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A series of multiple-choice questions and answers related to the nasm wls (weight loss specialist) certification. It covers various aspects of weight loss, including metabolic adaptations, dietary strategies, exercise principles, and behavioral modification techniques. The questions and answers offer insights into key concepts and practical applications for weight management professionals.
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Which of the following is a typical metabolic adaptation to dieting?
Select one:
a. Decrease in the hormone leptin
b. Increased resting metabolic rate
c. Increase in the hormone testosterone
d. Decreased hunger โโa. Decrease in the hormone leptin
What is an open-ended question?
Select one:
a. A true or false question
b. A multiple choice-style question
c. A question that cannot be answered with a yes or no and requires more detail
d. A question that can be answered simply with a yes or no โโc. A question that cannot be answered with a yes or no and requires more detail
What type of fat is associated with insulin resistance?
Select one:
a. Visceral fat
b. Peripheral fat
c. Pericardial fat
d. Subcutaneous fat โโa. Visceral fat
What is integrated training?
Select one:
a. The combination of Pilates, yoga, and step aerobics to improve aerobic fitness.
b. A strategy that combines all forms of exercise in a systematic and progressive fashion.
b. Appropriate
c. Valid
d. Relevant โโa. Reliable
What is the purpose of the Agree step in the 5 A's framework?
Select one:
a. To collect baseline information about the client and to identify their willingness to pursue weight loss.
b. To educate clients on suitable weight management techniques and the potential health-based incentives of weight loss.
c. To identify barriers to exercise and physical activity and identify how to overcome them.
d. To establish a mutual agreement between the fitness professional and client on clear goals and direction. โโd. To establish a mutual agreement between the fitness professional and client on clear goals and direction
When a client overeats, the fitness professional helps remove any guilty feelings and makes what suggestion to get back on track?
Select one:
a. Make major changes to the initial plan.
b. Go back to the plan at the next meal.
c. Skip the next meal.
d. Reduce the amount of protein the next day. โโb. Go back to the plan at the next meal
What percent of the global GDP do obesity-related costs account for?
Select one:
a. 0.
b. 0.
c. 0.
a. Tyrosine; serotonin Incorrect
b. Tryptophan; serotonin
c. Tryptophan; dopamine
d. Tyrosine; dopamine โโb. Tryptophan; serotonin
The ketogenic diet involves restricting which macronutrient?
Select one:
a. Carbohydrate
b. Protein
c. Fat
d. Alcohol Incorrect โโa. Carbohydrate
What percentage of TDEE does TEPA make up?
Select one:
a. 8 to 10% depending on activity levels
b. 15 to 50% depending on activity levels
c. 50 to 75% depending on activity levels
d. < 25% โโb. 15 to 50% depending on activity levels
What type of genetic relationship is apparent in common obesity?
Select one:
a. Monogenic
b. Caused by a single gene
c. Polygenic
d. Strong โโPolygenic
Which of the following is an example of one way in which the modern food environment may drive overeating?
d. An increase in fiber intake โโd. An increase in fiber intake
When a client lists an unfamiliar medication on the Lifestyle Health History Questionnaire, what is the proper course of action for the Weight Loss Specialist?
Select one:
a. Ask the client what the medication is for and determine if there are any side effects that could affect exercise.
b. Ask a supervisor what the medication is prescribed for.
c. Do not inquire further as this is private information.
d. Tell the client that a medical clearance is required for anyone on medication. โโa. Ask the client what the medication is for and determine if there are any side effects that could affect exercise.
Which of the following is a reason to calculate waist-to-hip ratio?
Select one:
a. It is more accurate than BMI for classifying obesity.
b. It can be used to predict body fat percent.
c. It is a commonly used tool to assess health risk by defining body shape.
d. It is a criteria for whether a medical clearance is required. โโc. It is a commonly used tool to assess health risk by defining body shape.
Which of the following describes how to use behavioral modification strategies to support a client's weight loss efforts?
Select one:
a. Help clients identify specific weight loss goals they would like to work on.
Select one:
a. 0.
b. 0.
c. 0.
d. 0.4 โโc. 0.
What is the impact of obesity on TEF?
Select one:
a. It may not impact TEF, or if it does, the impact is very small.
b. It increases TEF.
c. It decreases TEF.
d. The impact is unknown. โโa. It may not impact TEF, or if it does, the impact is very small.
What is exercise volume?
Select one:
a. The total amount of exercise
b. The effort put into exercise
c. The type of exercise Incorrect
d. The duration of exercise โโa. The total amount of exercise
How can you circumvent lean tissue loss when following a rapid weight loss plan?
Select one:
a. Consumption of adequate fat
b. Consumption of adequate fiber
c. Consumption of adequate carbohydrate
d. Consumption of adequate protein โโd. Consumption of adequate protein
Which of the following best describes the continuum of care in healthcare?
a. Relative TDEE and TEPA decline with increasing body weight.
b. Relative TDEE increases but relative TEPA declines with increasing body weight.
c. Relative TDEE and TEPA remain constant with increasing body weight.
d. Relative TDEE and TEPA increase with increasing body weight. Incorrect โโa. Relative TDEE and TEPA decline with increasing body weight
Which of the following is true regarding resistance training and weight loss?
Select one:
a. Resistance training does not mitigate the loss of FFM during weight loss.
b. Resistance training may maintain or reduce the loss of FFM during weight loss.
c. Resistance training usually increases FFM during weight loss.
d. The impact of resistance training on FFM is not well-studied. โโb. Resistance training may maintain or reduce the loss of FFM during weight loss.
Why is the reward an important part of the habit loop?
Select one:
a. It provides short-term external motivation to break a bad habit.
b. It provides the positive reinforcement to continue a routine and make the habit automatic.
c. It triggers the behavior the individual wants to change.
d. It signals completion of a habit. โโb. It provides the positive reinforcement to continue a routine and make the habit automatic
Which of the following types of actions would be within the scope of practice for a WLS?
d. Every time the client drops weight by 5 lbs., calories should be reduced by 100 kcal. โโc. If there is no change (< 0.5% drop) in body weight for at least 2 consecutive weeks
What is ambivalence?
Select one:
a. Being indifferent toward a behavior change or outcome
b. Feeling unmotivated to make a specific behavior change
c. Feeling unconfident to make a specific behavior change
d. Holding both positive and negative attitudes about a specific behavior change or outcome โโd. Holding both positive and negative attitudes about a specific behavior change or outcome
What commonly used pharmaceutical can increase the risk of weight gain?
Select one:
a. Metformin
b. Anti-hypertensives
c. Statins
d. Anti-depressants โโd. Anti-depressants
Which of the following is the strongest predictor of change in fat mass on an exercise program?
Select one:
a. Exercise frequency
b. Exercise energy expenditure
c. Exercise intensity
d. Exercise modality โโb. Exercise energy expenditure
Which of the following is an example of a specific goal?