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Examinations Overview

  1. Part I
    Includes subject examinations in each of six basic science areas: general anatomy, spinal anatomy, physiology, chemistry, pathology, and microbiology. Each subject examination contains 110 standard multiple-choice questions and is allotted 90 minutes of testing time.
    Learn more about Part I here.
  2. Part II
    Consists of 110 multiple-choice questions in each of six clinical science areas, including general diagnosis, neuromusculoskeletal diagnosis, diagnostic imaging, principles of chiropractic, chiropractic practice, and associated clinical sciences. Each Part II subject is allotted 90 minutes of testing time, with a 20-minute break between subjects.
    Learn more about Part II here.
  3. Part III
    Addresses nine clinical areas: case history, physical examination, neuromusculoskeletal examination, diagnostic imaging, clinical laboratory and special studies, diagnosis or clinical impression, chiropractic techniques, supportive interventions, and case management.
    Learn more about Part III here.
  4. Part IV
    The NBCE practical examination is administered twice each year, in May and November at chiropractic college test sites throughout the United States.
    The NBCE Part IV Examination tests individuals in three major areas:

    • x-ray interpretation and diagnosis
    • chiropractic technique
    • case management

    Results of the Part IV Examination may be used by state licensing authorities in lieu of other practical examinations for licensure. The NBCE Part IV Examination is administered in May and November of each year.
    Learn more about Part IV here.

  5. Acupuncture
    An elective, computer-based examination that is offered six times per year.
    Learn more about the Acupuncture Exam here.
  6. Special Purposes Examination
    The Special Purposes Examination for Chiropractic (SPEC) is an assessment tool in the area of clinical competency
    Learn more about SPEC here.
Learn more about the NBCE examination process →

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Welcome to the National Board of Chiropractic Examiners

The purpose of the National Board of Chiropractic Examiners is to establish and maintain uniform high standards of excellence in the chiropractic profession and chiropractic education, primarily but not exclusively by preparing and administering to qualified applicants examinations of superior quality, whereby those legal agencies which govern the practice of chiropractic within each state and other countries may accept,
at their discretion, those individuals who have successfully completed any part of the examinations of the National Board of Chiropractic Examiners, and by providing test and measurement services to the chiropractic profession in all areas of demonstrated need, and to advance the chiropractic profession when in the best interests of the corporation and chiropractic testing.