CPC Preventive Care and Education 3

Question 1

A community paramedic is counseling a patient who smokes about cessation. Which pharmacotherapy has the HIGHEST rate of long-term abstinence when combined with behavioral counseling?

Accepted Answer

Varenicline (Chantix)

Answer

Varenicline (Chantix) combined with behavioral support has demonstrated the highest quit rates in clinical trials compared to other cessation medications.

Question 2

When performing a pediatric well-child screening visit as part of a community paramedic program, at what age is developmental surveillance for autism spectrum disorder (ASD) specifically recommended by the AAP?

Accepted Answer

18 and 24 months

Answer

The AAP recommends specific ASD screening at the 18- and 24-month well-child visits using validated tools such as the M-CHAT.

Question 3

A community paramedic is educating a patient with COPD on pulmonary hygiene. Which technique is MOST effective for mobilizing secretions in this patient population?

Accepted Answer

Active Cycle of Breathing Technique (ACBT)

Answer

The Active Cycle of Breathing Technique (ACBT) combines breathing control, thoracic expansion exercises, and forced expiration to effectively clear secretions.

Question 4

During a home visit, a community paramedic notices a patient hoards medications and takes higher doses than prescribed to manage pain. This behavior most likely represents:

Accepted Answer

Opioid use disorder requiring referral to addiction services

Answer

Hoarding medications and dose escalation without provider guidance are behavioral warning signs consistent with opioid use disorder requiring addiction assessment.

Question 5

A community paramedic is screening a 50-year-old patient with a 25 pack-year smoking history. Which screening is NOW recommended by the USPSTF for this patient?

Accepted Answer

Annual low-dose CT (LDCT) scan of the chest

Answer

USPSTF recommends annual low-dose CT lung cancer screening for adults aged 50–80 with at least a 20 pack-year smoking history who currently smoke or quit within the past 15 years.

(CPC) Community Paramedic Certification Practice Test

(CPC) Community Paramedic Certification Practice Test

CPC Preventive Care and Education 3