Second Edition · Table of contents
Contents
Three foundational chapters and eight clinical sections — 92 high-yield stations covering the full NAC OSCE blueprint.
Chapter 1
Introduction
Purpose, audience, and how to use this book.
Chapter 2
The NAC OSCE Exam
Structure, logistics and recent updates — what candidates must know before test day.
Chapter 3
Clinical Frameworks & Canadian Guideline Integration
How this book aligns with MCC objectives and national standards.
Section I
Internal Medicine
Chest Painp. 8
Hypertensionp. 14
Dyspnea / Shortness of Breathp. 20
Diabetes: Hyperglycemia / Hypoglycemiap. 25
Anemiap. 29
Abnormal Liver Function / Jaundicep. 35
COPDp. 41
Asthmap. 47
Dizziness / Vertigop. 52
Fatigue / Thyroid Diseasep. 58
Palpitationsp. 64
Syncope / Pre-syncopep. 70
Renal Failure: AKI and CKDp. 77
Edemap. 83
Coughp. 90
Section II
Neurology
Headachep. 97
Stroke / TIAp. 104
Seizures / Epilepsyp. 111
Back Pain with Radiculopathyp. 117
Numbness / Tinglingp. 124
Dementia / Cognitive Declinep. 131
Tremor / Parkinson's Diseasep. 138
Section III
Emergency Medicine
Cardiac Arrest / Resuscitationp. 147
Trauma Assessmentp. 153
Overdose / Poisoningp. 160
Anaphylaxisp. 167
Unconscious Patientp. 173
Acute Abdomenp. 180
Upper / Lower GI Bleedingp. 187
Needle Stick Injuryp. 193
Sepsisp. 199
Section IV
Obstetrics & Gynaecology
Vaginal Bleedingp. 206
Amenorrheap. 214
Pelvic Painp. 221
Contraception Counsellingp. 228
Prenatal Care / Antenatal Counsellingp. 231
Pre-eclampsia / Hypertension in Pregnancyp. 234
Vaginal Discharge / STIsp. 237
Menopause / HRT Counsellingp. 242
Endometriosisp. 249
Infertility Counsellingp. 255
Abnormal Pap Smear Counsellingp. 262
Elective Abortion Counsellingp. 268
Section V
Pediatrics
Fever in a Childp. 274
Developmental Delay / Milestonesp. 281
Neonatal Jaundicep. 287
Pediatric Diarrhea / Dehydrationp. 293
Asthma in Childrenp. 300
Crying Baby / Colicp. 307
Failure to Thrivep. 314
Vomiting in Infantsp. 321
Pediatric Anemiap. 328
Vaccination Counsellingp. 335
ADHD Counsellingp. 341
Seizure Counsellingp. 348
Bedwetting / Enuresis Counsellingp. 354
Speech Delayp. 361
Foreign Bodyp. 367
Section VI
Psychiatry
Depressionp. 374
Suicidal Ideation / Attemptp. 382
Anxiety / Panic Disorderp. 390
Schizophrenia / Psychosisp. 397
Mania / Bipolar Disorderp. 406
Domestic Violencep. 415
Substance Use / Alcoholp. 422
Dementiap. 431
Insomniap. 439
Eating Disordersp. 446
Drug-Seeking Patientp. 454
Smoking Cessationp. 461
Section VII
Surgery
Acute Low Back Pain Assessmentp. 469
Neck Mass / Thyroid Nodule Evaluationp. 473
Peripheral Arterial Disease Examinationp. 477
Deep Vein Thrombosis Assessment & Wells Criteriap. 481
Shoulder Examination — Rotator Cuff Pathologyp. 485
Diabetic Foot Assessment & Ulcer Preventionp. 489
Difficulty Swallowing — Oral, Pharyngeal, Oesophagealp. 493
Acute Abdominal Pain — Surgical Triagep. 497
Postoperative Fever — Algorithmic Approachp. 502
Hematemesis — Upper GI Bleed Managementp. 504
Hematuria Workup — Microscopic and Gross Evaluationp. 509
Knee Pain Examination — Trauma and Non-traumap. 514
Section VIII
Population Health, Ethics & Communication
Breaking Bad News — New Cancer Diagnosisp. 520
Obtaining Informed Consent for High-Risk Surgeryp. 524
Truth-Telling — Family Requests Diagnosis Concealmentp. 528
Treatment Refusal — Capacity Assessment (Jehovah's Witness)p. 532
Organ Donation Counselling — Brain Death Discussionp. 536
Advance Care Planning — Goals of Care Discussionp. 538
Do-Not-Resuscitate Discussion in Frail Elderlyp. 540
Confidentiality Limits — STI Partner Notificationp. 542
Mandatory Reporting — Suspected Child Abusep. 545
Indigenous Health & Cultural Safety — Building Trust in Carep. 548