CTR PRACTICE ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Medicaid is administered on a _____level.
Answer: state
◍ What type of budget requires that every line item of a new budget be
justified, even if those items were approved in a previous year's
budget?Response:
A. Top-down budget
B. Zero-based budget
C. Bottom-up budget
D. None of the above.
Answer: B. Zero-based budget
◍ 9. Danielle Data Manager is preparing to submit data from the hospital
cancer registry to the state central registry. What is used to facilitate the data
exchange?a. Firewallb. NAACCR data exchange record layoutc. Record
linkaged. Signed permission to release informationSource: Cancer Registry
Management Principles and Practice for Hospitals and Central Registries,
3rd Edition; p. 79.
Answer: b. NAACCR data exchange record layout
◍ 5. Terrie Tumor Registrar completes a productivity sheet at the end of each
day listing tasks completed that day. This is a form of:a. Budgetb. Step
assessmentc. Time motion studyd. Work flow chartSource: Cancer Registry
Management Principles and Practice for Hospitals and Central Registries,
3rd Edition; p. 37.
Answer: c. Time motion study
◍ 10. The ability for a cancer registry to incorporate electronic data from an
external source into the registry and the ability for external recipients to
, incorporate registry data for their use is:a. Interoperabilityb. Not permittedc.
Semanticd. SyntacticSource: Cancer Registry Management Principles and
Practice for Hospitals and Central Registries, 3rd Edition; p. 81.
Answer: a. Interoperability
◍ Registry staffing needs can be assessed by Response :
A. Caseload divided by staff.
B. Comparison with like facilities.
C. Both (a) and (b)
D. Neither (a) nor (b).
Answer: D. Neither (a) nor (b)
◍ Hospital and population-based cancer registries collect cancer data to.
Answer: Be aggregated by a Federal agency.
◍ The NCDB provides the following to promote access to their data for
researchers, physicians, and the general public:1. published peer review
journal articles2. CoC cancer program standards-20043. hospital comparison
reports4. web based benchmarking applications.
Answer: web-based benchmarking applications
◍ Which types of cancer registries can receive CoC approval for their cancer
programs?.
Answer: Hospital-based registries
◍ 3. Medical data that are combined without patient identifiers are:a.
Aggregate datab. Confidential datac. Population-based datad. Unusable
dataSource: Cancer Registry Management Principles and Practice for
Hospitals and Central Registries, 3rd Edition; p. 43.
Answer: a. Aggregate data
◍ In code categories, data items that have the same name or intent should
indicate the same information collected in each registry. When they do not,
the following occurs:1. comparision of data between registries is
misinterpreted2. additional edits must be incorporated into software to allow
for comparison of data3. information can be manipulated to create
, comparison of data items4. does not apply since HIPAA prevents sharing.
Answer: comparison of data between registries is misinterpreted
◍ What term refers to an element in a document on the web that links to a
whole document or to a specific element within a document?.
Answer: Hyperlink
◍ The caBIG was sponsored by the.
Answer: National Cancer Institute (NCI).
◍ OPEN BOOK: Based on the information presented in question 96, the
correct histology rule is:.
Answer: H14
◍ What organization is not a standard setter?1. American Joint Committee on
Cancer2. American Cancer Society3. World Health Organization4. National
Program of Cancer Registries.
Answer: American Cancer Society
◍ 12. What is the nationwide oncology outcomes database for accredited
cancer programs in the United States?a. GLOBOCANb. National Cancer
Data Base (NCDB)c. National Program of Cancer Registriesd. SEER
ProgramSource: Cancer Registry Management Principles and Practice for
Hospitals and Central Registries, 3rd Edition; p. 315.
Answer: b. National Cancer Data Base (NCDB)
◍ What does NAACCR stand for.
Answer: North American Association of Central Cancer Registries
◍ FIGO is a staging system associated with which of the following sites?.
Answer: cervix
◍ 16. A state central registry received multiple abstracts for the same patient
with the same tumor. A new abstract was created using the best information
from each of the multiple abstracts. What is this process?a. Death
clearanceb. Patient linkagec. Record consolidationd. Tumor linkageSource:
CRMPP 3rd Ed., p. 196.
, Answer: c. Record consolidation
◍ The AJCC has been in existence since what year?.
Answer: 1959
◍ 1. 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 careb. To another registry for follow-up purposesc. To the patientd.
To the patient's attorneySource: Cancer Registry Management Principles
and Practice for Hospitals and Central Registries, 3rd Edition; p. 64.
Answer: b. To another registry for follow-up purposes
◍ What part of digestive system is not covered by serosa.
Answer: esophagus
◍ Cancer case confidential information stored in a facility should include the
following safeguards1. fireproof lockable file cabinet when filing hard copy
abstracts2. limit shared ID and passwords for software abstracting
applications3. maintain list of all ID & passwords in convenient secure
location4. location of stored information should be within the facility.
Answer: fireproof lockable file cabinet when filing hard copy abstracts
◍ The Certified Tumor Registrar (CTR) credential is awarded by the.
Answer: D. National Cancer Registrars Association (NCRA).
◍ Specialty cancer registries may collect data.
Answer: From specific facilities and on familial cancers.
◍ The cancer registry manual must be reviewed and updated:1.
semi-annually2. annually3. bi-annually4. as needed.
Answer: annually
◍ 11. What type of cancer registry is designed to determine cancer patterns
among various populations, monitor cancer trends over time, and evaluate
cancer control efforts?a. Familialb. Hospital-basedc. Population-basedd.
SpecialtySource: Cancer Registry Management Principles and Practice for
Hospitals and Central Registries, 3rd Edition; p. 7.
