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NBRC RPFT Exam Syllabus Topics:

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. A 9-year-old girl had an FVC of 2.35 L1 year ago. She was 122 cm (4 ft) tall and weighed 29.5 kg (65 lb).
Her current height is 127 cm (4 ft 2 in), and her weight is 34 kg (75 lb). The current FVC measurement is 2.20
L. The quality of both tests met ATS/ERS goals. A pulmonary function technologist should conclude the change is

A) Significant since her weight has changed.
B) Significant since a decline is not expected.
C) Not significant since it is within normal test variability.
D) Not significant since it is less than a 15% decrease.


2. During calibration of a spirometer, injection of air with a 3-liter syringe results in the following:
Using another 3-liter syringe, air is again injected with the following results:
A pulmonary function technologist should conclude that the

A) Spirometer has intermittent failure
B) Calibration should be repeated
C) Spirometer is alinear
D) First syringe is not set properly


3. While reviewing exercise data, a pulmonary function technologist notes that the patient's anaerobic threshold occurred at 35% of the patient's VO2MAX. This indicates the patient has

A) ventilatory limitation
B) cardiac limitation
C) a normal response to exercise
D) given a submaximal effort


4. A body plethysmograph box pressure transducer fails the electronic calibration check after multiple attempts.
Which of the following should a pulmonary function technologist do?
1. Perform a biologic control test
2. Inspect the door seal.
3. Re-zero the box pressure transducer.
4. Perform a physical pressure calibration.

A) 1, 3, and 4 only
B) 2, 3, and 4 only
C) 1, 2, and 4 only
D) 1, 2, and 3 only


5. Which of the following is a common reason for an unstable zero reading from an infrared analyzer?

A) Inaccurate calibration gases
B) Exhausted DRIERITE
C) Debris in the sampling system
D) Excess room humidity


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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