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NC Chiropractic Jurisprudence study materials
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NC Chiropractic Jurisprudence practice questions

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Question 1Chiropractic Law and Board Rules (North Carolina)

Under the North Carolina Chiropractic Practice Act, which body is responsible for licensing chiropractors and adopting rules governing the practice of chiropractic in the state?

  1. The state Chiropractic Association
  2. The North Carolina Medical Board
  3. The Department of Health and Human Services
  4. The North Carolina Board of Chiropractic Examiners Correct answer.

Explanation

The North Carolina Chiropractic Practice Act creates the Board of Chiropractic Examiners and gives it authority to license practitioners and adopt rules for the profession. The Medical Board regulates physicians, and the professional association is a private membership organization without licensing power.

Question 2Chiropractic Law and Board Rules (North Carolina)

A chiropractor licensed in North Carolina wishes to use the title 'Dr.' in advertising. Which statement best reflects the statutory requirement for using that title in connection with chiropractic practice?

  1. The title may never be used by a chiropractor in any advertising
  2. The title may be used only if the practitioner holds a doctorate degree and the degree is clearly identified Correct answer.
  3. The title may be used freely because licensure automatically confers doctoral status
  4. The title may be used only in telephone directories

Explanation

North Carolina law permits chiropractors to use the title 'Doctor' or 'Dr.' when a doctorate degree has been earned, provided the degree is clearly designated so the public is not misled. Licensure alone does not confer a doctoral degree, so the degree must be identified.

Question 3Chiropractic Law and Board Rules (North Carolina)

Which of the following is the minimum education requirement an applicant must satisfy to be eligible for chiropractic licensure in North Carolina?

  1. A master's degree in a health science field
  2. Graduation from a chiropractic college accredited by the Council on Chiropractic Education Correct answer.
  3. Completion of a two-year preceptorship with a licensed chiropractor
  4. Certification in radiology technology

Explanation

Applicants must graduate from a chiropractic college accredited by the Council on Chiropractic Education or an equivalent accrediting body recognized by the Board. Preceptorships, master's degrees, and radiology certification do not substitute for the accredited chiropractic degree.

Question 4Chiropractic Law and Board Rules (North Carolina)

A chiropractor moves her practice from one North Carolina county to another. What is the most accurate statement about her license and the new office location?

  1. She must apply for an entirely new license for the new county
  2. She must notify the Board of the address change and may continue practicing under her existing license Correct answer.
  3. She must obtain a separate county business permit before any patient contact
  4. Her license automatically lapses until she passes another examination

Explanation

A North Carolina chiropractic license is statewide, not county-specific, so relocation does not require a new license. The licensee must keep the Board informed of a current practice address so the Board can reach her and maintain accurate records.

Question 5Chiropractic Law and Board Rules (North Carolina)

Which of the following best describes the required continuing education obligation for a North Carolina chiropractor during each license renewal period?

  1. Continuing education is required only for chiropractors who use X-ray equipment
  2. Completion of Board-approved continuing education hours as specified by rule, including required subject areas Correct answer.
  3. Completion of any 40 hours of self-study chosen by the licensee
  4. No continuing education is required after the first renewal

Explanation

North Carolina requires licensees to complete a specified number of Board-approved continuing education hours each renewal period, with certain mandated topics. Self-selected self-study that is not Board-approved does not satisfy the rule, and the obligation continues throughout the career.

Question 6Chiropractic Law and Board Rules (North Carolina)

A patient asks a chiropractor whether she must report a suspected case of a communicable disease to public health authorities. What is the most accurate response under North Carolina law?

  1. Only hospital-based chiropractors have reporting duties
  2. Certain reportable communicable diseases must be reported to the local health department as required by public health law Correct answer.
  3. Chiropractors have no reporting duties because they are not physicians
  4. Reporting is required only if the patient consents in writing

Explanation

North Carolina public health law designates reportable communicable diseases and requires health care providers, including chiropractors, to report them to the local health authority. The duty arises from statute and rule, not from patient consent or practice setting.

Question 7Chiropractic Law and Board Rules (North Carolina)

Under the Board's rules, which of the following is required of a chiropractor regarding patient records?

  1. Maintaining legible records of evaluation, treatment, and progress for each patient Correct answer.
  2. Storing records only in the treating chiropractor's home
  3. Destroying records at the end of each calendar year
  4. Keeping records only for patients who request copies

Explanation

Board rules require chiropractors to maintain accurate, legible clinical records documenting evaluation, treatment rendered, and patient progress. Records must be retained for the period specified by rule and made available as required, not destroyed annually.

Question 8Chiropractic Law and Board Rules (North Carolina)

A chiropractor's license has lapsed because he failed to renew it. Which statement best describes his legal status if he continues to adjust patients?

  1. He may practice if he displays his expired certificate
  2. He may practice for a 12-month grace period without penalty
  3. He may practice only on weekends until renewal
  4. He is practicing without a license and is subject to disciplinary and criminal exposure Correct answer.

Explanation

Practicing chiropractic without a current license violates the Chiropractic Practice Act and exposes the individual to Board action and criminal penalties. There is no general grace period permitting continued practice on a lapsed license.

Question 9Chiropractic Law and Board Rules (North Carolina)

During a Board investigation of a patient complaint, a chiropractor receives a written request from the Board for relevant treatment records. What is the chiropractor's obligation?

  1. Provide only records the chiropractor believes are favorable
  2. Refer the request to the chiropractor's malpractice insurer and take no further action
  3. Withhold the records until the patient files a lawsuit
  4. Provide the requested records within the time specified, because licensees must cooperate with Board investigations Correct answer.

Explanation

Licensees are required to cooperate with Board inquiries, which includes producing requested patient records within the stated timeframe. Selective production or refusal pending litigation can itself be grounds for discipline.

Question 10Chiropractic Law and Board Rules (North Carolina)

A chiropractor wants to advertise that his clinic 'guarantees correction of spinal subluxations in three visits.' How should this advertising be evaluated under North Carolina rules?

  1. It is permitted only in newspaper advertisements
  2. It is prohibited because advertising must not contain false, deceptive, or misleading guarantees of cure Correct answer.
  3. It is permitted if the guarantee is printed in small type
  4. It is permitted because advertising is protected commercial speech without restriction

Explanation

Board rules prohibit advertising that is false, deceptive, or misleading, including guarantees of cure or results that cannot be substantiated. Commercial speech may be regulated for truthfulness, so the medium or type size does not cure a misleading guarantee.

Question 11Chiropractic Law and Board Rules (North Carolina)

A chiropractor employs an unlicensed assistant who performs spinal adjustments when the chiropractor is out of the office. Which statement is correct?

  1. The arrangement is acceptable if the assistant has completed one year of training
  2. The arrangement is acceptable because the assistant works under the chiropractor's business
  3. The arrangement is acceptable if the patient signs a consent form
  4. The chiropractor may be disciplined for aiding unlicensed practice, and the assistant may face criminal liability Correct answer.

Explanation

Adjustments constitute the practice of chiropractic and may be performed only by licensed chiropractors. A licensee who permits an unlicensed person to adjust patients is subject to discipline for aiding unlicensed practice, and the unlicensed person may be prosecuted.

Question 12Chiropractic Law and Board Rules (North Carolina)

A chiropractor suspects that a fellow licensee is practicing while impaired and is endangering patients. What does North Carolina law expect of the observing chiropractor?

  1. Wait until the next renewal cycle to mention it
  2. Confront the impaired licensee privately and take no further action
  3. Report the impairment concern to the Board, which has authority to investigate and act Correct answer.
  4. Report the concern only if a patient is actually injured

Explanation

Licensees are expected to report conduct that poses a risk to patients, and the Board has authority to investigate impairment and take disciplinary or remedial action. Waiting for actual injury or for renewal leaves patients exposed to harm.

Question 13Chiropractic Law and Board Rules (North Carolina)

A new patient presents with mid-back pain and a history of cancer treated five years ago. The chiropractor plans spinal manipulation. What is the most appropriate professional response under Board standards of practice?

