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NBRC RPFT Exam Syllabus Topics:

Section

Weight

Objectives

Topic 1: Instrumentation and Equipment

33%

- Troubleshooting and Quality Control

1. Corrective actions and documentation
2. Equipment malfunction identification
3. Performance verification and quality assurance

- Setup, Maintenance, Calibration

1. Body measurement devices
2. Calibration standards and procedures
3. Gas analyzers and measurement systems
4. Plethysmographs and test equipment

Topic 2: Procedures

44%

- Test Selection and Preparation

1. Protocol selection based on indication
2. Contraindications and safety precautions
3. Patient preparation and instruction

- Test Performance

1. Technique and standardization
2. Exercise testing and specialized studies
3. Spirometry, lung volumes, diffusion capacity

- Result Validity Assessment

1. Technical quality evaluation
2. Acceptability and reproducibility criteria
3. Artifact recognition and exclusion

Topic 3: Data Management and Interpretation

23%

- Clinical Interpretation

1. Report generation and communication
2. Correlation with clinical context
3. Pattern recognition and classification

- Reliability and Quality Review

1. Data integrity and completeness
2. Variability and repeatability assessment

- Calculation and Reference Values

1. Selection of appropriate reference equations
2. Parameter calculation and correction
3. Predicted values and percent-predicted reporting

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. The following results are obtained from an adult male:
The corrected DLcovalue

A) is higher.
B) is unchanged.
C) is lower.
D) cannot be calculated.

2. Which of the following spirometry results is most characteristic of a restrictive lung disease?

A) Decreased FEV1/FVC ratio and normal FVC
B) Normal FEV1/FVC ratio and decreased FVC
C) Increased residual volume and increased FEV1/FVC ratio
D) Increased FEV1 with normal total lung capacity

3. A pulmonary function technologist reviews the following home monitoring spirometry results:
According to National Asthma Education and Prevention Program (NAEPP) guidelines, what feedback should the technologist give to the patient regarding test performance?

A) Ask the patient to blow out longer.
B) Come into the office for further instructions on proper testing technique.
C) Ask the patient to recalibrate the spirometer.
D) Encourage the patient to continue testing and monitoring the FEW

4. While performing duplicate blood gas analyses, a pulmonary function technologist notes that the second instrument gives consistently higher values forPaCO2and PaO2. Which of the following is the most probable cause of higher readings from the second instrument?

A) The sample chamber has a bacterial contaminate
B) An excessive delay occurred between running the two samples
C) The PO2and PCO2electrode membranes have protein build-up
D) The sample chamber temperature is greater than 37° C

5. The following results were obtained from spirometry before and after a bronchodilator administration:

Which of the following is the correct interpretation of these data?

A) Obstructive pattern with no bronchodilator response
B) Obstructive pattern with positive bronchodilator response
C) Restrictive pattern with no bronchodilator response
D) Restrictive pattern with positive bronchodilator response

Solutions:

Question # 1
Answer: B

Question # 2
Answer: B

Question # 3
Answer: D

Question # 4
Answer: D

Question # 5
Answer: C