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
2
, 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
3
, ⚡ 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)
4
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
2
, 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
3
, ⚡ 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)
4
