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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. A 9-year-old girl had an FVC of 2.35 L1 year ago. She was 122 cm (4 ft) tall and weighed 29.5 kg (65 lb).
Her current height is 127 cm (4 ft 2 in), and her weight is 34 kg (75 lb). The current FVC measurement is 2.20
L. The quality of both tests met ATS/ERS goals. A pulmonary function technologist should conclude the change is

A) Significant since her weight has changed.
B) Significant since a decline is not expected.
C) Not significant since it is within normal test variability.
D) Not significant since it is less than a 15% decrease.

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

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

4. The following blood gas report is questioned by the attending physician:

Which of the following values is INCONSISTENT?

A) BE
B) HCO3
C) PaCO2
D) pH

5. A physician orders smoking cessation counseling for a 60-year-old male with a new diagnosis of CHF and COPD. The patient has failed several attempts to quit smoking using nicotine gum. Which of the following should a pulmonary function technologist recommend?

A) Increase the dosage of the nicotine replacement.
B) Use alternative medicine such as acupuncture.
C) Add a trial of bupropion (Zyban).
D) Switch to a nicotine patch.

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