200+ Free NBCE Part IV Practice Questions
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Key Facts: NBCE Part IV Exam
85-90%
First-Time Pass Rate
NBCE 2024
Practical
Station-Based Format
NBCE
4-5 hrs
Time Limit
NBCE
3
Content Domains
DIM, Case Mgmt, Technique
$1,585
Exam Fee
NBCE 2025
375
Passing Score
Scaled score
The NBCE Part IV has an 85-90% pass rate for first-time candidates. The exam uses station-based practical assessments covering Diagnostic Imaging, Case Management, and Chiropractic Technique. Part IV is the final NBCE examination required for chiropractic licensure in most states. The exam fee is $1,585 and is offered twice yearly.
About the NBCE Part IV Exam
The NBCE Part IV examination tests practical clinical competency required for chiropractic licensure. The exam consists of station-based assessments covering three domains: Diagnostic Imaging (DIM) - radiographic interpretation of spinal and extremity images, case history review, and identification of pathologies; Case Management - patient encounters including history-taking, physical examination, clinical decision-making, treatment planning, and case presentation; and Chiropractic Technique - practical demonstration of adjustive procedures, biomechanics, and technique application. The exam is administered at chiropractic college campuses and assesses the integration of knowledge from Parts I-III.
Questions
200 scored questions
Time Limit
4-5 hours
Passing Score
375 (scaled score)
Exam Fee
$1,585 (NBCE (National Board of Chiropractic Examiners))
NBCE Part IV Exam Content Outline
Diagnostic Imaging (DIM)
Radiographic interpretation of spinal and extremity images, identification of normal anatomy, variants, congenital anomalies, fractures, degenerative conditions, metabolic disorders, and pathological processes
Case Management
Patient history-taking, physical examination, orthopedic and neurological testing, clinical laboratory interpretation, diagnostic imaging analysis, differential diagnosis, clinical impression, treatment planning, and case presentation
Chiropractic Technique
Adjustive procedure selection and application, patient positioning, contact points, thrust mechanics, biomechanics, indications, contraindications, and safety protocols for spinal and extremity adjusting
How to Pass the NBCE Part IV Exam
What You Need to Know
- Passing score: 375 (scaled score)
- Exam length: 200 questions
- Time limit: 4-5 hours
- Exam fee: $1,585
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
NBCE Part IV Study Tips from Top Performers
Frequently Asked Questions
What is the NBCE Part IV pass rate?
The NBCE Part IV pass rate is approximately 85-90% for first-time candidates from CCE-accredited chiropractic colleges. Pass rates vary by chiropractic college and typically range from 80-95%.
What is the NBCE Part IV format?
Part IV is a practical clinical competency exam using station-based assessments. Candidates rotate through various stations including diagnostic imaging interpretation, patient encounter simulations, and chiropractic technique demonstrations.
How is the NBCE Part IV scored?
NBCE Part IV uses a scaled scoring system with a passing score of 375. The exam evaluates performance across three domains: Diagnostic Imaging, Case Management, and Chiropractic Technique.
When should I take NBCE Part IV?
Most chiropractic students take Part IV in their final year of chiropractic college after completing clinical coursework and internship requirements. Check with your state board for specific requirements.
What happens if I fail NBCE Part IV?
Candidates can retake the exam. Additional clinical training may be required depending on your chiropractic college policies. There is no limit on the number of attempts, but each requires the full exam fee.
Is NBCE Part IV required for licensure?
Yes, NBCE Part IV is required for chiropractic licensure in most U.S. states. Some states may have additional or alternative requirements. Check with your specific state board.