CCEMSA MICN Exam 2026–2027 – Complete Study Guide,
Practice Questions, Answers & Exam Prep
Prehospital advanced life support may only be provided under the supervision of (20) - correct answers -
An authorized base hospital physician
Definition of medical control (20) - correct answers -Appropriate physician involvement in all levels of
EMS planning, administration, and ongoing evaluation of the EMS system
Medical Director, EMS agency responsibility (20) - correct answers -Primarily responsible for the medical
control of the local EMS system. Such medical control is to be maintained:
-prospectively (written policies)
-Immediately (direct voice, communications, written orders, etc.)
-retrospectively (auditing and continuing education)
Assistant, medical Director, EMS division responsibility (20) - correct answers -Training, quality
improvement, and policy development
Medical control committee (20) - correct answers -Advise the medical Director on issues of medical
control
Consists of face hospital medical Director from each of the base hospitals,
What's the difference between online and off-line medical control? - correct answers -Online involves
specific interaction with the case is it occurs (during)
off-line involves the planning of the later evaluation of that case (not during)
1
,Define the following types of medical control:
Prospective
Immediate
Retrospective - correct answers -Prospective-written medical policy and procedures to provide
standards for patient care (things in the medical Director does before care)
Immediate - verbal communication, written orders (things medical Director does during care)
Retrospectively- continuing education, audit (things are medical Director does after care)
Medical Director, EMS agency role - correct answers -Responsible for the medical control of the local
EMS system, including certification of personnel.
Control is maintained prospectively, immediately, retrospectively
Assistant medical Director role - correct answers -Responsible for aiding EMS medical Director not
limited to Training, quality improvement, and policy development
Medical control committee role - correct answers -Advise the medical Director on issues of medical
control
Base hospital EMS medical Director role - correct answers -Responsible for the medical direction of
prehospital care, consistent with minimal adopted standards by the state EMS authority
Base hospital physicians role - correct answers -Online physicians responsible for the medical control of
prehospital care, given on a case by case basis
MICN role - correct answers -Online medical direction of paramedics in the field
2
, Prehospital liaison nurse (PLN) role - correct answers -Assist base hospital EMS medical Director with
base hospital medical control responsibilities
Trauma audit committee role - correct answers -Advisory committee to the health services agency on
issues related to trauma care
What are standards of care for the EMS system? - correct answers -Responsibility of the EMS medical
Director and medical control committee via treatment protocols and other policies.
Standards include advanced life support units, expected response times, unit staffing
Who is ultimately responsible for the standards of care? - correct answers -EMS medical Director and
medical control committee
What is the purpose of regional medical control? - correct answers -To advise the EMS medical Director,
regarding the establishment of medical control, policies and procedures, including EMS patient
treatment protocols
What is the role of the EMT? What procedures can they do? - correct answers -Evaluate the ill and
injured
Render BLS
Obtain vital signs (including cap refill, LOC, Pupils)
CPR
oxygen
Breathing adjuncts
Stretchers and immobilization devices
Bleeding control
3
Practice Questions, Answers & Exam Prep
Prehospital advanced life support may only be provided under the supervision of (20) - correct answers -
An authorized base hospital physician
Definition of medical control (20) - correct answers -Appropriate physician involvement in all levels of
EMS planning, administration, and ongoing evaluation of the EMS system
Medical Director, EMS agency responsibility (20) - correct answers -Primarily responsible for the medical
control of the local EMS system. Such medical control is to be maintained:
-prospectively (written policies)
-Immediately (direct voice, communications, written orders, etc.)
-retrospectively (auditing and continuing education)
Assistant, medical Director, EMS division responsibility (20) - correct answers -Training, quality
improvement, and policy development
Medical control committee (20) - correct answers -Advise the medical Director on issues of medical
control
Consists of face hospital medical Director from each of the base hospitals,
What's the difference between online and off-line medical control? - correct answers -Online involves
specific interaction with the case is it occurs (during)
off-line involves the planning of the later evaluation of that case (not during)
1
,Define the following types of medical control:
Prospective
Immediate
Retrospective - correct answers -Prospective-written medical policy and procedures to provide
standards for patient care (things in the medical Director does before care)
Immediate - verbal communication, written orders (things medical Director does during care)
Retrospectively- continuing education, audit (things are medical Director does after care)
Medical Director, EMS agency role - correct answers -Responsible for the medical control of the local
EMS system, including certification of personnel.
Control is maintained prospectively, immediately, retrospectively
Assistant medical Director role - correct answers -Responsible for aiding EMS medical Director not
limited to Training, quality improvement, and policy development
Medical control committee role - correct answers -Advise the medical Director on issues of medical
control
Base hospital EMS medical Director role - correct answers -Responsible for the medical direction of
prehospital care, consistent with minimal adopted standards by the state EMS authority
Base hospital physicians role - correct answers -Online physicians responsible for the medical control of
prehospital care, given on a case by case basis
MICN role - correct answers -Online medical direction of paramedics in the field
2
, Prehospital liaison nurse (PLN) role - correct answers -Assist base hospital EMS medical Director with
base hospital medical control responsibilities
Trauma audit committee role - correct answers -Advisory committee to the health services agency on
issues related to trauma care
What are standards of care for the EMS system? - correct answers -Responsibility of the EMS medical
Director and medical control committee via treatment protocols and other policies.
Standards include advanced life support units, expected response times, unit staffing
Who is ultimately responsible for the standards of care? - correct answers -EMS medical Director and
medical control committee
What is the purpose of regional medical control? - correct answers -To advise the EMS medical Director,
regarding the establishment of medical control, policies and procedures, including EMS patient
treatment protocols
What is the role of the EMT? What procedures can they do? - correct answers -Evaluate the ill and
injured
Render BLS
Obtain vital signs (including cap refill, LOC, Pupils)
CPR
oxygen
Breathing adjuncts
Stretchers and immobilization devices
Bleeding control
3
