100+ Free DACNB Practice Questions
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Per the 2022 Amsterdam concussion consensus, return-to-learn and return-to-play should:
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Key Facts: DACNB Exam
DACNB is the diplomate credential for chiropractic neurology (functional neurology) issued by the American Chiropractic Neurology Board. Eligibility requires a Doctor of Chiropractic (or equivalent) plus a minimum of 300 hours of post-doctorate specialty-level neurology coursework from a CAGEN-approved program. Candidates must pass a CBT written exam and a separate practical/performance exam. The credential is NCCA-accredited and recertified on a 5-year cycle via continuing education.
Sample DACNB Practice Questions
Try these sample questions to test your DACNB exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A patient demonstrates dysmetria of the right upper extremity on finger-to-nose testing, with intention tremor that worsens as the target is approached. Truncal stability is preserved. Which cerebellar region is most likely involved?
2During the Dix-Hallpike maneuver toward the right, the patient develops upbeating-torsional nystagmus (top poles beating toward the right ear) with a 5-second latency, lasting 25 seconds, and fatigues with repetition. The most likely diagnosis is:
3A 17-year-old football player is hit on the head and returns to play after the score, then collapses on the sideline 10 minutes later with profound brain swelling. This is most consistent with:
4During eye movement examination, a patient shows hypometric saccades on rightward gaze that overshoot are corrected by additional small saccades. The most likely localization is:
5A 50-year-old presents with resting tremor of the right hand (pill-rolling), bradykinesia, and cogwheel rigidity. Which structure is primarily implicated?
6A patient demonstrates left adduction weakness on right gaze with abducting nystagmus of the right eye. Convergence is intact. The most likely localization is:
7Per ICHD-3, the minimum criteria for migraine without aura include all of the following EXCEPT:
8The vestibulo-ocular reflex (VOR) gain is best assessed clinically with:
9A patient with vertigo, nystagmus, and gait imbalance has direction-changing nystagmus and a normal head impulse test. The HINTS exam suggests:
10The SCAT6 (Sport Concussion Assessment Tool 6) acute evaluation tool is designed for athletes aged:
About the DACNB Exam
The DACNB (Diplomate of the American Chiropractic Neurology Board) certifies functional/clinical chiropractic neurologists who have completed at least 300 hours of post-doctorate CAGEN-approved specialty training. The credential validates knowledge of functional neuroanatomy, cerebellum, vestibular system, eye movements, concussion, neurorehabilitation interventions, and clinical red-flag recognition. Both a computer-based written exam (CBT) and a practical/performance exam are required.
Questions
100 scored questions
Time Limit
Computer-based written examination plus a separate practical/performance examination
Passing Score
Criterion-referenced (ACNB subject-matter expert standard)
Exam Fee
Fees set per administration in the ACNB Candidate Handbook; 20% late fee after March 31 deadline (American Chiropractic Neurology Board (ACNB))
DACNB Exam Content Outline
Functional Neuroanatomy and Neurophysiology
Cortical, subcortical, brainstem, cerebellar, spinal cord, and peripheral pathways and their functional integration
Cerebellum and Motor Control
Vermis vs hemispheres, vestibulocerebellum, spinocerebellum, cerebrocerebellum - dysmetria, ataxia, intention tremor
Basal Ganglia and Movement Disorders
Direct/indirect pathway, Parkinson disease, dystonia, chorea, hemiballismus, tremor classification
Vestibular System
Peripheral vs central, VOR, optokinetic, BPPV (Dix-Hallpike, Epley), vestibular rehab
Oculomotor and Eye Movements
Saccades, smooth pursuit, fixation, OPK, vergence, INO, Hering law
Concussion and TBI
SCAT5/SCOAT6, 2022 Amsterdam consensus, VOMS, post-concussion syndrome, RTL/RTP
Neurodevelopmental Conditions
ADHD, autism spectrum, learning disabilities - functional neurology assessment perspective
Peripheral Nerve and Radiculopathy
Mononeuropathies, polyneuropathy, radiculopathy, CRPS, EMG/NCS basics
Stroke, MS, and Neurodegeneration
Stroke syndromes, MS phenotypes, Alzheimer, Parkinson, ALS - recognition and referral
Headache and Pain Syndromes
Migraine (ICHD-3), cluster, tension-type, trigeminal autonomic cephalalgias, central sensitization
Neurorehabilitation Interventions
Vestibular rehab, eye movement therapy, cognitive rehab, gaze stabilization, sensory training, TMS/tDCS awareness
Clinical Decision-Making and Red Flags
Recognition of UMN findings, raised ICP, cauda equina, malignancy red flags and referral indications
How to Pass the DACNB Exam
What You Need to Know
- Passing score: Criterion-referenced (ACNB subject-matter expert standard)
- Exam length: 100 questions
- Time limit: Computer-based written examination plus a separate practical/performance examination
- Exam fee: Fees set per administration in the ACNB Candidate Handbook; 20% late fee after March 31 deadline
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
DACNB Study Tips from Top Performers
Frequently Asked Questions
What is the DACNB exam format?
DACNB requires two examinations: a comprehensive computer-based written examination (CBT) and a separate practical/performance examination. Both must be passed for certification. Practical exams are held at designated proctor sites in the US, Canada, Europe, and Asia-Pacific.
What are the eligibility requirements?
Candidates must be a Doctor of Chiropractic (or equivalent healthcare doctorate) and complete a minimum of 300 hours of post-doctorate specialist-level neurology training from a program approved by the Commission for Accreditation of Graduate Education in Neurology (CAGEN). The Carrick Institute and University of Bridgeport are common training pathways.
How is the DACNB exam scored?
Scoring is criterion-referenced. The ACNB establishes a minimally competent candidate standard for each examination form, and pass/fail is determined relative to that standard rather than a fixed percentage.
How long is DACNB certification valid?
Five years. Re-certification is accomplished by continuing education submission to ACNB rather than re-examination, provided CE requirements and good-standing criteria are met.
Is the DACNB NCCA-accredited?
Yes. The DACNB credential is accredited by the National Commission for Certifying Agencies (NCCA), which sets standards for high-quality certification programs in the US.
What is the difference between Diplomate and Fellowship in functional neurology?
Diplomate status (DACNB) is the board-level certification awarded by ACNB after meeting the 300-hour training requirement and passing both exams. Fellowship is post-Diplomate specialized study (e.g., Fellow in Vestibular Rehabilitation, Fellow in Childhood Neurobehavioral Disorders) awarded by professional associations rather than ACNB.
Can chiropractic neurologists prescribe medications?
No. DACNB does not expand chiropractic scope of practice. Chiropractic neurologists provide non-pharmacologic functional neurology assessment and rehabilitation; pharmacologic management remains within the scope of medical neurologists and other prescribing clinicians.