Chest pain in a 58-year-old
Focused history + initial plan
11 minutes
Recognize acute coronary syndrome and immediately dangerous alternatives.
Start complete stationNAC OSCE preparation
Complete 11-minute station library
Choose any of 30 original stations. Every station includes an 11-minute timer, candidate task, standardized-patient details, examiner prompts, scoring checklist, clinical plan and model summary.
30complete stations
11 minper station
2 mintransition practice
12-pointself-checklists
Acute dyspnea with wheeze
History + acute management
11 minutes
Assess asthma severity and start time-critical treatment.
Start complete stationPalpitations followed by syncope
Focused history
11 minutes
Distinguish high-risk cardiac syncope from benign causes.
Start complete stationUpper gastrointestinal bleeding
Emergency assessment
11 minutes
Recognize hemorrhagic shock and prioritize resuscitation and source control.
Start complete stationSudden focal weakness
Acute management + oral questions
11 minutes
Activate the stroke pathway and avoid preventable delay.
Start complete stationFever with hypotension
Emergency management
11 minutes
Recognize septic shock and start time-sensitive care and source control.
Start complete stationAcute right-lower-quadrant abdominal pain
History + focused examination
11 minutes
Recognize appendicitis and exclude gynecologic emergencies.
Start complete stationFever on postoperative day five
Clinical reasoning
11 minutes
Identify postoperative infection and need for source control.
Start complete stationSevere leg pain after tibial fracture
Focused assessment + emergency management
11 minutes
Recognize acute compartment syndrome and escalate without delay.
Start complete stationConsent for lumbar puncture
Informed-consent counselling
11 minutes
Demonstrate valid consent and balanced risk discussion.
Start complete stationFirst-trimester pain and bleeding
Focused history + urgent plan
11 minutes
Recognize ectopic pregnancy and prioritize hemodynamic safety.
Start complete stationPostpartum low mood and unusual beliefs
Mental-health interview + safety plan
11 minutes
Recognize postpartum psychosis and protect parent and infant.
Start complete stationContraception counselling
Shared decision-making
11 minutes
Match contraception to goals, contraindications and preferences without coercion.
Start complete stationFever in an eight-week-old infant
Caregiver history + urgent plan
11 minutes
Use an age-specific febrile-infant pathway and assess invasive bacterial infection.
Start complete stationChild with severe wheeze and respiratory distress
Assessment + management
11 minutes
Recognize life-threatening pediatric asthma and stabilize first.
Start complete stationTwo-year-old with language delay
Developmental history + counselling
11 minutes
Assess all developmental domains and arrange early supports.
Start complete stationAdolescent confidentiality and sexual health
Ethics + counselling
11 minutes
Explain confidentiality, assess capacity/safety and provide confidential care.
Start complete stationDepression with suicidal thoughts
Suicide-risk assessment
11 minutes
Ask directly about suicide and create a safe disposition.
Start complete stationFirst-episode psychosis
Psychiatric history + mental status
11 minutes
Assess psychosis, risk, substances and medical causes.
Start complete stationSeverely agitated patient
De-escalation + emergency plan
11 minutes
Protect safety, search medical causes and use least restrictive intervention.
Start complete stationOlder adult with acute confusion
Collateral history + delirium plan
11 minutes
Recognize delirium, identify precipitants and protect the patient while treating causes.
Start complete stationRecurrent falls and dizziness
Focused history + multifactorial plan
11 minutes
Identify orthostatic hypotension, medication effects and modifiable fall risks.
Start complete stationDriving safety in early dementia
Counselling + capacity/safety
11 minutes
Address unsafe driving respectfully, explain next steps and preserve mobility.
Start complete stationBreaking a new colorectal cancer diagnosis
Bad-news communication
11 minutes
Deliver serious news clearly, respond to emotion and establish a next-step plan.
Start complete stationDisclosure of an insulin medication error
Patient-safety disclosure
11 minutes
Disclose a harmful error honestly, address immediate care and explain prevention steps.
Start complete stationRefusal of blood transfusion
Capacity + informed refusal
11 minutes
Respect a capable refusal while treating hemorrhage and offering acceptable alternatives.
Start complete stationCardiovascular examination in heart failure
Focused cardiovascular exam
11 minutes
Perform a systematic exam, identify congestion and present findings concisely.
Start complete stationRespiratory examination with pleural effusion
Focused respiratory exam
11 minutes
Demonstrate a complete respiratory examination and localize a pleural process.
Start complete stationFocused neurologic examination for stroke
Focused neurologic exam
11 minutes
Localize an acute hemispheric deficit and activate time-critical stroke care.
Start complete stationPainful swollen knee
Focused musculoskeletal exam
11 minutes
Recognize septic arthritis and arrange urgent aspiration and treatment.
Start complete stationEducational-use notice: All cases are original educational simulations. They are not recalled, reproduced or secure examination content. Clinical decisions must be adapted to the patient, local resources and current guidance.