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Last Updated: Aug 13, 2026

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NBRC RPFT Exam Syllabus Topics:

SectionObjectives
Topic 1: Diffusion and Gas Exchange Testing- DLCO testing principles and interpretation
Topic 2: Cardiopulmonary Physiology and Interpretation- Gas exchange and acid-base fundamentals
- Interpretation of pulmonary function patterns (obstructive, restrictive, mixed)
Topic 3: Safety, Infection Control, and Patient Care- Infection prevention in pulmonary testing environments
- Emergency procedures and patient safety monitoring
Topic 4: Spirometry and Lung Volume Testing- Lung volume measurement techniques
- Forced vital capacity (FVC) and flow-volume loops
Topic 5: Pulmonary Function Equipment and Quality Control- Calibration and maintenance of spirometry systems
- Quality assurance and infection control procedures
Topic 6: Patient Assessment and Testing Principles- Patient preparation and coaching techniques
- Pulmonary function test indications and contraindications

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. The following values are obtained using a 3-liter calibration syringe during volume calibration of a dry-rolling spirometer:
2.80 L
2.79 L
2.82 L
The performance of this spirometer is best described as

A) Both accurate and precise.
B) Precise, but not accurate. .
C) Neither accurate nor precise.
D) Accurate, but not precise.


2. The following data are observed during an exercise test:

Which of the following should a pulmonary function technologist do?

A) Discontinue the test and ensure patient safety.
B) Continue the test until the patient reaches maximal tolerance.
C) Discontinue the test after the next stage.
D) Continue the test until the patient is symptomatic.


3. Prior to an exercise study, a pulmonary function technologist finds that the patient's RER is 1.13. Which of the following best explains this finding?

A) Protein metabolism
B) Hyperventilation
C) Carbohydrate metabolism
D) Hypoventilation


4. Biological control data are obtained for lung volumes by plethysmography. The following results are obtained:

A pulmonary function technologist should repeat the test instructing the individual to

A) Inhale to TV
B) Pant at 90 to 100 Hz
C) Pant at 40 to 50 Hz
D) Inhale to TLC


5. 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


Solutions:

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

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