SEER Certified Tumor Registrar (CTR) Operations Practice Exam

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• How often does the NPCR require central registries to perform hospital casefinding audits?
• How many main stage groups are in the Summary Staging 2018 classification system?
• What is the primary consideration for coding tumor histology according to Solid Tumor Rules?
• According to the MP/H rules, what should not be counted when determining the number of primary tumors?
• What tumor marker is used to determine treatment and prognosis for non-small cell lung cancer and anaplastic large cell lymphoma?
• Approximately what percentage of newly diagnosed cancer cases does the CoC National Cancer Data Base capture from approved cancer programs?
• Which type of cases are classified as non-analytic for a typical hospital registry?
• What is an essential prerequisite class needed to become a cancer registrar?
• What impact does an incomplete reportability list have on casefinding?
• What is the main purpose of discussing retrospective cases at a cancer conference?
• What did Solid Tumor Rules replace?
• What type of study involves data collectors abstracting the same charts to review coding consistency?
• Which transplant type utilizes cells from an identical twin sibling?
• What is the main purpose of applying the Known Over Unknown Rule during record consolidation?
• What match result is expected when using a probabilistic linkage protocol if only the last name differs?
• Which cancer treatment is administered both before a surgical procedure?
• Which tumor marker is specifically used to diagnose multiple myeloma?
• When should updates to the ICD-9-CM and ICD-10-CM coding manuals typically take effect?
• What practice ensures that only proper codes are used in data fields?
• What is true regarding physician participation in cancer conferences?
• What is another term for biologic therapy?
• What is the goal of conducting lag-time report reviews in a cancer registry?
• For central registries, what are the two most important casefinding sources?
• What type of therapy includes aromatase inhibitors and antiestrogens?
• Which statement is true regarding the treatment goals for patients receiving palliative care?
• Which type of cancer treatment aims to completely eradicate the disease?
• Which is a key aspect of ensuring data integrity in a tumor registry?
• In terms of processed data, what does specificity imply?
• How many hours of continuing education are required for a CTR?
• Which type of casefinding is performed by registry personnel who screen the source documents themselves?
• What is a characteristic of clinical staging?
• What do the topography codes in ICD-O-2 and ICD-O-3 utilize as their basis?
• What is true regarding an accession number for a patient?
• Where is brachytherapy administered?
• What reference is used by registrars in North America to determine the number of primaries to report for a patient?
• Which resource is necessary for determining how many primaries to accession by the registrar?
• Which types of studies are employed to assess the reliability of data abstracting?
• In the context of cancer cases, what are considered analytic cases?
• What does an inter-record edit compare?
• What is not included when counting primary tumors in a medical record?
• Which data quality characteristic is NOT typically assessed in a cancer registry?
• What role does the central registry's administration play in attendance at cancer conferences?
• What is the primary purpose of staging a malignancy?
• What term defines the role of a reporting facility in managing a patient's reportable disease?
• According to William Deming's kp Rule, which approach is recommended for data review?
• To comply with what requirements must the information collected in a cancer registry database adhere?
• Which practice is designed to prevent errors in data entry?
• Which statement about the MP/H rules is true?
• Which statement is true regarding the Commission on Cancer (CoC) survey process?
• Which of the following is a form of external beam radiation therapy?
• Which treatment improves patient immunity to help fight cancer cells?
• An important resource for ensuring consistent data collection is maintaining a:
• What does the term "data items" refer to in the context of cancer registry?
• Choosing between data accuracy and data specificity can often depend on what?
• Which coding rule applies according to ICD-O-3 regarding tumors that overlap boundaries of categories?
• Which component is least involved in quality control procedures?
• What defines alternative medicine in relation to conventional medicine?
• In the context of transplants, what does an allogeneic transplant refer to?
• Which AJCC staging classification prefix is assigned at the time of diagnosis?
• What might be a reason to choose data accuracy over specificity in a registry?
