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Free CCEB Written Examination Practice Questions

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Sample Practice Questions

Try these 10 sample questions from the CCEB Written Examination practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

  1. 1A new patient reports recurrent neck pain. Before proposing a care plan, the chiropractor wants to establish what the patient hopes to regain. Which question best elicits that information?

    1. A.Which movement makes the pain spread furthest?
    2. B.Which previous treatment reduced the pain most?
    3. C.Which time of day is the pain most noticeable?
    4. D.Which activity would you most like to return to?Correct answer: D

    Explanation: The source states: "Elicit chief complaint and patient expectations". The question identifies the patient's desired functional outcome; the alternatives concern symptom behaviour or treatment history.

    Reference: CCEB Examinations Candidate Handbook — Appendix C, 1.1 indicators, p.17

  2. 2An Ontario patient needs an interpreter for the consultation. To whom should the chiropractor direct the conversation?

    1. A.Address the patient directly while the interpreter assists.Correct answer: A
    2. B.Address the interpreter directly while the patient listens.
    3. C.Address the accompanying relative while the interpreter listens.
    4. D.Address the support staff while the interpreter translates.

    Explanation: The source states: "talking directly to a patient when working with an interpreter or any support staff;". The patient remains the direct participant in the clinical conversation.

    Reference: CCO G-001: Communication with Patients — Verbal Communication, p.2

  3. 3An Ontario chiropractor wishes to withdraw from an accepted patient's case. What must govern the timing of withdrawal?

    1. A.Give sufficient notice to permit the patient to secure alternate care when appropriate.Correct answer: A
    2. B.End care at the close of the current visit once the decision has been made.
    3. C.End care when the clinic next updates its appointment schedule.
    4. D.Give notice only after the patient independently finds another practitioner.

    Explanation: The source states: "the member shall give the patient sufficient notice of withdrawal of care so as to permit them to secure an alternate care provider, if appropriate;". The patient needs an opportunity to arrange continuity of care.

    Reference: CCO G-009: Code of Ethics — Code of Ethics, 5, p.2

  4. 4An Ontario chiropractor continues virtual follow-up with a patient temporarily staying in another province. Which legal requirements must be checked?

    1. A.The requirements of the jurisdiction where the patient receives the virtual care.Correct answer: A
    2. B.Only Ontario requirements because the chiropractor remains physically in Ontario.
    3. C.Only the requirements where the virtual-care platform's server is located.
    4. D.Only the requirements where the patient's insurer processes the claim.

    Explanation: The source states: "It is the responsibility of a member to ensure that they are complying with any legal or regulatory requirements in the jurisdiction where a patient is receiving virtual care.". The patient's receiving jurisdiction can impose registration or other requirements in addition to the clinician's home requirements.

    Reference: CCO G-015: Virtual Care — Jurisdiction, p.3

  5. 5A chiropractor appraises an intervention trial. Which allocation method constitutes true randomization rather than quasi-randomization?

    1. A.Alternating successive participant admissions
    2. B.A computerized random-number generatorCorrect answer: B
    3. C.The participant's month of birth
    4. D.The weekday of participant enrolment

    Explanation: The source states: "True randomization is done with a table of random numbers or a computerized random number generator.". Calendar rules and alternation are predictable assignment methods.

    Reference: CIHR: Critical Appraisal of Intervention Studies — 4(b)(i), Were participants randomized?

  6. 6A patient has difficulty purchasing nutritious food and maintaining safe housing. Which determinant directly shapes these living conditions?

    1. A.Biology and genetic endowment
    2. B.Gender
    3. C.Health services
    4. D.Income and social statusCorrect answer: D

    Explanation: The source states: "High income determines living conditions such as safe housing and ability to buy sufficient good food.". The financial access barrier concerns income, rather than inherited biology or service delivery.

