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CTR EXAM 202 5 / ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS /LATEST UPDATE 2025
/ALREADY GRADED A
Which of the following is a permissible disclosure of confidential client information from the cancer registry? a. To a facility not involved with the client's care b. To another registry for follow-up purposes c. To the client d. To the client's attorney ANSWER-:> b. To another registry for follow-up purposes What is a source of cancer incidence and survival data from population-based cancer registries covering approximately 34.6% of U.S. population? a. ACoS CoC b. CDC NPCR c. NAACCR d. NCI SEER Program ANSWER-:> d. NCI SEER Program
- Medical data that are combined without client identifiers are: a. Aggregate data b. Confidential data c. Population-based data
d. Unusable data ANSWER-:> a. Aggregate data Which of the following information must healthcare organizations protect? a. Employee information b. Individually identifiable client health information c. Information about the organization d. All of the above ANSWER-:> d. All of the above Terrie Tumor Registrar completes a productivity sheet at the end of each day listing tasks completed that day. This is a form of: a. Budget b. Step assessment c. Time motion study d. Work flow chart ANSWER-:> c. Time motion study The use of a password to verify that a person is who they purport to be before they are granted access to confidential data is: a. Audit trail b. Encryption c. Firewall d. User authentication ANSWER-:> d. User authentication
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. Interoperability b. Not permitted c. Semantic d. Syntactic ANSWER-:> a. Interoperability 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. Familial b. Hospital-based c. Population-based d. Specialty ANSWER-:> c. Population-based What is the nationwide oncology outcomes database for accredited cancer programs in the United States? a. GLOBOCAN b. National Cancer Data Base (NCDB) c. National Program of Cancer Registries
SEER Program ANSWER-:> b. National Cancer Data Base (NCDB) HIPAA and other regulations give clients the right to: a. Review any of the organization's business records on them b. Review central cancer registry information on them c. Review information on them in the cancer registry d. Review their own medical records kept by the organization ANSWER-:> d. Review their own medical records kept by the organization Which of the following organizations develop cancer clinical practice guidelines? a. ASCO b. NAACCR c. NCCN d. A and C e. B and C ANSWER-:> d. A and C Central registry XY manually evaluating every 10th abstract from each batch of abstracts submitted to them by reporting hospitals. This process is: a. Casefinding b. Reabstracting c. Record consolidation
c. Clients lost to follow-up d. Prevalence ANSWER-:> a. Cancer client survival For the central registry record consolidation process, the consolidated medical information on a single primary neoplasm is the: a. Death certificate b. Original facility report c. Client record d. Tumor record ANSWER-:> d. Tumor record Lymph-vascular invasion is the presence of tumor cells in: a. Distant metastatic sites b. Lymph nodes c. Lymphatic channels or blood vessels d. The thymus ANSWER-:> c. Lymphatic channels or blood vessels The final diagnosis on the path report documents Nottingham score of 8. The primary site is most likely: a. Brain b. Breast c. Kidney
d. Skin ANSWER-:> b. Breast Freestanding pathology labs may be a casefinding source for a: a. Community hospital cancer program b. National Cancer Database (NCDB) c. Network cancer program d. State central cancer registry ANSWER-:> d. State central cancer registry Client is admitted to the hospital on 2/1/18 with congestive heart failure. On 2/2/ the client had a CT scan that showed a mass in the lung, probable malignancy. On 2/3/18 the client had a partial lobectomy. Path report documented right upper lobe mass, adenocarcinoma, confined to the lung. What is the date of first contact? a. 02/01/ b. 02/02/ c. 02/03/ d. 02/99/2018 ANSWER-:> b. 02/02/ Client with endometrial adenocarcinoma self-identifies as multiracial. Her mother is Hawaiian, and her father is African American? What is the code for Race1? a. 02: Black b. 07: Hawaiian c. 98: Other
d. 01 (prostate cancer); 61 (pituitary adenoma) ANSWER-:> a. 00 (prostate cancer); 60 (pituitary adenoma) Client enters your facility in 1997 and is diagnosed with colon cancer. The colon primary is the 35th 1997 case abstracted. He is the first client entered into the registry for 1997. The registry later sets a new reference date of January 1, 2005. The same client presents with a diagnosis of Prostate in 2018 and is the 105th 2018 case abstracted. What is the accession number? a. 199700035 b. 200500001 c. 200599999 d. 201800001 ANSWER-:> a. 199700035 In the scenario above, the client lived at 35 Delmar St when they were diagnosed with colon cancer. They were living in Sunny Acres Nursing on 2020 Iles St when they were diagnosed with prostate cancer. Which of the following statements is correct? a. Address at Dx for the colon cancer and the prostate cancer should be 2020 Iles St b. Address at DX for the colon cancer should be 35 Delmar St and Address at DX for the prostate cancer should be 2020 Iles St c. Address at DX for the colon cancer and prostate cancer should be 35 Delmar St None of the above ANSWER-:> b. Address at DX for the colon cancer should be
