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NH Chiropractic Jurisprudence study materials
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NH Chiropractic Jurisprudence practice questions

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Question 1New Hampshire statutes and administrative rules governing chiropractic practice

Under New Hampshire law, which body holds the statutory authority to license chiropractors and to adopt rules governing their practice?

  1. The New Hampshire Medical Society
  2. The Office of Professional Licensure and Certification's dental board
  3. The New Hampshire Board of Chiropractic Examiners Correct answer.
  4. The New Hampshire Department of Insurance

Explanation

New Hampshire RSA 316-A establishes the Board of Chiropractic Examiners as the licensing and disciplinary authority for the profession, and the board adopts administrative rules under the Administrative Procedure Act. The board's rules appear in the Chiropractic section of the New Hampshire Administrative Rules.

Question 2New Hampshire statutes and administrative rules governing chiropractic practice

An applicant for a New Hampshire chiropractic license must satisfy which of the following requirements before the Board of Chiropractic Examiners will issue a license?

  1. Completion of a residency in an allopathic hospital and a medical license
  2. Graduation from a chiropractic college accredited by an agency recognized for chiropractic education and passage of the required examinations Correct answer.
  3. Membership in a national chiropractic association and a sponsor's letter
  4. Ownership of a practice location within New Hampshire and a business license

Explanation

New Hampshire requires graduation from an accredited chiropractic program plus successful completion of the board-recognized examinations, along with the other statutory qualifications such as good moral character. Association membership and practice ownership are not licensure prerequisites.

Question 3New Hampshire statutes and administrative rules governing chiropractic practice

A chiropractor licensed in another state moves to New Hampshire and wishes to practice here. Which statement best describes the Board's approach to licensure by endorsement or reciprocity?

  1. The Board may license an out-of-state licensee who meets New Hampshire's standards, including examination and education requirements Correct answer.
  2. New Hampshire has no mechanism for licensing persons first licensed elsewhere
  3. New Hampshire automatically grants a license to any licensee of another state without review
  4. Out-of-state licensees must repeat the entire chiropractic college curriculum in New Hampshire

Explanation

New Hampshire law permits the Board to license applicants who hold a license from another jurisdiction when the applicant demonstrates qualifications equivalent to New Hampshire standards, including examination and education. Licensure is never automatic; the Board reviews the credentials.

Question 4New Hampshire statutes and administrative rules governing chiropractic practice

Which conduct is most clearly within the scope of chiropractic practice as defined under New Hampshire law?

  1. Performing spinal adjustments and related physical examinations to diagnose and treat neuromusculoskeletal conditions Correct answer.
  2. Administering general anesthesia during a procedure
  3. Prescribing oral antibiotics for a spinal infection
  4. Performing surgery on the lumbar spine

Explanation

Chiropractic practice in New Hampshire centers on the diagnosis and treatment of neuromusculoskeletal conditions through adjustment and related conservative means. Prescribing antibiotics, performing surgery, and administering general anesthesia fall outside that statutory scope.

Question 5New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor wishes to use a therapeutic modality in the office. Which criterion determines whether the modality is permissible?

  1. Whether a medical physician in the community also uses the modality
  2. Whether the equipment was purchased from an in-state supplier
  3. Whether the patient signs a waiver accepting the risk
  4. Whether the modality is within the scope of chiropractic practice as recognized by statute and Board rules Correct answer.

Explanation

Permissible modalities are those that fall within chiropractic practice as defined by statute and elaborated in Board rules. Physician usage elsewhere, patient waivers, and equipment sourcing do not expand or define the lawful scope.

Question 6New Hampshire statutes and administrative rules governing chiropractic practice

Under New Hampshire rules, which record-keeping practice best satisfies a chiropractor's documentation obligations for patient charts?

  1. Maintaining contemporaneous records that document the evaluation, diagnosis, treatment plan, and care provided, retained for the required period Correct answer.
  2. Documenting treatment only when the patient requests a copy
  3. Keeping records solely in a personal notebook that is discarded annually
  4. Recording only the dates of visits and the fee charged

Explanation

Board rules require patient records that reflect the evaluation, diagnosis, treatment plan, and services delivered, kept contemporaneously and retained for the period the rules specify. Sparse or short-lived records fail those standards.

Question 7New Hampshire statutes and administrative rules governing chiropractic practice

A patient asks a New Hampshire chiropractor for a copy of the patient's treatment record. What is the chiropractor's most appropriate response under New Hampshire law and Board rules?

  1. Refuse because the record is the property of the practice
  2. Provide the record only after the patient agrees never to sue
  3. Release the record only if the patient's attorney subpoenas it
  4. Provide a copy in accordance with the applicable patient-access requirements and any permitted fee Correct answer.

Explanation

Patients have a right of access to their health care records, and the practice may charge only fees permitted under the applicable statute and rules. Refusing access or conditioning release on a release of liability is improper.

Question 8New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor is considering a professional relationship with a patient that could create a conflict of interest. Which principle governs?

  1. The chiropractor may bill for services not rendered if the patient agrees
  2. The chiropractor may accept any gift or loan from a current patient
  3. The chiropractor must avoid exploiting the professional relationship for personal or financial gain beyond legitimate fees Correct answer.
  4. The chiropractor may enter business partnerships with patients without disclosure

Explanation

Board rules prohibit exploiting the doctor-patient relationship for improper personal or financial advantage. Accepting substantial gifts or loans from patients, undisclosed business entanglements, and billing for unrendered services all violate that principle.

Question 9New Hampshire statutes and administrative rules governing chiropractic practice

What is the primary purpose of the continuing education requirement imposed on New Hampshire chiropractors by Board rules?

  1. To satisfy requirements imposed by private insurers
  2. To generate revenue for the Board
  3. To substitute for the initial licensure examination
  4. To maintain and update professional competence throughout the licensee's career Correct answer.

Explanation

Continuing education exists to keep licensees current and competent in chiropractic practice, and licensees must document completion during renewal. It is not a revenue device, an examination substitute, or an insurer mandate.

Question 10New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor receives a complaint filed with the Board alleging incompetence. Which statement accurately describes the Board's disciplinary process?

  1. The Board may act only if the patient first obtains a civil judgment
  2. The Board may investigate the complaint and, after notice and an opportunity for hearing, impose sanctions such as reprimand, suspension, or revocation Correct answer.
  3. The Board must refer every complaint to the criminal courts before acting
  4. The Board may revoke a license immediately and permanently without any hearing

Explanation

The Board investigates complaints and may discipline a licensee after providing notice and an opportunity for a hearing, consistent with due process and the Administrative Procedure Act. Sanctions range from reprimand through suspension or revocation.

Question 11New Hampshire statutes and administrative rules governing chiropractic practice

Which of the following is an example of unprofessional conduct that could subject a New Hampshire chiropractor to Board discipline?

  1. Referring a patient to a specialist when the condition exceeds chiropractic scope
  2. Completing required continuing education credits
  3. Displaying the license in the office as required
  4. Practicing while impaired by alcohol or drugs Correct answer.

Explanation

Practicing while impaired is expressly recognized as unprofessional conduct warranting discipline. Making an appropriate referral, completing continuing education, and displaying the license are all required or permitted conduct.

Question 12New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor treats a patient whose condition is outside the chiropractic scope of practice. What is the chiropractor's obligation?

  1. Delegate the treatment to an unlicensed assistant
  2. Continue treating the patient because the patient prefers chiropractic care
  3. Treat the patient and bill the patient's medical insurer for the medical services
  4. Refer the patient to an appropriate licensed provider and document the referral Correct answer.

Explanation

When a patient's condition exceeds the chiropractor's lawful scope, the chiropractor must refer to an appropriate licensed provider and document that referral. Continuing out-of-scope care, misbilling, or delegating to unlicensed staff is improper.

Question 13New Hampshire statutes and administrative rules governing chiropractic practice

Under New Hampshire law, which statement correctly describes the requirement for a chiropractor to report suspected child abuse or neglect?

  1. Chiropractors must first confirm the abuse through independent investigation
  2. Chiropractors have no reporting duty because they are not physicians
  3. Chiropractors are mandated reporters and must report suspected abuse or neglect to the appropriate state authority Correct answer.
  4. Chiropractors may report only if the parent consents

Explanation

New Hampshire's child protection statute designates health care providers, including chiropractors, as mandated reporters who must report suspected abuse or neglect to the state authority. Consent of a parent and independent investigation are not prerequisites.

