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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Body Plethysmography10%- Lung Volume Measurement
  • 1. Thoracic gas volume (TGV)
  • 2. Residual volume (RV) and total lung capacity (TLC)
Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors
Patient Preparation and Assessment25%- Physical Assessment
  • 1. Patient positioning and comfort
  • 2. Anthropometric measurements
- Patient Interview and History
  • 1. Identify contraindications
  • 2. Assess patient ability to perform tests
Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Gas sample analysis
  • 2. Breath-hold technique
Spirometry15%- Measurement and Calculation
  • 1. Comparison with predicted values
  • 2. FVC, FEV1, and derived indices
- Pre-test Procedures
  • 1. Acceptability and repeatability criteria
  • 2. Patient coaching techniques
Equipment Operation and Calibration30%- Infection Control
  • 1. Filter usage and replacement
  • 2. Cleaning and disinfection
- Calibration Procedures
  • 1. Volume and flow calibration
  • 2. Gas analyzer calibration

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

A 9-year-old girl had an FVC of 2.35 L1 year ago. She was 122 cm (4 ft) tall and weighed 29.5 kg (65 lb).
Her current height is 127 cm (4 ft 2 in), and her weight is 34 kg (75 lb). The current FVC measurement is 2.20
L. The quality of both tests met ATS/ERS goals. A pulmonary function technologist should conclude the change is

  • A. Significant since a decline is not expected.
  • B. Significant since her weight has changed.
  • C. Not significant since it is less than a 15% decrease.
  • D. Not significant since it is within normal test variability.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

The following data are observed during an exercise test:

Which of the following should a pulmonary function technologist do?

  • A. Continue the test until the patient is symptomatic.
  • B. Discontinue the test and ensure patient safety.
  • C. Continue the test until the patient reaches maximal tolerance.
  • D. Discontinue the test after the next stage.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

A 12-year-old patient completed an evaluation for exercise-induced asthma in the pulmonary function laboratory. The patient completed six minutes of exercise on a treadmill with a heart rate of 145 to 150/min.
The following spirometry data were collected:

A pulmonary function technologist should conclude that the exercise test is

  • A. Adequate workload with a positive response
  • B. Inadequate workload with a positive response
  • C. Inadequate workload with a negative response
  • D. Adequate workload with a negative response
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

In which of the following patients would an end-tidal CO2most likely produce values that are inconsistent with PaCO2?

  • A. 50 year old with mild scleroderma
  • B. 20 year old who smokes cigarettes
  • C. 12 year old with kyphoscoliosis
  • D. 42 year old with moderate COPD
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

When using a variable pressure plethysmograph, a leak in the door seal that develops subsequent to calibration will cause underestimation of

  • A. VTG
  • B. Alveolar pressure
  • C. vital capacity
  • D. Raw
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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