PARAMEDIC CCT EXAM QUESTIONS
WITH VERIFIED ANSWERS 2024-2025
1) According to Medicare, which of the following qualifies as a call for
reimbursement as a critical care transport (check all that apply)?
A) The patient has a Dobutamine drip.
B) The patient is incubated and sedated.
C) The patient is on the mechanical ventilator.
D) Patient is on an IV pump - ANSWER A) Patient is on Dobutamine drip.
B) The patient is incubated and sedated.
C) The patient is on the mechanical ventilator.
D) The patient is on an IV pump.
2) Which of the following is a good way to transfer a CCT patient from the hospital
bed to a stretcher (and vice versa)?
A) Increased sedation.
B) Labeling several IV lines.
C) Clamping the chest tubes
D) Flushing Foley catheters - ANSWER B) Labeling several IV lines
,3) You are picking up an incubated patient from a remote hospital in preparation
for transport to an urban medical facility. What is the gold standard for hospital
tube installation verification, and should you check it before moving the patient?
A) A chest radiograph.
B) Colormetric Capnography.
C) Auscultation of breathing noises
D) ABGs: ANSWER A) Chest radiograph
4) For inter-facility transfers, your standard (first line) medical control is:
A) Physician in the sending facility
B) Physician in the receiving institution.
C) CCT Medical Director
D) Physician at the closest facility--ANSWER A) Physician at the sending facility
5) Under EMTALA, a hospital must perform a screening examination and
appropriate life-sustaining emergency care:
A) to anyone experiencing a medical emergency on their campus.
B) even if there is no emergency in the facility.
C) according to the patient's ability to pay.
D) to ambulance / helicopter teams using the helipad for a transfer - ANSWER A)
to anyone facing a medical emergency on its premises.
,6) A patient in a distant facility has been diagnosed with a stroke. As you approach
the patient, she tells you that she does not want to travel to the second facility (a
stroke center) since she is "more comfortable" at her current one. She appears alert
and focused, even if her speech is garbled. What you should do next:
A) Obtain a comprehensive, witnessed refusal
B) Explain the capabilities of the second facility and the hazards of staying at the
first facility.
C) Check with the sending facility to check if they have obtained a consent to
transfer form.
D) Appeal to the patient's family to urge her to go - ANSWER B) Explain the
capabilities of the second facility and the risks of staying at the first hospital.
7) You're transferring a crucial patient. You are on your way to meet a medical
helicopter at a hospital landing pad. Which of the following is most accurate?
A) The hospital is not required to offer a screening examination for the patient if
the patient is merely visiting the institution to use the helipad for transfer.
B) The hospital is required to offer a screening examination whether or not the
agencies involved in the transfer request one.
C) The hospital must provide protection for the helipad prior to, during, and after
the patient's transfer.
D) The hospital is under no obligation to see the patient, but may bill the agencies
who use the helipad. - ANSWER A) The hospital is not required to offer a
screening examination for the patient if the patient is merely coming to the facility
to use the helipad for transfer.
8) You are picking up a patient from an outlying facility. The facility sends you all
of the patient's care information and demographics in a sealed envelope that you are
not allowed to access due to HIPAA concerns. You should:
, A) Ask the attending physician whether she or he can give you the patient
information you require.
B) Inform the facility that the transfer of information is exempt from the "health
care operations" portion of HIPAA.
C) Wait until you arrive at the receiving institution to acquire patient information.
D) Wait until you are in the truck and leave the property before opening the
envelope and obtaining the necessary supplies to appropriately treat the patient. -
ANSWER B) Inform the facility that the transfer of information is excluded from
the "health care operations" portion of HIPAA.
9) You're moving a patient to a higher level of care. The patient has a written order
on the transfer sheet: "No CPR." En route, you see the patient has stopped
breathing but still has a pulse and EKG rhythm. You should:
A) Provide non-invasive ventilation and contact the receiving facility for guidance.
B) Note the time; the patient is a DNR.
C) Provide non-invasive ventilation and contact the sending facility for guidance.
D) Intubate promptly 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 accountable for all clinical components of a CCT program is:
A) A critical care paramedic on a specific call.
B) The physician ordering the transport
C) The CEO of the company that controls the CCT service.
