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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors
Topic 2: Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Gas sample analysis
  • 2. Breath-hold technique
Topic 3: Patient Preparation and Assessment25%- Patient Interview and History
  • 1. Assess patient ability to perform tests
  • 2. Identify contraindications
- Physical Assessment
  • 1. Anthropometric measurements
  • 2. Patient positioning and comfort
Topic 4: Body Plethysmography10%- Lung Volume Measurement
  • 1. Residual volume (RV) and total lung capacity (TLC)
  • 2. Thoracic gas volume (TGV)
Topic 5: Equipment Operation and Calibration30%- Infection Control
  • 1. Filter usage and replacement
  • 2. Cleaning and disinfection
- Calibration Procedures
  • 1. Gas analyzer calibration
  • 2. Volume and flow calibration
Topic 6: Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Topic 7: Spirometry15%- Pre-test Procedures
  • 1. Patient coaching techniques
  • 2. Acceptability and repeatability criteria
- Measurement and Calculation
  • 1. FVC, FEV1, and derived indices
  • 2. Comparison with predicted values

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. While assessing a patient's expired gases at rest prior to exercise, a pulmonary function technologist calculates the RER as 0.6. Which of the following is the most likely explanation?

A) A gas analyzer is malfunctioning
B) The patient has an elevated VDAVT
C) The patient is hyperventilating
D) The expired gas is contaminated with air


2. 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) Subtract the time spent at rest and report the distance walked during the time spent walking.
B) Repeat the test with supplemental oxygen after the patient is fully rested.
C) Report that the patient was unable to complete a standard 6-minute walk test.
D) Document the total distance the patient covered in 6 minutes.


3. To facilitate measurement of arterial oxygen content during an exercise (stress) test, a pulmonary function technologist should recommend

A) End-tidal monitoring
B) An arterial puncture at anaerobic threshold
C) Radial artery catheterization
D) Pulse oximetry


4. The following biologic control data ranges were established:
The following additional data were obtained when assessing the equipment:
Which of the following should a pulmonary function technologist do?

A) Change the DLcoCO analyzer.
B) Check the flow sensor.
C) Change the CO2and H2O absorbers.
D) Continue testing patients.


5. Which of the following is correct regarding smoking cessation?

A) Withdrawal symptoms are mild and last less than 48 hours.
B) Smokers who quit suddenly and without help are most likely to be successful.
C) Pharmacologic therapy increases chances of success along with counseling.
D) Support systems are minimally effective in smoking cessation.


Solutions:

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

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