NBRC Registry Examination for Advanced Pulmonary Function Technologists : RPFT

  • Exam Code: RPFT
  • Exam Name: Registry Examination for Advanced Pulmonary Function Technologists
  • Updated: Sep 03, 2026
  • Q&As: 117 Questions and Answers

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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Topic 2: 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
Topic 3: Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors
Topic 4: Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Gas sample analysis
  • 2. Breath-hold technique
Topic 5: 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
Topic 6: Patient Preparation and Assessment25%- Patient Interview and History
  • 1. Assess patient ability to perform tests
  • 2. Identify contraindications
- Physical Assessment
  • 1. Patient positioning and comfort
  • 2. Anthropometric measurements
Topic 7: Body Plethysmography10%- Lung Volume Measurement
  • 1. Thoracic gas volume (TGV)
  • 2. Residual volume (RV) and total lung capacity (TLC)

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

Question 1

A pulmonary function technologist is performing an exercise (stress) test on a patient with severe COPD. As the test progresses, the patient shows signs of increasing dyspnea. Measurements of inspiratory capacity decreased from 2.0 L to 1.5 L. Which of the following most likely occurred?

A. disconnected gas sampling line
B. acute decrease in FRC
C. dynamic hyperinflation
D. drift in the flow transducer


Question 2

A patient with severe airflow limitation pants too rapidly (> 3 breaths/second) against a closed shutter in a body plethysmograph. Which of the following will occur?

A. VTGoverestimation
B. RAWoverestimation
C. RAWunderestimation
D. VTGunderestimation


Question 3

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


Question 4

The following data were obtained from a bronchial challenge test:

APC20of 2 mg/mL was obtained the next day in another laboratory. Which of the following is the most likely explanation for these data?

A. The patient's effort was inconsistent.
B. The two test results are within day-to-day variability.
C. The spirometer accuracy drifted during the test.
D. Incorrect doses of methacholine were administered.


Question 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. achievement of anaerobic threshold
B. deconditioning
C. cystic fibrosis
D. cardiomyopathy


Solutions:

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

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