ACP exam prep for Canadian paramedic students

This page is for students preparing for Advanced Care Paramedic entry-to-practice exams in Canada. In many provinces that exam is the COPR ACP exam. Confirm the exam your province uses with your regulator. COPR sets the rules, the dates and the exam itself.

Check which framework your sitting uses. On 13 November 2026, COPR's preparing page for ACP candidates stated: "The COPR Advanced Care Paramedic (ACP) Examination is currently based on the 2011 National Occupational Competency Profile (NOCP). Beginning with the June 2027 administration, the ACP Examination will be based on the Canadian Paramedic Competence Framework (CPCF)." COPR's entry-to-practice examinations page also stated: "The ACP CPCF Examination is not yet available." Read those official pages before you plan around a date or a framework, in case COPR updates them.

Third on Car is exam prep you can use alongside your ACP program: lectures, a question bank with explanations, cards and custom timed practice exams. It is a study aid. It is not the COPR exam, and it is not a substitute for your classes, your lab time or your preceptorship.

What Third on Car includes

You get lectures and summaries, a question bank with explanations, flashcards, ECG strips and drug cards, custom timed practice exams, a notebook, and streaks and accuracy by course and topic. Spaced repetition is built in, so material you miss comes back. Pages you have already visited also work offline.

If you are on Pro, you can record a lecture for up to six hours a month and get audio reviews and podcasts made from those recordings. Pulse is an AI tutor that can help you work through a question you got wrong. Pulse is an AI-generated mascot, not a real paramedic.

A custom timed practice exam is a practice exam you set a time for. It is not a COPR exam, and it is not a substitute for the official preparatory tests on the COPR site.

How to use it

Work from your program and from the official COPR study guide and blueprint for the exam you are actually writing. Use Third on Car to go back over a topic: lectures and summaries, then questions with explanations, then flashcards, ECG strips and drug cards. When you want a clock on the work, run a custom timed practice exam and review the topics where your accuracy is weak. If a question still does not make sense, ask Pulse. Pulse is an AI-generated mascot, not a real paramedic. Keep a notebook of points to return to. If you are on Pro, you can record a class lecture and review it later as notes or audio.

Official sources

Use COPR's own pages for anything about the exam itself: eligibility, format, study guides, blueprints, proctoring and official preparatory tests. Those pages are the authority, and they are updated by COPR. As of 13 November 2026, COPR's preparing and application pages for ACP candidates were still labelled for the NOCP exam.

• Preparing for the Examination: ACP NOCP Candidates https://copr.ca/information-and-application-process-pcp-and-acp-candidates-applying-for-the-examination/preparing-for-the-examination-pcps-and-acps/
• Information and Application Process: ACP NOCP Candidates https://copr.ca/information-and-application-process-pcp-and-acp-candidates-applying-for-the-examination/
• Entry to Practice Examinations https://copr.ca/information-and-application-process/
• CPCF for the ACP https://copr.ca/regulation-of-paramedics-canada/cpcf-for-the-acp/
• Examination blueprints https://copr.ca/examinations-emr-pcp-acp/blueprints/

Disclaimer

Third on Car is an independent study tool. It is not a substitute for your program's instruction, your medical director's protocols or clinical judgement. It is not affiliated with or endorsed by any school, health authority, COPR, NREMT, the American Heart Association, Heart and Stroke, or Alberta Health Services. Read the full medical disclaimer at /disclaimer.

Create an account

Create an account at /signup. See prices at /pricing: Core is C$10.99 a month or C$105.99 a year, and Pro is C$21.99 a month or C$214.99 a year. Get the Android app on Google Play: https://play.google.com/store/apps/details?id=ca.thirdoncar.app

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