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CNCB Certified Clinical Nutritionist 2025 Practice Test

CCN test Format | Course Contents | Course Outline | test Syllabus | test Objectives

The Clinical Nutrition Certification Board (CNCB) is a 501(c)(3) non-profit tax-exempt certification agency which provides professional training, examination and certification for health care practitioners.

The discipline of Human Clinical Nutrition applies principles derived from current biochemical and physiological scientific knowledge for the purpose of promoting optimal health while recognizing biochemical individuality. The Certified Clinical Nutritionist assesses a persons nutritional needs to achieve normal physiological function. Assessment includes the use of appropriate test and observations such as case history, anthropomorphic measurements, physical signs, laboratory tests, and nutrition/lifestyle analysis to determine an educational nutrition program. Assessment also provides the basis for referral to a licensed physician, or other health care professional.

The educational protocol may include, among other information, nutrition / lifestyle modification, nutritive supplementation, understanding of physiological/biochemical pathways, and evoking of regenerative processes.

The Certified Clinical Nutritionist (CCN) Examination establishes reputable standards of excellence.

Creation of a quality examination, based on a validated scope of practice which appropriately represents the field of clinical nutrition.

Candidate access to the broad scope of clinical nutrition training and a mechanism for recertification every five years, recognizing continued competency in the field.

The CCN Examination Candidate must:

Satisfy the CORE Requirements
Submit Credential Review Application and College Transcripts
Obtain Credential Review Approval
Complete the Post Graduate Studies in Clinical Nutrition Program (PGSCN)™
Achieve a passing score on the online CCN Examination

The CCN Examination processes and the examination data bank are reviewed and revised annually, in accordance with the specifications of the Role Delineation Study. The CNCB utilizes a criterion referenced passing point for each section of the certification examination.

- Biochemistry of Essential Vitamins
- Biochemistry of Essential Minerals
- Biochemistry of Essential Trace Minerals
- Biochemistry of Essential Amino Acids and Accessory Nutrients

- Optimal Human Nutrition
- Environmental Health Issues
- Drug Induced Nutritional Deficiencies
- Free Radicals & Antioxidants

- Biochemistry of Fats and Oils
- The Human Microflora
- Cognitive Enhancing Drugs and Nutrients
- Alternative Cancer Therapies

- Women’s Health Conditions
- Cardiovascular Disease
- Hyperinsulinemia
- Allergies and Asthma
- ADD and ADHD

- Health Assessment & Medical Symptom
- Introduction to Human Toxicity
- Bowel Terrain
- Toxic Conditions, Allergies and Sensitivities

- Established Need for Detoxification
- Therapy Modality - Homeopathy
- Phytotherapy
- Therapy modality - Herbology

- Clinical Nutrition Counseling with Alternative Therapies
- Rationale for Laboratory Assessment
- Vitamins - the Working “Hands” of Enzymes
- Minerals & Laboratory Testing

- Amino Acids & Laboratory Testing
- Fatty Acids & Laboratory Testing
- Organic Acids & Laboratory Testing
- Gastrointestinal Disorders & Laboratory

- Testing: Digestion & Absorption
- Microbial Flora
- Gastric and Pancreatic Function
- Intestinal Function & Permeability

- Leaky Gut Syndrome
- Dysbiosis
- Bacterial & Protozoal Markers
- Food Allergy & Test Results
- Detoxification Testing

- Urinary Markers
- Hormones & Laboratory Testing
- Aging and Oxidant Stress
- Urinary Metabolic Markers
- Case Reports and Case Outcomes

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CNCB Certified Clinical Nutritionist
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Question: 45
The hypermetabolic state accompanying infection, injury or burns is characterized
by:
A. 10% decrease in BMR
B. Increased gluconeogenesis
C. Decreased glycogenolysis
D. Increased ketosis
Answer: B
The hypermetabolic state accompanying infection, injury, or burns is
characterized by increased gluconeogenesis. Increased gluconegenesis occurs to
raise blood glucose to meet the high energy demands of healing, which can raise
the BMR by as much as 100%. Glycogenolysis is also increased to raise blood
glucose, but ketosis is suppressed, because of hormonal regulation of the
sympathetic nervous system.
Question: 46
Stomatis is treated with which of the following dietary interventions?
A. Supplementation with iron
B. Clear liquid diet
C. Avoidance of acidic and spicy foods
D. A & C
Answer: D
Stomatis is an inflammation of the mucous membranes of the mouth. It may be
caused by iron deficiency, in which case it is treated with iron supplementation.
The usual dietary regimen is avoidance of acidic and spicy foods.
Question: 47
Low-salt syndrome may be caused by:
A. Extreme sodium restriction due to congestive heart failure
B. Decreased glomerular filtration rate
C. Adrenal gland insufficiency
D. All of the above
Answer: D
Low-salt syndrome is occasionally seen in individuals with congestive heart
failure who are being treated with severe sodium restriction. It may also be caused
by decreased glomerular filtration rate in renal disease, and by adrenal gland
insufficiency, both of which affect the bodys ability to retain sodium.
Question: 48
Fluid needs are highest in which group?
A. Infants less than 12 months of age
B. Elderly greater than 80 years of age
C. Children 5-10 years of age
D. Lactating women
Answer: A
Fluid needs are highest in infants less than 12 months of age, due to the small size
of their kidneys and inability to retain large amounts of water. Fluid needs in
young infants are about 150 ml/kg body weight per day, as compared to adults
who require about 30-35 ml/kg body weight.
Question: 49
The primary immunoglobulin in human breast milk is:
A. Beta lymphocytes
B. IgM antibody
C. Iron-binding lactoferrin
D. Secretory IgA
Answer: D
The primary immunoglobulin in human breast milk is secretory IgA, which
protects the infant gastrointestinal tract from infection caused by many pathogens.
Beta lymphocytes are produced by the bone marrow and provide humoral
immunity, while IgM antibody is involved in allergic response to antigens. Iron-
binding lactoferrin is a protein which slows the growth of bacteria in the infant
gut; its action is secondary to that of secretory IgA.

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