question

NAACCR's primary role is to represent and serve as a forum for the organization, operation, quality control, and statistical reporting for: Select one: a. hospital-based cancer registries. b. population-based cancer registries. c. specialty cancer registries. d. all of the above

answer

b. population-based cancer registries

question

Neoplasia is a synonym for cancer, which is often used among medical professionals Select one: a. True b. False

answer

a. True

question

Hospitals are responsible to identify the list of ICD-9-CM codes that are mandatory to include on the disease index file to meet state reporting requirements. Select one: a. True b. False

answer

b. False

question

Which of the following is NOT true of probabilistic record linkage systems? Select one: a. They take into consideration the weighted match probabilities of the different data variables b. They make it feasible and efficient to link large public health datasets in a statistically justifiable manner c. They rely on exact variable matches d. They allow valid matches even when small typographical errors exist in the name or social security number in one or more records of a patient

answer

c. They rely on exact variable matches

question

Match the following actions with the appropriate guidelines. 1. Producing complete, accurate and timely information 2. Truthfully and accurately representing credentials, education and experience 3. Revocation of the CTR credential 4. Providing lists of patients for marketing purposes a. Confidentiality and Privacy b. Professionalism c. Discharge of entrusted professional duties and responsibilities d. Breach of ethical conduct sanction

answer

1. Producing complete, accurate and timely information - c. Discharge of entrusted professional duties and responsibilities 2. Truthfully and accurately representing credentials, education and experience - b. Professionalism 3. Revocation of the CTR credential - d. Breach of ethical conduct sanction 4. Providing lists of patients for marketing purposes - a. Confidentiality and Privacy

question

Standards for data management procedures for hospitals and population-based registries develop together and have been defined by the same standard setters. Select one: True False

answer

False

question

Benign tumors may grow and interfere with bodily function, but they rarely leave the body part where they originate. Select one: a. True b. False

answer

a. True

question

In active casefinding procedures, registry personnel retrieve and screen the source documents, such as disease indices, pathology reports, and autopsy documents except: Select one: a. surgery schedules b. admission and discharge documents c. doctor prescriptions d. radiation oncology

answer

c. doctor prescriptions

question

Standard-setting organizations include the CoC, SEER, NPCR, and NAACCR. Select one: True False

answer

True

question

An old item is no longer relevant when: Select one: a. one or more new response categories is added to the older item. b. the old item is dropped, and no longer coded. c. both a and b above d. neither a nor b above

answer

c. both a and b above

question

The completeness of casefinding must be monitored for quality control purposes. Select one: a. True b. False

answer

a. True

question

Consolidation rules determine which data inconsistencies can be resolved automatically and when to assign precedence of one category over another. Select one: True False

answer

True

question

Cancer was first observed in humans Select one: a. in 1842 by an Italian physician. b. in 2500 B. C. c. between 460 and 370 B. C. d. in 1629 in England.

answer

b. in 2500 B. C.

question

Match the following actions with the appropriate solutions. 1. Keeping data secure 2. Transmission of confidential data 3. Appropriate release of data 4. Computer failure a. Explicit administrative authorization b. Data encryption c. Passwords, audit control d. Automatic back up system

answer

1. Keeping data secure - c. Passwords, audit control 2. Transmission of confidential data - b. Data encryption 3. Appropriate release of data - a. Explicit administrative authorization 4. Computer failure - d. Automatic back up system

question

A serious breach of confidentiality can result in the cancer registrar being fired (terminated). Select one: a. True b. False

answer

a. True

question

Protected health information is anything that connects a patient to his or her health information. Select one: a. True b. False

answer

a. True

question

Step assessments evaluate each step required to perform the job. Select one: a. True b. False

answer

a. True

question

For the majority of registries, it is better to hire an outsourcing company than to hire permanent staff. Select one: a. True b. False

answer

b. False

question

The process of safeguarding data by copying or duplicating files onto computer media separate from the original location is: Select one: a. Compiling b. Clusters c. Graphic user Interface d. Backup

answer

d. Backup

question

The National Cancer Registrars Association adopted a "Professional Practice Code of Ethics" that outlines the principles of professional conduct and provides members of the NCRA with definitive and binding guidelines of conduct. Select one: a. True b. False

answer

a. True

question

Casefinding is a systematic method of identifying all potentially eligible cases that are to be included in the registry database. Select one: a. True b. False

answer

a. True

question

An edit over-ride is the Edits feature that allows a user to note that the data are unusual, but correct. Select one: a. True b. False

answer

a. True

question

It was _____ that made possible the examination of cells and cellular activity and helped people better understand disease-causing organisms. Select one: a. better surgical tools b. better microscopes c. magic spells d. direct observation of the human body

answer

b. better microscopes

question

The purpose of an Edit Set is to group individual edits. Select one: a. True b. False

answer

a. True

question

It is common for a cancer registry to receive multiple types of casefinding source documents that belong to the same patient, even if those source documents have the same admission (or source) date. Select one: a. True b. False

answer

a. True

question

Office design standards call for desks to be facing each other with approximately 4 to 5 feet between desks. Select one: True False

answer

False

question

The term surveillance as applied to public health means: Select one: a. monitoring death certificate cause of death information. b. monitoring the occurrence of selected health conditions in the population. c. studying the cause of cancer. d. recording information on a disease.

