Exam prep

Everything you need for the NYC REMAC Basic exam

How the exam works, what it covers, a plan to get ready, and how RemacReady's practice questions, study modes and mock exam fit in.

Start free Quick 10 See the 30-day plan

The exam

Format and passing score

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.

Exam rules, fees and dates can change. Confirm the current details with REMSCO at nycremsco.org.

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

80% of 120 means you can miss at most 24 questions. That's why RemacReady's mock exam scores you against the same mark and shows every explanation when you finish.

What it covers

The NYC REMAC protocols, not general paramedic knowledge

The exam tests the protocol document itself. RemacReady's questions are written against the same document and grouped into practice subjects.

General Operating Procedures
The rules that frame every call, such as transport and destination decisions, specialty care facilities and working with online medical control.
Treatment Protocols
The standing orders and medical-control options for each condition, from airway and cardiac arrest to trauma and medical emergencies.
Appendices
The supporting material at the back of the protocol document. Easy to skim past when you study, and fair game on the exam.
Scenario-based questions
Short patient presentations that ask you to apply the protocols: what to do next, which order applies, where to transport.

RemacReady practice subjects

Airway, Respiration & Ventilation
Cardiology & Resuscitation
Trauma
Medical / OB-GYN
EMS Operations
Clinical Judgment
General Operating Procedures
Appendix

How RemacReady helps

Practice the way the exam asks, learn from the source

Answer a question, then read the Explanation Details: the correct choice, why it's right, why each other choice is wrong, and the protocol section and page it comes from.

Quick 10Question 4 of 10

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.

1,000 practice questions

Written against the 2026 NYC REMAC protocols across every subject.

Cited to the page

Aligned to the NYC REMAC protocols, version NYC-REMAC-2026-01. For study only.

Report a problem

Think an answer is wrong? Report it from the explanation and we review it.

Study plan

A 30-day plan

A suggestion, not a rule: stretch it if your exam is further out, compress it if it's sooner. Keep the protocol PDF open while you study.

Week 1
Map the protocols
- Read the General Operating Procedures end to end
- A Quick 10 every day to find your baseline
- Level Up through one subject at a time
Week 2
Cover every subject
- Work through the Treatment Protocols by system
- Build Your Own sets for the sections you just read
- Read every explanation, even on questions you got right
Week 3
Close the gaps
- Weakest Subject sets until your lowest score climbs
- Clear your Missed Questions list
- Timed Quizzes to build pace
Week 4
Rehearse test day
- Take the full 120-question Mock Exam in one sitting
- Review every miss against the protocol page it cites
- Light review and Question of the Day before the exam

Short on time? Do the Mock Exam first, then spend your remaining days on Weakest Subject and Missed Questions.

Study modes

All eight study modes

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

Free daily
Quick 10
Ten random questions from the practice bank with an explanation after every answer. Free accounts get one Quick 10 each day; premium removes the daily limit.
- 10 questions
- Free daily
Premium
Question of the Day
A single question each day, the same one for every RemacReady user. A small daily habit that keeps the protocols fresh, tracked on your study calendar.
- 1 question
- Daily
Premium
Timed Quiz
Practice answering under time pressure. The clock pauses while you're away from the quiz and picks up where you left off when you resume.
- 20 questions
- 20 minutes
Premium
Level Up
Pick a subject and work through 12 questions ordered from easiest to hardest. A good way to start a topic you haven't touched in a while.
- 12 questions
- One subject
Premium
Weakest Subject
RemacReady looks at your graded answers, finds the subject where you score lowest, and builds a 12-question set from it.
- 12 questions
- Picked for you
Premium
Missed Questions
Up to 25 questions you answered incorrectly, so you can read the explanation again and get them right this time.
- Up to 25 questions
- Your misses
Premium
Build Your Own
Pick one or more subjects and a length (10, 20, 30, 50 questions) for a quiz that fits the time you have.
- Your subjects
- 10, 20, 30, 50 questions
Premium
Mock Exam
A full 120-question exam drawn from a separate mock bank, so it never repeats your practice questions. A hard 3-hour clock like the real thing, no feedback until you finish, then your score against the 80% mark and every explanation.
- 120 questions
- 3 hours
- 80% mark

Mock exam

A full-length rehearsal

120 questions from a separate mock bank, so it never repeats your practice questions. A hard 3-hour clock that keeps running if you step away, no feedback until you finish, then your score against 80% and every explanation.

Flag questions to come back to
Resume any unfinished quiz from the last 7 days
Timed Quiz clock pauses while you're away; the Mock Exam doesn't
Stats and Review keep every finished attempt

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
Start free Quick 10
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

Exam and pricing questions

See all questions

What is the NYC REMAC Basic exam?

It is the protocol exam paramedics take to credential with NYC REMAC and work in New York City. It tests the NYC REMAC Prehospital Treatment Protocols specifically, not general paramedic knowledge.

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 does the exam cover?

The NYC REMAC protocols: the General Operating Procedures, the Treatment Protocols and the Appendices, plus scenario-based questions that ask you to apply them to a patient.

Which protocol version is RemacReady based on?

The 2026 NYC REMAC Prehospital Treatment Protocols. Every explanation cites the protocol section and page number. Protocols change, so always follow the current official version and your medical control.

What is free?

One Quick 10 each day: ten random practice questions with full explanations and protocol references. You only need a free account.

How much is premium?

Monthly is $9.99, the 90-Day Pass is $24.99 and Annual is $44.99. Premium removes the daily limit and opens every study mode, including the 120-question mock exam.

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.

Start free Quick 10

Everything you need for the NYC REMAC Basic exam

Format and passing score

The NYC REMAC protocols, not general paramedic knowledge

General Operating Procedures

Treatment Protocols

Appendices

Scenario-based questions

RemacReady practice subjects

Practice the way the exam asks, learn from the source

1,000 practice questions

Cited to the page

Report a problem

A 30-day plan

Map the protocols

Cover every subject

Close the gaps

Rehearse test day

All eight study modes

Quick 10

Question of the Day

Timed Quiz

Level Up

Weakest Subject

Missed Questions

Build Your Own

Mock Exam

A full-length rehearsal

Simple pricing

Free

Monthly

90-Day Pass

Annual

Exam and pricing questions

Try today's free Quick 10