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Key Facts: CCP-C Exam
135
Total Questions
IBSC
68/110
Passing Score
IBSC FAQ
2.5h
Exam Time
IBSC
$385
Exam Fee
IBSC Store
72%
Pass Rate (2022)
IBSC reported
4 years
Certification Valid
IBSC recertification
The CCP-C exam contains 135 questions (110 scored) administered over 2.5 hours with a passing score of 68 correct answers. Airway, Anesthesia, and Analgesics is the largest domain at 14 scored items, making it the most heavily tested area. The 2022 reported pass rate is 72%. Critical care paramedics earn $60,000-$85,000 on average, with CCP-C certified professionals often commanding higher salaries in ground and air transport programs.
Sample CCP-C Practice Questions
Try these sample questions to review concepts for the CCP-C exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 138+ question experience with AI tutoring.
1A critical care transport crew is preparing to transfer a ventilated patient from an ICU to a receiving facility 45 minutes away. During the pre-transport checklist, the crew discovers the portable ventilator battery shows 60% charge. What is the MOST appropriate action?
2During a critical care interfacility transport, the flight nurse and paramedic disagree about the need to increase the vasopressor dose. Which crew resource management principle should guide their interaction?
3A transport crew is conducting a risk assessment before accepting a nighttime ground transport of a critically ill patient through mountainous terrain. Which risk assessment tool is commonly used in transport medicine to evaluate mission hazards?
4Which of the following stressors is MOST likely to affect both the patient and crew during prolonged ground critical care transport?
5A critical care paramedic is preparing to perform rapid sequence intubation (RSI) on a hemodynamically unstable patient. Which induction agent is MOST appropriate for this patient?
6During transport, a mechanically ventilated patient on volume-controlled ventilation suddenly develops high peak airway pressures with normal plateau pressures. What is the MOST likely cause?
7Which neuromuscular blocking agent has the SHORTEST duration of action and is preferred for RSI when a short-acting paralytic is desired?
8A critical care paramedic is managing a patient on pressure-controlled ventilation with settings of PC 20, PEEP 10, RR 16, FiO2 0.6. The patient's SpO2 is 88% and PaO2 is 55 mmHg. What is the MOST appropriate initial ventilator adjustment?
9During RSI, which of the following is the CORRECT order of steps?
10A transport ventilator alarms for low tidal volume delivery. The patient is intubated with an 8.0 ETT and the cuff pressure is 22 cmH2O. Auscultation reveals diminished breath sounds bilaterally with a leak heard over the neck. What is the MOST likely problem?
About the CCP-C Exam
The CCP-C certification validates advanced knowledge of critical care transport medicine for ground and air paramedics. The exam covers 12 domains led by Airway, Anesthesia, and Analgesics (13%), Cardiac Patient (12%), and General Medical, Respiratory, and Trauma/Burn Patient (10% each). Candidates face 135 items (110 scored, 25 unscored pilot) in 2.5 hours. The certification targets master-level paramedics providing patient care in pre-hospital, inter-hospital, and hospital critical care environments.
Exam sponsor: IBSC (International Board of Specialty Certification). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Questions
135 questions
Time Limit
2.5 hours
Passing Score
68/110 scored items (~62%)
Reported exam pass rate: 72% (2022 reported). This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Airway, Anesthesia, and Analgesics
Airway assessment, pharmacology, medication-facilitated airway management, failed and difficult airway algorithms, surgical airway, mechanical ventilation, NIPPV, tube confirmation, and waveform capnography.
Cardiac Patient
Multi-lead ECG, assist devices (Impella, ECMO, VAD, IABP, pacemakers), ACS, cardiogenic shock, heart failure, arrhythmias, hypertensive emergencies, vascular disorders, and post-cardiac arrest care.
Trauma/Burn Patient
Burns and inhalation injuries, isolated and multi-system trauma, thoracostomy, pericardiocentesis, escharotomy, blood products, REBOA, fluid resuscitation, and pain management.