  1. Obtain and review the relevant medical history and consider whether manipulation is contraindicated before treating Correct answer.
  2. Proceed with manipulation because the patient requested it
  3. Refuse to see any patient with a cancer history
  4. Defer all evaluation and treat symptomatically for two weeks

Explanation

Standards of practice require an adequate history and evaluation sufficient to identify contraindications before initiating care. A prior cancer history may raise concern for metastatic disease, so the chiropractor must evaluate before manipulating rather than simply complying with a request.

Question 14Chiropractic Law and Board Rules (North Carolina)

Which statement accurately describes the scope of chiropractic practice in North Carolina regarding the use of X-rays?

  1. Chiropractors may never order or take X-rays
  2. Chiropractors may take X-rays only when supervised by an orthopedic surgeon
  3. Chiropractors may take X-rays only after completing a medical residency
  4. Chiropractors may take and interpret X-rays for diagnostic purposes within the scope of chiropractic practice Correct answer.

Explanation

North Carolina law includes the use of diagnostic imaging, including X-rays, within chiropractic practice when performed for diagnostic purposes. No medical residency or orthopedic supervision is required by the Practice Act for this diagnostic function.

Question 15Chiropractic Law and Board Rules (North Carolina)

A chiropractor's patient is also taking blood-thinning medication prescribed by a cardiologist. The chiropractor wishes to communicate with the cardiologist about the patient's care. What is the correct approach?

  1. Communicate only through the patient's family members
  2. Disclose the full record to the cardiologist without any authorization
  3. Refuse all communication with physicians to avoid conflicts
  4. Communicate with the other provider with the patient's authorization consistent with privacy law Correct answer.

Explanation

Coordination of care is appropriate and encouraged, but sharing protected health information requires patient authorization or another permitted basis under privacy law. Unauthorized disclosure of the full record is not acceptable simply because the recipient is a physician.

Question 16Chiropractic Law and Board Rules (North Carolina)

A chiropractor receives a subpoena duces tecum for a patient's records in a personal injury lawsuit. What is the most appropriate action?

  1. Destroy the records to avoid production
  2. Provide the records to the requesting attorney without any review
  3. Ignore the subpoena because chiropractic records are privileged absolutely
  4. Verify the subpoena's validity and respond as required by law, asserting any applicable privilege or objection Correct answer.

Explanation

A chiropractor served with a valid subpoena must respond as the law requires, while preserving any applicable privilege or filing a timely objection where appropriate. Ignoring, destroying, or informally releasing records can result in contempt or other liability.

Question 17Chiropractic Law and Board Rules (North Carolina)

Under the Board's disciplinary framework, which of the following is a ground for disciplinary action against a North Carolina chiropractor?

  1. Obtaining a license by fraud or misrepresentation Correct answer.
  2. Charging fees that are higher than a colleague's
  3. Practicing in a solo office rather than a group practice
  4. Declining to accept a particular insurance plan

Explanation

The Practice Act lists fraud or misrepresentation in obtaining a license as a ground for discipline, along with other misconduct such as incompetence and unprofessional conduct. Business choices like solo practice, fee levels, and insurance participation are not, by themselves, disciplinary grounds.

Question 18Chiropractic Law and Board Rules (North Carolina)

A chiropractor is convicted of a felony unrelated to his practice. What is the most accurate statement about the effect on his North Carolina license?

  1. The conviction may constitute grounds for disciplinary action, including suspension or revocation Correct answer.
  2. The Board may act only if the felony occurred in a patient's home
  3. The conviction has no effect because it is unrelated to chiropractic
  4. The license is automatically void with no hearing

Explanation

Conviction of certain crimes, including felonies, is a statutory ground for Board discipline even when the offense is not directly related to patient care. The Board proceeds through its disciplinary process, which includes notice and an opportunity to be heard.

Question 19Chiropractic Law and Board Rules (North Carolina)

A chiropractor who wishes to retire and stop practicing in North Carolina should take which step regarding her license?

