NASM CNC Practice Exam 2025 | Nutrition Coach Certification | 1300 Questions & verified Answers

1. Even though there are three pathways, the majority of ethanol
metabolism occurs in the liver through
 the alcohol dehydrogenase reaction.

2. Just like carbohydrates and fats, ethanol metabolism is regulated by
hormones and excess ethanol in the blood is stored within soft tissues
for later use.
 false

3. Which of the following are reasons why men, on average, will have a
lower blood alcohol content (BAC) than women after consuming the
same quantity of ethanol?
 Men have a higher percentage of bodily water andFirst pass
metabolism is greater in men

4. What is the end-product of ethanol metabolism, which is then
converted to acetyl-CoA similar to the beta-oxidation of fatty acids?
 Acetate

5. Moderate drinking is classified as
 up to one standard drink per day for females and up to two standard
drinks per day for male

6. high risk drinks for females
 4 or more per day, 8 or more per week

7. high risk drinking for males
 5 or more per day or 15 or more per week

8. moderate drinking
 A safe level of alcohol consumption recommended by the Dietary
Guidelines for Americans - one standard drink per day for females,
two standard drinks per day for males.

9. standard drink
 Any alcoholic beverage that contains 0.6 ounces of ethanol.

10. high risk drinking
 The level of consumption at which the risk of alcohol-related harm is
greatly increased.

11. binge drinking
 Consumption of a large amount of alcohol in a single session.

,12. beer
 4 to 5% ethanol

13. spirits
 40% or over ethanol

14. (14% of total energy intake) Energy from alcohol must be accounted
for when calculating energy requirements.
 may come from discretionary food sources
 Energy from alcohol should not displace energy from other food
sources that also provide macro- and micronutrients.

15. discretionary energy
 Calories left over in a diet once nutritional requirements have been
met

16. When consumed regularly at high levels, ethanol may reduce
at harmful levels—above recommended guidelines.
 lean muscle mass,through dose-dependent reductions in
testosterone,protein synthesis, and the actions of reactive oxygen
species created during MEOS

17. Comprised of three questions, the USAUDIT-C provides an
indication of whether an individual is
 U.S Alcohol Use Disorders Identification Test (USAUDIT-C)

18. Moderate consumption of alcoholic beverages (1 standard drink per
day for women, 2 per day for men) has been shown to support lower-
fat body compositions than both heavy drinkers or total abstainers.
 true

19. Which of the following are healthy techniques to reduce the impact of
alcohol intoxication
 Eat before drinking alcohol to slow absorption and speed up
processing,
Stay hydrated so ethanol concentration in the blood stays lower

20. what kind of damage can alcohol do to the brain?
 memory loss, learning difficulties, psychosis, mental confusion, and,
in extreme cases, paralysis

21. Abstinence from ethanol and dietary supplementation with thiamine
may

, reverse some of the structural and functional deterioration; however,
for some, the damage will be irreparable

22. ethanol increases
 heart rate and blood pressure

23. Chronic and acute alcohol use has long been associated with altered
 immune function

24. ethanol can alter normal hormone secretion with a
 reduction in testosterone in men and an increase in estrogen in both
sexes

25. hormonal changed from alcohol may
 impact muscle mass, bone density, fertility, and sexual function and
an increase in breast cancer

26. disrupt normal sleep patterns so that the quality of sleep
 measured by the time spent in REM and non-REM sleep and total
time asleep is reduced

27. Non-REM deep sleep is considered as regenerative, mainly due to the
release of growth hormone
 although this type of sleep is increased when ethanol is consumed,
growth hormone secretion by the pituitary gland is decreased

28. damaging exercise, similar responses to ethanol as those seen in
males are not necessarily evident in females
 possibly as a result of the female sex hormone estrogen.

29. Alcohol consumption should be delayed, until
 foods containing carbohydrates and protein are eaten. This will ensure
substrates are available for glycogen resynthesis and protein synthesis
and are not replaced by energy from ethanol

30. How does frequent alcohol usage affect athletic performance?
 increases reaction and recovery time

31. Which of the following makes some nutrition researchers recommend
the moderate consumption of red wine as part of a healthy diet?
 It is high in antioxidant polyphenols

, 32. Longer duration, aerobic exercise performance is reduced after
drinking alcohol, with greater effects seen as the amount of ethanol
consumed increases
 true

33. When sleeping after consuming ethanol, there is an increase growth
hormone secretion by the pituitary gland, positively affecting sleep
quality.
 false

34. What are the likely effects of consuming alcohol prior to going to
sleep
 Increased non-REM sleep and decreased growth hormone secretion

35. What enzyme, that is responsible for the breakdown of hydrogen
peroxide, indirectly contributes to ethanol metabolism?
 catalase

36. Which product of ethanol metabolism disrupts fatty acid oxidation in
peripheral tissues
 acetate

37. Based on research, which group of college athletes is more likely to
regularly consume alcohol at hazardous levels?
 Intramural/club athletes

38. Intercollegiate athletes are known to
 binge drink

39. Alcoholics often suffer from structural and functional damage to their
brain as a result of a deficiency in which vitamin
 Thiamin

40. For males, high levels of ethanol consumption are closely associated
with what
 excessive belly fat

41. Which intermediate substrate in the processing of ethanol is highly
toxic and must be metabolized rapidly and preferentially above all
other macronutrients
 acetaldehyde

42. Acetyl-CoA and NADH