RAA study materials
RAA study resources

RAA study plan

RAA · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Basic and Applied Sciences (anatomy, physiology, pharmacology, physics and equipment)

  • Build a one-page autonomic pharmacology map linking receptor subtypes (alpha-1, alpha-2, beta-1, beta-2, muscarinic, nicotinic) to the hemodynamic effect of agonists and antagonists used in the OR

  • Explain from memory the Frank-Starling relationship, the determinants of cardiac output, and how each anesthetic class shifts the curve

  • Calculate mean arterial pressure, ejection fraction, systemic vascular resistance, and oxygen delivery from supplied numbers without a formula sheet

  • Trace the flow of gas from pipeline or cylinder through regulator, flowmeter, vaporizer, and breathing circuit, naming the physical principle at each step

Your checkpoint

A single-page formula and receptor cheat sheet, reproduced from memory in under 10 minutes with no more than two errors

Week 2

Basic and Applied Sciences (anatomy, physiology, pharmacology, physics and equipment)

  • Predict the effect of volatile agent choice on MAC, blood pressure, and recovery time using the Meyer-Overton and lipid solubility concepts

  • Differentiate depolarizing from nondepolarizing neuromuscular blockers by mechanism, onset, duration, and elimination route

  • Work through ten calculation items covering dilution, infusion rate, local anesthetic maximum dose, and circuit compliance

  • Describe how a pulse oximeter and a capnograph generate their signal and name three common causes of each artifact

Your checkpoint

A 15-item self-written calculation set with worked solutions, scoring at least 90 percent on a timed retake

Week 3

Basic and Applied Sciences (anatomy, physiology, pharmacology, physics and equipment) & Preanesthetic Assessment and Patient Preparation

  • Identify on a drawn airway and spine the landmarks relevant to mask fit, laryngoscopy grade, and neuraxial puncture

  • Assess a patient history for the predictors of difficult mask ventilation and difficult intubation and record them in a structured airway note

  • Interpret a basic and advanced metabolic panel, coagulation study, and ECG in terms of anesthetic risk

  • Formulate a preanesthetic plan that states NPO status, aspiration risk, premedication choice, and monitoring level for three sample patients

Your checkpoint

Three completed preanesthetic assessment write-ups on hypothetical patients, each with a defensible airway plan and a stated rationale for every premedication

Week 4

Preanesthetic Assessment and Patient Preparation & Anesthesia Equipment, Monitoring, and Safety

  • Match each ASA physical status class to a patient vignette and justify the assignment in one sentence

  • Verify a machine checkout sequence in the correct order and state the consequence of skipping each step

  • Explain the safety features that prevent hypoxic mixture delivery, wrong-agent delivery, and barotrauma

  • Distinguish the indications, waveforms, and limitations of each standard intraoperative monitor

Your checkpoint

A written machine checkout checklist in your own words plus a 10-vignette ASA classification quiz scoring 9 of 10 or better

Week 5

Airway Management and Ventilation & Anesthetic Agents, Adjuncts, and Techniques

  • Compare supraglottic airway, direct laryngoscopy, video laryngoscopy, and surgical airway by indication, confirmation method, and failure mode

  • Sequence a failed-airway algorithm and state the decision points that trigger each escalation step

  • Select an induction agent, maintenance technique, and muscle relaxant for five contrasting patient profiles and defend each choice

  • Calculate and explain the rationale for a local anesthetic dose with and without epinephrine in an adult and in a small child

Your checkpoint

A one-page difficult-airway decision tree drawn from memory and a five-case agent selection table with justifications

Week 6

Intraoperative Management and Hemodynamic Support & Anesthetic Agents, Adjuncts, and Techniques

  • Interpret a set of intraoperative vital sign trends and name the most likely cause plus the first two interventions

  • Explain the hemodynamic consequences of positive pressure ventilation, blood loss, and pneumoperitoneum and the countermeasures for each

  • Compare fluid and vasoactive strategies for hypotension by mechanism of action and expected response time

  • Describe the pharmacokinetic and pharmacodynamic changes of aging and obesity that alter dosing at induction and maintenance

Your checkpoint

A written response to two full intraoperative scenarios, each with a differential of at least four causes ranked by likelihood and a stepwise management plan

Week 7

Emergencies, Complications, and Crisis Management

  • Recognize the early signs of malignant hyperthermia, anaphylaxis, local anesthetic systemic toxicity, and last-generation bronchospasm and state the first-line drug and dose for each

  • Sequence the response to laryngospasm, aspiration, and a sudden loss of the capnogram

  • Explain the mechanism and treatment of hypotension and bradycardia after spinal anesthesia

  • State the cognitive aids, roles, and communication structure used during a crisis in the OR

Your checkpoint

A crisis card deck of 12 emergencies, each with recognition cues, first three actions, and drug plus dose, recalled cold in a timed drill

Week 8

Postanesthesia Care and Pain Management & Emergencies, Complications, and Crisis Management

  • Apply a validated pain scale and a multimodal analgesic plan to postoperative scenarios including opioid-tolerant and pediatric patients

  • List the discharge criteria from the postanesthesia care unit and identify which criteria each common complication threatens

  • Differentiate the causes and management of early postoperative hypoxemia, nausea, shivering, and delayed emergence

  • Assemble a full-length timed practice exam and review every missed item by domain

Your checkpoint

A scored full-length practice exam with a written error log grouping every miss by domain and a one-line correction for each

Milestones

Week 2: Score at least 85 percent on a self-made 40-item quiz drawn only from Domain 1, with every miss traced to a specific concept you can restate correctly

Week 4: Complete a machine checkout and an ASA classification set without reference material, and correctly answer 80 percent of a mixed Domain 1 through 3 question set

Week 6: Talk through two intraoperative scenarios aloud in under 10 minutes each, covering differential, first interventions, and escalation, with no critical omission

Week 8: Score at least 75 percent overall on the full-length practice exam, with no single domain below 65 percent and a written remediation list for the two weakest domains