TABLE OF SPECIFICATIONS FOR RESPIRATORY

THERAPISTS LICENSURE EXAMINATION

I - DIAGNOSTICS (25%)

A. Pulmonary Function Test B. Arterial Blood Gas (ABG) C.

Electrocardiography (ECG)

II - PATHOPHYSIOLOGY (25%)

A. Patient Assessment B. Cardiopulmonary Patophysiology

III - RESPIRATORY CARE (25%)

A. Mechanical Ventilation and Oxygen Therapy B. Airway Care and

Management C. Pulmonary Rehabilitation

IV - NEONATAL AND PEDIATRIC RESPIRATORY CARE (25%)

A. Neonatal Respiratory Care B. Pediatric Respiratory Care

HIGHER ORDER THINKING SKILLS (Difficult) (Synthesize, Analyze, Apply,
Evaluate) Cluster I (25%)
➢ PFT (40%) ➢ ABG (40%) ➢ ECG (20%) Cluster II (25%)
➢ Patient Assessment
(50%) ➢ Cardio
Pathophysiology (50%) Cluster III (25%)
➢ Mechanical Ventilation
& Oxygen Therapy (50%) ➢ Airway Care & Mgt.
(25%) ➢ Pulmonary Rehab.
(25%) Cluster IV (25%)
➢ Neonatal Respiratory
Care (60%) ➢ Pediatric Respiratory
Care (40%)
SUBJECTS
KNOWLEDGE (Recall/ Where, What... Define)
(Easy)
UNDERSTANDING
Describe, (Understand, (Moderate)
Explain)
CLASSIFICATION OF
A. PULMONARY FUNCTION TEST 40%
QUESTIONS
COMPETENCIES CONTENT WEIGHT
Understand
Knowledge
Thinking Skills
ing

1. Discuss the importance and

indications for PFT 2. Enumerate the different types of
equipment used in PFT.
I. Equipment for Volume & Flow
Measurement A. Volume/ Flow Measuring Instruments B. Plethysmographs C.
Directional Breathing Valves and
Directional Control Valves D. Display/ Recording Instruments
5%
1. Describe the measurements that indicate pulmonary volumes and ventilation.
2. Describe the pathophysiologic
patterns associated with obstructive and restrictive lung disease.
II. Test for Pulmonary Volumes and
Ventilation A. Pulmonary Volumes and Ventilation B. Direct Spirometry and Impedance
Plethysmography C. Indirect Spirometry/ Body
Plethysmography/ Gas Dilution D. Radiologic Estimation of Lung Volume E.
Interpretation of Pulmonary Volumes
and Ventilation
2.5%
1. Describe the measurements that indicates pulmonary mechanics
III. Test for Pulmonary Mechanics
A. Forced Vital Capacity Maneuver B. Low Density Gas Spirometry C. Maximum
Voluntary Ventilation D. Airway Resistance/ Conductance E. Compliance F. Maximum
Inspiratory/ Expiratory
Pressures
5%
1. Understand the principles behind
pulmonary distribution and perfusion
IV. Test for Pulmonary Gas Distribution and Matching with Perfusion A. Deadspace
Ventilation B. Distribution of Ventilation
5%
V. Test for Pulmonary Gas Diffusion
A. Test Description 1. Describe the purpose and
B. Techniques for Measurement techniques used to measure
C. Equipment Required diffusion capacity.
D. Test Administration E. Interpretation of Test Results
5%
1. Interpret Pulmonary Function Test
results
VI. Predicted Normal Values for
Pulmonary Function Tests A. Factors Affecting Predicted Normal
Values B. Sources of Predictive Equations for
Normal PFT Values C. Using Predictive Equations for Normal
PFT Values
5%
1. Evaluate and address issues
surrounding equipment application and/or operation 2. Identify and explain any hazards
that may be associated with each procedure and methods to minimize those hazards. 3.
Demonstrate basic computer and
electronic data management skills
VII. Computers in Pulmonary Function
Testing A. Hardware Term B. Data Terms C. Software/ Programming Terms D. General
Operation of Computers E. Computer Application to PFT F. General Concerns
5%
1. Discuss the appropriate monitoring techniques for each procedure and modifications
per patient assessment
o Indications o Equipment o Contraindications o Hazards and Complications o
Monitoring during the
Procedure o Assessment of outcome
VIII. Pulmonary Function Testing
Regimens A. Patient Assessment for PFT B. General Administration of PFT C.
Bronchodilator Benefit Studies D. Pre-operative PFT Studies E. Bronchoprovocation
Studies F. Studies for Exercise-Induced Asthma G. Studies to Document Impairment/
Disability
5%
1. List down the rationale for the
safety precautionary measures
IX. Quality Assurance for PFT
2.5%
A. Components of Quality Assurance
Process observe during PFT procedures 2. Evaluate reliability of results
B. Calibration and Quality Control for 3. Evaluate clinical implications
Spirometers and Plethysmographs
CLASSIFICATION OF
B. ARTERIAL BLOOD GAS 40%
QUESTIONS
COMPETENCIES CONTENT WEIGHT
Understand
Knowledge
Thinking Skills
ing

1. Discuss the physiologic principles

affecting arterial oxygenation 2. Identify measurements of
oxygenation. 3. Given a clinical scenario, identify
the type of hypoxemia, its cause and therapeutic approach
I. Arterial Oxygenation
A. Hemoglobin B. Bohr and Haldane Effects C. Hemoglobin Dissociation Curve D.
Physiology of Arterial
Oxygenation E. Pathophysiologic Mechanisms of
Hypoxemia F. Cardiopulmonary Compensation
for Hypoxemia
5%
1. Given a clinical scenario, provide a basic interpretation of an arterial blood gas result.
2. Identify the indications for arterial
blood gas sampling.
II. Reference Ranges and Interpretative
Guidelines
10%
1. Describe acid-base status as it
relates to pH assessment. 2. Identify the primary acid-base
disturbances. 3. Explain how to determine
compensation assessment 4. Identify oxygenation status and explain PaO 2

classification. 5. Explain how to determine complete

blood gas classification.
III. Clinical Approach to Interpretation
5%
1. Identify causes, symptoms and
treatment of hypoxemia.

IV. Hypoxemia and Oxygen Therapy 5%

1. Identify the clinical data that
indicates the need for arterial blood gas sampling. 2. Select the appropriate equipment
used during blood sampling. 3. Explain the appropriate infection control measures to be
used during blood gas sampling. 4. Select the appropriate puncture or
sampling site based on the patient’s clinical condition and accessibility. 5. Describe the
proper technique used
to obtain a blood gas sample. 6. Describe the techniques used when
handling a blood gas sample. 7. Identify the patient information that should be
documented during blood gas sampling.
V. Obtaining Blood Gas Sample
10%
1. Explain the basic operation of blood
gas analyzers. 2. Perform basic troubleshooting
VI. Blood Gas Analyzers
2.5%
1. Explain how to ensure quality
assurance procedures within a blood gas laboratory. 2. Explain how to ensure quality
control procedures within a blood gas laboratory. 3. Explain how to perform point of
care testing.
VII. Quality Assurance in Blood Gas Analysis
2.5%
CLASSIFICATION OF
C. ELECTROCARDIOGRAM 20%
QUESTIONS
COMPETENCIES CONTENT WEIGHT
Understand
Knowledge
Thinking Skills
ing

1. Describe the electrophysiology of

the heart.
I. Electrophysiology of the heart
20%
a. Action potential
2. Describe the properties of the placement. 8. Identify the treatment
cardiac muscle. 3. Identify the major options for
components of abnormal arrhythmias.
the conductive system of the heart. 4. i. Phase 0 ii. Phase 1 iii. Phase 2 iv.
Describe the components of the Phase 3 v. Phase 4 II. Properties of the
standard 12-lead ECG system. 5. cardiac muscle
Describe the normal a. Automaticity b. Excitability c.
electrocardiogram (ECG) configurations Conductivity d. Contractility III. Major
and their expected measurements. 6. components of the conductive
Describe the systematic approach system of the heart
to ECG interpretation. 7. Discuss a. Sinoatrial node b. Atroventricular
appropriate 12-lead ECG junction c. Bundle of His d. Right and
left bundle branches e. Purkinjie fibers a. Sympathetic nervous system b.
IV. Cardiac effects of the Parasympathetic nervous
system V. Components of the standard limb leads
a. Bipolar limb leads
i. Lead I ii. Lead II iii. Lead III b. Unipolar leads
i. aVR ii. aVL iii. aVF c. Axes d. Einthoven’s triangle VI. Components of the precordial
(chest)