answer

b. monitoring the occurrence of selected health conditions in the population.

question

Required data sets are the same for all standard setters. Select one: True False

answer

False

question

The disease index is the primary casefinding source used by central registries to identify incident cases. Select one: a. True b. False

answer

b. False

question

WHO, ACS, and AJCC developed standard codes for topography, morphology and extent of tumor spread. Select one: True False

answer

True

question

The Self Instructional Manuals for Tumor Registrars series is published by: Select one: a. NCRA. b. SEER. c. NAACCR. d. CoC.

answer

b. SEER.

question

When is the patient's written authorization to release information required? Select one: a. in most cases, when patient information is going to be shared with anyone for reasons other that treatment, payment or health care operations b. upon admission to a hospital c. when patient information is to be shared among two or more clinicians involved in the treatment of the patient d. when patient information is used for billing a private insurer

answer

a. in most cases, when patient information is going to be shared with anyone for reasons other that treatment, payment or health care operations

question

A future direction of cancer registry computer systems will be to replace DBMSs with systems for harvesting the increasing power, size, and complexity of fourth and fifth generation computing hardware. Select one: True False

answer

False

question

Typically, more than ______% of all cancers are histologically confirmed. Select one: a. 30 b. 50 c. 75 d. 90

answer

d. 90

question

Only hospital-based cancer registries are allowed to collect and report "reportable by-agreement" cases. Population-based registries, including the state central cancer registries, are forbidden to report these cases by federal law. Select one: a. True b. False

answer

b. False

question

When were the first standard edits made available? Select one: a. 1950 b. 1985 c. 1987 d. 1996

answer

d. 1996

question

Should you access your medical record via the computer system at your facility? Select one: a. yes b. no

answer

b. no

question

A metafile contains everything necessary to edit the data, except the data. Select one: a. True b. False

answer

a. True

question

In the casefinding process, a suspense file is kept so that the status of casefinding can be ascertained at any time. Select one: a. True b. False

answer

a. True

question

The fourth step of the budget cycle is: Select one: a. Presentation b. Adoption, or Approval c. Administration, or Execution d. Monitoring

answer

c. Administration, or Execution Five Steps of the Budget Cycle Preparation - meeting with administrator or budget director; identifying department or program, space, personnel, or equipment need. New items required cost versus benefit analysis. Presentation of budget documents - budget submission to administration; be prepared to answer questions Adoption - approval of budget for implementation (i.e. to incur expenses) Administration - execution of the budget (i.e. spending allocated funds) Monitoring of budget performance - use of control documents to monitor revenues/expenditures in relation to the budget

question

GenEdits, a computerized edit-checking software: Mark all choices that apply! Select one or more: a. improves the quality of the cancer data. b. standardizes the way data are checked for validity. c. is very expensive for registries to purchase. d. is only available in a DOS-based format.

answer

a. improves the quality of the cancer data. b. standardizes the way data are checked for validity.

question

While healthy, normal cells carry out specific functions to sustain life; cancer cells serve no useful purpose in the body. Select one: a. True b. False

answer

a. True

question

What does HL7 stand for, and what is it? Select one: a. Hell Level Seven is where registrars are tortured in Dante's Inferno. b. Hi Low Seven is a soft drink popular in the registry community. c. Hepatic Liver Seven is an advanced stage of liver cancer. d. Health Level Seven is a widely used data exchange standard in the healthcare industry. e. Help Language Seven is the seventh edition of a popular scripting language for help systems.

answer

d. Health Level Seven is a widely used data exchange standard in the healthcare industry.