    Reference: Public Health Agency of Canada: What Makes Canadians Healthy or Unhealthy? — Key Determinant 1, Underlying Premises

  7. 7An Ontario chiropractor distinguishes a regulator's mandate from a professional association's advocacy role. What is CCO's stated mandate?

    1. A.Promote the commercial interests of Ontario chiropractic clinics.
    2. B.Administer the national CCEB written examination for all provinces.
    3. C.Regulate chiropractic in Ontario in the public interest.Correct answer: C
    4. D.Negotiate reimbursement rates on behalf of practising chiropractors.

    Explanation: The source states: "We regulate chiropractic in Ontario in the public interest". CCO is the Ontario regulator. National examination administration and professional advocacy are different roles.

    Reference: College of Chiropractors of Ontario — Home page, mandate

  8. 8While describing apparently mechanical back pain, a patient mentions a second symptom the chiropractor had not anticipated. What should guide the next part of the history?

    1. A.Repeat the original pain score before changing the questions.
    2. B.Move to the examination using the information already collected.
    3. C.Explore the new symptom with targeted follow-up questions.Correct answer: C
    4. D.Complete the original symptom checklist in its fixed order.

    Explanation: The source states: "Adapt line of questioning based upon patient response". Emerging information changes the relevant history. A fixed sequence or an immediate transition would leave that information unexplored.

    Reference: CCEB Examinations Candidate Handbook — Appendix C, 1.1 indicators, p.17

  9. 9During an Ontario consultation, a patient cannot visualize the relative location of spinal structures from a verbal explanation. Which resource most directly addresses this conceptual difficulty under G-001?

    1. A.An anatomical chartCorrect answer: A
    2. B.An exercise adherence log
    3. C.A symptom diary
    4. D.A treatment consent form

    Explanation: The source states: "using charts and diagrams to help explain elements of chiropractic care and overcome any conceptual difficulties;". A chart supplies a visual spatial representation; the other genuine clinical documents serve tracking or documentation functions.

    Reference: CCO G-001: Communication with Patients — Verbal Communication, p.2

  10. 10A patient receiving chiropractic care elsewhere asks an Ontario chiropractor to take over and expressly states that they no longer wish to attend the previous member. Under G-009, which statement is accurate?

    1. A.Takeover requires an emergency despite the patient's stated choice.
    2. B.Takeover requires the previous member to relinquish the case despite the patient's stated choice.
    3. C.The patient's stated choice is an express exception allowing takeover of the case.Correct answer: C
    4. D.Takeover requires the previous member's agreement despite the patient's stated choice.

    Explanation: The source states: "the patient has stated he/she no longer wishes to attend the previous member;". The code expressly permits takeover on this basis, without requiring a different exception such as emergency or consultation with the prior member.

    Reference: CCO G-009: Code of Ethics — Code of Ethics, 9, p.2

Exam Review

About CCEB Written Examination

CCEB Written Examination · CA

Key exam facts

Provider
Canadian Chiropractic Examining Board (CCEB) develops and administers the examination.
Format
Online live remote proctoring, with approved testing-accommodation exceptions. Standard MCQs have four options; case-based items have three options per item, with three items per case. Images and videos may be included.
Exam questions
Total questions: 255; The total includes the scored and unscored questions.
Time limit
Two three-hour answering sessions (morning and afternoon), six hours in total; approved accommodations may vary.
Passing score
An administration-specific cut score set by the modified Angoff method. Each scored item is worth one point; both sessions are combined. No fixed percentage cut score is specified; curved grading is not used.
Exam fee
CAD $1,750 for the Written Examination, payable through the online application portal. Fees are subject to change without notice.

