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Key Facts: FP-C Exam
135
Total Questions
IBSC
110
Scored Items
IBSC
2.5h
Exam Time
IBSC
$310
Exam Fee
IBSC 2026
4 years
Certification Valid
IBSC recertification cycle
The FP-C exam contains 135 questions (110 scored) administered over 2.5 hours. Content covers critical care transport medicine with emphasis on altitude physiology, advanced airway management, cardiac emergencies, and trauma resuscitation. The exam is designed for experienced paramedics working in air medical transport. IBSC recommends 3+ years of critical care transport experience before testing.
About the FP-C Exam
The FP-C certification validates advanced knowledge of critical care transport medicine for flight paramedics. The exam covers eight domains: Safety and Transport Environment (10%), Airway and Ventilation (15%), Cardiac Emergencies (18%), Neurological (12%), Trauma and Burns (12%), Medical Emergencies (15%), OB/GYN and Neonatal (10%), and Laboratory/Diagnostics (8%). The exam consists of 135 items (110 scored, 25 unscored pretest).
Questions
135 scored questions
Time Limit
2.5 hours
Passing Score
~70% (77/110 scored items)
Exam Fee
$310 (IBSC (International Board of Specialty Certification))
FP-C Exam Content Outline
Safety & Transport Environment
Altitude physiology, gas laws, flight stressors, aircraft safety, CAMTS standards, crew resource management, and transport environment considerations
Airway & Ventilation
Advanced airway management, rapid sequence intubation, difficult airway algorithms, mechanical ventilation, transport ventilator management, and special airway considerations
Cardiac Emergencies
Dysrhythmias, ACS management, heart failure, hemodynamic monitoring, vasoactive medications, intra-aortic balloon pump, and post-cardiac arrest care
Neurological
TBI management, stroke care, ICP monitoring, seizure management, neuroprotective strategies, and neurological assessment
Trauma & Burns
Trauma resuscitation, hemorrhage control, burn calculations, compartment syndrome, penetrating trauma, blunt trauma, and shock management
Medical Emergencies
Respiratory failure, sepsis and shock, DKA/HHS, toxicology, environmental emergencies, anaphylaxis, and adrenal crisis
OB/GYN & Neonatal
Maternal emergencies, high-risk obstetrics, neonatal resuscitation, and OB transport considerations
Laboratory & Diagnostics
ABG interpretation, critical lab values, imaging interpretation, and monitoring equipment
How to Pass the FP-C Exam
What You Need to Know
- Passing score: ~70% (77/110 scored items)
- Exam length: 135 questions
- Time limit: 2.5 hours
- Exam fee: $310
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
FP-C Study Tips from Top Performers
Frequently Asked Questions
What is the FP-C exam?
The FP-C (Flight Paramedic-Certified) is a specialty certification offered by IBSC (International Board of Specialty Certification) that validates advanced knowledge of critical care transport medicine for flight paramedics working in rotor-wing and fixed-wing air medical transport.
How many questions are on the FP-C exam?
The FP-C exam contains 135 total questions: 110 scored items and 25 unscored pretest items. You have 150 minutes (2.5 hours) to complete the computer-based exam.
What is the FP-C passing score?
IBSC uses a scaled scoring system. Approximately 70% of scored items (77/110) is generally needed to pass. The exact passing standard may vary slightly based on exam form.
What are the FP-C eligibility requirements?
You must hold a current, unrestricted paramedic license. IBSC recommends 3+ years of critical care transport experience. While not required, many successful candidates have experience in ICU, emergency department, or air medical transport settings.
What content areas are covered on the FP-C exam?
The FP-C exam covers eight domains: Safety & Transport Environment (10%), Airway & Ventilation (15%), Cardiac Emergencies (18%), Neurological (12%), Trauma & Burns (12%), Medical Emergencies (15%), OB/GYN & Neonatal (10%), and Laboratory & Diagnostics (8%).
How long is FP-C certification valid?
FP-C certification is valid for 4 years. Recertification can be achieved through continuing education or by retaking the exam. IBSC requires ongoing professional development to maintain certification.
How should I prepare for the FP-C exam?
Study systematically across all eight domains. Focus on the largest domains: Cardiac (18%), Airway (15%), and Medical Emergencies (15%). Master altitude physiology and gas laws, which are unique to flight medicine. Use critical care transport textbooks and practice questions. Plan for 3-6 months of dedicated study time.