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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Pulmonary Function Equipment and Quality Control | - Quality assurance and infection control procedures - Calibration and maintenance of spirometry systems |
| Safety, Infection Control, and Patient Care | - Infection prevention in pulmonary testing environments - Emergency procedures and patient safety monitoring |
| Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
| Cardiopulmonary Physiology and Interpretation | - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) - Gas exchange and acid-base fundamentals |
| Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Patient Assessment and Testing Principles | - Pulmonary function test indications and contraindications - Patient preparation and coaching techniques |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
1. A treadmill belt stops for a fraction of a second each time the patient takes a step. A pulmonary function technologist should
A) Instruct the patient to use the hand rails.
B) Tighten the belt.
C) Increase the speed of the belt.
D) Decrease the treadmill grade.
2. Which of the following thresholds for a clinically significant change in lung function from the beginning to the end of a methacholine challenge test is significant?
A) An increase of more than 20% in airway resistance
B) A decline of more than 20% in FEV1
C) A decline of more than 20% in inspiratory capacity
D) A decline of more than 30% in FEF25-75%
3. When using a variable pressure plethysmograph, a leak in the door seal that develops subsequent to calibration will cause underestimation of
A) vital capacity
B) Alveolar pressure
C) VTG
D) Raw
4. An arterial blood gas performed prior to exercise on a 45-year-old patient shows the following results:
A pulmonary function technologist should conclude that the patient's
A) Hemoglobin level is below normal.
B) Alveolar ventilation is above normal.
C) Dead space ventilation is above normal.
D) Values are within normal limits.
5. 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) Reduce the concentration of methacholine on the next trial.
B) Stop the test and immediately administer a bronchodilaior.
C) Instruct the patient to blow out harder and repeat the effort.
D) Instruct the patient to blow out longer and repeat the effort.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |






