PRACTICE QUESTIONS & STUDY GUIDE ACCURATE EXAM
COMPLETE ACTUAL QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES (A NEW
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1. A chiropractor in California wishes to perform an adjustment on a
patient using a drop-table mechanism. According to the California
Chiropractic Act, this procedure is classified as:
A) Outside the scope of practice because it uses mechanical assistance
B) Permitted only if a medical doctor is present in the facility
C) CORRECT ANSWER: Within the scope of chiropractic practice as
an adjunct to manual adjustment
D) Prohibited unless the chiropractor has completed a 50-hour advanced
technique course
Rationale: The California Chiropractic Act defines chiropractic as the
diagnosis and treatment of misaligned vertebrae and related
structures. Drop-table mechanisms are recognized as standard
chiropractic adjuncts; no specific prohibition exists, and no extra
licensure or supervision is required.
2. Under California Business and Professions Code § 1000-1006, which
of the following is a mandatory disclosure that must be provided to a
new patient before initiating treatment?
A) The chiropractor’s personal religious beliefs regarding healing
B) CORRECT ANSWER: A written notice of the patient’s right to file
a complaint with the California Board of Chiropractic Examiners
C) A full list of all patients currently under the chiropractor’s care
D) A guarantee of treatment outcomes within 30 days
,Rationale: California law requires that chiropractors provide new
patients with a written notice containing the Board’s complaint hotline
and website, ensuring transparency regarding regulatory oversight.
3. A California chiropractor is treating a 70-year-old patient with
osteoporosis and severe disc degeneration. The chiropractor performs
high-velocity, low-amplitude cervical manipulation. This action:
A) Is always within scope if the patient signed an informed consent
B) CORRECT ANSWER: May constitute unprofessional conduct if
contraindicated by the patient’s clinical presentation and known risks
C) Is expressly permitted by the Chiropractic Act if the patient requests
it
D) Is allowed as long as the chiropractor has malpractice insurance
Rationale: Standard of care requires adapting treatment to patient
condition. Performing HVLA manipulation on severe osteoporosis
with disc degeneration can violate ethics and scope if it poses
foreseeable harm; Board disciplinary actions have cited such actions
as unprofessional conduct.
4. According to Title 16, California Code of Regulations § 317, patient
records must be maintained for a minimum of:
A) 3 years from the last visit
B) CORRECT ANSWER: 7 years from the date of discharge or last
treatment, or 1 year after the patient reaches age 18, whichever is longer
C) 10 years from the first visit
D) Indefinitely, due to statute of limitations
,Rationale: 16 CCR § 317 explicitly requires retention for at least 7
years after discharge or last treatment, or until the minor patient turns
19, ensuring records are available for subsequent care or legal review.
5. Which of the following is prohibited under California’s scope of
practice for a licensed chiropractor?
A) Performing a diversified adjustment on the lumbar spine
B) Ordering plain film X-rays of the cervical spine
C) CORRECT ANSWER: Performing an incision and drainage of an
abscess
D) Using neuromuscular re-education techniques
Rationale: Chiropractic scope excludes surgery of any kind, including
incision and drainage. This falls under medicine or surgery, which
chiropractors are not licensed to perform.
6. The California Board of Chiropractic Examiners (BCE) has authority
to deny a license for prior criminal convictions. Which standard applies?
A) Any felony conviction, regardless of time passed, automatically bars
licensure
B) CORRECT ANSWER: The Board evaluates whether the conviction
is substantially related to the qualifications, functions, or duties of a
chiropractor
C) Misdemeanors are never grounds for denial
D) Only convictions involving direct patient care count
Rationale: Under BPC § 480, the Board must consider rehabilitation
and substantial relationship; automatic bars are rare, and
misdemeanors can be considered if relevant to practice (e.g., fraud,
sexual battery).
, 7. A California chiropractor receives a subpoena duces tecum for a
patient’s records. The patient has not signed a release. The chiropractor
should:
A) Immediately produce the records to avoid contempt
B) CORRECT ANSWER: Assert the patient’s privilege unless the
subpoena is accompanied by a court order or patient authorization
C) Destroy the records to protect privacy
D) Redact the patient’s name and then produce
Rationale: HIPAA and California law require patient authorization or
a court order for disclosure; a bare subpoena is insufficient. The
chiropractor must notify the patient or seek a protective order.
8. Continuing education (CE) requirements for California chiropractors
include a mandatory number of hours in which subject every renewal
period?
A) Acupuncture
B) CORRECT ANSWER: California law and ethics
C) Practice management
D) Nutrition counseling
Rationale: BPC § 1000-7 mandates specific CE hours in California
law and ethics to ensure practitioners remain current on regulatory
changes.
9. Which patient communication is NOT a violation of the chiropractic
code of ethics in California?
A) Promising a cure for chronic low back pain within 3 visits