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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. While performing a quality control test on an open circuit nitrogen system, the volume of a 3-liter syringe is measured as 3.9 L. Which of the following is the most probable explanation?

A) There was an air leak in the system.
B) The nitrogen analyzer gain was set too low.
C) The initial O2concentration in the syringe was greater than 0.21.
D) The volume was not corrected from ATPS to BTPS.

2. The following results are obtained from an adult patient:
Which of the following is the best interpretation of these values?

A) Combined obstruction/restriction
B) Normal values
C) Small airway disease
D) Airways obstruction

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

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) DLco
B) SGaw
C) MVV
D) SpO2

5. A patient's vital capacity is slightly reduced, the FEWFVC is normal, and the uncorrected DLco is increased.
Which of the following is the most likely diagnosis?

A) polycythemia vera
B) diffuse pulmonary fibrosis
C) kyphoscoliosis
D) diaphragmatic hemiparesis

Solutions: