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Exam Review

Key Facts: CP-C Exam

135

Total Questions

IBSC

110

Scored Items

IBSC

2.5h

Exam Time

IBSC

$285/$385

Exam Fee

IBSC exam fees (member/non-member)

4 years

Certification Valid

IBSC recertification cycle

The CP-C exam contains 135 questions (110 scored) administered over 2.5 hours. Content covers mobile integrated healthcare and community paramedicine including chronic disease management, social determinants of health, patient navigation, behavioral health screening, wound care, medication reconciliation, and preventive education. The exam targets experienced paramedics working in community-based healthcare roles beyond traditional 911 response.

Sample CP-C Practice Questions

Try these sample questions to review concepts for the CP-C exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 139+ question experience with AI tutoring.

1A community paramedic is assigned to a new service area. Which resource should they consult first to understand the health demographics and prevalent conditions of the community?
A.National census data from the most recent survey
B.Community Health Needs Assessment (CHNA)
C.Hospital emergency department visit records
D.Medicare claims data for the region
Explanation: The Community Health Needs Assessment (CHNA) is a formal assessment that provides comprehensive health demographics and health status of residents within a specific community. While census data, ED records, and Medicare claims can supplement understanding, the CHNA is the primary resource specifically designed to identify community health needs and priorities.
2Which of the following best describes a social determinant of health?
A.A patient's blood pressure reading at their last clinic visit
B.The availability of affordable housing in a patient's neighborhood
C.A patient's genetic predisposition to heart disease
D.The patient's current medication regimen
Explanation: Social determinants of health are the conditions in which people are born, grow, live, work, and age. The availability of affordable housing is a key social determinant that affects health outcomes. Blood pressure readings and medication regimens are clinical factors, while genetic predisposition is a biological factor, none of which are social determinants.
3A community paramedic identifies that many patients in their service area lack transportation to medical appointments. Which type of community resource would best address this barrier?
A.A food pantry providing weekly meal boxes
B.A volunteer driver program coordinated with local transit
C.A medication assistance program through a pharmaceutical company
D.A free health clinic offering walk-in appointments
Explanation: Transportation barriers are a significant social determinant of health. A volunteer driver program or coordinated transit service directly addresses the identified transportation gap. While food pantries, medication assistance programs, and free clinics address other important needs, they do not resolve the core transportation barrier preventing patients from accessing their medical appointments.
4When providing care to a patient from a cultural background unfamiliar to the community paramedic, which approach best demonstrates cultural competence?
A.Treating the patient exactly the same as all other patients without accommodation
B.Asking the patient about their cultural preferences and adapting care accordingly
C.Researching the patient's culture online and applying generalizations
D.Deferring all care decisions to a family member who speaks English
Explanation: Cultural competence involves recognizing and respecting cultural differences while providing individualized care. Asking patients directly about their preferences is the most respectful and accurate approach. Treating everyone identically ignores cultural needs, applying generalizations leads to stereotyping, and deferring to English-speaking family members undermines patient autonomy and may violate confidentiality.
5A community paramedic suspects a homebound elderly patient is being financially exploited by a family member. What is the most appropriate initial action?
A.Confront the family member directly about the suspected exploitation
B.Document the observations and report to Adult Protective Services
C.Discuss the concern with the patient's neighbors for verification
D.Wait to observe additional evidence before taking any action
Explanation: Community paramedics are mandated reporters in most jurisdictions. When abuse or exploitation is suspected, the appropriate action is to document observations objectively and report to Adult Protective Services (APS). Confronting the suspected abuser could escalate the situation, discussing with neighbors violates patient privacy, and delaying action puts the patient at continued risk.
6Where can a community paramedic locate community health assessment data for their specific service area?
A.Only through the state department of health website
B.Local hospitals, county health departments, and United Way 211 databases
C.Exclusively through the CDC WONDER database
D.Only by conducting their own primary research surveys
Explanation: Community health assessment data can be found through multiple sources including local hospitals (which are required to conduct CHNAs under the ACA), county and state health departments, and community resource databases like United Way 211. While the CDC and state health departments provide useful data, they are not the only sources, and community paramedics typically do not need to conduct primary research to access this information.
7A community paramedic is working with a patient who has a substance use disorder and is pregnant. This patient represents which type of special situation requiring additional resources?
A.Bariatric care
B.High-risk pregnancy
C.General special needs
D.Mental health only
Explanation: A pregnant patient with substance use disorder represents a high-risk pregnancy situation. This requires coordination with obstetric specialists, substance use treatment providers, and social services. While mental health considerations are involved, the primary classification is high-risk pregnancy due to the combined risks of substance use and pregnancy affecting both maternal and fetal outcomes.
8Which of the following social determinants has the strongest evidence-based association with poor health outcomes across populations?
A.Access to recreational facilities
B.Low socioeconomic status
C.Proximity to public libraries
D.Availability of public transportation
Explanation: Low socioeconomic status is consistently identified as having the strongest association with poor health outcomes across populations. It affects multiple other determinants including access to healthcare, nutrition, housing, education, and safe environments. While transportation and recreational access are contributing factors, low socioeconomic status has the most comprehensive and well-documented impact on health disparities.
9A community paramedic is developing a resource map for their service area. Which approach provides the most comprehensive identification of available community resources?
A.Searching online directories exclusively
B.Combining asset mapping with input from community leaders, social workers, and existing databases
C.Relying solely on hospital discharge planner referrals
D.Using only government-funded resource lists
Explanation: A comprehensive resource map requires multiple data sources. Combining asset mapping techniques with input from community leaders, social workers, faith-based organizations, and existing databases like 211 ensures the most complete picture. Relying on any single source will miss important resources, particularly informal community supports and faith-based services that may not appear in official directories.
10A rural community health assessment reveals high rates of diabetes, limited primary care access, and a large elderly population. Which community paramedicine intervention model would be most effective?
A.An emergency 911 response enhancement program
B.A chronic disease management and home visit program focused on diabetes education
C.A school-based immunization program
D.A workplace injury prevention initiative
Explanation: Given the community assessment findings of high diabetes rates, limited primary care access, and an elderly population, a chronic disease management and home visit program directly addresses all three identified needs. It brings diabetes education and monitoring to patients who have difficulty accessing care, focuses on the most prevalent chronic condition, and serves the elderly population through in-home services.

