Cancer Registry Test Questions – Flashcards
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cancer
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Definition: a general term for more than 100 diseases characterized by uncontrolled growth of cells.
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suspense case
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Definition: an abbreviated abstract developed from pathology reports and disease indices used to identify potential cancer cases for abstracting; the cancer registrar examines suspense cases to determine if they are reportable and should be abstracted.
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accession number
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Definition: a nine-digit unique number in the hospital cancer registry system that identifies the patient.
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abstract
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Definition: a summary record in a standardized format that allows for systematic collection of information on a cancer patient's experience.
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Facility Oncology Registry Data Standards (FORDS)
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Definition: a manual published by the Commission on Cancer that provides data standards and coding instructions for facility-based cancer surveillance for the purposes of quality patient care.
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National Cancer Database (NCDB)
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Definition: an outcomes database with data collected from more than 1,400 cancer programs in the United States and Puerto Rico, used to examine cancer treatment trends and survival and for quality improvement in cancer care.
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Population-based cancer registries
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Definition: registries that collect data on all newly diagnosed cancer cases in the population of a defined geographic area such as a state, region, or country.
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cancer registry
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Definition: a surveillance system that systematically collects newly diagnosed cancer cases for the purpose of monitoring the disease burden, the quality of care of cancer patients, cancer survival, and disparities.
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Specialty cancer registries
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Definition: registries established for the purpose of collecting data from specific facilities, for a specific cancer site, or for familial cancers.
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Commission on Cancer (CoC)
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Definition: the organization that developed the first standards of quality, multidisciplinary, and comprehensive cancer care delivery in the health care setting and continues to provide hospital-based cancer registries with data standards and coding instructions.
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hospital-based cancer registry
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Definition: a registry that collects data for individual hospitals or networks of hospitals on new cancer cases diagnosed and/or treated in that hospital or group of hospitals.
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SEER Program Coding and Staging Manual
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Definition: a document that includes required data elements, coding standards and standards of data quality to serve the needs of epidemiology and research.
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National Cancer Registrars Association (NCRA)
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Definition: an association for individuals working in cancer registries; the NCRA certifies cancer registry professionals who meet its standards through its Certified Tumor Registrar (CTR®) credential.
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Surveillance, Epidemiology, and End Result (SEER)
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Definition: a program of the National Cancer Institute that includes a population-based cancer registry funded for specified states, metropolitan areas, and native populations. Because of its follow-up program, the SEER registry is as the only population-based cancer registry in the United States with longitudinal data on stage of disease at both diagnosis and survival.
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North American Association of Central Cancer Registries (NAACCR)
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Definition: the umbrella organization for central cancer registries, government agencies, professional organizations, and other cancer-related organizations to come together to improve quality and utility of cancer data; the NAACCR serves groups from the United States and Canada and publishes a five-volume set of standards for population-based cancer registries.
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National Program of Cancer Registries (NPCR)
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Definition: a program established by the Centers for Disease Control that provides funds to statewide population-based cancer registries. NPCR provides program standards and standards of data quality, timeliness, and completeness and also has adopted NAACCR standards and established a minimum data set. NPCR receives annual data submissions from funded cancer registries.
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CTR
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For most jobs in the cancer registry, a person must have which of the following credentials? a. RHIA b. RHIT c. CTR d. CCS
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CoC
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Who provides hospital-based cancer registries with data standards and coding instruction in the form of the facility oncology registry data standards manual? a. CoC b. AHIMA c. NAACCR d. SEER
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SEER
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_________ serves the needs of epidemiology and research while the CoC is focused on quality patient care. a. ACOS b. SEER c. NCDB d. AHIMA
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true
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One purpose of a cancer registry is to maintain a complete, accurate record of the cancer experience of all patients who are newly diagnosed and treated in the hospital or designated population. True/false?
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hospital budget
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Which source supplies the funding for a hospital-based cancer registry? a. Hospital budget b. Grants c. Donations d. Federal dollars
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pathology report
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What is the primary source of case finding for the hospital-based cancer registry? a. Discharge summary b. Pathology report c. Labs d. History and physical
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false
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Cancer patients must consent to collection of their information. True/false?
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state law
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Collection of cancer data by state cancer registries is mandated by which of the following? a. State law b. Federal law c. County law d. Is no mandated
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National Cancer Act of 1971
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___________ mandated collection, analysis, and dissemination of data regarding the prevention, diagnosis, and treatment of cancer. a. Cancer Registries Amendment Act b. National Cancer Act of 1971 c. HIPAA d. ARRA
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true
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All states have cancer reporting laws to which hospital-based cancer registries are subject. True/false?
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160
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How many practicum hours must be completed for an individual to earn the CTR credential? a. 180 b. 170 c. 165 d. 160
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ICD-O third edition
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Which of the following incorporated the WHO classification of hematopoietic and lymphoid neoplasms? a. ICD-O first edition b. ICD-O second edition c. ICD-O third edition d. ICD-O fourth edition
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Microsoft SQL
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Commercial databases used in cancer registries include which of the following? a. Microsoft SQL b. Microsoft Excel c. Microsoft Word d. Microsoft PowerPoint
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uncontrolled growth of cells
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1. Cancer is a title applied to more than 100 diseases that are characterized by ___________.
