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Flight Paramedic Practice Test: Free FP-C Exam Questions (Certified Flight Paramedic)

500 practice questions for the Certified Flight Paramedic (FP-C) exam, built on the 2026 FP-C content outline. They follow its 10 topic areas, weighted the way the real exam is: Airway, Anesthesia, and Analgesics (17 of the 110 scored items), Medical Emergencies and Cardiac (14 each), Trauma/Burn (13), Neurological (12), Safety and Transport and Pediatric (9 each), Maternal Fetal and Neonatal (8), and Flight Physiology and Professional Considerations (7 each), and they cover all 122 topics under them. Most are moments in the aircraft or at the sending bedside: what Boyle's law does to an ETT cuff at 8,000 feet, which FiO2 holds the same oxygen at altitude, what to do when the peak pressure climbs but the plateau doesn't, when a balloon pump is timed late, what to give the DKA patient you just intubated. Each is tagged to its outline topic, so your score report shows exactly where you miss, and every answer works the math or explains why the best choice is best and names its public source.

The real test: 135 multiple-choice questions (110 scored, 25 unscored) in two sections of 68 and 67, 75 minutes each, at a Prometric test center, by remote proctoring or at an on-site exam, for paramedics with an unrestricted license. It is pass or fail, with the cut set by a modified-Angoff panel, so there is no fixed percent; you can retest after 30 days. It follows the 2026 FP-C content outline: 10 topic areas, led by Airway, Anesthesia, and Analgesics (17 of the 110 scored items), then Medical Emergencies and Cardiac (14 each), Trauma/Burn (13) and Neurological (12). Our practice test is full length, 110 scored questions plus 25 unscored in 150 minutes, split by the outline item counts, passing at 70% (77 of 110).

Here: 500 questions. Our own practice questions, built on the FP-C content outline and written from public sources (14 CFR Parts 91 and 135, the FAA AIM and handbooks, FAA flight physiology publications, AHA ACLS, PALS and neonatal guidelines, the Brain Trauma Foundation and AHA/ASA stroke guidelines, ARDSNet, Surviving Sepsis, ACOG, CDC, CAMTS and NIH StatPearls), with every answer's source named. Topics are the 10 areas of the outline. Not IBSC's test questions. Free.

What's on the test

"On the test" is the rough share of a 110-question test for each topic, following the exam's published weights.

10 sample questions

1. A helicopter has landed at a scene and the rotors are still turning. How should the flight crew approach it?

   • A.From the rear, where the pilot's door and the cabin crew are out of the way
   • B.From any side once both skids are firmly on the ground
   • C.From the uphill side, standing tall so the pilot sees you
   • D.From the front, in the pilot's view, after the pilot signals
   Show answer

   D. From the front, in the pilot's view, after the pilot signals

   FPC-1 · 1. Safety and Transport

2. Which gas law explains why an untreated pneumothorax can get bigger as the aircraft climbs?

   • A.Henry's law
   • B.Charles' law
   • C.Dalton's law
   • D.Boyle's law
   Show answer

   D. Boyle's law

   FPC-48 · 2. Flight Physiology

3. In the LEMON difficult-airway assessment, what does the 3-3-2 rule check?

   • A.Teeth, tongue size and neck circumference measured in inches
   • B.Three attempts, three minutes and two operators allowed per intubation
   • C.Respiratory rate, SpO2 and heart rate trends over the last 3 minutes
   • D.Mouth opening and the chin-to-hyoid and hyoid-to-thyroid distances
   Show answer

   D. Mouth opening and the chin-to-hyoid and hyoid-to-thyroid distances

   FPC-80 · 3. Airway, Anesthesia, and Analgesics

4. A DKA patient's potassium is 3.0 mEq/L. What should happen before the insulin infusion starts?

   • A.Start insulin at 0.1 units/kg/hr now, since insulin will correct the potassium
   • B.Nothing; potassium matters only once glucose is under 200 mg/dL
   • C.Give bicarbonate first
   • D.Replace potassium first, holding insulin
   Show answer

   D. Replace potassium first, holding insulin

   FPC-160 · 4. Medical Emergencies

5. A head-injured patient opens the eyes only to pain, says inappropriate words and reaches toward the painful stimulus. What is the GCS?

   • A.11
   • B.8
   • C.9
   • D.10
   Show answer

   D. 10

   FPC-224 · 5. Neurological

6. A 12-lead shows ST elevation in II, III and aVF with reciprocal ST depression in I and aVL. Which artery is most often involved?

   • A.Left anterior descending artery
   • B.First diagonal branch of the LAD
   • C.Right coronary artery
   • D.Left main coronary artery
   Show answer

   C. Right coronary artery

   FPC-278 · 6. Cardiac

7. Which four areas does a standard FAST exam look at?

   • A.Right upper quadrant, left upper quadrant, pelvis and pericardium
   • B.The liver, spleen, bladder and both femoral arteries in the groin
   • C.The heart, IVC, aorta and the lower leg veins
   • D.Both lung apices, the aorta and the kidneys
   Show answer

   A. Right upper quadrant, left upper quadrant, pelvis and pericardium

   FPC-341 · 7. Trauma/Burn

8. What does an external tocodynamometer reliably measure?

   • A.The fetal heart rate and its variability
   • B.The exact pressure inside the uterus in mmHg at every moment
   • C.Cervical dilation in centimeters
   • D.Contraction frequency and duration, but not true strength
   Show answer

   D. Contraction frequency and duration, but not true strength

   FPC-395 · 8. Maternal Fetal and Neonatal

9. What three things does the Pediatric Assessment Triangle look at from the doorway?

   • A.Pupils, reflexes and the fontanelle
   • B.Airway, breathing and capillary glucose
   • C.Appearance, work of breathing and circulation to the skin
   • D.Heart rate, blood pressure and core temperature, taken by hand
   Show answer

   C. Appearance, work of breathing and circulation to the skin

   FPC-435 · 9. Pediatric

10. What kind of organization is CAMTS?

    • A.The FAA office that certifies helicopters
    • B.The federal agency that licenses and disciplines flight paramedics
    • C.A required state license for every ambulance
    • D.A voluntary accrediting body for medical transport programs
    Show answer

    D. A voluntary accrediting body for medical transport programs

    FPC-472 · 10. Professional Considerations

What the study guide does

• Short study rounds and flip cards.
• A practice test built like the real one: 110 questions, 77 to pass.
• Pass Meter: your chance of passing if you sat the test today, worked out from your own answers.
• An explanation for every answer.