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NBRC RPFT : Registry Examination for Advanced Pulmonary Function Technologists

RPFT

Exam Code: RPFT

Exam Name: Registry Examination for Advanced Pulmonary Function Technologists

Updated: Aug 10, 2026

Q & A: 117 Questions and Answers

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NBRC RPFT Exam Syllabus Topics:

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. During a linearity check of a flow sensor in a plethysmograph with a 3-liter calibration syringe, a pulmonary function technologist observes the following:

Which of the following should the technologist do?

A) Record these results and begin testing.
B) Look for an obstruction in the flow sensor.
C) Perform an additional flow check at 10 L/sec.
D) Recalibrate and repeat the linearity check.


2. During a forced vital capacity (FVC) maneuver, a patient produces an exhalation with a slow start and delayed peak expiratory flow. Which of the following is the most probable cause of this pattern?

A) Incorrect nose clip placement
B) Leak in the mouthpiece
C) Submaximal effort by the patient
D) Glottic closure at the start of exhalation


3. Which of the following is the most reliable indicator that a patient has achieved his maximum exercise capacity during a progressive exercise (stress) test?

A) Heart rate of 210/min
B) Respiratory exchange ratio greater than 0.8
C) Minute ventilation greater than 170 L/min
D) VO2remains stable with increasing workload


4. Which of the following is correct regarding smoking cessation?

A) Smokers who quit suddenly and without help are most likely to be successful.
B) Pharmacologic therapy increases chances of success along with counseling.
C) Withdrawal symptoms are mild and last less than 48 hours.
D) Support systems are minimally effective in smoking cessation.


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


Solutions:

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

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RPFT - Registry Examination for Advanced Pulmonary Function Technologists
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