CCLE Final Comprehensive Examination
QUESTIONS AND ANSWERS WITH RATIONALES/
GRADED A+/2026\2027 UPDATE /100%CORRECT
PART I: LICENSING & BOARD ADMINISTRATION (Questions 1-30)
1. A chiropractor moving their primary practice address within California must notify the Board of
Chiropractic Examiners (BCE) within how many days?
A) 15 days
B) 30 days
C) 45 days
D) 60 days
Answer: B) 30 days
• Rationale: Per California Code of Regulations, licensees must file any change of address
(principal or sub-office) with the Board in Sacramento within 30 days of the change .
• Distractor Analysis: A) 15 days applies to some other healthcare renewals but not address
changes. C/D) Exceed the legal limit.
2. If a licensee fails to renew their license before the expiration date, what is the status of the license?
A) Active but Penalized
B) Probationary
C) Inactive
D) Suspended
Answer: C) Inactive
• Rationale: Failure to renew results in automatic inactivation. An inactive license cannot be
displayed, and the chiropractor cannot practice until it is restored.
• Distractor Analysis: B/D) Suspension or Probation require disciplinary action, not just
administrative lapse.
3. Which of the following is TRUE regarding the display of a chiropractic license?
A) An inactive license may be displayed if framed.
B) Only the wall certificate needs to be displayed; pocket cards are optional.
C) No licensee shall display a license that is not currently active and valid.
D) Licenses must be displayed in the local newspaper.
Answer: C) No licensee shall display a license that is not currently active and valid.
, • Rationale: It is explicitly unprofessional conduct to display a license that is revoked, suspended,
or inactive .
• Distractor Analysis: A) False, inactive licenses cannot be displayed. B) Both must be available
upon request, though the certificate is displayed.
4. The term "duly licensed chiropractor" in the Chiropractic Act means:
A) Any graduate of a CCE accredited college.
B) Any person holding an unrevoked certificate to practice chiropractic in California.
C) Any person registered with the California Medical Board.
D) Any member of the American Chiropractic Association.
Answer: B) Any person holding an unrevoked certificate to practice chiropractic in California.
• Rationale: The Act defines "duly licensed" strictly as holding a current, valid, unrevoked
certificate.
• Distractor Analysis: A) Graduation is a prerequisite, not the definition of licensure. D)
Membership is private, not legal.
5. A doctor wants to form a Professional Corporation (PC) for their chiropractic practice. According to
California Corporations Code, who may be shareholders?
A) Any licensed healthcare professional (MD, PT, DC).
B) Any certified nursing assistant.
C) Only licensed chiropractors.
D) Any business investor.
Answer: C) Only licensed chiropractors.
• Rationale: Under the Moscone-Knox Professional Corporation Act, shareholders of a
chiropractic PC must be licensed to practice chiropractic .
• Distractor Analysis: A) While multi-discipline ownership is possible under strict caps (49%), a
pure Chiropractic PC requires 100% DC ownership.
6. When the Board orders a licensee to pay for the costs of investigation and enforcement, who
provides the legal defense if the Board is sued for this action?
A) The individual chiropractor's private attorney.
B) The Board's insurance carrier.
C) The California Attorney General.
D) The local District Attorney.
Answer: C) The California Attorney General.
• Rationale: The Attorney General represents the Board in civil actions related to enforcement .
• Distractor Analysis: A) The chiropractor would need their own lawyer if they are suing the Board,
not the other way around.
7. The Board or its designee may inspect the physical premises of a chiropractic office:
A) Only with a warrant.
,B) Only during business hours and with 48-hour notice.
C) During regular business hours.
D) Only if the chiropractor is present.
Answer: C) During regular business hours.
• Rationale: The Board has administrative authority to inspect premises during regular business
hours without a warrant to ensure compliance .
8. What is the maximum civil penalty the Board may impose for a single act of unprofessional
conduct?
A) $2,500
B) $5,000
C) $10,000
D) $25,000
Answer: C) $10,000
• Rationale: Statutes allow the Board to levy administrative fines up to $10,000 per violation .
9. If a chiropractor is licensed in another state and wishes to participate in a one-day sponsored event
in California, they must register with the Board at least how many days prior?
A) 30 days
B) 60 days
C) 90 days
D) 120 days
Answer: C) 90 days
• Rationale: The sponsoring entity must submit Form 901-A at least 90 days before the event .
10. The "Corporate Practice of Medicine (CPOM) Doctrine" in California essentially prohibits:
A) Chiropractors from using X-ray machines.