leads a. V1 b. V2 c. V3 d. V4 e. V5 f. V6
VII. Normal ECG configurations and their
expected measurements
a. The components of the ECG
paper b. P wave c. PR interval d. QRS complex e. ST segment f. T wave g. U wave h.
QT interval
VIII. Describe the P wave, PR interval, QRS
complex, QRS rate, and QRS rhythm in the following rhythms in order to identify them
a. Normal sinus rhythm b. Sinus bradycardia c. Sinus tachycardia d. Sinus arrhythmia e.
Sinus block f. Sinus arrest g. Premature atrial complex h. Atrial bigeminy i. Atrial
tachycardia
CLASSIFICATION OF
A. PATIENT ASSESSMENT 50%
QUESTIONS COMPETENCIES CONTENT WEIGHT Knowledge Understand
Thinking Skills
ing

1. Identify and demonstrate safety

mechanisms in moving patients. 2. Identify the potential risks and
hazards in caring for the patient. 3. Identify ways to reduce the risks to
patients and health workers. 4. Know the importance of
communication. 5. Determine the factors affecting
I. Patient Safety, Communication and
Recordkeeping
A. Safety Considerations
1. Patient Movement 2. Electrical Safety 3. Fire Hazards B. Communication
1. Health Communication 2. Factors Affecting Communication
20%
3. communication.
Effective Health Communications 6. Describe how to improve
C. Recordkeeping communication in the healthcare
1. Components of a Traditional setting.
Medical Record 7. Demonstrate proper use of different
2. Legal Aspects of Recordkeeping patient evaluation tools and explain
3. Practical Aspects of recordkeeping the rationale for proper patient
4. The Problem-Oriented Medical communication.
Record
1. Determine the importance of assessing the patient before proceeding to any
respiratory care intervention. 2. Apply patient assessment
procedures and exhibit caring attitude during assessment. 3. Identify abnormalities in
lung
function associated with common pulmonary symptoms. 4. Identify breathing patterns
associated with pulmonary diseases. 5. Identify normal and adventitious
breath sounds. 6. Perform chest physical examination
employing the techniques of a) inspection, b) palpation, c) percussion and auscultation.
7. Determine the importance of
examining the precordium, abdomen, and extremities in patients with cardiopulmonary
disease. 8. Describe common abnormalities
found during the examination of the precordium, abdomen and extremities in patients
with cardiopulmonary problems.
II. Bedside Assessment of the Patient
A. Interviewing the Patient and Taking a
Medical History 1. Principles of interviewing 2. Common cardiopulmonary
symptoms 3. Format for the medical history
B. Physical Examination
1. General Appearance 2. Level of Consciousness 3. Vital signs 4. Examination of the
Head and Neck 5. Examination of the Thorax and
Lungs 6. Cardiac Examinations 7. Abdominal Examinations 8. Examination of the
Extremities
30%
CLASSIFICATION OF
B. CARDIOPULMONARY PATHOPHYSIOLOGY 50%
QUESTIONS COMPETENCIES CONTENT WEIGHT Knowledge Understand
Thinking Skills
ing

