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NBRC RPFT Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Patient Assessment and Testing Principles | - Patient preparation and coaching techniques - Pulmonary function test indications and contraindications |
| Topic 2: Pulmonary Function Equipment and Quality Control | - Quality assurance and infection control procedures - Calibration and maintenance of spirometry systems |
| Topic 3: Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
| Topic 4: Cardiopulmonary Physiology and Interpretation | - Gas exchange and acid-base fundamentals - Interpretation of pulmonary function patterns (obstructive, restrictive, mixed) |
| Topic 5: Spirometry and Lung Volume Testing | - Lung volume measurement techniques - Forced vital capacity (FVC) and flow-volume loops |
| Topic 6: Safety, Infection Control, and Patient Care | - Emergency procedures and patient safety monitoring - Infection prevention in pulmonary testing environments |
NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
Which of the following is an appropriate reason to perform a multiple-breath nitrogen washout test?
- A. Detect early small airway disease.
- B. Measure anatomical dead space.
- C. Measure oxygen consumption.
- D. Differentiate obstruction from restriction.
Correct Answer: A 🗳️
A comparison of two techniques for measuring Rawis shown below:
Which of the following should a pulmonary function technologist conclude?
- A. Results are consistent with the two methodologies.
- B. Subject 1 panted too forcefully.
- C. Subjects 1 and 2 both have reactive airways.
- D. The system was calibrated for quiet breathing.
Correct Answer: A 🗳️

The ECG above is recorded during the recovery phase immediately following termination of an ergo meter exercise study. A pulmonary function technologist should
- A. Have the patient lie down
- B. Initiate chest compressions
- C. Continue the cool-down phase
- D. Check the electrode connections
Correct Answer: B 🗳️
While reviewing exercise data, a pulmonary function technologist notes that the patient's anaerobic threshold occurred at 35% of the patient's VO2MAX. This indicates the patient has
- A. a normal response to exercise
- B. ventilatory limitation
- C. cardiac limitation
- D. given a submaximal effort
Correct Answer: C 🗳️
A helium dilution test has just been performed on a patient. The following results are obtained:
FRC 5.0 L
VC 4.0 L
ERV 1.5 L
TLC was calculated to be 6.0 L by plethysmography. From this information, a pulmonary function technologist should conclude that the patient
- A. Was turned into the helium dilution circuit at a lung volume considerably above FRC.
- B. Had inadequate intrapulmonary mixing of inspired gas, resulting in an erroneous FRC.
- C. Did not remain in the helium dilution breathing circuit long enough for equilibration.
- D. Did not perform the slow vital capacity properly, resulting in too low an FRC by helium dilution.
Correct Answer: B 🗳️
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