NAC OSCE Practice Test
Updated October 2026Facts verified Oct 19, 2026 against Medical Council of Canada
NAC OSCE: upcoming dates and official changes
- Updated Oct 19, 2026: Validity is now No time restriction on results (previously No expiry; only the most recent result is valid).
- Updated Oct 19, 2026: Delivery is now In-person half-day OSCE at designated centres, English or French (previously In-person OSCE in Canada).
- Updated Oct 19, 2026: Number of questions is now 12 stations (10 scored, 2 pilot) (previously 12 OSCE stations: 10 scored and 2 unscored pilot stations).
Facts verified Oct 19, 2026 against Medical Council of Canada. Dates that have passed are removed automatically.
- The NAC Examination consists of 12 stations, 2 of which are unscored pilot stations. (Medical Council of Canada)
- Each NAC Examination station is 11 minutes long, with 2 minutes between stations. (Medical Council of Canada)
- The NAC Examination total score is reported on a scale from 500 to 700 with a pass score of 577. (Medical Council of Canada)
- The NAC Examination can be taken a maximum of 3 times and cannot be taken in consecutive sessions. (Medical Council of Canada)
- There are no time restrictions on NAC Examination results, and the most recent result is the only valid one. (Medical Council of Canada)
- The NAC Examination is a half-day Objective Structured Clinical Examination (OSCE) that can be taken in English or French at designated centres. (Medical Council of Canada)
- NAC Examination candidates must have finished, or be expected to finish within 15 months of the exam, a medical degree at an eligible school, and U.S. allopathic graduates must have graduated on or after July 1, 2025. (Medical Council of Canada)
Facts verified Oct 19, 2026 against Medical Council of Canada. Dates that have passed are removed automatically.
NAC OSCE Exam at a Glance
| Item | Detail | Official source |
|---|---|---|
| Number of questions | 12 stations (10 scored, 2 pilot) | Medical Council of Canada |
| Time limit | 11 minutes per station, 2 minutes between stations | Medical Council of Canada |
| Passing score | 577 on a 500–700 scale | Medical Council of Canada |
| Retake policy | Max 3 attempts; not in consecutive sessions | Medical Council of Canada |
| Validity | No time restriction on results | Medical Council of Canada |
| Delivery | In-person half-day OSCE at designated centres, English or French | Medical Council of Canada |
| Eligibility | Graduates or students finishing within 15 months; US allopathic graduates on/after July 1, 2025 | Medical Council of Canada |
| Testing window | Twice a year, spring and fall | Medical Council of Canada |
Facts verified Oct 19, 2026 against Medical Council of Canada. Dates that have passed are removed automatically.
Free NAC OSCE Study Tools
Interactive NAC OSCE resources on PracticeTestGeeks, free to start:
- NAC OSCE Diagnostic Investigations & Data Interpretation 1 — 7 questions with answer explanations
- NAC OSCE flashcards — review key terms and concepts card by card
- NAC OSCE study guide — topic-by-topic overview of what the exam covers
- NAC OSCE cheat sheet — one-page printable summary for last-minute review
Important: The NAC OSCE examination requires thorough understanding of all core subject areas. Review the official Canadian exam guidelines and ensure you meet all eligibility requirements before scheduling your test date.
What are the key eligibility requirements for the NAC OSCE?
Candidates must meet the educational and professional requirements set by the Canadian certification body. Check official prerequisites before applying.
Start FREE TestWhat is the best strategy for NAC OSCE exam preparation?
Combine official study materials with practice tests, focus on weak areas, and create a structured revision timetable leading up to exam day.
Start FREE TestHow is the NAC OSCE exam scored?
The NAC OSCE uses a standardised scoring system. Results are typically provided as pass/fail, with detailed score reports available for each domain area.
Start FREE TestWhat should I bring on NAC OSCE exam day?
Bring valid photo identification, your exam confirmation, and any approved materials. Arrive early and review the testing centre rules beforehand.
Start FREE TestNAC OSCE Study Tips
- Create a structured study schedule at least 4-6 weeks before your NAC OSCE exam date.
