Chiropractic Exam – Component B – Sample Questions

1. What type of information must be included in a health history form?

2. Which of the following is an example of an advance directive?

3. A patient diagnosed with patellofemoral syndrome discusses his past medical history with a chiropractor. The patient reports having anterior cruciate ligament reconstruction surgery on his left knee three years ago. However, the chiropractor is not able to identify a scar over the anterior surface of the left knee. Assuming the surgeon utilized an autograft for the reconstruction, which of the following would be the most likely graft site?

4. A chiropractor treats a male patient wearing a shoe on his left foot that incorporates a rocker bottom. This type of modification would be the most beneficial for a patient diagnosed with:

5. A 38-year-old female is admitted to a rehabilitation hospital after sustaining a stroke. During the examination, the chiropractor identifies significant sensory deficits in the anterolateral spinothalamic system. Which sensation would be most affected?

6. A 68-year-old male visits his doctor because of recent onset of extreme difficulty urinating with suprapubic pain and hematuria. Over the last 3 to 4 months, he has been experiencing increasing mid-back pain which is constant, quit painful, occasionally debilitating and not relieved by any change in position. There has also been numbness of the legs with intermittent weakness. He has felt weak and has lost 18 pounds over the last 3 weeks. What is the most likely diagnoses?

7. A 24-year-old patient was involved in a motor vehicle accident and sustained traumatic brain injury. After partial recovery he is transferred to a rehabilitation facility.  The patient is confused and keeps asking where he is. He repeatedly asks the therapists for an alcoholic beverage. What is the best response?

8. A patient was recently referred to a chiropractor.  She describes her difficulty beginning after the birth of her son. After completing an examination, the chiropractor concludes that the patient has extremely weak pelvic floor muscles. What is the most appropriate position to initiate treatment for the patient in a pelvic floor muscle-strengthening program?

9. A 34-year-old female with a 5-month-old child is found to have a mass in the abdominal wall. Biopsy shows well differentiated, monomorphic, plump fibroblasts in sweeping fascicles. There is infiltration of the surrounding tissues. What would be the most probable diagnosis?

10. Unexposed x-ray film is comprised of a plastic, transparent base coated with an emulsion containing radiation-sensitive particle known as:

11. The drive cable of a gamma ray exposure device (camera) allows the radiographer to:

12. A chiropractor reviews a physician examination of a patient scheduled for chiropractic treatment. The examination identified excessive medial displacement of the elbow during ligamentous testing. Which ligament is typically involved with medial instability of the elbow?

13. A 57-year-old female is referred to chiropractic treatment with rheumatoid arthritis. During the examination, the chiropractor notes increased flexion at the proximal interphalangeal joints and hypertension at the metacarpophalangeal and distal interphalangeal joints. This deformity is most representative of:

14.

A chiropractor performs palpation with a female patient in the standing position as part of a respiratory assessment. Which structure would require the therapist to place the palms of the hands anterior over the chest wall from the fourth rib upward?

15. A chiropractor completing a lower quarter screening examination attempts to palpate the tendon of the tibialis anterior. What is the most appropriate chiropractor action to facilitate palpation?

16. A chiropractor examines a patient four days following shoulder surgery. The patient reports a slightly elevated body temperature during the last 24-hours and complains of general malaise. Physical examination reveals an edematous shoulder that is warm to the touch. A small amount of yellow fluid is observed seeping from the incision. The most appropriate chiropractic action is:

17. A chiropractor examines a client diagnosed with carpal tunnel syndrome. As part of the examination, the chiropractor assesses end-feel.  He classifies the end-feel associated with wrist extension as firm. What is the most logical explanation for this?

18. A chiropractor examines a patient with increased sympathetic output. Which treatment technique would not be beneficial in decreasing the level of sympathetic activity?

19. A chiropractor discusses the plan of care for a patient rehabilitating from total hip arthroplasty surgery (posterolateral approach) with the patient's surgeon. During the discussion, the surgeon indicates that he would like the patient to continue to wear a knee immobilizer in order to help prevent hip dislocation. What is the primary rationale for this type of action?

20. A chiropractor performs the talar tilt test on a 19-year-old male rehabilitating from an inversion ankle sprain while playing tennis. Which ligament does the talar tilt test examine?

21. A patient with a T3 spinal cord injury is exercising on a treatment table in supine.  The patient begins to exhibit signs and symptoms of autonomic dysreflexia including a dramatic increase in blood pressure. What is the most immediate action to address the patient's blood pressure response?

22. A chiropractor treats a female patient status post cerebrovascular accident (CVA). Which action would be most likely to facilitate elbow extension in a patient with hemiplegia?

23. A patient has suffered a fracture and has had surgery to fix the broken bone. Which bone(s) are fixed by the hardware in this image?

24. A patient complains of shoulder pain after a rugby game. What type of injury did the patient suffer?

25. This patient has a history of malignancy and has undergone pelvic surgery. Can you identify the abnormality on this plain film of the pelvis?