Topics covered

  • Neuromusculoskeletal Expert (27%)

    • Demonstrate proficiency in determining a differential diagnosis of the patient.
    • Demonstrate proficiency in conducting a history.
    • Demonstrate proficiency in performing an examination.
    • Demonstrate proficiency in determining the need for and selection of or referral for appropriate imaging modalities and laboratory analysis to order to arrive at an appropriate differential diagnosis.
    • Demonstrate proficiency in interpretation of results of diagnostic testing.
    • Demonstrate clinical reasoning by considering the relative influence of all determinants in the formulation of a differential diagnosis.
    • Develop and manage an appropriate plan of patient care.
    • Prioritize issues that need to be addressed.
    • Consider risk management strategies that address patient safety.
    • Obtain informed consent.
    • Implement measurable and effective patient-centered management that supports ongoing care, follow up investigations, response to treatment and further consultation.
    • Adapt to unanticipated clinical findings.
    • Demonstrate the proficient delivery of therapeutic interventions.
    • Implement safe and effective interventions consistent with the established differential diagnosis and treatment goals and expectations.
    • Recognize and respond to adverse events.
    • Provide evidence-informed conservative care for NMS conditions.
    • Deliver appropriate chiropractic adjustments/manipulations as identified in the treatment plan.
    • Identify segmental dysfunction of the spine and/or other articulations.
    • Analyze and interpret findings indicating the need for chiropractic adjustment/manipulation.
    • Identify indications, contraindications, and risk factors for the chiropractic adjustment/manipulation, explain the anticipated benefits, potential complications and effects to patients.
    • Apply chiropractic adjustment/manipulation to patients while ensuring patient safety.
    • Identify the effects following the chiropractic adjustment/manipulation.

  • Communicator (24%)

    • Establish rapport and trust with patients, their families and/or caregivers and/or support persons, colleagues and other health professionals.
    • Engage in responsive, non-judgmental and culturally respectful dialogue, during written (including electronic) communication, verbal, and non-verbal communication.
    • Facilitate an environment which optimizes patient comfort, safety, confidentiality and privacy.
    • Share information in an empathic manner that respects patient privacy and confidentiality.
    • Recognize the physical and psychosocial needs of patients.
    • Identify barriers and adapt communication approaches that enable shared decision-making and promote patient engagement in their care.
    • Synthesize relevant information and perspective of patients and families and/or caregivers and/or support persons, colleagues and other health professionals.
    • Gather and document relevant information and perspectives of patients and families, colleagues and other professionals.
    • Document clinical information and encounters in an accurate, readable, complete, timely and accessible manner in compliance with regulatory and legal requirements.
    • Communicate in a collaborative, responsive and responsible manner that is meaningful to the recipient.
    • Recognize when values, biases, or perspectives of patients, chiropractors or other health care professionals may have an impact on quality of care, and modify the approach to the patient accordingly.
    • Participate in a continuing dialogue (with patient and/or referrer) while maintaining informed consent as part of the evolving process of patient engagement.
    • Assist patients, their families and/or caregivers and/or support persons to identify, access and make use of information and communication technologies to support their care and manage their health.
    • Utilize communication skills and strategies that help the public to practically apply evidence-informed health information.
    • Manage conflicts, misunderstandings and sensitive conversations in a professional manner.
    • Address challenging communication issues effectively, such as obtaining informed consent and addressing anger, confusion and misunderstanding.
    • Provide clear and accurate explanation about the plan of care, recommendations and prognosis for the goals of proposed interventions, as well as the risks and benefits of proposed interventions within a structured report of findings.
    • Demonstrate appropriate and responsible use of technology for communication.
    • Implement steps to comply with relevant regulation and acts that relates to security, confidentiality and privacy issues with the use of electronic communication and data collection.

  • Professional (16%)

    • Demonstrate a commitment to the patient, profession and society through ethical behaviour.
    • Exhibit appropriate professional behaviours and relationships with colleagues, mentors, and other health professionals.
    • Respond appropriately to ethical issues and conflicts of interest.
    • Identify and describe the elements of appropriate, ethical and healthy business practices that could help develop and sustain a successful chiropractic practice.
    • Understand ethical business skills and practices.
    • Understand quality improvement processes for business practices.
    • Demonstrate elements of reflective practice.
    • Demonstrate an ongoing ability for critical self-appraisal, including an examination of one’s own strengths, weaknesses and biases.
    • Implement appropriate learning opportunities and/or remediation strategies.

