ATC Pharmacology 3

Question 1

A collegiate athlete tests positive for a banned substance after using a contaminated dietary supplement. Under WADA rules, which principle governs this outcome?

Accepted Answer

Strict liability

Answer

WADA's strict liability principle holds athletes responsible for any prohibited substance found in their body regardless of intent or source.

Question 2

Which NSAID is generally considered safest for athletes with mild renal impairment when short-term use is necessary?

Accepted Answer

Celecoxib

Answer

Celecoxib (a COX-2 selective inhibitor) has less impact on renal prostaglandins at standard doses compared to non-selective NSAIDs.

Question 3

An athletic trainer notices an athlete is using a topical NSAID on a muscle contusion. What is a key advantage of topical over oral NSAID delivery?

Accepted Answer

Reduced gastrointestinal side effects

Answer

Topical NSAIDs achieve local therapeutic concentrations while significantly reducing systemic absorption and GI adverse effects.

Question 4

Which controlled substance schedule includes drugs with no currently accepted medical use in the United States?

Accepted Answer

Schedule I

Answer

Schedule I drugs, such as heroin and LSD, have no accepted medical use and a high potential for abuse under the Controlled Substances Act.

Question 5

An athlete on a selective serotonin reuptake inhibitor (SSRI) for depression begins a new training block. Which drug-exercise interaction concern should be monitored?

Accepted Answer

Increased risk of hyponatremia with prolonged endurance events

Answer

SSRIs can impair renal water excretion; combined with excessive fluid intake during prolonged exercise, this may cause exercise-associated hyponatremia.

(ATC) Certified Athletic Trainer Practice Test

(ATC) Certified Athletic Trainer Practice Test

ATC Pharmacology 3