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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Safety, Infection Control, and Patient Care | - Emergency procedures and patient safety monitoring - Infection prevention in pulmonary testing environments |
| Topic 2: Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
| Topic 3: Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Topic 4: Cardiopulmonary Physiology and Interpretation | - Gas exchange and acid-base fundamentals - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) |
| Topic 5: Pulmonary Function Equipment and Quality Control | - Calibration and maintenance of spirometry systems - Quality assurance and infection control procedures |
| Topic 6: Patient Assessment and Testing Principles | - Patient preparation and coaching techniques - Pulmonary function test indications and contraindications |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
1. While performing a plethysmographic lung volume test, a technologist observes that the patient's breathing efforts do not produce consistent pressure fluctuations in the box. Which of the following is the most likely reason for this issue?
A) Incorrect gas mixture in the box
B) Hyperventilation during the test
C) Leaks in the mouthpiece or tubing
D) Airway obstruction preventing pressure transmission
2. 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) Stop the test immediately; there is evidence of heart block.
D) Continue the test and obtain an arterial blood sample.
3. A polarographic oxygen analyzer used to measure expired gas in a metabolic system should always be calibrated with
A) Gas concentrations higher and lower than the expected measurement
B) 100% oxygen and 100% nitrogen, fully saturated
C) Air and fully saturated 100% oxygen.
D) Oxygen mixtures containing 4% and 8% carbon dioxide
4. Treadmill speed can be verified by
A) Dividing the cycles/min by the belt length.
B) Dividing the height by the horizontal distance.
C) Multiplying the belt length by the cycles/min.
D) Multiplying the cycles/min by the height.
5. A patient's vital capacity is slightly reduced, the FEWFVC is normal, and the uncorrected DLco is increased.
Which of the following is the most likely diagnosis?
A) kyphoscoliosis
B) polycythemia vera
C) diffuse pulmonary fibrosis
D) diaphragmatic hemiparesis
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: B |




