NAC OSCE Exam

Question 1

A 55-year-old male presents with sudden-onset severe headache described as 'the worst headache of my life.' What is the MOST important diagnosis to rule out?

Tension headache Subarachnoid hemorrhage — a life-threatening emergency requiring urgent CT head and, if negative, lumbar puncture Migraine with aura Sinusitis

Correct Answer:

Subarachnoid hemorrhage — a life-threatening emergency requiring urgent CT head and, if negative, lumbar puncture

Question 2

A 30-year-old woman presents with a unilateral, throbbing headache with nausea and photophobia. She reports seeing zigzag lines before the headache started. What is the MOST likely diagnosis?

Tension-type headache Migraine with aura — the visual symptoms (scintillating scotoma) preceding the headache are characteristic Cluster headache Meningitis

Correct Answer:

Migraine with aura — the visual symptoms (scintillating scotoma) preceding the headache are characteristic

Question 3

A patient presents with acute right lower quadrant pain, fever, and rebound tenderness. The initial blood work shows elevated WBC. What is the MOST likely diagnosis and next step?

Gastroenteritis — prescribe anti-emetics and fluids Acute appendicitis — urgent surgical consultation and consider CT abdomen/pelvis for confirmation Irritable bowel syndrome — reassure and discharge Renal colic — order renal ultrasound

Correct Answer:

Acute appendicitis — urgent surgical consultation and consider CT abdomen/pelvis for confirmation

Question 4

A 70-year-old man presents with acute onset of left-sided weakness and slurred speech that began 1 hour ago. What is the time-critical management priority?

Order a full blood panel and wait for results Rapid assessment for stroke using a validated scale, urgent non-contrast CT head to exclude hemorrhage, and consideration of thrombolysis (tPA) within the 4.5-hour window Start antibiotics for possible meningitis Schedule an outpatient MRI for next week

Correct Answer:

Rapid assessment for stroke using a validated scale, urgent non-contrast CT head to exclude hemorrhage, and consideration of thrombolysis (tPA) within the 4.5-hour window

Question 5

When developing a differential diagnosis, what does the mnemonic 'VINDICATE' stand for?

Viral, Inflammatory, Neoplastic, Degenerative, Idiopathic, Congenital, Autoimmune, Trauma, Endocrine Vascular, Infectious, Neoplastic, Degenerative, Iatrogenic, Congenital, Autoimmune, Trauma, Endocrine/metabolic Various, Important, Notable, Diagnostic, Imaging, Clinical, Assessment, Treatment, Evaluation Vascular, Immune, Neurological, Digestive, Inflammatory, Cardiac, Allergic, Toxic, Environmental

Correct Answer:

Vascular, Infectious, Neoplastic, Degenerative, Iatrogenic, Congenital, Autoimmune, Trauma, Endocrine/metabolic

Exam overview

About this Exam

Prepare with the NAC OSCE Exam practice quiz. This question bank includes 12 questions covering year-old, presents, diagnosis, headache, and woman. 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 Exam

This practice set contains 12 questions from the matching question bank and focuses on year-old, presents, diagnosis, headache, and woman. 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 Exam

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