ISSA Risk Assessment & Mitigation 4

Question 1

A client wants to try a raw food diet exclusively. What micronutrient deficiency risk is most urgent to address?

Accepted Answer

Vitamin B12 deficiency

Answer

Vitamin B12 is found almost exclusively in animal products and is not reliably present in raw plant foods, making deficiency a critical risk on a raw vegan diet.

Question 2

Which ergogenic aid presents the greatest risk of adulteration with banned substances when purchased from unverified sources?

Accepted Answer

Pre-workout supplements from unknown online vendors

Answer

Pre-workout supplements from unverified vendors are among the highest-risk products for contamination with undisclosed stimulants, prohormones, or banned substances.

Question 3

What is the primary nutrition-related risk for an endurance athlete training more than 15 hours per week without dietary guidance?

Accepted Answer

Relative Energy Deficiency in Sport (RED-S)

Answer

RED-S occurs when energy intake chronically fails to meet the demands of training, impairing hormonal function, bone health, immunity, and performance.

Question 4

A client using herbal supplements reports taking St. John's Wort alongside prescription antidepressants. What is the key risk?

Accepted Answer

Serotonin syndrome from additive serotonergic effects

Answer

Combining St. John's Wort with serotonergic drugs can precipitate serotonin syndrome, a potentially life-threatening condition characterized by agitation, hyperthermia, and seizures.

Question 5

Which population has the highest risk of calcium supplementation causing cardiovascular adverse events?

Accepted Answer

Postmenopausal women exceeding 1,000 mg/day from supplements alone

Answer

Research suggests that high-dose calcium supplements (not dietary calcium) in postmenopausal women may increase cardiovascular event risk, likely due to acute hypercalcemia spikes.

(ISSA) International Sports Sciences Association Certified Nutritionist Practice Test

(ISSA) International Sports Sciences Association Certified Nutritionist Practice Test

ISSA Risk Assessment & Mitigation 4