NH Chiropractic Jurisprudence Exam QUESTIONS AND
DETAILED SOLUTIONS JUST RELEASED
Exam Coverage Summary (NH Chiropractic Jurisprudence)
• Licensing Requirements (RSA 316-A:2, 316-A:11, 316-A:13, 316-A:14-a, 310:8, 316-A:12, Ch
303): Board composition; residency vs. non-residency pathways; education (CCE-accredited
college); NBCE Parts I, II, III, and Physiotherapy; NH jurisprudence exam (passing score 70%, 46
questions, 138 minutes); application process; license by endorsement; biennial renewal on June
30 of even-numbered years; 20 CE hours (2 in ethics, 2 in risk management/recordkeeping);
inactive/retired licenses; reinstatement after lapse.
• Scope of Practice (RSA 316-A:1, 316-A:15, 316-A:13, admin rules Ch 300): Definition of
chiropractic – analysis of interference with normal nerve transmission and adjustment of
vertebral column for health restoration; permitted modalities (physiotherapy, X-ray, dietary
advice); prohibited acts (prescribing/administering drugs or medicine, surgery, obstetrics,
branches of medicine or osteopathy).
• Board Authority (RSA 316-A:2, 316-A:3, 316-A:22, 316-A:23, 316-A:27, 541-A:30): Rulemaking;
investigations & subpoenas; emergency suspension of a license without a hearing when public
health requires; disciplinary actions (fine, reprimand, probation, suspension, revocation);
reciprocity; privileged communications exception for disciplinary hearings.
• Professional Conduct & Ethics (Chapters 400, 406, RSA 316-A:25, RSA 332-I): Truthful
advertising – no guarantee of cure, no false promises, no special expertise claim without Board
notification and certifying body identification; mandatory display of name and title (Dr. John
Doe, chiropractor/DC); fraud and deceit – prohibition of misleading or deceptive conduct;
patient abandonment prohibition; sexual misconduct prohibition; scope of practice limits.
• Patient Records & Confidentiality (Ch 406.02, RSA 332-I, HIPAA): Required record contents
(chief complaint, history, exam, diagnosis, treatment rendered, patient response); 5-year
retention (after last treatment or age of majority, whichever later); release of records within 30
days upon request; fee schedule; death/retirement/disability record custodian plan.
• Informed Consent (RSA 316-A & common law): Requirement before treatment; explanation of
risks, benefits, alternatives; documentation in record; minors require parental/guardian
consent.
• Continuing Education (RSA 316-A:20, Ch 405.01): 20 hours biennially; approved by ICA, ACA, NH
Board, or state-chartered chiropractic school; online CE allowed with 80% passing score; 4-hour
limit for first aid/CPR.
• Prohibited Acts & Unprofessional Conduct (Ch 406.05, RSA 316-A:22, RSA 316-A:15, RSA 316-
A:25, 541-A:30): Prohibited advertising (cure, guarantee, unsubstantiated special expertise).
Practicing while impaired by alcohol or drugs. Failure to maintain records. Conviction of a felony.
Misconduct on renewal application. Practicing without a license. Treatment outside scope.
• Disciplinary Proceedings & Penalties (RSA 316-A:22, 316-A:23, 316-A:25, 541-A:30, Ch
500): Board initiation with or without complaint; emergency suspension; possible sanctions
(revocation, suspension, reprimand, fine up to $2,000 per violation, probation, required
continuing education, cost recovery).
• Insurance & Billing Compliance (Ch 406, RSA 638, general fraud statutes): Prohibition of billing
for services not rendered (fraud). Prohibition of upcoding (billing a higher-level code than
performed). Prohibition of unbundling. Requirement of accurate documentation. Legal authority
of adjusters to review records.
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• Supervision & Delegation (Ch 300, general board rules): Chiropractors may delegate certain
tasks; responsibility for acts of employees; supervision of unlicensed personnel; prohibition of
practicing without active license.
Batch 1 – Licensing, Renewal & Licensure by Endorsement (Qs 1-40)
1. A chiropractic graduate from a CCE-accredited college has passed NBCE Parts I, II, III, and
Physiotherapy but has not yet taken the NH jurisprudence exam. May the applicant be issued an initial
license?
A) Yes, if they practice under a supervising NH chiropractor for 90 days.
B) Yes, if they pay an additional provisional fee.
C) No, the NH jurisprudence exam is a mandatory component of the initial licensing process.
D) No, unless they also hold a license from another New England state.
Answer: C
New Hampshire requires all applicants for initial licensure to pass a jurisprudence exam covering state
laws and board rules before a license is granted.
2. A licensee‘s biennial renewal date is June 30 of an even-numbered year. The licensee submits the
renewal application and fee on July 15 but continues treating patients. What is the legal status of the
licensee?
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A) The licensee is practicing legally with a valid grace period of 30 days.
B) The licensee is practicing without an active license, which is unlawful.
C) The license remains active if the renewal fee is postmarked by July 1.
D) The licensee may continue if they post a sign notifying patients of the delay.
Answer: B
*NH RSA 316-A:20 requires renewal before the expiration date; an expired license is invalid, and
practicing without an active license violates the Chiropractic Practice Act.*
3. A non-resident chiropractor wishes to relocate to NH and hold an active license while still seeing
patients via telehealth in their home state. Under NH rules, which is true?
A) A non-resident license allows practice only within NH borders.
B) Non-resident licensure is not available; residency is mandatory.
C) Non-resident licenses are issued only to Canadian applicants.
D) A non-resident license permits tele-chiropractic from anywhere.
Answer: A
NH non-resident licensure is available, but the license authorizes practice only within New Hampshire;
tele-practice from outside NH is not permitted.
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4. An applicant for initial licensure is an honors graduate of a CCE-accredited college with a 3.8 GPA.
May the applicant be excused from any part of the required NBCE examinations?
A) Yes, both the written and clinical NBCE exams are waived for magna cum laude graduates.
B) Yes, the board may waive the jurisprudence exam.
C) No, NBCE Parts I, II, III, and Physiotherapy are mandatory for all applicants.
D) Only the physiotherapy portion may be waived with proof of advanced training.
Answer: C
All applicants must pass Parts I, II, III, and Physiotherapy of the NBCE examination regardless of
academic standing; no waiver is available.
5. A chiropractor‘s license expired 14 months ago. The chiropractor wishes to resume practice. What
must this individual do?
A) Immediately begin treating patients and submit a late renewal form with a penalty.
B) Apply for license reinstatement and demonstrate continued competency.
C) Retake the entire NBCE examination sequence.
D) Apply for a new license by endorsement from any state where currently licensed.
Answer: B