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.
Q21Which of the following tests assesses cranial nerve VIII (vestibulocochlear) function during a head and neck examination?
✓ 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.
Q22During examination of the temporomandibular joint (TMJ), which finding indicates potential TMJ dysfunction?
✓ 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.
Q23Which of the following properly describes the technique for assessing the corneal reflex?
✓ 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.
Q24Which finding during examination of the external ear would warrant immediate referral?
✓ 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.
Q25When assessing the maxillary sinuses during a head examination, which technique is most appropriate?
✓ 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.
Q26During examination of the tongue, which abnormal finding might indicate hypoglossal nerve (CN XII) dysfunction?
✓ 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.
Q27Which visual field defect would be detected during confrontation testing if a patient has a pituitary tumor compressing the optic chiasm?
✓ 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.
Q28Which of the following heart sounds is considered abnormal?
✓ 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.
Q29During percussion of the thorax, a dull sound is most likely to indicate:
✓ 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.
Q30Which auscultatory finding is most characteristic of pneumonia?
✓ 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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