RPSGT Certification

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Registered Polysomnographic Technologist (RPSGT)

History

The Board of Registered Polysomnographic Technologists (BRPT) was established in 1978 as an independent, non-profit certification body for sleep technologists. The BRPT developed and administered the first RPSGT exam in 1979, and in that year certified 8 experienced technologists. Today, over 20,000 individuals have been RPGST certified. In 2010, the CPSGT exam was introduced as a first step in credentialing entry-level polysomnographic technologists on an advancement path to the RPSGT credential. In 2014 a new Certification in Clinical Sleep Health (CCSH) was introduced for technologists and allied health professionals whose roles in case management, education and advocacy require advanced professional knowledge and skills.[1]

Function of the Test

RPSGT Study Guide

The RPSGT exam provides experienced sleep technicians with an internationally recognized proof of their competence in the field. Both recent graduates of an accredited polysomnographic education program as well as experienced sleep technologists are eligible to take the RPSGT exam. Students may register up to 30 days before graduation. All other first-time domestic candidates must have a current BCLS certification and meet a combination of education and experience according to one of three pathways:

  • Clinical experience pathway – A minimum of 1,638 hours of direct polysomnography experience in the field within 3 years prior to taking the exam, plus completion of an approved self-study program.
  • Healthcare credential pathway – A minimum of 546 hours of direct polysomnography experience within 3 years prior to taking the exam, plus possession of a current healthcare professional credential.
  • Focused training pathway – A minimum of 819 hours of direct polysomnography experience and completion of an approved focused education program (or both an approved self-study program and an approved focused 2 program) within 3 years prior to taking the exam.

International candidates with the appropriate combination of education and experience are also eligible for the exam. Previously RPSGT-certified candidates who have not met the continuing education requirements needed to maintain their credential in good standing may opt to take the exam in order to re-certify. [2]

Test Administration

RPSGT Flashcards

The application form and may be completed online, or printed and mailed to BRPT along with all supporting materials and payment in the form of credit card, cashier’s or certified check, or money order. Incomplete applications will be returned and subject to a $50 fee for resubmission. The examination fee is $450, which includes a $50 non-refundable processing fee. A candidate may reschedule an exam without penalty by notifying the testing center at least one business day in advance. Candidates who miss their scheduled date without appropriate notice must pay a $90 reinstatement fee in order to obtain a new testing date.[3] Approved candidates can schedule their exam directly with a local Pearson Vue testing center at any time within a year of receiving their approval, or until the expiration date on their CPR/BLS certificate, whichever is sooner.[4] Candidates who do not pass the exam may reapply at any time within a 3-year period from the date of their initial application. There is no waiting period to retake the exam. To reapply, candidates must complete a new application form but do not have to resend their supporting documents. The cost is the same for each attempt. If a candidate’s BLS certification has expired, it must be renewed and proof of renewal must be submitted with the application and payment. After 3 years, any candidate wishing to retake the exam must resubmit proof of eligibility.[5] Special accommodations are available to candidates who submit an “ADA Accommodations Request” with appropriate supporting documentation at the time of application.[6]

Test Format

Sections of the RPSGT Test
RPSGT Test Subject Areas  % of Exam
Study Performance/Instrumentation 40%
Scoring and Data Processing 20%
Perform Therapeutic Treatment and Intervention 30%
Therapy Adherence and Management 10%
Total 100%

Test Environment

Candidates are expected to arrive at the testing center at least half an hour before the exam starts. For admission, two forms of identification are required, one of which must be a government issued photo ID containing a name and signature. The second form of ID must contain a a name and signature, such as a debit/credit card or a student ID. Personal items such as electronics, paper, books, bags, hats, and snacks are not allowed during the testing session. A calculator will be provided on-screen, and a white dry-erase board and marker are provided by the testing center. [7]

