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CTR EXAM 2023 2024 LATEST UPDATE
GUARANTEED SUCCESS UPDATED VERSION
Which of the following is a permissible disclosure of confidential patient information from the cancer registry? a. to a facility not involved with the patient's care b. to the pt c. to another registry for f/u purposes d. to the pt's attorney - Answer - To another registry for f/u purposes What is a source of ca incidence & survival data from pop-based ca registries covering ~28% of US pop? a. ACoS CoC b. CDC NPCR c. NAACCR d. NCI SEER program - Answer - NCI SEER program Medical data that are combined w/o pt identifiers are: a. Aggregate data b. Confidential data c. Pop-based data d. Unusable data - Answer - Aggregate data Which of the following information must healthcare organizations protect? a. employee information b. information about the organization c. individually identifiable pt health information d. all the above - Answer - All the above
Terrie Tumor Registrar ompletes a productivity sheet at the end of each day listing tasks completed that day. This is a form of: a. budget b. time motion study c. step assessment d. work flow chart - Answer - Time motion study The use of password to verify that a person is who they purport to be before they are granted access to confidential data is: a. audit trail b. encryption c. firewall d. user authentication - Answer - User authetication All of the state ca registries in the US are required to submit their data to: a. the CDC National Program of Cancer Registries (NPCR) b. the NCI SEER Program c. Either CDC/NPCR or NCI/SEER d. None o fthe above - Answer - Eiither CDC/NPCR or NCI/SEER Caitlin Cancer Registrar is the cancer registry manager. She received a budget for the registry from the office of the facility's chief financial officer This type of budget is: a. bottom-up b. capital c. operating d. top-down - Answer - top-down The organization that formulates & publishes systems to classify ca to be used for selecting effective tx, determining prognosis, and evaluating ca control measures in the: a. AJCC b. NAACCR
a. GLOBOCAN b. NCDB c. NPCR d. SEER Program - Answer - NCDB HIPAA and other regulations give pts the right to: a. Review any of the organization's business records on them b. Review central ca registry information on them c. Review information on them ca registry d. Review their own medical records kept by the organization - Answer - Review their own medical records kept by the organization The resource ffor detailed specifications and codes for each data item in the data exhange record layout is: a. Cancer program standards b. FORDS c. NAACCR Volume II Data Standards and Data Dictionary d. SEER Program Coding & Staging Manual - Answer - NAACCR Volume II Data Standards & Data Dictionary Lymph-vascular invasion is the presence of tumor cells in: a. Distant mets sites b. LN(s) c. Lymphatic channels or blood vessels d. The thymus - Answer - Lymphatic channels or blood vessels The final dx on the path report documents Nottingham score of 8. The primary site is most likely: a. Brain b. Breast c. Kidney d. Skin - Answer - Breast
Freestanding path labs may be a casefinding source for a: a. Community hospital cancer program b. NCDB c. Network ca program d. State central cancer registry - Answer - State central ca registry Pt admitted to hospital on 2/1/16 w/ congestive heart failure. On 2/2/16 the pt had a CT that showed a mass in the lung, probably malig. On 2/3/16 the pt had a partial lobectomy. Path report documented RUL mass, adenoca, confined to the lung. What is the date of first contact? a. 2/1/ b. 2/2/ c. 2/3/ d. 2/99/16 - Answer - 2/3/ Pt w/ endometrial adenoca self-identifes as multiracial. Her mother is Hawaiian, and her father is AA? What is the code for Race 1? a. 02: Black b. 07: Hawaiian c. 98: Other d. 99: Unknown - Answer - Black The ca program at General Hosp is accredited by the CoC. The cancer committee at General Hosp included CIS of the cervix on on its list of reportable cases. For General Hospital, CIS cases are: a. analytic b. nonmalig c. prospective d. reportable by agreement - Answer - Reportable by agreement Pt w/ stage III colon ca was treated w/ hemicolectomy and Folfox. Folfox is: a. Hormone therapy b. Immunotherapy
Pt was dx w/ & tx for breast ca @ Facility AA in 2010. The pt was admitted in June 2016 to Facility ZZ to be treated for liver mets from breast ca. Facility ZZ has a CoC accredited ca program. What type of case is this for Facility ZZ? a. accession b. analytic c. non-analytic d. suspense - Answer - non-analytic Linkage of the ca registry database to files from the state department of motor vechicles was performed. This type of f/u is most likely done by the: a. Hospital-based ca registry b. NCDB c. NPCR d. State central ca registry - Answer - State central ca registry Final path dx: Adenoca of the endometrium, FIGO GR I, w/ central stromal invasion, FIGO stage II. What is the code for the GR data item? a. 1 b. 2 c. 3 d. 9 - Answer - 1 Primary tumors of the brain & CNS are reportable when the tumor behavior is: a. benign b. borderline c. malig d. all of the above - Answer - All of the above Ca registry staff @ Hosp DD create an abstract for a ca pt within 1 wk of hosp discharge & add information from later visits or other sources as it becomes available. The process is? a. casefinding
b. concurrent abstracting c. f/u d. suspense system - Answer - Concurrent abstracting The process of living w/, through, and beyond ca is: a. a care plan b. outcomes c. survivorship d. treatment - Answer - Survivorship Liver bx: mets poorly diff adenoca, most likely lung origin. What is the code for the GR data item? a. 1 b. 3 c. 4 d. 9 - Answer - 3 Which of the following are paired sites? a. Skin of the external ear b. ovary c. tonsil d. kidney e. colon f. ureter - Answer - a, b, c, d, f TRUE OR FALSE. Adrenal gland is a paired site - Answer - True Cancer in humans was first seen: a. in 1842 by an Italian physician b. in 2500 B.C.
