Independent NAC OSCE preparation by BoardQBank
Important: Exam dates, fees and policies can change. Verify time-sensitive details on the official Medical Council of Canada website.
Urgent care module

Emergency & Clinical Safety

Immediate stabilization, escalation and prevention of dangerous delay.

Module objectives

By the end of this module, you should be able to gather focused information, identify the most likely and most dangerous diagnoses, choose appropriate investigations, begin safe management and communicate the plan clearly.

Core presentations

Complete topic guide

ABCDE assessment

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Shock and sepsis

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Anaphylaxis

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Acute coronary syndrome

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Stroke

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Severe asthma

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Pulmonary embolism

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

GI hemorrhage

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Ectopic pregnancy

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Suicidal crisis

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →
Complete topic guide

Acutely ill child

Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.

Open guide →

Expected station skills

  • Call for help early
  • Prioritize airway, breathing and circulation
  • Use monitoring and IV access appropriately
  • Reassess after interventions
  • State disposition and consultation clearly
Module drill: For each presentation, state the leading diagnosis, the dangerous alternative, one discriminating question, one discriminating examination finding and the first action if the patient is unstable.

Red flags and escalation

  • Airway compromise
  • Refractory hypoxia
  • Hypotension
  • Altered mental status
  • Active hemorrhage
  • Time-critical diagnosis

Station rehearsal template

  1. Read the task and identify the required output.
  2. Open professionally and establish the agenda.
  3. Gather focused positive and negative findings.
  4. Summarize and prioritize the differential.
  5. State investigations and management in a safe sequence.
  6. Address the patient’s concerns and understanding.
  7. Close with disposition, follow-up and safety-netting.

Suggested complete 11-minute stations