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NBRC RPFT Exam Syllabus Topics:

Section

Weight

Objectives

Topic 1: Data Management and Interpretation

23%

- Clinical Interpretation

1. Pattern recognition and classification
2. Report generation and communication
3. Correlation with clinical context

- Calculation and Reference Values

1. Selection of appropriate reference equations
2. Parameter calculation and correction
3. Predicted values and percent-predicted reporting

- Reliability and Quality Review

1. Data integrity and completeness
2. Variability and repeatability assessment

Topic 2: Procedures

44%

- Test Selection and Preparation

1. Patient preparation and instruction
2. Contraindications and safety precautions
3. Protocol selection based on indication

- Result Validity Assessment

1. Technical quality evaluation
2. Acceptability and reproducibility criteria
3. Artifact recognition and exclusion

- Test Performance

1. Technique and standardization
2. Exercise testing and specialized studies
3. Spirometry, lung volumes, diffusion capacity

Topic 3: Instrumentation and Equipment

33%

- Setup, Maintenance, Calibration

1. Gas analyzers and measurement systems
2. Plethysmographs and test equipment
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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. The following results were obtained from spirometry before and after a bronchodilator administration:

Which of the following is the correct interpretation of these data?

A) Obstructive pattern with no bronchodilator response
B) Restrictive pattern with positive bronchodilator response
C) Restrictive pattern with no bronchodilator response
D) Obstructive pattern with positive bronchodilator response

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

3. When using a variable pressure plethysmograph, a leak in the door seal that develops subsequent to calibration will cause underestimation of

A) VTG
B) Alveolar pressure
C) vital capacity
D) Raw

4. A 45-year-old female with sarcoidosis has pulmonary function tests annually. The following data have been recorded:

A pulmonary function technologist should conclude that

A) Incorrect predicted values have been used.
B) The patient has developed mild obstructive airway disease.
C) The patient has a normal rate of loss for FEV1.
D) The patient's restrictive component has worsened.

5. The following blood gas report is questioned by the attending physician:

Which of the following values is INCONSISTENT?