CTR Practice Exam 1 – Flashcards

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question
A unique nine-digit number assigned to a patient, which indicates the year the patient was first seen at the facility and the sequential order in which the patient was identified by the registry is called:
answer
an accession number
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AJCC is an acronym for:
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American Joint Committee on Cancer
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Which of the following is a chemotherapeutic agent? Prednisone, Tamoxifen, Levamisole, or Methotrexate
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Methotrexate
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Organization responsible for publishing disease codes:
answer
WHO
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Each year 90% of cases must be abstracted within ______ months of diagnosis:
answer
six
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The following must meet the standard for monitoring community outreach except: 1. NCI-Designated Comprehensive Cancer Programs 2. Affiliate Hospital Cancer program 3. Freestanding Cancer Center Program 4. Hospital Associate Cancer program
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NCI-designated Comprehensive Cancer Center Programs (NCIP)
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The follow up rate maintained for all eligible analytic patients from the cancer registry reference date is or within last 5 yrs, whichever is shorter:
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90%
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Dividing the number of males by the number of females in a study is a means of calculating the:
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ratio
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A lymphoma would most likely arise in which of the following? 1. thyroid gland 2. Hutchinson freckle 3. endocrine gland 4. Waldeyer ring
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Waldeyer ring
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The best way to display the survival rate by year of diagnosis for females with breast cancer between 2000 and 2005 is with a: bar graph, line graph, pie chart, or summary table
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line graph
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To be considered for initial accreditation, the cancer committee must ensure that the cancer registry database includes now many years of data?
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2 years
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Population based registries would not include: 1. Dept of Defense (DoD) 2. NCDB 3. National program of Central registries 4. Surveillance Epidemiology & End Results
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National Cancer Database (NCDB)
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The Commission on Cancer (CoC) is a consortium of professional organizations dedicated to improving survival and quality of life for cancer patients through: standard-setting, prevention, research, education, and the: 1. promoting TNM staging 2. monitoring of comprehensive quality care 3. publishing disease codes 4. development of the profession of cancer registry
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monitoring of comprehensive quality care
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The basic goal of the Institutional Review Board (IRB) is to ensure: 1. family history data of each patient enrolled in a protocol is protected 2. human subjects are screened 3. study design meets the criteria of the study 4. rights of human subjects are protected
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the rights of human subjects are protected
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The number of patients in a given area with cancer is called the:
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prevalence rate
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A typical policy involving patient identification in a research project should contain which of the following? 1. a list of other participants involved in the study 2. the relevance & importance of the project 3. the location of stored information 4. monetary compensation
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the relevance and importance of the project
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The NCDB provides the following to promote access to their data for researchers, physicians, and the general public: 1. published peer review journal articles 2. CoC cancer program standards-2004 3. hospital comparison reports 4. web based benchmarking applications
answer
web-based benchmarking applications
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Which of the following is considered part of the biliary system? 1. sphincter of Oddi 2. pouch of Rathke 3. pouch of Douglas 4. duct of Wharton
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sphincter of Oddi
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A requirement for central registries is to maintain the following quality control measure: 1. list of qualified CTR consultants 2. family history for each cancer case 3. DCO followback 4. proprietary software applications for all reporting facilities
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DCO followback
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Which term represents the most frequently occurring value in a data set? mode, mean, median, frequency
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mode
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The current data standards manual used in cancer registries for cases diagnosed on or after 2001 is the:
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Facility Oncology Registry Data Standards Manual
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Reed-Sternberg cells are associated with what malignancy?