  1. Notify the Board and allow the license to lapse or request inactive status as the rules provide Correct answer.
  2. Transfer the license to a colleague
  3. Simply stop practicing without notifying anyone
  4. Continue paying renewal fees but see patients occasionally without records

Explanation

A licensee who stops practicing should inform the Board and follow the rules for lapse or inactive status so the licensing record remains accurate. Informal arrangements such as transferring a license or silent nonrenewal are not authorized.

Question 20Chiropractic Law and Board Rules (North Carolina)

A chiropractor's office advertises 'board certified' although the chiropractor holds no such certification. Which rule is most directly implicated?

  1. The continuing education requirement
  2. The patient record retention rule
  3. The prohibition on false, deceptive, or misleading advertising and representations Correct answer.
  4. The communicable disease reporting rule

Explanation

Claiming a certification the chiropractor does not hold is a false or misleading representation, which Board rules prohibit. The other listed requirements concern education, records, and public health reporting rather than advertising truthfulness.

Question 21Chiropractic Law and Board Rules (North Carolina)

A patient asks a chiropractor to treat a condition clearly outside chiropractic scope, such as performing surgery. What is the correct response under North Carolina law?

  1. Perform the procedure if the patient signs a waiver
  2. Decline to perform the procedure and refer the patient to an appropriately licensed provider Correct answer.
  3. Perform the procedure if no physician is available
  4. Perform the procedure because chiropractors are licensed health care providers

Explanation

Chiropractic practice is limited to the diagnosis and treatment of conditions within its statutory scope, and performing surgery exceeds that scope regardless of patient consent. The appropriate action is referral to a provider licensed to perform the procedure.

Question 22Chiropractic Law and Board Rules (North Carolina)

A chiropractor performs a manipulation on a patient who has not been evaluated and has no documented history or examination. If the Board reviews the case, which characterization is most accurate?

  1. The chiropractor complied because no injury occurred
  2. The chiropractor has departed from accepted standards of practice by treating without an adequate evaluation Correct answer.
  3. The chiropractor complied because the patient paid for the visit
  4. The chiropractor complied because manipulation is within scope

Explanation

Scope of practice defines what a chiropractor may do, but standards of practice require an adequate evaluation and documented clinical basis before treatment. Treating without evaluation breaches that standard even if the technique itself is within scope and no injury results.

Question 23Chiropractic Law and Board Rules (North Carolina)

A chiropractor licensed in another state relocates to North Carolina and wants to begin practicing immediately. Which statement best describes the licensure pathway?

  1. The chiropractor may practice for one year on the out-of-state license while applying
  2. The chiropractor may practice under the supervision of any North Carolina licensee
  3. The chiropractor may practice if the out-of-state school was accredited
  4. The chiropractor must obtain a North Carolina license through the Board's application process, which may provide for licensure by credentials or endorsement as the rules allow Correct answer.

Explanation

Practice in North Carolina requires a North Carolina license issued by the Board, and out-of-state licensees must apply through the established process, which may include credential or endorsement provisions. An out-of-state license or accredited education alone does not authorize practice in this state.

Question 24Chiropractic Law and Board Rules (North Carolina)

During a Board disciplinary hearing, a chiropractor argues that the Board cannot act because the patient never filed a complaint and no civil suit was brought. How should this argument be evaluated?

  1. The argument fails because the Board may investigate and act on its own initiative when it has information suggesting a violation Correct answer.
  2. The argument succeeds unless the patient testifies in person
  3. The argument succeeds because Board action requires a patient complaint
  4. The argument succeeds because a civil judgment is a prerequisite to discipline

Explanation

The Board's disciplinary authority is not limited to patient-initiated complaints; it may investigate matters that come to its attention through other sources. A civil lawsuit or judgment is not a prerequisite to administrative discipline.

Question 25Chiropractic Law and Board Rules (North Carolina)

A chiropractor delegates routine administrative and modality tasks to unlicensed staff. Which principle best guides what may be delegated under North Carolina rules?

