Paramedic CCT EXAM 2026-2027 LATEST
VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
1) A 12 lead ECG reveals the following: Presence of LBBB; ST segment elevation in lead
III and aVF > 1mm that is concordant to the QRS complexes and ST segment depression
in lead V1 and V2 that is > 1mm, and there is no ST segment elevation anywhere greater
than 5mm. What is the probability that this patient is experiencing an MI?
A) 100%
B) 92%
C) 66%
D) Between 16-50% - answer>>>B) 92%
2) A 55 year old female with a history of mitral valve stenosis shows a wide biphasic P
wave in leads V1 & V2. This suggests:
A) Left atrial hypertrophy
B) Endocarditis
C) Mitral regurgitation
D) History of atrial fibrillation - answer>>>A) Left atrial hypertrophy
3) A patient with a prolonged QT interval should not receive:
A) Adenosine
B) Procainamide
C) Nitroglycerin
D) Magnesium sulfate - answer>>>B) Procainamide
4) A wide regular rhythm with a QRS axis of -155 degrees is most likely originating from
the:
A) ventricles
B) atrium
C) SA node
D) AV node - answer>>>A) ventricles
,5) At which point in the coagulation cascade does heparin act?
A) Formation of fibrin
B) The intrinsic and extrinsic pathways
C) Aggregation of platelets
D) Formation of the clot - answer>>>A) Formation of fibrin
6) On the 12 lead ECG, the QTc:
A) is the QT interval corrected for heart rate.
B) is normally greater than 350 ms.
C) cannot be determined in rapid rates over 150 bpm.
D) is an important determinant of myocardial contractility - answer>>>A) is the QT
interval corrected for heart rate.
7) Select the best dose of Tridil (R) for a patient with left sided congestive heart failure
and an initial blood pressure of 180/110:
A) 50 mcg/min
B) 5-10 mcg/kg/min
C) 50 mcg/kg/min
D) 0.5 mcg/min - answer>>>A) 50 mcg/min
8) To determine left ventricular hypertrophy, you should:
A) Count the mm of amplitude in the deepest of V1 or V2, plus mm of amplitude in the
taller of V5 or V6, and add them; if greater than 35, LVH may be present.
B) Count the small boxes of depth in V1 and the small boxes of height in V6 and add
them; if the sum is greater than 35, LVH may be present.
C) Count the mm of amplitude in V1 and V2 and add them; count the mm of amplitude
in V5 and V6 and add them; subtract the two numbers; if the difference is more than 35,
LHV may be present.
D) Assess the major deflection of the R wave in V1 and V6; if they are opposite and
amplitudes are equal, LVH may be present. - answer>>>A) Count the mm of amplitude
in the deepest of V1 or V2, plus mm of amplitude in the taller of V5 or V6, and add
them; if greater than 35, LVH may be present.
9) Which of the following are necessary when setting up a nitroglycerin infusion?
,A) Special IV tubing resistant to nitrates
B) A volutrol infusion set
C) The patient's weight
D) A minimum 18 gauge IV catheter - answer>>>A) Special IV tubing resistant to nitrates
10) Which of the following statements regarding reciprocal changes in a 12 lead ECG is
true?
A) STEMI imitators do not produce reciprocal changes
B) Reciprocal changes occur in leads perpendicular to the axis of the infarction.
C) Reciprocal changes include development of Q waves in leads V4-V6.
D) Reciprocal changes can not be reversed by administration of nitrates. - answer>>>A)
STEMI imitators do not produce reciprocal changes
1) When evaluating a chest pain patient's 12-lead ECG, you note that lead aVR is
positively deflected. What is the most likely cause for this?
A) Lead misplacement
B) Posterior wall MI
C) Cardiac anomaly
D) Myocardial contusion - answer>>>A) Lead misplacement
2) If a CCTP notices a patient with a negative deflection in lead I, lead II, and aVf, what
intervention should they prepare to perform?
A) Electrical therapy
B) Inotrope administration
C) Antiplatelet administration
D) Pericardiocentesis - answer>>>A) Electrical therapy
3) You're transporting a chest pain patient who has a QRS measurement of 150
milliseconds, which is different from his ECG taken last month. What is the diagnosis?
A) Bundle branch block
B) Left ventricular hypertrophy
C) Q-wave MI
D) Prolonged QT syndrome - answer>>>A) Bundle branch block
, 4) You're transporting a patient who has had three syncopal episodes this afternoon.
The 12-lead ECG has a rate of 44 and a QRS measurement of 180 milliseconds that
presents with a small r wave followed by a long, deep S wave. What intervention will
this patient most likely receive?
A) Implanted pacemaker
B) Ventricular assist device
C) Intraortic balloon pump
D) Coronary artery bypass graft - answer>>>A) Implanted pacemake
5) While evaluating your patient's 12-lead, you identify a negative deflection in leads I
and II along with an axis of -76°. What is the diagnosis for this patient?
A) Left anterior hemiblock
B) Right bundle branch block
C) Right axis deviation
D) Left posterior hemiblock - answer>>>A) Left anterior hemiblock
6) While evaluating your patient's 12-lead, you notice the sum of the deepest S wave
and tallest R wave is 52 mm. What underlying pathology likely contributed to these ECG
findings?
A) Hypertension
B) Wolff-Parkinson-White
C) Electrical alternans
D) Endocarditis - answer>>>A) Hypertension
7) While evaluating your patient's 12-lead, you notice a large R wave in V1 and V2 along
with a pronounced S wave in V6. The axis is 132°. What is the patient's diagnosis based
on these findings?
