HS201 LATEST 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
✔✔compulsive exercise - ✔✔-Compulsion to exercise and/or to burn calories
-Rigidity in exercise behaviors and daily routines
-Time to exercise prioritized over social life, work, etc
-Often coupled with rigid food rules and restriction
-Massive anxiety, anger and guilt if "rules" are broken
-An eating disorder that uses exercise to purge
-Co-occurs with bulimia in up to 2/3 of cases and in about 1⁄4 of those with anorexia
-Exercise disorders worsen eating disorders and depression, making recovery more
challenging
✔✔Athletes at risk of eating disorders - ✔✔-Athletes training & competing at high levels
Aesthetic, weight-based, and "lean" sports
Perfectionists, harshly critical, low self-worth
Injured athletes
✔✔Pressures that athletes have to deal with putting them at risk - ✔✔-Performance
pressures
Thin ideal in sport
Muscular ideal (males)
Over-valuation of athlete identity
Compulsive exercisers
Akiko Suzuki
Driven, disciplined, elite, goal-focused, determined to win at any cost
Rigid focus, overtrains & underfuels, ignores fatigue, trains in spite of injury
Influence of parents, coaches, teammates, judges, uniforms...
✔✔female athlete triad - ✔✔low energy/ disordered eating, menstrual disturbances/
amenorrhea, bone loss/ osteoporosis
✔✔Relative Energy Deficiency in Sport (RED-S) - ✔✔a syndrome of impaired
physiological functions caused by relative energy deficiency (too little energy intake for
the energy expended)
Refer to circle chart
-Mental affects are more apparent that physical
✔✔Binge Eating Disorder (BED) - ✔✔Recurrent binge eating without the use of
inappropriate compensatory weight control behaviors
✔✔binger eating disorder facts and stats - ✔✔***MOST COMMON EATING
DISORDER***
,2. Common binge triggers include: stress, loneliness, having unstructured time, being
bored or drinking alcohol
3. About 25% of patients being treated for obesity have BED
4. 40% of those struggling with BED are men
✔✔Binge Eating Cycle - ✔✔Negative thoughts --> restrictive dieting --> deprivation -->
binge eating and some relief --> shame
✔✔Other Specified Feeding or Eating Disorder (OSFED) - ✔✔1. Atypical Anorexia
Nervosa
2. Subthreshold AN, Bn, or BED
3. Orthorexia
4. Night Eating Syndrome
5. Pica
6. Avoidant/restrictive food intake disorder (ARFID)
✔✔atypical anorexia nervosa - ✔✔Significant weight loss from a higher initial body
weight
✔✔Subthreshold AN, BN or BED: - ✔✔Behaviors occur below the threshold of
diagnostic criteria (ie. frequency)
✔✔Orthorexia - ✔✔obsession with healthy eating
✔✔Pica - ✔✔Craving nonnutritive substances like clay, dirt, chalk
✔✔Night Eating Syndrome - ✔✔Disordered eating, sleep and mood
✔✔Avoidant/Restrictive Food Intake Disorder (ARFID) - ✔✔Restrictive eating behaviors
that can result in significant weight loss, growth compromise and reliance on nutritional
supplements; usually occurs in younger ages and with coexisting psych, trauma,
sensory, and/or medical diagnosis including autism
✔✔Eating Disorder roots - ✔✔-Genetic and environmental factors
Stress that exceeds ones ability to cope
Difficulty effectively expressing emotions
Negative perceptions of self or self-worth
Often related to anxiety, depression, trauma, abuse or other significant environmental
stressors
✔✔Existing Mental Health Conditions with Eating Disorders - ✔✔-Depression
Anxiety
Attention deficit hyperactivity disorder Obsessive compulsive disorder (OCD) Post-
traumatic stress disorder Borderline personality disorder Substance abuse disorder
, ✔✔Contributing Factors to EDs - ✔✔-Home
• School
• College
• Sport
• Work
• Society
• Trauma
✔✔High Risk Groups for EDs - ✔✔-Adolescents
Females, but rates increasing in males
Anyone susceptible to psycho-social issues of
a. Depression, anxiety, OCD
b. Low self-esteem
c. Body dissatisfaction
Anyone at risk for chronic or unhealthy dieting
Transgender and LGBQ individuals
Individuals who've experienced trauma, abuse, neglect, bullying, discrimination or
major life stressors like moving away to college, sports injuries, concussions...
✔✔anorexia nervosa warning signs - ✔✔Restricts food intake
Is "dieting," may go vegan or gluten-free...
