FP-C Practice Questions (2026) — Free Sample Questions with Answers

6 free FP-C questions from our 25-question bank, grouped by content domain. Each answer explains why the right option is right — and why every wrong option is wrong.

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Safety and Transport

Question 1

A helicopter has landed at a scene LZ with the rotors still turning. How should ground personnel approach the aircraft to load the patient?

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Answer: B

From the rear, staying low under the tail boom: The tail rotor is nearly invisible when turning and is the most dangerous area of the aircraft.

From the front, in the pilot's view, after a signal: Correct. Approach only when signaled by the pilot or crew, from the front or front-sides where the pilot can see you, crouched, and from the downhill side on a slope.

From the uphill side to stay farther from the rotor: On a slope the main rotor is closer to the ground on the uphill side; approach from the downhill side.

From any side, once the skids touch the ground: Touchdown alone is not clearance; approach requires the pilot's or crew's signal and a safe direction.

Rotor safety: approach from the front in the pilot's view only when signaled; never near the tail rotor; downhill side on slopes; secure loose items.

Airway, Anesthesia, and Analgesics

Question 2

An intubated asthmatic patient's capnogram changes from a square waveform to one with a slowly rising, sloped upstroke and no plateau ('shark fin'). What does this most likely indicate?

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Answer: C

Esophageal intubation: Esophageal placement produces no sustained waveform or a few rapidly fading waves.

Hyperventilation: Hyperventilation lowers ETCO2 amplitude but keeps a normal square shape.

Bronchospasm: Correct. Obstructed expiratory flow causes uneven alveolar emptying and a sloped 'shark fin' capnogram, typical of bronchospasm.

Circuit disconnection: A disconnection causes sudden loss of the waveform to zero.

Capnogram shapes: shark fin = obstruction/bronchospasm; sudden loss = dislodgement, disconnection or obstruction; gradual rise = hypoventilation or rising metabolism.

Neurological

Question 3

A patient with a TBI and an intracranial pressure monitor has a blood pressure of 120/60 mm Hg and an ICP of 25 mm Hg. What is the cerebral perfusion pressure, and how does it compare with the usual target?

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Answer: A

55 mm Hg; below the target of at least 60: Correct. MAP = 60 + (120 − 60)/3 = 80 mm Hg; CPP = MAP − ICP = 80 − 25 = 55 mm Hg, below the usual target of 60–70 mm Hg.

95 mm Hg; above the target range: This subtracts ICP from systolic pressure rather than from MAP.

35 mm Hg; well below the target: This subtracts ICP from diastolic pressure rather than from MAP.

80 mm Hg; within the target range: 80 mm Hg is the MAP; ICP must still be subtracted.

CPP = MAP − ICP; MAP ≈ DBP + (SBP − DBP)/3. Treat a low CPP by lowering ICP and/or supporting MAP.

Trauma/Burn

Question 4

An 80-kg adult has 40% TBSA partial- and full-thickness burns. Using the Parkland formula (4 mL × kg × %TBSA of lactated Ringer's over 24 hours), you take over care 2 hours after the burn, and 1,000 mL has been infused so far. What hourly rate will complete the first-half volume on time?

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Answer: B

800 mL/h: This divides the first-half volume (6,400 mL) by 8 hours, ignoring both the 2 hours elapsed and the 1,000 mL already given.

900 mL/h: Correct. Total = 4 × 80 × 40 = 12,800 mL; first half = 6,400 mL within 8 hours of injury. Remaining = 6,400 − 1,000 = 5,400 mL over 6 hours = 900 mL/h.

1,067 mL/h: This divides 6,400 mL by 6 hours but forgets to subtract the 1,000 mL already infused.

675 mL/h: This divides the remaining 5,400 mL by 8 hours instead of the 6 hours left.

Parkland: half the 24-hour volume in the first 8 hours from the time of burn (not from arrival); subtract fluid already given; titrate to urine output.

Maternal Fetal and Neonatal

Question 5

A 3.0-kg neonate awaiting transport is jittery with a point-of-care glucose of 30 mg/dL. Which IV glucose bolus is appropriate?

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Answer: C

6 mL of D50W: D50W is too concentrated for neonates; it is hyperosmolar and damages veins and can cause rebound hypoglycemia.

30 mL of D10W: 30 mL is 10 mL/kg, five times the usual neonatal glucose bolus.

6 mL of D10W: Correct. The neonatal bolus is D10W 2 mL/kg (200 mg/kg): 2 × 3.0 = 6 mL, followed by a maintenance glucose infusion.

1.5 mL of D25W: D25W is not recommended for neonates and 1.5 mL is an incorrect volume.

Neonatal hypoglycemia: D10W 2 mL/kg IV, then a glucose infusion; recheck glucose frequently.

Professional Considerations

Question 6

A flight paramedic skips the independent double-check of a pediatric drip calculation because 'everyone does it on short flights,' and a minor dosing error results. Under a Just Culture model, how is this behavior classified and managed?

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Answer: C

Human error; console the employee: Human error is an inadvertent slip; here a known safety step was consciously skipped.

Reckless behavior; terminate employment: Reckless behavior is conscious disregard of a substantial, unjustifiable risk; a normalized shortcut usually reflects drift.

At-risk behavior; coach the employee: Correct. Choosing a shortcut whose risk is not recognized or seems justified is at-risk behavior, managed by coaching and by fixing the system incentives that encourage it.

No issue, since the error was minor: Just Culture evaluates the behavior and system design, not only the outcome.

Just Culture: human error → console; at-risk behavior → coach; reckless behavior → disciplinary action. Judge behavior, not outcome.

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