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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. A patient has normal pulmonary and cardiac function. Which of the following is most likely when the patient reaches the anaerobic threshold during incremental stress testing?

A) Decreased CO2production
B) Increased VDA/VTratio
C) Increased RER
D) Decreased VE

2. Which of the following is the most reliable method to estimate the effectiveness of standard procedures to minimize the risk of cross-contamination during spirometry testing in a pulmonary function laboratory?

A) Ask patients tested about laboratory hygiene.
B) Ask technologists if they wash their hands before each test
C) Observe the handwashing behavior of each technologist.
D) Count the number of disposable mouthpieces used for 1 week.

3. Which of the following information reported from a recent methacholine challenge test best summarizes the patient's bronchial hyperresponsiveness?

A) postbronchodilator recovery FEV1= 106% baseline
B) diluent FEV1= 92% predicted
C) PC20= 2.3 mg/mL
D) patient reported chest tightness and a cough

4. The following results are obtained:

The RV/TLC ratio from these data is consistent with which of the following?

A) Restrictive defect
B) Obstructive defect
C) Combined obstructive/restrictive defect
D) Normal lung volumes

5. A pulmonary function technologist reviews the following home monitoring spirometry results:
According to National Asthma Education and Prevention Program (NAEPP) guidelines, what feedback should the technologist give to the patient regarding test performance?

A) Encourage the patient to continue testing and monitoring the FEW
B) Come into the office for further instructions on proper testing technique.
C) Ask the patient to recalibrate the spirometer.
D) Ask the patient to blow out longer.

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