Paramedic CCT UPDATED ACTUAL Exam
Questions And CORRECT Answers
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 - CORRECT 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. - CORRECT 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. - CORRECT 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 -
CORRECT 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 - CORRECT ANSWER - D) The
designated medical director for the CCT program
1) When was the movement of injured patients first recorded?
A) 1945, during World War II in Burma
B) The 11th century, during the Crusades Ans: D
C) 1812 in New York City
D) 1872, during the French Revolution - CORRECT ANSWER - B) The 11th century,
during the Crusades Ans: D
2) Who initiated the first ambulance service in a US major metropolitan area?
A) Freedom House Ambulance
B) Bellevue Hospital
C) The Revolutionary Army
D) The Army of the Potomac - CORRECT ANSWER - B) Bellevue Hospital
3) In 1969, Dr. Eugene Nagel developed the first _______ program in the United States with the
Miami Fire Department.
Questions And CORRECT Answers
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 - CORRECT 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. - CORRECT 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. - CORRECT 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 -
CORRECT 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 - CORRECT ANSWER - D) The
designated medical director for the CCT program
1) When was the movement of injured patients first recorded?
A) 1945, during World War II in Burma
B) The 11th century, during the Crusades Ans: D
C) 1812 in New York City
D) 1872, during the French Revolution - CORRECT ANSWER - B) The 11th century,
during the Crusades Ans: D
2) Who initiated the first ambulance service in a US major metropolitan area?
A) Freedom House Ambulance
B) Bellevue Hospital
C) The Revolutionary Army
D) The Army of the Potomac - CORRECT ANSWER - B) Bellevue Hospital
3) In 1969, Dr. Eugene Nagel developed the first _______ program in the United States with the
Miami Fire Department.
