NCCAA board review · for SAAs & CAAs

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MACPrep Tutor mode Q4 / 10

PHARMACOLOGY · LOCAL ANESTHETICS

Minutes after a large-volume regional block, a patient reports perioral numbness, tinnitus, and a metallic taste. What is the most appropriate next step?

A Continue the block and reassess in 5 minutes

B Stop the injection and prepare 20% lipid emulsion

✓Correct. Perioral numbness, tinnitus, and a metallic taste are early signs of local anesthetic systemic toxicity — stop the injection and start 20% lipid emulsion.

C Administer a beta-blocker for the tinnitus

D Increase the local anesthetic dose

Cited source · ASRA Practice Advisory on LAST (2018)

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NCCAA board prep

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Anesthesia workstation and patient monitor

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Built to teach, not just test.

Every question gives you three things most banks don't — plus the tools to study the way the exam is actually scored.

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Every question is tagged to the six NCCAA domains and a clinical subtopic, so you study the way the exam is scored.

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“I built MACPrep because board prep for our field was either outdated, uncited, or overpriced. Every published question is clinically reviewed and source linked, with a rationale for every answer choice. It's the resource I wish I'd had for my own boards, and the tool I use to teach the SAAs I precept between cases.”

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APPLICANT INFORMATION

The CAA path, without the guesswork

Public facts, original sources, and a private place to organize your own research.

Information, not admissions advice.

MACPrep organizes dated public facts and links back to the original source. We do not estimate missing acceptance rates, applicant profiles, or experience requirements. For admissions strategy from a former CAA program faculty member and admissions reviewer, visit Aspiring CAA.

THE CAA PATH

What the official sources say

VERIFIED JUL 23, 2026

24-28 monthsCurrent accredited CAA programs run at least two academic years.

Master's degreeGraduates of CAA educational programs earn a graduate degree.

Anesthesia Care TeamCAAs plan and deliver anesthesia care under an anesthesiologist's supervision.

NCCAA certificationEligible graduates complete the national certifying examination before using the CAA credential.

Sources: AAAA About CAAsNCCAA eligibility

WHAT STUDENTS LEARN

Graduate science plus clinical anesthesia

NCCAA describes the educational content required for certification eligibility.

Basic medical sciences, physiology, pharmacology, and anesthesia equipment
Patient assessment, monitoring, laboratory interpretation, and data analysis
Extensive supervised clinical instruction across perioperative settings
Quality assurance, medical literature review, and emergency preparedness

Read the NCCAA eligibility standard

WHAT THE WORK INVOLVES

Across a typical anesthetic

The exact day varies by patient, procedure, facility, and care-team assignment.

Pre-anesthesia history, physical assessment, and care planning
Monitoring, intravenous access, airway management, and induction
Maintenance and emergence while interpreting physiologic and pharmacologic data
Continuity of care through the postoperative period

Read AAAA's description of CAA practice

PROGRAM DIRECTORY

Current programs and the public data they report

LOADING SOURCE

CAAHEP is the source for current accreditation listings. Applicant counts, interview offers, admission offers, GPA or test-score profiles, and prior experience appear only with a program-published source and a clear verification date. Missing figures are labeled, never estimated.

Loading the verified program directory...

Primary source: CAAHEP Find an Accredited Program

PRIVATE APPLICATION TRACKER

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SHADOWING LOG

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Programs set their own requirements and accepted formats. Use this private total for organization, then verify the current rule with each program.

PRIMARY + INDEPENDENT RESOURCES

Continue with the right source

Official organizations answer accreditation, application, profession, and certification questions. Aspiring CAA provides independent admissions guidance from Sarah Whitfield.

CAAHEP accredited program finderVerify current accreditation and program listings. AAAA: About CAAsLearn about CAA education, practice, and the Anesthesia Care Team. NCCAA certification eligibilityRead the education, clinical experience, and examination standards. CASAA application portalStart or return to the centralized application. CASAA applicant help centerReview application steps, materials, and processing guidance. Aspiring CAAExpert independent admissions guidance from former CAA program faculty and admissions reviewer Sarah Whitfield.

WHERE MACPREP FITS

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Small sample labels appear below 20 answers as a reminder about sensitivity, not a statistical significance threshold. First attempt results also cannot establish whether you encountered a question outside recorded practice.

pH	7.35–7.45
PaCO₂	35–45 mmHg
PaO₂	80–100 mmHg
HCO₃⁻	22–26 mEq/L
Base excess	−2 to +2
SaO₂	95–100%

Na⁺	135–145 mEq/L
K⁺	3.5–5.0 mEq/L
Cl⁻	98–106 mEq/L
CO₂	22–28 mEq/L
Ca²⁺ (total)	8.5–10.5 mg/dL
Ca²⁺ (ionized)	1.1–1.35 mmol/L
Mg²⁺	1.7–2.2 mEq/L
PO₄	2.5–4.5 mEq/L

BUN	7–20 mg/dL
Creatinine	0.6–1.2 mg/dL
Glucose	70–110 mg/dL
Lactate	0.5–2.2 mmol/L

Hgb	12–17 g/dL
Hct	36–50%
Platelets	150–400 ×10⁹/L
WBC	4–11 ×10⁹/L

PT	11–13.5 s
INR	0.8–1.1
aPTT	25–35 s
Fibrinogen	200–400 mg/dL

Albumin	3.5–5.0 g/dL
Total protein	6–8 g/dL
Ca²⁺ correction	+0.8 mg/dL per 1 g/dL albumin drop

Not a quiz add-on. A system built around the whole exam.

A clear path for certification, CDQ review, and faculty support.

NCCAA board prep

Free practice questions

CAA CDQ review

For AA programs

Trusted by people sitting the same boards.

Answer 3 real questions right now.

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Welcome back

Built to teach, not just test.

Mapped to the blueprint

Reasoning, not just answers

Prepare by rotation

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Track your practice

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See where your practice stands.

From your first question to focused practice.

Create your account

Pick an area & length

Practice with feedback

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What CAAs & SAAs are saying

One price. No subscription. Ever.

Study for the room you’ll actually be in.

Start free in 30 seconds.

The CAA path, without the guesswork

What the official sources say

Graduate science plus clinical anesthesia

Across a typical anesthetic

Current programs and the public data they report

Organize your own process

Your shortlist

Record, then verify

Your recorded total

Continue with the right source

Your same account becomes your student study space

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