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NBRC RPFT Exam Syllabus Topics:

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

Question 1

The following data were obtained from a bronchial challenge test:

APC20of 2 mg/mL was obtained the next day in another laboratory. Which of the following is the most likely explanation for these data?

A. Incorrect doses of methacholine were administered.
B. The two test results are within day-to-day variability.
C. The patient's effort was inconsistent.
D. The spirometer accuracy drifted during the test.


Question 2

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. deconditioning
B. achievement of anaerobic threshold
C. cardiomyopathy
D. cystic fibrosis


Question 3

During an exercise study, the RER will equal the RQ only when the patient is at

A. Steady state
B. Rest
C. Peak exercise
D. The anaerobic threshold


Question 4

A subject has the following values reported:
What is the SGAW?

A. 0.40
B. 0.20
C. 0.80
D. 1.25


Question 5

A patient's vital capacity is slightly reduced, the FEWFVC is normal, and the uncorrected DLco is increased.
Which of the following is the most likely diagnosis?

A. diffuse pulmonary fibrosis
B. polycythemia vera
C. kyphoscoliosis
D. diaphragmatic hemiparesis


Solutions:

Question 1
Answer: D
Question 2
Answer: D
Question 3
Answer: A
Question 4
Answer: D
Question 5
Answer: B

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