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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
| Cardiopulmonary Physiology and Interpretation | - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) - Gas exchange and acid-base fundamentals |
| Pulmonary Function Equipment and Quality Control | - Calibration and maintenance of spirometry systems - Quality assurance and infection control procedures |
| Patient Assessment and Testing Principles | - Pulmonary function test indications and contraindications - Patient preparation and coaching techniques |
| Safety, Infection Control, and Patient Care | - Infection prevention in pulmonary testing environments - Emergency procedures and patient safety monitoring |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
1. While reviewing exercise data, a pulmonary function technologist notes that the patient's anaerobic threshold occurred at 35% of the patient's VO2MAX. This indicates the patient has
A) ventilatory limitation
B) given a submaximal effort
C) a normal response to exercise
D) cardiac limitation
2. A 35-year-old healthy male is performing a maximal stress test as part of an annual physical. The following data are observed:
The patient denies any symptoms. Which of the following should a pulmonary function technologist do first?
A) Move the pulse oximeter sensor to another site
B) Obtain an arterial blood gas while continuing exercise
C) Administer oxygen at 3-4 L/min by nasal cannula
D) Terminate the test and stabilize the patient.
3. 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) disconnected gas sampling line
B) drift in the flow transducer
C) acute decrease in FRC
D) dynamic hyperinflation
4. 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) Open the vent before starting the bronchial challenge.
D) Add an exhalation filter and proceed with testing patients.
5. A government agency requires that a pulmonary function technologist establish procedures to minimize the loss of laboratory data. Which of the following should be included in these procedures?
1. Continuous mirroring of hard drives
2. Storage of duplicate test data offsite
3. No Internet connections to the computer storing the database
4. Contracting with a third-party security company
A) 2, 3, and 4 only
B) 1, 3, and 4 only
C) 1, 2, and 4 only
D) 1, 2, and 3 only
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A |