1. Identify the anatomical structures

and physiologic functions of the lung and thorax system. 2. Identify functions of each
structure
I. Normal lung structure
a. The Bony Thorax and the Chest
Wall b. Respiratory Muscles c. Airways d. Alveolar-Capillary Exchange Units e. Lung
Compliance f. Airway Resistance g. Circulation h. Lymphatics
5%
1. Identify the anatomic structures and
physiologic functions of the cardiovascular system.
II. The Circulatory System
a. Blood b. The Heart c. Pulmonary & systemic vascular
systems d. Cardiac cycle & its effect on blood
pressure e. Blood pressure f. Distribution of pulmonary blood flow
5%
1. Explain the normal function of the
lungs.
III. Normal Lung Function
a. Ventilation b. Diffusion Capacity c. Lung Circulation d. Gas Transport and acid-base
status of
the lung e. Ventilation-perfusion relationships f. Normal Exercise Physiology
5%
1. Explain the pathophysiology of the regulation of airflow in Obstructive Lung Disease.
IV. Airflow Obstruction
a. Anatomical and Physiological
Concepts b. Regulation of Airway Caliber c. Mechanism of Airflow Obstruction
5%
d. Pulmonary Function in Obstructive Findings 5. Clinical course of the
Airway Diseases disease 6. Prevention and Treatment
VI. Pulmonary Hypertension
1. Etiology 2. Clinical manifestations 3. a. Definition and classification b. Case
Pathophysiology 4. Radiographic and Study: Introduction c. History and
Laboratory physical examination d. Diagnostic
Findings 5. Clinical Course of the Evaluation e. Primary Pulmonary
disease 6. Prevention and Treatment Hypertension f. Management of
V. Parenchymal Inflammation and Injury Pulmonary
a. Case Study : Introduction b. Hypertension
Pulmonary Parenchymal 5%
Structure and Function c. Inhalation 5%
Injury d. Acute Lung Injury e. Lung
Function f. Therapy and Outcome
5%
5%
1. Etiology 2. Clinical manifestations 3.
Pathophysiology 4. Radiographic and
Laboratory
Findings 5. Clinical course of the
1. Etiology 2. Clinical manifestations 3. disease 6. Prevention and Treatment
Pathophysiology 4. Radiographic and VII. Respiratory Failure
Laboratory a. Case Study: Introduction b. Definition
of Respiratory Failure c. Findings 5. Clinical course of the
Pathophysiology of Respiratory Failure disease 6. Prevention and Treatment
d. Diagnosis of Respiratory Failure e. VIII. Asthma
Treatment a. Clinical Features b. Pathology c.
10% Airway Inflammation and Inflammatory
10% Mediators d. Airway
10% hyperresponsiveness e. Diagnosis and
Laboratory Evaluation
of Asthma f. Pulmonary Function
Changes in
1. Etiology 2. Clinical manifestations 3. 10%
Pathophysiology 4. Radiographic and 10%
Laboratory

Asthma g. Effects of Airflow Obstruction on

Cardiac Function h. Gas-Exchange Abnormalities i. Special Categories of Asthma j.
Assessment Severity k. Therapy for Acute and Chronic Asthma l. Complications of
Asthma
CLASSIFICATION OF
A.1. MECHANICAL VENTILATION 50%
QUESTIONS
COMPETENCIES CONTENT WEIGHT
Understand
Knowledge
Thinking Skills
ing

