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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. A patient will undergo bronchial provocation testing with methacholine chloride (Provocholine). Baseline spirometry reveals the FVC is 4.00 L and FEV1is 3.00 L. The provocative dose 20% (PD20) can be calculated when which of the following measurements occur?

A) The FEV, falls below 2.40 L, regardless of change in FVC.
B) The ratio FEV1/FVC falls below 0.8.
C) The FVC falls below 3.20 L and the FEV1falls below 2.40 L.
D) The FVC falls below 3.20 L, or the FEV1falls below 2.40 L.

2. A smoking cessation program using a nicotine patch is started for all smokers in a factory. Results revealed that smokers who reported they had quit had exhaled carbon monoxide levels less than 6 ppm. A pulmonary function technologist should conclude that

A) The smokers were not being truthful about smoking cessation.
B) A different method of smoking cessation should be offered to improve outcomes.
C) The smokers had refrained from smoking for the previous 6 hours.
D) The program was effective in accomplishing smoking cessation.

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

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

4. The following data were obtained from a bronchial challenge test:

APC20of 2 mg/mL was obtained the next day in another laboratory. Which of the following is the most likely explanation for these data?

A) The patient's effort was inconsistent.
B) The two test results are within day-to-day variability.
C) Incorrect doses of methacholine were administered.
D) The spirometer accuracy drifted during the test.

5. The following test results are available for a 35-year-old subject who is applying for disability:
These findings are consistent with

A) A paralyzed hemidiaphragm
B) Occupational asthma
C) Pulmonary fibrosis
D) Poor effort

Solutions: