NAC OSCE (Medical Council of Canada NAC OSCE — National Assessment Collaboration) — Free Online Mock Test

NAC OSCE exam at a glance

NAC OSCE full-length mock tests

Attempt 50 full-length NAC OSCE mock tests, each a distinct question set built on the real 88-question, 88-minute pattern — with instant scoring and section-wise analysis. The first 3 are free.

NAC OSCE key facts & eligibility

Who is eligible for NAC OSCE?

International medical graduates who meet the MCC’s eligibility criteria.

Last verified July 2026 against MCC — NAC Examination. Always confirm current details on the official website before you register.

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.

• Station 1 — Medicine (History)
  11 questions · 11 minutes · ~60 sec/question
• Station 2 — Surgery (Physical)
  11 questions · 11 minutes · ~60 sec/question
• Station 3 — Paediatrics
  11 questions · 11 minutes · ~60 sec/question
• Station 4 — Obs & Gynae
  11 questions · 11 minutes · ~60 sec/question
• Station 5 — Psychiatry
  11 questions · 11 minutes · ~60 sec/question
• Station 6 — Family Medicine
  11 questions · 11 minutes · ~60 sec/question
• Station 7 — Communication / Bad News
  11 questions · 11 minutes · ~60 sec/question
• 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)

• SAH Workup · 1
• PE Workup · 1
• Pulmonary TB · 1
• Variceal Bleed · 1
• H. pylori · 1
• Colorectal Cancer Screening · 1
• Pancreatitis · 1
• DKA · 1

Station 2 — Surgery (Physical)

• SAH Workup · 1
• PE Workup · 1
• Pulmonary TB · 1
• Variceal Bleed · 1
• H. pylori · 1
• Colorectal Cancer Screening · 1
• Pancreatitis · 1
• DKA · 1

Station 3 — Paediatrics

• SAH Workup · 1
• PE Workup · 1
• Pulmonary TB · 1
• Variceal Bleed · 1
• H. pylori · 1
• Colorectal Cancer Screening · 1
• Pancreatitis · 1
• DKA · 1

Station 4 — Obs & Gynae

• SAH Workup · 1
• PE Workup · 1
• Pulmonary TB · 1
• Variceal Bleed · 1
• H. pylori · 1
• Colorectal Cancer Screening · 1
• Pancreatitis · 1
• DKA · 1

Station 5 — Psychiatry

• SAH Workup · 1
• PE Workup · 1
• Pulmonary TB · 1
• Variceal Bleed · 1
• H. pylori · 1
• Colorectal Cancer Screening · 1
• Pancreatitis · 1
• DKA · 1

Station 6 — Family Medicine

• SAH Workup · 1
• PE Workup · 1
• Pulmonary TB · 1
• Variceal Bleed · 1
• H. pylori · 1
• Colorectal Cancer Screening · 1
• Pancreatitis · 1
• DKA · 1

Station 7 — Communication / Bad News

• MedEthics — Informed consent · 4
• MedEthics — Capacity · 4
• Reasoning — Number Series (arithmetic) · 1
• Reasoning — Number Series (squares) · 1
• Reasoning — Classification (odd one out) · 1

Station 8 — Ethics / Professionalism

• MedEthics — Informed consent · 4
• MedEthics — Capacity · 4
• Reasoning — Number Series (arithmetic) · 1
• Reasoning — Number Series (squares) · 1
• Reasoning — Classification (odd one out) · 1

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.

Expert take: what NAC OSCE really tests

The National Assessment Collaboration (NAC) Examination, from the Medical Council of Canada, is an OSCE that assesses the readiness of international medical graduates to enter Canadian residency, used with CaRMS applications. It is a half-day OSCE of 12 stations (10 scored, 2 pilot), each about 11 minutes with a standardised patient and physician examiner, covering history, examination, diagnosis, investigations, management and communication. The total score is reported on a 500–700 scale with a criterion-referenced pass/fail result. It is separate from the knowledge-based MCCQE Part I.

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.

Where NAC OSCE can take you

A strong NAC OSCE result opens up these careers and higher-study paths:

• Canadian residency entry
  The NAC OSCE assesses IMG readiness for Canadian residency via CaRMS.
• Clinical-skills benchmark
  A national OSCE complementary to the MCCQE Part I.

Best books & official prep for NAC OSCE

• MCC NAC preparation resources — Medical Council of Canada
  Official OSCE format and sample stations.
• OSCE practice for IMGs — Various
  12 stations (10 scored); 500–700 scaled score.

Official practice: Practise OSCE stations across the major clinical disciplines — history, examination, management and communication — using the MCC NAC resources.

Previous-year papers: The MCC provides sample stations and an exam objectives framework.

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 3 free full-length NAC OSCE mock tests — with instant scoring, detailed explanations and analytics — plus 47 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 3 free for everyone and 47 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 3 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?

International medical graduates who meet the MCC’s eligibility criteria. Wrexa Edge focuses on realistic NAC OSCE practice: 3 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 3 free NAC OSCE mocks with instant scoring so you can track your readiness week by week.

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