NAC OSCE (Medical Council of Canada NAC OSCE — National Assessment Collaboration) — Free Online Mock Test
Required clinical exam for international medical graduates seeking residency in Canada (CaRMS R-1). 12 OSCE stations × 11 min, covering history-taking, physical exam, communication, clinical reasoning across 6 medical disciplines. Scored numerically per station; pass mark set by MCC. · Official language: English & French.
Elite
Canada
Medical Licensing
88 questions
88 min
50 distinct variants
Start free practice test →
NAC OSCE exam at a glance
NAC OSCE section breakdown
The NAC OSCE mock test on Wrexa Edge replicates the real exam's section structure — same names, same question count per section, same time limits. Inter-section breaks are enforced.
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Station 1 — Medicine (History)
11 questions · 11 minutes · ~60 sec/question
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Station 2 — Surgery (Physical)
11 questions · 11 minutes · ~60 sec/question
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Station 3 — Paediatrics
11 questions · 11 minutes · ~60 sec/question
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Station 4 — Obs & Gynae
11 questions · 11 minutes · ~60 sec/question
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Station 5 — Psychiatry
11 questions · 11 minutes · ~60 sec/question
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Station 6 — Family Medicine
11 questions · 11 minutes · ~60 sec/question
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Station 7 — Communication / Bad News
11 questions · 11 minutes · ~60 sec/question
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Station 8 — Ethics / Professionalism
11 questions · 11 minutes · ~60 sec/question
NAC OSCE scoring & marking scheme
Strategy: NAC OSCE has no negative marking. Attempt every question — blank answers cost you potential marks but cannot pull your score down.
Scale: NAC OSCE (pass / fail, set by MCC).
How NAC OSCE is conducted
Mode
Standard — practice without proctoring on Wrexa Edge, or enable optional webcam proctoring to simulate test-day conditions.
Test format
Linear / fixed-form — every candidate sees the same number of questions per section.
Backtracking
Allowed — you can revisit and change answers within a section.
Mark for review
Available — flag tough questions and return to them before submitting the section.
NAC OSCE time strategy
With 88 questions in 88 minutes, you have about 60 seconds per question on average. Successful candidates aim for the following pacing on each section:
Station 1 — Medicine (History)
Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
Station 2 — Surgery (Physical)
Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
Station 3 — Paediatrics
Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
Station 4 — Obs & Gynae
Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
Station 5 — Psychiatry
Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
Station 6 — Family Medicine
Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
Station 7 — Communication / Bad News
Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
Station 8 — Ethics / Professionalism
Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.
NAC OSCE topics covered
Across the 50 Wrexa Edge variants of NAC OSCE, the following topics appear most often (sample distribution from one variant):
Station 1 — Medicine (History)
- Step 2 — SAH Workup · 1
- Step 2 — PE Workup · 1
- Step 2 — Pulmonary TB · 1
- Step 2 — Variceal Bleed · 1
- Step 2 — H. pylori · 1
- Step 2 — Colorectal Cancer Screening · 1
- Step 2 — Pancreatitis · 1
- Step 2 — DKA · 1
Station 2 — Surgery (Physical)
- Step 2 — SAH Workup · 1
- Step 2 — PE Workup · 1
- Step 2 — Pulmonary TB · 1
- Step 2 — Variceal Bleed · 1
- Step 2 — H. pylori · 1
- Step 2 — Colorectal Cancer Screening · 1
- Step 2 — Pancreatitis · 1
- Step 2 — DKA · 1
Station 3 — Paediatrics
- Step 2 — SAH Workup · 1
- Step 2 — PE Workup · 1
- Step 2 — Pulmonary TB · 1
- Step 2 — Variceal Bleed · 1
- Step 2 — H. pylori · 1
- Step 2 — Colorectal Cancer Screening · 1
- Step 2 — Pancreatitis · 1
- Step 2 — DKA · 1
Station 4 — Obs & Gynae
- Step 2 — SAH Workup · 1
- Step 2 — PE Workup · 1
- Step 2 — Pulmonary TB · 1
- Step 2 — Variceal Bleed · 1
- Step 2 — H. pylori · 1
- Step 2 — Colorectal Cancer Screening · 1
- Step 2 — Pancreatitis · 1
- Step 2 — DKA · 1
Station 5 — Psychiatry
- Step 2 — SAH Workup · 1
- Step 2 — PE Workup · 1
- Step 2 — Pulmonary TB · 1
- Step 2 — Variceal Bleed · 1
- Step 2 — H. pylori · 1
- Step 2 — Colorectal Cancer Screening · 1
- Step 2 — Pancreatitis · 1
- Step 2 — DKA · 1
Station 6 — Family Medicine
- Step 2 — SAH Workup · 1
- Step 2 — PE Workup · 1
- Step 2 — Pulmonary TB · 1
- Step 2 — Variceal Bleed · 1
- Step 2 — H. pylori · 1
- Step 2 — Colorectal Cancer Screening · 1
- Step 2 — Pancreatitis · 1
- Step 2 — DKA · 1
Station 7 — Communication / Bad News
- Reading — Neural Networks · 2
- Reading — Trade History · 1
- Reading — Vaccines · 1
- Reading — Computer Science · 1
- Reading — Marine Biology · 1
- Reading — Globalization · 1
- Reading — Plate Tectonics · 1
- Reasoning — Number Series (arithmetic) · 1
Station 8 — Ethics / Professionalism
- Reading — Neural Networks · 2
- Reading — Trade History · 1
- Reading — Vaccines · 1
- Reading — Computer Science · 1
- Reading — Marine Biology · 1
- Reading — Globalization · 1
- Reading — Plate Tectonics · 1
- Reasoning — Number Series (arithmetic) · 1
Sample NAC OSCE questions
A preview of real practice questions from the Wrexa Edge NAC OSCE bank — the same style, phrasing and difficulty you'll face on test day. Full solutions unlock free inside the mock.
Station 1 — Medicine (History) · Step 2 — SAH Workup
Q1. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
Station 2 — Surgery (Physical) · Step 2 — SAH Workup
Q2. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
Station 3 — Paediatrics · Step 2 — SAH Workup
Q3. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
Station 4 — Obs & Gynae · Step 2 — SAH Workup
Q4. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
Station 5 — Psychiatry · Step 2 — SAH Workup
Q5. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
Station 6 — Family Medicine · Step 2 — SAH Workup
Q6. A "thunderclap" headache with neck stiffness in an alert patient requires:
Why: Correct answer: D — Non-contrast head CT first, then LP if CT negative — to rule out subarachnoid hemorrhage. Topic: Step 2 — SAH Workup.
These are a handful of the 4400 unique NAC OSCE questions across all 50 Wrexa Edge variants — start a free mock to attempt the full set with instant scoring.
NAC OSCE difficulty calibration
Elite tier. Elite-tier: among the toughest exams in its category. Most successful candidates prepare for 6-12+ months.
Required clinical exam for international medical graduates seeking residency in Canada (CaRMS R-1). 12 OSCE stations × 11 min, covering history-taking, physical exam, communication, clinical reasoning across 6 medical disciplines. Scored numerically per station; pass mark set by MCC. · Official language: English & French.
Verified content — Wrexa Edge's NAC OSCE bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).
How Wrexa Edge prepares you for NAC OSCE
Real test-day interface
Our vignette skin mirrors the actual NAC OSCE testing software — same timer, palette, tools, and navigation.
50 distinct variants
4400 unique practice questions, each variant a fresh test — not just shuffled options.
Detailed analytics
Scaled score, section accuracy, topic-wise heatmap, time-per-question — see where to focus after every attempt.
Spaced repetition (Notebook)
Wrong answers and flagged questions flow into an SM-2 spaced-repetition deck so you actually retain what you learn.
Optional proctoring
Browser-based face-api detection (no install) — turn it on to simulate a high-stakes environment.
Free to start
No credit card. Sign up, pick a variant, and your first NAC OSCE mock starts in under a minute.
NAC OSCE study plan
A phase-by-phase roadmap from your first concept to test-ready. Stretch or compress each phase to fit the time you have before your attempt.
1
Phase 1 — Learn the syllabus
Weeks 1–4
- Work through every section — Station 1 — Medicine (History), Station 2 — Surgery (Physical), Station 3 — Paediatrics, Station 4 — Obs & Gynae, Station 5 — Psychiatry, Station 6 — Family Medicine, Station 7 — Communication / Bad News, Station 8 — Ethics / Professionalism — from your core study material
- Make short notes and a formula/fact sheet you can revise quickly
- Attempt topic questions right after finishing each area
2
Phase 2 — Practice & sectionals
Weeks 5–8
- Solve previous-year and practice questions section by section
- Time yourself on Station 1 — Medicine (History) and your weakest areas
- Keep an error log and revisit every mistake weekly
3
Phase 3 — Full-length mocks
Weeks 9–12
- Take full-length NAC OSCE mocks in the real test interface
- Analyse accuracy, time per question and silly mistakes after each mock
- Revise from notes and re-attempt only weak-topic questions
Where NAC OSCE can take you
A strong NAC OSCE result opens up these careers and higher-study paths:
Clinical practice
A pass grants the licence required to practise and treat patients in your jurisdiction.
Residency & specialisation
Qualifies you for residency, postgraduate training and specialist certification.
Hospital & public health roles
Positions across hospitals, public-health services and research institutions.
Frequently asked questions
- What is the NAC OSCE exam pattern?
