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RPFT Registry Examination for Advanced Pulmonary Function Technologists Questions and Answers

Questions 4

In setting up a CO analyzer, a pulmonary function technologist notices that the analyzer reads -0.03 while sampling air. The technologist should

Options:

A.

Accept the reading because it is within ± 3%.

B.

Adjust the reading to +0.03.

C.

Adjust the reading to 0.00.

D.

Reverse the sample flow.

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Questions 5

A patient's bronchial provocation test was interpreted as positive for hyperreactive airways. Considering changes from a pre-challenge baseline, all of the following are consistent with this interpretation EXCEPT a

Options:

A.

25% decrease in R aw .

B.

25% decrease in FEF max .

C.

25% increase in FRC.

D.

25% decrease in FEF 25-75% .

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Questions 6

When using a variable pressure plethysmograph, a leak in the door seal that develops subsequent to calibration will cause underestimation of

Options:

A.

R aw

B.

V TG

C.

Alveolar pressure

D.

vital capacity

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Questions 7

A pulmonary function technologist is asked to select gas concentrations to simulate pediatric patients' exhaled concentrations during a D Lco simu - lation. Which of the following F E CO concentrations should the technologist select?

Options:

A.

0.200

B.

0.300

C.

0.400

D.

0.100

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Questions 8

A comparison of two techniques for measuring Rawis shown below:

RPFT Question 8

Which of the following should a pulmonary function technologist conclude?

Options:

A.

Subject 1 panted too forcefully.

B.

The system was calibrated for quiet breathing.

C.

Subjects 1 and 2 both have reactive airways.

D.

Results are consistent with the two methodologies.

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Questions 9

Results of two blood gas samples drawn from the same patient, 30 minutes apart, are shown below:

Which of the following is the most likely explanation for these differences?

Options:

A.

The patient's minute ventilation has increased.

B.

The patient has developed a pneumothorax.

C.

The 10:30 blood sample has been contaminated with air.

D.

The 10:30 blood sample contains an excess of heparin solution.

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Questions 10

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:

RPFT Question 10

25 mm/sec A pulmonary function technologist should

Options:

A.

Continue the test until the subject reaches target heart rate.

B.

Stop the test immediately; there is evidence of heart block.

C.

Continue the test and obtain an arterial blood sample.

D.

Stop the test immediately; there is evidence of ischemia.

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Questions 11

A pulmonary function technologist is performing quality control on a nebulizer used in the 5-breath dosimeter bronchial challenge. The target output of the device is 0.09 mL, plus or minus 10%. After 10 actuations, the nebulizer output was 75 µL with a 2.0 mL initial saline dose in the nebulizer. The technologist should

Options:

A.

Open the vent before starting the bronchial challenge.

B.

Add an exhalation filter and proceed with testing patients.

C.

Clean and reevaluate this nebulizer.

D.

Accept the results and begin using the device.

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Questions 12

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?

Options:

A.

workload 200 watts

B.

V E 65L/min

C.

HR145/min

D.

RER1.2

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Questions 13

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?

Options:

A.

diffuse pulmonary fibrosis

B.

diaphragmatic hemiparesis

C.

kyphoscoliosis

D.

polycythemia vera

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Questions 14

A patient with severe airflow limitation pants too rapidly ( > 3 breaths/second) against a closed shutter in a body plethysmograph. Which of the following will occur?

Options:

A.

V TG underestimation

B.

V TG overestimation

C.

R AW underestimation

D.

R AW overestimation

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Questions 15

Which of the following is a common reason for an unstable zero reading from an infrared analyzer?

Options:

A.

Debris in the sampling system

B.

Inaccurate calibration gases

C.

Exhausted DRIERITE

D.

Excess room humidity

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Questions 16

The following results are obtained from an adult male:

The corrected D Lco value

Options:

A.

is unchanged.

B.

is higher.

C.

is lower.

D.

cannot be calculated.

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Questions 17

Which of the following is the most reliable indicator that a patient has achieved his maximum exercise capacity during a progressive exercise (stress) test?

Options:

A.

Respiratory exchange ratio greater than 0.8

B.

Heart rate of 210/min

C.

VO 2 remains stable with increasing workload

D.

Minute ventilation greater than 170 L/min

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Questions 18

A subject has the following values reported:

What is the SG AW ?

Options:

A.

0.20

B.

0.80

C.

1.25

D.

0.40

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Questions 19

While performing a quality control test on an open circuit nitrogen system, the volume of a 3-liter syringe is measured as 3.9 L. Which of the following is the most probable explanation?

Options:

A.

There was an air leak in the system.

B.

The initial O 2 concentration in the syringe was greater than 0.21.

C.

The volume was not corrected from ATPS to BTPS.

D.

The nitrogen analyzer gain was set too low.

