- The Raw Passing Score: 73 Correct Answers
- How the FP-C Exam Is Structured
- Domain Weighting and Why It Changes Your Study Priorities
- Registration, Fees, and Scheduling Mechanics
- How and When You'll See Your Score
- Mapping Study Weeks to the Domains That Decide Your Score
- After You Pass: Keeping the Credential Active
- FAQ
- You need 73 correct scored answers out of 110 to pass the FP-C exam.
- The exam has 135 total questions - 110 scored plus 25 unscored pilot items you can't identify.
- Testing is split into two 75-minute sections with one optional five-minute break.
- Airway, Anesthesia, and Analgesics carries the heaviest domain weight at 15%.
The Raw Passing Score: 73 Correct Answers
The number every FP-C candidate wants first is simple: according to the April 2026 candidate handbook from the International Board of Specialty Certification (IBSC), the raw passing score is 73 correct scored answers. That's not a percentage, a scaled score, or a curve - it's a fixed count of correct responses out of the scored items on your exam.
This matters because it removes the guesswork that surrounds many other certification exams. You don't need to hit an ambiguous "cut score" that shifts between administrations. You need 73 correct answers among the questions that actually count toward your result. Everything else on the exam - the pilot items, the timing structure, the break - exists around that one fixed target.
How the FP-C Exam Is Structured
The FP-C exam is delivered as a multiple-choice test administered through Prometric, either as a standard computer-based exam at a testing center or through remote proctoring. IBSC also offers Mobile Exam Delivery for group or site-based administration. Regardless of delivery method, the content and scoring mechanics are identical.
Here's the exact breakdown from the current handbook:
- 135 total multiple-choice questions
- 110 scored questions that count toward your pass/fail result
- 25 unscored pilot items used by IBSC to evaluate future exam questions
- The exam is split into two 75-minute sections
- One optional five-minute break between sections
The critical detail here: you cannot tell scored questions apart from pilot items while you're testing. Every question looks and feels identical. That means you should treat all 135 questions with equal seriousness - there's no way to "save time" by rushing questions you suspect are unscored, because you genuinely won't know which ones those are.
Key Takeaway
Pace yourself across both 75-minute sections as if every question counts, because 25 of the 135 you answer are unscored pilot items you cannot identify in real time.
If you want a deeper breakdown of how difficult this format actually feels in practice, the How Hard Is the FP-C Exam? Complete Difficulty Guide 2026 covers what the two-section, timed structure feels like for candidates coming from different clinical backgrounds.
Domain Weighting and Why It Changes Your Study Priorities
The 110 scored questions aren't distributed evenly. IBSC assigns each of the ten content domains a weight, and those weights directly determine how many scored questions you'll see from each area. If you're building a plan around hitting 73 correct answers, the domain weights tell you exactly where your study hours produce the most return.
| Domain | Weight |
|---|---|
| Airway, Anesthesia, and Analgesics | 15% |
| Cardiac | 14% |
| Medical Emergencies | 13% |
| Trauma/Burn | 12% |
| Neurological | 11% |
| Safety and Transport | 8% |
| Pediatric | 8% |
| Maternal Fetal and Neonatal | 7% |
| Flight Physiology | 6% |
| Professional Considerations | 6% |
Notice that Airway, Anesthesia, and Analgesics is the single largest domain at 15%. That's roughly one out of every seven scored questions coming from a domain focused on definitive airway management, rapid sequence intubation, sedation, and pain control decisions in the transport environment. Skipping or under-preparing this domain has an outsized effect on whether you reach 73 correct answers.
Airway, Anesthesia, and Analgesics (15%)
The heaviest-weighted domain on the exam. Candidates need fluency with airway adjuncts, RSI medications, ventilator strategy in flight, and analgesic/sedation protocols under transport constraints.
- Recognize failed airway indicators and backup plans
- Understand pharmacokinetics of common induction and paralytic agents
- Know sedation and analgesia dosing adjustments for critically ill patients
Cardiac (14%)
The second-largest domain, covering STEMI recognition, dysrhythmia management, mechanical circulatory support considerations, and hemodynamic monitoring during transport.
- Differentiate unstable rhythms requiring immediate intervention
- Understand vasoactive drip titration in flight
- Know post-arrest care targets
For a complete walk-through of all ten domains with subtopics and study allocation logic, see the FP-C Exam Domains 2026: Complete Guide to All 10 Content Areas. It pairs well with the passing-score math here because domain weight is really just "how many of your 73 needed answers live in this bucket."
Registration, Fees, and Scheduling Mechanics
Before the passing score matters, you need to be eligible and registered. IBSC requires an unrestricted paramedic license or certificate, along with verification of that credential. Three years of experience in a busy ALS or critical care transport environment is recommended by IBSC, but it is not a hard requirement to sit the exam - which surprises some candidates who assume flight time is mandatory before testing.
