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NBCE Part 2 Chiro Exam Prep
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Which of the following blood pressure readings would be classified as Stage 1 hypertension in an adult patient?
Correct — D. Stage 1 hypertension is defined as systolic blood pressure of 130-139 mmHg or diastolic blood pressure of 80-89 mmHg. The reading of 138/88 mmHg falls within this range.
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30 free NBCE Part 2 Chiro Exam Prep questions

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  1. NBCE Part 2 Chiro Exam Prep

    Which of the following blood pressure readings would be classified as Stage 1 hypertension in an adult patient?

    Correct — D. Stage 1 hypertension is defined as systolic blood pressure of 130-139 mmHg or diastolic blood pressure of 80-89 mmHg. The reading of 138/88 mmHg falls within this range.
  2. NBCE Part 2 Chiro Exam Prep

    A respiratory rate of 36 breaths per minute would be considered normal in which of the following patients?

    Correct — C. In newborn infants, a respiratory rate of 30-60 breaths per minute is considered normal. For adults, normal respiratory rates range from 12-20 breaths per minute, while school-age children typically have rates of 18-30 breaths per minute. A rate of 36 would be abnormally high for an adult but within normal range for a newborn.
  3. NBCE Part 2 Chiro Exam Prep

    When measuring blood pressure, which of the following techniques is considered correct?

    Correct — B. For proper blood pressure measurement, the patient should be seated with back supported and feet flat on the floor, arm supported at heart level, and should avoid talking during measurement. The cuff should be placed on bare skin, not over clothing.
  4. NBCE Part 2 Chiro Exam Prep

    Which pulse characteristic is associated with aortic regurgitation?

    Correct — A. A water-hammer or collapsing pulse (Corrigan's pulse) is characterized by a rapid upstroke and collapse, which is typically found in patients with aortic regurgitation. It represents the rapid ejection of blood followed by rapid runoff due to backward flow across the incompetent aortic valve.
  5. NBCE Part 2 Chiro Exam Prep

    A patient presents with a temperature of 95.1°F (35.1°C). This finding is consistent with:

    Correct — D. Hypothermia is defined as a core body temperature below 95°F (35°C). A temperature of 95.1°F (35.1°C) indicates mild hypothermia, which can occur due to environmental exposure, metabolic disorders, or certain medications.
  6. NBCE Part 2 Chiro Exam Prep

    Which of the following pulse rates would be considered tachycardia in an adult patient at rest?

    Correct — C. Tachycardia in adults is defined as a heart rate greater than 100 beats per minute. A resting pulse of 112 bpm would be classified as tachycardia and warrants further investigation.
  7. NBCE Part 2 Chiro Exam Prep

    Pulsus paradoxus, an abnormal decrease in systolic blood pressure during inspiration, is most commonly associated with which condition?

    Correct — B. Pulsus paradoxus is an exaggerated drop in systolic blood pressure during inspiration (greater than 10 mmHg). It is classically associated with cardiac tamponade, but can also be found in severe asthma, COPD, and pericarditis.
  8. NBCE Part 2 Chiro Exam Prep

    Which vital sign change would most likely be observed in a patient with significant blood loss?

    Correct — A. With significant blood loss, compensatory mechanisms attempt to maintain perfusion to vital organs. This typically results in tachycardia (increased heart rate) as the body tries to maintain cardiac output despite reduced blood volume.
  9. NBCE Part 2 Chiro Exam Prep

    The proper technique for measuring respiratory rate includes:

    Correct — D. To accurately measure respiratory rate, the practitioner should count the number of breaths over a full 60 seconds without the patient's awareness. Patients who are aware their breathing is being monitored may consciously or unconsciously alter their breathing pattern, resulting in an inaccurate measurement.
  10. NBCE Part 2 Chiro Exam Prep

    During examination of the eyes, which of the following pupillary responses would be considered abnormal?

    Correct — C. Unequal pupil size (anisocoria) under the same lighting conditions is an abnormal finding that may indicate neurological issues, trauma, or other pathologies affecting the pupils or their neural pathways.
  11. NBCE Part 2 Chiro Exam Prep

    Which structure would be best evaluated using the Weber test during a head examination?

    Correct — B. The Weber test is specifically designed to assess hearing and help differentiate between conductive and sensorineural hearing loss by placing a vibrating tuning fork on the midline of the forehead or vertex of the skull.
  12. NBCE Part 2 Chiro Exam Prep

    When examining a patient with suspected acute sinusitis, which finding would most strongly support this diagnosis?

    Correct — A. Facial pain and tenderness upon palpation over the affected sinus, especially the maxillary or frontal sinuses, is a classic finding in acute sinusitis due to inflammation and pressure within the sinus cavities.
  13. NBCE Part 2 Chiro Exam Prep

    Which of the following is the correct technique for examining the thyroid gland?

    Correct — D. The proper technique for thyroid examination involves standing behind the seated patient, palpating the thyroid while the patient swallows, which helps distinguish thyroid tissue from other neck structures as it rises during swallowing.
  14. NBCE Part 2 Chiro Exam Prep

    Which cranial nerve is being tested when assessing a patient's ability to identify different smells?

