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NBRC RPFT Exam Syllabus Topics:

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

                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  1. Which of the following is a suitable policy for following Standard Precautions in a pulmonary function laboratory?

                                                  A) Gloves are optional when obtaining arterial blood samples using a kit
                                                  B) Reusable mouthpieces should be disposed when a patient has a history of tuberculosis.
                                                  C) Eye protection is required when obtaining ABGs from patients with hepatitis.
                                                  D) Reusable mouthpieces should be disinfected between each patient.


                                                  2. A pulmonary function technologist is reviewing results of a recent mechanical diffusion simul-ation using a 3- liter syringe. The test was conducted at a room temperature of 22° C. The following BTPS results were reported:
                                                  Which of the following should the technologist do?

                                                  A) Change the calibration gases.
                                                  B) Recalibrate the gas analyzer.
                                                  C) Recalibrate the pneumotachometer.
                                                  D) Proceed with testing.


                                                  3. A smoking cessation program using a nicotine patch is started for all smokers in a factory. Results revealed that smokers who reported they had quit had exhaled carbon monoxide levels less than 6 ppm. A pulmonary function technologist should conclude that

                                                  A) A different method of smoking cessation should be offered to improve outcomes.
                                                  B) The smokers had refrained from smoking for the previous 6 hours.
                                                  C) The smokers were not being truthful about smoking cessation.
                                                  D) The program was effective in accomplishing smoking cessation.


                                                  4. The following results are obtained from an adult male:
                                                  The corrected DLcovalue

                                                  A) cannot be calculated.
                                                  B) is lower.
                                                  C) is higher.
                                                  D) is unchanged.


                                                  5. The following biologic control measurements are obtained:
                                                  Which of the following patterns appears in this plot?

                                                  A) Shift
                                                  B) Drift
                                                  C) Noise
                                                  D) In control


                                                  Solutions:

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

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