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Hodgkin Lymphoma
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In computer terms a CPU is a:
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central processing unit
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What is the first step in selecting data to include in a report? 1. collect the data 2. determine the period the study is to cover 3. identify the audience 4. perform quality control of the data
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identify the audience
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Central cancer registries can provide information for which of the following purpose? 1. genealogy 2. locating patients to follow up 3. assisting the facilities in completeing the patient's treatment history 4. cancer mapping
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cancer mapping
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In code categories, data items that have the same name or intent should indicate the same information collected in each registry. When they do not, the following occurs: 1. comparision of data between registries is misinterpreted 2. additional edits must be incorporated into software to allow for comparison of data 3. information can be manipulated to create comparison of data items 4. does not apply since HIPAA prevents sharing
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comparison of data between registries is misinterpreted
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Epidemiology is: 1. the branch of medicine concerned w/diagnoses, treatment, & prevention of diseases 2. the science that deals with collection, classification, analysis & interpretation of data by use of mathamatical theories 3. the study of biological systems, taking into account the interactions of the key elements, such as DNA, RNA, proteins & cells to one another 4. The study of the distribution and determinants of health related states and events in populations, and the application of this study to control health problems
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The study of the distribution and determinants of health related states and events in populations, and the application of this study to control health problems
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2009 population of Buck Cty, SC = 229,000. During this period there were 120 newly dx'd cases of lung ca. & 250 existing cases of lung ca. When calculating the crude incidence rate of lung ca. in Buck Cty in 2009, the numerator & denominator are: 1. 120/229,000 2. 120/229,370 3. 250/229,000 4. 370/229,000
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120/229,000
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Which is not an ambiguous term indicating involvement? worrisome for, consistent with, favors, or suspected
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worrisome for
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A budget used to plan and purchase major equipment is called: 1. prospective 2. capital 3. annual 4. operating
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capital
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The way in which variables are distributed about the mean is called: 1. frequency distribution 2. chi-square distribution 3. normal distribution 4. standard deviation
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standard deviation
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In epidemiology, the disease triad consists of the following:
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agent, environment, host
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The behavior code that is reserved exclusively for central registries
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6
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Where the Island of Reil is located:
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The brain
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The number of patient care improvements that must be done annually
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2
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Another name for the horizontal axis on a bar chart
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The abscissa or x-axis
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The computer term USB stands for
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Universal Serial Bus
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Another name for a prospective study
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cohort
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If washings obtained during a bronchoscopy performed at a facility's outpatient surgery center across town are diagnosed as most likely squamous cell carcinoma, what should the class of case be:
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nothing, not reportable due to suspicious term/cytology
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A patient is diagnosed with adenocarcinoma of the prostate in 2007. In 2009 the patient is diagnosed with a pituitary adenoma. What is the sequence number for the second primary?
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60
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The specificity of a test is defined as the ability of the test to give:
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a negative finding when the person tested does not have the condition.
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Which is the correct classification for a clinical stage following therapy?
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yTNM
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A leiomyosarcoma is a malignancy arising in:
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smooth muscle
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a feature that compares data entered in one field to that of another field
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An inter-field edit
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Cisplatin is a chemotherapeutic agent most commonly used to treat a malignancy arising in which site?
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Bladder
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The minimum required percentage of analytic cases presented each year at cancer conference is:
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15% of annual caseload
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Which of the following cancer diagnoses is the most common among children?
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acute lymphocytic leukemia
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Incidence is calculated by dividing new cases of disease occurring over a period of time by: 1. the population at risk 2. the rate ratio 3. the prevalence 4. the population with the disease
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the population at risk
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Which final diagnosis is not reportable? Anal, ductal, prostatic, or vulvar intraepithelial neoplasia
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prostatic intraepithelial neoplasia
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FIGO is a staging system associated with which of the following sites?
