Paramedic CCT Exam Questions With
Complete Solutions 2025 New Update
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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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. - Answers - ✔✔ 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. - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ B) Bellevue Hospital
3) In 1969, Dr. Eugene Nagel developed the first _______ program in the United States
with the Miami Fire Department.
A) coronary care
B) community CPR
C) fire-based EMS
D) paramedic - Answers - ✔✔ D) paramedic
4) What additional healthcare provider may become part of the transport team during
the transport of a patient receiving extracorporeal membrane oxygenation?
A) Pulmonary technician
, B) Respiratory therapist
C) Anesthesiologist
D) Perfusionist - Answers - ✔✔ D) Perfusionist
5) A person's ability to withstand negative pressure or "bounce back" from difficulties is
known as:
A) stress management
B) emotional well-being
C) EAP
D) resilience - Answers - ✔✔ D) resilience
6) A STEMI patient with three vasoactive medications infusing in a community hospital
that is 10 miles away, 45 minutes with current traffic, would be a candidate for which
mode of transportation?
A) Rotor-wing transport
B) IFT-capable ALS unit
C) Fixed-wing transport
D) Mobile intensive care unit - Answers - ✔✔ A) Rotor-wing transport
7) A 19-year-old female patient with a traumatic brain injury was involved in a car
accident 15 minutes ago. She's becoming hypothermic because she was being
extricated in a snowstorm. She was brought to a critical access hospital, and they're
arranging for immediate transport to a university hospital with neurosurgery that's 12
miles away. Assuming weather is not a factor, what's the best mode of transportation for
this patient?
A) Rotor-wing transport
B) Mobile intensive care unit
C) Fixed-wing transport
D) IFT-capable advanced life support - Answers - ✔✔ A) Rotor-wing transport
8) Which of the following will indicate to dispatch that the interfacility transport requires
critical care transport?
A) Intra-aortic balloon pump
B) Infusion pump with electrolytes
C) Wound vacuum
D) Continuous telemetry - Answers - ✔✔ A) Intra-aortic balloon pump
9) Who is responsible for the initial triage process of calls involving critical care transport
patients?
A) Clinical crew
B) Dispatch center
Complete Solutions 2025 New Update
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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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. - Answers - ✔✔ 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. - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ 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 - Answers - ✔✔ B) Bellevue Hospital
3) In 1969, Dr. Eugene Nagel developed the first _______ program in the United States
with the Miami Fire Department.
A) coronary care
B) community CPR
C) fire-based EMS
D) paramedic - Answers - ✔✔ D) paramedic
4) What additional healthcare provider may become part of the transport team during
the transport of a patient receiving extracorporeal membrane oxygenation?
A) Pulmonary technician
, B) Respiratory therapist
C) Anesthesiologist
D) Perfusionist - Answers - ✔✔ D) Perfusionist
5) A person's ability to withstand negative pressure or "bounce back" from difficulties is
known as:
A) stress management
B) emotional well-being
C) EAP
D) resilience - Answers - ✔✔ D) resilience
6) A STEMI patient with three vasoactive medications infusing in a community hospital
that is 10 miles away, 45 minutes with current traffic, would be a candidate for which
mode of transportation?
A) Rotor-wing transport
B) IFT-capable ALS unit
C) Fixed-wing transport
D) Mobile intensive care unit - Answers - ✔✔ A) Rotor-wing transport
7) A 19-year-old female patient with a traumatic brain injury was involved in a car
accident 15 minutes ago. She's becoming hypothermic because she was being
extricated in a snowstorm. She was brought to a critical access hospital, and they're
arranging for immediate transport to a university hospital with neurosurgery that's 12
miles away. Assuming weather is not a factor, what's the best mode of transportation for
this patient?
A) Rotor-wing transport
B) Mobile intensive care unit
C) Fixed-wing transport
D) IFT-capable advanced life support - Answers - ✔✔ A) Rotor-wing transport
8) Which of the following will indicate to dispatch that the interfacility transport requires
critical care transport?
A) Intra-aortic balloon pump
B) Infusion pump with electrolytes
C) Wound vacuum
D) Continuous telemetry - Answers - ✔✔ A) Intra-aortic balloon pump
9) Who is responsible for the initial triage process of calls involving critical care transport
patients?
A) Clinical crew
B) Dispatch center
