SPEC Test Plan

SPEC consists of two parts; each part includes 100 multiple-choice questions:

The first part contains 100 traditional multiple-choice questions addressing the general clinical knowledge and understanding required for unsupervised chiropractic practice.

  • Case History (11%)
  • Physical Examination (9%)
  • Neuromusculoskeletal Examination (11%)
  • Diagnostic Imaging (11%)
  • Clinical Lab and Special Studies (7%)
  • Diagnosis or Clinical Impression (14%)
  • Chiropractic Techniques (14%)
  • Supportive Interventions (8%)
  • Case Management (15%)

The second part contains 100 questions related to the management of 25 clinical cases. Areas and the approximate number of cases to be tested in each area are as follows:

  • Articular/ Joint, Neurological, Muscular, or Skeletal Conditions (approximately 13)
  • Gastrointestinal, Cardiovascular, Respiratory, or Dermatologic Conditions (approximately 5)
  • Endocrine/ Metabolic, Female Reproductive, Hematological/Lymphatic, Renal/ Urological, or Male Reproductive Conditions (approximately 4)
  • Miscellaneous (Allergies, Nutrition), EENT, or Pediatric Disorders (approximately 3)

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