- Focus on understanding core concepts rather than memorising answers for the NAC Objective Structured Clinical Examination.
- Use our free practice tests to identify weak areas and track your progress over time.
- Review the official NAC OSCE exam syllabus to ensure complete topic coverage.
- Take timed practice sessions to build your exam pace and reduce test-day anxiety.
NAC OSCE Practice Test Questions
Prepare for the NAC OSCE - National Assessment Collaboration exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
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NAC OSCE Mock Test covering History Taking. Online NAC OSCE Test practice with instant feedback.
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NAC OSCE Practice Questions for Medical Ethics & Professionalism. Build confidence for your NAC OSCE certification exam.
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- ✓Valid government-issued photo identification
- ✓Exam booking confirmation or admission notice
- ✓Approved calculator (if permitted)
- ✓Water bottle (clear, no labels)
- ✓Arrive 30 minutes before scheduled time
- ✓Know the test centre location and parking
- ✓Review key formulas or concepts the night before
- ✓Get a good night's sleep before exam day
Ready to Pass the NAC OSCE?
Join thousands of candidates who have used our free practice tests to prepare for the NAC Objective Structured Clinical Examination. Start practising today and build the confidence you need to succeed.
Sample NAC OSCE Practice Questions
Try these questions from our free NAC OSCE practice tests. The correct answer and an explanation follow each question.
In the NAC OSCE, what is the significance of asking about the patient's 'ideas, concerns, and expectations' (ICE)?
- A. It is not important and wastes valuable station time
- B. It demonstrates patient-centred care by understanding what the patient thinks is wrong, what worries them most, and what they hope to achieve from the visit
- C. It is only relevant in psychiatric stations
- D. It replaces the need for a thorough medical history
Answer: B. It demonstrates patient-centred care by understanding what the patient thinks is wrong, what worries them most, and what they hope to achieve from the visit
ICE (Ideas, Concerns, Expectations) is a cornerstone of patient-centred communication assessed in the NAC OSCE. Understanding what the patient thinks is causing their symptoms, what concerns them most, and what they hope for from the encounter improves diagnostic accuracy, patient satisfaction, and adherence. It is relevant in every station, not just psychiatric ones.
A 45-year-old woman presents with fatigue, weight gain, cold intolerance, and constipation. Which single test is MOST appropriate to confirm the suspected diagnosis?
- A. TSH (thyroid-stimulating hormone)
- B. Free T4 alone
- C. Anti-TPO antibodies
- D. T3 level
Answer: A. TSH (thyroid-stimulating hormone)
TSH is the most sensitive first-line test for hypothyroidism, consistent with Canadian guidelines; a high TSH with low free T4 confirms primary hypothyroidism.
According to the SOGC, at what gestational age is the combined first-trimester prenatal screening (nuchal translucency + PAPP-A + free β-hCG) performed?
- A. 11+0 to 13+6 weeks gestation
- B. 15-18 weeks gestation
- C. 8-10 weeks gestation
- D. 20-22 weeks gestation
Answer: A. 11+0 to 13+6 weeks gestation
SOGC guidelines specify combined first-trimester screening is performed between 11+0 and 13+6 weeks when nuchal translucency measurement is technically optimal.
In a NAC OSCE thyroid examination station, which technique is used to auscultate for a thyroid bruit and what does it indicate?
- A. Use the bell of the stethoscope over the thyroid lobes; a bruit indicates increased vascularity, classically seen in Graves' disease
- B. Use the diaphragm; a bruit indicates malignancy
- C. Auscultate over the carotid arteries and attribute any bruit to the thyroid
- D. A thyroid bruit is normal in all patients
Answer: A. Use the bell of the stethoscope over the thyroid lobes; a bruit indicates increased vascularity, classically seen in Graves' disease
A thyroid bruit detected with the bell of the stethoscope indicates hypervascular thyroid tissue, classically associated with Graves' disease due to TSH receptor stimulation.
How this page was made: written with AI tools. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- mcc.ca — Eligibility, retake policy, passing score, score validity, test delivery, exam format, test dates, time limit · verified Oct 2026