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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
| Topic 2: Pulmonary Function Equipment and Quality Control | - Calibration and maintenance of spirometry systems - Quality assurance and infection control procedures |
| Topic 3: Safety, Infection Control, and Patient Care | - Emergency procedures and patient safety monitoring - Infection prevention in pulmonary testing environments |
| Topic 4: Spirometry and Lung Volume Testing | - Forced vital capacity (FVC) and flow-volume loops - Lung volume measurement techniques |
| Topic 5: Cardiopulmonary Physiology and Interpretation | - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) - Gas exchange and acid-base fundamentals |
| Topic 6: Patient Assessment and Testing Principles | - Pulmonary function test indications and contraindications - Patient preparation and coaching techniques |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
Question 1
When performing quality control in a body plethysmograph using a 5-L isothermal bottle, the VTGat shutter closure are as follows:
A pulmonary function technologist should
A. Proceed with patient testing.
B. Recalibrate the box pressure transducer.
C. Service the mouth pressure transducer.
D. Check biological control before beginning testing.
Question 2
A pulmonary function technologist is performing an exercise (stress) test on a patient with severe COPD. As the test progresses, the patient shows signs of increasing dyspnea. Measurements of inspiratory capacity decreased from 2.0 L to 1.5 L. Which of the following most likely occurred?
A. acute decrease in FRC
B. drift in the flow transducer
C. dynamic hyperinflation
D. disconnected gas sampling line
Question 3
Which of the following spirometry results is most characteristic of a restrictive lung disease?
A. Increased residual volume and increased FEV1/FVC ratio
B. Decreased FEV1/FVC ratio and normal FVC
C. Increased FEV1 with normal total lung capacity
D. Normal FEV1/FVC ratio and decreased FVC
Question 4
After finishing the exercise portion of a test for exercise-induced bronchospasm, a patient complains of difficulty "catching her breath." A pulmonary function technologist should
A. Have the patient perform an FVC maneuver.
B. Administer oxygen at 2 L/min.
C. Give the patient a bronchodilator.
D. Instruct the patient to breathe normally.
Question 5
An arterial blood gas performed prior to exercise on a 45-year-old patient shows the following results:
A pulmonary function technologist should conclude that the patient's
A. Dead space ventilation is above normal.
B. Values are within normal limits.
C. Hemoglobin level is below normal.
D. Alveolar ventilation is above normal.
Solutions:
| Question 1 Answer: C | Question 2 Answer: A | Question 3 Answer: D | Question 4 Answer: C | Question 5 Answer: C |



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