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specialty cancer registries
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3. __________ are registries that are established for the purpose of collecting data from specific types of facilities, for a specific cancer site, or for familial cancers. a. Hospital-based cancer registries b. Specialty cancer registries c. Population-based cancer registries
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population-based cancer registries
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4. __________ collect data on all newly diagnosed cancer cases in the population of a defined geographic area, such as a state, region, or country, for the purposes of public health and epidemiology. a. Hospital-based cancer registries b. Specialty cancer registries c. Population-based cancer registries
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hospital-based cancer registries
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5. With a focus on administration and clinical care, __________ collect data for individual hospitals or networks of hospitals on new cancer cases diagnosed and/or treated in that specific hospital or group of hospitals. a. hospital-based cancer registries b. specialty cancer registries c. population-based cancer registries
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Yale-New Haven Hospital
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6. Where was the first U.S. cancer registry established?
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true
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8. True or False? Population-based cancer registries are useful for monitoring cancer trends.
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False. (Every U.S. state has a statewide cancer registry.)
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9. True or False? Some states have never had a statewide cancer registry.
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CTR
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11. What credential is required for most jobs in a cancer registry?
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true
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True or False? There are more than 1,500 CoC cancer programs in the United States.
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NPCR (National Program of Cancer Registries)
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2. _________ established program standards and standards of data quality, timeliness, and completeness and established a minimum data set required to be collected by funded statewide cancer registries a. NAACCR (North American Association of Central Cancer Registries) b. NPCR (National Program of Cancer Registries)
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NPCR (National Program of Cancer Registries)
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3. _________ serves as the umbrella organization for central cancer registries, government agencies, professional organizations, and other cancer-related organizations to come together to improve quality and utility of cancer data. a. NAACCR (North American Association of Central Cancer Registries) b. NPCR (National Program of Cancer Registries)
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CoC (Commission on Cancer)
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4. __________ developed the first standards of quality, multidisciplinary and comprehensive cancer care delivery in the health care setting.
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NCRA
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5. ____________ began a certification process for cancer registrars and other cancer registry professionals. a. NCDB b. NCRA c. SEER d. NPCR
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SEER (Surveillance, Epidemiology, and End Result Program)
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6. _________, developed by the National Cancer Institute, this program includes a population-based cancer registry funded in specified states, metropolitan areas, and native populations; it is the only population-based cancer registry in the United States that collects follow-up data, allowing it to provide longitudinal data on stage of disease at both diagnosis and survival.
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North American Association of Central Cancer Registries (NAACCR)
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Five-volume set of standards are used in both the United States and Canada
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Surveillance, Epidemiology, and End Result (SEER) program
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Standards serve the needs of epidemiology and research
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Commission on Cancer (CoC)
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Standards focus on quality patient care
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National Program of Cancer Registries
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Standards developed for statewide population-based cancer registries
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abstracts
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_______ are documents maintained by the cancer registry and form the basis for all of the registry operations. a. Records b. Abstracts c. Cases
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true
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3. True or False? Cancer-specific information includes the primary site, histology, behavior, laterality, and grade of the cells.
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suspense case
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4. A(n) _________________ is an abbreviated abstract developed from pathology reports and disease indices used to identify potential cancer cases for abstracting.
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annually
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5. How often do hospital cancer registries collect and update information on the status of patient's cancer?
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North American Association of Central Cancer Registries (NAACCR)
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7. Who set forth the standards that are used in electronic abstracting?
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false
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True or False? Cancer registries are revenue-generating.
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the hospital budget
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Hospital-based cancer registries are funded by __________.
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SEER NPCR
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Which two agencies provide funding for population-based cancer registries?
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ICD-O third edition
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1. Incorporated the WHO classification of hematopoietic and lymphoid neoplasms:__________
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ICD-O first edition
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2. Published in 1976 after physicians expressed a desire for morphology codes: __________
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ICD-O second edition
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3. Based topography codes on ICD-10: __________
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c. Multiple Primary and Histology Coding Rules (MP/H)
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4. __________ were implemented to guide cancer registries in determining the number of abstracts to prepare for solid tumors and how to assign the appropriate histology code for each primary tumor abstracted. a. Hematopoietic and Lymphoid Neoplasm Case Reportability and Coding Rules (Heme MP/H Rules) b. AJCC Cancer Staging Manual c. Multiple Primary and Histology Coding Rules (MP/H)
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true
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5. True or False? The stage of the cancer is the extent of the disease.
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False. (T, N, M in the AJCC Staging System are based on the following: primary tumor (T), presence of metastasis in the regional lymph nodes (N), and the presence of metastatic disease in distant tissues and lymph nodes (M).
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7. True or False? The AJCC Staging System is based on type of cancer (T), the number of tumors (N), and the method of treatment (M).
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the SEER summary stage
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8. Which staging system is used primarily by population-based cancer registries for epidemiology?
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Collaborative Staging Data Collection System
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hich staging system has provided a common staging system across registries but has been a complex and expensive system to maintain, and has been scheduled to be discontinued?
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pathology report documentation
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11. The primary source of casefinding in a hospital-based cancer registry is _____________.
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state
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2. Collection of cancer data by state cancer registries is mandated by ________ law.
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Professional Practice Code of Ethics
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3. What guidelines were established by the NCRA relating to ethical conduct of certified tumor registrars?
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CTR exam from NCRA
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1. What credential is required for most positions within a cancer registry?
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False. (Both routes to the CTR exam require some type of experience in a cancer registry—either the equivalent of one year of work experience or completion of a 160-hour practicum, if the HIM graduate chooses to complete an NCRA-Accredited Certificate Program.)
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3. True or False? An individual may take the CTR exam without ever working or completing a practicum in a cancer registry.
