CTR EXAM | 381 QUESTIONS | WITH COMPLETE
SOLUTIONS
______ Founded in 1918 as a nonprofit, voluntary collaboration
for standardization activities
______ Computer-Based Patient Record Institute
______ The gathering of healthcare information electronically
across organizations within a
region or community
______ Terminology database facilitates the exchange of
clinical results, such as blood he-
moglobin, serum potassium, or vital signs, for clinical care,
outcomes management,
and research
______ Produce standards/protocol for transmission of clinical
and administrative data
______ Healthcare stakeholders within a defined geographic
area that govern a health
information exchange according to nationally recognized
standards
A. RHIO
,B. HIE
C. HL7
D. ANSI
E. LOINC
F. CPRI Correct Answers D
F
B
E
C
A
1. 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 Correct Answers pos histology
1/22/2016 Operative Report: Total mesorectal resection with
resection of mesenteric lymph nodes.
1/22/2016 Pathology: Low grade adenocarcinoma of the rectum,
1.2 x 0.8 x 0.5 cm tumor confined to the submucosa; proximal,
distal, and circumferential margins uninvolved. Grade 2
treatment effect is present. LVI and perineural invasion not
identified. No tumor deposits. 1/36 mesenteric lymph nodes
positive for metastasis.
,What is the code for Surgical Procedure of Primary Site?
a. 27
b. 22
c. 30
d. 60 Correct Answers 30
1/22/2016 Operative Report: Total mesorectal resection with
resection of mesenteric lymph nodes.
1/22/2016 Pathology: Low grade adenocarcinoma of the rectum,
1.2 x 0.8 x 0.5 cm tumor confined to the submucosa; proximal,
distal, and circumferential margins uninvolved. Grade 2
treatment effect is present. LVI and perineural invasion not
identified. No tumor deposits. 1/36 mesenteric lymph nodes
positive for metastasis.
What is the code for Scope of Regional Lymph Node Surgery?
a. 2
b. 3
c. 5
d. 6 Correct Answers 5
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 Correct Answers 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. 8010/3
b. 8070/3
c. 8310/3
d. Primary 1 8310/3; primary 2 8070/3 Correct Answers
Primary 1 8310/3; primary 2 8070/3
18. Who within the cancer program leadership is responsible for
evaluating, interpreting, and reporting the performance of the
program?
a. Cancer committee chair
b. Cancer liaison physician (CLP)
c. Director of health information management
d. Chief executive officer/hospital administrator Correct
Answers Cancer liaison physician (CLP)
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
SOLUTIONS
______ Founded in 1918 as a nonprofit, voluntary collaboration
for standardization activities
______ Computer-Based Patient Record Institute
______ The gathering of healthcare information electronically
across organizations within a
region or community
______ Terminology database facilitates the exchange of
clinical results, such as blood he-
moglobin, serum potassium, or vital signs, for clinical care,
outcomes management,
and research
______ Produce standards/protocol for transmission of clinical
and administrative data
______ Healthcare stakeholders within a defined geographic
area that govern a health
information exchange according to nationally recognized
standards
A. RHIO
,B. HIE
C. HL7
D. ANSI
E. LOINC
F. CPRI Correct Answers D
F
B
E
C
A
1. 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 Correct Answers pos histology
1/22/2016 Operative Report: Total mesorectal resection with
resection of mesenteric lymph nodes.
1/22/2016 Pathology: Low grade adenocarcinoma of the rectum,
1.2 x 0.8 x 0.5 cm tumor confined to the submucosa; proximal,
distal, and circumferential margins uninvolved. Grade 2
treatment effect is present. LVI and perineural invasion not
identified. No tumor deposits. 1/36 mesenteric lymph nodes
positive for metastasis.
,What is the code for Surgical Procedure of Primary Site?
a. 27
b. 22
c. 30
d. 60 Correct Answers 30
1/22/2016 Operative Report: Total mesorectal resection with
resection of mesenteric lymph nodes.
1/22/2016 Pathology: Low grade adenocarcinoma of the rectum,
1.2 x 0.8 x 0.5 cm tumor confined to the submucosa; proximal,
distal, and circumferential margins uninvolved. Grade 2
treatment effect is present. LVI and perineural invasion not
identified. No tumor deposits. 1/36 mesenteric lymph nodes
positive for metastasis.
What is the code for Scope of Regional Lymph Node Surgery?
a. 2
b. 3
c. 5
d. 6 Correct Answers 5
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 Correct Answers 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. 8010/3
b. 8070/3
c. 8310/3
d. Primary 1 8310/3; primary 2 8070/3 Correct Answers
Primary 1 8310/3; primary 2 8070/3
18. Who within the cancer program leadership is responsible for
evaluating, interpreting, and reporting the performance of the
program?
a. Cancer committee chair
b. Cancer liaison physician (CLP)
c. Director of health information management
d. Chief executive officer/hospital administrator Correct
Answers Cancer liaison physician (CLP)
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
