How many questions are in the paramedic board bank?

216 original board-style questions across 5 NREMT-style domains, each with a keyed answer and a rationale.

How is each exam form built?

Every form is drawn fresh from the bank using the domain weighting below, so no two attempts are identical. The full board exam is 80 questions in 150 minutes; the shorter mock is 30 questions in 45 minutes.

What score do I need to pass?

70% on the practice scoring, which maps to the 140 scaled-score standard shown on the board exam results page.

Are these the real NREMT questions?

No. They are original practice items written to mirror the format and domain weighting of the cognitive exam, not the live item bank.

Free study map

Paramedic Board Exam Syllabus

Every one of the 216 questions in the bank is tagged to an NREMT-style domain. This page shows how many live in each domain, how many you can expect on a 80-question timed form, and exactly what to review before test day.

216

Bank questions

80 Q

Board form

150 min

Time limit

70%

Pass line

Domain	In bank	Weight	On 80-Q exam	On 30-Q mock
Airway & Ventilation	38 (18%)	20%	~16	~6
Cardiology & Resuscitation	48 (22%)	27%	~21	~8
Trauma	44 (20%)	17%	~13	~5
Medical & OB/GYN	42 (19%)	23%	~19	~7
EMS Operations	44 (20%)	13%	~11	~4

What to study in each domain

Airway & Ventilation

38 questions · ~16 on the board exam

Waveform capnography and tube confirmation
BVM technique, tidal volume and rate targets
CPAP selection and hemodynamic side effects
RSI preoxygenation, DOPE troubleshooting, difficult airway prediction
Pediatric stridor, obstruction and adjunct contraindications

Cardiology & Resuscitation

48 questions · ~21 on the board exam

High-quality CPR, defibrillation and post-ROSC care
STEMI recognition including inferior/right-sided and posterior MI
Narrow and wide-complex tachycardia algorithms
Bradycardia, pacing and symptomatic blocks
Cardiac pharmacology: epinephrine, amiodarone, adenosine, calcium, bicarbonate

Trauma

44 questions · ~13 on the board exam

Hemorrhage control, tourniquets and permissive hypotension
Chest trauma: tension pneumothorax, flail chest, tamponade
Head and spinal injury, ICP and selective immobilization
Burns, crush injury and rhabdomyolysis
Triage, transport decisions and trauma center criteria

Medical & OB/GYN

42 questions · ~19 on the board exam

Stroke scales, seizures and altered mental status
Sepsis, anaphylaxis and shock differentiation
Toxicology and overdose antidotes
Diabetic and electrolyte emergencies including hyperkalemia
Labor, delivery complications and neonatal resuscitation

EMS Operations

44 questions · ~11 on the board exam

Scene safety, MCI triage and incident command
Consent, refusals, DNR/POLST and capacity
Confidentiality, documentation and PCR standards
Medication errors, impaired coworkers and reporting duties
Ambulance operations, hazmat awareness and crew resource management

Put it to the test

Take the 80-question board exam Quick free practice test Full paramedic training

Syllabus FAQ

How many questions are in the paramedic board bank?: 216 original board-style questions across 5 NREMT-style domains, each with a keyed answer and a rationale.
How is each exam form built?: Every form is drawn fresh from the bank using the domain weighting below, so no two attempts are identical. The full board exam is 80 questions in 150 minutes; the shorter mock is 30 questions in 45 minutes.
What score do I need to pass?: 70% on the practice scoring, which maps to the 140 scaled-score standard shown on the board exam results page.
Are these the real NREMT questions?: No. They are original practice items written to mirror the format and domain weighting of the cognitive exam, not the live item bank.

Educational review only. Not affiliated with the NREMT. Always follow your local protocols and medical direction.