Exam Code: RPFT
Exam Name: Registry Examination for Advanced Pulmonary Function Technologists
Certification Provider: NBRC
Corresponding Certification: Pulmonary Function Technician
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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Spirometry15%- Measurement and Calculation
  • 1. FVC, FEV1, and derived indices
  • 2. Comparison with predicted values
- Pre-test Procedures
  • 1. Acceptability and repeatability criteria
  • 2. Patient coaching techniques
Equipment Operation and Calibration30%- Calibration Procedures
  • 1. Gas analyzer calibration
  • 2. Volume and flow calibration
- Infection Control
  • 1. Filter usage and replacement
  • 2. Cleaning and disinfection
Body Plethysmography10%- Lung Volume Measurement
  • 1. Residual volume (RV) and total lung capacity (TLC)
  • 2. Thoracic gas volume (TGV)
Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Breath-hold technique
  • 2. Gas sample analysis
Data Quality, Analysis, and Reporting5%- Quality Control
  • 1. Identify technical errors
- Reporting
  • 1. Interpretation and documentation
Patient Preparation and Assessment25%- Physical Assessment
  • 1. Patient positioning and comfort
  • 2. Anthropometric measurements
- Patient Interview and History
  • 1. Identify contraindications
  • 2. Assess patient ability to perform tests

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. 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) A decline of more than 30% in FEF25-75%
B) A decline of more than 20% in FEV1
C) An increase of more than 20% in airway resistance
D) A decline of more than 20% in inspiratory capacity


2. The desiccant column on an infrared CO2analyzer is pink. The readings obtained from this analyzer would result in

A) A decreased CO2
B) An increased CO2
C) An unstable reading
D) No effect on CO2


3. When performing exercise testing on a biologic control, the measurements obtained should be compared with

A) Previous tests performed on the biologic control.
B) The patient population that will be tested.
C) Predicted values used for the biologic control's height and weight
D) At least two other biologic controls being tested.


4. A patient who smokes three packs of cigarettes a day has a DLcoOf 45% of predicted. The patient is referred for exercise (stress) testing. Which of the following should a pulmonary function technologist select to evaluate oxygenation?

A) End-tidal oxygen tension
B) Transcutaneous oxygen electrode
C) Pulse oximetry
D) Arterial blood gas analysis


5. A pulmonary function technologist can calculate which of the following if values for pH, PaO2, SaO2, SvO2PvO2, VO2, and Hb are obtained?

A) Cardiac output
B) RER
C) Stroke volume
D) VD/VT


Solutions:

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

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