About the CP-C Exam

The CP-C certification validates the specialized knowledge and skills of community paramedics providing preventive care, chronic disease management, and patient advocacy in home and community settings. The exam consists of 135 items (110 scored, 25 unscored pretest) across six domains: Community Based Needs (16%), Multidisciplinary Collaboration (18%), Patient/Client Centric Care (25%), Community Paramedic Wellness and Safety (12%), Preventative Care and Education (19%), and Ethical and Legal Considerations (10%).

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

Pass/fail; published CP-C cut score 77/110 scored items (modified-Angoff, set per exam version)

Exam / Certification Fees

$285 (affiliate member) / $385 (non-member)

Exam sponsor website

Reported exam pass rate: 61.5% (IBSC 2024 annual report). 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.

16%

Community Based Needs

Community health assessments, social determinants of health, community resources, cultural competence, and special situations including mental health, substance abuse, bariatric care, and high-risk pregnancy

18%

Multidisciplinary Collaboration

Creating and implementing plans of care, chronic and acute disease management, professional communication, healthcare coordination and navigation, patient record access and review, and relevant medical history

25%

Patient/Client Centric Care

Medical history acquisition, point of care testing, wound care therapies and staging, medication reconciliation, motivational interviewing, home medical equipment, health literacy, end of life care, behavioral health screening, lab values, telehealth, and chronic care conditions

