HomeNBCE Part 2 Chiro Exam PrepQuestions 21–30
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NBCE Part 2 Chiro Exam Prep Exam Questions & Answers 2026 (21–30)

NBCE Part 2 Chiro Exam Prep practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.

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  1. Q21Which of the following tests assesses cranial nerve VIII (vestibulocochlear) function during a head and neck examination?

    • ARomberg test
    • BDix-Hallpike maneuver
    • CValsalva maneuver
    • DRinne test
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    ✓ Correct answer: D. Rinne test

    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.

  2. Q22During examination of the temporomandibular joint (TMJ), which finding indicates potential TMJ dysfunction?

    • ASymmetrical jaw opening without deviation
    • BAbsence of pain on palpation of the masticatory muscles
    • CClicking or crepitus during jaw movement
    • DEqual bilateral muscle strength during jaw closure
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    ✓ Correct answer: C. Clicking or crepitus during jaw movement

    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.

  3. Q23Which of the following properly describes the technique for assessing the corneal reflex?

    • AAsk the patient to close their eyes tightly while attempting to open them
    • BLightly touch the cornea with a wisp of cotton and observe for a blink response
    • CShine a light into each eye and observe pupillary constriction
    • DHave the patient follow your finger through the six cardinal fields of gaze
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    ✓ Correct answer: B. Lightly touch the cornea with a wisp of cotton and observe for a blink response

    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.

  4. Q24Which finding during examination of the external ear would warrant immediate referral?

    • AVesicular eruptions on the auricle and in the ear canal
    • BDarwin's tubercle on the helix
    • CSebaceous cyst on the earlobe
    • DSmall amount of cerumen in the ear canal
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    ✓ Correct answer: A. Vesicular eruptions on the auricle and in the ear canal

    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.

  5. Q25When assessing the maxillary sinuses during a head examination, which technique is most appropriate?

    • APercussion over the frontal bone
    • BTransillumination of the orbit
    • CAuscultation over the nasal bridge
    • DPalpation for tenderness over the cheeks below the eyes
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    ✓ Correct answer: D. Palpation for tenderness over the cheeks below the eyes

    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.

  6. Q26During examination of the tongue, which abnormal finding might indicate hypoglossal nerve (CN XII) dysfunction?

    • APapillary atrophy at the lateral borders
    • BMild coating on the dorsal surface
    • CDeviation to one side upon protrusion
    • DCentral fissuring of the dorsal surface
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    ✓ Correct answer: C. Deviation to one side upon protrusion

    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.

  7. Q27Which visual field defect would be detected during confrontation testing if a patient has a pituitary tumor compressing the optic chiasm?

    • AAltitudinal field defect
    • BBitemporal hemianopsia
    • CHomonymous hemianopsia
    • DBinasal hemianopsia
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    ✓ Correct answer: B. Bitemporal hemianopsia

    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.

  8. Q28Which of the following heart sounds is considered abnormal?

    • AS4 (fourth heart sound)
    • BS1 (first heart sound)
    • CS2 (second heart sound)
    • DNormal splitting of S2 during inspiration
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    ✓ Correct answer: A. S4 (fourth heart sound)

    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.

  9. Q29During percussion of the thorax, a dull sound is most likely to indicate:

    • ANormal lung tissue
    • BEmphysema
    • CPneumothorax
    • DPleural effusion
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    ✓ Correct answer: D. Pleural effusion

    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.

  10. Q30Which auscultatory finding is most characteristic of pneumonia?

    • APleural friction rub
    • BDecreased breath sounds
    • CCrackles (rales)
    • DWheezes
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    ✓ Correct answer: C. Crackles (rales)

    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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