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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Patient Preparation and Assessment25%- Patient Interview and History
  • 1. Assess patient ability to perform tests
  • 2. Identify contraindications
- Physical Assessment
  • 1. Patient positioning and comfort
  • 2. Anthropometric measurements
Topic 2: Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Topic 3: Body Plethysmography10%- Lung Volume Measurement
  • 1. Residual volume (RV) and total lung capacity (TLC)
  • 2. Thoracic gas volume (TGV)
Topic 4: Equipment Operation and Calibration30%- Infection Control
  • 1. Cleaning and disinfection
  • 2. Filter usage and replacement
- Calibration Procedures
  • 1. Gas analyzer calibration
  • 2. Volume and flow calibration
Topic 5: Spirometry15%- Measurement and Calculation
  • 1. FVC, FEV1, and derived indices
  • 2. Comparison with predicted values
- Pre-test Procedures
  • 1. Acceptability and repeatability criteria
  • 2. Patient coaching techniques
Topic 6: Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Breath-hold technique
  • 2. Gas sample analysis
Topic 7: Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. While assessing a patient's expired gases at rest prior to exercise, a pulmonary function technologist calculates the RER as 0.6. Which of the following is the most likely explanation?

A) The patient is hyperventilating
B) The expired gas is contaminated with air
C) A gas analyzer is malfunctioning
D) The patient has an elevated VDAVT


2. Treadmill speed can be verified by

A) Multiplying the cycles/min by the height.
B) Dividing the cycles/min by the belt length.
C) Dividing the height by the horizontal distance.
D) Multiplying the belt length by the cycles/min.


3. A patient has just finished a 6-minute walk test during which she stopped and rested by leaning against a wall several times, while catching her breath. Which of the following should a pulmonary function technologist do?

A) Repeat the test with supplemental oxygen after the patient is fully rested.
B) Report that the patient was unable to complete a standard 6-minute walk test.
C) Document the total distance the patient covered in 6 minutes.
D) Subtract the time spent at rest and report the distance walked during the time spent walking.


4. A patient's bronchial provocation test was interpreted as positive for hyperreactive airways. Considering changes from a pre-challenge baseline, all of the following are consistent with this interpretation EXCEPT a

A) 25% decrease in FEF25-75%.
B) 25% increase in FRC.
C) 25% decrease in Raw.
D) 25% decrease in FEFmax.


5. A treadmill is set so that the belt rises 1 ft in a horizontal distance of 10 ft at 3 mph. The percent grade indicator should read

A) 1.0%
B) 30.0%
C) 10.0%
D) 3.0%


Solutions:

Question # 1
Answer: C
Question # 2
Answer: D
Question # 3
Answer: D
Question # 4
Answer: B
Question # 5
Answer: D

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