Exam Overview

NBPNS Exam Detailed Content Outline

I. General Aspects of Nutrition (35%)

A. Nutrition Through the Life Cycle

1.Infancy and Childhood

2. Adolescence

3. Pregnancy and Lactation

4. Aging

5. Gender Differences

B. Physiology and Pathophysiology

1.Biochemical Composition of the Human Body

2. Energy Metabolism

3. Starvation

4. The Hypermetabolic/Hypercatabolic State

5. Cytokines and Eicosanoids

6. Gastrointestinal Tract

C. Ethical Issues

1.Medical and Legal Aspects

2. Nutrition Therapy in End-of-Life

D. Nutrients

1.Protein

a. Dietary

b. Essential Amino Acids

c. Nonessential Amino Acids

2. Carbohydrates

a. Complex

b. Disaccharides

c. Glucose

d. Other

3. Fiber

a. Properties of Dietary Fiber

b. Water Soluble

c. Water Insoluble

4. Fats and Oils

a. Saturated

b. Trans Fats

c. Polyunsaturated Fats

d. Monounsaturated Fats

e. Cholesterol

f. Others

5. Fat Soluble Vitamins

a. Vitamin A

b. Vitamin D

c. Vitamin E

d. Vitamin K

6. Water Soluble Vitamins

a. Thiamin

b. Folic Acid

c. B12

d. Vitamin C

e. Others

7. Electrolytes, Minerals, and Water

a. Sodium

b. Potassium

c. Calcium

d. Magnesium

e. Phosphorous

f. Iron

g. Water

h. Others

8. Trace Elements and Ultra-Trace Elements

a. Zinc

b. Copper

c. Selenium

d. Others

II. Nutritional Status Assessment (10%)

A. History and Physical

1.Medical History

2. Diet History and Counseling

3. Physical Exam and Anthropometry 

B. Laboratory Data

C. Body Composition

D. Nutrient Deficiencies and Excesses

E. Energy and Protein Requirements

1.Energy Expenditure

2. Protein-Energy Malnutrition

3. Altered Requirements in Disease States

III. Obesity and Related Metabolic Conditions (20%)

A. The Obesity Epidemic

1.Physcial Activity

2. Food Supply

3. Psycho-social Environment

4. Obesogenic Environmental Factors

B. Regulation of Energy Balance

1.Appetite Regulation

2. Adaption to Starvation

3.Energy Expenditure

4. Neuro-endocrine Regulation of Energy Balance

C. Changes in Body Composition in Overnutrition

D. Eating Disorders

1.Binge-Eating Disorders

2.Night Eating Syndrome

3. Compulsive Overeating

4. Anorexia Nervosa

5. Bulima Nervosa

6. Other Eating Disorders

E. Secondary Obesity

1.Obesity Genetics

2. Endocrine Factors

3. Neurological Causes

4. Pharmacologic Causes

F. Pediatric Obesity

G. Co-morbidities of Obesity

H. Nonsurgical Interventions

1.Caloric Restriction

2. Physical Activity, Exercise, Fitness

3. Cognitive and Behavior Therapy

4. Popular Weight Control Programs

5. Multidisciplinary Team Management

6. Pharmacotherapy of Obesity

7. Iatrogenic Complications

I. Bariatric Surgery (Metabolic Monitoring of the Bariatric Surgery Patient)

1.Selection and Screening

2. Bariatric Procedures

3. Preoperative Evaluation and Management

4. Preoperative Monitoring Management

5. Long Term Monitoring and Management

IV. Disease-Specific Nutrition (25%)

A. Gastrointestinal Disorders

1.Intestinal Failure

2. Pancreatitis, Acute and Chronic

3. Inflammatory Bowel Disease

4. Irritable Bowel Syndrome

5. Disorders of Gastrointestinal Motility and Flora

6. Celiac

7. Short Bowel Syndrome

B. Hepatobiliary Disorders

1.Cholestasis

2. Cholelithiasis

3. Hepatic Failure

C. Critical Illness

D. Infection and Sepsis

E. Blood Lipids and Lipoprotein Disorders

F. Endocrine Conditions

1.Type 1 Diabetes

2. Type 2 Diabetes

3. Metabolic Syndrome

4. Secondary Hyperparathyroidism

5. Polycystic Ovaries and other Ob/Gyn Disorders

G. Renal Pathophysiology and Disorders

H. Cardiovascular Disorders

1.Hypertension

2. Atherosclerosis

3. Cardiac Cachexia

I. Pulmonary Disorders and Respiratory Function

1.Sleep Apnea

2. Pulmonary Cachexia 

J. Bone Pathophysiology and Disorders

1.Metabolic Bone Disease and Osteoporosis

2. Osteoarthritis

3. Dental

K. Cancer

L. Anemia and Other Hematologic Diseases

M. Nervous System Disorders

N. Surgery and Trauma

O. Genetic and Pediatric Disorders

P. Transplantation

Q. Adverse Effects of Ethanol

R. Psychiatric Disorders

V. Enteral and Parenteral Nutrition Support (10%)

A. Relative Merits of Enteral and Parenteral Nutrition

B. Indications and Contraindications

C. Management of Enteral and Parenteral Nutrition

1.Routes

2. Nutrient Composition and Glycemic Control

3. Initiation and Refeeding Syndrome

4. Transitional Feedings, Weaning, and Discontinuation

5. Monitoring Nutritional Support

D. Home Enteral and Parenteral Nutrition

E. Complications of Nutrition Support

1.Mechanical

2. Physiological

3. Metabolic

4. Septic

5. Drug-Nutrient Interactions

F. Pediatric Nutrition Support