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NBRC RPFT Exam Syllabus Topics:

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. A polarographic oxygen analyzer used to measure expired gas in a metabolic system should always be calibrated with

A) Oxygen mixtures containing 4% and 8% carbon dioxide
B) Air and fully saturated 100% oxygen.
C) Gas concentrations higher and lower than the expected measurement
D) 100% oxygen and 100% nitrogen, fully saturated


2. To check the reliability of a pulse oximeter reading, a pulmonary function technologist should

A) Measure the hematocrit
B) Have the patient hyperventilate
C) Perform hemoximetry
D) Calculate the SaO2from pH and PaO2


3. After finishing the exercise portion of a test for exercise-induced bronchospasm, a patient complains of difficulty "catching her breath." A pulmonary function technologist should

A) Give the patient a bronchodilator.
B) Instruct the patient to breathe normally.
C) Administer oxygen at 2 L/min.
D) Have the patient perform an FVC maneuver.


4. A 54-year-old male who smokes presents to the pulmonary laboratory for chronic cough and dyspnea on exertion. PFT and blood gas results show the following:

Which of the following should the pulmonary function technologist recommend?

A) DLcomeasurement
B) Trial of varenicline (Chantix)
C) Lung volume measurement
D) Oxygen therapy with exercise


5. Which of the following sets of FIF data is most consistent with an extrathoracic airway obstruction?

A) Option A
B) Option D
C) Option C
D) Option B


Solutions:

Question # 1
Answer: C
Question # 2
Answer: C
Question # 3
Answer: A
Question # 4
Answer: A
Question # 5
Answer: B

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