  1. Tasks constituting the practice of chiropractic, such as diagnosis and adjustment, must be performed by the licensed chiropractor, while non-clinical tasks may be delegated with appropriate supervision Correct answer.
  2. Delegation is permitted whenever the chiropractor is physically present in the building
  3. All clinical and non-clinical tasks may be delegated to trained staff
  4. Only tasks performed in the front office may be delegated

Explanation

The licensed chiropractor must personally perform activities that constitute the practice of chiropractic, including diagnosis and adjustment. Non-clinical or supportive tasks may be delegated to trained staff, but physical presence alone does not authorize delegation of licensed clinical functions.

Question 26Chiropractic Law and Board Rules (North Carolina)

Under North Carolina law, which body has the statutory authority to license chiropractors and adopt rules governing the practice of chiropractic?

  1. The North Carolina Board of Pharmacy
  2. The North Carolina State Board of Chiropractic Examiners Correct answer.
  3. The Department of Health and Human Services
  4. The North Carolina Medical Board

Explanation

The General Assembly created the North Carolina State Board of Chiropractic Examiners and delegated to it the licensing and rulemaking authority over chiropractic practice. Other boards regulate their own professions and have no licensing power over chiropractors.

Question 27Chiropractic Law and Board Rules (North Carolina)

A chiropractor moves her practice to a new office address within the same North Carolina city. What is her obligation to the Board regarding that change?

  1. Submit a new license application and pay a full initial fee
  2. Nothing, because the license is tied to the person rather than the address
  3. Wait until the next renewal cycle to mention it
  4. Notify the Board of the address change within the time the Board's rules require Correct answer.

Explanation

Board rules require licensees to keep the Board informed of current practice location and contact information, which supports service of process and inspection. Failing to report an address change can itself be a rule violation.

Question 28Chiropractic Law and Board Rules (North Carolina)

Which document typically must be conspicuously displayed at a chiropractor's practice location in North Carolina?

  1. The chiropractor's current license or registration certificate Correct answer.
  2. The chiropractor's continuing education transcript
  3. The chiropractor's malpractice insurance policy
  4. The chiropractor's college diploma

Explanation

Board rules require the license or certificate to be displayed where patients can see it, giving the public notice that the practitioner is licensed. Diplomas, insurance policies, and CE records are not the required display item.

Question 29Chiropractic Law and Board Rules (North Carolina)

A chiropractor wishes to use the title 'Dr.' in connection with his practice. Under North Carolina rules, which statement is correct?

  1. He may never use the title because chiropractors are not physicians
  2. He may use the title only in clinical notes, not in advertising
  3. He may use the title only if he also holds a medical license
  4. He may use the title if he clearly identifies himself as a chiropractor and holds a doctoral degree Correct answer.

Explanation

Chiropractors who hold a doctor of chiropractic degree may use the title 'Dr.' provided the professional designation is not misleading and identifies them as chiropractors. The rule targets deception, not the title itself.

Question 30Chiropractic Law and Board Rules (North Carolina)

Which of the following best describes the minimum education credential required to qualify for chiropractic licensure in North Carolina?

  1. Completion of a physician assistant program
  2. A master's degree in any health science field
  3. Graduation from a chiropractic college accredited by the Council on Chiropractic Education Correct answer.
  4. A bachelor's degree in kinesiology alone

Explanation

Licensure requires graduation from a chiropractic program accredited by the recognized accrediting body, the Council on Chiropractic Education. Degrees in unrelated health fields do not satisfy the chiropractic education requirement.

Question 31Chiropractic Law and Board Rules (North Carolina)

A chiropractor is issued a license and wants to begin seeing patients. Which statement about the license renewal cycle is accurate under Board rules?

  1. The license remains valid indefinitely once issued
  2. The license must be renewed only if the chiropractor changes employers
  3. The license renews automatically without any action or fee
  4. The license must be renewed periodically, and practicing on an expired license is unlawful Correct answer.

Explanation

Chiropractic licenses are time-limited and must be renewed on the Board's schedule with the required fee and documentation. Practicing after expiration constitutes unlicensed practice.