question

Registry staff can include: Select one: a. epidemiologists. b. CTRs. c. abstractors. d. follow-up clerks e. statistical analysts f. All of the above g. None of the above

answer

f. All of the above

question

Rapid case ascertainment is the process of identifying cases quickly for epidemiologic protocols. Select one: a. True b. False

answer

a. True

question

A court order to provide certain documents, such as medical records, is called a subpoena. Select one: a. True b. False

answer

a. True

question

The central registry DMS is most often used to manage data directly entered by one or more registrars. Select one: a. True b. False

answer

b. False

question

Demographic data consist of the primary site of the malignancy, its cell type, and the extent of disease. Select one: a. True b. False

answer

b. False

question

An explanation of privacy practices is generally referred to as a Notice of Privacy Practices (NPP). Select one: a. True b. False

answer

a. True

question

The National Program of Cancer Registries (NPCR) Cancer Surveillance System (CSS) was authorized by the National Cancer Act in 1971. Select one: a. True b. False

answer

b. False

question

Factors affecting staffing for follow-up include number of cases being followed, type of population being followed and the longevity of the registry. T/F

answer

True

question

Step assessments are a not a necessary part of time-motion studies. T/F

answer

False

question

The accuracy of surgery schedules as a source of casefinding depends on appropriate documentation of orders and diagnoses at the time of surgery. T/F

answer

True

question

A hospital with an ACoS-approved cancer program is not required to maintain a cancer registry. T/F

answer

False

question

Standard 4.8 requires the cancer committee, or other appropriate leadership body, to implement and document at least two (2) improvements that directly affect cancer patient care. T/F

answer

True

question

Edit rejection rates can be monitored by the computer and be used to measure against a standard that is set for _________ accuracy levels. Select one: a. acceptable b. Average c. above average d. high

answer

a. acceptable

question

In order to receive a commendation for Standard 5.2 (RQRS), the facility must participate in in RQRS during the entire 3-year accreditation period and: Select one: a. submit all eligible cases for 25% of the valid performance measures b. submit all eligible cases for 50% of the valid performance measures c. submit all eligible cases for 75% of the valid performance measures d. submit all eligible cases for 100% of the valid performance measures

answer

d. submit all eligible cases for 100% of the valid performance measures

question

A future direction of cancer registry computer systems will be to replace DBMSs with systems for harvesting the increasing power, size, and complexity of fourth and fifth generation computing hardware. T/F

answer

False

question

Each year, the cancer committee offers at least 1 cancer-related educational activity, other than cancer conferences, to physicians, nurses, and other allied health professionals. The activity is focused on the use of: Select one: a. AJCC staging b. Clinical trial accrual c. SEER Summary Staging d. all of the above e. None of the above

answer

a. AJCC staging

question

All categories of program accreditation have the same CoC cancer conference requirements. T/F

answer

False

question

Which of the following are considered "passive" follow-up linkage sources? Select one: a. Motor vehicle/driver license files b. Centers for Medicare and Medicaid Services c. State voter registration files d. All of the above e. None of the above

answer

d. All of the above

question

Which method of record matching is the preferred method? Select one: a. Deterministic b. Probabilistic c. Hierarchical d. Highest Value

answer

b. Probabilistic

question

Failure to consolidate records can lead to overcounting or undercounting cancer incidence. T/F

answer

True

question

The cancer committee is responsible for developing a reportable list that identifies all types of cases to be included in the cancer registry database. T/F

answer

True

question

Under what circumstances can confidential cancer registry data be made available? Select one: a. for marketing products to cancer patients. b. to help healthcare institutions recruit new patients. c. to provide follow up information to an approved facility. d. to aid insurance companies or employers trying to determine a patient's medical status.

answer

c. to provide follow up information to an approved facility

question

Cancer as a disease was first recorded by the _____ . Select one: a. Chinese b. Indians c. Egyptians d. Babylonians

answer

c. Egyptians

question

A reportable list is usually developed by the central registry, is composed of all the reportable case types collected by a cancer registry, and clarifies the types of diagnoses that are not reportable. T/F

answer

True

question

Lifetime follow-up on cancer patients is important for the accurate analysis of survival outcomes. T/F

answer

True

question

Which data format(s) are recommended by NAACCR to laboratories for reporting pathology report text information electronically to central registries? Select one: a. HL7 b. Pipe-delimited c. Both a and b d. Neither a nor b

answer

c. Both a and b

question

Reference date refers to the effective date on or after which all reportable cases should be registered in a registry database. T/F

answer

True

question

Computerized edit checks are a cost effective way to assess accuracy, and should be routinely applied to 100% of the registry's cases T/F

answer

True

question

The NCRA mission statement is: Select one: a. Serving professionals who provide data that make a difference in the war on cancer. b. To promote education, credentialing, and advocacy for cancer registry professionals. c. Networking, Mentoring, and Making a difference. d. All of the above.

answer

b. To promote education, credentialing, and advocacy for cancer registry professionals.

