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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Equipment Operation and Calibration30%- Infection Control
  • 1. Filter usage and replacement
  • 2. Cleaning and disinfection
- 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
Body Plethysmography10%- Lung Volume Measurement
  • 1. Thoracic gas volume (TGV)
  • 2. Residual volume (RV) and total lung capacity (TLC)
Spirometry15%- Pre-test Procedures
  • 1. Patient coaching techniques
  • 2. Acceptability and repeatability criteria
- Measurement and Calculation
  • 1. FVC, FEV1, and derived indices
  • 2. Comparison with predicted values
Patient Preparation and Assessment25%- Patient Interview and History
  • 1. Assess patient ability to perform tests
  • 2. Identify contraindications
- Physical Assessment
  • 1. Patient positioning and comfort
  • 2. Anthropometric measurements
Data Quality, Analysis, and Reporting5%- Quality Control
  • 1. Identify technical errors
- Reporting
  • 1. Interpretation and documentation

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

An isothermal lung analog has the following specifications:
5-L glass bottle
2000 g of steel wool
Density of steel wool 5 g/cm3
Volume of connectors and bulb 100 mi-Repeated FRC measurements in the plethysmograph result in a volume of 5.5 L.
Which of the following should a pulmonary function technologist do?

  • A. Remove 500 g of steel wool from the lung analog
  • B. Take the plethysmograph out of service
  • C. Begin a biologic control program
  • D. Recalculate the BTPS correction
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

The following data are obtained for a 60-year-old male undergoing an exercise (stress) test on an ergometer:

A pulmonary function technologist should

  • A. Stop the test because the blood pressure response is abnormal.
  • B. Continue the test since this is a normal cardiopulmonary response.
  • C. Stop the test because this is an abnormal VD/VT response.
  • D. Stop the test because the heart rate is too high after 10 minutes.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

A pulmonary function technologist reviews the following home monitoring spirometry results:
According to National Asthma Education and Prevention Program (NAEPP) guidelines, what feedback should the technologist give to the patient regarding test performance?

  • A. Come into the office for further instructions on proper testing technique.
  • B. Encourage the patient to continue testing and monitoring the FEW
  • C. Ask the patient to blow out longer.
  • D. Ask the patient to recalibrate the spirometer.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

A 6-year-old child has a history of repeated episodes of wheezing and shortness of breath. A pulmonary function technologist has difficulty obtaining repeatable spirometry results. Which of the following tests should be performed next?

  • A. SpO2
  • B. DLco
  • C. MVV
  • D. SGaw
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. Terminate the test and administer oxygen by nasal cannula.
  • C. Continue the test and recheck blood pressure using manual cuff method.
  • D. Continue the test if within 5 minutes of completion.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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