QUESTIONS WITH ANSWERS GRADED A+
◍ Medicaid is administered on a _____level.
Answer: state
◍ What type of budget requires that every line item of a new budget be
justified, even if those items were approved in a previous year's
budget?Response:
A. Top-down budget
B. Zero-based budget
C. Bottom-up budget
D. None of the above.
Answer: B. Zero-based budget
◍ 9. Danielle Data Manager is preparing to submit data from the hospital
cancer registry to the state central registry. What is used to facilitate the data
exchange?a. Firewallb. NAACCR data exchange record layoutc. Record
linkaged. Signed permission to release informationSource: Cancer Registry
Management Principles and Practice for Hospitals and Central Registries,
3rd Edition; p. 79.
Answer: b. NAACCR data exchange record layout
◍ 5. Terrie Tumor Registrar completes a productivity sheet at the end of each
day listing tasks completed that day. This is a form of:a. Budgetb. Step
assessmentc. Time motion studyd. Work flow chartSource: Cancer Registry
Management Principles and Practice for Hospitals and Central Registries,
3rd Edition; p. 37.
Answer: c. Time motion study
◍ 10. The ability for a cancer registry to incorporate electronic data from an
external source into the registry and the ability for external recipients to
, incorporate registry data for their use is:a. Interoperabilityb. Not permittedc.
Semanticd. SyntacticSource: Cancer Registry Management Principles and
Practice for Hospitals and Central Registries, 3rd Edition; p. 81.
Answer: a. Interoperability
◍ Registry staffing needs can be assessed by Response :
A. Caseload divided by staff.
B. Comparison with like facilities.
C. Both (a) and (b)
D. Neither (a) nor (b).
Answer: D. Neither (a) nor (b)
◍ Hospital and population-based cancer registries collect cancer data to.
Answer: Be aggregated by a Federal agency.
◍ The NCDB provides the following to promote access to their data for
researchers, physicians, and the general public:1. published peer review
journal articles2. CoC cancer program standards-20043. hospital comparison
reports4. web based benchmarking applications.
Answer: web-based benchmarking applications
◍ Which types of cancer registries can receive CoC approval for their cancer
programs?.
Answer: Hospital-based registries
◍ 3. Medical data that are combined without patient identifiers are:a.
Aggregate datab. Confidential datac. Population-based datad. Unusable
dataSource: Cancer Registry Management Principles and Practice for
Hospitals and Central Registries, 3rd Edition; p. 43.
Answer: a. Aggregate data
◍ In code categories, data items that have the same name or intent should
indicate the same information collected in each registry. When they do not,
the following occurs:1. comparision of data between registries is
misinterpreted2. additional edits must be incorporated into software to allow
for comparison of data3. information can be manipulated to create
, comparison of data items4. does not apply since HIPAA prevents sharing.
Answer: comparison of data between registries is misinterpreted
◍ What term refers to an element in a document on the web that links to a
whole document or to a specific element within a document?.
Answer: Hyperlink
◍ The caBIG was sponsored by the.
Answer: National Cancer Institute (NCI).
◍ OPEN BOOK: Based on the information presented in question 96, the
correct histology rule is:.
Answer: H14
◍ What organization is not a standard setter?1. American Joint Committee on
Cancer2. American Cancer Society3. World Health Organization4. National
Program of Cancer Registries.
Answer: American Cancer Society
◍ 12. What is the nationwide oncology outcomes database for accredited
cancer programs in the United States?a. GLOBOCANb. National Cancer
Data Base (NCDB)c. National Program of Cancer Registriesd. SEER
ProgramSource: Cancer Registry Management Principles and Practice for
Hospitals and Central Registries, 3rd Edition; p. 315.
Answer: b. National Cancer Data Base (NCDB)
◍ What does NAACCR stand for.
Answer: North American Association of Central Cancer Registries
◍ FIGO is a staging system associated with which of the following sites?.
Answer: cervix
◍ 16. A state central registry received multiple abstracts for the same patient
with the same tumor. A new abstract was created using the best information
from each of the multiple abstracts. What is this process?a. Death
clearanceb. Patient linkagec. Record consolidationd. Tumor linkageSource:
CRMPP 3rd Ed., p. 196.
, Answer: c. Record consolidation
◍ The AJCC has been in existence since what year?.
Answer: 1959
◍ 1. 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 careb. To another registry for follow-up purposesc. To the patientd.
To the patient's attorneySource: Cancer Registry Management Principles
and Practice for Hospitals and Central Registries, 3rd Edition; p. 64.
Answer: b. To another registry for follow-up purposes
◍ What part of digestive system is not covered by serosa.
Answer: esophagus
◍ Cancer case confidential information stored in a facility should include the
following safeguards1. fireproof lockable file cabinet when filing hard copy
abstracts2. limit shared ID and passwords for software abstracting
applications3. maintain list of all ID & passwords in convenient secure
location4. location of stored information should be within the facility.
Answer: fireproof lockable file cabinet when filing hard copy abstracts
◍ The Certified Tumor Registrar (CTR) credential is awarded by the.
Answer: D. National Cancer Registrars Association (NCRA).
◍ Specialty cancer registries may collect data.
Answer: From specific facilities and on familial cancers.
◍ The cancer registry manual must be reviewed and updated:1.
semi-annually2. annually3. bi-annually4. as needed.
Answer: annually
◍ 11. What type of cancer registry is designed to determine cancer patterns
among various populations, monitor cancer trends over time, and evaluate
cancer control efforts?a. Familialb. Hospital-basedc. Population-basedd.
SpecialtySource: Cancer Registry Management Principles and Practice for
Hospitals and Central Registries, 3rd Edition; p. 7.
