NCCAA Board Review · Certification & Recertification

Master the NCCAA boards with a question bank that actually teaches.

Built for student anesthesiologist assistants (SAAs) preparing for the certification exam and Certified Anesthesiologist Assistants (CAAs) reviewing for recertification. In-depth, single-best-answer questions mapped to the official content outline — each with a clinical vignette, reasoning for every answer choice, and a source you can verify. Study by specialty, grade as you go, and track your progress.

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Every answer comes with reasoning and a source.

Not just the right answer — why each option is right or wrong, with a citation you can verify and a clinician's sign-off.

CARDIAC · VALVULAR DISEASE · ✓ Reviewed by a practicing CAA
A 72-year-old man with severe aortic stenosis (valve area 0.7 cm²) presents for non-cardiac surgery. Which hemodynamic goal matters most during induction?
A Maintain afterload (SVR) and sinus rhythm
✓ A fixed stenotic valve depends on adequate preload, SVR, and sinus rhythm to keep coronary perfusion and output up.
B Permit tachycardia to raise cardiac output
✗ Tachycardia shortens diastolic filling and coronary perfusion time — poorly tolerated in aortic stenosis.
C Aggressively lower SVR to reduce afterload
✗ Dropping SVR collapses coronary perfusion pressure across the fixed valve.
CORRECT · 64% of MACPrep users got this right
Severe AS is the classic "full, slow, sinus, maintain afterload" lesion: a fixed valve area means cardiac output can't rise to compensate, so coronary perfusion depends on keeping SVR and avoiding tachycardia or hypotension.
Source  StatPearls — Aortic Stenosis

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NCCAA board review for SAAs (certification) & CAAs (recertification).
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