Question 32Chiropractic Law and Board Rules (North Carolina)

A chiropractor wants to add 'Certified in Acupuncture' to her office signage. What is the Board's general expectation regarding specialty claims in advertising?

  1. The claim must be truthful and supported by actual certification the chiropractor holds Correct answer.
  2. Any claim is permitted because advertising is protected speech without limits
  3. The claim requires pre-approval by the Board before use
  4. The claim is barred because chiropractors cannot advertise specialties

Explanation

Advertising rules prohibit false or misleading statements, so specialty claims must reflect credentials the licensee actually possesses. Truthful, substantiated certification claims are permitted without prior Board approval.

Question 33Chiropractic Law and Board Rules (North Carolina)

Which of the following is the primary purpose of the North Carolina chiropractic practice act and Board rules?

  1. To maximize the income of licensed chiropractors
  2. To promote a particular chiropractic technique
  3. To protect the public health, safety, and welfare by regulating chiropractic practice Correct answer.
  4. To limit competition among health professions

Explanation

Occupational licensing statutes are enacted under the police power to protect the public, and the Board's rules are interpreted with that purpose in mind. Economic protection of licensees is not the statutory objective.

Question 34Chiropractic Law and Board Rules (North Carolina)

A chiropractor is charged with unprofessional conduct based on a single incident in which he used demeaning language toward a patient. He argues that one incident cannot support discipline. How should this be analyzed?

  1. A single act can constitute unprofessional conduct if it falls within the conduct grounds the Board may discipline Correct answer.
  2. Discipline requires a prior written warning from the Board
  3. Discipline is available only if the patient suffered physical injury
  4. Discipline requires a pattern of at least three separate incidents

Explanation

The disciplinary grounds are defined by the nature of the conduct, not by a required number of repetitions, so an isolated act can support action. Prior warnings and physical harm are not statutory prerequisites.

Question 35Chiropractic Law and Board Rules (North Carolina)

A chiropractor wants to hire a billing consultant who is not a licensee to review patient files. What must the chiropractor do to protect patient confidentiality?

  1. Obtain appropriate patient authorization or use a compliant business arrangement before disclosing records Correct answer.
  2. Post a notice in the waiting room instead of obtaining authorization
  3. Disclose only the patients' names and nothing else
  4. Nothing, because billing staff are exempt from confidentiality laws

Explanation

Patient records are confidential, and disclosure to outside vendors requires patient authorization or another lawful mechanism such as a business associate arrangement. A waiting-room notice does not substitute for authorization.

Question 36Chiropractic Law and Board Rules (North Carolina)

A chiropractor treats a patient for six weeks and then refers the patient to an orthopedic surgeon. Which statement best describes the chiropractor's recordkeeping obligation at the point of referral?

  1. Record only the date of the final visit
  2. Document the referral, the reason for it, and the care provided in the patient record Correct answer.
  3. Delete the chiropractic notes because the case has been transferred
  4. Send the original record to the surgeon and keep no copy

Explanation

The record must reflect the course of care, including referrals and the clinical reasoning behind them, and the chiropractor retains her own record. Records are not destroyed or surrendered merely because care is transferred.

Question 37Chiropractic Law and Board Rules (North Carolina)

A chiropractor is asked by an insurance carrier to provide a narrative report describing a patient's treatment plan and prognosis. What is the appropriate response?

  1. Provide a report that overstates the prognosis to help the claim
  2. Refuse all insurer requests as a matter of principle
  3. Prepare an accurate report based on the documented record and disclose it as authorized Correct answer.
  4. Provide the report only if the patient signs a liability waiver

Explanation

Insurer reporting is a normal part of practice, but the report must be truthful and grounded in the clinical record, and disclosure must be authorized by the patient or permitted by law. Inflating findings is fraudulent.

Question 38Chiropractic Law and Board Rules (North Carolina)

A chiropractor discovers that a former employee copied patient records before leaving the practice. What is the chiropractor's most appropriate course of action under North Carolina law and Board rules?