General Medical Patient
Endocrine, renal, gastrointestinal, acid-base, and infectious disorders (including sepsis), blood products, fluid resuscitation, lab values, invasive lines, hemodynamic monitoring, and radiographs.
Respiratory Patient
Pulmonary physiology, ARDS, pneumothorax, pneumonia and other infections, asthma and COPD, pulmonary edema, pulmonary embolism, radiographs, and chest drainage systems.
Neurological Patient
Neurological assessment, seizures, altered mental status, large vessel occlusion, cerebral hemorrhage, traumatic brain and spinal cord injury, neuroprotective strategies, EVD management, and ICP monitoring.
Pediatric Patient
Pediatric airway and ventilation, DKA, sepsis, meningitis, cardiac and neurologic disorders, croup and RSV, toxic exposures, trauma and burns, special needs, and fluid and electrolyte replacement.
Maternal/Fetal Medicine
Obstetric complications (cord prolapse, placental abruption, preeclampsia, HELLP, PROM, postpartum hemorrhage), obstetric maneuvers, and neonatal patients, including congenital heart disease and prematurity.
Transport and Safety
Personal wellness and fitness for duty, communication and radio operations, safety and restraint systems, risk assessment, crew resource management, and stressors of transport.
Toxic Exposure and Environmental Patient
Environmental exposure, CBRNE injuries, dive and altitude illness, flora and fauna reactions, toxicology, overdose, adverse drug reactions, and poisoning.
Special Populations
Bariatric patients (anatomy, transport equipment, drugs, monitoring) and geriatric patients (age-related changes, end-of-life decisions, lab values, and pharmacology).
Professional Considerations
Accreditation standards, research design and terminology, Just Culture, evidence-based medicine, ethics including DNR, GAMUT quality metrics, and cultural and diversity considerations.
Preparing for the CCP-C Exam
What You Need to Know
- Passing score: 68/110 scored items (~62%)
- Exam length: 135 questions
- Time limit: 2.5 hours
- Exam / certification fees: $385 Official sources
Using Our Practice Resources
- Work through all 138 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
CCP-C: Suggested Study Strategy
Frequently Asked Questions
What is the CCP-C exam?
The CCP-C (Certified Critical Care Paramedic) is a specialty certification offered by the International Board of Specialty Certification (IBSC). It validates advanced knowledge and skills required to care for critically ill or injured patients during ground and air critical care transport.
How many questions are on the CCP-C exam?
The CCP-C exam contains 135 total questions: 110 scored items and 25 unscored pilot items. You have 2.5 hours (150 minutes) to complete the computer-based exam at a Prometric testing center, by remote proctoring on Prometric ProProctor, or at an IBSC on-site mobile exam session.
What is the CCP-C passing score?
The CCP-C passing score is 68 correct answers out of 110 scored items, which is approximately 62%. The 25 unscored pilot items do not count toward your score and cannot be distinguished from scored items during the exam.
What are the CCP-C eligibility requirements?
You must hold a current, unrestricted paramedic license in your state or country of practice. IBSC recommends at least 3 years of experience in a busy ALS system and significant knowledge of ACLS, PALS, NRP, and ITLS/PHTLS standards.
How much does the CCP-C exam cost?
The CCP-C exam costs $285 for affiliate members and $385 for non-members. Exam fees are non-refundable. A $100 fee applies for switching exam type or rescheduling within 30 days of your confirmed testing date.
What is the difference between CCP-C and FP-C?
Both are IBSC certifications for critical care paramedics. The CCP-C focuses on ground and general critical care transport, while the FP-C (Flight Paramedic-Certified) includes additional content on flight physiology, altitude effects, and aircraft safety. Many paramedics hold both certifications.
How long is CCP-C certification valid?
CCP-C certification is valid for 4 years. Recertification requires either 100 approved continuing education hours (including a 16-hour approved review course) or retaking and passing the exam. A $125 late processing fee applies if CE documentation is submitted less than 30 days before expiration.