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NBRC RPFT Exam Syllabus Topics:

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

Question 1

Treadmill speed can be verified by

A. Multiplying the belt length by the cycles/min.
B. Dividing the cycles/min by the belt length.
C. Multiplying the cycles/min by the height.
D. Dividing the height by the horizontal distance.


Question 2

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. VE65L/min
B. RER1.2
C. workload 200 watts
D. HR145/min


Question 3

The following Levy-Jennings charts of control values are obtained:
Which of the following is the correct sequence of actions for a pulmonary function technologist to take?
1. Replace the oxygen electrode.
2. Check the temperature of the measuring chamber.
3. Run protein remover through the blood gas analyzer.
4. Replace the CO2electrode.

A. 3, then 1
B. 2, then 3
C. 4, then 2
D. 1, then 4


Question 4

A pulmonary function technologist is performing a single-breath diffusion capacity (DLCO) test. Which of the following factors is most likely to cause a falsely elevated DLCO result?

A. Severe anemia
B. Poor inspiratory effort
C. Pulmonary hemorrhage
D. Alveolar fibrosis


Question 5

Which of the following is an appropriate reason to perform a multiple-breath nitrogen washout test?

A. Measure oxygen consumption.
B. Detect early small airway disease.
C. Measure anatomical dead space.
D. Differentiate obstruction from restriction.


Solutions:

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

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