CCSP CCSP Sports Pharmacology & Drug Testing Questions and Answers 1 — Questions and Answers
Question 1: Which organization maintains the Prohibited List that governs banned substances for Olympic and elite athletes under the WADA Code?
- World Anti-Doping Agency (WADA) (Correct answer)
- United States Anti-Doping Agency (USADA)
- NCAA Committee on Competitive Safeguards
- International Olympic Committee Medical Commission
Correct answer: World Anti-Doping Agency (WADA)
WADA publishes and annually updates the Prohibited List that forms the basis of anti-doping regulations worldwide.
Question 2: An athlete tests positive for a therapeutic-use exemption (TUE) substance. What must a CCSP clinician document to support the athlete's TUE application?
- Medical necessity, diagnosis, dosage, and duration of treatment (Correct answer)
- Only the athlete's verbal report of symptoms
- A letter from the athlete's coach confirming the condition
- Proof that the substance is available over the counter
Correct answer: Medical necessity, diagnosis, dosage, and duration of treatment
A valid TUE requires documented medical necessity, a confirmed diagnosis, and specifics of dosage and treatment duration submitted to the appropriate governing body.
Question 3: Which class of drugs, commonly used to reduce inflammation after sports injuries, is on the WADA Prohibited List only when administered by injectable routes during in-competition periods?
- Glucocorticoids (Correct answer)
- Beta-2 agonists
- Diuretics
- Peptide hormones
Correct answer: Glucocorticoids
Glucocorticoids are prohibited in-competition only when administered by injection, while oral or topical routes require a TUE only at certain thresholds.
Question 4: A collegiate athlete asks about using pseudoephedrine for nasal congestion before a competition. What should the CCSP advise?
- It is permitted by WADA but may be banned by the NCAA above certain urinary thresholds (Correct answer)
- It is completely banned at all levels of sport worldwide
- It is freely permitted with no restrictions at any level
- It is only banned for professional athletes, not collegiate athletes
Correct answer: It is permitted by WADA but may be banned by the NCAA above certain urinary thresholds
Pseudoephedrine was removed from the WADA Prohibited List in 2004 but remains monitored, and the NCAA restricts it above a urinary concentration of 10 mcg/mL.
Question 5: Which anabolic agent is endogenously produced and therefore detected via the carbon isotope ratio (CIR) test to distinguish exogenous use?
- Testosterone (Correct answer)
- Stanozolol
- Nandrolone
- Oxandrolone
Correct answer: Testosterone
Because testosterone is naturally produced, the CIR test is used to detect synthetic exogenous testosterone by identifying differences in carbon-13 isotope ratios.
Question 6: NSAIDs are frequently used by athletes for pain management. Which GI-protective agent should a CCSP consider co-prescribing for an athlete on long-term NSAID therapy?
- Proton pump inhibitor (PPI) (Correct answer)
- Antihistamine (H1 blocker)
- Antacid alone (e.g., calcium carbonate)
- Sucralfate only
Correct answer: Proton pump inhibitor (PPI)
Proton pump inhibitors are the preferred gastroprotective agents for athletes requiring long-term NSAID use due to their superior acid suppression.
CCSP CCSP Sports Pharmacology & Drug Testing Questions and Answers 1
Which organization maintains the Prohibited List that governs banned substances for Olympic and elite athletes under the WADA Code?