SCS Pharmacology & Medication Management 2

Question 1

An athlete taking warfarin for a DVT wants to use ibuprofen for knee pain. What is the primary concern?

Accepted Answer

Increased bleeding risk due to additive anticoagulation and GI irritation

Answer

NSAIDs like ibuprofen inhibit platelet aggregation and cause GI mucosal irritation, potentiating warfarin's anticoagulant effect and significantly increasing bleeding risk.

Question 2

Which medication class is most commonly associated with exercise-induced hypotension in athletes?

Accepted Answer

Beta-blockers

Answer

Beta-blockers blunt the compensatory increase in heart rate during exercise and can impair cardiac output augmentation, leading to exercise-induced hypotension.

Question 3

A college soccer player is prescribed fluoroquinolone antibiotics for a sinus infection. What sports medicine concern should be communicated?

Accepted Answer

Elevated risk of tendon rupture, particularly the Achilles

Answer

Fluoroquinolones are associated with tendinopathy and tendon rupture, with the Achilles tendon being most commonly affected, requiring activity modification during treatment.

Question 4

Corticosteroid injections administered repeatedly into a tendon can cause which pathological change?

Accepted Answer

Tendon degeneration and increased rupture risk

Answer

Repeated corticosteroid injections inhibit collagen synthesis and promote collagen breakdown, leading to tendon degeneration and a significantly elevated risk of rupture.

Question 5

An athlete using inhaled corticosteroids for asthma asks if the medication will affect their performance. The SCS should explain that:

Accepted Answer

Inhaled corticosteroids at therapeutic doses do not significantly enhance performance

Answer

Inhaled corticosteroids at standard therapeutic doses have minimal systemic absorption and are not considered performance-enhancing; they are permitted in competition with appropriate documentation.

(SCS) Sports Clinical Specialist Practice Test

(SCS) Sports Clinical Specialist Practice Test

SCS Pharmacology & Medication Management 2