CSSD Study Guide 2026

Everything you need to pass the CSSD exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 CSSD Exam Format at a Glance

150
Questions
210 min
Time Limit
70%
Passing Score

📚 CSSD Topics to Study (71)

✍️ Sample CSSD Questions & Answers

1. A 65 kg female soccer player wants to lose 4 kg of fat in 8 weeks. Approximately what weekly caloric deficit is needed?
500 kcal/day

Losing 0.5 kg/week requires roughly a 500 kcal/day deficit (3,500 kcal ≈ 0.45 kg fat), totaling ~4 kg over 8 weeks.

2. Which concept explains why athletes performing concurrent training (strength + endurance) may see blunted strength gains compared to strength training alone?
AMPK-mTOR interference, where AMPK activated by endurance work suppresses mTORC1-driven hypertrophy signaling

Endurance exercise activates AMPK, which can phosphorylate and inhibit mTORC1, the primary anabolic signaling hub for muscle protein synthesis and hypertrophy.

3. 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?
USDA FoodData Central database

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

4. Sports anemia (dilutional pseudoanemia) in endurance athletes is best characterized by:
Apparent low hemoglobin due to plasma volume expansion with normal iron stores

Endurance training increases plasma volume proportionally more than red cell mass, diluting hemoglobin concentration without true iron deficiency—serum ferritin remains normal.

5. The thermic effect of food (TEF) contributes approximately what percentage of total daily energy expenditure in most individuals?
5–10%

TEF accounts for approximately 5–10% of total daily energy expenditure, representing the energy cost of digesting, absorbing, and metabolizing food.

6. During a high-altitude competition (>2,000 m), an athlete's carbohydrate needs are altered primarily because of what physiological change?
Increased reliance on carbohydrate oxidation as the primary fuel due to reduced oxygen availability

At altitude, reduced partial pressure of oxygen shifts substrate use toward carbohydrate oxidation, increasing carbohydrate demand relative to sea-level competition.

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