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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: Study Roadmap

Follow this path to organize your exam preparation

1

Nutrition AssessmentYou are here

42/125 scored items (33.6%). Practise PG-SGA, GLIM, cachexia, intake assessment, body composition, requirements and social barriers. This is an editorial 60-hour study plan.

20
hours
2

Nutrition Interventions

35/125 (28%). Choose nutrition routes and symptom strategies conditionally, include refeeding, monitoring, referral and care coordination.

18
hours
3

Cancer and Cancer Treatment

26/125 (20.8%). Connect treatment modalities and disease effects to assessment priorities and urgent escalation.

12
hours
4

Education and Counseling

22/125 (17.6%). Practise individual/group education, teach-back, food and supplement safety, survivorship and goals-of-care discussions.

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
2,000 oncology nutrition practice hours as an RD in the preceding 5 years; approved substitutions may cover up to 40% (800 hours).
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 Pearson VUE
  • •5 years. Standard recertification uses a new eligibility application and examination. A CDR longitudinal-assessment pilot offers an alternative for eligible CSO credentials expiring January 31, 2029 through June 30, 2030; it has separate 1,000-hour practice and $350 fee requirements.

CSO Quick Facts

Timeline

Study Plan
Editorial planning estimate: 8–12 weeks

Exam Provider

Pearson VUE

In-Person Only
Schedule Your Exam

Retake Policy

The ordinary wait is 60 days after an unsuccessful attempt, with CDR reauthorization. A one-time waiver may be requested with an employer letter confirming earlier passage is required to retain employment; approval is not automatic. Reapply if the 1-year eligibility window expires.

Total Cost Breakdown

Exam Fee$350
Total Estimated Cost$350 examination fee; optional preparation, travel and other individual costs are additional
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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
Angoff-based standard; fixed percent not published
Passing Score
150
Questions
180
Minutes
$350
Exam Fee
Study time: Editorial planning estimate: 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 Treatment20.8%

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

Nutrition Assessment33.6%

Screening and assessment of intake, symptoms, anthropometrics, body composition, function, disease and psychosocial context; distinguish PG-SGA scoring from global categories.

Nutrition Interventions28.0%

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 Counseling17.6%

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

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