SCS Pharmacology & Medication Management 3

Question 1

An athlete tests positive for a prohibited substance but provides a prescription. Under WADA rules, this athlete should have filed:

Accepted Answer

A therapeutic use exemption (TUE)

Answer

WADA requires athletes to obtain a Therapeutic Use Exemption (TUE) prior to using a prohibited substance for legitimate medical purposes.

Question 2

Which of the following is the correct mechanism of action of NSAIDs?

Accepted Answer

Inhibit cyclooxygenase (COX) enzymes reducing prostaglandin synthesis

Answer

NSAIDs inhibit COX-1 and COX-2 enzymes, blocking the conversion of arachidonic acid to prostaglandins, thromboxanes, and prostacyclin.

Question 3

A high school wrestler uses androstenedione as a supplement. As SCS, you should explain that this substance:

Accepted Answer

Is a WADA-prohibited androgen precursor that converts to testosterone

Answer

Androstenedione is a direct precursor to testosterone and estradiol; it is classified as an anabolic androgenic steroid precursor and is prohibited by WADA at all levels.

Question 4

Which local anesthetic agent has the longest duration of action for nerve blocks?

Accepted Answer

Bupivacaine

Answer

Bupivacaine has a duration of action of 4–8 hours for peripheral nerve blocks, significantly longer than lidocaine (1–2 hours) or mepivacaine (2–3 hours).

Question 5

Metered-dose inhalers (MDIs) used for exercise-induced bronchoconstriction are ideally administered:

Accepted Answer

15–20 minutes before exercise for prophylaxis

Answer

Short-acting beta-2 agonists used prophylactically for exercise-induced bronchoconstriction should be administered 15–20 minutes before exercise to provide peak bronchodilation during activity.

(SCS) Sports Clinical Specialist Practice Test

(SCS) Sports Clinical Specialist Practice Test

SCS Pharmacology & Medication Management 3