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Exam Information
Official specifications published by NBRC
Exam Format
Registration
Validity
Skills this practice test covers
- Calibrate a spirometer with a calibration syringe and act on a failed check.
- Run quality control on blood gas analyzers, including proficiency testing.
- Select a protocol for spirometry, static lung volume or DLCO testing.
- Carry out airway responsiveness tests, from bronchodilator studies to methacholine challenges.
- Check a test's acceptability and repeatability before the result is reported.
- Read ECG rhythms and blood pressure during a monitored exercise test.
Explore related topics
CPFT exam content
3 domains · 10 topics · 115 questions
Instrumentation / Equipment33%38 questions
This domain covers the lab's equipment, from spirometers and gas analyzers to body plethysmographs, blood gas analyzers and exercise equipment. Candidates set it up, maintain and calibrate it, troubleshoot faults, and run quality control.
Skills tested
- Set up, maintain and calibrate spirometers, gas analyzers and body plethysmographs.
- Troubleshoot faults in blood gas analyzers, valves and pressure measuring devices.
- Perform quality control with calibration syringes and an isothermal lung analog.
- Keep equipment safe to use with infection control methods, such as filters and sterilization.
Questions by topic
- Set Up, Maintain, Calibrate16
- Troubleshoot11
- Perform Quality Control11
Procedures44%51 questions
The largest domain is the testing itself. Candidates choose a protocol and equipment, perform the test, and judge whether the result is valid, across spirometry, static lung volumes, DLCO, blood gases, exercise tests and airway responsiveness.
Skills tested
- Choose upright or supine spirometry and the right equipment for the patient.
- Measure static lung volumes by gas dilution or body plethysmography.
- Perform field walking tests, such as the 6MWT, and monitored exercise tests.
- Collect arterial and capillary blood samples, and follow standard precautions.
- Teach patients to use inhalers and to carry out home testing.
Questions by topic
- Evaluate Validity of Result17
- Perform the Procedure18
- Select Test Protocols and Equipment16
Data Management23%26 questions
This domain turns measurements into results a physician can use. Candidates calculate results, select reference ranges, judge reliability and clinical meaning, and handle quality control data and laboratory quality management.
Skills tested
- Calculate results and select the right reference ranges for a patient.
- Judge the reliability of blood gas, CO-oximetry, spirometry and DLCO results.
- Evaluate the clinical implications of results, including ECG analysis.
- Trend serial pulmonary function tests for one patient over time.
Questions by topic
- Calculate Results, Select Reference Ranges and Data8
- Evaluate Clinical Implications8
- ECG analysis5
- Evaluate Reliability of Results5
Requirements
- Candidates must be at least 18 and meet one of the NBRC's admission routes.
- Route A: at least an associate degree from a respiratory therapy program that CoARC accredits or supports.
- Route B: holding the NBRC's Certified Respiratory Therapist (CRT) or Registered Respiratory Therapist (RRT) credential.
- Route C: college study worth 62 semester hours from an accredited school, with courses in biology and mathematics.
About the CPFT exam
CPFT is the NBRC's entry-level credential for pulmonary function technologists, earned by reaching the low cut score on the Pulmonary Function Technology Examination. The exam checks how a technologist sets up, calibrates and troubleshoots lab equipment, performs tests from spirometry to bronchial provocation, and turns raw data into reliable results. Procedures is the largest of its three domains. A result at the high cut score on the same exam also earns the Registered Pulmonary Function Technologist (RPFT) credential.
Procedures has the most questions in the PlanetCert practice test, followed by instrumentation and data management. The explanations show why a result is valid or not, for example when a spirometry effort or a DLCO maneuver fails its quality checks. Study Mode suits the Data Management domain, where results must be calculated and read against reference ranges. Brainy AI Assistant can explain how a gas dilution method differs from body plethysmography, or why a calibration syringe check failed.
How to earn the certification
- Earns
- Certified Pulmonary Function Technologist (CPFT)Specialty (entry-level pulmonary function technologist)
The CPFT is awarded for a five-year term under the NBRC's Credential Maintenance Program.
