The Barcelona College of Chiropractic has provided you with the skills and knowledge required to be a safe and proficient health care provider. The International Advanced Chiropractic Science Exam (IACSE) tests the knowledge you have acquired during your studies to distinguish you from other practicing chiropractors. Give your patients the confidence that you are committed to personal development and excellence within the field of chiropractic by taking the extra step in certifying your expertise.

How to Apply for the International Advanced Chiropractic Sciences Exam

  1. Applications are open. Visit to register.
  2. Register as an Examinee.
  3. Select the Barcelona College of Chiropractic (BCC) as your school.
  4. Select the International Advanced Chiropractic Sciences Exam (IACSE).
  5. You will receive an opt-in message that will allow us to share your score with your school. Regardless of a yes or no answer, you can proceed with the application.
  6. Your finished application is sent to Barcelona College of Chiropractic for approval. You will be notified by email once your application is approved.
  7. After being approved by your college, log in to your Learning Builder account to pay the fee of $295. You will receive a confirmation email after making your payment.
  8. You will receive an email and a phone call from Prometric who will schedule your exam.
  9. Your appointment information will be available on Learning Builder under your Examinee Record.

How to Prepare for the Exam

To best prepare for the exam, we suggest taking our Sample Test available at

What to Expect on the Day of the Exam

You must bring a valid, government-issued ID in order to be allowed inside the testing facility. You may wear a wedding band, but no other jewelry. All other items including electronic devices, jewelry, purses, backpacks, notes/reference materials, or food and drink will be placed in an on-site locker. You may access your locker during your scheduled break, but not during any elective breaks.

Please arrive at the test site 45 minutes prior to your exam time in order to allot enough time for registration and security screening. You will be subject to individual security screening procedures, including the use of metal detection wands. If you refuse to submit to individual security screenings, you may be denied entrance and be asked to leave the testing area.

Test Content

The IACSE is a computer-based exam testing nine clinical areas over the course of two sessions. Each session contains 55 multiple-choice questions and five case vignettes. Each case vignette contains three extended multiple-choice questions requiring three answers for each extended question.

Each testing session is two hours with an optional 15-minute break between sessions.

1. Case History

  • Chief Complaint
  • Present Illness
  • Past History
  • Family History
  • Personal and Social History
  • Review of Systems

2. Physical Examination

  • General survey
  • Head and Neck Examination
  • Thorax and Lung Examination
  • Cardiovascular Examination
  • Breast and Axilla Examination
  • Abdominal Examination
  • Urogenital Examination
  • Rectal Examination

3. Neuromusculoskeletal Examination

  • Posture and Gait Analysis
  • Standard Spinal and Extremity Orthopedic Procedures
  • Standard Neurological Testing Procedures
  • Peripheral Vascular Examination Procedures

4. Diagnostic Imaging

  • Indications and Contraindications for Diagnostic Imaging Procedures
  • Patient Protection and Positioning
  • Normal Anatomy
  • Description and Interpretation of Images

5. Clinical Laboratory and Special Studies

  • Urinalysis
  • Hematology
  • Serology
  • Blood Chemistries
  • Stool Analysis
  • Joint Fluid Analysis
  • Electrophysiologic Recordings (EEG, ECG, EMG, and NCV)

6. Diagnosis or Clinical Impression

  • Patient History
  • Physical and Neuromusculoskeletal Examinations
  • Diagnostic Imaging
  • Clinical Laboratory and Special Studies

7. Chiropractic Techniques

  • Indications and Contraindications for Chiropractic Care
  • Spinal Adjustive Techniques
  • Extremity Adjustive Techniques
  • Skeletal Biomechanics

8. Supportive Interventions

  • Physiotherapy Modalities
  • Nutrition and Diet
  • Corrective Exercises and Rehabilitation
  • Protective Body Mechanics and Ergonomics
  • Patient Education and Self Care
  • Wellness and Lifestyle Counseling

9. Case Management

  • 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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