question

Any facility whose cancer committee develops and disseminates a report of patient or program outcomes to the public each year during the survey cycle will be awarded a commendation for Standard 1.12 (Public Reporting of Outcomes): T/F

answer

True

question

It was _____ that made possible the examination of cells and cellular activity and helped people better understand disease-causing organisms. Select one: a. better surgical tools b. better microscopes c. magic spells d. direct observation of the human body

answer

b. better microscopes

question

Honorable discharge of the Association's responsibilities is one of the guidelines addressed in the NCRA Professional Practice Code of Ethics. T/F

answer

True

question

Cancer data collection begins by identifying cancer cases (case finding). T/F

answer

True

question

The first hospital-based cancer registry was organized at Yale-New Haven Hospital in Connecticut. The first population-base registry, which was also established in Connecticut, was established in what year? Select one: a. 1913 b. 1930 c. 1935 d. 1956

answer

c. 1935

question

Why is a relational database structure better for storing registry data than a NAACCR data exchange record? Select one: a. Registry data are logically grouped into records such as patient demographics and cases. b. The NAACCR record is designed for data exchange, not storage. c. Some NAACCR data exchange fields simply do not make sense to store in a registry database. d. The NAACCR data exchange record can accommodate only a fixed number of therapy records. e. All of the above

answer

e. All of the above

question

All of the following are core data items needed for successful follow-up except: Select one: a. insurance status. b. cancer status. c. date of last contact. d. none of the above are needed.

answer

a. insurance status.

question

Retrospective cases are discussed after the completion of all treatment, primarily for the purpose of education, and are not intended to influence the management of patient care. T/F

answer

True

question

Providers or facilities who diagnose a patient with cancer, but do not treat that patient's disease, are exempt from reporting that case. T/F

answer

False

question

Cancer registrars need to be concerned with confidentiality regarding: Select one: a. patient information. b. identity of the health care professional. c. identification of the institution. d. all of the above.

answer

d. all of the above.

question

Which statement(s) is (are) true? Select one: a. Computer monitors should be placed with the top line at or below the eye level. b. Monitors should be directly in front of or facing windows. c. Monitors should be placed more than two arm-lengths away. d. All of the above e. None of the above

answer

a. Computer monitors should be placed with the top line at or below the eye level.

question

How many prevention programs are required to be provided each year in most CoC-accredited programs. Select one: a. one b. two c. three d. four

answer

a. one

question

The CoC provides marketing information to local media for each CoC-accredited program. T/F

answer

False

question

Which matching method follows this rule: "A match cannot be made if one data file is missing a critical data field"? Select one: a. Deterministic b. Probabilistic c. Hierarchical d. Highest Value

answer

a. Deterministic

question

Prospective cases are presented for discussion at the time of initial diagnosis with an emphasis on establishing accurate staging (clinical or pathologic), treatment options based on national treatment guidelines, and expected patient management plans. T/F

answer

True

question

The cancer conference policy or procedure is used to establish the annual cancer conference activity. The policy or procedure addresses which of the following: Select one: a. Cancer conference frequency and format b. Attendance rate of physician participants c. Discussion of stage d. Number of case presentations e. Options for clinical trial participation f. All of the above g. None of the above

answer

f. All of the above

question

The central registry DMS is most often used to manage data directly entered by one or more registrars. T/F

answer

False

question

The advantages of ___________________ casefinding include sharing the labor costs and burden of reporting with other departments. Select one: a. Active b. Passive c. Active and Passive d. Reporting requirements and mechanisms

answer

b. Passive

question

he difference between quality control and quality assurance is: Select one: a. quality control is monitoring the processes and methods used to ensure quality, while quality assurance is a planned set of activities. b. quality control is a planned set of activities, while quality assurance is monitoring the processes and methods used to ensure quality. c. neither a nor b above d. both a and b above

answer

b. quality control is a planned set of activities, while quality assurance is monitoring the processes and methods used to ensure quality.

question

Quality of design: Select one: a. Relates to the restrictions and functions mandated by the design of the system (ensures that the fundamental intent is correct) b. Is the degree to which the product adheres to the design specifications and tolerances (the product itself is reproduced accurately) c. Is the degree to which the final form of the product or service meets the needs of the consumers (the end product is useful) d. All of the above

answer

a. Relates to the restrictions and functions mandated by the design of the system (ensures that the fundamental intent is correct)

question

If the matching criteria are too loose, many "false" matches may result in the wrong patients being linked together. T/F

answer

True

question

Quality of performance: Select one: a. Relates to the restrictions and functions mandated by the design of the system (ensures that the fundamental intent is correct) b. Is the degree to which the product adheres to the design specifications and tolerances (the product itself is reproduced accurately) c. Is the degree to which the final form of the product or service meets the needs of the consumers (the end product is useful) d. All of the above

answer

c. Is the degree to which the final form of the product or service meets the needs of the consumers (the end product is useful)

question

Services and supplies are line items traditionally found in ___________ budgets. Select one: a. Capital b. Operating c. Direct d. Indirect

