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Free CSO Exam Prep

Board Certified Specialist in Oncology Nutrition

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Your Study Path

CSO CDR Dietetics Exams License: Complete Roadmap

Follow this path to organize your licensing and exam preparation

1

Nutrition Assessment (largest domain)You are here

Master PG-SGA scoring with triage (A/B/C), GLIM criteria, cachexia diagnosis (Fearon 2011) and staging, energy/protein needs per ESPEN cancer guidelines (25-30 kcal/kg, 1.2-1.5 g/kg protein up to 2.0 in cachexia). 34% of exam.

20
hours
2

Nutrition Interventions

Cover MNT for treatment side effects (mucositis, dysgeusia, nausea, diarrhea, GVHD), disease-site nutrition (head/neck prophylactic G-tube, pancreatic PERT, post-gastrectomy dumping, HSCT/BMT phases), oncologic emergencies. 27% of exam.

18
hours
3

Cancer & Cancer Treatment

Study cancer biology basics, staging, treatment modality side-effect profiles (chemo, RT, surgery, immunotherapy, CAR-T including CRS/ICANS), neutropenic diet evidence (current evidence does NOT support strict neutropenic — food safety yes). 20% of exam.

12
hours
4

Education & Counseling + Final Review

Motivational interviewing, supplement/herbal cautions during therapy, survivorship guidelines (AICR/WCRF, Mediterranean), palliative/EOL nutrition, drug-nutrient interactions. 19%.

10
hours
Estimated total study time
60 hours
That's about 6 weeks at 10 hours/week

Can You Take the CSO Exam?

Check if you meet the basic eligibility requirements

Age
Education
Current RD/RDN credential
Experience
Minimum 2,000 hours oncology nutrition practice within past 5 years
Additional Requirements
  • Active CDR Registered Dietitian (RD/RDN) credential ≥2 years
  • Minimum 2,000 hours of documented oncology nutrition practice within past 5 years
  • Year-round computer-based testing through PSI
  • Recertify every 5 years

CSO Quick Facts

Time to Get Licensed

8-12 weeks typical

From start to license in hand

Exam Provider

PSI

Remote Testing Available
Schedule Your Exam

Retake Policy

Per CDR retake policy

Total Cost Breakdown

Exam Fee$350 US / $475 international
Total Estimated Cost$350
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What You'll Study

7 chapters covering the exam topics in this guide

CSO Exam Details

Board Certified Specialist in Oncology Nutrition

Administered by CDR

Official Source
Scaled (CDR-set)
Passing Score
150
Questions
3
Hours
$350 US / $475 international
Exam Fee
Study time: 60-100 hours
Prerequisites: Current RD/RDN ≥2 years + 2,000 hours oncology nutrition practice within past 5 years
Valid for: 5 years

Exam Content Breakdown

Based on the official CDR content outline

Cancer and Cancer Treatment20%

Cancer biology, staging (TNM basics), surgical/RT/chemo/immunotherapy/BMT/CAR-T modalities, treatment-related side effects (mucositis, neutropenia, dysgeusia)

Nutrition Assessment34%

PG-SGA scoring (A/B/C triage), GLIM criteria, cachexia diagnosis (Fearon 2011), pre-cachexia → cachexia → refractory staging, energy/protein requirements (ESPEN cancer guidelines)

Nutrition Interventions27%

MNT for treatment side effects, disease-site-specific (HN, esophageal, pancreatic, gastric, colorectal, HSCT/BMT, brain), oral nutritional supplements, EN/PN, oncologic emergencies (TLS, hypercalcemia)

Education and Counseling19%

Patient education, motivational interviewing, supplements/herbals (cautions during therapy — antioxidants, St. John's wort, turmeric), survivorship (Mediterranean/AICR/WCRF), palliative/EOL nutrition

What's Included

7 Chapters

Complete exam coverage

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