NCRA CTR Exam Practice Test 2023 Questions And Answers

NCRA CTR Exam Practice Test 2023 Grade - Correct answer-A measure of how much the malignant cell resembles a normal or non-malignant cell of the same type. Topography - Correct answer-Four-character code for the body site where the tumor arises. Morphology code - Correct answer-8500 represents the correct format for a morphology code. Casefinding timeliness in a central registry is determined by ? - Correct answer-The planned use of the data, and the agency which the central registry reports to, such as NPCR. Unspecified/other malignant neoplasm of skin of scalp & neck, topography code C44.4. Is this reportable? - Correct answer-Yes per ICD-O-3. The islets of Langerhans are located in ? - Correct answer-Pancreas Palliative care provided to relieve symptoms may include: - Correct answer-Surgery, radiation therapy, systemic therapy, and/or other pain management therapy. Asbestos is a causal agent implicated in cancer of which site? - Correct answer-Pleura. AJCC Chapter 37: Malignant Pleural Mesothelioma, C38.4 pleura, NOS. Paracentesis is best described as: - Correct answer-Removal of ascites from the abdominal cavity The lymph node chains behind the knees are named: - Correct answer-Popliteal For the purposes of coding and staging, nodal or lymphatic sites include: - Correct answer-Lymph nodes, Waldeyer's Ring, thymus, and spleen. All other sites are considered Extradodal or extralymphatic sites, for example, adrenal glands, blood, bone, bone marrow, CNS, GI, liver, etc. Malignant lymphoma staging system is - Correct answer-Lugano Classification Modification of the Ann Arbor Staging System. A main bronchus, pulmonary artery and veins, nerves and lymph vessels enter and leave through the: - Correct answer-Hilum The tonsils are masses of what kind of tissue? - Correct answer-Lymphoid Peau d'orange is a condition associated with: - Correct answer-Dermal lymphatic invasion by breast cancer Staging - Correct answer-is known as the classification of the extent of disease. An old alternative staging system for colon cancer is: - Correct answer-Duke's staging Clinical classification is based on: - Correct answer-Physical exam, laboratory, radiology, endoscopy, biopsy of the primary site, or surgical exploration Synonymous for carcinoma in situ is - Correct answer-carcinoma intraepithelial Another name for pancreaticoduodenetomy is - Correct answer-Whipple Procedure While many different procedures are used to diagnose cancer, what is the most authoritative diagnosis? - Correct answer-Microscopic study of the involved tissue Body fluids in cytology reports include: - Correct answer-sputum, bronchial washings and brushings, pleural fluid, peritoneal fluid, spinal fluid, bone marrow aspiration, cervical smears, FNA of liver/pancreas/breast/lung. Brachytherapy is - Correct answer-Radiation therapy where the radiation source is close to the tumor. Treat cervical cancer. Genetics is the study of - Correct answer-heredity and reproduction and origin The date of diagnosis for a patient diagnosed in utero: - Correct answer-Is the actual date of diagnosis The most common histologies in lung cancer are adenocarcinoma, squamous carcinoma and ? - Correct answer-Small cell carcinoma Hepatocholangioduodenostomy is an operation to - Correct answer-Connect the hepatic duct and the duodenum The mucous membrane lining the inner cheeks is called the - Correct answer-Buccal mucosa Biospy is - Correct answer-The removal of tissue from a living patient for the purpose of making a diagnosis by microscopic examination of the cells. Adrenal gland, Adrenal Cortex - Correct answer-secretes aldosterones, cortisol, androgens, estrogens, and progestins Fulguration is a biopsy procedure using - Correct answer-electric sparks controlled by a moving electrode. Also known as electrocautery. A LEEP is a procedure performed on what organ? - Correct answer-Cervix Radiation therapy is used most often in what type of cancer as definitive treatment? - Correct answer-Invasive carcinoma of the cervix The suffix "-emia" in the word leukemia means - Correct answer-blood. See also the word "Anemia". Leukemia is a cancer of the blood or bone marrow In registry terms, what phrase is used to describe the general approval by a facility's medical staff for the registry to contact patients directly to obtain current follow-up information? - Correct answer-Blanket permission Passive follow-up methods performed by central registries include - Correct answerLinkage with death certificate files, DMV or tax files, election boards, **linkage with hospital discharge summaries, etc Passive follow-up means: - Correct answer-Checking the hospital database for readmission of patients in the registry database. According to the Commission on Cancer, the number of studies that measure quality of care, undertaken by a cancer program is determined based on? - Correct answerProgram category, Standard 4.7 Studies of Quality The community outreach coordinator documents the activities and findings of community outreach in an activity summary that is presented to the Cancer Committee when? - Correct answer-at the end of each calendar year. The minimum required percentage accrual to clinical trials for pediatric cancer programs is - Correct answer-30%. There is minimum required percentage, and commendation percentage, 40% for PCP facilities will qualify for commendation rating. An important element of a quality control program is - Correct answer-The collection and maintenance of data on data quality Other important component in quality control program include: - Correct answer-- Entire registry including physicians should be involved in the identification and solution of problems. - Establish uniform standards of quality. - Communication and feedback. - Balance of costs and anticipated benefits. - The collection and maintenance of data on data quality. Reabstracting study - Correct answer-*Designed study. Having a qualified staff member reabstract a sample of cases from the medical record documents. Recoding audit - Correct answer-*Designed study for accuracy. Recodes an abstract