COPR Cheat Sheet 2026

The 30 highest-yield COPR facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. What is the MOST important consideration when using a King LT (supraglottic airway) as a rescue airway device? → It does not protect against aspiration in a patient with a full stomach
2. Which medication is used to treat symptomatic bradycardia in the prehospital setting? → Atropine
3. Which electrolyte imbalance can be treated prehospital with calcium chloride or calcium gluconate? → Hyperkalemia
4. When performing nasotracheal intubation, which patient condition is a contraindication? → Suspected mid-face or basilar skull fracture
5. When managing an open (sucking) chest wound, the initial prehospital treatment is to: → Apply a vented (flutter valve) chest seal over the wound
6. When administering adenosine for SVT, what is the correct initial adult IV dose? → 6 mg rapid IV push
7. What is the focus of the medical knowledge competency area in the COPR Exam? → Anatomy, physiology, and pathophysiology
8. What is the purpose of the COPR written examination? → To evaluate theoretical knowledge and protocols
9. Which of the following is a key component of 'active listening' when communicating with a patient? → Waiting for the patient to finish speaking before formulating a response.
10. What is the primary reason paramedics must document medication administration times precisely? → To track pharmacokinetics and guide re-dosing or antidote timing
11. What is the time limit for the written section of the COPR Exam? → 4 hours
12. Which assessment finding most strongly indicates cardiac tamponade in a trauma patient? → Beck's Triad: hypotension, muffled heart sounds, JVD
13. Are international paramedic graduates eligible to take the COPR Exam? → Yes, after credential evaluation and approval
14. What does the patient care competency area evaluate? → Assessing, diagnosing, and treating patients
15. When is a surgical airway (cricothyrotomy) indicated in the prehospital setting? → In a can't intubate, can't oxygenate (CICO) situation after failed airway attempts
16. Which laryngoscope blade is most appropriate for a patient with a suspected anterior (anterior larynx) and with an omega-shaped epiglottis? → Miller (straight) blade
17. Why is credential evaluation important for international candidates? → To verify qualifications meet Canadian standards
18. How is the practical skills assessment conducted? → In simulated emergency scenarios
19. A patient with suspected opioid overdose is unresponsive with a respiratory rate of 4/min. Which drug should be administered? → Naloxone
20. A paramedic administers epinephrine 1:1000 IM for anaphylaxis. What is the standard adult dose? → 0.3 mg
21. Which drug class should be used cautiously in patients with a known sulfa allergy due to possible cross-reactivity? → Furosemide (loop diuretics)
22. What is the recommended approach to spinal motion restriction in a responsive trauma patient with no distracting injuries who denies neck pain? → Apply selective spinal precautions based on clinical criteria
23. What is the role of the professional conduct competency in the COPR Exam? → Ensuring ethical and professional behavior
24. Which route of medication administration provides the fastest onset of action? → Intravenous
25. A patient receiving a morphine infusion begins to show signs of respiratory depression. The FIRST action should be: → Stop the infusion and administer naloxone
26. According to multiple Canadian studies, what is a significant mental health challenge faced by paramedics compared to the general population? → A higher rate of positive screens for mental disorders like PTSD and depression.
27. Which finding on scene at a trauma call indicates a high-energy mechanism requiring full trauma protocol? → Rollover motor vehicle collision with intrusion
28. When applying a tourniquet for extremity hemorrhage, where should it be positioned? → 2–3 inches proximal to the wound
29. How is the COPR Examination structured? → Written section and practical skills assessment
30. When calculating a pediatric medication dose, which formula is commonly used as a quick weight estimate for children 1–10 years? → Weight (kg) = (age × 2) + 8