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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Cardiopulmonary Physiology and Interpretation | - Gas exchange and acid-base fundamentals - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) |
| Pulmonary Function Equipment and Quality Control | - Calibration and maintenance of spirometry systems - Quality assurance and infection control procedures |
| Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
| Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Patient Assessment and Testing Principles | - Patient preparation and coaching techniques - Pulmonary function test indications and contraindications |
| Safety, Infection Control, and Patient Care | - Infection prevention in pulmonary testing environments - Emergency procedures and patient safety monitoring |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
Question 1
A physician orders smoking cessation counseling for a 60-year-old male with a new diagnosis of CHF and COPD. The patient has failed several attempts to quit smoking using nicotine gum. Which of the following should a pulmonary function technologist recommend?
A. Use alternative medicine such as acupuncture.
B. Increase the dosage of the nicotine replacement.
C. Add a trial of bupropion (Zyban).
D. Switch to a nicotine patch.
Question 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. Spirometer is alinear
C. First syringe is not set properly
D. Calibration should be repeated
Question 3
A comparison of two techniques for measuring Rawis shown below:
Which of the following should a pulmonary function technologist conclude?
A. The system was calibrated for quiet breathing.
B. Subject 1 panted too forcefully.
C. Subjects 1 and 2 both have reactive airways.
D. Results are consistent with the two methodologies.
Question 4
While performing duplicate blood gas analyses, a pulmonary function technologist notes that the second instrument gives consistently higher values forPaCO2and PaO2. Which of the following is the most probable cause of higher readings from the second instrument?
A. The sample chamber has a bacterial contaminate
B. An excessive delay occurred between running the two samples
C. The sample chamber temperature is greater than 37° C
D. The PO2and PCO2electrode membranes have protein build-up
Question 5
A pulmonary function technologist is reviewing results of a recent mechanical diffusion simul-ation using a 3- liter syringe. The test was conducted at a room temperature of 22° C. The following BTPS results were reported:
Which of the following should the technologist do?
A. Recalibrate the gas analyzer.
B. Change the calibration gases.
C. Recalibrate the pneumotachometer.
D. Proceed with testing.
Solutions:
| Question 1 Answer: B | Question 2 Answer: C | Question 3 Answer: D | Question 4 Answer: C | Question 5 Answer: D |


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