CTR Exam Practice Test 1

CTR Exam Practice Test 1 GRADED A+ (ACTUAL TEST ) Questions and Answers (Solved)

• Cancer registry monitoring of facility case completeness should be per- formed

Answer: On an ongoing basis

• staging provides a more precise description of the

patient's extent of disease.

Answer: Pathological (staging)

Reference: CRM3 Section 3, Cancer Staging

3. A major quality of NAACCR is:

• Provide standards for coding and staging
• Certify registries that meet national data quality standards
• Train and educate registry staff
• All of the above

Answer: d. All of the above

• Routine and automated edit checks should be applied to % of a registry's cases.

Answer: 100%

• A patient has dye injected for a sentinel node procedure. The incision is made in

the nodal area and a 1 cm blue node is identified and a 1.5 cm node next to the blue node that did not take up dye. There is another 1.8 cm blue node identified and a node next to it that is 1.4 cm that did not take up the dye. All four nodes are removed, two with the blue dye and two without. How is the scope of regional lymph node surgery coded?

Answer: Sentinel node biopsy

Reference: AJCC 8th Edition, Chapter 1

Sentinel node biopsy because removing additional abnormal nodes during the sentinel node procedure does not change this from being a sentinel node procedure.

• According to the CoC standard, the maximum number of cases to be evaluated,

annually, are:

Answer: 300 1 / 2

• The cancer committee monitors the program's Estimated Performance Rates

(EPR) for all quality measures using..

Answer: CP3R

• Clinical staging

Answer: Includes any information obtained about the extent of cancer before the

start of definitive treatment.

Reference: AJCC 8th Edition, Chapter 1

• The diagnosis is "undifferentiated NK-cell leukemia." What is the

grade/differentiation?

Answer: 8

Reference: pg 22 of ICD-O-3

10. The timing of SEER Extent of Disease coding is limited to:

Answer: All information available through completion of surgeries in the first

course of treatment or four months, whichever is longer.

• Which of the following diagnoses is the exception to the rule that all leukemias

should be coded to C42.1 bone marrow?

Answer: 9930/3 myeloid sarcoma

Reference: ICD-O-3 Rule E

Myeloid sarcoma is a leukemic deposit in an organ or tissue & should be coded to the site of origin.

• The National Program of Cancer Registries (NPCR) requires central registries

to do hospital casefinding or reabstracting audits on each hospital:

Answer: - Every five years

13. The first course of treatment:

Answer: Consists of all cancer-directed treatment regardless of where it takes place

• A patient is diagnosed with adenocarcinoma of the cecum in April 2010. He is

diagnosed with adenocarcinoma of the ascending colon in April 2012. The clinician says this is recurrent carcinoma. The pathologist does not review the original pathology from the cecal primary. Is this a single or multiple primary and what is the correct site code?

Answer: C18.2 multiple

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