Question 14New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor advertises services in a way that includes a statement likely to deceive the public about treatment outcomes. What is the Board's position on such advertising?

  1. Advertising is entirely unregulated for chiropractors
  2. Only television advertising is regulated
  3. Advertising claims are permitted if a single patient attests to the result
  4. False, deceptive, or misleading advertising is prohibited and may be grounds for discipline Correct answer.

Explanation

Board rules prohibit false, deceptive, or misleading advertising by licensees, and violations can support discipline. Advertising is regulated regardless of medium, and a single anecdote does not make an otherwise misleading claim acceptable.

Question 15New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor's license has lapsed because the renewal fee was not paid. What is the licensee's status and the proper course of action?

  1. The individual may not practice until the license is reinstated in accordance with Board requirements Correct answer.
  2. The individual may practice if the patients are informed of the lapse
  3. The individual may continue practicing because the underlying education never expires
  4. The individual may practice for one year after the lapse without any action

Explanation

Practicing on a lapsed license constitutes unlicensed practice. The licensee must satisfy the Board's reinstatement requirements, which may include fees and documentation, before resuming practice.

Question 16New Hampshire statutes and administrative rules governing chiropractic practice

Which statement best describes the chiropractor's duty regarding informed consent in New Hampshire?

  1. The chiropractor should explain the proposed care, its material risks and alternatives, and obtain the patient's consent Correct answer.
  2. Consent may be presumed from the patient's arrival at the office
  3. Consent is required only for surgical procedures
  4. Consent may be obtained by an unlicensed receptionist without any discussion of risks

Explanation

Informed consent requires a discussion of the proposed treatment, its material risks and benefits, and reasonable alternatives, followed by the patient's agreement. Mere arrival at the office or a signature without discussion does not satisfy the duty.

Question 17New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor wants to hire an unlicensed aide. Which task may the aide lawfully perform?

  1. Diagnosing a patient's condition
  2. Performing spinal adjustments under the chiropractor's supervision
  3. Developing a treatment plan independently
  4. Clerical and administrative duties such as scheduling and filing Correct answer.

Explanation

Unlicensed personnel may perform clerical and administrative functions but may not perform chiropractic diagnosis, adjustment, or treatment planning. Those acts require a license, and supervision does not convert them into delegable tasks.

Question 18New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor discovers that a colleague is practicing while impaired. What does the Board's framework expect of the observing licensee?

  1. Confront the colleague and drop the matter if an apology is offered
  2. Ignore the situation because it is the colleague's private matter
  3. Report the impaired practice to the Board, because failing to report may itself constitute misconduct Correct answer.
  4. Report the matter only if a patient is injured

Explanation

Licensees have an obligation to report conduct that poses a risk to patients, such as impaired practice, and failing to report can itself be a disciplinary violation. Private apologies or the absence of injury do not discharge that duty.

Question 19New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor is asked to treat a family member for a routine musculoskeletal complaint. Which consideration is most relevant under the Board's professional conduct rules?

  1. Treatment of family members is categorically prohibited by statute
  2. The chiropractor must ensure objectivity and proper records, recognizing the risk that personal relationships compromise care Correct answer.
  3. Treatment of family members must be billed to Medicare
  4. Treatment of family members requires no documentation

Explanation

Rules on professional conduct require that care remain objective and properly documented; treating family members creates risks of compromised judgment that the licensee must guard against. It is not categorically prohibited, and documentation is still required.

Question 20New Hampshire statutes and administrative rules governing chiropractic practice

Which of the following best describes the relationship between New Hampshire statutes and Board of Chiropractic Examiners administrative rules?

  1. The statutes are advisory and the rules are controlling
  2. The statutes establish the Board and its authority, and the rules adopted under that authority implement the statutory scheme Correct answer.
  3. The rules are enacted by the legislature and the statutes by the Board
  4. The rules supersede the statutes whenever they conflict

Explanation

The legislature enacts the chiropractic statute, RSA 316-A, which creates the Board and grants it rulemaking authority; the Board then adopts implementing rules. If a rule conflicts with the statute, the statute controls.

Question 21New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor is retiring and plans to close the practice. What is the most appropriate handling of patient records?