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cervix
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Routine PE shows 2 cm palpable mass in the R breast encompassing UIQ & LIQ. Sextant guided needle biopsy is suspisious for ductal ca. Path dx. from lumectomy states: infiltrating ductal ca with apocrine features. The correct site code is:
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C50.8
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Which of the following is not a designation for one of the five stage classifications described for each site in the TNM system? a,m,p, or r
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m
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Which of the following is a computer operating system? Linux, Symantic, WebEx, or Microsoft office
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Linux
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Which of the following terms should be considered as lymph node involvement for solid tumors? Palpable, matted, enlarged, or shotty
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matted
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Follow-up is required on a patient if they: 1. reside in foreign country 2. have benign lesion on brain 3. have carcinoma in situ of cervix 4. none of above
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have a benign lesion in the brain
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A patient presents to your facility on August 12, 2009 with a diagnosis of recurrent urothelial carcinoma, originally diagnosed in the spring of 2008. The date of diagnosis should be recorded as:
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04/99/2008
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Adenocarcinoma arises in what type of tissue?
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glandular tissue
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The Ann Arbor staging system applies to which type of cancer?
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malignant lymphoma
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Each of the following are recommended to be included in a registry's policy and procedure manual except: case assession, job descriptions, salary structure, reference date
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salary structure
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All of the following are SEER program standards for various components of a registry's operation except: follow up rate, case ascertainment rate, DCO rate, compliance rate
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compliance rate
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Which of the following is not considered a designation of a paired site? Left spermatic cord, right lobe prostate, left maxillary sinu, right parietal lobe
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right lobe of prostate
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The time limit for making revisions to the original diagnosis and/or stage is:
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Indefinate
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Which of the following is not considered a source document for case ascertainment? Path report, med onc log, disease indices, history & physical report
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history and physical report
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A sarcoma is a malignancy arising in:
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mesodermal tissue
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Which of the following terms does not refer to a muscle? Acetabular, adductor, articular, axial
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acetabular
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When a patient receives neo-adjuvant treatment, tumor size should be recorded based on:
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the size of the largest single tumor identified either pre- or post-treatment
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Which is the most common type of cancer occurring in the bladder?
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transitional cell carcinoma
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Which of the following anatomical terms means away from the point of reference? Ventral, superior, proximal, distal
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distal
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What is the correct primary site code for leukemia?
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C42.1
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An accession register must include which of the following? 1. date first course treatment 2. patient address 3. physician name 4. primary site
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primary site
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Which of the following would not be considered first course of treatment? Neo-adjuvent, surgery of primary site, incisional bx, rad to met site
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incisional biopsy
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In designing an epidemiologic study, the study design chosen depends on: 1. the reasearch question being addressed 2. cost & practicality 3. availability of date
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the reasearch question being addressed, cost & practicality, availability of date
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Which of the following would require setting an override? A 5 yr old w/ALL, a 65 yr old with Wilm's tumor, 16 yr old with AML, a 60 yr old with Waldenstrom Macroglobulinemia
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a sixty-five year old patient with a diagnosis of a Wilms tumor
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An IPI score is associated with which diagnosis? 1. invasive breast carcinoma 2. lymphoma 3. mesothelioma 4. osteosarcoma
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lymphoma
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Collaborative Stage version 2 (CSv2) Site-specific Factors are used for all of the following except: record predictive factors, record tumor markers, record risk factors record items for future use
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record risk factors
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In the treatment regimen known as "CHOP" the "O" represents:
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Oncovin
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Which of the following is not a data item collected by the CoC? Muliplicity counter, ambiguous terminolgy, date multiple tumors, date of ambiguous terminolgy
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date of ambiguous terminology
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Which of the following is not a recognized category by the Commission on Cancer? Independent Cancer Center Program, Affiliate Hospital Cancer Program, Teaching Hospital Cancer Program, Hospital Associate Cancer Program
answer
Independent Cancer Center Program (ICCP)
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Pt. admitted to XYZ hosp. 3/25/2011 w/ dyspnea. CXR reveals mass in RML; Dx: Possible carcinoma. Bronchoscopy 3/27/2011; Dx: metastatic adenocarcinoma from colon diagnosed 4/18/2010 at ABC hosp. What is date of first contact for XYZ hosp?
