Deck 17: Pharmacology, Drugs, and Sports

Question 1

Please check all of the statements that are correct in regards to agencies and regulations that govern the provision of pharmaceutical care.

A) The Federal Food, Drug and Cosmetic Act of 1938 regulates the quality, strength, and labeling of prescription and non-prescription drugs
B) The Federal Anti-Tampering Act of 1983 mandates tamper-resistant packaging on all prescription drugs
C) The Federal Controlled Substances Act of 1970 separates prescription from non-prescription drugs
D) The Durham-Humphrey Amendment of 1951 mandates repackaging of medications
E) The Anti-Drug Abuse Act of 1988 regulates anabolic steroids as controlled substances
F) Health Insurance Portability-Accountability Act of 1996 provides national standards to protect the privacy of personal health information

Answer 1

The Federal Food, Drug and Cosmetic Act of 1938 regulates the quality, strength, and labeling of prescription and non-prescription drugs
The Anti-Drug Abuse Act of 1988 regulates anabolic steroids as controlled substances
Health Insurance Portability-Accountability Act of 1996 provides national standards to protect the privacy of personal health information

Question 2

Please check all of the items that an athletic trainer should include on a medication administration log.

A) Patient date of birth
B) Patient name
C) Lot number
D) Date of distribution
E) Date illness began
F) Complaint of symptoms
G) Active ingredients in medication

Answer 2

Patient name
Lot number
Date of distribution
Complaint of symptoms

Question 3

Please check all of the indicators that would help in identifying an individual who is abusing a substance.

A) Sudden weight gain
B) Increased socialization
C) Improved productivity
D) Financial issues
E) Sudden personality change
F) Lying, cheating, stealing
G) Change in peer groups
H) Improvement in family relationships

Answer 3

Financial issues
Sudden personality change
Lying, cheating, stealing
Change in peer groups

Question 4

Please check all of the drugs that are considered opioids.

A) Heroin
B) OxyContin
C) Fentanyl
D) Narcan
E) CBD

Question 5

Please check all that apply as they relate to the long-term effects of cocaine use:

A) Bronchitis
B) Increase in appetite
C) Convulsions
D) Impotence
E) Paranoia
F) Bi-polar disorder

Question 6

The method by which drugs are absorbed, distributed, metabolized, and eliminated is the definition for which of the following terms?

A) Pharmacology
B) Drug
C) Pharmacokinetics
D) Bioavailability
E) Potency

Question 7

If a patient is suffering from asthma, the ideal method to administer daily medication would be via what method?

A) Inhalation
B) Intranasal
C) Intradermal
D) Intraspinal
E) Sublingual

Question 8

Which of the following is the most common method of administering medicine?

A) Intraspinally
B) Rectally
C) Intravenously
D) Orally
E) Sublingually

Question 9

Which of the following methods of drug administration is given via an injection and is rapidly spread throughout the body?

A) Intravaginal
B) Rectal
C) Intradermal
D) Sublingual
E) Intravenous

Question 10

Alcohol is an example of which of the following external administration methods for medications?

A) Inunctions
B) Solutions
C) Ointments
D) Pastes
E) Plasters

Question 11

How often a pain reliever is taken is dependent upon which of the following?

A) Metabolism
B) Potency
C) Bioavailability
D) Steady-state
E) Half-life

Question 12

Which of the following statements is against the general guidelines for administering medications?

A) Make sure the patient reads the label information prior to taking the medication.
B) Make sure the patient knows the dosage schedule for the medications he or she is taking.
C) The containers do not need to be childproof if the patient is over 18 years of age.
D) Provide both verbal and written instructions for the use of medications.
E) Advise patients not to share medications with other people.

Question 13

An athlete claims ibuprofen is needed prior to each practice in order to complete the whole practice. The athlete had been taking ibuprofen for a lateral ankle sprain that occurred a month earlier; however, the doctor has instructed the athlete to cease taking medications due to lack of swelling and pain. What term would best describe the athlete's general response produced by the ibuprofen?

A) Tolerance
B) Habituation
C) Stimulation
D) Idiosyncrasy
E) Side effect

Question 14

If a person has a headache and takes acetaminophen and the headache dissipates, what term would best describe the person's general response produced by taking the drugs.

A) Paradoxical reaction
B) Side effect
C) Specific effect
D) Heartburn
E) Cumulative effect

Question 15

Which of the following is classified solely as a disinfectant?

A) Alcohol
B) Phenol
C) Hydrogen peroxide
D) Chlorine
E) Betadine

Question 16

Which of the following antibiotics is most often used for streptococcal infection and mycoplasma pneumoniae?

A) Bacitracin
B) Tetracycline
C) Erythromycin
D) Sulfonamides
E) Quinolones

Question 17

A patient is taking an antipruritic drug. What is the reason that a patient would be taking this drug?

A) To decrease body temperature
B) To relieve a muscle spasm
C) To relieve itching
D) To control appetite
E) To relieve congestion

Question 18

Which of the following would be classified as a narcotic analgesic drug?

A) Aspirin
B) Codeine
C) Antimedics
D) Histamine-2 blockers
E) Antihistamines

Question 19

Which of the following values would be considered the maximum daily dose for ibuprofen?

A) 4000 mg
B) 3200 mg
C) 2000 mg
D) 1000 mg
E) 500 mg

Question 20

Which of the following statements regarding prolonged use of cortisone is a contraindication?

A) It can cause bone thinning.
B) It can cause menstrual irregularities.
C) It can cause glaucoma.
D) It can hasten wound healing.
E) It can cause headaches.

Question 21

If a patient is suffering from flatulence, what should be taken?

A) Cathartics
B) Histamine 2 blockers
C) Carminatives
D) Antimetics
E) Antacids

Question 22

Which of the following types of drugs can decrease an athlete's ability to sweat, therefore predisposing them to a heat illness?

A) Antihistamines
B) Cough medicine
C) Anti-inflammatory
D) Antibiotics
E) Anticoagulants

Question 23

What is the medicinal use of the apparatus illustrated in the picture?

A) It is a metered-dose inhaler used to treat asthma.
B) It is a proton pump inhibitor used to treat GERD.
C) It is a glucose blood meter used in the maintenance of diabetes.
D) It is an epinephrine pen used to treat anaphylaxis.
E) It is an syringe injector used to administer vitamin B₁₂.

Question 24

If a SOAP note history reported that a patient was currently taking Coumadin, what is its significance?

A) There is no significance, nor contraindications for this type of medication.
B) This medication is an anticoagulant that slows clotting time of blood.
C) This is an antihistamine and may cause drowsiness.
D) This is an ergogenic aid and should be reported as an NCAA infraction.
E) This is an over-the-counter acetylsalicylic acid that should not be combined with acetaminophen.

Question 25

Why would diuretics increase the rate of heat illness?

A) They decrease the peripheral mechanism of sweating.
B) They are vasoconstrictors.
C) They prevent volume expansion and limit cutaneous vasodilation.
D) They affect hypothalamic heat control and have anticholinergic activity.
E) They affect both affect cold and hold temperature regulation.

Question 26

Within the two major categories of stimulants, which of the following is legal to obtain, or with a prescription, and commonly used for asthmatics?

A) Ephedrine
B) B₂ agonists
C) Cocaine
D) Methamphetamines
E) Codeine

Question 27

Which of the following ergogenic aids can be described as increasing blood volume and the number of blood cells?

A) Human growth hormones
B) Androstenedione
C) Diuretics
D) Blood doping
E) Beta blockers

Question 28

From the following list, what recreational drug is incorrectly listed as one of the most abused?

A) Nicotine
B) Alcohol
C) Amphetamines
D) Cocaine
E) Marijuana

Question 29

Which of the following was given full authority to develop programs, policies, and procedures for Olympic, Pan American, and Paralympic sports in the United States?

