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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Body Plethysmography10%- Lung Volume Measurement
  • 1. Thoracic gas volume (TGV)
  • 2. Residual volume (RV) and total lung capacity (TLC)
Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors
Spirometry15%- Measurement and Calculation
  • 1. FVC, FEV1, and derived indices
  • 2. Comparison with predicted values
- Pre-test Procedures
  • 1. Patient coaching techniques
  • 2. Acceptability and repeatability criteria
Patient Preparation and Assessment25%- Patient Interview and History
  • 1. Assess patient ability to perform tests
  • 2. Identify contraindications
- Physical Assessment
  • 1. Patient positioning and comfort
  • 2. Anthropometric measurements
Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Breath-hold technique
  • 2. Gas sample analysis
Equipment Operation and Calibration30%- Calibration Procedures
  • 1. Gas analyzer calibration
  • 2. Volume and flow calibration
- Infection Control
  • 1. Filter usage and replacement
  • 2. Cleaning and disinfection

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. Which of the following thresholds for a clinically significant change in lung function from the beginning to the end of a methacholine challenge test is significant?

A) A decline of more than 30% in FEF25-75%
B) A decline of more than 20% in FEV1
C) An increase of more than 20% in airway resistance
D) A decline of more than 20% in inspiratory capacity


2. Using a peak flowmeter, a pulmonary function technologist obtains the following:
The technologist should

A) Conclude that bronchodilatation has occurred.
B) Report the patient's peak flow as 750 L/min.
C) Report the average of the two best efforts.
D) Perform at least one more peak flow trial.


3. A biologic control subject has a FRCplethof 4.0 ±0.3 L at panting frequencies between 60 and 70/min. During a QC run, the subject pants at55/min and a FRCplethof 3.90 L is recorded.
Which of the following is the most appropriate action to take?

A) Repeat the test, coaching the subject to pant more slowly.
B) Continue using the system because it is within control limits.
C) Take the plethysmograph out of service pending corrective maintenance.
D) Recalibrate the mouth pressure transducer and repeat the test.


4. The following results are obtained from an adult male:
The corrected DLcovalue

A) is unchanged.
B) is lower.
C) cannot be calculated.
D) is higher.


5. Which of the following sets of FIF data is most consistent with an extrathoracic airway obstruction?

A) Option A
B) Option B
C) Option D
D) Option C


Solutions:

Question # 1
Answer: B
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: A
Question # 5
Answer: C

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