  1. Destroy all records immediately upon closing
  2. Leave records in the vacant office
  3. Retain records for the required period and provide notice so patients can obtain copies or arrange transfer Correct answer.
  4. Give records to a former employee for safekeeping without any agreement

Explanation

Closing a practice does not extinguish record-retention and patient-access obligations. The licensee should retain records for the required period and notify patients so they can obtain copies or have records transferred.

Question 22New Hampshire statutes and administrative rules governing chiropractic practice

A patient offers a New Hampshire chiropractor a substantial cash gift in gratitude for care. Which response is most consistent with the Board's rules on professional boundaries?

  1. Require similar gifts from other patients for fairness
  2. Decline or limit acceptance in a way that avoids exploiting the therapeutic relationship Correct answer.
  3. Accept the gift and adjust the treatment plan based on its size
  4. Accept the gift and record it as payment toward future services

Explanation

Accepting substantial gifts from current patients can exploit the imbalance in the professional relationship, so the licensee should decline or limit acceptance. Redirecting gifts into billing or letting them influence care compounds the boundary problem.

Question 23New Hampshire statutes and administrative rules governing chiropractic practice

Which of the following is a recognized ground for disciplinary action against a New Hampshire chiropractor?

  1. Referring a patient to a physician
  2. Obtaining a license through fraud or misrepresentation Correct answer.
  3. Documenting a thorough treatment plan
  4. Completing more continuing education than required

Explanation

Obtaining a license by fraud or misrepresentation is a classic statutory ground for discipline, as are incompetence, unprofessional conduct, and impairment. Thorough documentation, appropriate referrals, and excess continuing education are not violations.

Question 24New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor wishes to supervise a student intern from a chiropractic college. Which principle governs the arrangement?

  1. The intern may perform only activities permitted by the Board's rules and the college program, under appropriate supervision Correct answer.
  2. The intern may bill patients directly for adjustments
  3. The intern may practice independently once enrolled
  4. The intern may perform any act the supervising chiropractor authorizes

Explanation

Student interns may participate only in activities permitted by Board rules and their educational program, under the required supervision. The supervising chiropractor's authorization cannot exceed the boundaries set by law.

Question 25New Hampshire statutes and administrative rules governing chiropractic practice

What is the effect of a Board order suspending a New Hampshire chiropractor's license?

  1. The chiropractor may practice only on weekends
  2. The chiropractor may delegate care to an unlicensed assistant
  3. The chiropractor may continue practicing under a different business name
  4. The chiropractor may not practice chiropractic during the suspension period Correct answer.

Explanation

A suspension removes the authority to practice chiropractic for the period the order specifies. Changing the business name, limiting practice to certain days, or delegating to unlicensed staff does not restore that authority.

Question 26New Hampshire statutes and administrative rules governing chiropractic practice

Under New Hampshire law, which body holds the statutory authority to adopt rules regulating the practice of chiropractic?

  1. The Office of Professional Licensure and Certification's rulemaking division alone
  2. The Board of Chiropractic Examiners Correct answer.
  3. The state legislature through individual private bills
  4. The New Hampshire Medical Society

Explanation

New Hampshire delegates rulemaking for chiropractic to the Board of Chiropractic Examiners, which adopts administrative rules under the statutory framework. The Board's rules carry the force of law and govern licensure, practice standards, and discipline. Other entities may administer licensing operations but do not independently write chiropractic practice rules.

Question 27New Hampshire statutes and administrative rules governing chiropractic practice

A person in New Hampshire uses the title 'chiropractor' and adjusts patients without ever holding a license. What is the most accurate characterization of this conduct?

  1. Unprofessional conduct subject to Board action and possible criminal penalties Correct answer.
  2. A minor infraction handled only by a warning letter
  3. Lawful if the person charges no fee
  4. Permissible if the person trained in another state

Explanation

Practicing chiropractic or using the protected title without a license violates New Hampshire licensing statutes and is grounds for Board action, and unlicensed practice may also carry criminal exposure. The absence of a fee or out-of-state training does not create an exception.

Question 28New Hampshire statutes and administrative rules governing chiropractic practice

Which item is generally required as part of an initial application for chiropractic licensure in New Hampshire?

  1. Evidence of graduation from an accredited chiropractic college and successful completion of required examinations Correct answer.
  2. A passport photograph notarized by the Board chair
  3. Membership in a national chiropractic association
  4. A signed lease for a New Hampshire practice office

Explanation

New Hampshire licensure rests on demonstrated qualifications: graduation from an accredited chiropractic program and passage of the required examinations, along with the application and fee. Association membership and business arrangements are not licensure prerequisites.