A) The National Collegiate Athletic Association (NCAA)
B) The National Federation of State High School Associations (NFHS)
C) The U.S.Anti-Doping Agency (USADA)
D) The U.S. Olympic Committee (USOC)
E) The Food and Drug Administration (FDA)

Question 30

If a suspected drug overdose has occurred, which would be an essential professional contact that should be notified?

A) Athletic support staff
B) Team psychologist / School counselor
C) Campus police
D) Team physician
E) Poison control center

Question 31

In the process of drug-testing for the NCAA or USOC, what is the purpose of taking two specimens (A and

A) The second specimen is what is sent to the laboratory to be tested for traces of drugs.
B) The second specimen is held in case the specimen A tests positive.
C) The second specimen is used to do a urinalysis for quality and ownership of the urine samples provided.
D) The second specimen is used in case the first sample's quality is compromised.
E) The second specimen is collected so randomization may occur between the samples when being tested.

Question 32

Which of the following drugs can increase the rate of heat illness?

A) Tetracyclines
B) Macrolides
C) Carminatives
D) Corticosteroids
E) Diuretics

Question 33

Which of the following statements is true about disinfectants?

A) They are substances that kill or inhibit the growth of microorganisms.
B) They are substances made from the alkaloid of opium
C) They are stored throughout the body and in the brain tissues for weeks and even months
D) They tend to make arterial walls more permeable to fatty substances
E) They suppress the formation of prothrombin in the liver

Question 34

Which of the following is a usage of Coumadin?

A) It is used to treat exercise-induced bronchospasm.
B) It is used to slow clotting time in certain vascular disorders.
C) It is used to increase the production of fluid in the respiratory system.
D) It is used to control diarrhea.
E) It is used to treat anaphylaxis resulting from insect stings.

Question 35

Which of the following statements is true about dry powder inhalers?

A) They require hand-lung coordination.
B) They can be used with a spacer that keeps medication from escaping into the air.
C) They convert the medication into a fine powder because of the pressure within the canister.
D) They require an individual to place the lips on their mouthpiece and inhale rapidly.
E) They convert medication into a mist.

Question 36

What type of inhaler is being demonstrated in the figure?

A) Metered-dose inhaler
B) Nebulizer
C) Spacer
D) Dry powder inhaler
E) Mist inhaler

Question 37

Which of the following substances is approved by the U.S. Olympic Committee (USOC) to be used by asthmatics who develop exercise-induced bronchospasms?

A) Nonselective nonsteroidal anti-inflammatory drugs
B) Selective B₂ agonists
C) Histamine-2 blockers
D) Topical nasal decongestants
E) Proton pump inhibitors

Question 38

Which of the following ergogenic aids is produced by the somatotropic cells of the anterior region of the pituitary gland, from which it is released into the circulatory system?

A) Human growth hormone
B) Androstenedione
C) Amphetamines
D) Human chorionic gonadotropin
E) Tetrahydrogestrinone

Question 39

Which of the following ergogenic aids is used in humans to produce transcient increases in testosterone in males and particularly in females primarily for the purpose of enhancing athletic performance?

A) Human growth hormone (HGH)
B) Androstenedione
C) Caffeine
D) Tetrahydrogestrinone (THG)
E) Amphetamine

Question 40

Which of the following statements is true about smokeless tobacco?

A) It can cause oral and throat cancer.
B) It is a less addictive habit than smoking.
C) It increases total response time among athletes and nonathletes.
D) Historically, its use can be attributed primarily to asthmatic athletes.
E) Its user is exposed to the tar and carbon monoxide associated with a burning cigarette.

Question 41

What is the name of the act that was passed that provides legal protection to the team physician and athletic trainers who provide healthcare for their athletes when traveling to other states.

A) The Healthcare Portability Act
B) Safe Travel Act
C) Sports Medicine Clarity Act
D) Healthcare for All Act
E) Medical Travel Act