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3/27/2011
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OPEN BOOK: The correct code for intracystic papillary carcinoma is:
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8504/3
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OPEN BOOK: Surgical Path: Sigmoid colon - Invasive adenoca, grade 2; tumor size 4cm; extension through serosal layer; 14 of 21 pericolic LNs pos. for mets. Liver biopsy - Metastatic adenoca consistent w/ colonic primary. CEA 9.9ng/ml. CS Extension code is:
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500
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OPEN BOOK: Based on the information presented in question 82, the correct for the CS Lymph Nodes field is:
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110
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OPEN BOOK: Based on the information presented in question 82, the correct value for the CS Site-specific factor 3 is:
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099
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OPEN BOOK: Based on the information presented in question 82, the correct TNM staging is:
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T4a N2b M1a; Stage lVA
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OPEN BOOK: Final diagnosis on a pathology report reads "Ovary: Endometrioid carcinoma poorly differentiated". The correct site and histology is:
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C56.9; 8380/3
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OPEN BOOK: Patient is diagnosed with Plasma Cell Neoplasm. The correct site and histology is:
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C41.9; 9731/3
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OPEN BOOK:Surgical path: Dx. infiltrating ductal ca, mod diff; tumor size 2.2cm, confined to breast tissue, margins free of tumor; six level l axillary LNs pos. for mets. HER2 pos. T2 N2 M0; Stage lllA. The correct CS Extension is:
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100
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OPEN BOOK:Based on the information presented in question 88, the correct value for the CS Lymph Nodes field is:
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250
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OPEN BOOK:Based on the information presented in question 88, the correct value for CS Site-Specific Factor 11 is:
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999
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OPEN BOOK: Diagnosis 01/02/01: Adenoca w/ FAP of the colon. Total proctocolectomy at that time. In 2007 the pt. presents w/ FAP in the small intestine w/ mod diff mucinous adenoca in ileum and mets to mult. reg. LNs and liver. Is this a new primary?
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No, based on MP/H rule M9
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OPEN BOOK: Surgical path: bladder tumor pos. for papillary transitional ca. Tumor extends through the muscularis propria to the serosa. Four of six internal iliac nodes pos. The correct extension is:
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411
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OPEN BOOK: Based on the information presented in question 92, the correct value for the CS Lymph Nodes field is:
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250
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OPEN BOOK: Physical exam reveals enlarged cervical and axillary nodes, which physician considers suspicious for lymphoma. Biopsy of cervical lymph node is positive for Hodgkin lymphoma and follicular lymphoma. The correct site and histology is:
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C77.8; 9596/3
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OPEN BOOK: Based on the information presented in question 94, the correct primary site and histology is:
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PH21
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OPEN BOOK: PE: R breast enlarged w/ redness & pitting; hot to touch. Physician Dx: Inflammatory ca. Path from bx. reveals infiltrating ductal ca w/ dermal lymphatic invasion. Physician stages as T4d - inflammatory ca. The correct histology code is:
answer
infiltrating ductal carcinoma (8500)
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OPEN BOOK: Based on the information presented in question 96, the correct histology rule is:
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H14
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OPEN BOOK: Final diagnosis states "right breast, infiltrating ductal and lobular carcinoma 7 o'clock." The correct site and histology is:
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C50.5; 8522/39
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OPEN BOOK: Pt. w/ history of anaplastic astrocytoma (9401) originally treated in 2005 now presents with possible recurrence. Diagnostic testing indicates a glioblastoma multiforme (9440). Is this a new primary?
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no, based on MP/H rule M6
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OPEN BOOK: The correct code for Pilocytic astrocytoma is:
answer
9421/3
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Organization responsible for publishing disease codes?
