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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. During a bronchial provocation study, a patient has the following spirometric values after a 0.25 mg/mL dose of methacholine:

Based on these results, a pulmonary function technologist should

A) Instruct the patient to blow out longer and repeat the effort.
B) Instruct the patient to blow out harder and repeat the effort.
C) Stop the test and immediately administer a bronchodilaior.
D) Reduce the concentration of methacholine on the next trial.

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

3. A patient has just finished a 6-minute walk test during which she stopped and rested by leaning against a wall several times, while catching her breath. Which of the following should a pulmonary function technologist do?

A) Report that the patient was unable to complete a standard 6-minute walk test.
B) Document the total distance the patient covered in 6 minutes.
C) Subtract the time spent at rest and report the distance walked during the time spent walking.
D) Repeat the test with supplemental oxygen after the patient is fully rested.

4. A 9-year-old girl had an FVC of 2.35 L1 year ago. She was 122 cm (4 ft) tall and weighed 29.5 kg (65 lb).
Her current height is 127 cm (4 ft 2 in), and her weight is 34 kg (75 lb). The current FVC measurement is 2.20
L. The quality of both tests met ATS/ERS goals. A pulmonary function technologist should conclude the change is

A) Not significant since it is within normal test variability.
B) Significant since her weight has changed.
C) Significant since a decline is not expected.
D) Not significant since it is less than a 15% decrease.

5. To assure linearity of an oxygen analyzer, calibrate with

A) Two test gases within the operating range of the instrument
B) 100% 02
C) Air
D) Three test gases within the operating range of the instrument

Solutions: