FLORIDA LAWS & RULES CHIROPRACTIC BOARD EXAM
2026/2027 | Actual Test Questions and Answers | Florida
Board of Chiropractic Medicine | Pass Guaranteed - A+
Graded
Domain 1: Florida Chiropractic Practice Act (Chapter 460, F.S.) — 25 Questions
Q1: Dr. Smith, a Florida-licensed chiropractor, is considering expanding her practice to
include nutritional counseling and supplement sales. She plans to hire a nutritionist who
is not licensed in Florida to provide dietary advice to her patients. Under Florida Statutes
Chapter 460, what is the legal status of this arrangement?
A. Permissible if the nutritionist works under Dr. Smith's direct supervision and the
chiropractor maintains responsibility for all patient care decisions.
B. Permissible only if the nutritionist obtains a Florida chiropractic license or a
registered dietitian license before providing any services.
C. Prohibited because only licensed chiropractors may provide nutritional counseling
within a chiropractic practice setting in Florida.
D. Permissible if the nutritionist is certified by a national nutrition organization and
limits advice to general wellness education rather than therapeutic recommendations.
Correct Answer: B
Rationale: Under Florida Statutes §460.403(1), the practice of chiropractic medicine
includes "nutritional counseling" as part of the chiropractic physician's scope. However,
§460.403(3) defines the "practice of nutrition" as a separate licensed profession
,requiring specific credentials. Florida Statutes §468.505 requires dietitians and
nutritionists to be licensed by the Florida Department of Health to practice nutrition in
Florida. A nutritionist without proper Florida licensure cannot legally provide nutritional
counseling, regardless of chiropractic supervision or certification status. Option A is
incorrect because supervision does not exempt unlicensed practice. Option C is
incorrect because licensed dietitians/nutritionists (not chiropractors exclusively) may
provide nutritional counseling. Option D is incorrect because national certification does
not substitute for Florida licensure, and the distinction between "wellness" and
"therapeutic" advice is not a recognized exemption under Florida law.
Q2: A chiropractic physician in Florida wishes to utilize diagnostic ultrasound imaging in
his practice to assess soft tissue injuries. What is required under Florida law for this
chiropractor to legally perform and interpret diagnostic ultrasound studies?
A. Completion of a 40-hour continuing education course in diagnostic ultrasound
approved by the Florida Board of Chiropractic Medicine.
B. Possession of a separate radiology license or certification from the Florida
Department of Health, Division of Medical Quality Assurance.
C. No additional certification is required as diagnostic ultrasound falls within the
statutory definition of chiropractic practice under §460.403(1).
D. Certification by the American Registry of Diagnostic Medical Sonography (ARDMS) or
equivalent credentialing in musculoskeletal sonography.
Correct Answer: C
Rationale: Florida Statutes §460.403(1) defines chiropractic practice as including
"diagnosis" through various methods, and Rule 64B2-5.001, F.A.C., specifically includes
,"diagnostic ultrasound" as an approved modality within the scope of chiropractic
practice when performed by a licensed chiropractic physician. The Florida Board of
Chiropractic Medicine does not require separate ARDMS certification (Option D) or a
radiology license (Option B) for chiropractors to utilize diagnostic ultrasound within their
scope. While continuing education in ultrasound is recommended for competency
(Option A), it is not a statutory prerequisite for initial use. The key limitation is that the
chiropractor must be competent and the use must be within the chiropractic scope of
practice for neuromusculoskeletal conditions.
Q3: Dr. Johnson, a Florida chiropractor, receives a referral from an attorney to perform
an independent medical examination (IME) on a plaintiff in a personal injury case. The
attorney requests that Dr. Johnson provide a prognosis and permanent impairment
rating using the AMA Guides to the Evaluation of Permanent Impairment. Under Florida
law, which statement is correct regarding this request?
A. Florida chiropractors are prohibited from performing IMEs or providing impairment
ratings as these constitute expert witness services outside the healing arts.
B. Chiropractors may perform IMEs and provide impairment ratings only if they have
completed specific Florida Bar-approved training in forensic examination procedures.
C. Chiropractors may perform IMEs and provide impairment ratings within their scope of
practice, provided they have the appropriate training and expertise to apply the AMA
Guides methodology.
D. Chiropractors may perform IMEs but must refer impairment rating determinations to
a medical physician as impairment ratings constitute the practice of medicine.
Correct Answer: C
, Rationale: Florida Statutes §460.403(1) authorizes chiropractors to examine, analyze,
and diagnose the living human body. Independent medical examinations fall within this
diagnostic authority. The AMA Guides to the Evaluation of Permanent Impairment are
recognized standards, and Florida courts have accepted impairment ratings from
qualified chiropractors. Rule 64B2-17.001, F.A.C., regarding expert witness testimony,
requires competence in the specific area of testimony. There is no Florida Bar approval
requirement for forensic training (Option B is incorrect). Option A is incorrect because
IMEs are not prohibited—they are examinations within scope. Option D is incorrect
because impairment rating is an evaluative function based on examination findings, not
the exclusive practice of medicine. However, the chiropractor must ensure they have
specific training in the AMA Guides methodology to maintain competence under
§460.413(1)(c).
Q4: A Florida chiropractic clinic is advertising "laser therapy" for pain management. The
clinic uses a Class IV therapeutic laser. Under Florida Statutes Chapter 460 and Board
rules, which regulatory requirement applies to the use of therapeutic lasers in
chiropractic practice?
A. The chiropractor must obtain a separate laser operator permit from the Florida
Department of Health, Bureau of Radiation Control.
B. Therapeutic lasers are regulated as medical devices, and their use requires a written
protocol approved by the Board of Chiropractic Medicine before implementation.
C. Class IV therapeutic lasers may be used by licensed chiropractors within their scope
of practice without separate state licensure, provided the chiropractor has appropriate
training and follows manufacturer safety protocols.
2026/2027 | Actual Test Questions and Answers | Florida
Board of Chiropractic Medicine | Pass Guaranteed - A+
Graded
Domain 1: Florida Chiropractic Practice Act (Chapter 460, F.S.) — 25 Questions
Q1: Dr. Smith, a Florida-licensed chiropractor, is considering expanding her practice to
include nutritional counseling and supplement sales. She plans to hire a nutritionist who
is not licensed in Florida to provide dietary advice to her patients. Under Florida Statutes
Chapter 460, what is the legal status of this arrangement?
A. Permissible if the nutritionist works under Dr. Smith's direct supervision and the
chiropractor maintains responsibility for all patient care decisions.
B. Permissible only if the nutritionist obtains a Florida chiropractic license or a
registered dietitian license before providing any services.
C. Prohibited because only licensed chiropractors may provide nutritional counseling
within a chiropractic practice setting in Florida.
D. Permissible if the nutritionist is certified by a national nutrition organization and
limits advice to general wellness education rather than therapeutic recommendations.
Correct Answer: B
Rationale: Under Florida Statutes §460.403(1), the practice of chiropractic medicine
includes "nutritional counseling" as part of the chiropractic physician's scope. However,
§460.403(3) defines the "practice of nutrition" as a separate licensed profession
,requiring specific credentials. Florida Statutes §468.505 requires dietitians and
nutritionists to be licensed by the Florida Department of Health to practice nutrition in
Florida. A nutritionist without proper Florida licensure cannot legally provide nutritional
counseling, regardless of chiropractic supervision or certification status. Option A is
incorrect because supervision does not exempt unlicensed practice. Option C is
incorrect because licensed dietitians/nutritionists (not chiropractors exclusively) may
provide nutritional counseling. Option D is incorrect because national certification does
not substitute for Florida licensure, and the distinction between "wellness" and
"therapeutic" advice is not a recognized exemption under Florida law.