    Correct — C. Cranial nerve I (olfactory) is responsible for the sense of smell. Testing a patient's ability to identify different odors is a direct assessment of olfactory nerve function.
  15. NBCE Part 2 Chiro Exam Prep

    During inspection of the oral cavity, which of the following findings would be considered abnormal?

    Correct — B. White patches on the oral mucosa (leukoplakia) are abnormal findings that may indicate precancerous changes, chronic irritation, or other pathologies requiring further investigation.
  16. NBCE Part 2 Chiro Exam Prep

    Which test is used to assess extraocular muscle function and eye movement?

    Correct — A. The cardinal fields of gaze test evaluates the six cardinal directions of eye movement, testing all extraocular muscles and their associated cranial nerves (III, IV, and VI).
  17. NBCE Part 2 Chiro Exam Prep

    Which of the following findings during ear examination would suggest otitis media?

    Correct — D. A red, bulging tympanic membrane is a classic sign of otitis media (middle ear infection) due to inflammation and pressure behind the eardrum from fluid accumulation.
  18. NBCE Part 2 Chiro Exam Prep

    Which of the following neck examination findings would be most concerning for potential cervical spine instability?

    Correct — C. Midline cervical tenderness, especially after trauma, is a concerning sign that may indicate cervical spine instability or fracture, warranting careful management and imaging.
  19. NBCE Part 2 Chiro Exam Prep

    During examination of a patient's pharynx, which finding would suggest infectious mononucleosis?

    Correct — B. Exudative pharyngitis with enlarged, erythematous tonsils is a classic finding in infectious mononucleosis, often accompanied by other symptoms like fatigue, fever, and lymphadenopathy.
  20. NBCE Part 2 Chiro Exam Prep

    When palpating the lymph nodes of the neck, which characteristic would be most concerning for potential malignancy?

    Correct — A. Fixed, hard lymph nodes that are non-tender and do not move easily with palpation are concerning for malignancy, as opposed to mobile, tender nodes more typical of infection.
  21. NBCE Part 2 Chiro Exam Prep

    Which of the following tests assesses cranial nerve VIII (vestibulocochlear) function during a head and neck examination?

    Correct — D. The Rinne test compares air and bone conduction of sound and is used to assess the auditory portion of cranial nerve VIII function, helping differentiate between conductive and sensorineural hearing loss.
  22. NBCE Part 2 Chiro Exam Prep

    During examination of the temporomandibular joint (TMJ), which finding indicates potential TMJ dysfunction?

    Correct — C. Clicking or crepitus during jaw movement is a common sign of TMJ dysfunction, often related to disc displacement or articular surface irregularities within the joint.
  23. NBCE Part 2 Chiro Exam Prep

    Which of the following properly describes the technique for assessing the corneal reflex?

    Correct — B. The corneal reflex is tested by lightly touching the cornea with a wisp of cotton, which should elicit a blink response. This tests both the sensory component of cranial nerve V and the motor component of cranial nerve VII.
  24. NBCE Part 2 Chiro Exam Prep

    Which finding during examination of the external ear would warrant immediate referral?

    Correct — A. Vesicular eruptions on the auricle and in the ear canal, especially if accompanied by pain, suggest herpes zoster oticus (Ramsay Hunt syndrome), which requires prompt antiviral treatment to prevent complications.
  25. NBCE Part 2 Chiro Exam Prep

    When assessing the maxillary sinuses during a head examination, which technique is most appropriate?

    Correct — D. Palpation for tenderness over the maxillary sinuses (located on the cheeks below the eyes) is the most appropriate direct examination technique to assess for maxillary sinusitis or inflammation.
  26. NBCE Part 2 Chiro Exam Prep

    During examination of the tongue, which abnormal finding might indicate hypoglossal nerve (CN XII) dysfunction?

    Correct — C. Deviation of the protruded tongue to one side indicates hypoglossal nerve (CN XII) dysfunction on the side to which the tongue deviates, as the functioning muscles on the unaffected side pull the tongue toward the weak side.
  27. NBCE Part 2 Chiro Exam Prep

    Which visual field defect would be detected during confrontation testing if a patient has a pituitary tumor compressing the optic chiasm?

    Correct — B. Bitemporal hemianopsia (loss of the temporal visual fields in both eyes) is the classic visual field defect associated with pituitary tumors that compress the optic chiasm, affecting the crossing fibers from the nasal retina of each eye.
  28. NBCE Part 2 Chiro Exam Prep

    Which of the following heart sounds is considered abnormal?

