Just took NBCE part 3, real topics , real questions, I’ve included x rays and vignettes

NBCE PART III MASTERY
Chiro Board Prep – 2026 Edition


Section 1 – Most Tested Topics (Pages 2-8)
Section 2 – 150 Multiple Choice (Pages 9-47)
Section 3 – Diagnostic Images (Pages 48-67)
Section 4 – Clinical Vignettes (68-77)
Section 5 – Multiple Choice Answer Key (78-94)
Section 6 – Diagnostic Images Answer Key (95-99)

, Most Tested Topics

1. Psoriatic Arthritis

⚡ Findings:

• Sausage digits

• Pencil-in-cup deformity

• Nail pitting

• Plaques and scales

⚡ Findings:

2. Clubbing Fingernails

⚡ Associated with chronic lung disease / smoking

3. Pneumonia

⚡ Findings:

• Shortness of breath

• Purulent sputum

• Productive cough

• Fever

4. Osteoarthritis (OA

📌 Osteophytes, Heberden & Bouchard nodes

📌 DIP joints common

📌 Short morning stiffness

📌 Pain worse with activity

⚡ Degenerative wear and tear




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, 5. Osteoporosis

⚡ Diagnosis: DEXA scan

📌 Weight-bearing exercise recommended

📌 Risk factors:

• Excess caffeine

• Low calcium

• Postmenopausal



6. HLA-B27 Associated Disorders (PEARS)

⚡ Sacroiliitis

⚡ Reactive arthritis

⚡ Ankylosing spondylitis

⚡ Enteropathic arthritis

⚡ Psoriatic arthritis



7. Gout

⚡ Most common joint: 1st MTP



8. Glaucoma

⚡ Finding: Increased intraocular pressure



9. Cataracts

⚡ Finding: Cloudy lens




10. Meningitis


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, ⚡ Signs:

🚨 Medical emergency

• Severe headache

• Nuchal rigidity

• Fever




11. Metastasis

📌 Often older patients

• Multiple lesions

• Pain not relieved by rest

• Bone pain



12. AC Joint Separation

⚡ Test: Weighted shoulder X-ray



13. Scheuermann’s Disease

⚡ Findings:

📌 Adolescent kyphosis

📌 Three discs in a row

• Increased kyphosis

• Vertebral wedging

• Schmorl nodes




14. CPPD (Pseudogout)


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