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Questions 20

While assessing a patient's expired gases at rest prior to exercise, a pulmonary function technologist calculates the RER as 0.6. Which of the following is the most likely explanation?

Options:

A.

The patient has an elevated VDAVT

B.

A gas analyzer is malfunctioning

C.

The expired gas is contaminated with air

D.

The patient is hyperventilating

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Questions 21

During a forced vital capacity (FVC) maneuver, a patient produces an exhalation with a slow start and delayed peak expiratory flow. Which of the following is the most probable cause of this pattern?

Options:

A.

Glottic closure at the start of exhalation

B.

Incorrect nose clip placement

C.

Leak in the mouthpiece

D.

Submaximal effort by the patient

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Questions 22

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

RPFT Question 22

Which of the following values is INCONSISTENT?

Options:

A.

BE

B.

pH

C.

PaCO 2

D.

HCO 3

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Questions 23

In a patient with neuromuscular disease, which of the following is the best way to detect airway obstruction?

Options:

A.

SG aw

B.

MIP

C.

PEF

D.

MVV

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Questions 24

When performing quality control in a body plethysmograph using a 5-L isothermal bottle, the V TG at shutter closure are as follows:

RPFT Question 24

A pulmonary function technologist should

Options:

A.

Service the mouth pressure transducer.

B.

Recalibrate the box pressure transducer.

C.

Check biological control before beginning testing.

D.

Proceed with patient testing.

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Questions 25

A pulmonary function technologist is reviewing results of a recent mechanical diffusion simul-ation using a 3-liter syringe. The test was conducted at a room temperature of 22° C. The following BTPS results were reported:

Which of the following should the technologist do?

Options:

A.

Proceed with testing.

B.

Change the calibration gases.

C.

Recalibrate the gas analyzer.

D.

Recalibrate the pneumotachometer.

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Questions 26

While performing duplicate blood gas analyses, a pulmonary function technologist notes that the second instrument gives consistently higher values forPaCO 2 and PaO 2 . Which of the following is the most probable cause of higher readings from the second instrument?

Options:

A.

The sample chamber temperature is greater than 37° C

B.

An excessive delay occurred between running the two samples

C.

The PO 2 and PCO 2 electrode membranes have protein build-up

D.

The sample chamber has a bacterial contaminate

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Questions 27

While reviewing exercise data, a pulmonary function technologist notes that the patient's anaerobic threshold occurred at 35% of the patient's VO 2MAX . This indicates the patient has

Options:

A.

ventilatory limitation

B.

cardiac limitation

C.

a normal response to exercise

D.

given a submaximal effort

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Questions 28

When performing exercise testing on a biologic control, the measurements obtained should be compared with

Options:

A.

The patient population that will be tested.

B.

Predicted values used for the biologic control's height and weight

C.

Previous tests performed on the biologic control.

D.

At least two other biologic controls being tested.

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Questions 29

The following data were obtained from a bronchial challenge test:

RPFT Question 29

APC 20 of 2 mg/mL was obtained the next day in another laboratory. Which of the following is the most likely explanation for these data?

Options:

A.

The two test results are within day-to-day variability.

B.

Incorrect doses of methacholine were administered.

C.

The spirometer accuracy drifted during the test.

D.

The patient's effort was inconsistent.

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Questions 30

Which of the following sets of FIF data is most consistent with an extrathoracic airway obstruction?

Options:

A.

Option A

B.

Option B

C.

Option C

D.

Option D

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Questions 31

RPFT Question 31

Which of the above patterns illustrates the effect of increasing temperature in the plethysmograph during airways resistance measurement?

Options:

A.

4

B.

3

C.

2

D.

1

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Questions 32

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?

Options:

A.

Count the number of disposable mouthpieces used for 1 week.

B.

Observe the handwashing behavior of each technologist.

C.

Ask patients tested about laboratory hygiene.

D.

Ask technologists if they wash their hands before each test

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Questions 33

A government agency requires that a pulmonary function technologist establish procedures to minimize the loss of laboratory data. Which of the following should be included in these procedures?

1. Continuous mirroring of hard drives

2. Storage of duplicate test data offsite

3. No Internet connections to the computer storing the database

4. Contracting with a third-party security company

Options:

A.

2, 3, and 4 only

B.

1, 3, and 4 only

C.

1, 2, and 4 only

D.

1, 2, and 3 only

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Questions 34

The following values are obtained using a 3-liter calibration syringe during volume calibration of a dry-rolling spirometer:

2.80 L

2.79 L

2.82 L

The performance of this spirometer is best described as

Options:

A.

Neither accurate nor precise.

B.

Both accurate and precise.

C.

Precise, but not accurate. .

D.

Accurate, but not precise.

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Exam Code: RPFT
Exam Name: Registry Examination for Advanced Pulmonary Function Technologists
Last Update: Apr 30, 2026
Questions: 115

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