    Correct — A. S1 and S2 are normal heart sounds. S3 can be normal in children and athletes but is abnormal in adults over 40 years of age. S4 is always abnormal and indicates atrial contraction against a stiff ventricle.
  29. NBCE Part 2 Chiro Exam Prep

    During percussion of the thorax, a dull sound is most likely to indicate:

    Correct — D. Dullness upon percussion typically indicates fluid or solid tissue underlying the percussed area. This could represent pleural effusion, consolidation, or a mass. Normal lung tissue produces resonance, hyperresonance suggests emphysema, and tympany is associated with air-filled cavities.
  30. NBCE Part 2 Chiro Exam Prep

    Which auscultatory finding is most characteristic of pneumonia?

    Correct — C. Crackles (rales) are typically heard in pneumonia due to fluid in alveolar spaces. Wheezes suggest bronchospasm, pleural friction rubs indicate pleural inflammation, and bronchial breath sounds may be heard over areas of consolidation but aren't the most characteristic finding.
Sample questions

NBCE Part 2 Chiro Exam Prep sample questions

Tap any question below to reveal the answer and a plain-English explanation.

NBCE Part 2 Chiro Exam Prep Which of the following properly describes the technique for assessing the corneal reflex?

A. Ask the patient to close their eyes tightly while attempting to open them

B. Lightly touch the cornea with a wisp of cotton and observe for a blink response ✓

C. Shine a light into each eye and observe pupillary constriction

D. Have the patient follow your finger through the six cardinal fields of gaze

Correct — B. The corneal reflex is tested by lightly touching the cornea with a wisp of cotton, which should elicit a blink response. This tests both the sensory component of cranial nerve V and the motor component of cranial nerve VII.

NBCE Part 2 Chiro Exam Prep Which finding during examination of the external ear would warrant immediate referral?

A. Vesicular eruptions on the auricle and in the ear canal ✓

B. Darwin's tubercle on the helix

C. Sebaceous cyst on the earlobe

D. Small amount of cerumen in the ear canal

Correct — A. Vesicular eruptions on the auricle and in the ear canal, especially if accompanied by pain, suggest herpes zoster oticus (Ramsay Hunt syndrome), which requires prompt antiviral treatment to prevent complications.

NBCE Part 2 Chiro Exam Prep When assessing the maxillary sinuses during a head examination, which technique is most appropriate?

A. Percussion over the frontal bone

B. Transillumination of the orbit

C. Auscultation over the nasal bridge

D. Palpation for tenderness over the cheeks below the eyes ✓

Correct — D. Palpation for tenderness over the maxillary sinuses (located on the cheeks below the eyes) is the most appropriate direct examination technique to assess for maxillary sinusitis or inflammation.

NBCE Part 2 Chiro Exam Prep During examination of the tongue, which abnormal finding might indicate hypoglossal nerve (CN XII) dysfunction?

A. Papillary atrophy at the lateral borders

B. Mild coating on the dorsal surface

C. Deviation to one side upon protrusion ✓

D. Central fissuring of the dorsal surface

Correct — C. Deviation of the protruded tongue to one side indicates hypoglossal nerve (CN XII) dysfunction on the side to which the tongue deviates, as the functioning muscles on the unaffected side pull the tongue toward the weak side.

NBCE Part 2 Chiro Exam Prep Which visual field defect would be detected during confrontation testing if a patient has a pituitary tumor compressing the optic chiasm?

A. Altitudinal field defect

B. Bitemporal hemianopsia ✓

C. Homonymous hemianopsia

D. Binasal hemianopsia

Correct — B. Bitemporal hemianopsia (loss of the temporal visual fields in both eyes) is the classic visual field defect associated with pituitary tumors that compress the optic chiasm, affecting the crossing fibers from the nasal retina of each eye.

NBCE Part 2 Chiro Exam Prep Which of the following heart sounds is considered abnormal?

A. S4 (fourth heart sound) ✓

B. S1 (first heart sound)

C. S2 (second heart sound)

D. Normal splitting of S2 during inspiration

Correct — A. S1 and S2 are normal heart sounds. S3 can be normal in children and athletes but is abnormal in adults over 40 years of age. S4 is always abnormal and indicates atrial contraction against a stiff ventricle.

NBCE Part 2 Chiro Exam Prep During percussion of the thorax, a dull sound is most likely to indicate:

A. Normal lung tissue

B. Emphysema

C. Pneumothorax

D. Pleural effusion ✓

Correct — D. Dullness upon percussion typically indicates fluid or solid tissue underlying the percussed area. This could represent pleural effusion, consolidation, or a mass. Normal lung tissue produces resonance, hyperresonance suggests emphysema, and tympany is associated with air-filled cavities.

NBCE Part 2 Chiro Exam Prep Which auscultatory finding is most characteristic of pneumonia?

A. Pleural friction rub

B. Decreased breath sounds

C. Crackles (rales) ✓

D. Wheezes

Correct — C. Crackles (rales) are typically heard in pneumonia due to fluid in alveolar spaces. Wheezes suggest bronchospasm, pleural friction rubs indicate pleural inflammation, and bronchial breath sounds may be heard over areas of consolidation but aren't the most characteristic finding.

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Safe and effective care environment

Topic

Health promotion and maintenance

Topic

Psychosocial and physiological integrity

Topic

Pharmacology, infection control and patient safety

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