CSSD Eating Disorders in Athletes 2

Question 1

Which hormonal change is most characteristic of hypothalamic amenorrhea in female athletes with low energy availability?

Accepted Answer

Suppressed GnRH pulsatility

Answer

Low energy availability suppresses GnRH pulsatility from the hypothalamus, disrupting the entire HPG axis and causing amenorrhea.

Question 2

A male endurance athlete presents with low libido, fatigue, and stress fractures. Which condition best explains this cluster in the context of the Male Athlete Triad?

Accepted Answer

Relative Energy Deficiency in Sport (RED-S)

Answer

RED-S describes the broad health and performance consequences of low energy availability in male athletes, including hormonal and bone health impairments.

Question 3

Which validated screening tool uses items such as 'I am terrified of being overweight' and is commonly used in athletic populations for eating disorder risk?

Accepted Answer

Eating Attitudes Test (EAT-26)

Answer

The EAT-26 is a widely validated self-report screening tool that assesses eating disorder attitudes and behaviors, including fear of weight gain.

Question 4

An athlete with anorexia nervosa resumes eating after prolonged restriction. Which electrolyte abnormality is the primary concern during refeeding?

Accepted Answer

Hypophosphatemia

Answer

Refeeding syndrome is characterized by a dangerous drop in serum phosphate as insulin drives phosphate into cells during renewed carbohydrate metabolism.

Question 5

Which sport category has consistently shown the highest prevalence of clinical eating disorders in research studies?

Accepted Answer

Aesthetic and weight-class sports

Answer

Aesthetic sports (gymnastics, figure skating) and weight-class sports (wrestling, rowing) show the highest prevalence due to weight and appearance pressures.

(CSSD) Board Certified Specialist in Sports Dietetics Practice Test

(CSSD) Board Certified Specialist in Sports Dietetics Practice Test

CSSD Eating Disorders in Athletes 2