Obsessed with food, counts calories, avoids fat
Pre-occupied by thoughts of food and weight
Complains about body size or specific body parts
May be exercising obsessively
May be using laxatives; may be bingeing and purging
Negative self-talk
Compulsive food rituals, values or beliefs Rigid eating routines, rules, and aversions
Fearful of eating in public Socially withdrawn, avoids conflict or new situations Feels
cold even when temperature is normal
Presence of lanugo
Wears layered or baggy clothing
Irritable, anxious, may be depressed
Thinning or loss of hair, pale appearance
Dizziness and headaches, fatigue, low energy
Low blood pressure, low heart rate
✔✔bulimia nervosa warning signs - ✔✔Fluctuating weight; cycles of weight loss and
gain
Secretive eating: hidden foods, hidden food wrappers,
restrictive eating in public
Frequent trips to the bathroom
Evidence of purging behavior
Physical signs: scarred knuckles, puffy cheeks, blood shot eyes, dehydrated,
exhausted, unfocused
SOLUTIONS GRADED A+
✔✔compulsive exercise - ✔✔-Compulsion to exercise and/or to burn calories
-Rigidity in exercise behaviors and daily routines
-Time to exercise prioritized over social life, work, etc
-Often coupled with rigid food rules and restriction
-Massive anxiety, anger and guilt if "rules" are broken
-An eating disorder that uses exercise to purge
-Co-occurs with bulimia in up to 2/3 of cases and in about 1⁄4 of those with anorexia
-Exercise disorders worsen eating disorders and depression, making recovery more
challenging
✔✔Athletes at risk of eating disorders - ✔✔-Athletes training & competing at high levels
Aesthetic, weight-based, and "lean" sports
Perfectionists, harshly critical, low self-worth
Injured athletes
✔✔Pressures that athletes have to deal with putting them at risk - ✔✔-Performance
pressures
Thin ideal in sport
Muscular ideal (males)
Over-valuation of athlete identity
Compulsive exercisers
Akiko Suzuki
Driven, disciplined, elite, goal-focused, determined to win at any cost
Rigid focus, overtrains & underfuels, ignores fatigue, trains in spite of injury
Influence of parents, coaches, teammates, judges, uniforms...
✔✔female athlete triad - ✔✔low energy/ disordered eating, menstrual disturbances/
amenorrhea, bone loss/ osteoporosis
✔✔Relative Energy Deficiency in Sport (RED-S) - ✔✔a syndrome of impaired
physiological functions caused by relative energy deficiency (too little energy intake for
the energy expended)
Refer to circle chart
-Mental affects are more apparent that physical
✔✔Binge Eating Disorder (BED) - ✔✔Recurrent binge eating without the use of
inappropriate compensatory weight control behaviors
✔✔binger eating disorder facts and stats - ✔✔***MOST COMMON EATING
DISORDER***
,2. Common binge triggers include: stress, loneliness, having unstructured time, being
bored or drinking alcohol
3. About 25% of patients being treated for obesity have BED
4. 40% of those struggling with BED are men
✔✔Binge Eating Cycle - ✔✔Negative thoughts --> restrictive dieting --> deprivation -->
binge eating and some relief --> shame
✔✔Other Specified Feeding or Eating Disorder (OSFED) - ✔✔1. Atypical Anorexia
Nervosa
2. Subthreshold AN, Bn, or BED
3. Orthorexia
4. Night Eating Syndrome
5. Pica
6. Avoidant/restrictive food intake disorder (ARFID)
✔✔atypical anorexia nervosa - ✔✔Significant weight loss from a higher initial body
weight
✔✔Subthreshold AN, BN or BED: - ✔✔Behaviors occur below the threshold of
diagnostic criteria (ie. frequency)
✔✔Orthorexia - ✔✔obsession with healthy eating
✔✔Pica - ✔✔Craving nonnutritive substances like clay, dirt, chalk
✔✔Night Eating Syndrome - ✔✔Disordered eating, sleep and mood
✔✔Avoidant/Restrictive Food Intake Disorder (ARFID) - ✔✔Restrictive eating behaviors
that can result in significant weight loss, growth compromise and reliance on nutritional
supplements; usually occurs in younger ages and with coexisting psych, trauma,
sensory, and/or medical diagnosis including autism
✔✔Eating Disorder roots - ✔✔-Genetic and environmental factors
Stress that exceeds ones ability to cope
Difficulty effectively expressing emotions
Negative perceptions of self or self-worth
Often related to anxiety, depression, trauma, abuse or other significant environmental
stressors
✔✔Existing Mental Health Conditions with Eating Disorders - ✔✔-Depression
Anxiety
Attention deficit hyperactivity disorder Obsessive compulsive disorder (OCD) Post-
traumatic stress disorder Borderline personality disorder Substance abuse disorder
, ✔✔Contributing Factors to EDs - ✔✔-Home
• School
• College
• Sport
• Work
• Society
• Trauma
✔✔High Risk Groups for EDs - ✔✔-Adolescents
Females, but rates increasing in males
Anyone susceptible to psycho-social issues of
a. Depression, anxiety, OCD
b. Low self-esteem
c. Body dissatisfaction
Anyone at risk for chronic or unhealthy dieting
Transgender and LGBQ individuals
Individuals who've experienced trauma, abuse, neglect, bullying, discrimination or
major life stressors like moving away to college, sports injuries, concussions...
✔✔anorexia nervosa warning signs - ✔✔Restricts food intake
Is "dieting," may go vegan or gluten-free...
Obsessed with food, counts calories, avoids fat
Pre-occupied by thoughts of food and weight
Complains about body size or specific body parts
May be exercising obsessively
May be using laxatives; may be bingeing and purging
Negative self-talk
Compulsive food rituals, values or beliefs Rigid eating routines, rules, and aversions
Fearful of eating in public Socially withdrawn, avoids conflict or new situations Feels
cold even when temperature is normal
Presence of lanugo
Wears layered or baggy clothing
Irritable, anxious, may be depressed
Thinning or loss of hair, pale appearance
Dizziness and headaches, fatigue, low energy
Low blood pressure, low heart rate
✔✔bulimia nervosa warning signs - ✔✔Fluctuating weight; cycles of weight loss and
gain
Secretive eating: hidden foods, hidden food wrappers,
restrictive eating in public
Frequent trips to the bathroom
Evidence of purging behavior
Physical signs: scarred knuckles, puffy cheeks, blood shot eyes, dehydrated,
exhausted, unfocused
