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NBRC Registry Examination for Advanced Pulmonary Function Technologists - RPFT real prep

RPFT
  • Exam Code: RPFT
  • Exam Name: Registry Examination for Advanced Pulmonary Function Technologists
  • Updated: Aug 16, 2026
  • Q & A: 117 Questions and Answers
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NBRC RPFT Exam Syllabus Topics:

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

                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  1. A patient will undergo bronchial provocation testing with methacholine chloride (Provocholine). Baseline spirometry reveals the FVC is 4.00 L and FEV1is 3.00 L. The provocative dose 20% (PD20) can be calculated when which of the following measurements occur?

                                                  A) The FVC falls below 3.20 L, or the FEV1falls below 2.40 L.
                                                  B) The FEV, falls below 2.40 L, regardless of change in FVC.
                                                  C) The ratio FEV1/FVC falls below 0.8.
                                                  D) The FVC falls below 3.20 L and the FEV1falls below 2.40 L.


                                                  2. 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) given a submaximal effort
                                                  B) ventilatory limitation
                                                  C) cardiac limitation
                                                  D) a normal response to exercise


                                                  3. 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 30% in FEF25-75%
                                                  C) A decline of more than 20% in FEV1
                                                  D) A decline of more than 20% in inspiratory capacity


                                                  4. A 6-year-old child has a history of repeated episodes of wheezing and shortness of breath. A pulmonary function technologist has difficulty obtaining repeatable spirometry results. Which of the following tests should be performed next?

                                                  A) MVV
                                                  B) SpO2
                                                  C) DLco
                                                  D) SGaw


                                                  5. Using a peak flowmeter, a pulmonary function technologist obtains the following:
                                                  The technologist should

                                                  A) Perform at least one more peak flow trial.
                                                  B) Conclude that bronchodilatation has occurred.
                                                  C) Report the average of the two best efforts.
                                                  D) Report the patient's peak flow as 750 L/min.


                                                  Solutions:

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

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