(QUESTION BANK) PARAMEDIC CCT EXAM
QUESTIONS WITH 2024/25 COMPLETE
SOLUTIONS!!
1) Per Medicare, which of the following qualifies as call for reimbursement as a
critical care transport (Select all that apply)
A) Patient is on Dobutamine drip
B) Patient is incubated and sedated
C) Patient is on a mechanical ventilator
D) Patient is on an IV pump Answer - A) Patient is on Dobutamine drip
B) Patient is incubated and sedated
C) Patient is on a mechanical ventilator
D) Patient is on an IV pump
2) Which of the following is a good practice when moving a CCT patient from
hospital bed to the stretcher (and vice versa)?
A) Increasing sedation
B) Labeling multiple IV lines
C) Clamping chest tubes
D) Flushing Foley catheters Answer - B) Labeling multiple IV lines
,3) You are picking up an incubated patient at a rural hospital in preparation for
transport to an urban medical center. What is the gold standard for hospital
verification of tube placement that you should check prior to moving the
patient?
A) Chest radiograph
B) Colormetric capnography
C) Auscultation of breath sounds
D) ABGs Answer - A) Chest radiograph
4) For inter facility transfers, your normal (first line) medical control is:
A) Physician at the sending facility
B) Physician at the receiving facility
C) CCT medical director
D) Physician at the closest facility Answer - A) Physician at the sending facility
5) EMTALA requires a hospital to provide a screening examination and
appropriate life-sustaining emergency care:
A) to any person experiencing a medical emergency on its campus
B) even if there is no emergency at the facility
C) in accordance with the patient's ability to pay
D) to ambulance / helicopter teams utilizing the helipad to a transfer Answer -
A) to any person experiencing a medical emergency on its campus
6) A patient at an outlying facility has been diagnosed with a stroke. As you
approach the patient, she informs you she does not want to go to the second
,facility (a stroke center) because she is "more comfortable" at her current
facility. She appears alert and oriented, although her speech is slurred. You
should next:
A) Obtain a complete witnessed refusal
B) Explain the capabilities of the second facility and the risks of remaining at
the first facility
C) Check with the sending facility to see if they have obtained a con sent to
transfer form
D) Appeal to the patient's family to convince her to go Answer - B) Explain the
capabilities of the second facility and the risks of remaining at the first facility
7) You are transporting a critical patient. You are en route to meet a medical
helicopter at a hospital landing pad. Which of the following is most correct?
A) The hospital has no obligation to provide a screening examination for the
patient if the only reason the patient is coming to the facility is to utilize the
helipad for transfer.
B) The hospital has an obligation to provide a screening examination regardless
of whether the agencies involved in the transfer request a screening.
C) The hospital must provide security for the helipad before, during, and
following the transfer of the patient.
D) The hospital has no obligation to see the patient, but may bill the agencies
that utilize the helipad. Answer - A) The hospital has no obligation to provide a
screening examination for the patient if the only reason the patient is coming
to the facility is to utilize the helipad for transfer.
8) You are picking up a patient at an outlying facility. The facility hands you all
the patient care information and demographics in a sealed envelope, directing
you not to open because they are concerned about a HIPAA violation. You
should:
, A) Ask the attending physician if her or she could provide you the patient
information you need.
B) Explain to the facility that the transfer of information is exempted under the
"health care operations" section of HIPAA.
C) Wait until arrival at the receiving facility to obtain patient information
D) Wait until you are in the truck and off the property, then open the envelope
and obtain what you need to treat the patient properly. Answer - B) Explain to
the facility that the transfer of information is exempted under the "health care
operations" section of HIPAA.
9) You are transferring a patient to a higher level of care. The patient has a
written order on the transfer sheet: "No CPR." En route you note the patient
has stopped breathing, but still has a pulse and EKG rhythm. You should:
A) Provide noninvasive ventilation and contact the receiving facility for
guidance
B) Note the time, the patient is a DNR
C) Provide noninvasive ventilation and contact the sending facility for guidance
D) Intubation immediately and place the patient on your ventilator according to
your protocol Answer - C) Provide noninvasive ventilation and contact the
sending facility for guidance
10) The person responsible for all clinical aspects of a CCT program is:
A) The critical care paramedic on a particular call
B) The physician who orders the transport
C) The chief executive officer of the company that owns the CCT service
D) The designated medical director for the CCT program Answer - D) The
designated medical director for the CCT program
QUESTIONS WITH 2024/25 COMPLETE
SOLUTIONS!!
