NBCE EXAM PART 3 | ACTUAL EXAM
QUESTIONS WITH VERIFIED ANSWERS
AND | 2 DIFFERENT VERSIONS |
CORRECT SOLUTIONS | GRADED A+ |
LATEST UPDATE 2026/2027 |
GUARANTEED PASS.
Question 1
What is the primary goal of obtaining a chief complaint during the initial patient
interview?
A) To establish a working diagnosis
B) To understand the patient's primary reason for seeking care in their own words
C) To determine the patient's insurance coverage
D) To begin treatment immediately
Correct Answer: B
Rationale: The chief complaint is the patient's primary reason for seeking care,
documented in their own words. It establishes the foundation for the entire clinical
encounter and guides the history-taking process. The chief complaint should
include duration, location, quality, severity, and context.
Question 2
A 45-year-old male presents with "low back pain that started after lifting a
,heavy box at work yesterday." This statement represents which component of
the case history?
A) Past history
B) Chief complaint
C) Present illness
D) Review of systems
Correct Answer: C
Rationale: The present illness (or history of present illness) describes the onset,
mechanism of injury, progression, and associated symptoms of the current
condition. The chief complaint is typically a brief statement ("low back pain"), while
the present illness provides the detailed narrative.
Question 3
Which of the following should be included in the review of systems?
A) The patient's childhood illnesses
B) The patient's family history of diabetes
C) A systematic inquiry about symptoms in each body system
D) The patient's occupation and lifestyle
Correct Answer: C
Rationale: The review of systems is a systematic inventory of symptoms across all
body systems (e.g., cardiovascular, respiratory, gastrointestinal, neurological). It
helps identify conditions the patient may not have volunteered and provides a
comprehensive health assessment.
,Question 4
A 62-year-old female reports "crushing chest pain radiating to the left arm"
accompanied by shortness of breath and nausea. Which of the following is the
MOST appropriate immediate action?
A) Begin a detailed neurological examination
B) Order cervical spine radiographs
C) Activate emergency medical services (EMS) for possible myocardial infarction
D) Schedule a follow-up appointment in one week
Correct Answer: C
Rationale: This presentation is classic for acute myocardial infarction (heart
attack). Crushing chest pain radiating to the left arm, with associated dyspnea and
nausea, are "red flag" symptoms requiring immediate emergency care. The
chiropractor must recognize urgent/emergent conditions and refer appropriately.
Question 5
The "CAGE" questionnaire is used to screen for which condition during case
history taking?
A) Depression
B) Alcohol use disorder
C) Anxiety
D) Opioid dependence
Correct Answer: B
Rationale: The CAGE questionnaire is a screening tool for alcohol use disorder. It
consists of four questions: Cut down, Annoyed, Guilty, and Eye-opener. A score of
2 or more is considered clinically significant and warrants further assessment.
, Question 6
When taking a family history, which of the following is MOST important to
document?
A) The patient's siblings' occupations
B) The presence of hereditary or familial conditions (e.g., diabetes, heart disease,
cancer)
C) The patient's parents' educational levels
D) The patient's grandparents' places of birth
Correct Answer: B
Rationale: Family history is essential for identifying genetic and hereditary risk
factors. Conditions such as diabetes, cardiovascular disease, hypertension,
cancer, and autoimmune disorders often have familial components that influence
clinical decision-making and patient management.
Question 7
A patient reports taking "a water pill" for blood pressure. What is the generic
name for this class of medication?
A) Beta-blocker
B) ACE inhibitor
C) Diuretic (e.g., hydrochlorothiazide)
D) Calcium channel blocker
Correct Answer: C
QUESTIONS WITH VERIFIED ANSWERS
AND | 2 DIFFERENT VERSIONS |
CORRECT SOLUTIONS | GRADED A+ |
LATEST UPDATE 2026/2027 |
GUARANTEED PASS.
Question 1
What is the primary goal of obtaining a chief complaint during the initial patient
interview?
A) To establish a working diagnosis
B) To understand the patient's primary reason for seeking care in their own words
C) To determine the patient's insurance coverage
D) To begin treatment immediately
Correct Answer: B
Rationale: The chief complaint is the patient's primary reason for seeking care,
documented in their own words. It establishes the foundation for the entire clinical
encounter and guides the history-taking process. The chief complaint should
include duration, location, quality, severity, and context.
Question 2
A 45-year-old male presents with "low back pain that started after lifting a
,heavy box at work yesterday." This statement represents which component of
the case history?
A) Past history
B) Chief complaint
C) Present illness
D) Review of systems
Correct Answer: C
Rationale: The present illness (or history of present illness) describes the onset,
mechanism of injury, progression, and associated symptoms of the current
condition. The chief complaint is typically a brief statement ("low back pain"), while
the present illness provides the detailed narrative.
Question 3
Which of the following should be included in the review of systems?
A) The patient's childhood illnesses
B) The patient's family history of diabetes
C) A systematic inquiry about symptoms in each body system
D) The patient's occupation and lifestyle
Correct Answer: C
Rationale: The review of systems is a systematic inventory of symptoms across all
body systems (e.g., cardiovascular, respiratory, gastrointestinal, neurological). It
helps identify conditions the patient may not have volunteered and provides a
comprehensive health assessment.
,Question 4
A 62-year-old female reports "crushing chest pain radiating to the left arm"
accompanied by shortness of breath and nausea. Which of the following is the
MOST appropriate immediate action?
A) Begin a detailed neurological examination
B) Order cervical spine radiographs
C) Activate emergency medical services (EMS) for possible myocardial infarction
D) Schedule a follow-up appointment in one week
Correct Answer: C
Rationale: This presentation is classic for acute myocardial infarction (heart
attack). Crushing chest pain radiating to the left arm, with associated dyspnea and
nausea, are "red flag" symptoms requiring immediate emergency care. The
chiropractor must recognize urgent/emergent conditions and refer appropriately.
Question 5
The "CAGE" questionnaire is used to screen for which condition during case
history taking?
A) Depression
B) Alcohol use disorder
C) Anxiety
D) Opioid dependence
Correct Answer: B
Rationale: The CAGE questionnaire is a screening tool for alcohol use disorder. It
consists of four questions: Cut down, Annoyed, Guilty, and Eye-opener. A score of
2 or more is considered clinically significant and warrants further assessment.
, Question 6
When taking a family history, which of the following is MOST important to
document?
A) The patient's siblings' occupations
B) The presence of hereditary or familial conditions (e.g., diabetes, heart disease,
cancer)
C) The patient's parents' educational levels
D) The patient's grandparents' places of birth
Correct Answer: B
Rationale: Family history is essential for identifying genetic and hereditary risk
factors. Conditions such as diabetes, cardiovascular disease, hypertension,
cancer, and autoimmune disorders often have familial components that influence
clinical decision-making and patient management.
Question 7
A patient reports taking "a water pill" for blood pressure. What is the generic
name for this class of medication?
A) Beta-blocker
B) ACE inhibitor
C) Diuretic (e.g., hydrochlorothiazide)
D) Calcium channel blocker
Correct Answer: C