TRUE OR FALSE.
Each state in the US has a pop-based state-wide central ca registry. - Answer - True Death certificate information from the vital statistics registration system. Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- Pop-based ca registries Pts dx in independent path labs Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- Pop-based ca registry Active f/u information on registered pts Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- Hosp-based ca registry Pts dx &/or treated for ca @ a particular facility or facilities Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- Hosp-based ca registry, pop-based registry Pts who voluntarily self-enroll Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer - Specialty ca registry Only pts w/ certain familial cancers Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer - Specialty ca registry Pts tx in independent ca centers Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registry Pts from private clinics & hospices Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registry Only pts w/ a particular type of ca Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer - Specialty ca registry
Pts enrolled by physicians Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer - Specialty ca registry TRUE OR FALSE. The NPCR Ca Surveillance System (CSS) was authorized by National Ca Act in 1971 - Answer - False The first code manual used in cancer registries was published by: a. CoC b. SEER c. ACS d. NAACCR - Answer - ACS NAACCR's primary role is to rep & serve as a forum for the organization, operation, quality control, and statistical reporting? a. for hosp-based ca registries b. for pop-based ca registries c. for specialty ca registries d. none of the above - Answer - for pop-based ca registries The first national ca registry program was established by: a. CoC b. NPCR c. SEER d. ACS - Answer - SEER The International Classification of Dz for Onc is published by: - Answer - WHO The CTR credential is awarded by: a.NAACCR b.CoC c.NCRA
a. finding a good job b. keeping up w/ challenges in data collection, coding, & reporting standards c. getting the proper education for the job d. All of the above - Answer - Keeping up w/ challenges in data collection, coding, & reporting standards Advancing clinical, epidemiological, and health services research on ca Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registry, specialty ca registry Evaluating clinical care & hosp administration Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- Hosp-based ca registry Providing advocacy & educational opportunities to ca pts Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- hosp-based ca registry, specialty ca registry Exploration of trends in ca care Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registry Creation of regional & state benchmarks for hospitals Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registry Gathering & disseminating epidemiologic data on a specific type of ca Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer - Specialty ca registry Determination of ca patterns among various pop or sub-pops Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registries Monitoring ca trends over time Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registries
Guiding planning & evaluation of ca control efforts to help prioritize health resource allocations Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registries Improving pt care programs Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- Hosp-based ca registry, pop-based ca registry Research into the cause of ca Hosp-based ca registry, Pop-based ca registry, or Specialty ca registry may be more than one - Answer
- pop-based ca registry, specialty ca regristry Final pathologic diagnosis: Mucinous cystadenocarcinoma in the upper lobe, right lung. Primary site code is: a. C34. b. C56. c. C76. d. C80.9 - Answer - C34. Final pathologic diagnosis: Sarcoma of the leg. Primary site code is: a. C44. b. C49. c. C76. d. C80.9 - Answer - C49. Final pathologic diagnosis: Well differentiated infiltrating duct adenocarcinoma of the left breast ( o'clock). Primary site code is: a. C50. b. C50. c. C50. d. C50.9 - Answer - C50. Final pathologic diagnosis: Cholangiocarcinoma of the bile duct. Primary site code is:
