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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

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

2. Which of the following spirometry results is most characteristic of a restrictive lung disease?

A) Normal FEV1/FVC ratio and decreased FVC
B) Decreased FEV1/FVC ratio and normal FVC
C) Increased FEV1 with normal total lung capacity
D) Increased residual volume and increased FEV1/FVC ratio

3. Which of the following is an appropriate reason to perform a multiple-breath nitrogen washout test?

A) Detect early small airway disease.
B) Differentiate obstruction from restriction.
C) Measure oxygen consumption.
D) Measure anatomical dead space.

4. A helium dilution test has just been performed on a patient. The following results are obtained:
FRC 5.0 L
VC 4.0 L
ERV 1.5 L
TLC was calculated to be 6.0 L by plethysmography. From this information, a pulmonary function technologist should conclude that the patient

A) Had inadequate intrapulmonary mixing of inspired gas, resulting in an erroneous FRC.
B) Was turned into the helium dilution circuit at a lung volume considerably above FRC.
C) Did not remain in the helium dilution breathing circuit long enough for equilibration.
D) Did not perform the slow vital capacity properly, resulting in too low an FRC by helium dilution.

5. A 12-year-old patient completed an evaluation for exercise-induced asthma in the pulmonary function laboratory. The patient completed six minutes of exercise on a treadmill with a heart rate of 145 to 150/min.
The following spirometry data were collected:

A pulmonary function technologist should conclude that the exercise test is

A) Inadequate workload with a positive response
B) Adequate workload with a negative response
C) Adequate workload with a positive response
D) Inadequate workload with a negative response

Solutions: