Questions with Answers & Rationales
Section 1: Definition & Scope of Chiropractic Practice (Questions 1–30)
1. Under RSA 316-A, which of the following best defines the legal practice of
chiropractic in New Hampshire?
A) Administration of prescription medication
B) Surgical removal of bone fragments
C) Adjustment and manipulation of the articulations of the human body, especially
the spine
D) Performing radiologic interpretation without a license
✅ Correct Answer: C
*Rationale: RSA 316-A defines chiropractic practice as the adjustment and
manipulation of the articulations of the human body, particularly the spine.
Chiropractors are not authorized to perform surgery or prescribe drugs.*
2. Which activity is expressly prohibited for a licensed chiropractor in New
Hampshire?
A) Applying therapeutic ultrasound
B) Performing spinal adjustments
C) Prescribing or administering drugs
D) Providing nutritional counseling
✅ Correct Answer: C
Rationale: The scope of chiropractic practice prohibits prescribing or administering
drugs. However, chiropractors may use therapeutic modalities like ultrasound and
may provide nutritional counseling.
3. A chiropractor wishes to order a diagnostic X-ray for a patient. Which statement
is true under NH law?
,A) Chiropractors may order and interpret X-rays without any additional
certification.
B) Chiropractors may order X-rays only after completing a state-approved
radiology course.
C) Chiropractors are prohibited from ordering any imaging studies.
D) Chiropractors may order X-rays only if the patient signs a waiver.
✅ Correct Answer: B
Rationale: New Hampshire law requires chiropractors to complete required
training and obtain appropriate certification before performing diagnostic imaging.
4. Which title is legally protected for use only by a licensed chiropractor in New
Hampshire?
A) "Health Coach"
B) "Doctor of Chiropractic"
C) "Physical Therapist"
D) "Medical Doctor"
✅ Correct Answer: B
*Rationale: The titles "Doctor of Chiropractic," "Chiropractor," and the
abbreviation "D.C." are protected by law and may only be used by those licensed
under RSA 316-A.*
5. What is the definition of "adjustment" under New Hampshire chiropractic
regulations?
A) The application of any therapeutic modality
B) The specific manipulation of articulations to correct subluxation
C) The prescription of nutritional supplements
D) The administration of injections
✅ Correct Answer: B
*Rationale: The board has rulemaking authority to define the specific terms
,"adjustment," "manipulation," and "subluxation" in the practice of chiropractic
(RSA 316-A:3, XIX).*
6. Chiropractic patients must receive care based on which of the following?
A) A medical diagnosis only
B) A chiropractic diagnosis based on examination findings
C) A referral from a medical doctor
D) A prescription from a pharmacist
✅ Correct Answer: B
Rationale: Chiropractors may diagnose conditions within their scope of practice
based on examination findings, including the identification of subluxations and
related neuromusculoskeletal conditions.
7. Under the chiropractic scope of practice, which of the following is permissible?
A) Performing surgery
B) Administering general anesthesia
C) Using physical therapy modalities if properly trained
D) Prescribing controlled substances
✅ Correct Answer: C
Rationale: Chiropractors may perform physiotherapy modalities after completing
required training and certification. The other activities remain outside the
chiropractic scope of practice.
8. A chiropractor examines a patient and diagnoses a condition outside the
chiropractic scope. The chiropractor should:
A) Continue treatment regardless
B) Refer the patient to an appropriate healthcare provider
C) Prescribe medication to treat the condition
D) Ignore the finding
, ✅ Correct Answer: B
Rationale: When a condition is outside the chiropractic scope, the chiropractor has
an ethical and legal obligation to refer the patient to an appropriate healthcare
provider.
9. Which of the following ancillary services may a chiropractor provide in New
Hampshire?
A) Acupuncture if properly certified
B) Physical therapy modalities
C) Nutritional counseling
D) All of the above with appropriate certification
✅ Correct Answer: D
Rationale: Chiropractors may provide various ancillary services including
acupuncture, physical therapy modalities, and nutritional counseling after
completing required training and certification.
10. The term "subluxation" in chiropractic practice refers to:
A) A complete dislocation of a joint
B) A fracture of the vertebral body
C) A minor misalignment or dysfunction of spinal articulations
D) The complete absence of joint movement
✅ Correct Answer: C
*Rationale: The board defines "subluxation" as a minor misalignment or
dysfunction of spinal articulations detectable through chiropractic examination
findings (RSA 316-A:3, XIX).*
11. A chiropractor may perform soft tissue manipulation on which body parts?
A) Spine only
B) Extremities only