Everything you need to know about studying with MACPrep.
MACPrep is an NCCAA board review question bank for anesthesiologist assistants — both student anesthesiologist assistants (SAAs) preparing for their initial certification board exam and Certified Anesthesiologist Assistants (CAAs) reviewing and practicing for their recertification board exam. Questions are mapped to the six domains of the NCCAA content outline and written with realistic clinical vignettes, teaching explanations, and references to standard sources (Miller's, Barash, Stoelting, Chestnut's, ASRA, ASA, MHAUS).
Two main audiences: SAAs preparing for the NCCAA Certification Examination (CERT), and practicing CAAs reviewing for recertification (the Examination for Continued Demonstration of Qualifications). It's equally useful for anyone who wants a structured, in-depth review of anesthesia principles, physiology, pharmacology, monitoring, subspecialty care, and regional anesthesia.
Every item is tagged to one of six official domains — Principles of Anesthesia; Physiology, Pathophysiology & Management; Instrumentation, Monitoring & Delivery Systems; Subspecialty Care; Pharmacology; and Regional Anesthesia & Pain Management — plus a specific subtopic, so you can study the way the exam is actually scored.
Free accounts can try 25 questions via a recommended session, with the same server-graded answers and explanations as premium. Once you've used your free questions, you can upgrade for full access to the entire bank and every study mode.
Full access unlocks the complete question bank, every explanation and reference, Rotation Prep, mock exams, flashcards, and all study modes for the signed-in MACPrep account.
All three are built for the NCCAA exam, so the real difference is how you pay and how long you keep it. Vigilant IQ and TrueLearn sell time-limited access. Vigilant ranges from $99 for 30 days to $299 for a year, while TrueLearn ranges from $249 for 30 days to $439 for a year. Access expires when the selected window closes, so you pay again to review for a recertification or in-training exam later. MACPrep web access is a single $100 payment for lifetime access: the full bank, future updates, and every exam you'll sit in your career, with no additional purchase. Every MACPrep question also links to a public source and explains every answer choice, not just the correct one. Vigilant IQ and MACPrep are built specifically for CAAs. MACPrep supports both certification and recertification preparation, while TrueLearn is a large, multi-exam platform whose anesthesiologist assistant bank sits alongside its physician anesthesiology banks. Competitor pricing was published on their sites in July 2026.
Sign in, open your dashboard or profile, and click “Upgrade to Full Access.” Payment is processed securely by Stripe. MACPrep never sees or stores your card details. Your account unlocks automatically once payment is confirmed.
Sign in, open Dashboard or Profile, and tap Unlock full access. Apple shows the localized price and presents the one-time App Store purchase. Restore Purchases is available under Profile, then Account. Verified access follows the same signed-in MACPrep account across devices.
Grading happens on the server. Correct answers and explanations are not sent to your browser until after you answer, which reduces answer-key exposure and keeps scoring consistent across devices.
Questions are authored to a defined quality bar and cited to standard references. Items pass through an authoring and review workflow (draft → SME review → published) before being marked as reviewed. We do not present unreviewed content as exam-validated.
Your dashboard shows total questions answered and your accuracy. Each practice session reports a per-session score so you can see how you're trending across domains.
Yes. The MACPrep 100% Pass Guarantee applies to premium access purchased directly from MACPrep on the web. Study with MACPrep, sit the NCCAA certifying exam, and if you don't pass, we'll refund the direct web purchase price in full. Email your proof of purchase and official score report to support@macprep.org within 90 days of your exam. The guarantee does not apply to App Store purchases, vouchers, program grants, or complimentary accounts.
For premium purchased directly from MACPrep on the web, you may request a full refund within 48 hours by emailing support@macprep.org. After 48 hours, direct web purchases are non-refundable except under the Pass Guarantee or where required by law. The free tier lets you try the platform before you pay.
Apple processes App Store purchases and refund requests under Apple's billing and refund rules. MACPrep support can help identify the purchase path, but cannot directly refund a charge collected by Apple.
Email support@macprep.org. We read every message.