100+ Free CCEB Component A Practice Questions

Pass your Canadian Chiropractic Examining Board Component A — Written MCQ Examination exam on the first try — instant access, no signup required.

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2026 Statistics

Key Facts: CCEB Component A Exam

255

Written MCQ items (scored + field-test)

CCEB Candidate Handbook (June 2025)

2×3 hr

Same-day written sessions

CCEB Candidate Handbook

23%

Anatomy share of Component A content

CCEB Exam Content PDF

CAD $1,750

Written examination fee

cceb.ca/fees

CCEB Written/Component A is a one-day 255-item MCQ exam in two 3-hour sessions (remote proctored). Official content weights emphasize Anatomy (~23%) and Neurology (~16%), with Biomechanics (~11%), Physiology (~10%), and Pathology (~9%). Written fee CAD $1,750 plus CAD $350 administration (2026 fee page).

Sample CCEB Component A Practice Questions

Try these sample questions to test your CCEB Component A exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 28-year-old man reports lower-leg pain after a football game. Examination shows weakness of extensor hallucis longus and decreased sensation in the first interdigital space of the foot. Which nerve is primarily involved?

A.Superficial fibular (peroneal) nerve

B.Deep fibular (peroneal) nerve

C.Saphenous nerve

D.Medial plantar nerve

Explanation: Extensor hallucis longus is innervated by the deep fibular nerve, which also supplies cutaneous sensation to the first web space. This classic presentation localizes to deep fibular neuropathy.

2A 21-year-old athlete dislocates his shoulder during a rugby tackle. After reduction, he cannot laterally abduct the arm at the shoulder and has numbness over the lateral upper arm. Which muscle is most likely involved?

A.Long head of triceps brachii

B.Deltoid

C.Subscapularis

D.Coracobrachialis

Explanation: Lateral abduction of the arm is primarily performed by the deltoid (middle fibers), innervated by the axillary nerve. Anterior shoulder dislocation commonly injures the axillary nerve, impairing deltoid function and sensation over the regimental badge area.

3Which structure passes through the foramen magnum of the occipital bone?

A.Facial nerve

B.Middle meningeal artery

C.Internal carotid artery

D.Medulla oblongata (as it becomes the spinal cord)

Explanation: The foramen magnum transmits the medulla oblongata as it becomes the spinal cord, along with vertebral arteries and accessory nerve roots.

4The dorsal root ganglion contains cell bodies of which type of neuron?

A.Primary sensory (afferent) neurons

B.Upper motor neurons in the corticospinal tract

C.Preganglionic sympathetic neurons

D.Lower motor neurons to skeletal muscle

Explanation: Dorsal root ganglia house pseudounipolar primary sensory neuron cell bodies whose peripheral processes sample receptors and whose central processes enter the cord via the dorsal root.

5Which ligament primarily limits hyperextension of the hip joint?

A.Ischiofemoral ligament

B.Pubofemoral ligament

C.Iliofemoral ligament

D.Ligamentum teres

Explanation: The iliofemoral (Y) ligament is the strongest hip ligament and is the primary restraint to hip hyperextension.

6A patient has sensory loss over the lateral forearm. Which cutaneous nerve is most likely affected?

A.Medial cutaneous nerve of the forearm

B.Posterior cutaneous nerve of the forearm

C.Lateral cutaneous nerve of the forearm (lateral antebrachial)

D.Superficial radial nerve

Explanation: The lateral cutaneous nerve of the forearm (continuation of musculocutaneous) supplies lateral forearm skin.

7Which vertebral level typically corresponds to the iliac crest landmark (intercristal / Tuffier's line) in adults?

A.L4 spinous process

B.L2 spinous process

C.T12 spinous process

D.S2 spinous process

Explanation: The intercristal line joining the tops of the iliac crests commonly crosses the L4 spinous process or L4–L5 interspace in adults.

8The anterior cruciate ligament (ACL) primarily resists which tibiofemoral motion?

A.Posterior tibial translation relative to the femur

B.Isolated varus angulation only

C.Anterior tibial translation relative to the femur

D.Patellar lateral tilt only

Explanation: The ACL is the primary restraint to anterior translation of the tibia on the femur and contributes to rotational stability.

9Which muscle is a primary elevator of the mandible?

A.Medial pterygoid

B.Buccinator

C.Lateral pterygoid

D.Digastric (anterior belly)

Explanation: Medial pterygoid (with masseter and temporalis) elevates the mandible. Lateral pterygoid primarily protrudes and assists opening.