1. Define acute respiratory failure and

its causes 2. Identify the complications of
respiratory failure. 3. Indications for ventilatory support 4. Identify the goals and
objectives of
mechanical ventilation. 5. Classify and discuss modes of
ventilation 6. Given a clinical scenario, choose appropriate ventilator settings based on
patient assessment and adjust the ventilator settings on the basis of patient’s response
I. Respiratory Failure and the Need for
Ventilator Support II. Indications for Ventilatory Support
A. Parameters Indicating the
Need for Ventilatory Support III. Mechanisms of Hypercapneic
Respiratory Failure
B. Decreased Ventilatory Drive C. Respiratory Muscle Fatigue &
Weakness D. Increased Work of Breathing IV. Special Considerations during
 Ventilatory Support V. Modes of Mechanical Ventilation
A. CPAP B. Non-Invasive Modes of
Ventilation VI. Initiating and Adjusting Ventilatory
Support VII. Ventilatory Support Strategy for Different Causes of Respiratory Failure
10%
1. Discuss the principles of monitoring the respiratory system of patients in intensive
care and identify appropriate monitoring techniques.
VIII. Monitoring and Management of the
Patient in the ICU
A. General Principles of
Monitoring
15%
1. 2. Given a clinical scenario, Identify
Data Collection, Analysis, the appropriate monitoring and
& Decision Making troubleshooting techniques of the
B. General Patient Assessment patient ventilator system in the ICU.
C. Physiological Monitoring 3. Select the appropriate ventilator
D. Measurement of Respiratory and mode based on the patient
Mechanics assessment and condition.
E. Management of the Patient 4. Identify the types of hazards and
Ventilator System complications associated with
i. Components of a mechanical ventilation.
Patient-Ventilator 5. Identify the indications and the
System appropriate airway device for
ii. Routine Checks independent lung ventilation .
iii. Documenting the
Physician’s orders iv. Verifying Proper
Ventilator Operation v. Hazards and
Complications vi. Assessing Flow,Volume,
and Pressure Waveforms vii. Troubleshooting viii. Transporting Patients Receiving
Ventilatory Support
1. Discuss evaluation tools before
attempting ventilator discontinuation or weaning 2. Determine specific weaning indices
prior to discontinuation of ventilator support 3. Describe techniques used in
ventilator weaning 4. Factors affecting weaning failure 5. Compare pressure, volume,
and
flow delivery in volume and pressure controlled breaths. 6. Explain the relationship
between
volume, inspiratory time and flow.
IX. Liberation from Ventilatory Support
A. Categories for Discontinuing
Ventilatory Support B. Reasons for Ventilator
Dependence C. Ventilatory Workload or
Demand D. Ventilatory Capacity E. Discontinuing Ventilatory
Support
1. Patient Evaluation 2. Preparing the Patient 3. Optimizing the Patient’s
Medical Condition
10%
4. 7. Comprehend the various triggering,
Methods of Discontinuing limiting and cycling mechanisms
Ventilatory Support 5. Common Methods 6. Newer Techniques 7. Other Techniques 8.
Selecting an Approach 9. Monitoring the Patient during
Weaning 10. Extubation/ Liberation 11. Chronically Ventilator-
Dependent Patients 12. Terminal Weaning
Laboratory
1. Given a clinical scenario, identify
the different modes of non-invasive ventilation and its application. 2. Comprehend basic
concepts and core knowledge in mechanical ventilation. 3. Be able to initiate
mechanical
ventilation to various patient populations. 4. Discuss how changes in lung
compliance affect the use of mechanical ventilation 5. Be able to monitor various
patients
receiving mechanical ventilation. 6. Be able to assess therapeutic interventions and
make the necessary changes. 7. Recognize the effects and
complications of mechanical ventilation. 8. Recognize the appropriate
discontinuing / weaning and long term applications of mechanical ventilation.
I. Mechanical Ventilator Preparation II. Initiation of Adult Mechanical
Ventilation III. Mechanical Ventilator Mode
Modification IV. Monitoring and Maintenance of
Continuous Mechanical Ventilation V. Continuous Positive Airway
Pressure (CPAP) VI. Measurement of Effective
Dynamic Compliance, Effective Static Compliance and Airway Resistance VII. Positive-
End Expiratory Pressure VIII. Ventilator Weaning
IX. Basic Trouble-Shooting
15%
CLASSIFICATION OF
A.2. OXYGEN THERAPY 25%
QUESTIONS
COMPETENCIES CONTENT WEIGHT
Understand
Knowledge
 Thinking Skills
ing

1. Given a clinical situation, identify

appropriate oxygen therapy device needed 2. Indications, contraindications and
complications of oxygen therapy. 3. To understand the safety aspects of
oxygen therapy
I. Oxygen Therapy and Toxicity
A. Indications for Oxygen Therapy B. Methods of Oxygen Administration C. Assessment
of Adequacy of Oxygen
Treatment D. Hazards of Oxygen Therapy
25%
CLASSIFICATION OF
B. AIRWAY CARE & MANAGEMENT 25%
QUESTIONS
COMPETENCIES CONTENT WEIGHT
Understand
Knowledge
Thinking Skills
ing