72 year old white female presents with a nodular thyroid. This was biopsied in her primary care physician's office and found to be malignant. She is here for a complete thyroidectomy. Final pathology from total thyroidectomy performed on 7/15/16: Right lobe single papillary thyroid carcinoma, 1.8 cm. Left lobe is positive for multifocal follicular carcinoma. The largest foci measures 0. cm. Two lymph nodes submitted are negative for malignancy. How many primaries are present in case 1? a. One b. Two c. Three d. Four - Answer - One 72 year old white female presents with a nodular thyroid. This was biopsied in her primary care physician's office and found to be malignant. She is here for a complete thyroidectomy. Final pathology from total thyroidectomy performed on 7/15/16: Right lobe single papillary thyroid carcinoma, 1.8 cm. Left lobe is positive for multifocal follicular carcinoma. The largest foci measures 0. cm. Two lymph nodes submitted are negative for malignancy What is the histology code? a. 8260/ b. 8330/ c. 8340/ d. Primary 1 8260/3; primary 2 8330/3 - Answer - 8340/ 10/4/16 Surgical Pathology Report Final Diagnosis: Lung, right upper lobectomy - two tumor nodules of carcinoma consistent with pulmonary primary identified. One nodule is most likely clear cell carcinoma while the other nodule is consistent with squamous cell carcinoma. How many primaries were present in case 2? a. One b. Two
c. Three d. Four - Answer - 2 10/4/16 Surgical Pathology Report Final Diagnosis: Lung, right upper lobectomy - two tumor nodules of carcinoma consistent with pulmonary primary identified. One nodule is most likely clear cell carcinoma while the other nodule is consistent with squamous cell carcinoma. What is the histology code? a. 8010/ b. 8070/ c. 8310/ d. Primary 1 8310/3; primary 2 8070/3 - Answer - Primary 1 8310/3; primary 2 8070/ 2/27/12 Pathology Report Gross description: The specimen is labeled "bladder tumors" and consists of multiple tan-brown shaggy fragments of tissue aggregating to 7.6 x 5.5 x 1.2 cm. The specimen is entirely submitted in ten cassettes. Final Diagnosis: Invasive papillary transitional cell carcinoma of bladder. 4/19/16 Pathology Report Gross description: The specimen is labeled "bladder tumors" and consists of multiple fragments of tissue. Final Diagnosis: Non-invasive urothelial carcinoma of bladder.
- How many primaries were present in case 3? a. One b. Two c. Three d. Four - Answer - 1 2/27/12 Pathology Report
9/3/16 Pathology Report Final diagnosis right breast excisional biopsy: Ductal carcinoma in situ (DCIS), comedo-carcinoma type. DCIS directly involves one margin and is very close to but clear of several other margins. 9/17/16 Pathology Report Final Diagnosis right breast simple mastectomy, lumpectomy: Extensive residual intraductal carcinoma, mainly in the lateral half of the lumpectomy specimen. Right axillary sentinel lymph nodes: Two lymph nodes with reactive lymphoid hyperplasia and sinus histiocytosis, with no granuloma and no metastatic tumor. What is the histology code? a. 8500/ b. 8500/ c. 8501/ d. Primary 1 8501/2; primary 2 8500/2 - Answer - 8501/ 2/28/16 Subtotal colectomy Tumor Site: Hepatic flexure (polypoid) and splenic flexure (two tumors) Tumor Configuration: Exophytic (hepatic flexure) and infiltrative (splenic flexure) Tumor Size: 0.3 cm (within the polyp) and 3.5 x 3.5 x 1.8 cm. Final Diagnosis: Hepatic flexure, colon: A large tubular adenoma with a focus of colonic adenocarcinoma invasive into the stalk of the polyp. Splenic flexure, colon: Moderately-differentiated invasive adenocarcinoma involving the entire thickness of the colonic wall. Clear margins of resection. Twenty regional lymph nodes without evidence of metastatic adenocarcinoma.
- How many primaries were present in case 5? a. One b. Two
c. Three d. Four - Answer - Two 2/28/16 Subtotal colectomy Tumor Site: Hepatic flexure (polypoid) and splenic flexure (two tumors) Tumor Configuration: Exophytic (hepatic flexure) and infiltrative (splenic flexure) Tumor Size: 0.3 cm (within the polyp) and 3.5 x 3.5 x 1.8 cm. Final Diagnosis: Hepatic flexure, colon: A large tubular adenoma with a focus of colonic adenocarcinoma invasive into the stalk of the polyp. Splenic flexure, colon: Moderately-differentiated invasive adenocarcinoma involving the entire thickness of the colonic wall. Clear margins of resection. Twenty regional lymph nodes without evidence of metastatic adenocarcinoma. What is the histology code? a. 8140/ b. 8210/ c. 8262/ d. Primary 1 8210/3; Primary 2 8140/3 - Answer - Primary 1 8210/3; primary 8140/
- Peripheral blood smear diagnosed leukemia. Diagnostic confirmation code is: a. 1 Positive histology b. 2 Positive cytology c. 5 Positive laboratory test/marker study d. 8 Clinical diagnosis only - Answer - pos histology Patient with leukemia has splenomegaly. Primary site is: a. Blood b. Bone marrow c. Lymph nodes d. Spleen - Answer - Bone marrow