answer

b. Operating

question

Electronic pathology reporting systems are based on the ability to scan documents for key terms to determine reportability. T/F

answer

True

question

These two methods for measuring data accuracy can be combined to provide direct descriptive information on the quality of the data and the reliability of the abstractors in the cancer registry studied. Select one: a. Visual editing and acceptance sampling b. Computerized edit checks and visual review c. Process controls and designed studies d. Reabstracting and case studies

answer

d. Reabstracting and case studies

question

How often should a registry plan to replace desktop computers? Select one: a. Every year b. Every 2 years c. Every 3 to 5 years d. Every 6 to 1 0 years e. Only when the IT department is willing to do it

answer

c. Every 3 to 5 years

question

The Cancer Committee is ultimately responsible for developing a cancer conference plan in a CoC-accredited facility. T/F

answer

True

question

Protected health information is anything that connects a patient to his or her health information. T/F

answer

True

question

Two factors in determining staffing needs are (1) facility and state requirements of the registry, and (2) an assessment of realistic time frames to meet facility, state, and/or national standard-setters' requirements. T/F

answer

True

question

Which can be a cancer registry budget item(s)? Select one: a. Funds for supplies, including providing snacks or drinks at meetings b. Travel costs for meetings c. Cost of electricity, heat, housekeeping, and maintenance staff d. Salaries for registry staff e. All of the above f. None of the above

answer

e. All of the above

question

The most important technological advance for cancer registries in the past two decades has been the development and widespread acceptance of the NAACCR data exchange standard. T/F

answer

True

question

One of the major milestones of the National Cancer Registrars Association is the development of a code of ethics. T/F

answer

True

question

Cancer registries in North America use which set of rules for determining multiple primaries for solid tumors? Select one: a. IARC rules b. ACCC rules c. SEER Multiple Primary and Histology Coding Rules implemented January 1, 2007

answer

c. SEER Multiple Primary and Histology Coding Rules implemented January 1, 2007

question

A computer or dedicated hardware device that restricts access between a protected network and an external network is a(n) __________. Select one: a. WAN b. Firewall c. Ethernet d. MAC

answer

b. Firewall

question

f a patient has multiple primary cancers: Select one: a. all records will be updated with the date of last contact, but the cancer status will need to entered separately. b. all records are updated with the date of last contact. but record cancer status only if the patient still has evidence of disease. c. all records are updated with the date of last contact. The cancer status is not updated when performing patient follow-up. d. none of the above.

answer

a. all records will be updated with the date of last contact, but the cancer status will need to entered separately.

question

One of the biggest challenges to cancer registrars will continue to be: Select one: a. finding a good job. b. keeping up with changes in data collection, coding, and reporting standards. c. getting the proper education for the job. d. all of the above.

answer

b. keeping up with changes in data collection, coding, and reporting standards.

question

Which of the following are challenges to standardizing data edits? Select one: a. differing computer language in registry systems b. standard specifications may be programmed differently c. incomplete editing of data during data entry d. documentation of edit algorithms used are not always available for data researchers e. data collected and consolidated from varied reporting sources and applications are not always uniform, therefore, data analysis may be affected f. standard changes are difficult to synchronize across software providers g. registries use different software providers h. all of the above are challenges

answer

h. all of the above are challenges

question

The cancer registry policy and procedure manual must specify that current CoC data definitions and coding instructions are used to describe all reportable cases. T/F

answer

True

question

The National Program of Cancer Registries (NPCR) Cancer Surveillance System (CSS) was authorized by the National Cancer Act in 1971. T/F

answer

False

question

Timeliness is critical to a registry quality-control process. The methods for evaluating timeliness are (indicate all that are correct) : Select one: a. visual review. b. reabstraction study. c. casefinding audit. d. lag-time report.

answer

d. lag-time report.

question

Prospective cases include which of the following types of cases: Select one: a. Newly diagnosed and treatment not yet initiated b. Previously diagnosed, initial treatment completed, but discussion of adjuvant treatment or treatment for recurrence or progression is needed. c. Newly diagnosed and treatment not yet initiated. d. Previously diagnosed, and discussion of supportive or palliative care is needed. e. Choices a and c f. Choices b and d g. All of the above h. None of the above

answer

g. All of the above

question

It is appropriate to access the medical records of a family member if you are concerned about their treatment, and to let them know about other possible treatment options. T/F

answer

False

question

Edits contain the logic to edit each field. T/F

answer

True

question

Other than the EMR, clinical data used to populate registries may be derived from:: Select one: a. Billing systems b. Pathology/laboratory databases c. Other registries d. All of the above e. None of the above

answer

d. All of the above

question

Non-registry staff could miss the collection of cases with diagnostic terms that may not sound: Select one: a. benign b. ambiguous c. cancerous d. pleasant

