NAC OSCE History Taking & Communication 2

Question 1

During a paediatric NAC OSCE station, a mother reports her 8-month-old has had decreased oral intake and fever for 2 days. Which developmental milestone question is most relevant to include in this history?

Accepted Answer

Whether the infant is sitting with support and babbling

Answer

At 8 months, Canadian Paediatric Society (CPS) milestones include sitting with support and babbling; regression or delay can indicate a serious underlying condition.

Question 2

A 55-year-old male presents with a 2-week history of productive cough and night sweats. Which epidemiological history question is MOST critical in a Canadian context?

Accepted Answer

Country of birth and travel history to TB-endemic regions

Answer

Canada has a disproportionate TB burden in immigrants from high-prevalence countries; Canadian Tuberculosis Standards require country of birth and travel history as first-line screening questions.

Question 3

In a NAC OSCE psychiatric history station, which Canadian screening tool is recommended for identifying major depressive disorder in primary care?

Accepted Answer

PHQ-9 (Patient Health Questionnaire-9)

Answer

The PHQ-9 is endorsed by the Canadian Network for Mood and Anxiety Treatments (CANMAT) and widely used in Canadian primary care to screen and monitor depression severity.

Question 4

When taking a medication history in a NAC OSCE station, which additional information is MOST important to elicit beyond drug name and dose?

Accepted Answer

Adherence, allergies with reaction type, and over-the-counter or herbal use

Answer

Comprehensive medication reconciliation includes adherence, true allergies versus intolerances (with reaction type), and non-prescription or herbal products, which is a patient safety priority in Canadian hospital and outpatient settings.

Question 5

A 28-year-old Indigenous woman presents for antenatal care. Which culturally safe practice is MOST important to incorporate at this first visit according to Canadian guidelines?

Accepted Answer

Ask about traditional practices and preferences without assumptions, and involve family or community supports if desired

Answer

SOGC and the National Aboriginal Council of Midwives emphasise culturally safe care that avoids stereotyping, respects traditional practices, and incorporates patient-defined supports for Indigenous women.

NAC OSCE Practice Test

NAC OSCE Practice Test

NAC OSCE History Taking & Communication 2