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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. During a cardiopulmonary stress test using breath-by-breath gas analysis, a pulmonary function technologist notices that the VO2suddenly decreases. Which of the following may explain this change?
1. The patient has achieved anaerobic threshold.
2. The measurement of the expired gas volumes is inaccurate.
3. O2analyzer "phase delay" has increased.
4. There is a leak in the tubing or mouthpiece.

A) 2, 3, and 4 only
B) 1, 3, and 4 only
C) 1, 2, and 4 only
D) 1, 2, and 3 only

2. At maximum exercise, a 24-year-old patient's heart rate is 150/min with a VO2of 750 mUmin. The calculated
02 pulse is most consistent with which of the following?

A) cystic fibrosis
B) deconditioning
C) cardiomyopathy
D) achievement of anaerobic threshold

3. A patient who is about to begin pulmonary function testing is visibly upset and complains to a pulmonary function technologist that she felt a receptionist was rude to her. Which of the following should the technologist do?

A) Give the patient time to calm down and ask the laboratory manager to become involved.
B) Ignore the complaint because it is not going to affect the testing about to begin.
C) Try to get the patient to calm down by telling her that the receptionist is probably just having a bad day.
D) Accompany the patient back to the reception area and try to determine who was at fault.

4. The following values are reported at maximum effort for a 50-year-old, 70-kg (154-lb) male with significant coronary artery disease during ergometer stress testing. Which of the following is most likely an error?

A) workload 200 watts
B) VE65L/min
C) HR145/min
D) RER1.2

5. A 54-year-old male with a normal ECG at rest develops dyspnea during an exercise (stress) test, and the following ECG pattern is noted at 25 watts:

25 mm/sec A pulmonary function technologist should

A) Stop the test immediately; there is evidence of heart block.
B) Stop the test immediately; there is evidence of ischemia.
C) Continue the test and obtain an arterial blood sample.
D) Continue the test until the subject reaches target heart rate.

Solutions: