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The Arizona Jurisprudence Exam National Board Exams (NBCE) PART 3 Exam latest update
Practice Questions (Original) EXAM | 2026–2027 Latest Update | Original Questions & Answers with
Detailed Rationales | Graded A+
SECTION 1: CASE HISTORY
Q1. A 48-year-old male presents with a 3-week history of low
back pain that began after lifting a heavy box. The pain radiates
down the posterior right leg to the lateral foot. Which
component of the case history is most critical for differentiating
a discogenic from a non-discogenic source?
A) Family history of diabetes
B) Aggravating and relieving factors, including sitting, standing,
and walking
C) Childhood illnesses
D) Dietary habits
Answer: B
Rationale: The behavior of pain with positional changes (worse
with sitting, better with standing/walking) helps differentiate
discogenic radiculopathy from other causes of low back pain.
Q2. A 62-year-old female reports sudden onset of severe,
tearing chest pain radiating to the back. Which historical feature
is most concerning for a vascular emergency? A) The pain is
relieved by chiropractic adjustment
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B) The pain is described as "tearing" and migrates
C) The pain is worse with deep breathing
D) The pain is associated with a recent cold
Answer: B
Rationale: A tearing, migrating chest pain is a classic red flag
for aortic dissection and requires immediate emergency referral.
Q3. Which element of the review of systems is most relevant
when a patient presents with headache?
A) Skin rashes
B) Visual changes, nausea, and aura
C) Joint stiffness
D) Bowel habits
Answer: B
Rationale: Visual disturbances, nausea, and aura help
differentiate migraine from tension-type or cervicogenic
headache.
Q4 (EMCQ). A 55-year-old male with a history of prostate
cancer presents with a 6-week history of progressive low back
pain that is constant, unrelieved by rest, and worse at night. He
reports unexplained weight loss. Which two findings are most
concerning for metastatic disease? (Select two.)
A) History of prostate cancer
B) Pain relieved by chiropractic adjustment
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C) Night pain and unexplained weight loss
D) Pain worse with activity
E) Normal appetite
Answer: A, C
Rationale: A history of cancer plus night pain and unexplained
weight loss are red flags for metastasis.
Q5. Which of the following is a red flag in the case history of a
patient with neck pain?
A) Pain worsened by prolonged computer use
B) Recent trauma with loss of consciousness
C) Mild relief with heat
D) Intermittent stiffness in the morning
Answer: B
Rationale: Trauma with loss of consciousness raises concern for
fracture, ligamentous instability, or intracranial injury.
Q6. A patient reports a "band-like" pain around the chest.
Which historical feature suggests a visceral rather than
musculoskeletal origin?
A) Pain reproduced by palpation of the thoracic paraspinals
B) Pain unrelated to movement and associated with nausea
C) Pain relieved by spinal manipulation
D) Pain that worsens with deep breathing only
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Answer: B
Rationale: Visceral pain is often unrelated to movement and
may be accompanied by autonomic symptoms such as nausea.
Q7. Which question is most important when obtaining a history
from a patient with suspected cauda equina syndrome?
A) "Have you had any recent colds?"
B) "Have you noticed any changes in bowel or bladder
control?"
C) "Do you exercise regularly?"
D) "What is your typical diet?"
Answer: B
Rationale: Bowel or bladder dysfunction, saddle anesthesia, and
bilateral leg weakness are red flags for cauda equina syndrome.
Q8. A 34-year-old female reports neck pain and dizziness after
a motor vehicle collision. Which historical detail is most
important for assessing the severity of whiplash-associated
disorder?
A) The color of the vehicle
B) The direction of impact and whether the head was rotated
at impact
C) The patient's occupation
D) The patient's marital status
The Arizona Jurisprudence Exam National Board Exams (NBCE) PART 3 Exam latest update
Practice Questions (Original) EXAM | 2026–2027 Latest Update | Original Questions & Answers with
Detailed Rationales | Graded A+
SECTION 1: CASE HISTORY
Q1. A 48-year-old male presents with a 3-week history of low
back pain that began after lifting a heavy box. The pain radiates
down the posterior right leg to the lateral foot. Which
component of the case history is most critical for differentiating
a discogenic from a non-discogenic source?
A) Family history of diabetes
B) Aggravating and relieving factors, including sitting, standing,
and walking
C) Childhood illnesses
D) Dietary habits
Answer: B
Rationale: The behavior of pain with positional changes (worse
with sitting, better with standing/walking) helps differentiate
discogenic radiculopathy from other causes of low back pain.
Q2. A 62-year-old female reports sudden onset of severe,
tearing chest pain radiating to the back. Which historical feature
is most concerning for a vascular emergency? A) The pain is
relieved by chiropractic adjustment
, Page|2
B) The pain is described as "tearing" and migrates
C) The pain is worse with deep breathing
D) The pain is associated with a recent cold
Answer: B
Rationale: A tearing, migrating chest pain is a classic red flag
for aortic dissection and requires immediate emergency referral.
Q3. Which element of the review of systems is most relevant
when a patient presents with headache?
A) Skin rashes
B) Visual changes, nausea, and aura
C) Joint stiffness
D) Bowel habits
Answer: B
Rationale: Visual disturbances, nausea, and aura help
differentiate migraine from tension-type or cervicogenic
headache.
Q4 (EMCQ). A 55-year-old male with a history of prostate
cancer presents with a 6-week history of progressive low back
pain that is constant, unrelieved by rest, and worse at night. He
reports unexplained weight loss. Which two findings are most
concerning for metastatic disease? (Select two.)
A) History of prostate cancer
B) Pain relieved by chiropractic adjustment
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C) Night pain and unexplained weight loss
D) Pain worse with activity
E) Normal appetite
Answer: A, C
Rationale: A history of cancer plus night pain and unexplained
weight loss are red flags for metastasis.
Q5. Which of the following is a red flag in the case history of a
patient with neck pain?
A) Pain worsened by prolonged computer use
B) Recent trauma with loss of consciousness
C) Mild relief with heat
D) Intermittent stiffness in the morning
Answer: B
Rationale: Trauma with loss of consciousness raises concern for
fracture, ligamentous instability, or intracranial injury.
Q6. A patient reports a "band-like" pain around the chest.
Which historical feature suggests a visceral rather than
musculoskeletal origin?
A) Pain reproduced by palpation of the thoracic paraspinals
B) Pain unrelated to movement and associated with nausea
C) Pain relieved by spinal manipulation
D) Pain that worsens with deep breathing only
, Page|4
Answer: B
Rationale: Visceral pain is often unrelated to movement and
may be accompanied by autonomic symptoms such as nausea.
Q7. Which question is most important when obtaining a history
from a patient with suspected cauda equina syndrome?
A) "Have you had any recent colds?"
B) "Have you noticed any changes in bowel or bladder
control?"
C) "Do you exercise regularly?"
D) "What is your typical diet?"
Answer: B
Rationale: Bowel or bladder dysfunction, saddle anesthesia, and
bilateral leg weakness are red flags for cauda equina syndrome.
Q8. A 34-year-old female reports neck pain and dizziness after
a motor vehicle collision. Which historical detail is most
important for assessing the severity of whiplash-associated
disorder?
A) The color of the vehicle
B) The direction of impact and whether the head was rotated
at impact
C) The patient's occupation
D) The patient's marital status
