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NBRC RPFT Exam Syllabus Topics:

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. A patient has normal pulmonary and cardiac function. Which of the following is most likely when the patient reaches the anaerobic threshold during incremental stress testing?

A) Decreased CO2production
B) Increased VDA/VTratio
C) Decreased VE
D) Increased RER


2. A 45-year-old female with sarcoidosis has pulmonary function tests annually. The following data have been recorded:

A pulmonary function technologist should conclude that

A) Incorrect predicted values have been used.
B) The patient has developed mild obstructive airway disease.
C) The patient's restrictive component has worsened.
D) The patient has a normal rate of loss for FEV1.


3.
Which of the above patterns illustrates the effect of increasing temperature in the plethysmograph during airways resistance measurement?

A) 4
B) 1
C) 2
D) 3


4. 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) Tighten the belt.
C) Instruct the patient to use the hand rails.
D) Increase the speed of the belt.


5. Which of the following is an appropriate reason to perform a multiple-breath nitrogen washout test?

A) Measure oxygen consumption.
B) Measure anatomical dead space.
C) Detect early small airway disease.
D) Differentiate obstruction from restriction.


Solutions:

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

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