1. Identify the main structures in the

thorax and describe their functions. 2. Identify and describe primary and
accessory muscles of breathing. 3. Identify the major structures of the upper respiratory
tract and how they function 4. Describe how the lungs are
organized into lobes and segments and the airways that supply them with ventilation.
I. Introduction
a. The upper and lower airway anatomy
2.5%
1. Identify the causes of sudden
cardiac arrest. 2. Identify the signs of sudden cardiac arrest, heart attack, stroke, and
foreign body airway obstruction. 3. Determine the importance of
providing prompt basic life support 4. Identify the causes of sudden
cardiac arrest.
I. II. Basic Life Support (BLS)
a. The need for CPR Skills b. Clinical and Biological Death c. Performance Standard for
CPR d. Performing CPR with mannequins &
related mechanical devices e. Single & double-rescuer CPR
5%
2.5% of endotracheal
intubation a. Early complications b. Late
complications
5%
1. Enumerate the indications for
5%
intubation 2. Descibe the correct
intubation
IV. Endotracheal Intubation a. Clinical
Indications b. Intubation Procedure
devices
a. Oropharyngeal airways b.
Nasopharyngeal airways c.
Endotracheal airways d. Tracheostomy
1. Describe how to secure tube
airways e. Special Tubes
position. 2. Determine how to manage
intra-cuff
pressure. 3. Infection control measures
VI. Management of Endotracheal &
procedure 3. Perform correct intubation tracheostomy tubes a. Securing tube
procedure . 4. Identify the signs of position b. Management of intra-cuff
endotracheal 5%
intubation. 5. Identify the signs of pressure
esophageal 5. Identify the signs of sudden cardiac
intubation. 6. Identify the hazards and arrest, heart attack, stroke, and foreign
complications of different intubation body airway obstruction 6. Determine
techniques. the importance of
(1) Supplies (2) Selection of tube (3) providing prompt basic life support 7.
Assuring ventilation & Describe how to perform
oxygenation (4) Orotracheal intubation cardiopulmonary resuscitation 8.
(5) Nasotracheal intubation (6) Describe how to evaluate the
Prevention of common errors (7) Signs quality and effectiveness of CPR
of endotracheal intubation (8) Signs of
esophageal intubation V. Complications 1. Identify the different artificial airway
III. Artificial Airway Devices
CLASSIFICATION OF
C. PULMONARY REHABILITATION 25%
QUESTIONS
COMPETENCIES CONTENT WEIGHT
Understand
Knowledge
Thinking Skills
ing
1. State the definition, importance and
goals of the pulmonary rehabilitation program. 2. Discuss the rationale for exercise
reconditioning and psychosocial support for pulmonary rehabilitation.
I. Introduction
a. Goals of Cardiopulmonary
Rehabilitation b. Historical Perspective c. Scientific Bases
1. Physical Reconditioning 2. Psychosocial Reconditioning 3. Physiology of Airway
Clearance
5%
1. Describe how to evaluate and select
patients for pulmonary rehabilitation 2. Describe the educational content of
the pulmonary rehabilitation program 3. Describe the outcome measures that
can be used to evaluate the pulmonary rehabilitation program 4. Identify the potential
hazards associated with pulmonary rehabilitation
II. Pulmonary Rehabilitation Program
a. Program Goals and Objectives b. Benefits and Potential Hazards c. Patient
Evaluation and Selection d. Program Design e. Program Implementation f. Program
5%
Results
1. Identify pulmonary problems
associated with abnormal clearance of secretions. 2. State the goals, clinical indications
and contraindications of each therapy. 3. Describe the proper technique, hazards and
precautionary measures to be observed during chest physiotherapy.
III. Chest Physiotherapy
a. Initial Evaluation of Patient b. Chest Percussion and Vibration c. Postural Drainage d.
Chest Mobility Exercises e. Diaphragm Retraining and
5%
Breathing Exercises
1. Define each Lung Expansion
Therapy. 2. State the goals, clinical indications
IV. Lung Expansion Therapy
5%
a. Incentive Spirometry
b. Intermittent Positive Pressure
Breathing c. Continuous Positive Airway
Pressure (CPAP) d. Other devices
1. Describe alternative care settings in
which respiratory care is performed 2. Describe how to instruct patients or
caregivers and confirm their ability to provide care in alternative setting. 3. Describe
proper documentation
regarding patient evaluation and progress in alternative settings. 4. Patient safety and
 infection control
measures to be observed in alternative patient care settings.
V. The Respiratory Homecare Program
a. Family Orientation b. Patient Orientation c. Homecare Program Implementation

and Monitoring 5%
A. NEONATAL RESPIRATORY CARE B. PEDIATRIC RESPIRATORY CARE
60% 40%
CLASSIFICATION OF QUESTIONS
COMPETENCIES CONTENT WEIGHT
Understand
Knowledge
Thinking Skills
ing