Question 29New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor moves to a new office and does not notify the Board of the address change. What is the best description of the consequence?

  1. The license becomes void until a new application is filed
  2. Nothing, because address changes are handled only by the postal service
  3. Automatic permanent revocation of the license
  4. The failure may constitute a violation of Board reporting requirements and can support disciplinary action Correct answer.

Explanation

Licensees must keep the Board informed of current contact and practice information so that official correspondence and service of process reach them. Failing to report a change can itself be treated as a violation and may support discipline.

Question 30New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor's license is subject to a Board disciplinary order. Which statement correctly describes the Board's authority?

  1. The Board may act only after a patient obtains a civil judgment
  2. The Board may impose sanctions such as reprimand, probation with conditions, suspension, or revocation Correct answer.
  3. The Board may impose only fines and has no power over licensure status
  4. The Board must refer all matters to criminal court and cannot act on the license

Explanation

The Board's disciplinary authority includes a range of sanctions, from reprimand and conditions or probation through suspension and revocation. It may act on its own complaint process without waiting for a civil judgment or criminal prosecution.

Question 31New Hampshire statutes and administrative rules governing chiropractic practice

Which statement best describes the scope of chiropractic practice recognized in New Hampshire?

  1. Performing surgery on the spine when adjustment fails
  2. Diagnosis and treatment of any human disease using any method the chiropractor prefers
  3. Analysis and adjustment of the articulations of the spine and extremities, with diagnosis and treatment of related conditions, as defined by statute and Board rule Correct answer.
  4. Prescribing controlled substances for musculoskeletal pain

Explanation

Chiropractic in New Hampshire centers on the analysis and adjustment of spinal and extremity articulations, together with diagnosis and treatment of conditions related to that practice. The scope is bounded by statute and Board rule and does not extend to prescribing controlled substances or surgery.

Question 32New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor is convicted of a felony unrelated to the practice. What is the most accurate statement about the effect on licensure?

  1. The Board may act only if the felony involved a patient
  2. The conviction may constitute grounds for disciplinary action, including suspension or revocation Correct answer.
  3. The conviction automatically seals the licensee's records
  4. The conviction is irrelevant because it did not occur in the clinic

Explanation

Conviction of a felony can serve as a ground for discipline regardless of whether the offense occurred in a clinical setting, because licensure carries an expectation of good moral character and public trust. The Board evaluates the matter through its disciplinary process.

Question 33New Hampshire statutes and administrative rules governing chiropractic practice

What is the primary function of the New Hampshire Board of Chiropractic Examiners in the licensing system?

  1. To protect the public by regulating entry into and continued practice of chiropractic Correct answer.
  2. To set reimbursement rates for chiropractic insurers
  3. To arbitrate fee disputes between chiropractors and patients
  4. To promote the business interests of chiropractic practices

Explanation

The Board's mandate is public protection: it determines who may be licensed, sets practice standards, and disciplines licensees who fall short. It does not set insurance rates, promote business interests, or arbitrate fee disputes.

Question 34New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor wants to determine whether a particular billing practice is permissible. Which source should the chiropractor consult first for binding practice standards?

  1. Informal advice from a colleague in another state
  2. A national coding newsletter
  3. A blog written by a chiropractic marketing consultant
  4. The Board's administrative rules and the governing statutes Correct answer.

Explanation

Binding standards for New Hampshire licensees come from the statutes enacted by the legislature and the administrative rules adopted by the Board. Secondary commentary may be useful but does not control.

Question 35New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor receives a subpoena for a patient's records in a civil lawsuit. Which approach best reflects the governing obligations?

  1. Destroy the records to avoid disclosure
  2. Respond in accordance with applicable law and rules, verifying the subpoena's validity and protecting confidentiality to the extent the law allows Correct answer.
  3. Ignore the subpoena because chiropractic records are privileged in all proceedings
  4. Release the entire record to any party who asks

Explanation

A chiropractor must honor valid legal process while also protecting patient confidentiality, which means confirming the subpoena's authority and disclosing only what is lawfully required. Blanket refusal, unrestricted release, and destruction are all improper.

Question 36New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor delegates a spinal adjustment to an unlicensed assistant. What is the correct analysis?

