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CISSN Exam 2025/2026 – 140+ Verified Review Questions & Answers | Nutrition Science, Supplementation, Training Physiology, Energy Systems & Body Composition

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This CISSN (Certified Sports Nutritionist from the International Society of Sports Nutrition) 2025/2026 exam review document features over 140 thoroughly verified questions and expert answers, ideal for candidates preparing for the CISSN exam or professionals reviewing advanced principles in sports nutrition and exercise physiology. The content reflects ISSN’s latest exam structure, offering a high-quality resource for both test prep and practical application. Covered topics include: Macronutrient Roles & Metabolism: Energy provision from carbs, protein turnover, fat oxidation, dietary reference values Ergogenic Aids & Supplements: Beta-alanine, caffeine, creatine, HMB, nitrate, whey vs casein, supplement timing and safety Training & Muscle Adaptations: Anaerobic and aerobic systems, VO2 max, hypertrophy types, strength vs endurance responses Hydration & Fluid Balance: Electrolyte needs, dehydration effects, sweat loss, water intake strategies for athletes Body Composition: DEXA, skinfold testing, body fat regulation, thermogenesis, energy balance, lean mass preservation Clinical & Ethical Considerations: Supplement regulation, placebo effect, double-blind trials, WADA banned substances Energy Systems & Expenditure: TDEE, TEF, BMR/RMR, EPOC, ATP-PC system, carbohydrate periodization strategies Who should use this document: CISSN exam candidates preparing for certification Students of sports nutrition, kinesiology, and exercise science Personal trainers and strength coaches integrating evidence-based nutrition Registered dietitians and healthcare professionals working with active populations Athletes and competitors looking to optimize training outcomes with nutritional strategies Every question reinforces exam readiness through clarity, repetition of key terms, and focus on the science-backed rationale behind each answer—making this an indispensable tool for mastering the CISSN exam and real-world nutrition science. Keywords: CISSN exam, sports nutrition, ISSN certification, supplements, creatine, beta-alanine, energy systems, TDEE, BMR, macronutrients, electrolyte balance, hypertrophy, VO2 max, protein intake, DEXA scan, nutrient timing, fat oxidation, thermogenesis, EPOC, performance nutrition

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CISSN Exam Review 2025/2026 Exam
Questions and Answers | 100% Solved



Explain how carnosine is synthesized within the body - 🧠 ANSWER ✔✔-

carnosine (B-alanyl Histidine) is made in the body from histidine and B-alanine via

an energy dependent reaction cartelized by carnosine synthetase

-found in skeletal muscle, cardiac muscle, brain, kidney, and stomach

-available in meats and absorbed in intestine via peptide transporters

- antioxidant activity (hydroxyl and superoxide radical) and oppose glycation

- suppress lipid peroxidation and react with protein carbonyl

- regulates intracellular calcium and contractility in muscle

- primarily, carnosine with pH buffering capacity is widely used in the field of

sports nutrition. Because the dissociation exponent (pKa) of carnosine is 6.83, it is

suggested that carnosine attenuates the reduction in blood pH by a large amount of

,H+ originating from the dissociation of lactic acid during strenuous exercise, and

suppresses a loss of force

What is a waxy maize starch and what effect does it have on blood glucose? - 🧠

ANSWER ✔✔- a highly branched starch called amylopectin. Water soluble and

absorbed by the gut more quickly than dextrose or maltodextrin, research has not

substantiated this claim.

-has been shown to be absorbed with less insulin, allowing ketogenic affects to

remain, increase both glycogen and FFA substrate utilization

Based on recent studies, which vitamin shows evidence of positively affecting

muscle function? - 🧠 ANSWER ✔✔Vitamin D


What is needed for gluconeogenesis in humans? Give examples of gluconeogenic

precursors? - 🧠 ANSWER ✔✔Gluconeogenesis relies upon lactate, pyruvate,

glycerol (a catabolic product of triglycerols) and certain amino acids (glutamine

and alanine)

What effect does long-term coffee consumption have on Type II Diabetes? - 🧠

ANSWER ✔✔Results suggest that moderate consumption of both caffeinated and

decaffeinated coffee may lower risk of type II diabetes in younger and middle-aged

,women. Coffee constituents other than caffeine may affect the development of type

II diabetes

What effect does supplementing with WPI have on muscle damage? - 🧠 ANSWER

✔✔- The major finding of this investigation was that whey protein isolate

supplementation attenuated the impairment in isometric and isokinetic muscle

forces during recovery from exercise-induced muscle injury

- The current study demonstrates that whey protein is a partially hydrolyzed (pre-

digested) form improves strength recovery rates, possibly due to an increase in the

rate of repair processes and/or a reduction in the extent of damage, from intense

training, in particular, eccentric exercise that is commonly used in weight training

When glycogen stores are depleted, what macronutrient becomes the predominant

fuel source during distance running? - 🧠 ANSWER ✔✔fat (oxidation)


How many extra kcal are required for accumulation of 1 kg of body fat? - 🧠

ANSWER ✔✔approximately 7000


What are the effects of pre-exercise dehydration on thermoregulation and

performance? - 🧠 ANSWER ✔✔decrease thermoregulation and performance


What are the effects of L-alanyl-L-Glutamine supplementation on time-to-

exhaustion and dehydration stress? - 🧠 ANSWER ✔✔Results demonstrate that AG

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3

, supplementation provided a significant ergogenic benefit by increasing time to

exhaustion during a mild hydration stress. This ergogenic effect was likely

mediated by an enhanced fluid and electrolyte uptake

What effects can a low-carbohydrate diet have on prolonged physical activity? - 🧠

ANSWER ✔✔Decreased glycogen synthesis, decreased performance,

overreaching/overtraining

Approximately how many days of heat exposure does it take to fully acclimate to

exercising in the heat? - 🧠 ANSWER ✔✔Complete acclimation takes up to 14 days


What is HICA and what are the effects of its supplementation for a period of 4

weeks? - 🧠 ANSWER ✔✔- Alfa-Hydroxy-isocaproic acid (HICA) is an end

product of leucine metabolism in human tissues such as muscle and connective

tissue. According to the clinical and experimental studies, HICA can be considered

as an anti-catabolic substance. The present study investigated the effects of HICA

supplementation on body composition, delayed onset of muscle soreness (DOMS)

and physical performance of athletes during a training period

-already a 4-week HICA supplementation of 1.5 g a day leads to small increases in

muscle mass during an intensive training period in soccer athletes

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