study Material 2026
---
Table of Contents
1. Exam Overview
2. Domain 1: Critical Care Transport (50 Questions)
3. Domain 2: Airway, Anesthesia & Analgesics (90 Questions)
4. Domain 3: General Medical Patient (60 Questions)
5. Domain 4: Cardiac Patient (80 Questions)
6. Domain 5: Neurologic Patient (55 Questions)
7. Domain 6: Respiratory Patient (60 Questions)
8. Domain 7: Toxic Exposure & Environmental Patient (45 Questions)
9. Domain 8: Trauma/Burn Patient (60 Questions)
---
Exam Overview
The Critical Care Paramedic (CCP-C) examination is administered by the Board for Critical
Care Transport Paramedic Certification (BCCTPC), a subsidiary of the International Board of
Specialty Certifications (IBSC). This certification validates the advanced knowledge and skills
required for paramedics who transport critically ill or injured patients by ground or air.
Exam Format:
- 135 questions (110 scored, 25 unscored pilot items)
,- 2.5 hours allotted
- Multiple-choice format with four options per question
- Computer-based testing at authorized testing centers
Eligibility Requirements:
- Current paramedic certification (NREMT or state)
- Minimum of 3 years of full-time paramedic experience OR 4,000 hours of patient care
- Completion of an accredited critical care paramedic course
Content Domains (Weighted):
| Domain | Weight | Approx. Questions |
|--------|--------|-------------------|
| Critical Care Transport | 10% | 12 |
| Airway, Anesthesia & Analgesics | 15% | 15 |
| General Medical Patient | 14% | 14 |
| Cardiac Patient | 21% | 21 |
| Neurologic Patient | 16% | 16 |
| Respiratory Patient | 10% | 11 |
| Toxic Exposure & Environmental | 5% | 5 |
| Trauma/Burn Patient | 10% | 12 |
| Special Populations | 10% | 12 |
This practice test bank contains 500 questions distributed across all core domains of the
CCP-C examination, providing comprehensive preparation for certification. Each question
includes four answer options, the verified correct answer, and a detailed rationale explaining
the clinical reasoning behind the correct response.
---
,Domain 1: Critical Care Transport
(50 Questions)
Question 1
A critical care transport team is preparing to transfer a patient with an intra-aortic balloon
pump (IABP) by ground ambulance. Which consideration is most critical for safe transport?
A) Ensuring the IABP console is secured and has adequate battery life
B) Increasing the transport speed to minimize transport time
C) Disconnecting the IABP during transport to prevent malfunction
D) Placing the patient in Trendelenburg position for the entire transport
Correct Answer: A) Ensuring the IABP console is secured and has adequate battery life
Rationale: The IABP console must be secured to prevent movement during transport, and
battery life must be sufficient for the anticipated transport duration plus a safety margin.
Disconnecting the IABP would be lethal. Transport speed should be safe and appropriate.
Trendelenburg is not routinely indicated.
---
Question 2
During an interfacility transport, the paramedic notes that the patient's condition has
deteriorated. The receiving facility is 30 minutes away and the sending facility is 10 minutes
behind. What is the most appropriate action?
A) Continue to the receiving facility and manage the patient en route
B) Return to the sending facility for stabilization
C) Stop the vehicle and attempt to stabilize the patient on the roadside
, D) Divert to the nearest emergency department
Correct Answer: A) Continue to the receiving facility and manage the patient en route
Rationale: In general, the transport should continue to the receiving facility while the
paramedic manages the patient's condition en route. Returning to the sending facility may
not provide the definitive care needed. Stopping on the roadside is rarely appropriate.
Diverting to a closer ED may be appropriate if the patient is unstable and the receiving
facility cannot be reached safely, but this should be communicated with medical control.
---
Question 3
A patient is being transported by helicopter at 8,000 feet altitude. The patient has a
pneumothorax with a chest tube in place. What is the most important consideration?
A) The chest tube must be functioning properly to prevent tension pneumothorax
B) The patient should be placed in Trendelenburg position
C) The chest tube should be clamped during ascent
D) The patient should receive 100% oxygen
Correct Answer: A) The chest tube must be functioning properly to prevent tension
pneumothorax
Rationale: At altitude, gas expands according to Boyle's Law. A pneumothorax can enlarge
and become a tension pneumothorax if the chest tube is not functioning properly. The chest
tube should never be clamped during transport. Trendelenburg is not indicated. Oxygen
should be administered as needed, but the chest tube function is the priority.
---
