CCSP CCSP Sports Pharmacology & Doping Control Questions and Answers 1 — Questions and Answers
Question 1: Which organization maintains the Prohibited List that CCSP practitioners must know when advising competitive athletes?
- World Anti-Doping Agency (WADA) (Correct answer)
- International Olympic Committee (IOC)
- US Anti-Doping Agency (USADA)
- NCAA
Correct answer: World Anti-Doping Agency (WADA)
WADA publishes and updates the Prohibited List annually, which governs banned substances across international sport.
Question 2: A competitive cyclist asks about using a corticosteroid injection for knee pain before a race. Which process must be completed first?
- Therapeutic Use Exemption (TUE) (Correct answer)
- Medical waiver from team physician
- Approval from the national federation only
- No process is needed if prescribed by a doctor
Correct answer: Therapeutic Use Exemption (TUE)
Athletes competing in WADA-governed sports must obtain a Therapeutic Use Exemption before using prohibited substances like systemic corticosteroids.
Question 3: Which class of drugs is banned primarily because they mask the excretion of other prohibited substances in urine?
- Diuretics (Correct answer)
- Beta-blockers
- Stimulants
- Glucocorticoids
Correct answer: Diuretics
Diuretics are prohibited in sport because they dilute urine and can conceal the presence of other banned substances.
Question 4: EPO (erythropoietin) is banned in sport primarily because it increases which of the following?
- Red blood cell production and oxygen-carrying capacity (Correct answer)
- Muscle protein synthesis
- Growth hormone levels
- Plasma volume only
Correct answer: Red blood cell production and oxygen-carrying capacity
EPO stimulates erythropoiesis, raising hematocrit and VO2 max, providing an unfair endurance advantage.
Question 5: Which NSAID is available over the counter and commonly used by athletes for pain management, requiring no anti-doping concern?
- Ibuprofen (Correct answer)
- Ketorolac
- Indomethacin
- Diclofenac injectable
Correct answer: Ibuprofen
Ibuprofen is a non-prohibited OTC NSAID; however, practitioners should still counsel athletes on GI and renal risks with chronic use.
Question 6: Beta-2 agonists like salbutamol are permitted via inhaler in sport but require a TUE at doses above a certain threshold because at high doses they act as:
- Anabolic agents (Correct answer)
- Stimulants
- Diuretics
- Hormone modulators
Correct answer: Anabolic agents
At supratherapeutic doses, beta-2 agonists have anabolic properties and are therefore prohibited above specific urinary thresholds.
Which organization maintains the Prohibited List that CCSP practitioners must know when advising competitive athletes?