• Generally, abstracted data is classified into five groups. In which group would the following be classified: 1) physicians involved in the care of the patient, 2) following registry, and 3) cancer status?
• Which of the following represents the correct sequence of pre-abstracting activities?
• The accuracy of cases within a cancer registry depends on consistently following what?
• How does a pathologist's opinion regarding recurrence influence tumor reporting?
• What is the primary reason for discussing prospective cases at cancer conferences?
• An important tumor identification field(s) is
• What defines a patient who was diagnosed or received treatment at a specific facility?
• For patients with papillary and/or follicular thyroid cancer treated surgically, Levothyroxine is classified under which type of therapy?
• The Surveillance, Epidemiology, and End Results Program (SEER) requires reporting of which type of cases?
• Which tumor marker is used to assess stage, prognosis, and treatment response in choriocarcinoma and testicular cancer?
• Which approach is commonly used for evaluating data accuracy in cancer registries?
• Which staging system is considered clinically relevant?
• Which organization manages the Standards for Oncology Registry Entry manual?
• What is the primary purpose of adjuvant therapy?
• What topic does a recoding audit primarily focus on related to registrars?
• Laparoscopy involves an incision into which part of the body?
• During the development of MP/H rules, which data quality issues were identified?
• What is indicated by the term "accession number"?
• When radiation therapy is utilized as palliative therapy, how is it coded?
• What term defines the interval of time between a patient's initial contact with a facility with a reportable diagnosis and the completion of an abstract?
• Which method of record linkage is preferred in registries due to its tolerance for slight discrepancies in key fields?
• Radiofrequency ablation is a type of treatment that uses what form of energy?
• What term describes the monitoring process that ensures data quality in registries?
• Reportable diagnoses made in utero are reportable if the:
• Which rule is NOT used during record consolidation?
• Which statement about the sequence number field is true for a patient with one reportable malignant primary?
• Which type of AJCC staging classification prefix is assigned after neoadjuvant therapy and surgery?
• Which cancer conference format is open to all healthcare professionals in the community?
• What is the primary treatment for advanced prostate cancer?
• What is the primary responsibility of NCRA's Program Recognition Committee?
• What does the term "non-analytic" specifically refer to in terms of patient treatment?
• During which processes is selected information reported shortly after initial diagnosis?
• What does 'TX' indicate in regard to primary tumor evaluation?
• According to Solid Tumor Rules, which specimen is considered the most representative?
• Most cancer patient survival data is primarily obtained from which source?
• Why is it important to classify tumors according to AJCC standards?
• Which type of transplant involves donor cells that may be related to the recipient?
• Which administrative route is frequently used for chemotherapy in most cancer treatments?
• Which organization mandates that hospitals with accredited cancer programs implement an annual quality control plan?
• What is true regarding the implementation of ICD-10-CM?
• What limitations must be addressed to improve cancer registry data quality?
• State registry reporting lists are:
• Which term is used by pathologists to describe a group of cells that can be seen only by a microscope?
• Which is an example of a reabstracting study?
• When are combination codes used?
• How does the Commission on Cancer (CoC) view patient-specific documentation of cancer conference discussions?
• How can unknown or ill-defined codes be identified quickly in cancer registries?
• What type of cancer conference format specifically discusses rhabdomyosarcoma?
• What is the primary purpose of patient follow-up after cancer treatment?
• What outcome is expected from reliability studies in data collecting?
• What type of audit determines if a facility has submitted all required cases?
• Prednisone is considered what type of substance?
• Why is casefinding timeliness critical in central registries?
• Which type of cancer conference is specifically focused on breast cancer?
• Using deterministic linking, what would happen if the last names differ between two records?
• Which of the following is an example of a chemotherapy agent?
• The national reportability standards for central registries were historically established by which organization?
• The accession number consists of how many parts?
• Which group includes diagnostic confirmation, class of case, and date of first recurrence?
• When might a registrar consider using the "Single Tumor" module?