Q2: A chiropractic physician in Florida wishes to utilize diagnostic ultrasound imaging in
his practice to assess soft tissue injuries. What is required under Florida law for this
chiropractor to legally perform and interpret diagnostic ultrasound studies?
A. Completion of a 40-hour continuing education course in diagnostic ultrasound
approved by the Florida Board of Chiropractic Medicine.
B. Possession of a separate radiology license or certification from the Florida
Department of Health, Division of Medical Quality Assurance.
C. No additional certification is required as diagnostic ultrasound falls within the
statutory definition of chiropractic practice under §460.403(1).
D. Certification by the American Registry of Diagnostic Medical Sonography (ARDMS) or
equivalent credentialing in musculoskeletal sonography.
Correct Answer: C
Rationale: Florida Statutes §460.403(1) defines chiropractic practice as including
"diagnosis" through various methods, and Rule 64B2-5.001, F.A.C., specifically includes
,"diagnostic ultrasound" as an approved modality within the scope of chiropractic
practice when performed by a licensed chiropractic physician. The Florida Board of
Chiropractic Medicine does not require separate ARDMS certification (Option D) or a
radiology license (Option B) for chiropractors to utilize diagnostic ultrasound within their
scope. While continuing education in ultrasound is recommended for competency
(Option A), it is not a statutory prerequisite for initial use. The key limitation is that the
chiropractor must be competent and the use must be within the chiropractic scope of
practice for neuromusculoskeletal conditions.
Q3: Dr. Johnson, a Florida chiropractor, receives a referral from an attorney to perform
an independent medical examination (IME) on a plaintiff in a personal injury case. The
attorney requests that Dr. Johnson provide a prognosis and permanent impairment
rating using the AMA Guides to the Evaluation of Permanent Impairment. Under Florida
law, which statement is correct regarding this request?
A. Florida chiropractors are prohibited from performing IMEs or providing impairment
ratings as these constitute expert witness services outside the healing arts.
B. Chiropractors may perform IMEs and provide impairment ratings only if they have
completed specific Florida Bar-approved training in forensic examination procedures.
C. Chiropractors may perform IMEs and provide impairment ratings within their scope of
practice, provided they have the appropriate training and expertise to apply the AMA
Guides methodology.
D. Chiropractors may perform IMEs but must refer impairment rating determinations to
a medical physician as impairment ratings constitute the practice of medicine.
Correct Answer: C
, Rationale: Florida Statutes §460.403(1) authorizes chiropractors to examine, analyze,
and diagnose the living human body. Independent medical examinations fall within this
diagnostic authority. The AMA Guides to the Evaluation of Permanent Impairment are
recognized standards, and Florida courts have accepted impairment ratings from
qualified chiropractors. Rule 64B2-17.001, F.A.C., regarding expert witness testimony,
requires competence in the specific area of testimony. There is no Florida Bar approval
requirement for forensic training (Option B is incorrect). Option A is incorrect because
IMEs are not prohibited—they are examinations within scope. Option D is incorrect
because impairment rating is an evaluative function based on examination findings, not
the exclusive practice of medicine. However, the chiropractor must ensure they have
specific training in the AMA Guides methodology to maintain competence under
§460.413(1)(c).
Q4: A Florida chiropractic clinic is advertising "laser therapy" for pain management. The
clinic uses a Class IV therapeutic laser. Under Florida Statutes Chapter 460 and Board
rules, which regulatory requirement applies to the use of therapeutic lasers in
chiropractic practice?
A. The chiropractor must obtain a separate laser operator permit from the Florida
Department of Health, Bureau of Radiation Control.
B. Therapeutic lasers are regulated as medical devices, and their use requires a written
protocol approved by the Board of Chiropractic Medicine before implementation.
C. Class IV therapeutic lasers may be used by licensed chiropractors within their scope
of practice without separate state licensure, provided the chiropractor has appropriate
training and follows manufacturer safety protocols.
