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NBRC RPFT Exam Syllabus Topics:

Section

Weight

Objectives

Data Management and Interpretation

23%

- Calculation and Reference Values

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

- Reliability and Quality Review

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

- Clinical Interpretation

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

Instrumentation and Equipment

33%

- Setup, Maintenance, Calibration

1. Body measurement devices
2. Gas analyzers and measurement systems
3. Calibration standards and procedures
4. Plethysmographs and test equipment

- Troubleshooting and Quality Control

1. Performance verification and quality assurance
2. Equipment malfunction identification
3. Corrective actions and documentation

Procedures

44%

- Test Performance

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

- Result Validity Assessment

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

- Test Selection and Preparation

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

Question 1

A 40-year-old woman with a recent onset of asthma is receiving education regarding her newly prescribed medications. Which of the following will most likely cause her to experience hoarseness?

A. Anti-lgE immunizations
B. Leukotriene antagonist
C. Short acting beta2-agonist
D. Inhaled corticosteroid

Question 2

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

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

Question 3

A patient has normal pulmonary and cardiac function. Which of the following is most likely when the patient reaches the anaerobic threshold during incremental stress testing?

A. Decreased VE
B. Decreased CO2production
C. Increased VDA/VTratio
D. Increased RER

Question 4

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

Question 5

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

Solutions:

Question 1
Answer: B

Question 2
Answer: C

Question 3
Answer: C

Question 4
Answer: A

Question 5
Answer: D