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WHO
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The following meet the standard for monitoring community outreach except: 1. Pediatric Community Cancer program 2. Affiliate Hospital Cancer Program 3. Freestanding Cancer Center Program 4. Hospital Associate Cancer program
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Pediatric Community Cancer program
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Registry data and files must be reatined for how long
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Indefinately
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A typical policy involving patient identification in a research project should contain which: 1. a list of participants involved in study 2. the relevance and importance of the project 3. the location of stored information 4. the collection of tax information
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the relevance and importance of the project
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The vital status of a patient can be coded as 1. dead, alive 2. dead, alive, unknown 3. dead, alive, lost to follow-up 4. dead, alive, free of disease
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dead, alive
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The cancer registry manual must be reviewed and updated: 1. semi-annually 2. annually 3. bi-annually 4. as needed
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annually
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FIGO is a staging system associated with what site
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cervix
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Which of the following does not have its own chapter in the MP/H coding manual
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prostate
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What does NPCR stand for
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National Program of CANCER Registries
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Who is responsible for supervising the follow up for cancer registry
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Cancer Committee
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What organization is not a standard setter? 1. American Joint Committee on Cancer 2. American Cancer Society 3. World Health Organization 4. National Program of Cancer Registries
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American Cancer Society
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What does HIPAA stand for?
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Health Insurance Portability & Accountability Act
question
impression from CXR 3/11/12:suspicious mass RML. Cytology from thoracentesis one week later is consistent with adenocarcinoma. Wedge resection 3/30/12 shows invasive MD adenoca. What is date of diagnosis?
answer
3/30/12
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If tumor is described as multicentric or multifocal and there is no mention of the number of tumors, what module would you use in the MP/H Histology coding rules? 1. multiple tumors module 2. single tumors module 3. unknown if single or multiple tumors module 4. multifocal module
answer
Single tumor module
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CoC approved programs are required to maintain a cancer registry, which collects data items published in the 1. SEER Coding & Staging manual 2. ICD-O-3 manual 3. FORDS Manual 4. Cancer Registry Management Pprinciples & Practice Manual
answer
FORDS Manual
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How many cancer related educational activities must be offered by the cancer committee to physicians, nurses, & other allied health professionals? 1. one every two years 2. two every year 3. one every year 4. three every year
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two every year
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Which of these tumors is most commonly found in the cerebellum of children
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Medulloblastoma
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which is not a benefit of having a computerized registry 1. more efficient casefinding 2. facilitate follow up record keeping 3. delete files over 2 years old 4. provide list & reports
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delete files over 2 years old
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An annual sequential list of all eligible cases, including reportable-by-agreement cases, which is enetered into the cancer registry is called 1. accession register 2. reportable list 3. suspense file 4. tickler file
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accession register
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The largest organ
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skin
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Presentation, adoption, administation, monitoring, & preparation are all parts 1. budget cycle 2. quality control 3. policy & procedure manual 4. none of above
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budget cycle
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Which of the following is not an NCRA committee 1. formal education 2. continuing education 3. governance planning & evaluation 4. vendor software
answer
vendor software
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which is not an example of passive follow up used by central registries 1. mailing of follow up letters to patients 2. link to state death certificate files 3. link to national death index 4. review records of local election borads
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mailing of follow up letters to patients
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stage of cancer can be described as what type of data
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ordinal
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A budget consisting of revenues & expenses is called
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operating
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The number of deaths due to cancer occurring during a given time period in a specific population is called 1. morbidity rate 2. mortality rate 3. prevalence rate 4. incidence rate
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mortality rate