35 Delmar St and Address at DX for the prostate cancer should be 2020 Iles St Client with stage III colon cancer was treated with hemicolectomy and FOLFOX. FOLFOX is: a. Hormone therapy b. Immunotherapy c. Multi-agent chemotherapy d. Single agent chemotherapy ANSWER-:> c. Multi-agent chemotherapy Client was admitted with axillary adenopathy. Aspiration biopsy of axillary lymph node diagnosed metastatic melanoma. Primary site was not identified. What is the Axillary lymph node a. Skin of axilla b. Skin NOS c. Unknown ANSWER-:> c. Skin NOS The Cancer Committee at General Hospital in Pine Valley, sponsored a smoking cessation program in conjunction with the Pine Valley Public Health Department. This is an example of a(n): a. Accountability measure b. Prevention program c. Quality improvement measure
d. Suspense ANSWER-:> c. Non-analytic Linkage of the cancer registry database to files from the state Department of Motor Vehicles was performed. This type of follow-up is most likely done by the: a. Hospital-based cancer registry b. National Cancer Database (NCDB) c. National Program of Cancer Registries (NPCR) d. State central cancer registry ANSWER-:> d. State central cancer registry
- Final pathologic diagnosis: Adenocarcinoma of the endometrium, FIGO grade 1, with cervical stromal invasion; FIGO stage II. What is the code for the grade data item? a. 1 b. 2 c. 3 d. 9 ANSWER-:> a. 1 Primary tumors of the brain and central nervous system are reportable when the tumor behavior is: a. Benign b. Borderline
c. Malignant d. All of the above ANSWER-:> d. All of the above Cancer registry staff at Hospital DD create an abstract for a cancer client within one week of hospital discharge and add information from later visits or other sources as it becomes available. This process is: a. Casefinding b. Concurrent abstracting c. Follow-up d. Suspense system ANSWER-:> b. Concurrent abstracting The process of living with, through, and beyond cancer is: a. A care plan b. Outcomes c. Survivorship d. Treatment ANSWER-:> c. Survivorship Liver biopsy: metastatic poorly differentiated adenocarcinoma, most likely lung origin. What is the code for the grade data item? a. 1 b. 3 c. 4
On 12/31/18 the cancer registry at Sacred Heart Hospital had 18,000 analytic cases with a registry reference date of 1/1/95. 8000 of those cases had been diagnosed within the last 5 years. How many of eligible analytic cases diagnosed need to have had follow-up within the last year? a. 0 b. 6, c. 7, d. 8,000 ANSWER-:> c. 7, Central Cancer Registry AA has a tumor record for John Smith with a lung primary. A second tumor record is submitted to Central Registry AA for John Smith with a colon primary. The records match, but a 1 year difference in date of birth is identified. This was identified by: a. Single field edit b. Inter-field edit c. Inter-record edit d. Inter-database edit ANSWER-:> c. Inter-record edit In CoC accredited cancer programs, what data are used as benchmarks for client care and quality improvement (QI)? a. Discharge data b. NCDB
c. Registry data d. Surveillance data ANSWER-:> b. NCDB What needs to be provided to data collectors as part of the registry quality control program to ensure that change is affected? a. Communication and feedback b. Edit sets c. Planned set of activities d. Uniform standards of quality ANSWER-:> a. Communication and feedback
- Central Cancer Registry LNMOP annually performs casefinding audits at 20% of the reporting facilities in the state. The audits are performed to evaluate: a. Adherence to coding guidelines b. Case incidence completeness c. Data completeness d. Timeliness ANSWER-:> b. Case incidence completeness All case abstractors in facilities that submitted cancer data to the state central registry were required to abstract the same 5 cancer cases as part of a reliability study. This is a way to evaluate what aspect of data quality? a. Accuracy b. Completeness
staff reviewed disease indices, pathology reports, and radiation logs for a specific period of time. Any client that was diagnosed or treated for cancer at hospital X was checked against a list of cases that had been submitted by hospital X to the central registry. Any reportable clients that had not been submitted were identified as missed cases. This is an example of a... a. Casefinding audit b. Reabstracting study c. Recoding study d. Reliability study ANSWER-:> a. Casefinding audit
- A group of edits required by a specific standard setter would be considered an... a. Data dictionary b. Edit set c. Individual edit d. Metafile ANSWER-:> b. Edit set What sends notifications of treatment expectations and year-to-date concordance with performance measures to ensure that the program's cancer clients are receiving evidenced-based cancer care? a. Cancer Program Practice Profile Reports (CP3R) b. National Cancer Database (NCDB) c. National Comprehensive Cancer Network (NCCN)
d. Rapid Quality Reporting System (RQRS) ANSWER-:> d. Rapid Quality Reporting System (RQRS) An edit that checks for valid values within a data item is considered a... a. Single field edit b. Inter-field edit c. Inter-record edit d. Inter-database edit ANSWER-:> a. Single field edit In a CoC accredited cancer program, who is responsible for monitoring the cancer program's compliance with CoC accredited cancer program eligibility criteria? a. Cancer committee b. Cancer liaison physician c. Cancer registrar d. Quality improvement coordinator ANSWER-:> a. Cancer committee
- LNMOP Healthcare owns and operates Hospital L, Hospital M, Hospital N, Radiation Oncology Center O, and Surgical Center P. The facilities share a cancer committee, a cancer registry, and cancer conferences. This type of cancer conference is: a. Departmental
