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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Procedures44%- Test Selection and Preparation
  • 1. Protocol selection based on indication
    • 2. Patient preparation and instruction
      • 3. Contraindications and safety precautions
        - Test Performance
        • 1. Exercise testing and specialized studies
          • 2. Technique and standardization
            • 3. Spirometry, lung volumes, diffusion capacity
              - Result Validity Assessment
              • 1. Technical quality evaluation
                • 2. Acceptability and reproducibility criteria
                  • 3. Artifact recognition and exclusion
                    Data Management and Interpretation23%- Calculation and Reference Values
                    • 1. Parameter calculation and correction
                      • 2. Selection of appropriate reference equations
                        • 3. Predicted values and percent-predicted reporting
                          - Clinical Interpretation
                          • 1. Pattern recognition and classification
                            • 2. Correlation with clinical context
                              • 3. Report generation and communication
                                - Reliability and Quality Review
                                • 1. Variability and repeatability assessment
                                  • 2. Data integrity and completeness
                                    Instrumentation and Equipment33%- Troubleshooting and Quality Control
                                    • 1. Corrective actions and documentation
                                      • 2. Equipment malfunction identification
                                        • 3. Performance verification and quality assurance
                                          - Setup, Maintenance, Calibration
                                          • 1. Gas analyzers and measurement systems
                                            • 2. Body measurement devices
                                              • 3. Calibration standards and procedures
                                                • 4. Plethysmographs and test equipment

                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  Question 1

                                                  The following values are obtained using a 3-liter calibration syringe during volume calibration of a dry-rolling spirometer:
                                                  2.80 L
                                                  2.79 L
                                                  2.82 L
                                                  The performance of this spirometer is best described as

                                                  A. Both accurate and precise.
                                                  B. Accurate, but not precise.
                                                  C. Precise, but not accurate. .
                                                  D. Neither accurate nor precise.


                                                  Question 2

                                                  The following results are obtained from an adult patient:
                                                  Which of the following is the best interpretation of these values?

                                                  A. Small airway disease
                                                  B. Airways obstruction
                                                  C. Combined obstruction/restriction
                                                  D. Normal values


                                                  Question 3

                                                  A 54-year-old male with a normal ECG at rest develops dyspnea during an exercise (stress) test, and the following ECG pattern is noted at 25 watts:

                                                  25 mm/sec A pulmonary function technologist should

                                                  A. Stop the test immediately; there is evidence of heart block.
                                                  B. Continue the test until the subject reaches target heart rate.
                                                  C. Continue the test and obtain an arterial blood sample.
                                                  D. Stop the test immediately; there is evidence of ischemia.


                                                  Question 4

                                                  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. Leak in the mouthpiece
                                                  B. Submaximal effort by the patient
                                                  C. Glottic closure at the start of exhalation
                                                  D. Incorrect nose clip placement


                                                  Question 5

                                                  To check the reliability of a pulse oximeter reading, a pulmonary function technologist should

                                                  A. Calculate the SaO2from pH and PaO2
                                                  B. Perform hemoximetry
                                                  C. Have the patient hyperventilate
                                                  D. Measure the hematocrit


                                                  Solutions:

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

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