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Path exam from bone marrow biopsy states: Myeloproliferative disease, probably polycythemia vera. The correct diagnosis is: 1. myeloproliferative disease, NOS 2. myelodysplastic syndrome 3. polycythemia vera 4. none of above
answer
myeloproliferative disease, NOS
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The way in which values for a variable are dispersed is called 1. the standard deviation 2. frequency distribution 3. clinical trial 4. odds ratio
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frequency distribution
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Which is a straited muscle tumor: 1. Leiomyosarcoma 2. Fibrosarcoma 3. Synovial sarcoma 4. Rhabdomyosarcoma
answer
Rhabdomyosarcoma
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In Collaborative Staging Manual, which ambiquous term does NOT indicate involvement: 1. Adherent 2. Attached 3. Into 4. Intrude
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Attached
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What does Observed Disease Frequency/Expected Disease frequency equal? 1. Risk 2. Odds Ratio 3. Selection Bias 4. Specificity
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Risk
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The order of the layers of skin are
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epidermis, dermis, subcutaneous
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When an epidemiologist's null hypothesis is true and a statistical test finds that this is fales, this is called: 1. Beta error 2. Alpha error 3. Alternative hypothesis 4. standard error of mean
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Alpha error
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Which of these estimates of risk is characteristic of the case-control study design 1. Chi-square 2. Relative risk, 3. SMR 4. Odds Ratio
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Odds Ratio
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Which would NOT be considered in situ 1. Hutchinson melanotic freckle 2. Lentigo maligna 3. low malignant potential 4. confined to epithelium
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low malignant potential
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When should class of case 10 be abstracted 1. at time of patient discharge 2. pathology reort received 3. all documents related to diagnosis/treatment received 4. within 12 months
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all documents related to diagnosis/treatment received
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The budget cycle includes five steps: preparation, presentation, adoption, administration, and 1. monitoring 2. review 3. organization 4. overview
answer
monitoring
question
63 yr old with elevated PSA and DRE(+). MRI shows 1.5 cm mass suspicious for malignant disease. Path states 3/7 cores (+) for adenocarcinoma; Gleason 3+4 1. 8140/31 2. 8010/32 3. 8140/33 4. 8140/39
answer
8140/39 (do not convert GL score)
question
Clinical trial groups can join together to create an "inter-group" in order to: 1. enroll a larger # of patients from a wider geographic area 2. limit the # of patients who meet the criteria of trail protocol 3. reduce the required criteria elements in the clinical trial 4. eliminate the need to be held accountable to NIH
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enroll a larger # of patients from a wider geographic area
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Which diagnostic method has the highest priority? 1. positive microscopic confirmation 2. positive laboratory test/marker 3. positive histology 4. positive cytology
answer
positive histology
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In a DoD registry, follow up first point of contact is the 1. patient 2. physician 3. DoD hospital 4. DoD oncology clinic
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patient
question
Which is NOT an extralymphatic site 1. skin 2. tonsil 3. stomach 4. small intestine
answer
tonsil
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Pathology report states:Bladder wall in-situ transitional cell ca with microinvasion. Correct code is 1. 8000/29 2. 8000/39 3. 8120/29 4. 8120/39
answer
8120/39 (because the microinvasion makes it a 3)
question
ERA is a chemical test performed on maligant tissue from which 1. esophagus 2. breast 3. colon 4. stomach
answer
breast
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In the AJCC Manual, head & neck LN chains are broken up into how many levels 1. 6 2. 4 3. 7 4. 5
answer
7
question
Which of the following is considered a recurrance of the original disease without time limits as defined by the MP/H coding rules: 1. invasive adenocarcinoma of sigmoid colon 2. small cell carcinoma of LLL 3. invasive adenocarcinoma of the prostate 4. malignant melanoma
answer
invasive adenocarcinoma of the prostate
question
According to MP/H coding rules, which of the following is NOT equal to "tumor" 1. Mass 2. Lesion 3. Nodule 4. Neoplasm
answer
Nodule
question
Which is NOT considered reportable? 1. invasive squamous cell ca of scalp 2. basal cell adenocarcinoma 3. squamous cell ca of buccal mucosa 4. malignant beta cell tumor
answer
invasive squamous cell ca of scalp
question
Extent of disease classification is known as
answer
staging
question
Cancer case confidential information stored in a facility should include the following safeguards 1. fireproof lockable file cabinet when filing hard copy abstracts 2. limit shared ID and passwords for software abstracting applications 3. maintain list of all ID & passwords in convenient secure location 4. location of stored information should be within the facility
answer
fireproof lockable file cabinet when filing hard copy abstracts
question
Operative report reads "L breast, inv duct ca, 4/5 axil LN. CT scan-1 positive cervical LN. How many regnl LN are (+)? 1. 4 2. 5 3. 0 4. 1
answer
4
question
Presence of blood in sputum is called
answer
hemoptysis
question
Official annual federal cancer stats can be found in what publication? 1. Cancer in North America 2. Annual Report to the Nation 3. United States Cancer Statistics 4. CDC Wonder
answer
United States Cancer Statistics
question
Which of these is NOT considered a childhood cancer? 1. Wilms tumor 2. Ewing Sarcoma 3. Cholangiocarcinoma 4. Neuroblastoma
answer
Cholangiocarcinoma
question
How often can reference date be changed?
