Maryland Chiropractic Assistant
Certification Exam Practice Questions
And Correct Answers (Verified Answers)
Plus Rationale 2026 Q&A| Instant
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1. A chiropractic assistant trainee in Maryland is preparing to submit an
application to the Maryland Board of Chiropractic Examiners. Which of
the following applicants BEST satisfies the minimum eligibility
requirements for entry into a chiropractic assistant training program?
A. A 17-year-old high school graduate enrolled in CPR training with
employment authorization
B. A 19-year-old GED holder proficient in English with current CPR
certification and federal employment authorization
C. A 20-year-old foreign-trained applicant without transcript evaluation but
with chiropractic office experience
D. A 22-year-old applicant without CPR enrollment who intends to obtain
certification after registration
B. A 19-year-old GED holder proficient in English with current CPR
certification and federal employment authorization
Rationale: Maryland regulations require chiropractic assistant trainees to
be at least 18 years old, possess a high school diploma or GED,
demonstrate English proficiency, and either be CPR certified or enrolled in
a Board-approved CPR course within four months of beginning training.
,Foreign transcripts must also be professionally interpreted and certified
before acceptance.
2. A supervising chiropractor in Maryland asks a chiropractic assistant
trainee to independently explain a patient’s MRI findings and provide
a preliminary diagnosis before the chiropractor enters the room.
Which action is MOST consistent with Maryland law?
A. The trainee may provide a preliminary interpretation if supervised
remotely
B. The trainee may explain findings only if the patient consents verbally
C. The trainee must refuse because chiropractic assistants may not diagnose
independently
D. The trainee may interpret findings if trained in radiographic procedures
C. The trainee must refuse because chiropractic assistants may not
diagnose independently
Rationale: Maryland regulations specifically prohibit chiropractic
assistants from independently diagnosing patients or functioning without
direct supervision. Data collection may occur, but interpretation and
diagnostic authority remain solely with the supervising chiropractor.
3. A Maryland chiropractic assistant has completed classroom instruction
and clinical hours and is preparing for Board registration. Which
additional requirement must be completed before registration may be
granted?
A. Passage of a national chiropractic board examination
B. Completion of a two-year associate degree in rehabilitation sciences
C. Successful completion of the Board proficiency and jurisprudence
examinations
D. Certification as a medical assistant through a national organization
C. Successful completion of the Board proficiency and jurisprudence
examinations
,Rationale: Maryland requires chiropractic assistant trainees to pass both a
Board-administered proficiency examination and a jurisprudence
examination before registration is issued. The exams evaluate professional
knowledge, legal requirements, and risk management principles.
4. A chiropractic assistant is instructed to administer therapeutic
ultrasound while the supervising chiropractor is in another building
several miles away. Which statement BEST describes the legal status
of this activity in Maryland?
A. It is permitted because ultrasound is a noninvasive modality
B. It is permitted if the chiropractor is available by telephone
C. It is prohibited because direct supervision requires the chiropractor’s
physical presence in the treatment area
D. It is prohibited only for trainees, not registered assistants
C. It is prohibited because direct supervision requires the chiropractor’s
physical presence in the treatment area
Rationale: Maryland defines direct supervision as the supervising
chiropractor being personally present and immediately available in the
area where procedures are performed. Therapeutic modalities such as
ultrasound require this level of supervision.
5. A chiropractic assistant is reviewing permissible duties under
Maryland regulations. Which task falls WITHIN the legal scope of
practice for a chiropractic assistant under direct supervision?
A. Independently establishing a treatment plan
B. Prescribing therapeutic exercises based on observed symptoms
C. Demonstrating therapeutic exercises prescribed by the chiropractor
D. Performing spinal adjustments on low-risk patients
C. Demonstrating therapeutic exercises prescribed by the chiropractor
Rationale: Maryland permits chiropractic assistants to demonstrate and
administer therapeutic exercises only as prescribed by the supervising
, chiropractor. Diagnosis, treatment planning, and spinal adjustments are
outside the assistant’s scope of practice.
6. A Maryland chiropractic assistant wishes to obtain X-ray privileges.
Which of the following training requirements is specifically required?
A. Completion of 20 radiographic procedures under indirect supervision
B. Completion of 60 hours of didactic instruction and 46 supervised X-ray
studies
C. Completion of a two-year radiologic technology degree
D. Certification through the American Registry of Radiologic Technologists
only
B. Completion of 60 hours of didactic instruction and 46 supervised X-ray
studies
Rationale: Maryland regulations require chiropractic assistants seeking X-
ray privileges to complete 60 hours of approved didactic instruction and 46
supervised X-ray studies involving multiple anatomical regions and
imaging views.
7. A chiropractic assistant notices that a patient appears increasingly
dizzy and unstable after traction therapy. What is the MOST
appropriate immediate response?
A. Continue therapy and document symptoms later
B. Reduce traction force independently and continue treatment
C. Stop the procedure and immediately notify the supervising chiropractor
D. Instruct the patient to rest and schedule another appointment
C. Stop the procedure and immediately notify the supervising chiropractor
Rationale: Chiropractic assistants must prioritize patient safety and
operate under direct supervision. Any concerning patient response during
therapy requires immediate cessation of treatment and prompt
notification of the supervising chiropractor.