answer

c. cancerous

question

Only hospital-based cancer registries are allowed to collect and report "reportable by-agreement" cases. Population-based registries, including the state central cancer registries, are forbidden to report these cases by federal law. T/F

answer

False

question

An effective data quality management program is dependent on timely, complete, and high-quality data. T/F

answer

True

question

The hospital DMS shares many functions with the central registry DMS. Which of the following is NOT a function of the central registry DMS? Select one: a. importing and consolidating complete abstracts from external sources b. conducting record linkages with data files from external agencies c. interfacing with the hospital electronic medical record system to allow direct import of d. all are functions of the central registry DMS

answer

c. interfacing with the hospital electronic medical record system to allow direct import of

question

The term surveillance as applied to public health means: Select one: a. monitoring death certificate cause of death information. b. monitoring the occurrence of selected health conditions in the population. c. studying the cause of cancer. d. recording information on a disease.

answer

b. monitoring the occurrence of selected health conditions in the population.

question

If the matching criteria are set at "exact," no matches will be missed. T/F

answer

False

question

The national averages for abstracting are _____ minutes per abstract and _______ abstracts per year. Or approximately ____ abstracts per day. Select one: a. 40, 604, 4 b. 30, 604, 4 c. 30, 610, 5 d. 40, 610, 5

answer

a. 40, 604, 4

question

What are some of the factors that contribute to the costs of performing follow-up? Select one: a. Postage fees b. Staffing hours c. Both a and b d. There are no costs related to follow-up

answer

c. Both a and b

question

Which of the following describes a law that is prescribed by legislative enactments? Select one: a. Common law b. Statutory law c. Administrative law d. Regulatory law

answer

b. Statutory law

question

What is an essential element of proper disaster recovery planning? Select one: a. Housing registry offices and computers in locations above the flood stage b. Providing a reliable backup and recovery system c. Installing an Uninterruptible Power Supply d. Equipping all technical staff with beepers e. Configuring computer servers with fail-safe and redundant components

answer

b. Providing a reliable backup and recovery system

question

Normally, federal law preempts state law. The exception occurs when state law is: Select one: a. less strict than federal law b. more strict than federal law c. less effective than federal law d. less confusing than federal law

answer

b. more strict than federal law

question

A serious consequence of a finding of guilt for an ethics violation is revocation of the CTR credential. T/F

answer

True

question

A disease index is a listing of patients seen in a hospital, both inpatient and outpatient, with ICD-9-CM diagnosis codes. T/F

answer

True

question

Viruses, worms, and spyware are examples of computer malware. T/F

answer

True

question

One of the biggest challenges to cancer registrars will continue to be: Select one: a. finding a good job. b. keeping up with changes in data collection, coding, and reporting standards. c. getting the proper education for the job. d. all of the above.

answer

b. keeping up with changes in data collection, coding, and reporting standards.

question

Cases entered into the suspense file that are later determined not to be reportable are: Select one: a. Moved the master patient index b. Moved to the history file c. Remain in the suspense file d. Linked to the master patient index

answer

b. Moved to the history file

question

Only manual methods of reviewing pathology reports must include a way to track reports to ensure that each report has been included in the registrar's review. T/F

answer

False

question

All activities (abstracting, follow-up, casefinding, etc.) in the cancer registry must be performed by a Certified Tumor Registrar. T/F

answer

False

question

If a person has the ability to access facility of company systems or applications, they have a right to view any information contained in that system or application. T/F

answer

False

question

Recoding audits provide verification that coding guidelines and rules are correct as applied by the data collectors. T/F

answer

True

question

According to the eligibility standards, diagnostic imaging and radiation therapy services must be available on site. T/F

answer

False

question

Which procedure(s) should be done to ensure that all costs have been included in the budget? Select one: a. Keep records of invoices, costs b. Analyze information from previous budgets c. Check with other registrars d. Review information supported by NAACCR or NCRA e. All of the above f. None of the above

answer

e. All of the above

question

The Cancer Registry Quality Control Plan has procedures to monitor and evaluate which of the following: Select one: a. Abstracting timeliness b. Accuracy of Abstracted Data c. AJCC or other appropriate stage of the cases is discussed and documented for the five major sites seen at the facility d. Casefinding e. NCDB Data Submission f. Percentage of information coded as unknown g. All of the above h. None of the above

answer

g. All of the above

question

A __________ is a logical network partition that allows computers within the partition to be seen from the "outside". Select one: a. LAN b. WAN c. DMZ d. MAC

answer

c. DMZ

question

The first national cancer registry program was established by: Select one: a. CoC. b. NPCR. c. SEER. d. ACS.

answer

c. SEER.

