CSSD Nutrition Assessment & Counseling Strategies 4

Question 1

A female distance runner reports amenorrhea for 10 months. Which combination of findings is MOST consistent with the Female Athlete Triad?

Accepted Answer

Low energy availability, low bone mineral density, and functional hypothalamic amenorrhea

Answer

The Female Athlete Triad is defined by low energy availability (with or without disordered eating), menstrual dysfunction, and low bone mineral density.

Question 2

During a sports nutrition consultation, using open-ended questions is preferable because they:

Accepted Answer

Allow the athlete to elaborate and reveal underlying beliefs about food and performance

Answer

Open-ended questions invite narrative responses that uncover attitudes, barriers, and motivations not captured by yes/no or numeric answers.

Question 3

Which DXA measurement output is MOST directly used to diagnose osteoporosis according to the WHO T-score criteria?

Accepted Answer

T-score at the lumbar spine or femoral neck

Answer

The WHO defines osteoporosis as a T-score ≤ -2.5 SD at the lumbar spine or femoral neck compared to a young adult reference population.

Question 4

An athlete completing a food record reports eating a 'medium banana.' To convert this to a quantitative nutrient value, the dietitian should FIRST consult which resource?

Accepted Answer

USDA FoodData Central database

Answer

USDA FoodData Central provides standardized nutrient values by food portion, making it the primary reference for converting food descriptions to nutrient data.

Question 5

A gymnast has a BMI of 16.8 kg/m² and reports eating 1,400 kcal/day while training 30 hours per week. The dietitian calculates energy availability (EA). If the athlete's fat-free mass is 38 kg, what is EA (kcal/kg FFM/day)?

Accepted Answer

Approximately 25 kcal/kg FFM/day

Answer

EA = (Energy intake − Exercise energy expenditure) / FFM; at 1,400 kcal intake with ~450 kcal/day exercise EE, EA ≈ 950/38 ≈ 25 kcal/kg FFM/day, below the 45 kcal threshold.

(CSSD) Board Certified Specialist in Sports Dietetics Practice Test

(CSSD) Board Certified Specialist in Sports Dietetics Practice Test

CSSD Nutrition Assessment & Counseling Strategies 4