How to prepare for CPFT
- 1
Map the outline to lab work
The NBRC's Detailed Content Outline lists every task by domain, and the same tests recur in each section. Mark the tests not yet performed by hand, such as EVH or respiratory muscle strength, and plan time with them.
- 2
Rehearse daily quality control
Practise calibration syringe checks, gas analyzer calibration and biological quality control until a failed check can be traced to its cause. The Instrumentation / Equipment domain rests on this routine.
- 3
Spend longest on procedures
Procedures is the largest domain. For each test, from spirometry to DLCO and bronchial provocation, learn the protocol, the patient instructions and the signs that a result is not valid.
- 4
Work the calculations by hand
Calculate results, choose reference ranges and check reliability for blood gases, lung volumes and DLCO. Study Mode lets each Data Management question be read slowly, with its explanation.
- 5
Take a timed full run
Take the CPFT practice test in Timed Mode, then the NBRC's free PFT practice exam. Ask Brainy AI Assistant about every missed validity question, such as which acceptability check a test failed.
Start a timed CPFTrun
The NBRC offers a free PFT practice exam and official Self-Assessment Examinations, and it publishes the Detailed Content Outline the exam follows.
Who CPFT is for
- Respiratory therapists with the CRT or RRT who perform lung function and blood gas tests.
- Recent graduates of CoARC-accredited respiratory therapy programs who join a diagnostics lab.
- Lab technicians who qualify through college credit in biology and mathematics.
- Technologists who plan to reach the RPFT level on a later sitting.
Typical job titles: Pulmonary function technologist · Respiratory therapist · Cardiopulmonary technologist · Pulmonary lab technician
CPFT glossary
18 terms from the exam objectives and the vendor's official material, each defined in a sentence.
- 6MWT
- The six-minute walk test: the distance a patient walks in six minutes, often with pulse oximetry monitoring.
- Body habitus
- A patient's body size and build, measured with tools such as a stadiometer and used to predict normal values.
- Body plethysmography
- Measuring lung volumes and airway resistance while the patient sits in a sealed box, from pressure changes during breathing.
- Bronchial provocation studies
- Tests that give a trigger, such as methacholine, mannitol or exercise, to see whether the airways narrow too easily.
- Bronchodilation studies
- Spirometry before and after a bronchodilator drug, to see whether airflow improves.
- Calibration syringes
- Syringes of a known volume used to check that a spirometer or flow sensor measures volume correctly.
- CO-oximetry
- Blood analysis that measures the forms of hemoglobin, such as oxyhemoglobin and carboxyhemoglobin, by how they absorb light.
- Credential Maintenance Program
- The NBRC program that keeps a credential active over its five-year term, through assessments and continuing education or a new exam.
- DLCO
- The diffusing capacity of the lung for carbon monoxide: a measure of how well gas passes from the lungs into the blood.
- EVH
- Eucapnic voluntary hyperpnea: a provocation test in which the patient breathes fast on a gas mix that keeps carbon dioxide normal.
- Gas dilution methods
- Ways to measure lung volumes from how a gas mixes in the lungs, as in helium dilution or nitrogen washout.
- Isothermal lung analog
- A quality control device that acts as a lung of known volume, used to check a body plethysmograph.
- Low cut score
- The lower of the exam's two cut scores; a candidate who reaches it earns the CPFT credential.
- Pulse oximetry
- A noninvasive estimate of blood oxygen saturation (SpO2) from a sensor on a finger or ear.
- Respiratory muscle strength
- Tests such as MIP, MEP and cough peak flow that measure how hard the breathing muscles can pull and push.
- Serial pulmonary function testing
- Repeating tests on one patient over time to follow a trend, such as a decline or a response to treatment.
- Spirometry
- A test that measures how much air a person can breathe out, and how fast, after a full breath in.
- Static lung volumes
- Lung volumes that do not depend on airflow, such as total lung capacity and residual volume.