ANSWER D) The appointed medical director for the CCT program.
WITH VERIFIED ANSWERS 2024-2025
1) According to Medicare, which of the following qualifies as a call for
reimbursement as a critical care transport (check all that apply)?
A) The patient has a Dobutamine drip.
B) The patient is incubated and sedated.
C) The patient is on the mechanical ventilator.
D) Patient is on an IV pump - ANSWER A) Patient is on Dobutamine drip.
B) The patient is incubated and sedated.
C) The patient is on the mechanical ventilator.
D) The patient is on an IV pump.
2) Which of the following is a good way to transfer a CCT patient from the hospital
bed to a stretcher (and vice versa)?
A) Increased sedation.
B) Labeling several IV lines.
C) Clamping the chest tubes
D) Flushing Foley catheters - ANSWER B) Labeling several IV lines
,3) You are picking up an incubated patient from a remote hospital in preparation
for transport to an urban medical facility. What is the gold standard for hospital
tube installation verification, and should you check it before moving the patient?
A) A chest radiograph.
B) Colormetric Capnography.
C) Auscultation of breathing noises
D) ABGs: ANSWER A) Chest radiograph
4) For inter-facility transfers, your standard (first line) medical control is:
A) Physician in the sending facility
B) Physician in the receiving institution.
C) CCT Medical Director
D) Physician at the closest facility--ANSWER A) Physician at the sending facility
5) Under EMTALA, a hospital must perform a screening examination and
appropriate life-sustaining emergency care:
A) to anyone experiencing a medical emergency on their campus.
B) even if there is no emergency in the facility.
C) according to the patient's ability to pay.
D) to ambulance / helicopter teams using the helipad for a transfer - ANSWER A)
to anyone facing a medical emergency on its premises.
,6) A patient in a distant facility has been diagnosed with a stroke. As you approach
the patient, she tells you that she does not want to travel to the second facility (a
stroke center) since she is "more comfortable" at her current one. She appears alert
and focused, even if her speech is garbled. What you should do next:
A) Obtain a comprehensive, witnessed refusal
B) Explain the capabilities of the second facility and the hazards of staying at the
first facility.
C) Check with the sending facility to check if they have obtained a consent to
transfer form.
D) Appeal to the patient's family to urge her to go - ANSWER B) Explain the
capabilities of the second facility and the risks of staying at the first hospital.
7) You're transferring a crucial patient. You are on your way to meet a medical
helicopter at a hospital landing pad. Which of the following is most accurate?
A) The hospital is not required to offer a screening examination for the patient if
the patient is merely visiting the institution to use the helipad for transfer.
B) The hospital is required to offer a screening examination whether or not the
agencies involved in the transfer request one.
C) The hospital must provide protection for the helipad prior to, during, and after
the patient's transfer.
D) The hospital is under no obligation to see the patient, but may bill the agencies
who use the helipad. - ANSWER A) The hospital is not required to offer a
screening examination for the patient if the patient is merely coming to the facility
to use the helipad for transfer.
8) You are picking up a patient from an outlying facility. The facility sends you all
of the patient's care information and demographics in a sealed envelope that you are
not allowed to access due to HIPAA concerns. You should:
, A) Ask the attending physician whether she or he can give you the patient
information you require.
B) Inform the facility that the transfer of information is exempt from the "health
care operations" portion of HIPAA.
C) Wait until you arrive at the receiving institution to acquire patient information.
D) Wait until you are in the truck and leave the property before opening the
envelope and obtaining the necessary supplies to appropriately treat the patient. -
ANSWER B) Inform the facility that the transfer of information is excluded from
the "health care operations" portion of HIPAA.
9) You're moving a patient to a higher level of care. The patient has a written order
on the transfer sheet: "No CPR." En route, you see the patient has stopped
breathing but still has a pulse and EKG rhythm. You should:
A) Provide non-invasive ventilation and contact the receiving facility for guidance.
B) Note the time; the patient is a DNR.
C) Provide non-invasive ventilation and contact the sending facility for guidance.
D) Intubate promptly 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 accountable for all clinical components of a CCT program is:
A) A critical care paramedic on a specific call.
B) The physician ordering the transport
C) The CEO of the company that controls the CCT service.
ANSWER D) The appointed medical director for the CCT program.
