CCSP CCSP Sports Pharmacology & Drug Testing Questions and Answers 2 — Questions and Answers
Question 1: Which ergogenic aid, classified as a stimulant, is banned in NCAA competition but is NOT on the WADA Prohibited List for most sports?
- Caffeine (Correct answer)
- Amphetamine
- Ephedrine
- Methylhexanamine (DMAA)
Correct answer: Caffeine
Caffeine was removed from the WADA Prohibited List in 2004 but remains banned by the NCAA above a urinary threshold of 15 mcg/mL.
Question 2: A distance runner develops iron-deficiency anemia. Which oral iron preparation has the highest elemental iron content per tablet?
- Ferrous sulfate 325 mg (65 mg elemental iron)
- Ferrous gluconate 325 mg (36 mg elemental iron)
- Ferric citrate 1 g (210 mg elemental iron)
- Ferrous fumarate 200 mg (66 mg elemental iron) (Correct answer)
Correct answer: Ferrous fumarate 200 mg (66 mg elemental iron)
Ferrous fumarate 200 mg provides approximately 66 mg of elemental iron, the highest content among common oral iron salts on a per-tablet basis.
Question 3: Which beta-2 agonist requires a TUE for inhaled use in competition according to WADA regulations?
- Formoterol above 54 mcg/24 hours
- Salbutamol (albuterol) at standard therapeutic doses
- Salmeterol at standard therapeutic doses
- Terbutaline without a TUE (Correct answer)
Correct answer: Terbutaline without a TUE
Terbutaline requires a TUE for inhaled use, while salbutamol and formoterol are permitted up to specified urinary thresholds without a TUE.
Question 4: An athlete is prescribed a fluoroquinolone antibiotic for a bacterial infection. What sport-specific risk must the CCSP communicate?
- Increased risk of tendon rupture, especially the Achilles tendon (Correct answer)
- Photosensitivity requiring indoor activity only
- Mandatory cessation of all aerobic training for 4 weeks
- Cardiac arrhythmia risk during moderate exercise
Correct answer: Increased risk of tendon rupture, especially the Achilles tendon
Fluoroquinolones carry a black-box warning for tendinopathy and tendon rupture, with the Achilles tendon most commonly affected in athletes.
Question 5: Which diuretic is commonly misused by athletes attempting to mask prohibited substances and is itself prohibited by WADA?
- Furosemide (Correct answer)
- Spironolactone only at high doses
- Hydrochlorothiazide at sub-therapeutic doses
- Acetazolamide for altitude acclimatization
Correct answer: Furosemide
Furosemide is a potent loop diuretic on the WADA Prohibited List because it can dilute urine to mask other banned substances.
Question 6: Which supplement has the strongest evidence base for improving high-intensity, short-duration athletic performance by increasing phosphocreatine resynthesis?
- Creatine monohydrate (Correct answer)
- Beta-alanine
- Branched-chain amino acids
- Glutamine
Correct answer: Creatine monohydrate
Creatine monohydrate is the most well-supported ergogenic aid for enhancing phosphocreatine availability and repeated high-intensity exercise performance.
CCSP CCSP Sports Pharmacology & Drug Testing Questions and Answers 2
Which ergogenic aid, classified as a stimulant, is banned in NCAA competition but is NOT on the WADA Prohibited List for most sports?