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NYC REMAC paramedic exam prep

Know the NYC protocols cold before exam day

1,000 practice questions and a full 120-question mock exam. Every explanation cites the 2026 NYC REMAC Prehospital Treatment Protocols, page number included, so you can check the source yourself.

  • 1,000practice questions
  • 120question full mock exam
  • 8study modes
  • 2026protocols cited, with page numbers
The RemacReady study home on a phone: a greeting, a two-week study calendar with an exam countdown, and the list of quiz modes.

How it works

From first question to mock exam

A simple routine: practice a little every day, read why each answer is right, and let RemacReady point you at what to study next.

  1. 1

    Create a free account

    Sign up in a minute and add your exam date. Your study calendar counts down to it.

  2. 2

    Practice a little every day

    Start with the free daily Quick 10: ten questions, one explanation after each.

  3. 3

    Check the protocol yourself

    Every explanation ends with the protocol section and page number, so you can open the PDF and verify.

  4. 4

    Fix weak spots, then sit the mock

    Drill your weakest subject and missed questions, then take the full 120-question mock exam.

Cited explanations

Every answer shows its source

After each answer you see the correct choice, why it is right, why each other choice is wrong, and the protocol reference with its page number. This is a real question from the practice bank.

Clinical Judgment · Practice question

A STEMI patient is being transported to the closest STEMI Center as previously directed by OLMC. En route, the patient deteriorates into cardiac arrest. What does the protocol direct regarding destination?

  • Continue transport to the STEMI Center as previously directed by OLMC (correct answer)
  • Divert to the nearest emergency department because the patient is now in arrest
  • Stop and stage until a second OLMC order is obtained
  • Return to the scene

Explanation Details

Correct answer: Continue transport to the STEMI Center as previously directed by OLMC

The GOP STEMI guideline states that if the patient deteriorates into cardiac arrest during transport, the unit shall continue transport to the STEMI Center as previously directed by OLMC. A STEMI patient who arrests from an acute coronary occlusion most needs emergency cardiac catheterization, and the STEMI Center is already preparing for this patient. The crew continues resuscitation en route under the cardiac arrest protocol.

Diverting to the nearest emergency department because the patient is now in arrest is incorrect. The protocol specifically directs continued transport to the STEMI Center in this situation.

Stopping to stage until a second OLMC order is obtained is incorrect. OLMC has already directed the destination, and the protocol requires the unit to continue transport.

Returning to the scene is incorrect. It delays definitive care for no clinical reason.


Reference:

NYC REMAC Prehospital Treatment Protocols (2026-01). General Operating Procedures — Transportation Decisions and Procedures — Transportation to Specialty Care Facilities (STEMI), p. 9.

Stats and review

See exactly where you're weak

Stats break your scores down by subject. Weakest Subject builds a set from the one you miss most, and Missed Questions brings back every question you got wrong.

  • Score by subject and over time
  • Review any past quiz with its explanations
  • A study calendar that marks the days you practiced
Example stats: scores by subject from 88% down to 52%, with the lowest marked as the weakest subject.
A mock exam in progress with a countdown clock and flagged questions, and a prompt to resume an unfinished timed quiz.

Mock exam

Rehearse test day

The Mock Exam matches the real format: 120 questions, a hard 3-hour clock and no feedback until you finish. Then you get your score against the 80% mark and every explanation.

  • Drawn from a separate mock bank, never your practice questions
  • Flag questions and come back to them
  • Resume any unfinished quiz from the last 7 days

Study modes

Eight ways to study

Start with the free daily Quick 10. Premium opens every other mode, including the full mock exam.

How each mode works
  • Free daily

    Quick 10

    10 random practice questions. Free once a day.

  • Premium

    Question of the Day

    One question a day, the same for everyone.

  • Premium

    Timed Quiz

    20 questions against a 20-minute clock.

  • Premium

    Level Up

    One subject, easiest to hardest.

  • Premium

    Weakest Subject

    Drill the subject you miss most.

  • Premium

    Missed Questions

    Revisit the questions you got wrong.

  • Premium

    Build Your Own

    Choose the subjects and the length.

  • Premium

    Mock Exam

    120 questions, 3 hours, scored at the end.

Early access

Be one of the first

RemacReady just launched. There are no reviews here yet because we won't invent them. What you can count on:

  • Built for the NYC exam only

    No national question mill. Every question is written against the NYC REMAC protocols you'll be tested on.

  • Answers you can verify

    Section and page number on every explanation. If you think we got one wrong, report it from the question and we'll review it.

  • A voice in what comes next

    RemacReady is new. Early users shape it: tell us what's missing and we'll build it.

The exam

The NYC REMAC Basic exam at a glance

To work as a paramedic in New York City you credential through REMAC, and that means the NYC REMAC Basic Exam. It tests the NYC REMAC Protocols specifically, not general paramedic knowledge.

Everything about the exam and how to prepare

  • 120multiple-choice questions
  • 3 hoursto finish
  • 80%to pass

What it tests

  • General Operating Procedures
  • Treatment Protocols
  • Appendices
  • Scenario-based questions

Pricing

Simple pricing

Free accounts get one Quick 10 a day. Premium removes the daily limit and opens every study mode, including the 120-question mock exam.

  • Free

    $0

    with a free account

    • One Quick 10 each day
    • Full explanations and protocol references
  • Monthly

    $9.99

    per month

    • All 1,000 practice questions
    • Full 120-question, 3-hour mock exam
    • Every study mode, no daily limit

    Coming soon

  • Covers a typical study window

    90-Day Pass

    $24.99

    for 90 days

    • All 1,000 practice questions
    • Full 120-question, 3-hour mock exam
    • Every study mode, no daily limit

    Coming soon

  • Annual

    $44.99

    per year

    • All 1,000 practice questions
    • Full 120-question, 3-hour mock exam
    • Every study mode, no daily limit

    Coming soon

Prices in USD. Checkout is not open yet, and this page does not charge a card. Compare free and premium

FAQ

Frequently asked questions

Unofficial study aid. Not affiliated with or endorsed by NYC REMAC, REMSCO, FDNY, NYS DOH, or NREMT.

See all questions

What is RemacReady?
RemacReady is exam prep for the NYC REMAC Basic exam: 1,000 practice questions, a full 120-question mock exam and eight study modes, with every explanation cited to the protocols. It is a product of EMS Education.
How long is the exam and what score do I need?
The REMAC Basic exam is 120 multiple-choice questions in 3 hours, and you need 80% to pass. Rules, fees and dates can change, so confirm the current details with REMSCO at nycremsco.org.
What is free?
One Quick 10 each day: ten random practice questions with full explanations and protocol references. You only need a free account.
Can I buy premium today?
Not yet. Checkout isn't open, so no card can be charged today. Create a free account now and you'll be able to upgrade from your dashboard when it opens.
Is this official REMAC or REMSCO material?
No. Unofficial study aid. Not affiliated with or endorsed by NYC REMAC, REMSCO, FDNY, NYS DOH, or NREMT. The questions are written for practice; they are not real exam items.

Try today's free Quick 10

Create a free account and answer ten NYC REMAC paramedic questions, each with an explanation and a protocol reference.

Unofficial study aid. Not affiliated with or endorsed by NYC REMAC, REMSCO, FDNY, NYS DOH, or NREMT. Exam study prep only. Not physician CME and not CAPCE-accredited continuing education.