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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Data Management and Interpretation23%- Calculation and Reference Values
  • 1. Parameter calculation and correction
    • 2. Predicted values and percent-predicted reporting
      • 3. Selection of appropriate reference equations
        - Clinical Interpretation
        • 1. Report generation and communication
          • 2. Pattern recognition and classification
            • 3. Correlation with clinical context
              - Reliability and Quality Review
              • 1. Variability and repeatability assessment
                • 2. Data integrity and completeness
                  Instrumentation and Equipment33%- Setup, Maintenance, Calibration
                  • 1. Plethysmographs and test equipment
                    • 2. Gas analyzers and measurement systems
                      • 3. Calibration standards and procedures
                        • 4. Body measurement devices
                          - Troubleshooting and Quality Control
                          • 1. Corrective actions and documentation
                            • 2. Equipment malfunction identification
                              • 3. Performance verification and quality assurance
                                Procedures44%- Result Validity Assessment
                                • 1. Artifact recognition and exclusion
                                  • 2. Technical quality evaluation
                                    • 3. Acceptability and reproducibility criteria
                                      - Test Selection and Preparation
                                      • 1. Protocol selection based on indication
                                        • 2. Patient preparation and instruction
                                          • 3. Contraindications and safety precautions
                                            - Test Performance
                                            • 1. Technique and standardization
                                              • 2. Exercise testing and specialized studies
                                                • 3. Spirometry, lung volumes, diffusion capacity

                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  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% decrease in Raw.
                                                  • C. 25% increase in FRC.
                                                  • D. 25% decrease in FEFmax.
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: C  🗳️

                                                  Which of the following is a valid reason for using biologic controls for DLCo?

                                                  • A. Assessing accuracy of the volume measuring device
                                                  • B. Determining the lower limit of normal values
                                                  • C. Identifying the source of gas analyzer error
                                                  • D. Establishing precision of the procedure
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: A  🗳️

                                                  At maximum exercise, a 24-year-old patient's heart rate is 150/min with a VO2of 750 mUmin. The calculated
                                                  02 pulse is most consistent with which of the following?

                                                  • A. cystic fibrosis
                                                  • B. deconditioning
                                                  • C. cardiomyopathy
                                                  • D. achievement of anaerobic threshold
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: A  🗳️

                                                  A body plethysmograph box pressure transducer fails the electronic calibration check after multiple attempts.
                                                  Which of the following should a pulmonary function technologist do?
                                                  1. Perform a biologic control test
                                                  2. Inspect the door seal.
                                                  3. Re-zero the box pressure transducer.
                                                  4. Perform a physical pressure calibration.

                                                  • A. 1, 2, and 3 only
                                                  • B. 1, 2, and 4 only
                                                  • C. 2, 3, and 4 only
                                                  • D. 1, 3, and 4 only
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: A  🗳️

                                                  During a bronchial provocation study, a patient has the following spirometric values after a 0.25 mg/mL dose of methacholine:

                                                  Based on these results, a pulmonary function technologist should

                                                  • A. Instruct the patient to blow out longer and repeat the effort.
                                                  • B. Instruct the patient to blow out harder and repeat the effort.
                                                  • C. Reduce the concentration of methacholine on the next trial.
                                                  • D. Stop the test and immediately administer a bronchodilaior.
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: A  🗳️

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