NBRC RPFT : Registry Examination for Advanced Pulmonary Function Technologists

  • Exam Code: RPFT
  • Exam Name: Registry Examination for Advanced Pulmonary Function Technologists
  • Updated: Aug 14, 2026   Q&As: 117 Questions and Answers

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NBRC RPFT Exam Syllabus Topics:

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

                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  1. A treadmill belt stops for a fraction of a second each time the patient takes a step. A pulmonary function technologist should

                                                  A) Tighten the belt.
                                                  B) Instruct the patient to use the hand rails.
                                                  C) Increase the speed of the belt.
                                                  D) Decrease the treadmill grade.


                                                  2. 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) Minute ventilation greater than 170 L/min
                                                  C) Respiratory exchange ratio greater than 0.8
                                                  D) VO2remains stable with increasing workload


                                                  3. At the end of a progressive exercise study of a healthy adult male, RER would be approximately what value?

                                                  A) 0.83
                                                  B) 1.65
                                                  C) 1.25
                                                  D) 1.00


                                                  4. An isothermal lung analog has the following specifications:
                                                  5-L glass bottle
                                                  2000 g of steel wool
                                                  Density of steel wool 5 g/cm3
                                                  Volume of connectors and bulb 100 mi-Repeated FRC measurements in the plethysmograph result in a volume of 5.5 L.
                                                  Which of the following should a pulmonary function technologist do?

                                                  A) Remove 500 g of steel wool from the lung analog
                                                  B) Begin a biologic control program
                                                  C) Recalculate the BTPS correction
                                                  D) Take the plethysmograph out of service


                                                  5. A patient is performing a flow-volume loop. A pulmonary function technologist observes equal decreases in expiratory and inspiratory flows resulting in plateaus. Patient effort is satisfactory, and he follows instructions well. The technologist should expect the patient to have a

                                                  A) Small airways obstruction
                                                  B) Variable large airways obstruction
                                                  C) Fixed large airways obstruction.
                                                  D) Restrictive disorder


                                                  Solutions:

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

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