Part II

Exam Changes to be Implemented - August 2024

NBCE announces changes to the Parts I, II, III, and Physiotherapy exam to begin in August 2024. Click here for new exam schedule information.

What Is Part II

Part II is a computer-based test, covering clinical sciences. It consists of 255 questions across six domains.

The administration of Part II is divided into two sessions; each session consists of three domains.

Session 1: General Diagnosis, Neuromusculoskeletal Diagnosis, and Diagnostic Imaging

Session 2: Principles of Chiropractic, Chiropractic Practice, and Associated Clinical Sciences

You are allotted 3 hours and 26 minutes of total testing time for Part II. Testing appointments are 4 hours with a tutorial, end of exam survey, and an optional 15-minute break after the first session.

Part II Tests Six Clinical Science Areas (Domains):


  • General Diagnosis
  • Neuromusculoskeletal Diagnosis
  • Diagnostic Imaging
  • Principles Of Chiropractic
  • Chiropractic Practice
  • Associated Clinical Sciences

Who Can Take Part II?


Topics, Sample Tests and Reference Texts

The NBCE develops every exam based on a test plan. The detailed Part II Test Plan includes topics, subtopics, and weightings (the percentage of the test devoted to each topic).

The NBCE uses reference texts from the chiropractic colleges. See the Part II Reference Texts list.

The NBCE offers Sample Tests for each Part II subject. Each sample test contains 50 questions and costs $15. You will receive an overall score for the test, but will not see which questions were answered correctly/incorrectly.


Test Sites And Test Site Rules

The NBCE offers Part II at chiropractic colleges and Prometric testing centers across the country. Each test site utilizes computer-based testing. You can select a test site when you apply. See the list of on-campus Test Sites.

The NBCE is committed to exam security. The only item you are allowed to bring into the secure testing area is one form of ID. The NBCE will provide a place to store your car key (one key allowed). Please review the complete list of Test Site Rules before you arrive to take your test.

Exam Administration Dates

Dates & Deadlines Through July 2024 (PDF)

Dates & Deadlines Effective August 2024 (PDF)

Administration Dates Application Deadline
JUNE 8 OR JUNE 9, 2024 May 9, 2024 – 5pm (MT)
AUG 10-25, 2024 16 days prior to the scheduled test date
SEP 14-29, 2024 16 days prior to the scheduled test date
OCT 12-27, 2024 16 days prior to the scheduled test date


What Is A Passing Score For Part II?

In order to achieve a passing score, you must demonstrate proficiency in each domain. The NBCE recommends a passing score of 375 for each domain of the Part II Examination.



Part II                                   $710

Individual Domains           $335


Withdraw / Reschedule

Prior to the published application deadlines, examinees may withdraw from or reschedule their Parts I, II, III, Physiotherapy computer-based exams using the Prometric scheduling tool. After published deadlines, you may not make any changes to your appointment and the NBCE will issue no refunds. I understand that I will not be refunded any of my exam fees if I change or cancel my testing appointment within 29 days of the first day of my scheduled testing weekend, or fail to appear for my exam.


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