  • Collaborator (15%)

    • Demonstrate an understanding of the chiropractic scope of practice and those of other health professions.
    • Demonstrate knowledge of relevant provider’s scopes of practice in order to best address the patients’ needs and health goals.
    • Co-manage and/or refer to the appropriate health professionals when applicable.
    • Value and engage the patient/family/support persons in patient care.
    • Actively engage patient/family/support persons as team members in planning patient care.
    • Demonstrate respect for patient, family and community cultural and social values in the provision of clinical care.
    • Adapt to a variety of patient types and populations.
    • Work effectively with chiropractors and other health professionals.
    • Engage in respectful, shared decision-making with chiropractors and other health professionals when required or when applicable.
    • Negotiate overlapping and shared responsibilities with chiropractors and other health professions when required or when applicable.
    • Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture.
    • Utilize both verbal and/or written communication in situations of referrals and co- management.

  • Scholar (10%)

    • Demonstrate skills as a knowledge broker that include contribution to the creation, critical appraisal, dissemination, application and/or translation of health care knowledge into practice.
    • Demonstrate an understanding of the scientific principles of research and evidence- informed practice for health care.
    • Demonstrate the ability to identify and retrieve relevant scientific literature, and to critically appraise and evaluate the applicability of health-related literature and research.
    • Summarize and communicate to professional and lay audiences the findings of relevant research and/or scholarly evidence.
    • Identify ethical principles for research and incorporate them into obtaining informed consent, considering potential harms and benefits, and considering vulnerable populations.
    • Identify and develop strategies to address knowledge gaps in clinical care.
    • Demonstrate attributes of a lifelong learner including strategies to integrate new evidence-informed knowledge into practice.
    • Establish and maintain evidence-informed clinical knowledge, skills, and attitudes, appropriate for the practice of chiropractic.
    • Demonstrate the application of knowledge of the clinical and biomedical sciences.
    • Execute the practice of chiropractic in an evidence-informed manner considering best current evidence, patient preference and clinician expertise.

  • Health Advocate (5%)

    • Advocate for health, healthy lifestyle at home/work/recreation, injury prevention, and quality of life for individual patients and communities within and beyond the clinical environment.
    • Explore relevant personal and social determinants of health with the patient.
    • Encourage patients and their families to adopt healthy behaviours.
    • Recognize, support and assist in implementing evidence-informed public health practices and initiatives.
    • Identify and address barriers and facilitators to adopting healthy behaviours.

  • Leader (3%)

    • Identify and describe the elements of leadership in professional practice.
    • Understand the roles and governance structures of regulatory and professional organizations relevant to the chiropractic profession.
    • Demonstrate engagement through community, professional, volunteer or other activities.
    • Understand how to contribute to the improvement of health care delivery in teams, organizations and systems.

How to prepare

Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.

These independent practice questions are not actual exam items and do not guarantee a passing result.

Frequently asked questions

What is the exam format?

Online live remote proctoring, with approved testing-accommodation exceptions. Standard MCQs have four options; case-based items have three options per item, with three items per case. Images and videos may be included.

How many questions are on the exam?

Total questions: 255; The total includes the scored and unscored questions.

How long is the exam?

Two three-hour answering sessions (morning and afternoon), six hours in total; approved accommodations may vary.

What is the passing score?

An administration-specific cut score set by the modified Angoff method. Each scored item is worth one point; both sessions are combined. No fixed percentage cut score is specified; curved grading is not used.

How much does the exam cost?

CAD $1,750 for the Written Examination, payable through the online application portal. Fees are subject to change without notice.

Official sources and references

Confirm current exam arrangements with the exam provider.