CANCER REGISTRY
MANAGEMENT: ADVANCED
COMPREHENSIVE
EXAMINATION BANK 150
Multiple-Choice Questions with
Complete Solutions and
Rationales Second Edition – Updated for
2025–2026 Standards
,EXAM TITLE: Advanced Cancer Registry Operations, Data
Standards, Informatics, and Quality Management: A
Comprehensive Examination for Oncology Data Specialists
and Cancer Registry Professionals
SECTION 1: REGULATORY FRAMEWORKS, STANDARD-SETTING
ORGANIZATIONS, AND GOVERNANCE (Questions 1–15)
Question 1
The Mid-Level Tactical Group (MLTG) plays which critical role in the cancer surveillance
change control process?
A) It directly approves all new data items for immediate implementation without review
B) It manages the change control process to ensure efficient and timely change
management, with voting results submitted to the High-Level Strategic Group for final
approval
C) It develops cancer registry software products for commercial distribution
D) It oversees patient follow-up procedures at hospital-based registries
Correct Answer: B
Rationale: The MLTG manages the cancer surveillance change control process to ensure
an efficient and timely change management process. The MLTG completes voting on
proposed revisions and submits their recommendations to the High-Level Strategic
Group (HLSG) for final review and approval. This structured governance ensures that
,changes to data collection standards, registry operations, and software products are
implemented in a coordinated manner.
Question 2
Which organization approved the retirement of 30 data items for the 2025 diagnosis
year, and what was the cumulative effect of this action?
A) SEER; this was the first time data items were retired
B) NAACCR High-Level Strategic Group; this brought the total to 76 data items retired
over the past three years
C) CDC-NPCR; this eliminated all non-essential data collection
D) Commission on Cancer; this reduced reporting requirements for all facilities
Correct Answer: B
Rationale: The High-Level Strategic Group (HLSG) approved changes to the NAACCR
Data Standards and Data Dictionary, including the retirement of 30 data items. This
made a total of 76 data items retired in the past three years in a joint endeavor by
standard-setters to eliminate data items no longer used, reducing cancer registrar
burden.
Question 3
For central registries with locally defined data items or registry-specific edits, what is the
deadline for providing cancer registry software vendors with a user-defined dictionary
and/or registry-specific edits metafile?
A) January 1 of the diagnosis year
B) September 15
, C) December 31 of the preceding year
D) March 1 of the diagnosis year
Correct Answer: B
Rationale: Central registries with locally defined data items and/or edits should provide
cancer registry software vendors with a user-defined dictionary and/or registry-specific
edits metafile by September 15. The timing of when central registries release this
information impacts the release of cancer registry software vendor updates. Registries
that do not use a custom metafile should also post that information by the same
deadline.
Question 4
The NAACCR Data Exchange Standard specification was updated to version 1.8,
introducing which new data type?
A) Binary large object (BLOB)
B) dateTime
C) Geographic coordinate
D) Encrypted string
Correct Answer: B
Rationale: The NAACCR Data Exchange Standard specification was updated to version
1.8, introducing a dateTime data type. The usage of dateTime is described in the
implementation guidelines, while the date data type did not change.
MANAGEMENT: ADVANCED
COMPREHENSIVE
EXAMINATION BANK 150
Multiple-Choice Questions with
Complete Solutions and
Rationales Second Edition – Updated for
2025–2026 Standards
,EXAM TITLE: Advanced Cancer Registry Operations, Data
Standards, Informatics, and Quality Management: A
Comprehensive Examination for Oncology Data Specialists
and Cancer Registry Professionals
SECTION 1: REGULATORY FRAMEWORKS, STANDARD-SETTING
ORGANIZATIONS, AND GOVERNANCE (Questions 1–15)
Question 1
The Mid-Level Tactical Group (MLTG) plays which critical role in the cancer surveillance
change control process?
A) It directly approves all new data items for immediate implementation without review
B) It manages the change control process to ensure efficient and timely change
management, with voting results submitted to the High-Level Strategic Group for final
approval
C) It develops cancer registry software products for commercial distribution
D) It oversees patient follow-up procedures at hospital-based registries
Correct Answer: B
Rationale: The MLTG manages the cancer surveillance change control process to ensure
an efficient and timely change management process. The MLTG completes voting on
proposed revisions and submits their recommendations to the High-Level Strategic
Group (HLSG) for final review and approval. This structured governance ensures that
,changes to data collection standards, registry operations, and software products are
implemented in a coordinated manner.
Question 2
Which organization approved the retirement of 30 data items for the 2025 diagnosis
year, and what was the cumulative effect of this action?
A) SEER; this was the first time data items were retired
B) NAACCR High-Level Strategic Group; this brought the total to 76 data items retired
over the past three years
C) CDC-NPCR; this eliminated all non-essential data collection
D) Commission on Cancer; this reduced reporting requirements for all facilities
Correct Answer: B
Rationale: The High-Level Strategic Group (HLSG) approved changes to the NAACCR
Data Standards and Data Dictionary, including the retirement of 30 data items. This
made a total of 76 data items retired in the past three years in a joint endeavor by
standard-setters to eliminate data items no longer used, reducing cancer registrar
burden.
Question 3
For central registries with locally defined data items or registry-specific edits, what is the
deadline for providing cancer registry software vendors with a user-defined dictionary
and/or registry-specific edits metafile?
A) January 1 of the diagnosis year
B) September 15
, C) December 31 of the preceding year
D) March 1 of the diagnosis year
Correct Answer: B
Rationale: Central registries with locally defined data items and/or edits should provide
cancer registry software vendors with a user-defined dictionary and/or registry-specific
edits metafile by September 15. The timing of when central registries release this
information impacts the release of cancer registry software vendor updates. Registries
that do not use a custom metafile should also post that information by the same
deadline.
Question 4
The NAACCR Data Exchange Standard specification was updated to version 1.8,
introducing which new data type?
A) Binary large object (BLOB)
B) dateTime
C) Geographic coordinate
D) Encrypted string
Correct Answer: B
Rationale: The NAACCR Data Exchange Standard specification was updated to version
1.8, introducing a dateTime data type. The usage of dateTime is described in the
implementation guidelines, while the date data type did not change.
