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Registry Examination for Advanced Pulmonary Function Technologists Questions 31–35 (page: 8)

Updated On: 9-Feb-2026

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

  1. The FVC falls below 3.20 L, or the FEV1falls below 2.40L.
  2. The FEV, falls below 2.40 L, regardless of change in FVC.
  3. The FVC falls below 3.20 L and the FEV1falls below 2.40 L.
  4. The ratio FEV1/FVC falls below 0.8.

Answer(s): B



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?

  1. The patient has an elevated VDAVT
  2. A gas analyzer is malfunctioning
  3. The expired gas is contaminated with air
  4. The patient is hyperventilating

Answer(s): B



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?

  1. Increased RER
  2. Decreased CO2production
  3. Increased VDA/VTratio
  4. Decreased VE

Answer(s): C



A pulmonary function laboratory routinely tests five subjects as biologic controls. Acceptable instrument performance over time is indicated when measurements

  1. For each individual are within 2 standard deviations of the mean of previous measurements for each individual.
  2. For an individual are within 2 standard deviations of the mean of those for the group.
  3. Of the group as a whole agree with those predicted by linear regression for changes in age.
  4. Are within the 95% confidence interval predicted for an individual being tested.

Answer(s): D



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?

  1. cystic fibrosis
  2. cardiomyopathy
  3. achievement of anaerobic threshold
  4. deconditioning

Answer(s): A



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