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NBRC RPFT Exam Syllabus Topics:

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

                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  1. The following values are reported at maximum effort for a 50-year-old, 70-kg (154-lb) male with significant coronary artery disease during ergometer stress testing. Which of the following is most likely an error?

                                                  A) VE65L/min
                                                  B) RER1.2
                                                  C) workload 200 watts
                                                  D) HR145/min


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

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


                                                  3. Which of the following is a common reason for an unstable zero reading from an infrared analyzer?

                                                  A) Debris in the sampling system
                                                  B) Excess room humidity
                                                  C) Exhausted DRIERITE
                                                  D) Inaccurate calibration gases


                                                  4. A patient who is about to begin pulmonary function testing is visibly upset and complains to a pulmonary function technologist that she felt a receptionist was rude to her. Which of the following should the technologist do?

                                                  A) Give the patient time to calm down and ask the laboratory manager to become involved.
                                                  B) Try to get the patient to calm down by telling her that the receptionist is probably just having a bad day.
                                                  C) Ignore the complaint because it is not going to affect the testing about to begin.
                                                  D) Accompany the patient back to the reception area and try to determine who was at fault.


                                                  5. 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) Alveolar ventilation
                                                  C) Oxygen extraction.
                                                  D) Anaerobic metabolism


                                                  Solutions:

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

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