NBCE Exam 2026 – 400 Free Practice Questions to Pass the National Board of Chiropractic Examiners

The presentation of anterior hip and groin pain in a 30-year-old patient who has recently started an aerobic program strongly suggests iliopsoas bursitis as the most likely diagnosis. This condition typically occurs when there is inflammation of the iliopsoas bursa, which can result from repetitive activities or increased activity levels, such as those experienced undertaking a new exercise regimen. The location of the pain aligns with the function of the iliopsoas muscle, which is crucial for hip flexion and can lead to discomfort in the anterior hip area.

In this scenario, the recent initiation of aerobic activities could be a contributing factor, as increased physical stress may lead to inflammation of the bursa. The age of the patient and the nature of the pain also support this diagnosis because iliopsoas bursitis is more common in adults who engage in activities that put strain on the hip flexors.

Osgood-Schlatter disease is primarily seen in adolescents undergoing rapid growth, making it less likely in a 30-year-old. Charcot-Marie-Tooth disease is a hereditary neurological disorder that typically presents with muscle weakness and sensory loss rather than localized hip pain. Chondrosarcoma, a type of bone cancer, would be unusual to present ac