Paramedic CCT (Critical Care
Transport) Real Exam Questions with
correct Answers (A+ GRADED 100%
VERIFIED)
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%
1) A hemorrhage located in the dura-arachnoid junction is best described as:
A) subdural
B) intraparenchymal.
C) epidural
D) subarachnoid - ANSWER: A) subdural
1) A pulmonary artery catheter tip (PAC) would reside in which of the following
vessels when correctly placed?
A) Femoral artery
B) Radial artery
C) Brachial artery
D) Pulmonary artery - ANSWER: D) Pulmonary artery
This permits pulmonary vascular bed pressure readings and left ventricular
end-diastolic pressure reading when the catheter balloon is inflated (a wedge is
obtained).
1) After moving a patient to your ventilator for transport, you note that the peak
inspiratory pressure is averaging 18 cmH2O. You should set your high pressure
alarm to?
,A) 34 cmH2O
B) 28 cmH2O
C) 30 cmH2O
D) 40 cmH2O - ANSWER: B) 28 cmH2O
1) An adult with inhalation burns requires RSI. To protect the hemodynamics status,
a good drug to choose for sedation would be:
A) ketamine
B) versed
C) rocuronium
D) etomidate - ANSWER: A) ketamine
1) An emphysema patient will typically exhale through pursed lips in order to:
A) generate auto-PEEP that helps open smaller airways.
B) trap air.
C) increase their vital capacity.
D) enhance the expulsion of phlegm. - ANSWER: A) generate auto-PEEP that helps
open smaller airways.
1) An iSTAT machine shows a patient's sodium level as 153. A BMP drawn from the
lab reads a sodium of 142. This is BEST described as a problem with:
A) sensitivity
B) reliability
C) specificity
D) accuracy - ANSWER: D) accuracy
1) Cerebral perfusion pressure is calculated by subtracting the:
A) Intracranial pressure from blood pressure
B) Intracranial pressure from the mean arterial pressure
C) Intracranial pressure from blood pressure
D) Mean arterial pressure from CPP - ANSWER: B) Intracranial pressure from the
mean arterial pressure
1) For which of the following infectious diseases is there a vaccine?
A) Toxic shock syndrome
B) HIV
C) Hepatitis B
D) Zika - ANSWER: C) Hepatitis B
,1) HELLP Syndrome is associated with which of the following?
A) Hemodilution
B) Low liver enzymes
C) Hemolysis
D) Prematurity - ANSWER: C) Hemolysis
1) Indications for a tube thoracostomy include which of the following?
A) Equalizing intrathoracic and atmospheric pressures
B) Prophylaxis for ventilator-induced barotrauma
C) Re-inflation of a collapsed lung
D) Relief of a pericardial effusion - ANSWER: C) Re-inflation of a collapsed lung
1) Insertion depth of a nasogastric tube is obtained by:
A) inserting the tube until it stops, then aspirating gastric contents.
B) measuring from bridge of nose to ear, then ear to halfway between xiphoid and
navel.
C) measuring from earlobe to navel.
D) inserting the tube until resistance is met, then withdrawing 1-2 centimeters. -
ANSWER: B) measuring from bridge of nose to ear, then ear to halfway between
xiphoid and navel.
1) Instrument flight rule (IFR) approaches at airports, helipads, and designated
landing zones are certified by the:
A) Commission of Air Medical Transport Systems (CAMTS).
B) National EMS Pilot Association (NEMSPA).
C) Federal Aviation Administration (FAA).
D) Occupational Safety and Health Administration (OSHA). - ANSWER: C) Federal
Aviation Administration (FAA).
1) Know what Type A blood looks like - ANSWER: Type B antibodies
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 - 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
1) The most common cause of right axis deviation is:
A) right ventricular enlargement
B) right posterior hemiblock
C) left ventricular hypertrophy
D) right ventricular hypertrophy - ANSWER: D) right ventricular hypertrophy
1) What can be assessed while monitoring CVP?
A) Fluid volume
B) Ventricular contractility
C) Metabolic perfusion
D) Lung respiration - ANSWER: A) Fluid volume
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
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 - ANSWER: B) The 11th century, during the
Crusades Ans: D
1) Which of the following are characteristics of the chest radiographs of MALE
patients?
A) Enlarged heart
B) Presence of identifiable breast outline
C) Hyperdense lung tissue
D) Larger and heavier bone structure - ANSWER: D) Larger and heavier bone
structure
1) Your patient has ingested a large amount of a caustic substance, causing a large
GI bleed. How would this bleed be categorized?