1. Discuss the neonatal and pediatric

anatomic/ physiologic characteristics.
I. Development of The Cardiopulmonary
System
A. Placental Gas Exchange B. Phases Of Lung Development C. Cardiac Development
II. Physiologic Development
A. Lung Growth B. Transition Period C. Surface Forces and Surfactant D. Mechanics of
Ventilation E. Ventilation and contraindications of each therapy. 3. Describe the proper
technique ,
hazards and precautionary measures to be observed for each therapy. 4. Identify
appropriate secretion
mobilization devices.
5%
III. 1. Discuss the importance of general
Patient Assessment neonatal and pediatric examination,
A. Evaluation Of Neonatal Patient assessment, and history.
5%
B. Evaluation Of Pediatric Patient
1. Examine the chest radiograph for
proper placement of artificial airways and/or the recognition of chest abnormalities
IV. Radiographic Evaluations
A. Patient Position & Beam Projection B. Tube Positions C. Extra-Alveolar Air D.
Intrathoracic Fluid Collections
5%
1. Etiology 2. Clinical manifestations 3. Pathophysiology 4. Radiographic and laboratory
findings 5. Clinical course of the disease 6. Prevention and Treatment
V. Neonatal Parenchymal Diseases
A. Neonatal Respiratory Distress
Syndrome B. Aspiration Syndromes C. Bronchopulmonary Dysplasia &
Neonatal Chronic Lung Disease D. Transient Tachypnea Of The
Newborn E. Pulmonary Hemorrhage F. Neonatal Pneumonias
5%
1. Etiology 2. Clinical manifestations 3. Pathophysiology 4. Radiographic and laboratory
findings 5. Clinical course of the disease 6. Prevention and Treatment
VI. Pediatric Parenchymal Diseases
A. Infectious Pneumonitis B. Acquired Immune Deficiency
Syndrome C. Cystic Fibrosis D. Non-Infectious Pneumonitis E. Smoke Inhalation Injury
F. Hydrocarbon Aspiration G. Chlorine Inhalation
5%
1. Etiology 2. Clinical manifestations 2. Pathophysiology 3. Radiographic and laboratory
findings 4. Clinical course of the disease 5. Prevention and Treatment
VII. Obstructive Airway Diseases In
Infants & Children A. Pathophysiologic Effects Of Airway
Obstruction B. Obstructive Diseases Of Upper
Airway C. Obstructive Diseases Of Lower
Airway D. Surgical Lesions Of Pediatric
5%
Airways & Lungs E. Lesions Of Pediatric Airway F. Lesions Of The Lung parenchyma

1. Etiology 2. Clinical manifestations 3. Pathophysiology 4. Radiographic and laboratory

VIII. Congenital Heart Diseases (CHD)
A. Fetal Circulation B. Classification & Presentation C. Effects On Pulmonary Function
&
findings 5. Clinical course of the disease 6. Prevention and Treatment
Management D. Use Of Prostaglandin In Treatment of CHD & It’s Effect On Respiratory
Care E. Effects Of Surgical Intervention On
Respiratory Care
5%
5%

1. Etiology 2. Clinical manifestations 3. Pathophysiology 4. Radiographic and laboratory

5. findings 6. Clinical course of the disease 7. Prevention and Treatment
IX. Sudden Infant Death Syndrome
(SIDS) & Apnea Syndromes
 5%
A. SIDS B. Apnea Syndrome

1. Etiology 2. Clinical manifestations 3. Pathophysiology 4. Radiographic and laboratory

5. findings 6. Clinical course of the disease 7. Prevention and Treatment
X. Care Of Neurologically-Injured Child

