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NBRC RPFT Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Spirometry	15%	- Pre-test Procedures 1. Patient coaching techniques 2. Acceptability and repeatability criteria - Measurement and Calculation 1. Comparison with predicted values 2. FVC, FEV1, and derived indices
Topic 2: Diffusion Capacity (DLCO)	10%	- Test Performance 1. Gas sample analysis 2. Breath-hold technique
Topic 3: Patient Preparation and Assessment	25%	- Patient Interview and History 1. Identify contraindications 2. Assess patient ability to perform tests - Physical Assessment 1. Patient positioning and comfort 2. Anthropometric measurements
Topic 4: Data Quality, Analysis, and Reporting	5%	- Reporting 1. Interpretation and documentation - Quality Control 1. Identify technical errors
Topic 5: Respiratory Muscle Strength	5%	- MIP and MEP Measurements 1. Techniques and patient instruction
Topic 6: Body Plethysmography	10%	- Lung Volume Measurement 1. Residual volume (RV) and total lung capacity (TLC) 2. Thoracic gas volume (TGV)
Topic 7: Equipment Operation and Calibration	30%	- Calibration Procedures 1. Volume and flow calibration 2. Gas analyzer calibration - Infection Control 1. Cleaning and disinfection 2. Filter usage and replacement

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. In which of the following patients would an end-tidal CO2most likely produce values that are inconsistent with PaCO2?

A) 20 year old who smokes cigarettes
B) 12 year old with kyphoscoliosis
C) 42 year old with moderate COPD
D) 50 year old with mild scleroderma

2. When performing quality control in a body plethysmograph using a 5-L isothermal bottle, the VTGat shutter closure are as follows:

A pulmonary function technologist should

A) Recalibrate the box pressure transducer.
B) Service the mouth pressure transducer.
C) Check biological control before beginning testing.
D) Proceed with patient testing.

3.
Which of the above patterns illustrates the effect of increasing temperature in the plethysmograph during airways resistance measurement?

A) 4
B) 3
C) 1
D) 2

4. During exercise, a subject's oxygen consumption increases out of proportion to his cardiac output. This is due to an increase in

A) Coronary blood flow
B) Oxygen extraction.
C) Alveolar ventilation
D) Anaerobic metabolism

5. The following values are obtained using a 3-liter calibration syringe during volume calibration of a dry-rolling spirometer:
2.80 L
2.79 L
2.82 L
The performance of this spirometer is best described as

A) Neither accurate nor precise.
B) Precise, but not accurate. .
C) Accurate, but not precise.
D) Both accurate and precise.

Solutions:

Question # 1
Answer: C

Question # 2
Answer: B

Question # 3
Answer: A

Question # 4
Answer: A

Question # 5
Answer: C