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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 | - Quality assurance and infection control procedures - Calibration and maintenance of spirometry systems |
| Topic 3: Patient Assessment and Testing Principles | - Patient preparation and coaching techniques - Pulmonary function test indications and contraindications |
| Topic 4: Safety, Infection Control, and Patient Care | - Emergency procedures and patient safety monitoring - Infection prevention in pulmonary testing environments |
| Topic 5: Cardiopulmonary Physiology and Interpretation | - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) - Gas exchange and acid-base fundamentals |
| Topic 6: Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
Question 1
During a forced vital capacity (FVC) maneuver, a patient produces an exhalation with a slow start and delayed peak expiratory flow. Which of the following is the most probable cause of this pattern?
A. Incorrect nose clip placement
B. Glottic closure at the start of exhalation
C. Leak in the mouthpiece
D. Submaximal effort by the patient
Question 2
A patient who is about to begin pulmonary function testing is visibly upset and complains to a pulmonary function technologist that she felt a receptionist was rude to her. Which of the following should the technologist do?
A. Give the patient time to calm down and ask the laboratory manager to become involved.
B. Ignore the complaint because it is not going to affect the testing about to begin.
C. Accompany the patient back to the reception area and try to determine who was at fault.
D. Try to get the patient to calm down by telling her that the receptionist is probably just having a bad day.
Question 3
A 12-year-old patient completed an evaluation for exercise-induced asthma in the pulmonary function laboratory. The patient completed six minutes of exercise on a treadmill with a heart rate of 145 to 150/min.
The following spirometry data were collected:
A pulmonary function technologist should conclude that the exercise test is
A. Inadequate workload with a positive response
B. Adequate workload with a negative response
C. Inadequate workload with a negative response
D. Adequate workload with a positive response
Question 4
A 6-year-old child has a history of repeated episodes of wheezing and shortness of breath. A pulmonary function technologist has difficulty obtaining repeatable spirometry results. Which of the following tests should be performed next?
A. DLco
B. SpO2
C. SGaw
D. MVV
Question 5
The following data are observed during an exercise test:
Which of the following should a pulmonary function technologist do?
A. Continue the test until the patient is symptomatic.
B. Discontinue the test and ensure patient safety.
C. Continue the test until the patient reaches maximal tolerance.
D. Discontinue the test after the next stage.
Solutions:
| Question 1 Answer: D | Question 2 Answer: A | Question 3 Answer: D | Question 4 Answer: D | Question 5 Answer: B |