B) Non-licensed entities (like general corporations) from controlling professional practice.
C) Chiropractors from employing massage therapists.
D) Advertising on television.
Answer: B) Non-licensed entities from controlling professional practice.
• Rationale: CPOM prevents laypersons or general business corporations from owning a
healthcare practice or influencing clinical decisions .
11. A chiropractor fails to renew their license and continues to practice for 3 months. This is classified
as:
A) A minor infraction.
B) Unlicensed practice / Unprofessional conduct.
C) An administrative error only.
D) Acceptable if they applied for renewal.
Answer: B) Unlicensed practice / Unprofessional conduct.
, • Rationale: Practicing with an expired/inactive license is practicing without a license, which is a
serious violation subject to disciplinary action.
12. Under Senate Bill 351 (effective 2026), who is granted specific enforcement authority regarding
CPOM violations?
A) The local police department.
B) The California Attorney General.
C) The IRS.
D) The County Medical Society.
Answer: B) The California Attorney General.
• Rationale: SB 351 codified CPOM prohibitions and granted the AG explicit enforcement
authority .
13. If a chiropractic corporation wishes to hire a physical therapist, what must be true?
A) The PT must be directly supervised by a DC at all times.
B) The PT must be licensed in California.
C) The PT can only perform administrative work.
D) The PT must also be a certified chiropractic assistant.
Answer: B) The PT must be licensed in California.
• Rationale: While the DC supervises the plan of care, the PT must hold a valid California PT
license to practice physical therapy.
14. The address of the Board of Chiropractic Examiners main office is in:
A) Los Angeles
B) San Francisco
C) Sacramento
D) San Diego
Answer: C) Sacramento
• Rationale: The statute specifies the board's office is in Sacramento .
15. A chiropractor is named as a defendant in a civil action for actions taken while administering a
Board examination. The Board:
A) Is liable for all judgments.
B) Is not liable for any judgment rendered against that person.
C) Must pay 50% of the settlement.
D) Will revoke the examiner's license.
Answer: B) Is not liable for any judgment rendered against that person.
• Rationale: Independent contractors or examiners hired by the Board are defended by the AG,
but the Board is not financially liable for the judgment .
16. If a chiropractor receives a citation from the Board, they generally have how long to request an
informal hearing?
QUESTIONS AND ANSWERS WITH RATIONALES/
GRADED A+/2026\2027 UPDATE /100%CORRECT
PART I: LICENSING & BOARD ADMINISTRATION (Questions 1-30)
1. A chiropractor moving their primary practice address within California must notify the Board of
Chiropractic Examiners (BCE) within how many days?
A) 15 days
B) 30 days
C) 45 days
D) 60 days
Answer: B) 30 days
• Rationale: Per California Code of Regulations, licensees must file any change of address
(principal or sub-office) with the Board in Sacramento within 30 days of the change .
• Distractor Analysis: A) 15 days applies to some other healthcare renewals but not address
changes. C/D) Exceed the legal limit.
2. If a licensee fails to renew their license before the expiration date, what is the status of the license?
A) Active but Penalized
B) Probationary
C) Inactive
D) Suspended
Answer: C) Inactive
• Rationale: Failure to renew results in automatic inactivation. An inactive license cannot be
displayed, and the chiropractor cannot practice until it is restored.
• Distractor Analysis: B/D) Suspension or Probation require disciplinary action, not just
administrative lapse.
3. Which of the following is TRUE regarding the display of a chiropractic license?
A) An inactive license may be displayed if framed.
B) Only the wall certificate needs to be displayed; pocket cards are optional.
C) No licensee shall display a license that is not currently active and valid.
D) Licenses must be displayed in the local newspaper.
Answer: C) No licensee shall display a license that is not currently active and valid.
, • Rationale: It is explicitly unprofessional conduct to display a license that is revoked, suspended,
or inactive .
• Distractor Analysis: A) False, inactive licenses cannot be displayed. B) Both must be available
upon request, though the certificate is displayed.
4. The term "duly licensed chiropractor" in the Chiropractic Act means:
A) Any graduate of a CCE accredited college.
B) Any person holding an unrevoked certificate to practice chiropractic in California.
C) Any person registered with the California Medical Board.
D) Any member of the American Chiropractic Association.
Answer: B) Any person holding an unrevoked certificate to practice chiropractic in California.
• Rationale: The Act defines "duly licensed" strictly as holding a current, valid, unrevoked
certificate.
• Distractor Analysis: A) Graduation is a prerequisite, not the definition of licensure. D)
Membership is private, not legal.
5. A doctor wants to form a Professional Corporation (PC) for their chiropractic practice. According to
California Corporations Code, who may be shareholders?
A) Any licensed healthcare professional (MD, PT, DC).
B) Any certified nursing assistant.
C) Only licensed chiropractors.
D) Any business investor.
Answer: C) Only licensed chiropractors.
• Rationale: Under the Moscone-Knox Professional Corporation Act, shareholders of a
chiropractic PC must be licensed to practice chiropractic .
• Distractor Analysis: A) While multi-discipline ownership is possible under strict caps (49%), a
pure Chiropractic PC requires 100% DC ownership.
6. When the Board orders a licensee to pay for the costs of investigation and enforcement, who
provides the legal defense if the Board is sued for this action?
A) The individual chiropractor's private attorney.
B) The Board's insurance carrier.
C) The California Attorney General.
D) The local District Attorney.
Answer: C) The California Attorney General.
• Rationale: The Attorney General represents the Board in civil actions related to enforcement .
• Distractor Analysis: A) The chiropractor would need their own lawyer if they are suing the Board,
not the other way around.
7. The Board or its designee may inspect the physical premises of a chiropractic office:
A) Only with a warrant.
,B) Only during business hours and with 48-hour notice.
C) During regular business hours.
D) Only if the chiropractor is present.
Answer: C) During regular business hours.
• Rationale: The Board has administrative authority to inspect premises during regular business
hours without a warrant to ensure compliance .
8. What is the maximum civil penalty the Board may impose for a single act of unprofessional
conduct?
A) $2,500
B) $5,000
C) $10,000
D) $25,000
Answer: C) $10,000
• Rationale: Statutes allow the Board to levy administrative fines up to $10,000 per violation .
9. If a chiropractor is licensed in another state and wishes to participate in a one-day sponsored event
in California, they must register with the Board at least how many days prior?
A) 30 days
B) 60 days
C) 90 days
D) 120 days
Answer: C) 90 days
• Rationale: The sponsoring entity must submit Form 901-A at least 90 days before the event .
10. The "Corporate Practice of Medicine (CPOM) Doctrine" in California essentially prohibits:
A) Chiropractors from using X-ray machines.
B) Non-licensed entities (like general corporations) from controlling professional practice.
C) Chiropractors from employing massage therapists.
D) Advertising on television.
Answer: B) Non-licensed entities from controlling professional practice.
• Rationale: CPOM prevents laypersons or general business corporations from owning a
healthcare practice or influencing clinical decisions .
11. A chiropractor fails to renew their license and continues to practice for 3 months. This is classified
as:
A) A minor infraction.
B) Unlicensed practice / Unprofessional conduct.
C) An administrative error only.
D) Acceptable if they applied for renewal.
Answer: B) Unlicensed practice / Unprofessional conduct.
, • Rationale: Practicing with an expired/inactive license is practicing without a license, which is a
serious violation subject to disciplinary action.
12. Under Senate Bill 351 (effective 2026), who is granted specific enforcement authority regarding
CPOM violations?
A) The local police department.
B) The California Attorney General.
C) The IRS.
D) The County Medical Society.
Answer: B) The California Attorney General.
• Rationale: SB 351 codified CPOM prohibitions and granted the AG explicit enforcement
authority .
13. If a chiropractic corporation wishes to hire a physical therapist, what must be true?
A) The PT must be directly supervised by a DC at all times.
B) The PT must be licensed in California.
C) The PT can only perform administrative work.
D) The PT must also be a certified chiropractic assistant.
Answer: B) The PT must be licensed in California.
• Rationale: While the DC supervises the plan of care, the PT must hold a valid California PT
license to practice physical therapy.
14. The address of the Board of Chiropractic Examiners main office is in:
A) Los Angeles
B) San Francisco
C) Sacramento
D) San Diego
Answer: C) Sacramento
• Rationale: The statute specifies the board's office is in Sacramento .
15. A chiropractor is named as a defendant in a civil action for actions taken while administering a
Board examination. The Board:
A) Is liable for all judgments.
B) Is not liable for any judgment rendered against that person.
C) Must pay 50% of the settlement.
D) Will revoke the examiner's license.
Answer: B) Is not liable for any judgment rendered against that person.
• Rationale: Independent contractors or examiners hired by the Board are defended by the AG,
but the Board is not financially liable for the judgment .
16. If a chiropractor receives a citation from the Board, they generally have how long to request an
informal hearing?