1) Per Medicare, which of the following qualifies as call for reimbursement as a
critical care transport (Select all that apply)
A) Patient is on Dobutamine drip
B) Patient is incubated and sedated
C) Patient is on a mechanical ventilator
D) Patient is on an IV pump Answer - A) Patient is on Dobutamine drip
B) Patient is incubated and sedated
C) Patient is on a mechanical ventilator
D) Patient is on an IV pump
2) Which of the following is a good practice when moving a CCT patient from
hospital bed to the stretcher (and vice versa)?
A) Increasing sedation
B) Labeling multiple IV lines
C) Clamping chest tubes
D) Flushing Foley catheters Answer - B) Labeling multiple IV lines
,3) You are picking up an incubated patient at a rural hospital in preparation for
transport to an urban medical center. What is the gold standard for hospital
verification of tube placement that you should check prior to moving the
patient?
A) Chest radiograph
B) Colormetric capnography
C) Auscultation of breath sounds
D) ABGs Answer - A) Chest radiograph
4) For inter facility transfers, your normal (first line) medical control is:
A) Physician at the sending facility
B) Physician at the receiving facility
C) CCT medical director
D) Physician at the closest facility Answer - A) Physician at the sending facility
5) EMTALA requires a hospital to provide a screening examination and
appropriate life-sustaining emergency care:
A) to any person experiencing a medical emergency on its campus
B) even if there is no emergency at the facility
C) in accordance with the patient's ability to pay
D) to ambulance / helicopter teams utilizing the helipad to a transfer Answer -
A) to any person experiencing a medical emergency on its campus
6) A patient at an outlying facility has been diagnosed with a stroke. As you
approach the patient, she informs you she does not want to go to the second
,facility (a stroke center) because she is "more comfortable" at her current
facility. She appears alert and oriented, although her speech is slurred. You
should next:
A) Obtain a complete witnessed refusal
B) Explain the capabilities of the second facility and the risks of remaining at
the first facility
C) Check with the sending facility to see if they have obtained a con sent to
transfer form
D) Appeal to the patient's family to convince her to go Answer - B) Explain the
capabilities of the second facility and the risks of remaining at the first facility
7) You are transporting a critical patient. You are en route to meet a medical
helicopter at a hospital landing pad. Which of the following is most correct?
A) The hospital has no obligation to provide a screening examination for the
patient if the only reason the patient is coming to the facility is to utilize the
helipad for transfer.
B) The hospital has an obligation to provide a screening examination regardless
of whether the agencies involved in the transfer request a screening.
C) The hospital must provide security for the helipad before, during, and
following the transfer of the patient.
D) The hospital has no obligation to see the patient, but may bill the agencies
that utilize the helipad. Answer - A) The hospital has no obligation to provide a
screening examination for the patient if the only reason the patient is coming
to the facility is to utilize the helipad for transfer.
8) You are picking up a patient at an outlying facility. The facility hands you all
the patient care information and demographics in a sealed envelope, directing
you not to open because they are concerned about a HIPAA violation. You
should:
, A) Ask the attending physician if her or she could provide you the patient
information you need.
B) Explain to the facility that the transfer of information is exempted under the
"health care operations" section of HIPAA.
C) Wait until arrival at the receiving facility to obtain patient information
D) Wait until you are in the truck and off the property, then open the envelope
and obtain what you need to treat the patient properly. Answer - B) Explain to
the facility that the transfer of information is exempted under the "health care
operations" section of HIPAA.
9) You are transferring a patient to a higher level of care. The patient has a
written order on the transfer sheet: "No CPR." En route you note the patient
has stopped breathing, but still has a pulse and EKG rhythm. You should:
A) Provide noninvasive ventilation and contact the receiving facility for
guidance
B) Note the time, the patient is a DNR
C) Provide noninvasive ventilation and contact the sending facility for guidance
D) Intubation immediately and place the patient on your ventilator according to
your protocol Answer - C) Provide noninvasive ventilation and contact the
sending facility for guidance
10) The person responsible for all clinical aspects of a CCT program is:
A) The critical care paramedic on a particular call
B) The physician who orders the transport
C) The chief executive officer of the company that owns the CCT service
D) The designated medical director for the CCT program Answer - D) The
designated medical director for the CCT program
