NAC OSCE case studies
NAC OSCE · Put your knowledge to work in context.
The NAC Examination is an assessment delivered by the Medical Council of Canada (MCC), a national organization that describes its role as ensuring a standard of safe care for patients across Canada through the assessment of physicians and validation of credentials. The MCC states that close to 50,000 students, graduates, and physicians engage with it every year as part of their pathway towards the practice of medicine in Canada, and it positions its assessments as information that gives medical regulators confidence when making licensing decisions based on candidate results. Candidates typically encounter the NAC Examination as one step on a licensure pathway, alongside other MCC offerings such as the MCCQE, the Therapeutics Decision-Making Examination, workplace-based assessment, and Practice-Ready Assessment. This page is an independent study resource and is not affiliated with or endorsed by the MCC; always confirm eligibility, scheduling, fees, and results details on the MCC's own pages before you apply. The NAC OSCE case studies are 5 cases and about 3,923 words.
1Chest Pain in a 58-Year-Old With Normal Initial ECG
R, 58, presents to your family practice clinic at 09:00 with 90 minutes of central chest pressure radiating to his left jaw, started while shovelling snow. He rates it 6/10, describes it as 'heavy, like a band', and reports nausea and sweating.
744 words, about 4 min2Breaking Bad News About a New Cancer Diagnosis
L, 44, is a schoolteacher and single mother of two children aged 9 and 12. She was referred for a breast lump and underwent a core biopsy two weeks ago.
851 words, about 4 min3A Medication Error Discovered on Handover
You are the overnight resident covering a 32-bed medical ward. At 23:40 the day nurse hands over that Mr.
768 words, about 4 min4Choosing Wisely: Imaging Requests Under Pressure
You are a second-year family medicine resident in a walk-in clinic seeing 34 patients in a 7-hour shift. A 41-year-old man, Mr.
752 words, about 4 min5A Trainee in Difficulty: Feedback, Documentation, and Duty to Report
You are the supervising resident on a general internal medicine rotation. A first-year resident, Dr.
808 words, about 4 min