10In the lumbar spine, zygapophyseal (facet) joint orientation primarily favors which motion pair?

A.Only pure translation without angular motion

B.Only lateral flexion with no sagittal motion

C.Large axial rotation with minimal flexion-extension

D.Flexion-extension with more limited axial rotation

Explanation: Lumbar facets are predominantly sagittal, permitting substantial flexion-extension while limiting axial rotation compared with cervical regions.

About the CCEB Component A Exam

CCEB Component A (aligned to the written MCQ portion of Canada's national chiropractic qualifying exams) assesses entry-level knowledge across anatomy, neurology, biomechanics, physiology, pathology, nutrition, and related basic sciences, largely through patient-centered vignettes. Passing the written examination is required, along with the Clinical OSCE, before provincial/territorial licensure applications.

Assessment

One-day written multiple-choice examination with morning and afternoon sessions. Items include standard four-option MCQs and case-based items. CCEB materials also describe the current national pathway as Written Examination + Clinical OSCE; this practice bank targets the Component A / written basic-science and clinical-knowledge MCQ content outline.

Time Limit

Two × 3-hour sessions (same day)

Passing Score

CCEB standard setting (fixed public percent not published in handbook)

Exam Fee

CAD $1,750 Written + CAD $350 administration (Clinical OSCE separate at CAD $3,350); confirm on cceb.ca/fees (Canadian Chiropractic Examining Board (CCEB))

CCEB Component A Exam Content Outline

23%

Anatomy

Musculoskeletal, neuroanatomy, and related structures (±2%).

16%

Neurology

Pathways, localization, reflexes, and clinical neurology (±2%).

11%

Biomechanics

Joint mechanics, levers, gait, and spinal motion (±2%).

10%

Physiology

Normal system function relevant to practice (±2%).

Pathology

Injury, inflammation, joint disease, and neoplasia (±2%).

Nutrition

Nutrients and deficiency states (±2%).

Biochemistry

Metabolism and clinically relevant chemistry (±1%).

Microbiology

Pathogens, infection control, and host response (±1%).

Public Health & Health Promotion

Prevention, epidemiology, and ethics (±1%).

Embryology / Histology / Immunology

Development, tissues, and immune basics (±1%).

Psychology

Learning, pain, and behavior change (±1%).

Toxicology & Pharmacology

Drugs, toxins, and adverse effects (±1%).

Research Methods

Study design and biostatistics basics (±1%).

How to Pass the CCEB Component A Exam

What You Need to Know

Passing score: CCEB standard setting (fixed public percent not published in handbook)
Assessment: One-day written multiple-choice examination with morning and afternoon sessions. Items include standard four-option MCQs and case-based items. CCEB materials also describe the current national pathway as Written Examination + Clinical OSCE; this practice bank targets the Component A / written basic-science and clinical-knowledge MCQ content outline.
Time limit: Two × 3-hour sessions (same day)
Exam fee: CAD $1,750 Written + CAD $350 administration (Clinical OSCE separate at CAD $3,350); confirm on cceb.ca/fees

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

CCEB Component A Study Tips from Top Performers

1Weight study time to Anatomy (~23%) and Neurology (~16%) first, then Biomechanics, Physiology, and Pathology—the largest official Component A content shares.

2Practice vignette-style stems (patient presentation → best structure/nerve/mechanism), matching CCEB sample-item style in the Component A Study Guide.

3Drill red-flag neurologic presentations and referral cues alongside basic-science facts—many scored items are patient-centered.

Frequently Asked Questions

What is CCEB Component A and how does it relate to the current Written Examination?

Component A historically was the first written MCQ component of the CCEB pathway, covering basic sciences and clinical knowledge. Current CCEB materials describe a Written Examination (255 MCQs in two 3-hour sessions) plus a Clinical OSCE. This practice bank follows the official Component A content-area percentages from CCEB Exam Content documentation.

How many questions and how much time is allotted?

The written exam has 255 multiple-choice items administered in a morning and afternoon session of three hours each on the same day. Some items may be field-test questions that do not count toward the score.

What does the written exam cost?

As published on the CCEB fees page, the Written examination fee is CAD $1,750 and the administration fee is CAD $350. The Clinical examination is CAD $3,350. Fees are in Canadian dollars and subject to change—confirm on cceb.ca/fees before applying.

Is the written exam remote?

Effective October 2025, CCEB delivers the Written Examination via remote proctoring only, except for candidates with approved testing accommodations who may sit a comparable in-person form without image/video-dependent items.