National Assessment Collaboration (NAC) examination

Exam at a glance

Questions

12

Duration

not published

Pass mark

score 577

Sections

Half-day OSCE, 12 stations (2 pilot), 11 minutes each · History, examination, diagnosis, management, communication, investigations, data interpretation · Score scale 500-700, pass score 577 (since May 2023)

Exam type

Oral

Language

English

Authority

MCC

Curriculum

Built from the question bank and updated automatically when new questions are added. 10 modules · 398 questions · Last updated: 30 October 2026

1. 01Communication and counselling25 questions · 6.3 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   A 67-year-old woman who recently arrived from Syria attends a Toronto clinic with abdominal pain. She speaks little English, and her 16-year-old grandson offers to translate. What is the most appropriate approach?

   AAccept the grandson's offer since he speaks both languagesBUse a translation app on your phone for the whole historyCArrange a professional interpreter by phone or videoDAsk a bilingual clerk from the front desk to translateEUse simple English and gestures and check for nodding

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
2. 02Ethics, law and the Canadian health system24 questions · 6 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   Which element must be present for consent to treatment to be valid?

   AA signed form witnessed by a nurse or a second physicianBAgreement from the patient's nearest family memberCDiscussion of every possible adverse effect, however rareDCapacity, voluntariness, and adequate informationEA decision the physician considers medically reasonable

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
3. 03Physical examination25 questions · 6.3 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   Before examining a patient in an NAC station, which step comes first?

   AIntroduce yourself and obtain consentBBegin auscultation of the chestCAsk the patient to undress fullyDPalpate the most painful areaERecord vital signs on the chart

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
4. 04History taking26 questions · 6.5 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   A 58-year-old man presents with chest pain. Which opening question is most appropriate to start his history?

   AIs the pain sharp or dull in character?BDoes the pain spread into your left arm, jaw or upper back?CCan you tell me about the pain you have been having?DHave you ever had a heart attack before?EDo you smoke cigarettes every day?

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
5. 05Investigations and data interpretation25 questions · 6.3 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   A 50-year-old man has HbA1c 7.0 % on one test and fasting glucose 7.4 mmol/L on another day. What do these results show?

   ADiabetes mellitusBPrediabetesCNormal glucose toleranceDImpaired fasting glucose onlyEResults need an oral glucose tolerance test

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
6. 06Adult medicine: diagnosis and management88 questions · 22.1 % of the bank

   Chapters

   • Foundations: anatomy of the heart
   • Foundations: conduction system and cardiac cycle
   • Foundations: circulation and blood vessels
   • Foundations: anatomy of the respiratory tract
   • Foundations: alveoli and gas exchange
   • Foundations: mechanics and control of breathing
7. 07Obstetrics and gynecology61 questions · 15.3 % of the bank

   Chapters

   • Foundations: female pelvic anatomy
   • Foundations: placenta, pregnancy physiology and fetal circulation
   • Foundations: labour and the fetal skull
8. 08Pediatrics24 questions · 6 % of the bank

   Chapters

   • Foundations: the newborn and the transition after birth
   • Foundations: growth and development
   • Foundations: the child's airway, vital signs and resuscitation
9. 09Psychiatry25 questions · 6.3 % of the bank
10. 10Surgery and emergency care75 questions · 18.8 % of the bank

    Chapters

    • Foundations: abdominal anatomy and the acute abdomen
    • Foundations: hernias and the biliary system
    • Foundations: wound healing and perioperative basics
    • Foundations: ABCDE approach and airway basics
    • Foundations: life-threatening chest emergencies
    • Foundations: shock, burns and sepsis

What you get

• Question bank with a detailed explanation for every answer
• Timed mock exams in the real exam format, with score report by topic
• Personal study plan up to your exam date and review of weak topics
• AI tutor that explains any question in plain words
• One account for the app (iPhone, iPad) and the browser
• AI oral examiner for practising the oral or practical part

From registration to licence

The usual steps with MCC. Details can change; check the current rules with MCC before you register.

1. Check eligibility and collect your documents (degree, experience, good standing).
2. Create an account with MCC and submit the application.
3. Receive the exam eligibility and book a date with the test centre.
4. Sit the exam. Results usually come within days.
5. After passing: complete licensing (for example primary source verification) and receive your licence.

Frequently asked questions