• In which entities is cancer considered a reportable disease based on federal law?
• According to CoC standards, the documentation of cancer conference discussions is:
• What is the term for the therapy that uses high-intensity light to treat cancers?
• What does the term “overlapping tumor” refer to?
• In determining cancer staging, which stage should be assigned if there is uncertainty?
• Which term describes the primary agreement among health care providers to work under the same coding standards?
• What does the term differentiation refer to in the context of the ICD-O-3?
• Neoadjuvant therapy is administered at what point in relation to surgery?
• What type of registry typically obtains death certificates from governmental sources to identify missed cancer cases?
• Which form of casefinding includes self-reporting?
• What type of therapy is Gamma Knife therapy categorized as?
• What is one characteristic of syngeneic transplants?
• What term describes the procedure of combining cancer data from accredited and non-accredited facilities?
• Which methodology emphasizes the continuous participation of all organizational members to improve services?
• What term describes the process of identifying records across different sources that refer to the same entity?
• Approximately what percentage of cancer cases are confirmed following the gross and microscopic examination of organs, tissues, cells, and bodily fluids removed from patients?
• In relation to data quality, what does the term "completeness" refer to in cancer registries?
• Which statement is incorrect about continuing medical education (CME) related to cancer conferences?
• Which type of therapy is NOT part of systemic treatment?
• What is commonly used to help determine treatment and prognosis for non-small cell lung cancer?
• What is a disadvantage(s) to visual editing?
• Data completeness refers to which of the following?
• What is the focus of the AJCC staging system?
• What type of transplant involves cells sourced from the recipient's own body?
• Herceptin is primarily classified as which type of therapy?
• Which of the following statements is true regarding electronic health records (EHR) and electronic medical records (EMR)?
• What is the most frequent use of cancer registry data in relation to tumor outcomes?
• What tumor marker determines whether trastuzumab (Herceptin) treatment is appropriate?
• Which tumor marker is used to predict response to therapy for cutaneous melanoma and colorectal cancer?
• Which item is typically included in a cancer conference presenter format?
• What must be included in a hospital reportable list?
• A recoding audit is intended to assess what aspect of a registrar's work?
• What type of malignancies are classified by grade and cell type instead of stage?
• What is the essential difference(s) between quality control and quality assurance?
• What is one outcome of an effective death clearance process in cancer registries?
• Why did the Department of Health and Human Services support the coding change to ICD-10-CM?
• In the TNM staging system, what does the code TX signify?
• What type of information should be avoided in a cancer conference presenter format?
• What acronym describes the system used to standardize cancer patient management and treatment outcomes?
• What does active follow-up by registrars typically involve?
• What is the most inexpensive method of review that should be done on all cancer cases?
• What criterion does not affect the frequency and format of required cancer conferences?
• What tumor marker is used to help diagnose liver cancer and monitor the response to treatment?
• How often are central registries required to conduct a death clearance?
• Which of the following is an example of a rule applied during record consolidation?
• What method of electronic patient matching requires that all identifiers be identical?
• During case abstraction, what is the first step that should be taken?
• What methodology aids in ensuring accurate cancer reporting within registries?
• What is the review process used to identify incomplete or inaccurate codes in individual abstracts called?
• Which organization is NOT specifically responsible for approving follow-up letters in cancer registries?
• Which statement regarding stage is true?
• What does the hospital disease index identify?
• Which of the following is NOT a characteristic of data quality?
• Which characteristic is included in measures of data quality?
• What follow-up rate does the CoC require accredited cancer programs to meet for all eligible analytic patients from the cancer registry reference date?
• When a registry tries to decide between data accuracy and specificity, which is considered most important?
• How many hours of professional experience are required for a registrar to achieve certification?
• Which statement best describes Herceptin’s coding from pre-2013 to post-2013?
• Which of the following belongs to cancer identification fields?
• Which group is primarily responsible for oversight of cancer registries in the United States?
