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NBRC RPFT Exam Syllabus Topics:
| Section | Weight | Objectives |
| Topic 1: Spirometry | 15% | - Pre-test Procedures
- 1. Acceptability and repeatability criteria
- 2. Patient coaching techniques
- Measurement and Calculation
- 1. FVC, FEV1, and derived indices
- 2. Comparison with predicted values
|
| Topic 2: Respiratory Muscle Strength | 5% | - MIP and MEP Measurements
- 1. Techniques and patient instruction
|
| Topic 3: 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
|
| Topic 4: Data Quality, Analysis, and Reporting | 5% | - Quality Control
- 1. Identify technical errors
- Reporting
- 1. Interpretation and documentation
|
| Topic 5: Equipment Operation and Calibration | 30% | - Infection Control
- 1. Filter usage and replacement
- 2. Cleaning and disinfection
- Calibration Procedures
- 1. Gas analyzer calibration
- 2. Volume and flow calibration
|
| Topic 6: Diffusion Capacity (DLCO) | 10% | - Test Performance
- 1. Breath-hold technique
- 2. Gas sample analysis
|
| Topic 7: Body Plethysmography | 10% | - Lung Volume Measurement
- 1. Residual volume (RV) and total lung capacity (TLC)
- 2. Thoracic gas volume (TGV)
|
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
1. Biological control data are obtained for lung volumes by plethysmography. The following results are obtained:

A pulmonary function technologist should repeat the test instructing the individual to
A) Inhale to TLC
B) Inhale to TV
C) Pant at 40 to 50 Hz
D) Pant at 90 to 100 Hz
2. 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.
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) Subtract the time spent at rest and report the distance walked during the time spent walking.
B) Document the total distance the patient covered in 6 minutes.
C) Repeat the test with supplemental oxygen after the patient is fully rested.
D) Report that the patient was unable to complete a standard 6-minute walk test.
4. The following Levy-Jennings charts of control values are obtained:
Which of the following is the correct sequence of actions for a pulmonary function technologist to take?
1. Replace the oxygen electrode.
2. Check the temperature of the measuring chamber.
3. Run protein remover through the blood gas analyzer.
4. Replace the CO2electrode.
A) 1, then 4
B) 4, then 2
C) 3, then 1
D) 2, then 3
5. Airways resistance and specific conductance tests are requested for a 7-year-old child with asthma. Which of the following techniques is preferred?
A) Interrupter
B) Panting with body plethysmography
C) Oscillation
D) Quiet breathing with body plethysmography
Solutions:
Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: B |