question

Inter-record edit checks examine data items within a particular patient's abstract. T/F

answer

False

question

The survey process is the same for every facility. T/F

answer

False

question

The enactment of the Benign Brain Tumor Cancer Registries Amendment Act is an example of why registrars need to be aware not only of pertinent new legislation, but also of amendments to existing legislation. T/F

answer

True

question

An abstract has an edit error that states the Surgery Summary of Scope of Regional Lymph Nodes (SurgSumScopeRegLN) field conflicts with the number of lymph nodes examined and number of lymph nodes positive. What kind of edit check is this? Select one: a. Allowable range check (edit) b. Interitem check (edit) c. Interrecord check (edit) d. Interdatabase check (edit)

answer

b. Interitem check (edit)

question

How often should time-motion studies be performed? Select one: a. At predetermined intervals, or when a new or change of responsibilities occurs b. Several times a year, when the assigned person gets around to it c. Once a year d. When an employee leaves

answer

a. At predetermined intervals, or when a new or change of responsibilities occurs

question

All of the following are true of the Accredited Cancer Program Performance Report except that it: Select one: a. provides the Accreditation Award b. identifies the facility, surveyor, and date of the survey c. provides a summary of the program deficiencies. d. identifies the program as an Outstanding Achievement Award recipient

answer

d. identifies the program as an Outstanding Achievement Award recipient

question

Registry staff can call the patient or his/her next of kin to discuss the patient's current cancer status. T/F

answer

False

question

All of the following are core data items needed for successful follow-up except: Select one: a. insurance status. b. cancer status. c. date of last contact. d. none of the above are needed.

answer

a. insurance status.

question

For all eligible analytic cases, a 90% follow-up rate is maintained from the cancer registry reference date. T/F

answer

False

question

Cancer registries in North America use which set of rules for determining multiple primaries for solid tumors? Select one: a. IARC rules b. ACCC rules c. SEER Multiple Primary and Histology Coding Rules implemented January 1, 2007

answer

c. SEER Multiple Primary and Histology Coding Rules implemented January 1, 2007

question

The Commission on Cancer of the American College of Surgeons requires accredited cancer programs to meet which follow-up standard? Select one: a. Maintain an 80% follow-up rate for all eligible analytic patients from the cancer registry reference date b. 90% follow-up rate must be maintained for all eligible analytic patients diagnosed within the last 5 years, or from the cancer registry reference date, whichever is shorter c. Both a and b d. None of the above

answer

c. Both a and b

question

Reasons for possible changes of a reference date include: Select one: a. Changes in personnel b. Changes in data processing c. Changes in data acquisition methods d. Changes in facility ownership

answer

c. Changes in data acquisition methods

question

A cell may become cancerous if anything goes wrong in the process of cell reproduction. T/F

answer

True

question

All categories of cancer programs are required to develop and disseminate a report of patient or program outcomes to the public. T/F

answer

False

question

Follow-up can be done by checking the hospital records to determine whether the patient has been seen in the facility. T/F

answer

True

question

Statistical quality-control principles include acceptance sampling, process control, and designed studies. T/F

answer

True

question

Which of the following is NOT true of probabilistic record linkage systems? Select one: a. They take into consideration the weighted match probabilities of the different data variables b. They make it feasible and efficient to link large public health datasets in a statistically justifiable manner c. They rely on exact variable matches d. They allow valid matches even when small typographical errors exist in the name or social security number in one or more records of a patient

answer

c. They rely on exact variable matches

question

Issues with program activity should be addressed after the survey. T/F

answer

False

question

Many physicians view cancer conference as the equivalent to a second opinion and communicate the case presentation discussion to their patients. T/F

answer

True

question

Consistency, reliability, validity, reproducibility, and concordance are terms that can be used to describe: Select one: a. accuracy b. completeness c. timeliness d. acceptance sampling

answer

a. accuracy

question

When consolidating cases manually, the results of consolidation can be different based on the reviewer's experience, caseload, and knowledge of special ascertainment or coding rules. T/F

answer

True

question

NAACCR's primary role is to represent and serve as a forum for the organization, operation, quality control, and statistical reporting for: Select one: a. hospital-based cancer registries. b. population-based cancer registries. c. specialty cancer registries. d. all of the above

answer

b. population-based cancer registries.