Test Structure

The RPSGT Exam is made up of 150 scored items and 50 pretest items, a total of 200. All 200 questions have to do with four major domains: Study Performance/Instrumentation; Scoring and Data Processing; Perform Therapeutic Treatment and Intervention; and Therapy Adherence and Management. Each test-taker will be allowed a four hour exam period to complete the entire test. [8]

Test Content

  • Sample RPSGT questions
  1. Average volume-assured pressure support focuses on maintaining which aspect of the respiratory process?
    A. Respiratory rate
    B. Tidal volume
    C. Inspiratory time
    D. Expiratory time
  2. Using the data in Table 1, what is the total sleep time?
    A. 105 minutes
    B. 210 minutes
    C. 262.5 minutes
    D. 525 minutes
  3. What causes EKG artifacts in the EEG and EOG channels?
    A. Improper EKG patch placement
    B. M1 and M2 being placed directly on the auricular branch of the posterior auricular artery
    C. Incorrect filter settings on the EEG and EOG channels
    D. None of the above
  4. What percentage distance is Fp1 from Fpz?
    A. 10%
    B. 20%
    C. 50%
    D. 60%
  5. During observation of a PSG, which of the following positions yields more severe obstructive events and louder snoring?
    A. Supine
    B. Prone
    C. Right
    D. Left
  6. Which of the following equipment requires high-level disinfection?
    A. Surface electrodes placed where the skin was braded with a blunt cotton-tip tool
    B. Thermistors, PAP masks, and tubing
    C. Belts placed on the abdomen and thorax for effert detection
    D. Both A and B
  7. Upon arriving in the sleep lab, the technologist should first do which of the following?
    A. Test the equipment for proper function.
    B. Eat dinner.
    C. Gather paperwork that the patients will need to fill out.
    D. Do nothing until the patients arrive.
  8. Which of the following is a reason to start a CRAP study higher than 4 cm?
    A. The patient is returning to lab for re-titration.
    B. The patient had a high apnea-hypopnea index during the diagnostic study.
    C. The patient has an elevated body mass index.
    D. Both A and C are correct.
  9. When titrating adaptive servoventilation or average volume-assured pressure support, what minimum amount of time should the technologist wait between parameter adjustments?
    A. 10 minutes.
    B. 15 minutes.
    C. 20 minutes.
    D. 30 minutes.

More free RPSGT practice test questions.

Scoring

There are 200 items on each exam form, 50 of which are pretest items that are not included when calculating a candidate’s score. The RPSGT exam uses criterion-referenced scoring, which considers the number of correctly answered items as well as the difficulty of the items when establishing a passing standard or “cut score”. Subject-matter experts review all exam questions and rate them in terms of difficulty. Each exam form contains a unique assortment of questions, and each is subject to an equating procedure to convert raw scores (number of items answered correctly) into scaled scores. Raw scores needed to pass the exam may vary between different exam forms due to slight differences in difficulty among the forms, so the passing standard is always expressed in terms of scaled scores. A scaled score of 350 in a range of 200-500 is needed to pass the exam.[9] Over 1,600 first-time candidates took the RPSGT exam in 2013. Pass rates varied depending on the path to eligibility taken by candidates. Overall, the pass rate was 73%, with those coming from the allied health professions and individuals with focused training achieving the highest rate of success.[10]

Answers to Sample Questions

1;B 2;C 3;B 4;A 5;A 6;D 7;A 8;D 9;C

References

  1. ^ BRPT History November 14, 2014
  2. ^ Certification Examination for Polysomnographic Technicians Candidate Handbook November 14, 2014
  3. ^ RPSGT Candidate Handbook November 22, 2014
  4. ^ RPSGT Exam Application November 22, 2014
  5. ^ RPSGT: How to Reapply November 22, 2014
  6. ^ RPSGT Candidate Handbook November 22, 2014
  7. ^ RPSGT Candidate Handbook 17 October 2014
  8. ^ RPSGT Handbook 17 October 2014
  9. ^ RPSGT Candidate Handbook November 22, 2014
  10. ^ 2013 Year in Review: The BRPT Annual Report November 22, 2014