VERIFIED ANSWERS & REAL IMAGES | CLINICAL SCIENCES &
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INTRODUCTION
Welcome to the NBCE Part 2 Actual Exam 2026/2027 | 2 Versions with Verified
Answers & Real Images complete study resource. This guide provides actual exam
questions from two different exam versions, featuring clinical case scenarios and
imaging interpretations exactly as they appear on the National Board of
Chiropractic Examiners Part 2 examination. Correct Answers in Bold
Question 1
A 72-year-old female presents with pain radiating to the jaw region for three
weeks duration. The erythrocyte sedimentation rate is elevated. Based on this
information, which test is warranted?
A) CT scan
B) Carotid angiography
C) Temporal artery biopsy
D) Dental x-rays
*Explanation: An elevated ESR with jaw claudication in an elderly patient is
classic for giant cell (temporal) arteritis. Temporal artery biopsy is the gold
standard for diagnosis. Prompt diagnosis is essential to prevent
blindness. *
,Question 2
Which of these conditions causes revascularization of the eye?
A) Conjunctivitis
B) Choroiditis
C) Diabetes
D) Glaucoma
*Explanation: Diabetes mellitus causes retinal revascularization and
neovascularization due to chronic hypoxia from microvascular damage. This
is a hallmark finding in diabetic retinopathy. *
Question 3
Which of these is an abnormal finding on funduscopic examination?
A) Four arteries and four veins in each quadrant
B) The macula is two disc diameters away from the disc
C) The arteries reflect light
D) The disc is a creamy orange color
*Explanation: Normally, there are two arteries and two veins in each
quadrant. Four arteries and four veins in each quadrant is abnormal and
suggests neovascularization, often seen in diabetic retinopathy or other
vascular pathologies. *
Question 4
Which deformity results from non-segmentation of multiple cervical segments?
,A) Basilar invagination
B) Spinal dysraphism
C) Klippel-Feil
D) Platybasia
*Explanation: Klippel-Feil syndrome is characterized by congenital fusion
(non-segmentation) of two or more cervical vertebrae. Clinical features
include a short neck, low hairline, and limited cervical range of motion. *
Question 5
Which of these is the most conspicuous feature during funduscopic examination?
A) The macula
B) The optic disc
C) The vessels
D) The background
*Explanation: The optic disc is the most conspicuous feature on funduscopic
examination. It appears as a yellowish-orange, well-circumscribed oval
structure. Evaluation of the disc is essential for detecting papilledema,
glaucoma, and other pathologies. *
Question 6
A patient presents with yellow patches in the mouth. These are most
characteristic of:
A) Aphthous ulcer
B) Rubeola
, C) Candidiasis
D) Rubella
*Explanation: Yellow patches in the mouth are characteristic of aphthous
ulcers (canker sores). These are painful, shallow ulcers with a yellowish-
gray pseudomembrane. Candidiasis presents with white, cottage cheese-
like patches. *
Question 7
Which of these is suggestive of a lung problem secondary to a chronic sinus
infection?
A) Fever
B) Facial tenderness
C) Anemia
D) Foul-smelling breath
*Explanation: Foul-smelling breath (fetor oris) in a patient with chronic
sinusitis may indicate a lung problem secondary to aspiration of infected
sinus drainage. This finding suggests a possible bronchopulmonary
infection. *
Question 8
Chronic irritation and pseudoarthrosis due to contact between the posterior
aspects of the spinous processes is called:
A) Brailsford disease
B) Ullman disease