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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Patient Assessment and Testing Principles | - Pulmonary function test indications and contraindications - Patient preparation and coaching techniques |
| Topic 2: Safety, Infection Control, and Patient Care | - Emergency procedures and patient safety monitoring - Infection prevention in pulmonary testing environments |
| Topic 3: Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Topic 4: Pulmonary Function Equipment and Quality Control | - Quality assurance and infection control procedures - Calibration and maintenance of spirometry systems |
| Topic 5: Cardiopulmonary Physiology and Interpretation | - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) - Gas exchange and acid-base fundamentals |
| Topic 6: Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
Question #1
While performing a quality control test on an open circuit nitrogen system, the volume of a 3-liter syringe is measured as 3.9 L. Which of the following is the most probable explanation?
A. The volume was not corrected from ATPS to BTPS.
B. The initial O2concentration in the syringe was greater than 0.21.
C. The nitrogen analyzer gain was set too low.
D. There was an air leak in the system.
Question #2
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. Pant at 90 to 100 Hz
B. Inhale to TLC
C. Inhale to TV
D. Pant at 40 to 50 Hz
Question #3
A patient who is about to begin pulmonary function testing is visibly upset and complains to a pulmonary function technologist that she felt a receptionist was rude to her. Which of the following should the technologist do?
A. Give the patient time to calm down and ask the laboratory manager to become involved.
B. Try to get the patient to calm down by telling her that the receptionist is probably just having a bad day.
C. Accompany the patient back to the reception area and try to determine who was at fault.
D. Ignore the complaint because it is not going to affect the testing about to begin.
Question #4
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. The patient has developed mild obstructive airway disease.
B. The patient has a normal rate of loss for FEV1.
C. The patient's restrictive component has worsened.
D. Incorrect predicted values have been used.
Question #5
A patient has just finished a 6-minute walk test during which she stopped and rested by leaning against a wall several times, while catching her breath. Which of the following should a pulmonary function technologist do?
A. Repeat the test with supplemental oxygen after the patient is fully rested.
B. Report that the patient was unable to complete a standard 6-minute walk test.
C. Subtract the time spent at rest and report the distance walked during the time spent walking.
D. Document the total distance the patient covered in 6 minutes.
Solutions:
| Question #1 Correct Answer: D | Question #2 Correct Answer: B | Question #3 Correct Answer: A | Question #4 Correct Answer: D | Question #5 Correct Answer: C |


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