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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Topic 2: Pulmonary Function Equipment and Quality Control | - Calibration and maintenance of spirometry systems - Quality assurance and infection control procedures |
| Topic 3: Patient Assessment and Testing Principles | - Patient preparation and coaching techniques - Pulmonary function test indications and contraindications |
| Topic 4: Cardiopulmonary Physiology and Interpretation | - Gas exchange and acid-base fundamentals - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) |
| Topic 5: Safety, Infection Control, and Patient Care | - Emergency procedures and patient safety monitoring - Infection prevention in pulmonary testing environments |
| Topic 6: Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
1. The following values are reported at maximum effort for a 50-year-old, 70-kg (154-lb) male with significant coronary artery disease during ergometer stress testing. Which of the following is most likely an error?
A) workload 200 watts
B) HR145/min
C) VE65L/min
D) RER1.2
2. A pulmonary function technologist is performing quality control on a nebulizer used in the 5-breath dosimeter bronchial challenge. The target output of the device is 0.09 mL, plus or minus 10%. After 10 actuations, the nebulizer output was 75 µL with a 2.0 mL initial saline dose in the nebulizer. The technologist should
A) Accept the results and begin using the device.
B) Clean and reevaluate this nebulizer.
C) Add an exhalation filter and proceed with testing patients.
D) Open the vent before starting the bronchial challenge.
3. During an exercise study, a pulmonary function technologist notices the systolic blood pressure increased to
270 mm Hg using an automated cuff. Which of the following should the technologist do?
A) Terminate the test at this time and recheck blood pressure.
B) Continue the test and recheck blood pressure using manual cuff method.
C) Continue the test if within 5 minutes of completion.
D) Terminate the test and administer oxygen by nasal cannula.
4. Which of the following sets of FIF data is most consistent with an extrathoracic airway obstruction?
A) Option D
B) Option B
C) Option C
D) Option A
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) Document the total distance the patient covered in 6 minutes.
B) Report that the patient was unable to complete a standard 6-minute walk test.
C) Repeat the test with supplemental oxygen after the patient is fully rested.
D) Subtract the time spent at rest and report the distance walked during the time spent walking.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |

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