question

Which matching method follows this rule: "A match cannot be made if one data file is missing a critical data field"? Select one: a. Deterministic b. Probabilistic c. Hierarchical d. Highest Value

answer

a. Deterministic

question

Currently in the United States, which governing agencies set reporting standards for hospital and population-based registries? Select one: a. American College of Surgeons (ACoS) Commission on Cancer (CoC) b. National Program of Cancer Registrars (NPCR) c. Surveillance, Epidemiology, and End Results (SEER) d. All of the above

answer

d. All of the above

question

Which statement(s) regarding the advantages of outsourcing the cancer registry is (are) true? Mark all that apply! Select one or more: a. The number of staff can often be increased or decreased quickly. b. Short- or long-term commitments can be negotiated. c. On-site or remote staffing can be negotiated. d. Specific aspects/projects or the entire responsibility of the cancer registry can be negotiated. e. None of the above

answer

a. The number of staff can often be increased or decreased quickly. b. Short- or long-term commitments can be negotiated. c. On-site or remote staffing can be negotiated. d. Specific aspects/projects or the entire responsibility of the cancer registry can be negotiated.

question

n addition to following federal and state legal requirements concerning patient confidentiality, the cancer registrar must also be aware of pertinent regulations formulated by their own institution. T/F

answer

True

question

The difference between quality control and quality assurance is: Select one: a. quality control is monitoring the processes and methods used to ensure quality, while quality assurance is a planned set of activities. b. quality control is a planned set of activities, while quality assurance is monitoring the processes and methods used to ensure quality. c. neither a nor b above d. both a and b above

answer

b. quality control is a planned set of activities, while quality assurance is monitoring the processes and methods used to ensure quality.

question

Reabstracting studies are usually performed on __________. Select one: a. All cases abstracted during a year b. A small sample of cases c. 10% of cases d. All coded data

answer

b. A small sample of cases

question

Cancer refers to a single disease characterized by uncontrolled growth and spread of abnormal cells. T/F

answer

False

question

The resource that serves as a reference on cancer registry data requirements and data coding standards is: Select one: a. Cancer Program Standards 2009 b. Facility Oncology Data Standards c. Cancer Registry Management, Principles and Practice d. Registry Operations and Data Standards

answer

b. Facility Oncology Data Standards

question

Which quality method is most costly? Select one: a. Independent case ascertainment b. Reliability study c. Reabstracting study d. CoC survey review

answer

a. Independent case ascertainment

question

Which items affect staffing? Select one: a. The facility type b. Type and number of physician requests c. Number of meetings for which the registrar is a participant or staff d. Budget e. All of the above f. None of the above

answer

e. All of the above

question

An explanation of privacy practices is generally referred to as a Notice of Privacy Practices (NPP). T/F

answer

True

question

A combination of active and passive casefinding is _____ system in registries today. Select one: a. a rarely used b. an outdated c. an experimental d. commonly used

answer

d. commonly used

question

Radiation oncology logs should be reviewed for new cases as well as for collecting follow-up. T/F

answer

True

question

In the casefinding process, a suspense file is kept so that the status of casefinding can be ascertained at any time. T/F

answer

True

question

Cancer conferences with commercial support should include the "disclosures" and "transparency" documents if CE's are provided. T/F

answer

True

question

Visual edits Select one: a. are objective in the sense that all editors will identify the same b. cannot be used to identify global errors, either by an individual or at the registry level c. manually compare the text with the coded data items to identify coding errors or other inconsistencies d. all of the above

answer

Visual edits Select one: a. are objective in the sense that all editors will identify the same b. cannot be used to identify global errors, either by an individual or at the registry level c. manually compare the text with the coded data items to identify coding errors or other inconsistencies Correct d. all of the above

question

The two methods of matching (linking patient data files) are: Select one: a. Hierarchical and Most Frequent b. Deterministic and Probabilistic c. Known and Unknown d. Highest Value and Time Submitted

answer

b. Deterministic and Probabilistic

question

The Self Instructional Manuals for Tumor Registrars series is published by: Select one: a. NCRA. b. SEER. c. NAACCR. d. CoC.

answer

b. SEER.

question

Which statement(s) regarding the advantages of having permanent cancer registry staff is (are) true? Mark all that apply! Select one or more: a. Permanent staff can work remotely. b. Traditionally, there are no housing costs. c. Staff members know the facility and the job expected of them. d. There is consistent staffing. e. None of the above

answer

a. Permanent staff can work remotely. b. Traditionally, there are no housing costs. c. Staff members know the facility and the job expected of them. d. There is consistent staffing.

question

Copies of patient information may be disposed of in any garbage can in the facility, or placed in the recycle bins. T/F

answer

False

question

Time-motion studies examine the time it takes to perform a job. T/F

answer

True

question

Record consolidation rules include: Select one: a. Hierarchy rules b. Most frequent c. Known over unknown d. All of the above

answer

d. All of the above

question

What type of network allows registry staff in different cities to share computer resources? Select one: a. Local Area Network b. Web Enabled Network c. Wide Area Network d. Virtual Network Environment e. Internet Accessible Network

answer

c. Wide Area Network

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