A. Head Injury B. Reye’s Syndrome C. Neuromuscular Diseases Of

Children D. Chest Physical Therapy E. Mechanical Ventilation
5%
5%

1. Etiology 2. Clinical manifestations 3. Pathophysiology 4. Radiographic and laboratory

5. findings 6. Clinical course of the disease 7. Prevention and Treatment
XI. Acute Respiratory Distress
Syndrome (ARDS) In Children A. Definition B. Incidence C. Etiology D. Clinical Features
E. Pathology F. Physiology
5%
5%
G. Mechanisms Of Lung Injury H. Management
I. Monitoring & Fluid Administration J. Drug Therapy K. Investigational & Extraordinary
Therapies L. Complications M. Infection N. Nutrition O. Outcome
1. Given a clinical situation,
identify appropriate oxygen therapy device needed by the neonates and pediatrics 2.
Indications and
contraindications for oxygen therapy.
XII. Neonatal & Pediatric Oxygen
Therapy A. Humidification B. Humidifiers C. Aerosols D. Oxygen Hoods E. Cannulae &
Catheters F. Oxygen Masks G. Tents H. Incubators
I. Oxygen Blenders & Analyzers J. Resuscitators K. Hyperbaric Oxygen for Pediatric
Patients L. Nasal High Flow Therapy
5%
1. Describe the classes of drugs that are delivered by the aerosol route. 2. Compare
mode of action,
indications and adverse effects of mechanisms appropriate for each clinical situation.
XIII. Pharmacology
A. Maternal Medications B. Aerosolized Medications C. Medications For Control Of
Ventilation D. Medications For The Treatment Of
Infections E. Corticosteroids F. Prostaglandin-Related Drugs G. Medications Used In
Resuscitation
5%
1. Indications and contraindications of
CPAP and Bi-PAP.
XIV. Continuous Positive Airway
5%
Pressure (CPAP) & Bi-Level
Positive Airway Pressure (Bi-PAP)

A. Definition B. Physiology C. Applications D. Hazards E. Systems F. Devices

1. Identify artificial airways needed. 2. Indications, management

techniques, and complications of artificial airways. 3. Describe procedures for
intubation,
extubation, suctioning and tracheostomy. 4. Describe indications,complications
of suctioning. 5. Describe indications,hazards,
positioning and complications for chest physiotherapy.
XV. Airway Care & Chest
Physiotherapy in Neonatal and Pediatric Patients

A. Endotracheal Intubation B. Tracheostomy Care C. Extubation D. Suctioning E. Chest

Physiotherapy
5%
5%

1. Indications and contraindications of

XVI. Arterial Blood Gas Analysis &
Invasive and Non-Invasive Blood Gas Sampling 2. Interpret basic blood gas results
Other Cardio-Pulmonary Monitoring

A. Blood Gas Interpretation B. Invasive Blood Gas Sampling C. Non-Invasive Blood Gas
Monitoring
5%

1. Define acute respiratory failure and

its causes. 2. Indications for ventilatory support. 3. Identify the complications of
respiratory failure. 4. Classify and discuss modes of
ventilation. 5. Given a clinical scenario, choose appropriate ventilator settings based on
patient assessment and
XVII. Mechanical Ventilation
A. Neonatal Ventilation
a. Indications b. Time Constants c. Ventilator Parameter
Management d. High-Frequency Ventilation e. CPAP f. Weaning B. Pediatric Ventilation
5%
5%
5%
adjust the ventilator settings on the basis of patient’s response.
a. Indications b. Ventilator Parameter
Management c. Pressure Support d. Negative-Pressure Ventilation e. Weaning

1. Identify the goals and objectives of

mechanical ventilation 2. Identify the clinical data that
indicates the need for mechanical ventilation 3. Select the appropriate ventilator
and mode based on the patient assessment and condition. 4. Determine the initial
ventilator
settings based on the clinical indicators. 5. Identify the types of hazards and
complications associated with mechanical ventilation.
XVIII. Mechanical Ventilators
A. Neonatal Mechanical Ventilators B. Pediatric Mechanical Ventilators

5%
1. Discuss transport team composition
and roles. 2. Safety precautions during transport. 3. Equipments needed during
transport. 4. Inter and Intra-hospital transport.
XIX. Transport
A.Transport Team Composition B. Modes Of Transportation C. Stabilization D.
Conditions Requiring Transport Of
Older Children E. Equipment
5%
5%
5%

1. Indications and contraindications of

HFV and various therapies.
XX. Novel Modalities
A. High-Frequency Ventilation B. Negative-Pressure Ventilation C. Apneic Ventilation D.
Liquid Ventilation E. Percutaneous Ventilation F. Extra-Corporeal Membrane
Oxygenation (ECMO) G. Surfactant Replacement Therapy
5%
1. Explain the use of respiratory
therapy equipment in the home care setting. 2. Describe the method used for
cleaning of respiratory therapy equipment at home. 3. Infection Control Measures.
XXI. Home Care

A. Discharge Process B. Therapeutic Procedures C. Ventilator-Dependent Patients 5%

Submitted By:
 HON. JULITA TOLEDO Chairman of the Board

HON. SENEN O. TEOPE HON. JESUS ESPINAS 1ST Member of the Board 2nd
Member of the Board