• FIGO staging is primarily used for which type of cases?
• What term refers to procedures aimed at improving the quality of data?
• Interferons are classified as which type of cancer treatment?
• Which of the following is an example of an inter-field (or multi-field) edit?
• What does the term "date of diagnosis" refer to?
• Which therapy is typically used as a replacement for underactive thyroid?
• What does outcome data items include?
• What term is used to describe a single tumor that involves adjacent sites and is contiguous?
• What format of cancer conference is open to all members of the medical staff?
• When consolidating data, what qualities about the data can be impacted by cost and reporting timelines?
• What is the purpose of quality control in cancer registries?
• What procedure(s) is a quality control procedure a registrar might implement to verify abstracted cancer data?
• What key aspect is typically evaluated in historical data reviews?
• Which tumor marker is commonly used to confirm the diagnosis of chronic myeloid leukemia?
• What is the purpose of using mortality files for updating case information?
• What type of radiation treatment is given internally?
• What is the primary goal of central registry death clearance activities?
• Which tumor marker is commonly used to determine whether specific targeted therapy is appropriate for colorectal cancer?
• What is the term used to describe the record received at the central registry from reporting sources?
• What is the term for a group of treatments designed to enhance the body's natural defense against cancer?
• Which of the following data points is NOT considered critical patient information?
• What difference exists between the ICD-O-2 and ICD-O-3?
• What type of procedures are designed to improve quality in data management?
• Which organization developed and maintains the TNM staging system?
• In which context is the term "specificity" most commonly used in data quality discussion?
• Which activity is eligible for counting toward continuing education hours?
• According to AJCC staging guidelines, what should a clinician do when unsure between two stages?
• Which medical discipline is required to have physician representation at cancer conferences per CoC guidelines?
• What type of cases are presented at cancer conferences during the initial diagnosis before treatment?
• When using the MP/H rules, what must the registrar do first?
• What does the CA-125 marker help evaluate in ovarian cancer patients?
• Which statement accurately reflects the classification systems used in the United States?
• Which type(s) of facility is allowed to hold cancer conferences?
• What do the topographic codes in ICD-O begin with?
• What methodology focuses on comparing registry practices to improve quality?
• What does the stage of disease at diagnosis fields identify?
• Which activity is NOT performed by the cancer conference coordinator?
• What is the consequence of updates to casefinding programs that utilize the ICD-9-CM or ICD-10-CM disease indices?
• It is optional for an American College of Surgeons (ACoS) approved cancer program to:
• What data-driven methodology is aimed at process improvement in an organization?
• What is a primary benefit of the ICD-10-CM system compared to ICD-9-CM?
• Which of the following is an example of outcome data?
• Which type of edit compares data from the abstract with outside sources in the central registry database?
• What does death clearance involve?
• Which issue affects state registry casefinding efforts?
• What prefix is implied when the p-prefix is absent in the AJCC TNM staging system?
• Which form of therapy involves the direct application of radioactive substances in close proximity to cancerous tissues?
• What is the required supervision for a clinical practicum for a tumor registrar?
• What AJCC staging prefix indicates a case treated with neoadjuvant therapy?
• How can the timeliness of a cancer registry be assessed?
• What does a casefinding audit primarily assess?
• Which statement about the MP/H rules is correct?
• What term is used to describe the systematic method of identifying potentially eligible cases for the registry database?
• Which term describes a tumor limited to one specific area or organ?
• What is often a consequence of subjective visual editing?
• Why might a central registry have a high death certificate only rate?
• To which agency(ies) do Commission on Cancer (CoC) approved programs report their data directly?
• What is an example of a community-wide cancer conference?
• What factors are used to determine the stage for brain and spinal cord malignancies?
• What procedure might be used to monitor data consistency?
• For a patient with two different tumors, which number represents the lung tumor in the sequence?
• What is included in the first course of treatment fields?
• In tumor registries, what process is used to combine data from multiple records of the same patient?