answer
Every 5 years, with approval from CoC
question
Where was first approved hospital registry (1932)
answer
Yale-New Haven
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The first cancer registry was started by whom?
answer
Ernest Codman
question
What year did CoC require registry in approved programs
answer
1956
question
What year did CTR credentialling begin?
answer
1983
question
How many Cancer Program Standards are there?
answer
34
question
How many CE credits must a CTR earn every 2 years?
answer
20
question
In urinary sites, lamina propia is synonomous with?
answer
submucosa
question
Age is an example of what kind of data
answer
Ratio
question
carcinoid is considered to be malignant unless
answer
It is in the appendix
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The CoC was established by the ACoS in what year?
answer
1922
question
For hemopoietic tumors, date of multiple primaries should be recorded as?
answer
All "8"s
question
In ICD coding rules, which letter is missing
answer
There is no rule "I"
question
What are three types of smooth muscle
answer
Myxoma, Fibroma, & Leiomyoma
question
Two terms that mean toward head or upper end
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Superior or cranial
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Two terms that mean away from head or lower end
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Inferior or caudal
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Two terms that mean front
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Anterior or ventral
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Two terms that mean back
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Posterior or dorsal
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Term that means toward midline of body
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medial
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Term that means away from midline of body
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Lateral
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Term that means towards or nearest the trunk or point of origin of a part
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proximal
question
Term that means away from or farthest from the trunk or point of origin of a part
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distal
question
chondro refers to
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cartilage
question
The plane that splits the body into left and right sides
answer
sagittal
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The plane that splits the body into front and back sides
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coronal
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The plane that splits the body into upper and lower sides
answer
Axial
question
The thoracic and abdominal cavities make up the _____ cavity
answer
ventral
question
What does term extramedullary mean
answer
outside bone
question
Lymphatic organs/tissues include
answer
lymph nodes, spleen, thymus, tonsils, & peyers patch of small intestine
question
What is 2nd most common cancer in both males & females in the US?
answer
Lung
question
What is most common cancer in males in the US?
answer
prostate
question
What is most common cancer in females in the US?
answer
breast
question
The pleural fluid drains into which nodes
answer
mediastinal
question
What is leading cause of death in both males & females in the US?
answer
Lung cancer
question
What is an adenocarcinoma of the lung apex called?
answer
pancoast tumor
question
What is the term for "difficulty breathing in any position that is not upright"
answer
orthopnea
question
what is the term for the outermost connective tissue covering of any organ, vessel, or structure not covered by serosa
answer
adventia
question
What part of digestive system is not covered by serosa
answer
esophagus
question
985 of esophageal cancer are of this type
answer
squamous cell carcinoma
question
What is common extranodal site for lymphoma
answer
peyer's patch
question
A majority of stomach cancers are what type
answer
Adenocarcinoma
question
Where do Krukenberg tumors arise
answer
ovaries. But primary is the GI tract.