based on the text provided. It provides verification that coding guidelines and rules are correctly applied. Visual editing, visual review - Correct answer-*Acceptance sampling for accuracy. Manually compare the text with the coded data items to identify coding errors or other inconsistencies. The cancer committee is accountable for the quality control of the registry as determined by - Correct answer-The Commission on Cancer The quality control plan does the following: - Correct answer-Specifies the quality control methods, sources, and individuals involved. The NAACCR standard for reporting expected cases of reportable cancer occurring in residents during that year should be reported within _______months of the close of the diagnosis year. - Correct answer-23 The establishment and implementation of a plan to annually evaluate the quality of the cancer registry data and activity is the responsibility of the - Correct answer-Cancer Committee Who performs the required quality control review as outlined in the cancer registry quality control plan? - Correct answer-Cancer Registry Control Coordinator Who is responsible for implementing the quality control plan in the cancer registry? - Correct answer-The Cancer Registry Quality Coordinator A formal procedure to check data accuracy against source documents is called - Correct answer-Reabstracting study A computer data edit - Correct answer-Verifies data accuracy A source for quality improvements may include - Correct answer-1. based on findings of a quality study under standard 4.7; 2. Actions to address substandard patient care or process performance; 3. Changes to improve upon acceptable patient care or process performance. Every calendar year the cancer committee establishes: - Correct answer-One clinical and one programmatic goal for the endeavors related to cancer care. In order to produce meaningful survival data, the cancer registry must - Correct answerMaintain a successful follow-up rate of at least 80%. The mode in a set of values is best defined as: - Correct answer-The most frequently occurring value. What data source is used by researchers to obtain income and literacy information that can be used to help define and address the cancer burden in the region? - Correct answer-United States census data. Behavioral Risk Factor Surveillance System (BRFSS) provides data on - Correct answer-items such as obesity, exercise, smoking and not being screened. Central registry provides data on: - Correct answer-incidence, stage and treatment Vital records provide information on: - Correct answer-cancer mortality data In comparing the risk of diagnosis of cancer in all males for populations with different age distributions, the best measure is: - Correct answer-Age-adjusted incidence rate. A central registry has the ability to combine information from several sources. This ability is called: - Correct answer-Record linkage Three measures of data variability are - Correct answer-range, variance, and standard deviation The null hypothesis states that the observed difference is simply the result of random variation in data. - Correct answer-True. Of the methods for calculating both incidence and survival rates used by central cancer registries, a "relative survival rate" is - Correct answer-Cancer cases expected to die from cancer. The study of the distribution and determinants of disease in the human population is called: - Correct answer-Epidemiology Data for a report should be presented with: - Correct answer-With full documentation and with the capability of standing alone. Two methods of calculating survival are - Correct answer-Direct observed method, and life-table method (ratio). Of the methods for calculating survival rates used by central cancer registries, an "observed survival rate" is - Correct answer-Cancer cases expected to die from all causes The p value is the: - Correct answer-Probability that a difference as large as that observed would occur by chance alone. What is a descriptive analysis to evaluate cancer occurrences in a certain location or during a certain time period called? - Correct answer-Cancer cluster Range increases with the number of observations. - Correct answer-True There is a risk of what type of bias occurring if the subjects of an epidemiology study have the same multiple exposures that are all associated with the a single disease process? - Correct answer-Confounding bias A ration is - Correct answer-the total population divided into parts using the SAME unit of measurement over the SAME time and forming a fraction of them. Cases NOT required to be included on the reportable list are - Correct answer-those that include patients seen only in consultation to establish or confirm a diagnosis or treatment plan. Covered entities are required to provide individuals - upon request - with an accounting of any protected health information that the entity has disclosed about them to the state cancer registry - Correct answer-True What are the two main types of central cancer registries? - Correct answer-Populationbased and multi-hospital or non-population based. What can only be done in a population-based registry? - Correct answer-Incidence and mortality rates In order to receive a commendation, under the RQRS standard, a cancer program must submit all new and updated cancer cases at least - Correct answer-Once each calendar month The cancer conference coordinator monitors and evaluates the cancer conference activities and reports to the cancer committee at least: - Correct answer-Each calendar year The cancer registry is the responsibility of: - Correct answer-Cancer Committee. The community outreach coordinator documents the activities and findings of community outreach in an activity summary that is presented to the Cancer Committee: - Correct answer-Each calendar year. According to the Commission on Cancer, the number of presentations at cancer conference, at a minimum, are ______________ of the annual analytic caseload. - Correct answer-15% Per the Cancer Program Standards, different goals for the cancer program are set each calendar year by the: - Correct answer-Cancer Committee.