  1. Destroy all remaining records to avoid further exposure
  2. Ignore the matter because the records belong to the practice
  3. Investigate the unauthorized access and take steps to contain and report the breach as required Correct answer.
  4. Publicly post the former employee's name in the office

Explanation

Unauthorized acquisition of patient information triggers duties to contain the incident and comply with breach notification law, and the licensee remains responsible for safeguarding records. Ignoring or destroying records compounds the violation.

Question 39Chiropractic Law and Board Rules (North Carolina)

A chiropractor wishes to provide chiropractic care to patients in a mobile clinic that travels among several counties. Which statement is most accurate?

  1. The chiropractor may practice in any state as long as the patients travel to the clinic
  2. The chiropractor may practice where licensed, but must comply with facility, records, and advertising rules at each location Correct answer.
  3. Mobile practice is prohibited for chiropractors in North Carolina
  4. A separate license is required for each county in which the clinic stops

Explanation

A North Carolina license authorizes practice within the state, and the Board's practice standards follow the licensee regardless of physical location. County-by-county licensure and out-of-state practice are not authorized by a single state license.

Question 40Chiropractic Law and Board Rules (North Carolina)

A patient requests a copy of her chiropractic records to take to a new provider. How should the chiropractor respond under Board rules?

  1. Provide a copy of the records in a timely manner as required, with any permitted fee Correct answer.
  2. Delay release until the patient's account balance is paid in full
  3. Refuse because the records are the chiropractor's property
  4. Provide the records only if the new provider calls in person

Explanation

Patients have a right of access to their records, and the chiropractor must respond within the required time and may charge only fees the rules allow. Ownership of the physical record does not defeat the patient's access right.

Question 41Chiropractic Law and Board Rules (North Carolina)

A chiropractor is considering whether to perform a technique she learned at a weekend seminar but for which she has no formal training or credential. What principle governs?

  1. The chiropractor may perform the technique if a colleague supervises by phone
  2. Any technique may be used because chiropractic scope is unlimited
  3. A weekend seminar automatically confers authority to perform any procedure
  4. The chiropractor must practice within her competence and the scope of chiropractic, referring out when she is not qualified Correct answer.

Explanation

Licensees are expected to practice within their training and the statutory scope of chiropractic and to refer patients when a procedure exceeds their competence. Attendance at a seminar does not expand the legal scope of practice.

Question 42Chiropractic Law and Board Rules (North Carolina)

A chiropractor serves as the owner of a clinic and delegates patient scheduling, insurance verification, and front-desk duties to unlicensed staff. Which statement best describes the owner's responsibility?

  1. The owner remains responsible for ensuring delegated tasks are within unlicensed staff authority and properly supervised Correct answer.
  2. Delegation is permitted only if the staff member is a chiropractic student
  3. The owner bears no responsibility for tasks performed by unlicensed staff
  4. Unlicensed staff may perform any task if the owner is in the building

Explanation

Licensees are accountable for what they delegate and must ensure unlicensed personnel perform only tasks the rules allow, with appropriate supervision. Physical presence alone does not authorize clinical procedures.

Question 43Chiropractic Law and Board Rules (North Carolina)

A chiropractor receives a Board subpoena for records during an investigation and believes some requested documents are irrelevant. What is the best course of action?

  1. Ignore the subpoena because the chiropractor disagrees with its scope
  2. Provide only the documents the chiropractor believes are favorable
  3. Respond as required and assert any objection through the proper legal process rather than ignoring the subpoena Correct answer.
  4. Destroy the disputed documents before responding

Explanation

A licensee must comply with lawful Board process, and objections to scope are raised through the appropriate legal channel rather than by noncompliance. Destroying or selectively producing records can itself be a disciplinary offense.

Question 44Chiropractic Law and Board Rules (North Carolina)

A chiropractor applies for licensure and discloses a prior misdemeanor conviction unrelated to health care. How is that disclosure generally treated in the licensure process?

  1. It requires the applicant to obtain a pardon before applying
  2. It is irrelevant and must not be considered
  3. It is considered under the Board's character and fitness review rather than being an automatic bar Correct answer.
  4. It automatically disqualifies the applicant from licensure

Explanation

The Board evaluates applicants' character and fitness, and a conviction is one factor considered in context rather than an automatic disqualification. Nondisclosure, by contrast, can independently support denial or discipline.

