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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
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
Body Plethysmography10%- Lung Volume Measurement
  • 1. Residual volume (RV) and total lung capacity (TLC)
  • 2. Thoracic gas volume (TGV)
Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors
Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Patient Preparation and Assessment25%- Physical Assessment
  • 1. Anthropometric measurements
  • 2. Patient positioning and comfort
- 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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

Which of the following may cause a reduction in end-tidal CO2?

  • A. Exercise below the anaerobic threshold
  • B. Anxiety-induced hyperventilation
  • C. Eating a high-protein diet
  • D. Increased VD/VTratio
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Results of two blood gas samples drawn from the same patient, 30 minutes apart, are shown below:
Which of the following is the most likely explanation for these differences?

  • A. The 10:30 blood sample has been contaminated with air.
  • B. The patient's minute ventilation has increased.
  • C. The patient has developed a pneumothorax.
  • D. The 10:30 blood sample contains an excess of heparin solution.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Which of the following is a suitable policy for following Standard Precautions in a pulmonary function laboratory?

  • A. Gloves are optional when obtaining arterial blood samples using a kit
  • B. Reusable mouthpieces should be disposed when a patient has a history of tuberculosis.
  • C. Eye protection is required when obtaining ABGs from patients with hepatitis.
  • D. Reusable mouthpieces should be disinfected between each patient.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️


Which of the above patterns illustrates the effect of increasing temperature in the plethysmograph during airways resistance measurement?

  • A. 3
  • B. 2
  • C. 4
  • D. 1
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

During an exercise study, a pulmonary function technologist notices the systolic blood pressure increased to
270 mm Hg using an automated cuff. Which of the following should the technologist do?

  • A. Terminate the test at this time and recheck blood pressure.
  • B. Continue the test and recheck blood pressure using manual cuff method.
  • C. Continue the test if within 5 minutes of completion.
  • D. Terminate the test and administer oxygen by nasal cannula.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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