SPEC Test Plan

SPEC consists of two parts; 100 traditional multiple-choice questions (TMCQ) and 40 extended multiple-choice cases (EMCQ), addressing the general clinical knowledge and understanding required for chiropractic practice.

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    Case History - 11%

    • Chief complaint
    • Present illness
    • Past history
    • Family history
    • Personal and social history
    • Review of systems

    Physical Examination - 8%

    • General survey
    • Head and neck examination
    • Thorax and lung examination
    • Cardiovascular examination
    • Breast and axilla examination
    • Abdominal examination
    • Urogenital examination
    • Rectal examination

    Neuromusculoskeletal Examination - 12%

    • Posture and gait analysis
    • Standard spinal and extremity orthopedic procedures
    • Standard neurological testing procedures
    • Peripheral vascular examination procedures

    Diagnostic Imaging - 12%

    • Indications and contraindications for diagnostic imaging procedures
    • Patient protection and positioning
    • Normal anatomy
    • Description and interpretation of images

    Clinical Laboratory and Special Studies - 6%

    • Urinalysis
    • Hematology
    • Serology
    • Blood chemistries
    • Stool analysis
    • Joint fluid analysis
    • Electrophysiologic recordings (EEG, ECG, EMG, and NCV)

    Diagnosis or Clinical Impression - 17%

    • Patient history
    • Physical and neuromusculoskeletal examinations
    • Diagnostic imaging
    • Clinical laboratory and special studies

    Chiropractic Techniques - 9%

    • Indications and contraindications for chiropractic care
    • Spinal adjustive techniques
    • Extremity adjustive techniques
    • Skeletal biomechanics

    Supportive Interventions - 10%

    • Physiotherapy modalities
    • Nutrition and diet
    • Corrective exercises and rehabilitation
    • Protective body mechanics and ergonomics
    • Patient education and self-care
    • Wellness and lifestyle counseling

    Case Management - 15%

    • Formulation of a treatment plan and prognosis
    • Appropriate procedures for case follow-up and review
    • Patient referral and/or co-management
    • Clinical documentation and informed consent

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