Transport) Real Exam Questions with
correct Answers (A+ GRADED 100%
VERIFIED)
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%
1) A hemorrhage located in the dura-arachnoid junction is best described as:
A) subdural
B) intraparenchymal.
C) epidural
D) subarachnoid - ANSWER: A) subdural
1) A pulmonary artery catheter tip (PAC) would reside in which of the following
vessels when correctly placed?
A) Femoral artery
B) Radial artery
C) Brachial artery
D) Pulmonary artery - ANSWER: D) Pulmonary artery
This permits pulmonary vascular bed pressure readings and left ventricular
end-diastolic pressure reading when the catheter balloon is inflated (a wedge is
obtained).
1) After moving a patient to your ventilator for transport, you note that the peak
inspiratory pressure is averaging 18 cmH2O. You should set your high pressure
alarm to?
,A) 34 cmH2O
B) 28 cmH2O
C) 30 cmH2O
D) 40 cmH2O - ANSWER: B) 28 cmH2O
1) An adult with inhalation burns requires RSI. To protect the hemodynamics status,
a good drug to choose for sedation would be:
A) ketamine
B) versed
C) rocuronium
D) etomidate - ANSWER: A) ketamine
1) An emphysema patient will typically exhale through pursed lips in order to:
A) generate auto-PEEP that helps open smaller airways.
B) trap air.
C) increase their vital capacity.
D) enhance the expulsion of phlegm. - ANSWER: A) generate auto-PEEP that helps
open smaller airways.
1) An iSTAT machine shows a patient's sodium level as 153. A BMP drawn from the
lab reads a sodium of 142. This is BEST described as a problem with:
A) sensitivity
B) reliability
C) specificity
D) accuracy - ANSWER: D) accuracy
1) Cerebral perfusion pressure is calculated by subtracting the:
A) Intracranial pressure from blood pressure
B) Intracranial pressure from the mean arterial pressure
C) Intracranial pressure from blood pressure
D) Mean arterial pressure from CPP - ANSWER: B) Intracranial pressure from the
mean arterial pressure
1) For which of the following infectious diseases is there a vaccine?
A) Toxic shock syndrome
B) HIV
C) Hepatitis B
D) Zika - ANSWER: C) Hepatitis B
,1) HELLP Syndrome is associated with which of the following?
A) Hemodilution
B) Low liver enzymes
C) Hemolysis
D) Prematurity - ANSWER: C) Hemolysis
1) Indications for a tube thoracostomy include which of the following?
A) Equalizing intrathoracic and atmospheric pressures
B) Prophylaxis for ventilator-induced barotrauma
C) Re-inflation of a collapsed lung
D) Relief of a pericardial effusion - ANSWER: C) Re-inflation of a collapsed lung
1) Insertion depth of a nasogastric tube is obtained by:
A) inserting the tube until it stops, then aspirating gastric contents.
B) measuring from bridge of nose to ear, then ear to halfway between xiphoid and
navel.
C) measuring from earlobe to navel.
D) inserting the tube until resistance is met, then withdrawing 1-2 centimeters. -
ANSWER: B) measuring from bridge of nose to ear, then ear to halfway between
xiphoid and navel.
1) Instrument flight rule (IFR) approaches at airports, helipads, and designated
landing zones are certified by the:
A) Commission of Air Medical Transport Systems (CAMTS).
B) National EMS Pilot Association (NEMSPA).
C) Federal Aviation Administration (FAA).
D) Occupational Safety and Health Administration (OSHA). - ANSWER: C) Federal
Aviation Administration (FAA).
1) Know what Type A blood looks like - ANSWER: Type B antibodies
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 - 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
1) The most common cause of right axis deviation is:
A) right ventricular enlargement
B) right posterior hemiblock
C) left ventricular hypertrophy
D) right ventricular hypertrophy - ANSWER: D) right ventricular hypertrophy
1) What can be assessed while monitoring CVP?
A) Fluid volume
B) Ventricular contractility
C) Metabolic perfusion
D) Lung respiration - ANSWER: A) Fluid volume
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
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 - ANSWER: B) The 11th century, during the
Crusades Ans: D
1) Which of the following are characteristics of the chest radiographs of MALE
patients?
A) Enlarged heart
B) Presence of identifiable breast outline
C) Hyperdense lung tissue
D) Larger and heavier bone structure - ANSWER: D) Larger and heavier bone
structure
1) Your patient has ingested a large amount of a caustic substance, causing a large
GI bleed. How would this bleed be categorized?
