NAC OSCE Practice Questions - National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE) Exam - NAC OSCE Practice Questions - National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE) Exam

Question 1

A 58-year-old man presents with crushing substernal chest pain radiating to the left arm for 40 minutes, with diaphoresis and nausea. His ECG shows 2 mm ST elevation in leads II, III, and aVF. In a NAC OSCE station, what is the single most time-critical management priority after confirming the diagnosis?

Arrange urgent reperfusion (primary PCI or thrombolysis) and give aspirin 160-325 mg chewed Order a troponin and wait for the result before any treatment Start an oral beta-blocker and discharge with cardiology follow-up Obtain a CT pulmonary angiogram to exclude pulmonary embolism

Correct Answer:

Arrange urgent reperfusion (primary PCI or thrombolysis) and give aspirin 160-325 mg chewed

Question 2

During a focused history station, a 24-year-old woman reports a 3-week history of fatigue, polyuria, polydipsia, and 6 kg unintentional weight loss. Random capillary glucose is 19 mmol/L. Which finding on history would most strongly suggest she needs urgent assessment for diabetic ketoacidosis rather than routine clinic follow-up?

A family history of type 2 diabetes Nausea, vomiting, and deep rapid breathing Mild blurred vision that improves with rest Increased appetite over the past month

Correct Answer:

Nausea, vomiting, and deep rapid breathing

Question 3

A 70-year-old woman with COPD presents with increased dyspnea, increased sputum volume, and new sputum purulence over 2 days. She is afebrile, alert, with SpO2 88% on room air. According to the Anthonisen criteria used in Canadian practice, this presentation most supports which management decision?

High-flow oxygen titrated to SpO2 100% and immediate intubation Inhaled bronchodilators alone with no antibiotics or steroids Antibiotics plus systemic corticosteroids and controlled oxygen titrated to SpO2 88-92% Discharge home with reassurance and a follow-up appointment in 6 weeks

Correct Answer:

Antibiotics plus systemic corticosteroids and controlled oxygen titrated to SpO2 88-92%

Question 4

A 65-year-old man presents with sudden right-sided weakness and slurred speech that began 90 minutes ago. CT head shows no hemorrhage. His blood pressure is 168/92 mmHg and capillary glucose is 6.2 mmol/L. What is the most appropriate next step?

Lower the blood pressure rapidly to below 120/80 mmHg with IV labetalol Start aspirin immediately and admit for observation only Give IV mannitol to reduce presumed cerebral edema Assess eligibility for IV thrombolysis (tPA) and consider endovascular thrombectomy

Correct Answer:

Assess eligibility for IV thrombolysis (tPA) and consider endovascular thrombectomy

Question 5

In a focused history station, a 45-year-old man complains of episodic epigastric burning that worsens 2-3 hours after meals and at night, relieved by food and antacids. Which feature in the history is the most important alarm symptom that would change your management toward urgent endoscopy?

Progressive dysphagia and unintentional weight loss Symptom relief with over-the-counter antacids Burning that is worse when lying flat after meals A history of occasional non-bloody belching

Correct Answer:

Progressive dysphagia and unintentional weight loss

Question 1

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Prepare with the NAC OSCE Practice Questions - National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, woman, diagnosis, and pain. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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NAC OSCE Practice Questions - National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, woman, diagnosis, and pain. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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NAC OSCE Practice Questions - National Assessment Collaboration Objective Structured Clinical Examination (NAC OSCE) Exam

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