question
What is the name for the junction where the small intestine ends and the colon begins
answer
iliocecal valve
question
another name for serosa
answer
visceral peritoneum
question
where does a frank adenocarcinoma arise
answer
colon wall
question
Dysuria means
answer
painful urination
question
dysphagia means
answer
difficulty swallowing
question
dysphasia
answer
difficulty speaking
question
what cancer is the 2nd leading cause of death
answer
Breast
question
What type of meninges tumor produces cerebral fluid
answer
choroid plexus
question
What type of registry is exempt from follow up
answer
state registry
question
What is primary treatment for Ewing Sarcoma of bone
answer
Radiation
question
the DoD tracks cancer at what types of hospital
answer
Military, NOT including VA hospitals
question
What does SAR stand for
answer
Survey Application Record
question
What date is SAR application initiated for the following year
answer
July 1st
question
How many Cancer Program Standards are eligible for commendation
answer
Eight
question
What is follow up rate for all living patients in registry
answer
80%
question
Medicare is administered on a _____level
answer
federal
question
Medicaid is administered on a _____level
answer
state
question
what organization approves clinical trials before they can be initiated in a hospital, clinical, or research setting
answer
Institutional Review Board (IRB)
question
What does IACR stand for
answer
International Association of Cancer Registries
question
What does IARC stand for
answer
International Association Research Cancer
question
What does NPCR stand for
answer
National Program Cancer Registries
question
What does NAACCR stand for
answer
North American Association of Central Cancer Registries
question
What does UDSC stand for
answer
Uniform Data Standards Committee
question
What does ACS stand for
answer
American Cancer Society
question
How are central registries enabled
answer
By state mandated law
question
What is a baud
answer
bits per second. It is how the speed of data transmissions is expressed
question
What is RAIDS
answer
Redundant array of independent disks. allows one or more disk drives to fail while continuing to maintain integrity of data
question
Extension requests must be made within ___days of initial survey
answer
45
question
what analysis method allows for estimation of patient survival over tiem, even when patients are studied for different lengths of time for any reason
answer
Kaplan-Mier
question
what kind of variable is tumor size
answer
ratio
question
the sepcificity of a test is best defined as the ability of a test to give
answer
a negative finding when the person does NOT have the disease
question
what type of chart is used to depict the amount of frequency of a variable
answer
Bar graph
question
what type of chart is used to depict the frequency distribution of quantitaive data
answer
Histograms (no space between bars)
question
what type of chart is a histogram without bars. It uses lines to connect points
answer
Frequency Polygon
question
what type of chart is used to depict trends and changes over a specified time
answer
line graph
question
what type of chart is used to depict the percentages of the whole
answer
pie chart
question
In general, the x-axis describes
answer
category
question
The AJCC has been in existence since what year?
answer
1959
question
The AJCC timeliness rule four first course is, through the first surgical treatment, or ___ months, whichever is _____
answer
4 months, longer
question
When pathologic assessment reveals (-) LN but the number of lymph nodes examined is less than the suggested # for lymph nodes dissection, N should be satged as
answer
pN0
question
Dukes is staging system for what site(s)
answer
colon & rectum
question
Jewitt is staging system for what site
answer
bladder
question
Rye is a classification for what histology
answer
Hodkins
question
REAL is a staging system for what disease
answer
Non-Hodgkins
question
What does REAL stand for
answer
Revised European-American Lymphoma classification
question
The only two fields in CS that are always based on pathologic information only is
answer
Regional LN positive & Regional Lymph Nodes Examined
question
If LN are palpable by site (neck, thyroid) and it is T1, T2, or localized, if LN are NOT mentioned, code as
answer
unknown, because they are accessible
question
What is order of priority for CS extension
answer
1. pathologic, 2. clinical, 3. imaging, 4. PE exam
question
What code is used for LN involvement when CS extension code is in situ
answer
000, even if no LN are removed
question
For what primary would adenopathy, enlargment, mass in hilum, or mass in mediastinum be considered involved LN
answer
Lung
question
ITC are considered LN involvement for all sites except:
answer
Breast
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