Certification Exam Practice Questions
And Correct Answers (Verified Answers)
Plus Rationale 2026 Q&A| Instant
Download Pdf
1. A chiropractic assistant trainee in Maryland is preparing to submit an
application to the Maryland Board of Chiropractic Examiners. Which of
the following applicants BEST satisfies the minimum eligibility
requirements for entry into a chiropractic assistant training program?
A. A 17-year-old high school graduate enrolled in CPR training with
employment authorization
B. A 19-year-old GED holder proficient in English with current CPR
certification and federal employment authorization
C. A 20-year-old foreign-trained applicant without transcript evaluation but
with chiropractic office experience
D. A 22-year-old applicant without CPR enrollment who intends to obtain
certification after registration
B. A 19-year-old GED holder proficient in English with current CPR
certification and federal employment authorization
Rationale: Maryland regulations require chiropractic assistant trainees to
be at least 18 years old, possess a high school diploma or GED,
demonstrate English proficiency, and either be CPR certified or enrolled in
a Board-approved CPR course within four months of beginning training.
,Foreign transcripts must also be professionally interpreted and certified
before acceptance.
2. A supervising chiropractor in Maryland asks a chiropractic assistant
trainee to independently explain a patient’s MRI findings and provide
a preliminary diagnosis before the chiropractor enters the room.
Which action is MOST consistent with Maryland law?
A. The trainee may provide a preliminary interpretation if supervised
remotely
B. The trainee may explain findings only if the patient consents verbally
C. The trainee must refuse because chiropractic assistants may not diagnose
independently
D. The trainee may interpret findings if trained in radiographic procedures
C. The trainee must refuse because chiropractic assistants may not
diagnose independently
Rationale: Maryland regulations specifically prohibit chiropractic
assistants from independently diagnosing patients or functioning without
direct supervision. Data collection may occur, but interpretation and
diagnostic authority remain solely with the supervising chiropractor.
3. A Maryland chiropractic assistant has completed classroom instruction
and clinical hours and is preparing for Board registration. Which
additional requirement must be completed before registration may be
granted?
A. Passage of a national chiropractic board examination
B. Completion of a two-year associate degree in rehabilitation sciences
C. Successful completion of the Board proficiency and jurisprudence
examinations
D. Certification as a medical assistant through a national organization
C. Successful completion of the Board proficiency and jurisprudence
examinations
,Rationale: Maryland requires chiropractic assistant trainees to pass both a
Board-administered proficiency examination and a jurisprudence
examination before registration is issued. The exams evaluate professional
knowledge, legal requirements, and risk management principles.
4. A chiropractic assistant is instructed to administer therapeutic
ultrasound while the supervising chiropractor is in another building
several miles away. Which statement BEST describes the legal status
of this activity in Maryland?
A. It is permitted because ultrasound is a noninvasive modality
B. It is permitted if the chiropractor is available by telephone
C. It is prohibited because direct supervision requires the chiropractor’s
physical presence in the treatment area
D. It is prohibited only for trainees, not registered assistants
C. It is prohibited because direct supervision requires the chiropractor’s
physical presence in the treatment area
Rationale: Maryland defines direct supervision as the supervising
chiropractor being personally present and immediately available in the
area where procedures are performed. Therapeutic modalities such as
ultrasound require this level of supervision.
5. A chiropractic assistant is reviewing permissible duties under
Maryland regulations. Which task falls WITHIN the legal scope of
practice for a chiropractic assistant under direct supervision?
A. Independently establishing a treatment plan
B. Prescribing therapeutic exercises based on observed symptoms
C. Demonstrating therapeutic exercises prescribed by the chiropractor
D. Performing spinal adjustments on low-risk patients
C. Demonstrating therapeutic exercises prescribed by the chiropractor
Rationale: Maryland permits chiropractic assistants to demonstrate and
administer therapeutic exercises only as prescribed by the supervising
, chiropractor. Diagnosis, treatment planning, and spinal adjustments are
outside the assistant’s scope of practice.
6. A Maryland chiropractic assistant wishes to obtain X-ray privileges.
Which of the following training requirements is specifically required?
A. Completion of 20 radiographic procedures under indirect supervision
B. Completion of 60 hours of didactic instruction and 46 supervised X-ray
studies
C. Completion of a two-year radiologic technology degree
D. Certification through the American Registry of Radiologic Technologists
only
B. Completion of 60 hours of didactic instruction and 46 supervised X-ray
studies
Rationale: Maryland regulations require chiropractic assistants seeking X-
ray privileges to complete 60 hours of approved didactic instruction and 46
supervised X-ray studies involving multiple anatomical regions and
imaging views.
7. A chiropractic assistant notices that a patient appears increasingly
dizzy and unstable after traction therapy. What is the MOST
appropriate immediate response?
A. Continue therapy and document symptoms later
B. Reduce traction force independently and continue treatment
C. Stop the procedure and immediately notify the supervising chiropractor
D. Instruct the patient to rest and schedule another appointment
C. Stop the procedure and immediately notify the supervising chiropractor
Rationale: Chiropractic assistants must prioritize patient safety and
operate under direct supervision. Any concerning patient response during
therapy requires immediate cessation of treatment and prompt
notification of the supervising chiropractor.
