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Part III

Provider
National Board of Chiropractic Examiners; computer-based testing at chiropractic colleges and Prometric testing centers
Format
Computer-based examination with three item types that equally contribute to the total exam score: traditional multiple-choice (TMCQ, 1 response), extended multiple-choice cases (EMCQ, case presentation followed by a question requiring 2 responses) and diagnostic imaging interpretation (DXI, imaging set followed by a question requiring 1 response). Applications coded V2PT3 take this version with DXI; applications coded PT3 take the version without DXI, whose published test plan covers the same nine clinical categories without the DXI portion (category weightings on that plan: Case History 11%, Physical Examination 9%, Neuromusculoskeletal Examination 11%, Diagnostic Imaging 11%, Clinical Laboratory and Special Studies 7%, Diagnosis or Clinical Impression 14%, Chiropractic Techniques 14%, Supportive Interventions 8%, Case Management 15%). The NBCE states that almost every examinee takes the version with DXI.
Exam questions
80 traditional multiple-choice questions, 20 extended multiple-choice case presentations and 30 diagnostic imaging interpretation sets
Time limit
4 hours testing time; 4 hours 31 minutes appointment including tutorial, end-of-exam survey and optional 15-minute break
Passing score
375
Exam fee
$710
Examination outline
  • Traditional multiple-choice (TMCQ) and extended multiple-choice cases (EMCQ): nine categories of clinical competency (80%)
    • Case History - 11% of the TMCQ/EMCQ content
    • Case History: Chief complaint
    • Case History: Present illness
    • Case History: Past history
    • Case History: Family history
    • Case History: Personal and social history
    • Case History: Review of systems
    • Physical Examination - 8% of the TMCQ/EMCQ content
    • Physical Examination: General survey
    • Physical Examination: Head and neck examination
    • Physical Examination: Thorax and lung examination
    • Physical Examination: Cardiovascular examination
    • Physical Examination: Breast and axilla examination
    • Physical Examination: Abdominal examination
    • Physical Examination: Urogenital examination
    • Physical Examination: Rectal examination
    • Neuromusculoskeletal Examination - 12% of the TMCQ/EMCQ content
    • Neuromusculoskeletal Examination: Posture and gait analysis
    • Neuromusculoskeletal Examination: Standard spinal and extremity orthopedic procedures
    • Neuromusculoskeletal Examination: Standard neurological testing procedures
    • Neuromusculoskeletal Examination: Peripheral vascular examination procedures
    • Diagnostic Imaging - 11% of the TMCQ/EMCQ content
    • Diagnostic Imaging: Indications and contraindications for diagnostic imaging procedures
    • Diagnostic Imaging: Patient protection and positioning
    • Diagnostic Imaging: Normal anatomy
    • Diagnostic Imaging: Description and interpretation of images
    • Clinical Laboratory and Special Studies - 7% of the TMCQ/EMCQ content
    • Clinical Laboratory and Special Studies: Urinalysis
    • Clinical Laboratory and Special Studies: Hematology
    • Clinical Laboratory and Special Studies: Serology
    • Clinical Laboratory and Special Studies: Blood chemistries
    • Clinical Laboratory and Special Studies: Stool analysis
    • Clinical Laboratory and Special Studies: Joint fluid analysis
    • Clinical Laboratory and Special Studies: Electrophysiologic recordings (EEG, ECG, EMG, and NCV)
    • Diagnosis or Clinical Impression - 16% of the TMCQ/EMCQ content
    • Diagnosis or Clinical Impression: Patient history
    • Diagnosis or Clinical Impression: Physical and neuromusculoskeletal examinations
    • Diagnosis or Clinical Impression: Diagnostic imaging
    • Diagnosis or Clinical Impression: Clinical laboratory and special studies
    • Chiropractic Techniques - 11% of the TMCQ/EMCQ content
    • Chiropractic Techniques: Indications and contraindications for chiropractic care
    • Chiropractic Techniques: Spinal adjustive techniques
    • Chiropractic Techniques: Extremity adjustive techniques
    • Chiropractic Techniques: Skeletal biomechanics
    • Supportive Interventions - 9% of the TMCQ/EMCQ content
    • Supportive Interventions: Physiotherapy modalities
    • Supportive Interventions: Nutrition and diet
    • Supportive Interventions: Corrective exercises and rehabilitation
    • Supportive Interventions: Protective body mechanics and ergonomics
    • Supportive Interventions: Patient education and self-care
    • Supportive Interventions: Wellness and lifestyle counseling
    • Case Management - 15% of the TMCQ/EMCQ content
    • Case Management: Formulation of a treatment plan and prognosis
    • Case Management: Appropriate procedures for case follow-up and review
    • Case Management: Patient referral and/or co-management
    • Case Management: Clinical documentation and informed consent
  • Diagnostic Imaging Interpretation (DXI): six categories (20%)
    • DXI - Arthritic Disorders - 30% of the DXI content
    • DXI - Arthritic Disorders: Degenerative
    • DXI - Arthritic Disorders: Inflammatory
    • DXI - Arthritic Disorders: Metabolic/Crystalline
    • DXI - Congenital Anomalies and Skeletal Variants - 15% of the DXI content
    • DXI - Congenital Anomalies and Skeletal Variants: Spinal
    • DXI - Congenital Anomalies and Skeletal Variants: Extraspinal
    • DXI - Congenital Anomalies and Skeletal Variants: Scoliosis
    • DXI - Trauma - 10% of the DXI content
    • DXI - Trauma: Skeletal
    • DXI - Trauma: Soft tissue
    • DXI - Tumors and Tumor-like Processes - 20% of the DXI content
    • DXI - Tumors and Tumor-like Processes: Benign
    • DXI - Tumors and Tumor-like Processes: Primary malignant
    • DXI - Tumors and Tumor-like Processes: Metastatic
    • DXI - Tumors and Tumor-like Processes: Tumor-like
    • DXI - Miscellaneous Osteoarticular - 15% of the DXI content
    • DXI - Miscellaneous Osteoarticular: Hematological/Vascular
    • DXI - Miscellaneous Osteoarticular: Infections
    • DXI - Miscellaneous Osteoarticular: Nutritional/Metabolic
    • DXI - Miscellaneous Osteoarticular: Endocrine
    • DXI - Soft Tissue - 10% of the DXI content
    • DXI - Soft Tissue: Chest
    • DXI - Soft Tissue: Abdomen
    • DXI - Soft Tissue: Miscellaneous
Examination sources

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This examination may be required or accepted as an alternative, depending on the license and application pathway.