A) Right ventricular hypertrophy
B) Right atrial hypertrophy
C) Left atrial hypertrophy
D) Left ventricular hypertrophy - answer>>>A) Right ventricular hypertrophy
VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
1) A 12 lead ECG reveals the following: Presence of LBBB; ST segment elevation in lead
III and aVF > 1mm that is concordant to the QRS complexes and ST segment depression
in lead V1 and V2 that is > 1mm, and there is no ST segment elevation anywhere greater
than 5mm. What is the probability that this patient is experiencing an MI?
A) 100%
B) 92%
C) 66%
D) Between 16-50% - answer>>>B) 92%
2) A 55 year old female with a history of mitral valve stenosis shows a wide biphasic P
wave in leads V1 & V2. This suggests:
A) Left atrial hypertrophy
B) Endocarditis
C) Mitral regurgitation
D) History of atrial fibrillation - answer>>>A) Left atrial hypertrophy
3) A patient with a prolonged QT interval should not receive:
A) Adenosine
B) Procainamide
C) Nitroglycerin
D) Magnesium sulfate - answer>>>B) Procainamide
4) A wide regular rhythm with a QRS axis of -155 degrees is most likely originating from
the:
A) ventricles
B) atrium
C) SA node
D) AV node - answer>>>A) ventricles
,5) At which point in the coagulation cascade does heparin act?
A) Formation of fibrin
B) The intrinsic and extrinsic pathways
C) Aggregation of platelets
D) Formation of the clot - answer>>>A) Formation of fibrin
6) On the 12 lead ECG, the QTc:
A) is the QT interval corrected for heart rate.
B) is normally greater than 350 ms.
C) cannot be determined in rapid rates over 150 bpm.
D) is an important determinant of myocardial contractility - answer>>>A) is the QT
interval corrected for heart rate.
7) Select the best dose of Tridil (R) for a patient with left sided congestive heart failure
and an initial blood pressure of 180/110:
A) 50 mcg/min
B) 5-10 mcg/kg/min
C) 50 mcg/kg/min
D) 0.5 mcg/min - answer>>>A) 50 mcg/min
8) To determine left ventricular hypertrophy, you should:
A) Count the mm of amplitude in the deepest of V1 or V2, plus mm of amplitude in the
taller of V5 or V6, and add them; if greater than 35, LVH may be present.
B) Count the small boxes of depth in V1 and the small boxes of height in V6 and add
them; if the sum is greater than 35, LVH may be present.
C) Count the mm of amplitude in V1 and V2 and add them; count the mm of amplitude
in V5 and V6 and add them; subtract the two numbers; if the difference is more than 35,
LHV may be present.
D) Assess the major deflection of the R wave in V1 and V6; if they are opposite and
amplitudes are equal, LVH may be present. - answer>>>A) Count the mm of amplitude
in the deepest of V1 or V2, plus mm of amplitude in the taller of V5 or V6, and add
them; if greater than 35, LVH may be present.
9) Which of the following are necessary when setting up a nitroglycerin infusion?
,A) Special IV tubing resistant to nitrates
B) A volutrol infusion set
C) The patient's weight
D) A minimum 18 gauge IV catheter - answer>>>A) Special IV tubing resistant to nitrates
10) Which of the following statements regarding reciprocal changes in a 12 lead ECG is
true?
A) STEMI imitators do not produce reciprocal changes
B) Reciprocal changes occur in leads perpendicular to the axis of the infarction.
C) Reciprocal changes include development of Q waves in leads V4-V6.
D) Reciprocal changes can not be reversed by administration of nitrates. - answer>>>A)
STEMI imitators do not produce reciprocal changes
1) When evaluating a chest pain patient's 12-lead ECG, you note that lead aVR is
positively deflected. What is the most likely cause for this?
A) Lead misplacement
B) Posterior wall MI
C) Cardiac anomaly
D) Myocardial contusion - answer>>>A) Lead misplacement
2) If a CCTP notices a patient with a negative deflection in lead I, lead II, and aVf, what
intervention should they prepare to perform?
A) Electrical therapy
B) Inotrope administration
C) Antiplatelet administration
D) Pericardiocentesis - answer>>>A) Electrical therapy
3) You're transporting a chest pain patient who has a QRS measurement of 150
milliseconds, which is different from his ECG taken last month. What is the diagnosis?
A) Bundle branch block
B) Left ventricular hypertrophy
C) Q-wave MI
D) Prolonged QT syndrome - answer>>>A) Bundle branch block
, 4) You're transporting a patient who has had three syncopal episodes this afternoon.
The 12-lead ECG has a rate of 44 and a QRS measurement of 180 milliseconds that
presents with a small r wave followed by a long, deep S wave. What intervention will
this patient most likely receive?
A) Implanted pacemaker
B) Ventricular assist device
C) Intraortic balloon pump
D) Coronary artery bypass graft - answer>>>A) Implanted pacemake
5) While evaluating your patient's 12-lead, you identify a negative deflection in leads I
and II along with an axis of -76°. What is the diagnosis for this patient?
A) Left anterior hemiblock
B) Right bundle branch block
C) Right axis deviation
D) Left posterior hemiblock - answer>>>A) Left anterior hemiblock
6) While evaluating your patient's 12-lead, you notice the sum of the deepest S wave
and tallest R wave is 52 mm. What underlying pathology likely contributed to these ECG
findings?
A) Hypertension
B) Wolff-Parkinson-White
C) Electrical alternans
D) Endocarditis - answer>>>A) Hypertension
7) While evaluating your patient's 12-lead, you notice a large R wave in V1 and V2 along
with a pronounced S wave in V6. The axis is 132°. What is the patient's diagnosis based
on these findings?
A) Right ventricular hypertrophy
B) Right atrial hypertrophy
C) Left atrial hypertrophy
D) Left ventricular hypertrophy - answer>>>A) Right ventricular hypertrophy
