PARAMEDIC CCT QUESTIONS AND
ANSWERS UPDATED 2024 -2025
1),Per,Medicare,,which,of,the,following,qualifies,as,call,for,reimbursement,as,a,critical,care,transport,(Sel
ect,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,,ANS,-,,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,stretche
r,(and,vice,versa)?
A),Increasing,sedation
B),Labeling,multiple,IV,lines
C),Clamping,chest,tubes
D),Flushing,Foley,catheters,,ANS,-,,B),Labeling,multiple,IV,lines
3),You,are,picking,up,an,incubated,patient,at,a,rural,hospital,in,preparation,for,transport,to,an,urban,me
dical,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,,ANS,-,,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,,ANS,-,,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,,ANS,-
,,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,inf
orms,you,she,does,not,want,to,go,to,the,second,facility,(a,stroke,center),because,she,is,"more,comfortab
le",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,,ANS,-
,,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,landi
ng,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,i
nvolved,in,the,transfer,request,a,screening.
C),The,hospital,must,provide,security,for,the,helipad,before,,during,,and,following,the,transfer,of,the,pati
ent.
D),The,hospital,has,no,obligation,to,see,the,patient,,but,may,bill,the,agencies,that,utilize,the,helipad.,,AN
S,-
,,A),The,hospital,has,no,obligation,to,provide,a,screening,examination,for,the,patient,if,the,only,reason,th
e,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,informatio
n,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",s
ection,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.,,ANS,-
,,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,s
heet:,"No,CPR.",En,route,you,note,the,patient,has,stopped,breathing,,but,still,has,a,pulse,and,EKG,rhyth
m.,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,,ANS,-
,,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,,ANS,-
,,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,,ANS,-,,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,,ANS,-,,B),Bellevue,Hospital
3),In,1969,,Dr.,Eugene,Nagel,developed,the,first,_______,program,in,the,United,States,with,the,Miami,Fir
e,Department.
A),coronary,care,
B),community,CPR,
C),fire-based,EMS,
D),paramedic,,ANS,-,,D),paramedic