- Medical Council of Canada NAC OSCE — National Assessment Collaboration contains 88 questions across 8 sections: Station 1 — Medicine (History), Station 2 — Surgery (Physical), Station 3 — Paediatrics, Station 4 — Obs & Gynae, Station 5 — Psychiatry, Station 6 — Family Medicine, Station 7 — Communication / Bad News, Station 8 — Ethics / Professionalism. Total duration is 88 minutes (about 60 seconds per question).
- Does NAC OSCE have negative marking?
- No — NAC OSCE has no negative marking. Each correct answer is worth 1 mark, so attempt every question.
- How is NAC OSCE scored?
- Scaled score range: 0 to 100. NAC OSCE (pass / fail, set by MCC).
- How can I practise NAC OSCE online for free?
- Wrexa Edge gives you 10 free full-length NAC OSCE mock tests — with instant scoring, detailed explanations and analytics — plus 40 more with Pro. Start practising in under a minute, no card required.
- What is the difficulty level of NAC OSCE?
- NAC OSCE is rated Elite difficulty on Wrexa Edge. Elite-tier: among the toughest exams in its category. Most successful candidates prepare for 6-12+ months. Required clinical exam for international medical graduates seeking residency in Canada (CaRMS R-1). 12 OSCE stations × 11 min, covering history-taking, physical exam, communication, clinical reasoning across 6 medical disciplines. Scored numerically per station; pass mark set by MCC. · Official language: English & French.
- How long is the NAC OSCE exam?
- NAC OSCE runs for 88 minutes total across 8 sections. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.
- What topics are covered in NAC OSCE?
- NAC OSCE is split into: Station 1 — Medicine (History), Station 2 — Surgery (Physical), Station 3 — Paediatrics, Station 4 — Obs & Gynae, Station 5 — Psychiatry, Station 6 — Family Medicine, Station 7 — Communication / Bad News, Station 8 — Ethics / Professionalism. Each section is timed and weighted separately. Required clinical exam for international medical graduates seeking residency in Canada (CaRMS R-1). 12 OSCE stations × 11 min, covering history-taking, physical exam, communication, clinical reasoning across 6 medical disciplines. Scored numerically per station; pass mark set by MCC. · Official language: English & French.
- What tools or aids are allowed during NAC OSCE?
- No special tools are required.
- Is the NAC OSCE test adaptive?
- No — NAC OSCE is a fixed-form (linear) test. Every candidate sees the same number of questions per section.
- How many NAC OSCE mock tests does Wrexa Edge offer?
- Wrexa Edge generates 50 distinct NAC OSCE variants — each with different question content, not just shuffled options — the first 10 free for everyone and 40 more with Pro. That's 4400 unique practice questions in the real test-day interface.
- Is there a free NAC OSCE test series 2026?
- Yes. The Wrexa Edge NAC OSCE test series for 2026 gives you 10 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.
- Are NAC OSCE previous year question–style papers included?
- Every NAC OSCE mock is modelled on the official exam pattern and the style of previous years' papers — the same 88-question structure, sections and marking — so your practice mirrors the real paper you'll sit.
- Which is the best free NAC OSCE mock test online?
- Wrexa Edge's NAC OSCE mock test replicates the real exam interface, timing and marking scheme, with instant score, section-wise analysis and 50 fresh variants — a strong free choice for 2026 preparation.
- Can I take the NAC OSCE mock test on mobile?
- Yes. NAC OSCE mock tests run in any browser on mobile, tablet or desktop — no app or download needed. Start on your phone and your progress and analytics sync when you sign in.
- What is the NAC OSCE syllabus?
- The NAC OSCE syllabus maps to its 8 sections: Station 1 — Medicine (History), Station 2 — Surgery (Physical), Station 3 — Paediatrics, Station 4 — Obs & Gynae, Station 5 — Psychiatry, Station 6 — Family Medicine, Station 7 — Communication / Bad News, Station 8 — Ethics / Professionalism. Wrexa Edge's mock tests cover the complete syllabus topic by topic — see the topics-covered breakdown above — so you practise every area at real exam difficulty.
- What is the eligibility for NAC OSCE?
- Eligibility for NAC OSCE — age, qualification and number of attempts — is set by the official conducting body and can change each cycle, so always confirm the current official notification before applying. Wrexa Edge focuses on realistic NAC OSCE practice: 10 free full-length mocks in the exact exam pattern, ready whenever you are.
- When is the NAC OSCE exam and how should I prepare?
- Official NAC OSCE exam dates are announced by the conducting body for each cycle — check the latest notification for the current schedule. To be ready, follow a phased study plan and take full-length timed mocks; Wrexa Edge gives you 10 free NAC OSCE mocks with instant scoring so you can track your readiness week by week.
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