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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Topic 2: Spirometry15%- Pre-test Procedures
  • 1. Acceptability and repeatability criteria
  • 2. Patient coaching techniques
- Measurement and Calculation
  • 1. FVC, FEV1, and derived indices
  • 2. Comparison with predicted values
Topic 3: Equipment Operation and Calibration30%- Infection Control
  • 1. Cleaning and disinfection
  • 2. Filter usage and replacement
- Calibration Procedures
  • 1. Gas analyzer calibration
  • 2. Volume and flow calibration
Topic 4: Body Plethysmography10%- Lung Volume Measurement
  • 1. Thoracic gas volume (TGV)
  • 2. Residual volume (RV) and total lung capacity (TLC)
Topic 5: Data Quality, Analysis, and Reporting5%- Quality Control
  • 1. Identify technical errors
- Reporting
  • 1. Interpretation and documentation
Topic 6: Patient Preparation and Assessment25%- Patient Interview and History
  • 1. Identify contraindications
  • 2. Assess patient ability to perform tests
- Physical Assessment
  • 1. Anthropometric measurements
  • 2. Patient positioning and comfort
Topic 7: Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Gas sample analysis
  • 2. Breath-hold technique

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

During the calibration and set-up of the metabolic stress testing system for a patient breathing supplemental oxygen, which of the following gas concentrations will ensure accurate calibration of the system?

  • A. Option D
  • B. Option C
  • C. Option A
  • D. Option B
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

A 54-year-old male with a normal ECG at rest develops dyspnea during an exercise (stress) test, and the following ECG pattern is noted at 25 watts:

25 mm/sec A pulmonary function technologist should

  • A. Stop the test immediately; there is evidence of ischemia.
  • B. Continue the test until the subject reaches target heart rate.
  • C. Continue the test and obtain an arterial blood sample.
  • D. Stop the test immediately; there is evidence of heart block.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

At maximum exercise, a 24-year-old patient's heart rate is 150/min with a VO2of 750 mUmin. The calculated
02 pulse is most consistent with which of the following?

  • A. cardiomyopathy
  • B. cystic fibrosis
  • C. deconditioning
  • D. achievement of anaerobic threshold
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

A pulmonary function technologist is asked to select gas concentrations to simulate pediatric patients' exhaled concentrations during a DLcosimu-lation. Which of the following FECO concentrations should the technologist select?

  • A. 0.100
  • B. 0.400
  • C. 0.300
  • D. 0.200
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

In setting up a CO analyzer, a pulmonary function technologist notices that the analyzer reads -0.03 while sampling air. The technologist should

  • A. Reverse the sample flow.
  • B. Adjust the reading to 0.00.
  • C. Accept the reading because it is within ± 3%.
  • D. Adjust the reading to +0.03.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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