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NBRC RPFT Exam Syllabus Topics:

Section	Weight	Objectives
Body Plethysmography	10%	- Lung Volume Measurement 1. Residual volume (RV) and total lung capacity (TLC) 2. Thoracic gas volume (TGV)
Spirometry	15%	- Measurement and Calculation 1. Comparison with predicted values 2. FVC, FEV1, and derived indices - Pre-test Procedures 1. Patient coaching techniques 2. Acceptability and repeatability criteria
Respiratory Muscle Strength	5%	- MIP and MEP Measurements 1. Techniques and patient instruction
Data Quality, Analysis, and Reporting	5%	- Reporting 1. Interpretation and documentation - Quality Control 1. Identify technical errors
Diffusion Capacity (DLCO)	10%	- Test Performance 1. Breath-hold technique 2. Gas sample analysis
Patient Preparation and Assessment	25%	- Physical Assessment 1. Patient positioning and comfort 2. Anthropometric measurements - Patient Interview and History 1. Assess patient ability to perform tests 2. Identify contraindications
Equipment Operation and Calibration	30%	- Calibration Procedures 1. Volume and flow calibration 2. Gas analyzer calibration - Infection Control 1. Filter usage and replacement 2. Cleaning and disinfection

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. Results of two blood gas samples drawn from the same patient, 30 minutes apart, are shown below:
Which of the following is the most likely explanation for these differences?

A) The patient's minute ventilation has increased.
B) The 10:30 blood sample has been contaminated with air.
C) The patient has developed a pneumothorax.
D) The 10:30 blood sample contains an excess of heparin solution.

2. To assure linearity of an oxygen analyzer, calibrate with

A) Two test gases within the operating range of the instrument
B) 100% 02
C) Three test gases within the operating range of the instrument
D) Air

3. Which of the following information reported from a recent methacholine challenge test best summarizes the patient's bronchial hyperresponsiveness?

A) diluent FEV1= 92% predicted
B) postbronchodilator recovery FEV1= 106% baseline
C) PC20= 2.3 mg/mL
D) patient reported chest tightness and a cough

4. Airways resistance and specific conductance tests are requested for a 7-year-old child with asthma. Which of the following techniques is preferred?

A) Oscillation
B) Quiet breathing with body plethysmography
C) Interrupter
D) Panting with body plethysmography

5. A pulmonary function technologist can calculate which of the following if values for pH, PaO2, SaO2, SvO2PvO2, VO2, and Hb are obtained?

A) Stroke volume
B) VD/VT
C) RER
D) Cardiac output

Solutions:

Question # 1
Answer: A

Question # 2
Answer: C

Question # 3
Answer: D

Question # 4
Answer: D

Question # 5
Answer: D