Well I gotta tell ya...I got "The Complete Preparation Guide Paramedic Exam" by Learning Express.....I'm going to burn my copy....I never felt so under prepared for a test in my life. There were 4 exams in the book and I took test 3 the day before the test. I got so many wrong I was ready to reschedule my exam. The problem with the study guides that I have seen is no matter how new they are they still have outdated info and it throws your mind for a loop when you get to a question when something is written wrong. Then the next few questions your still p*ssed about it. I did get a Paramedic Review CD for International Flight Nurses that was helpful. It felt the most like the real test without rhythm strips. It had a lot of software errors on it though. I really felt that just re-reading the textbooks and fast skimming all the charts in the book would have been enough. As far as the test itself without giving out any questions. I saw 2 rhythm strips, 1 OB question, about 10 peds, lots and lots of trauma, MCI, and then just a lot of random questions. The first question I felt I got wrong so I was a little concerned but the questions other then a few were nothing that I didn't feel as though I really didn't know or I SHOULD have known if I would have studied a little more. I still don't have results yet but I feel pretty good about the test and what I learned in school. Just wish I had results though.