Exam fees depend on affiliate membership status:
- $285 for candidates with an affiliate membership
- $385 for nonmembers
The full eligibility checklist, including what counts as verification and how the recommended experience is documented, is broken down in FP-C Requirements 2026: Eligibility, Prerequisites & How to Qualify. If you're trying to plan a budget around the exam plus prep materials, the FP-C Certification Cost 2026: Complete Pricing Breakdown lays out the full cost picture beyond just the exam fee.
How and When You'll See Your Score
One underrated advantage of the FP-C exam format: you don't wait weeks for results. Computer-based and remote-proctored candidates typically receive their results within one hour of finishing the exam. That fast turnaround means you'll know almost immediately whether you crossed the 73-correct-answer threshold, without the drawn-out uncertainty common to other certification paths.
Practically, this means your test-day plan should account for a short waiting period afterward rather than a multi-week gap. If you're retesting, that quick feedback loop also lets you start remediation on weak domains sooner rather than later.
Curious how your result compares to others sitting the exam nationally? The FP-C Pass Rate 2026: What the Data Shows article looks at what the available data actually shows about candidate outcomes, without inflating numbers that aren't published.
Mapping Study Weeks to the Domains That Decide Your Score
Generic study advice - spaced repetition, timed practice blocks, active recall - only helps if it's pointed at the right material. Since 73 correct answers out of 110 scored questions is the target, and domain weight tells you where those questions live, your weekly plan should mirror the weight table above rather than treating all ten domains equally.
Airway, Anesthesia, and Analgesics + Cardiac
- Drill RSI sequencing, ventilator settings, and sedation/analgesia dosing
- Review dysrhythmia recognition and vasoactive drip management
- These two domains alone represent close to a third of scored questions
Medical Emergencies, Trauma/Burn, Neurological
- Work through toxicology, sepsis, and metabolic emergency scenarios
- Review burn resuscitation formulas and trauma triage decisions
- Study stroke, TBI, and increased ICP management in transport
Safety and Transport, Pediatric, Maternal Fetal and Neonatal
- Cover flight safety protocols, scene hazards, and crew resource management
- Review neonatal resuscitation and pediatric weight-based dosing
- Study high-risk obstetric transport scenarios
Flight Physiology and Professional Considerations
- Review altitude physiology, gas laws, and hypoxia stages
- Cover legal, ethical, and documentation standards for transport crews
- Combine into one week since each carries only 6% weight
Full Review and Timed Practice
- Run full-length practice sets under two 75-minute section timing
- Target consistent performance above the 73-correct threshold
- Identify any domain still dragging your projected score down
For a more detailed week-by-week study framework with resource recommendations, see the FP-C Study Guide 2026: How to Pass on Your First Attempt. And if you want a condensed reference to keep nearby during final review, the FP-C Cheat Sheet 2026: One-Page Review of Must-Know Facts distills the highest-yield facts into one page.
After You Pass: Keeping the Credential Active
Passing is the finish line for the exam, but the FP-C credential itself is valid for four years. Renewal happens one of two ways: retesting, or completing 100 contact hours of continuing education. Of those 100 hours, 75 must be clinical hours, and 16 must come specifically from an approved FP-C review course.
Knowing this upfront changes how you might approach your first attempt - some flight paramedics choose review courses partly because those hours can later count toward renewal requirements. If you're still deciding whether pursuing FP-C fits your career trajectory at all, the Is the FP-C Certification Worth It? Complete ROI Analysis 2026 weighs the credential against the time and cost investment, and the FP-C Salary Guide 2026: Complete Earnings Analysis looks at how the credential factors into flight paramedic compensation.
For employers hiring into flight programs, holding an active FP-C often signals that a paramedic has met a recognized, standardized benchmark of critical care transport knowledge - which is part of why programs list it as preferred or required in job postings. You can browse what that looks like in practice through FP-C Jobs, or start from the basics with What Is FP-C? if you're still early in researching the credential.
FAQ
The raw passing score is 73 correct answers out of the 110 scored questions, according to the April 2026 candidate handbook from IBSC.
Yes. The exam includes 135 total multiple-choice questions, but only 110 are scored. The remaining 25 are unscored pilot items used to evaluate future exam content, and you cannot identify which questions are which while testing.
The exam is split into two 75-minute sections, with one optional five-minute break between them.
Computer-based and remote-proctored candidates typically receive their results within one hour of completing the exam.
Airway, Anesthesia, and Analgesics is the largest domain at 15% of scored content, followed by Cardiac at 14%, so these two areas offer the highest return on study time relative to the 73-correct target.