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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Spirometry15%- Measurement and Calculation
  • 1. Comparison with predicted values
  • 2. FVC, FEV1, and derived indices
- Pre-test Procedures
  • 1. Patient coaching techniques
  • 2. Acceptability and repeatability criteria
Topic 2: Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Breath-hold technique
  • 2. Gas sample analysis
Topic 3: Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Topic 4: Equipment Operation and Calibration30%- Calibration Procedures
  • 1. Volume and flow calibration
  • 2. Gas analyzer calibration
- Infection Control
  • 1. Filter usage and replacement
  • 2. Cleaning and disinfection
Topic 5: 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
Topic 6: Data Quality, Analysis, and Reporting5%- Quality Control
  • 1. Identify technical errors
- Reporting
  • 1. Interpretation and documentation
Topic 7: Body Plethysmography10%- Lung Volume Measurement
  • 1. Residual volume (RV) and total lung capacity (TLC)
  • 2. Thoracic gas volume (TGV)

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. During a linearity check of a flow sensor in a plethysmograph with a 3-liter calibration syringe, a pulmonary function technologist observes the following:

Which of the following should the technologist do?

A) Record these results and begin testing.
B) Look for an obstruction in the flow sensor.
C) Recalibrate and repeat the linearity check.
D) Perform an additional flow check at 10 L/sec.


2. A treadmill belt stops for a fraction of a second each time the patient takes a step. A pulmonary function technologist should

A) Decrease the treadmill grade.
B) Increase the speed of the belt.
C) Instruct the patient to use the hand rails.
D) Tighten the belt.


3. The following data are obtained after an exercise (stress) test for exercise-induced asthma:

Based on these data, the post-exercise FEVi represents a decrease of approximately

A) 17%
B) 13%
C) 20%
D) 67%


4. At the end of a progressive exercise study of a healthy adult male, RER would be approximately what value?

A) 1.25
B) 0.83
C) 1.65
D) 1.00


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

A) Increased VD/VTratio
B) Exercise below the anaerobic threshold
C) Anxiety-induced hyperventilation
D) Eating a high-protein diet


Solutions:

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

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