12%

Community Paramedic Wellness and Safety

Levels of PPE and isolation precautions, coping strategies, patient transfer techniques, emotional boundaries, stressors in paramedicine, and situational awareness in home environments

19%

Preventative Care & Education

Education delivery processes, community paramedic education topics including risk safety, disease management, healthcare resources, medications, nutrition, durable medical equipment, and transitioning patients to independence

10%

Ethical and Legal Considerations

Professional boundaries, protected health information security, legal document interpretation, risk mitigation for individual and agency, patient privacy and rights, and professional ethics

Preparing for the CP-C Exam

What You Need to Know

  • Passing score: Pass/fail; published CP-C cut score 77/110 scored items (modified-Angoff, set per exam version)
  • Exam length: 135 questions
  • Time limit: 2.5 hours
  • Exam / certification fees: $285 (affiliate member) / $385 (non-member) Official sources

Using Our Practice Resources

  • Work through all 139 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

CP-C: Suggested Study Strategy

1Focus on Patient/Client Centric Care — the largest domain at 25% of scored items
2Master chronic disease management for CHF, COPD, diabetes, stroke, and CAD
3Study wound care staging, therapies, and device management thoroughly
4Know medication reconciliation processes and common drug interactions
5Understand social determinants of health and how they affect individual patients
6Practice motivational interviewing techniques and teach-back methodology
7Review behavioral health screening tools for depression, suicide, and toxicology
8Study professional boundaries, PHI security, and legal document interpretation

Frequently Asked Questions

What is the CP-C exam?

The CP-C (Certified Community Paramedic) is a specialty certification offered by IBSC (International Board of Specialty Certification) that validates the advanced knowledge and clinical skills required for paramedics working in community-based healthcare, mobile integrated health (MIH), and expanded EMS roles beyond traditional 911 emergency response.

How many questions are on the CP-C exam?

The CP-C exam contains 135 total questions: 110 scored items and 25 unscored pretest items. They are delivered in two locked sections — 68 items in 75 minutes, then an optional 5-minute break, then 67 items in 75 minutes — for 150 minutes (2.5 hours) total. You cannot return to Section 1 questions after submitting that section.

What is the CP-C passing score?

The CP-C is reported pass/fail. The cut score is set by a modified-Angoff study run for each version of the exam, and the IBSC exam FAQ says it "ranges around the 75% mark." The IBSC annual reports put a number on it: the published CP-C cut score was 77 of 110 scored items (70%) in both 2022 and 2024. Candidates who pass receive a report stating "pass" with no raw score or topic breakdown; candidates who do not pass receive raw scores by major content category to guide restudy.

What are the CP-C eligibility requirements?

Candidates must hold a valid, unrestricted license or certificate to practice as an EMT, AEMT, paramedic, or other nursing or community health worker. They must also submit proof of learning in the Community Paramedic domain or verification from a medical director confirming their knowledge of the CP role.

What content areas are covered on the CP-C exam?

The CP-C exam covers six domains: Community Based Needs (16%), Multidisciplinary Collaboration (18%), Patient/Client Centric Care (25%), Community Paramedic Wellness and Safety (12%), Preventative Care & Education (19%), and Ethical and Legal Considerations (10%).

How long is CP-C certification valid?

CP-C certification is valid for 4 years. Recertification requires either passing the exam again before it expires or submitting 100 contact hours: at least 75 in the CLINICAL category, of which 16 must come from an IBSC-approved CP-C review class, plus up to 25 hours in the OTHER category. Hours must be earned during the four-year certification period. If the certification has already lapsed, IBSC requires recertification by testing.

How should I prepare for the CP-C exam?

Focus on Patient/Client Centric Care (25%) and Preventative Care & Education (19%) as the largest domains. Study community health assessment, chronic disease management, medication reconciliation, wound care, and social determinants of health. NAEMT's Community Paramedicine course series is designed to prepare candidates for the CP-C exam. Plan for 8-12 weeks of dedicated study time.