  1. Permissible if the patient signs a consent form
  2. Impermissible, because adjustment is a licensed clinical function that cannot be delegated to unlicensed personnel Correct answer.
  3. Permissible if the chiropractor is on the premises
  4. Permissible if the assistant has completed a weekend course

Explanation

Clinical functions reserved to licensed chiropractors, including spinal adjustment, cannot be delegated to unlicensed staff. Supervision or consent does not convert an unlicensed person into a lawful provider of that service.

Question 37New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor is considering whether to treat a patient via telehealth for an initial evaluation. Which principle governs?

  1. Telehealth is permitted only for out-of-state patients
  2. Telehealth is prohibited for all chiropractic services in New Hampshire
  3. The licensee must meet the same standards of care, documentation, and licensure authority as for in-person care Correct answer.
  4. Telehealth is permitted only for patients who have already been seen in person

Explanation

When a chiropractor provides care through telehealth, the same professional standards apply, including competence, appropriate examination, documentation, and confidentiality. The format of delivery does not lower the standard of care.

Question 38New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor learns that a former patient's records were stored on an unsecured cloud account and may have been accessed by a third party. What is the most appropriate response?

  1. Delete the cloud account and say nothing
  2. Post the details on social media to warn the public
  3. Notify affected patients and take corrective steps consistent with applicable privacy and Board requirements Correct answer.
  4. Wait until a patient complains before taking any action

Explanation

A licensee who discovers a breach of patient information must act to contain the harm, notify those affected as required, and correct the underlying deficiency. Silence or public posting is inconsistent with confidentiality obligations.

Question 39New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor wishes to use a treatment technique learned at a weekend seminar that is outside the licensee's documented training. What is the most appropriate course?

  1. Practice only within the licensee's education, training, and competence, obtaining further training before using unfamiliar techniques Correct answer.
  2. Ask an assistant to perform the technique instead
  3. Use the technique on all patients immediately to gain experience
  4. Advertise the technique as a specialty before using it

Explanation

Competence-based practice requires that a chiropractor stay within the bounds of education, training, and experience, and obtain appropriate training before adopting unfamiliar methods. Delegating the technique or advertising it prematurely does not solve the competence gap.

Question 40New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor's patient discloses that another chiropractor has been billing for services never rendered. Which statement best describes the first licensee's obligation?

  1. The chiropractor must confront the other licensee and drop the matter if denied
  2. The chiropractor should post the allegation publicly
  3. The chiropractor should report the suspected fraud to the appropriate authority in accordance with law and Board standards Correct answer.
  4. The chiropractor must ignore the report because it is hearsay

Explanation

Licensees have a professional responsibility to report suspected fraud or misconduct to the proper authority rather than conceal it. Confrontation or public posting is not a substitute for reporting through proper channels.

Question 41New Hampshire statutes and administrative rules governing chiropractic practice

Which statement correctly describes the relationship between the Board's rules and the statutes governing chiropractic in New Hampshire?

  1. Rules apply only to chiropractors licensed after their adoption
  2. Rules supersede statutes whenever they conflict
  3. Rules implement and must be consistent with the statutes, and a conflicting rule cannot override the statute Correct answer.
  4. Rules are merely advisory suggestions without legal effect

Explanation

Administrative rules are adopted under statutory authority and must remain consistent with the enabling statute. A rule that conflicts with the statute cannot override it, and rules are binding rather than advisory.

Question 42New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor is asked by an insurer to submit a claim for services that were provided but documented only in a brief note lacking the required elements. What is the best course?

  1. Submit the claim and reconstruct the documentation later if audited
  2. Submit the claim because insurers do not review documentation
  3. Correct the record to reflect the services actually provided and submit only accurate, supportable claims Correct answer.
  4. Submit the claim and add services that were not performed to justify the amount

Explanation

Billing must be supported by accurate documentation of the services actually rendered. Fabricating or inflating entries to support a claim is fraud, and reconstructing records after an audit does not cure an unsupported claim.

Question 43New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor plans to display a credential that was never awarded. Which statement best describes the risk?

