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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: 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. Spirometry, lung volumes, diffusion capacity
            • 3. Technique and standardization
              - Result Validity Assessment
              • 1. Technical quality evaluation
                • 2. Acceptability and reproducibility criteria
                  • 3. Artifact recognition and exclusion
                    Topic 2: Instrumentation and Equipment33%- Setup, Maintenance, Calibration
                    • 1. Gas analyzers and measurement systems
                      • 2. Plethysmographs and test equipment
                        • 3. Calibration standards and procedures
                          • 4. Body measurement devices
                            - Troubleshooting and Quality Control
                            • 1. Performance verification and quality assurance
                              • 2. Equipment malfunction identification
                                • 3. Corrective actions and documentation
                                  Topic 3: Data Management and Interpretation23%- Clinical Interpretation
                                  • 1. Pattern recognition and classification
                                    • 2. Report generation and communication
                                      • 3. Correlation with clinical context
                                        - Reliability and Quality Review
                                        • 1. Variability and repeatability assessment
                                          • 2. Data integrity and completeness
                                            - 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:

                                                  The following biologic control measurements are obtained:
                                                  Which of the following patterns appears in this plot?

                                                  • A. Drift
                                                  • B. In control
                                                  • C. Noise
                                                  • D. Shift
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: C  🗳️

                                                  Prior to an exercise study, a pulmonary function technologist finds that the patient's RER is 1.13. Which of the following best explains this finding?

                                                  • A. Hyperventilation
                                                  • B. Protein metabolism
                                                  • C. Carbohydrate metabolism
                                                  • D. Hypoventilation
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: A  🗳️

                                                  While setting up an exercise laboratory in a city with an altitude of 8,600 ft (2,775 m), a pulmonary function technologist notices the fuel cell O2analyzer is displaying 15.2%. Which of the following is the best explanation for this finding?

                                                  • A. F1O2decreases with increasing altitude.
                                                  • B. The analyzer is responding to P1O2.
                                                  • C. The fuel cell needs to be changed.
                                                  • D. This exercise system will not work at high altitude.
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: B  🗳️

                                                  During daily quality control procedures on an infrared CO2analyzer, a pulmonary function technologist is unable to adjust the gain to the calibration gas concentration. Which of the following is the most likely explanation?

                                                  • A. Increased gas sampling rate
                                                  • B. Water droplets in the sample cell
                                                  • C. Saturation of the soda lime
                                                  • D. Presence of high levels of oxygen
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: B  🗳️

                                                  A pulmonary function technologist is performing an exercise (stress) test on a patient with severe COPD. As the test progresses, the patient shows signs of increasing dyspnea. Measurements of inspiratory capacity decreased from 2.0 L to 1.5 L. Which of the following most likely occurred?

                                                  • A. disconnected gas sampling line
                                                  • B. dynamic hyperinflation
                                                  • C. drift in the flow transducer
                                                  • D. acute decrease in FRC
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: D  🗳️

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