• What manual is currently used to code causes of death on death certificates in the United States?
• Which coding system updates are instituted annually to maintain accuracy in cancer registries?
• Which tumor marker is used to determine whether treatment with a targeted therapy is appropriate for non-Hodgkin lymphoma?
• To which agency do central registries report their data directly?
• What are cases discussed at cancer conferences after the completion of all treatment called?
• What are the treatments categorized as systemic therapy?
• What is an example of active follow-up in cancer case reporting?
• Which type of activities help make sure you are doing the right things, in the right way?
• What can central registries do regarding reporting rules?
• Which rule is used to compare multiple values to determine which should take precedence?
• Which group would the following be classified into: accession number, cancer status, and sequence number?
• What type of agents enhance the effects of cancer-directed treatment but do not directly affect the cancer?
• What does the 'c' prefix indicate in the AJCC TNM staging system?
• Which of the following is NOT a patient identification field?
• What method does cryosurgery utilize to destroy cancer tissue?
• Which condition is most frequently treated with antiandrogens?
• Which AJCC staging prefix represents a clinical assessment pre-treatment?
• Which type of cancer treatment specifically alters the immune system?
• What term refers to the effective date for accessioning cases into the registry?
• Adjuvant therapy is primarily administered at what stage of cancer treatment?
• What is the primary use of historical data reviews in a cancer registry?
• What is an important patient data field that is NOT typically included in basic patient information?
• How is physical therapy categorized in terms of cancer treatment support?
• Which tumor marker is primarily associated with ovarian cancer diagnosis and treatment assessment?
• What stage classification system is commonly used for pediatric malignancies?
• What do histologic combination codes describe?
• What process is used to review and enhance existing data collection procedures?
• Which procedure is primarily used to ensure data completeness?
• Which option best describes the purpose of mortality file usage in registry operations?
• What is the most common method for administering chemotherapy?
• In which classification would aromatase inhibitors and antiestrogens fall under?
• What organization requires hospitals to perform follow-up for accreditation in cancer programs?
• What does "0" in Summary Staging 2018 signify?
• What phrase describes the medical staff's approval for a registry to directly contact patients for follow-up?
• Which factors are used to determine the stage for most malignancies?
• According to staging guidelines, what element is assessed alongside the location of the original tumor?
• Why does the NAACCR recommend including case reports of non-residents in population-based central registries?
• What is the main purpose of receiving pathology reports from laboratories by central registries?
• What is the primary purpose of the NCRA Formal Education Committee?
• An example(s) of a range edit check is
• Which procedure is used to assess data accuracy?
• For which purpose is the "Summary Stage 2018" used?
• The timeliness of casefinding in a central registry is influenced by:
• How is cancer registry data utilized in healthcare facilities?
• What is a data-driven approach to process improvement focused on minimizing variability in organizational processes?
• What are the three major forms of cancer treatment?
• What is a consequence of incorrectly performing record consolidation?
• What is an example of a process control method?
• Which organization’s rules are used to determine patient residency at diagnosis for central registries?
• In which sequence number would a malignant lung tumor and a benign meningioma be recorded?
• Which MP/H rule applies to determining "recurrent" tumors?
• How is recurrence defined in the context of cancer?
• Which method is NOT used to evaluate the reliability of tumor data?
• What does the term "analytical case" signify in cancer registration?
• Why is the transition to ICD-10-CM preferred over continuing with ICD-9-CM?
• What is the basis of the data collection effort for CoC accredited hospital registries?
• What does the prefix 'p' in the AJCC TNM staging system indicate?
• Which system contains classifications based on tumor grade and cell type rather than tumor size or location?
• Which of the following is NOT part of the criteria used to determine the stage of most malignancies?
• What approach to casefinding involves registrars reviewing critical casefinding sources while other departments review less critical sources?
• What prefix in the AJCC TNM staging system indicates stage determination at autopsy?
• Which of the following groups does not require follow-up for reportable cases?