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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Cardiopulmonary Physiology and Interpretation | - Gas exchange and acid-base fundamentals - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) |
| Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
| Safety, Infection Control, and Patient Care | - Emergency procedures and patient safety monitoring - Infection prevention in pulmonary testing environments |
| Patient Assessment and Testing Principles | - Pulmonary function test indications and contraindications - Patient preparation and coaching techniques |
| Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Pulmonary Function Equipment and Quality Control | - Calibration and maintenance of spirometry systems - Quality assurance and infection control procedures |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
Question 1
A patient who is about to begin pulmonary function testing is visibly upset and complains to a pulmonary function technologist that she felt a receptionist was rude to her. Which of the following should the technologist do?
A. Try to get the patient to calm down by telling her that the receptionist is probably just having a bad day.
B. Give the patient time to calm down and ask the laboratory manager to become involved.
C. Accompany the patient back to the reception area and try to determine who was at fault.
D. Ignore the complaint because it is not going to affect the testing about to begin.
Question 2
A smoking cessation program using a nicotine patch is started for all smokers in a factory. Results revealed that smokers who reported they had quit had exhaled carbon monoxide levels less than 6 ppm. A pulmonary function technologist should conclude that
A. A different method of smoking cessation should be offered to improve outcomes.
B. The smokers were not being truthful about smoking cessation.
C. The smokers had refrained from smoking for the previous 6 hours.
D. The program was effective in accomplishing smoking cessation.
Question 3
Successive peak flow measurements made with a peak flowmeter on a subject previously diagnosed as having asthma yield the following results:
Which of the following is the best explanation for these?
A. Condensation of moisture in the peak flowmeter
B. Normal response
C. Improper calibration of the peak flowmeter
D. Increasing airways resistance in the subject
Question 4
A patient who smokes three packs of cigarettes a day has a DLcoOf 45% of predicted. The patient is referred for exercise (stress) testing. Which of the following should a pulmonary function technologist select to evaluate oxygenation?
A. Transcutaneous oxygen electrode
B. End-tidal oxygen tension
C. Pulse oximetry
D. Arterial blood gas analysis
Question 5
A pulmonary function technologist is reviewing results of a recent mechanical diffusion simul-ation using a 3- liter syringe. The test was conducted at a room temperature of 22° C. The following BTPS results were reported:
Which of the following should the technologist do?
A. Change the calibration gases.
B. Recalibrate the pneumotachometer.
C. Proceed with testing.
D. Recalibrate the gas analyzer.
Solutions:
| Question 1 Answer: B | Question 2 Answer: D | Question 3 Answer: D | Question 4 Answer: D | Question 5 Answer: C |



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