NAC OSCE History Taking & Communication

Question 1

During a NAC OSCE station, a patient presents with chest pain. Which mnemonic is most commonly used in Canada to structure a systematic pain history?

Accepted Answer

SOCRATES

Answer

SOCRATES (Site, Onset, Character, Radiation, Associated symptoms, Timing, Exacerbating/relieving factors, Severity) is the standard framework taught in Canadian medical schools for history taking.

Question 2

A 35-year-old woman presents concerned about an unintended pregnancy. According to Canadian ethical and communication standards, what is the FIRST priority when initiating this consultation?

Accepted Answer

Explore the patient's own feelings and preferences about the pregnancy

Answer

Patient-centred care requires exploring the patient's own values and wishes first before providing information or referrals, consistent with MCCQE CanMEDS competencies.

Question 3

In the NAC OSCE, which communication technique is used to demonstrate active listening and encourage patients to elaborate on their concerns?

Accepted Answer

Facilitation (nodding, 'go on', open-ended follow-up)

Answer

Facilitation techniques — such as nodding, brief verbal encouragers, and open-ended follow-ups — signal active listening and are core communication skills assessed in the NAC OSCE.

Question 4

A 70-year-old man presents with a 3-week history of rectal bleeding. Which aspect of the social history is MOST important to elicit in a Canadian primary care context?

Accepted Answer

Family history of colorectal cancer and personal screening history

Answer

Canadian Cancer Society and Cancer Care Ontario guidelines emphasise colorectal cancer screening; family history of CRC and personal colonoscopy history directly influence risk stratification and urgency.

Question 5

When breaking bad news in a Canadian NAC OSCE station using the SPIKES protocol, what does the 'P' stand for?

Accepted Answer

Perception (assess what the patient already knows)

Answer

In the SPIKES protocol, 'P' stands for Perception — assessing the patient's current understanding before delivering news prevents information mismatch and supports patient-centred communication.

NAC OSCE Practice Test

NAC OSCE Practice Test

NAC OSCE History Taking & Communication