Question 45Chiropractic Law and Board Rules (North Carolina)

A chiropractor wants to use a patient's before-and-after X-ray images in a social media post. What is required?

  1. A disclaimer stating results may vary
  2. Written patient authorization that satisfies the rules for use of identifiable health information in marketing Correct answer.
  3. Nothing, because the images do not show the patient's face
  4. Only verbal permission obtained at the front desk

Explanation

Use of identifiable patient images for marketing requires a valid written authorization, and a disclaimer does not substitute for consent. Images can identify a patient even without the face.

Question 46Chiropractic Law and Board Rules (North Carolina)

A chiropractor's license is revoked by the Board after a contested hearing. Which statement best describes the licensee's options?

  1. The licensee may continue practicing while an appeal is pending without any stay
  2. The licensee may seek judicial review of the final agency decision under the Administrative Procedure Act Correct answer.
  3. The licensee may ask the Board's investigator to reverse the decision
  4. The licensee may reapply for a new license immediately as of right

Explanation

Final agency decisions are reviewable in the superior court under the Administrative Procedure Act, and continued practice depends on whether a stay is granted. A revocation is not undone by an investigator or by automatic reapplication.

Question 47Chiropractic Law and Board Rules (North Carolina)

A chiropractor is accused of practicing while impaired and is offered an opportunity to enter a Board-approved monitoring or rehabilitation program. Which statement best reflects how such programs typically function?

  1. The program replaces the Board's authority to impose practice restrictions
  2. Admission to the program is available only to physicians
  3. Participation may be considered in the disciplinary process but does not erase the underlying conduct or its conditions Correct answer.
  4. Entering the program permanently bars any future licensure

Explanation

Impaired-practitioner programs are designed to protect patients while supporting recovery, and participation is a factor in disposition rather than a bar to licensure. The Board retains authority to impose conditions on practice.

Question 48Chiropractic Law and Board Rules (North Carolina)

A chiropractor delegates a therapeutic modality to an unlicensed aide and the patient is burned. In the resulting Board proceeding, which factor is most significant in evaluating the chiropractor's conduct?

  1. Whether the delegated task was permitted for unlicensed personnel and whether adequate supervision and training were provided Correct answer.
  2. Whether the aide had worked at the clinic for more than one year
  3. Whether the chiropractor documented the burn in the record
  4. Whether the patient signed an informed consent form before the modality

Explanation

The central question is whether the task fell within what may lawfully be delegated and whether the licensee supervised and trained the aide adequately. Consent and documentation matter but do not cure an unlawful delegation.

Question 49Chiropractic Law and Board Rules (North Carolina)

A chiropractor wants to open a practice that offers spinal manipulation alongside vitamin sales and massage. Which regulatory principle most directly governs whether this combined business is permissible?

  1. The business must be owned by a physician to offer multiple services
  2. A combined business is automatically prohibited as fee-splitting
  3. Only services performed in a hospital may be combined
  4. Each service must fall within the chiropractor's lawful scope and comply with applicable facility, supervision, and referral rules Correct answer.

Explanation

The permissibility of a combined practice turns on whether each component is within the chiropractor's scope and whether ancillary services and referrals comply with Board rules. There is no blanket prohibition on multi-service practices.

Question 50Chiropractic Law and Board Rules (North Carolina)

A chiropractor repeatedly fails to respond to Board correspondence about a complaint over several months. Which statement best describes the likely consequence?

  1. The complaint is automatically closed if the chiropractor is busy
  2. The Board may only act if the patient sends a second complaint
  3. Failure to cooperate with the Board can independently support disciplinary action Correct answer.
  4. The Board must dismiss the complaint after 90 days of silence

Explanation

Licensees have an affirmative duty to cooperate with Board inquiries, and nonresponsiveness is itself a ground for discipline. Silence does not cause dismissal of the underlying complaint.