  1. Risk exists only if a patient complains in writing
  2. Misrepresentation of credentials may constitute unprofessional conduct and deceive the public Correct answer.
  3. The credential becomes valid if displayed for more than one year
  4. No risk, because credentials are a matter of personal marketing

Explanation

Advertising or displaying a credential that was not earned misleads patients and can be treated as unprofessional conduct subject to discipline. The absence of a complaint or the passage of time does not legitimize the misrepresentation.

Question 44New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor refuses to provide care solely because of a patient's protected characteristic. What is the correct analysis under professional standards?

  1. Permissible if the chiropractor refers the patient to another provider
  2. Permissible, because chiropractors may choose patients freely
  3. Permissible, because the refusal is not clinical
  4. Impermissible discrimination that may constitute unprofessional conduct Correct answer.

Explanation

Refusing care on the basis of a protected characteristic is discriminatory and can be treated as unprofessional conduct under the Board's standards. A referral does not cure a refusal motivated by discrimination.

Question 45New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor is asked to sign a form certifying a patient's disability for a purpose outside the chiropractor's knowledge. What is the best approach?

  1. Decline to certify matters beyond the chiropractor's competence and document only findings actually supported by the record Correct answer.
  2. Sign only if the patient pays an extra fee
  3. Sign and add a note that the certification is unverified
  4. Sign the form because the patient requested it

Explanation

A chiropractor should certify only what the clinical record and professional competence support. Signing unsupported certifications, with or without caveats, misleads the relying party.

Question 46New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor's treatment plan for a patient with a disc herniation involves care the chiropractor is not trained to provide. What is the most appropriate action?

  1. Proceed anyway because the patient consented
  2. Refer the patient to an appropriately qualified provider while continuing any care within the chiropractor's competence Correct answer.
  3. Delegate the care to an unlicensed aide
  4. Abandon the patient without explanation

Explanation

When a patient's needs exceed the chiropractor's training or scope, the appropriate response is referral to a qualified provider, with coordination and continued care for what remains within competence. Abandonment and delegation to unlicensed staff are improper.

Question 47New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor receives a request from the Board for information about a patient's care during an investigation. What is the most appropriate response?

  1. Ignore the request because the investigation is confidential
  2. Provide the requested information truthfully and within the time allowed, cooperating with the investigation Correct answer.
  3. Refuse until the patient sues the Board
  4. Provide altered records to protect the patient

Explanation

Licensees are expected to cooperate with Board investigations by providing accurate information in a timely manner. Ignoring the request, altering records, or imposing conditions on cooperation can itself be grounds for discipline.

Question 48New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor has a substance use disorder and continues to practice while impaired. Which statement best reflects the Board's framework?

  1. Impairment may be addressed through discipline and, where available, participation in an approved monitoring or recovery program Correct answer.
  2. Impairment is automatically forgiven if the chiropractor self-reports after an incident
  3. The Board must ignore impairment unless a patient is injured
  4. Impairment is a private health matter with no bearing on licensure

Explanation

Practicing while impaired endangers patients and is a disciplinary matter, but the Board's framework may also allow a licensee to participate in an approved monitoring or recovery program. Self-reporting after harm does not automatically erase the violation.

Question 49New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor wants to expand into a business that would give the chiropractor a financial interest in referrals for imaging services. What is the governing principle?

  1. Only out-of-state referrals are restricted
  2. The arrangement must be evaluated for compliance with conflict-of-interest, fee-splitting, and referral restrictions under law and Board rule Correct answer.
  3. Disclosure to the patient removes all legal restrictions
  4. Financial interests in referrals are unrestricted because chiropractic is a business

Explanation

Arrangements that create a financial interest in patient referrals must be assessed against conflict-of-interest and fee-splitting restrictions. Patient disclosure is important but does not by itself eliminate a legal prohibition.

Question 50New Hampshire statutes and administrative rules governing chiropractic practice

A New Hampshire chiropractor is accused of a standard-of-care violation in a case where the Board's expert review finds the care fell below accepted practice. Which statement best describes the likely disciplinary outcome?

  1. Discipline requires a prior malpractice verdict against the chiropractor
  2. No action, because standard-of-care questions belong only to civil courts
  3. The Board may impose discipline based on its own findings, independent of any malpractice suit Correct answer.
  4. Discipline requires the patient's written consent

Explanation

The Board may find a standard-of-care violation and impose discipline on its own record, regardless of whether a malpractice action exists or succeeds. Patient consent is irrelevant to the Board's disciplinary authority.