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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
| Safety, Infection Control, and Patient Care | - Infection prevention in pulmonary testing environments - Emergency procedures and patient safety monitoring |
| Patient Assessment and Testing Principles | - Patient preparation and coaching techniques - Pulmonary function test indications and contraindications |
| Pulmonary Function Equipment and Quality Control | - Calibration and maintenance of spirometry systems - Quality assurance and infection control procedures |
| Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Cardiopulmonary Physiology and Interpretation | - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) - Gas exchange and acid-base fundamentals |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
1. A comparison of two techniques for measuring Rawis shown below:
Which of the following should a pulmonary function technologist conclude?
A) Subject 1 panted too forcefully.
B) Results are consistent with the two methodologies.
C) The system was calibrated for quiet breathing.
D) Subjects 1 and 2 both have reactive airways.
2. A physician orders smoking cessation counseling for a 60-year-old male with a new diagnosis of CHF and COPD. The patient has failed several attempts to quit smoking using nicotine gum. Which of the following should a pulmonary function technologist recommend?
A) Increase the dosage of the nicotine replacement.
B) Switch to a nicotine patch.
C) Use alternative medicine such as acupuncture.
D) Add a trial of bupropion (Zyban).
3. A patient is performing a flow-volume loop. A pulmonary function technologist observes equal decreases in expiratory and inspiratory flows resulting in plateaus. Patient effort is satisfactory, and he follows instructions well. The technologist should expect the patient to have a
A) Small airways obstruction
B) Fixed large airways obstruction.
C) Restrictive disorder
D) Variable large airways obstruction
4. 
The ECG above is recorded during the recovery phase immediately following termination of an ergo meter exercise study. A pulmonary function technologist should
A) Initiate chest compressions
B) Check the electrode connections
C) Have the patient lie down
D) Continue the cool-down phase
5. During a bronchial provocation study, a patient has the following spirometric values after a 0.25 mg/mL dose of methacholine:
Based on these results, a pulmonary function technologist should
A) Stop the test and immediately administer a bronchodilaior.
B) Instruct the patient to blow out harder and repeat the effort.
C) Reduce the concentration of methacholine on the next trial.
D) Instruct the patient to blow out longer and repeat the effort.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: D |



