SEER CTR Exam - Operation Complete Questions with 100% Complete Answers
Examples of population-based registries are
A. National Cancer Data Base.
B. Central Brain Tumor Registry of the United States (CBTRUS).
C. Both (a) and (b)
D. Neither (a) nor (b)
D. Neither (a) nor (b)
Examples of nonanalytic cases for a typical hospital registry include
A. Autopsy only cases.
B. Cases diagnosed elsewhere and provided only palliative care in lieu of first course treatment at
your facility.
C. Both (a) and (b)
D. Neither (a) nor (b)
A. Autopsy only cases.
Non-analytic cases for a facility are defined as cases who were diagnosed and received all of first
course therapy elsewhere prior to the date of referral to the facility. These cases include patients
treated for recurrence or progression of disease only, patients for whom the facility provided only a
treatment plan or a second opinion regarding the diagnosis and/or treatment options available, as
well as patients diagnosed at autopsy, per death certificate, or who only had pathology slides read at
the facility.
Analytic cases
those cases that were diagnosed at the reporting hospital/ facility or received any first course
treatment at facility
class of case 00-22
Which organization provides the guidelines used by central registries to determine the residence of
the patient at the time of diagnosis?
A. Surveillance, Epidemiology, and End Results (SEER) Program
B. National Program of Cancer Registries (NPCR)
C. U.S. Postal Service
D. U.S. Census Bureau
D. U.S. Census Bureau
Rules must also be established to determine who the members of that population are. The goal is to
have the central registry use the same rules to establish a patient's residency at the time of diagnosis
as the rules used by the Census Bureau in counting the population. In addition, a population-based
registry must have rules for determining residency of part-time residents, prisoners, institutionalized
persons, homeless persons, military personnel, and students.
Updating casefinding programs that use either the ICD-9-CM or ICD-10-CM disease indices to identify
potential reportable cases should be done annually and made effective for admissions during which
month?
A. January
B. June
C. October
D. December
C. October
,Updates to the ICD-9-CM and ICD-10-CM coding manuals are done annually in October. Codes from
these manuals are used to generate a disease index that identifies the diseases and conditions
diagnosed in patients. To ensure that all reportable cases are included in the disease index requested
from facilities, it is important to review and update required codes needed by the registry on an
annual basis.
Casefinding timeliness in a central registry is determined by the
A. Planned use of the data.
B. Agency(ies) to which the central registry reports.
C. Both (a) and (b)
D. Neither (a) nor (b)
C. Both (a) and (b)
The time frame for casefinding and reporting for central registries is determined by both the planned
use of the data and the agency to which the central registry reports.
The purpose of central registry death clearance activities is
A. To update mortality and other information on cases that exist in the registry database.
B. To be used as a casefinding source.
C. Both (a) and (b)
D. Neither (a) nor (b)
C. Both (a) and (b)
Death clearance is referred to as the use of mortality files to update death and other missing
information on cases that exist in the registry database and to increase incidence reporting
completeness by using these files as a casefinding source.
What organization(s) obtain death certificates from governmental vital statistics agencies for the
purpose of identifying missed incidence cases?
A. Central registries
B. Hospital registries
C. Both (a) and (b)
D. Neither (a) nor (b)
A. Central registries
What is the correct order in which pre-abstracting activities are performed?
A. Identify potential reportable cases; determine whether the case is a new or separate primary; and
gather source documents
B. Gather source documents; determine whether the case is a new or separate primary; and conduct
quality control on the data
C. Determine whether the case is a new or separate primary; gather the source documents; and
conduct quality control on the data
D. Identify potential reportable cases;gather source documents and determine whether the case is a
new or separate primary
D. D. Identify potential reportable cases;gather source documents and determine whether the case is
a new or separate primary
What are the data quality characteristics of a cancer registry?
A. Monitoring, completeness and timeliness
B. Accuracy, timeliness and monitoring
C. Monitoring, accuracy and completeness
,D. Accuracy, timeliness and completeness
D. Accuracy, timeliness and completeness
Generally, abstracted data is classified into five groups. In which group would each of the following be
classified: 1) diagnostic confirmation, 2) class of case, and 3) date of first recurrence?
A. 1) Cancer identification, 2) patient identification and 3) outcomes
B. 1) Outcomes, 2) patient identification and 3) cancer identification
C. 1) Cancer identification, 2) cancer identification, and 3) cancer identification
D. 1) Cancer identification, 2) cancer identification and 3) outcomes
D. 1) Cancer identification, 2) cancer identification and 3) outcomes
Patient identification fields include:
accession number,
sequence number,
social security number,
race, sex,
date of birth,
geographic location,
physicians and institutions involved in the care of the patient.
Cancer identification fields include:
class of case,
date of initial diagnosis,
primary site,
histology,
behavior code,
grade,
diagnostic confirmation.
Stage of disease at diagnosis fields include
data items that identify, confirm and support the assigned stage of disease:
AJCC clinical and pathologic TNM elements,
Site specific data items (SSDI)
Summary Stage 2018
Collaborative Stage (CS) data elements.
First course of treatment fields include
specific treatment modalities (palliative procedures, surgery, radiation, chemotherapy, hormonal
therapy, immunotherapy, hematologic transplants and endocrine procedures) and dates each was
provided.
Outcome data items include
date of last contact or death, vital status, cancer status, following registry, follow-up source, next
follow-up source, date of first recurrence, and type of first recurrence.
What resource(s) is used by CoC accredited hospital registries as the basis of the data collection effort
for their facility?
A. International Classification of Disease for Oncology (ICD-O), 3rd Edition
B. SEER Coding and Staging Manual
C. Standards for Oncology Registry Entery (STORE)
, D. Neither (a) nor (b)
D. Neither (a) nor (b)
The Standards for Oncology Registry Entry(STORE) manual is the basis of the data collection efforts for
all Commission on Cancer (CoC) accredited cancer programs.
What statement(s) is true regarding an accession number?
A. A patient is assigned an accession number for each primary treated at a given facility.
B. If a patient is an analytic case for the same primary at more than one facility, the patient has the
same accession number at all facilities.
C. A patient is only assigned one accession number regardless of the number of primaries reported
from the facility.
D. None of the above
C. A patient is only assigned one accession number regardless of the number of primaries reported
from the facility.
Why does the Department of Health and Human Services support the coding change from ICD-9-CM
to ICD-10-CM?
A. The content in ICD-9-CM is no longer clinically accurate and the number of available codes is
limited and has been maxed out for some categories.
B. In 2013 the United States moved to ICD-10 for mortality (death certificate) coding so it will not be
able to directly compare morbidity diagnosis data to state and national mortality data unless this
change is adopted.
C. Both (a) and (b)
D. Neither (a) nor (b)
A. The content in ICD-9-CM is no longer clinically accurate and the number of available codes is
limited and has been maxed out for some categories.
Combination codes such as 8523/3 (infiltrating duct mixed with other types of carcinoma) and 8524/3
(infiltrating lobular mixed with other types of carcinoma) are used when
A. Two types of carcinomas are intermixed within one tumor.
B. Two tumors exist in the same primary site - one tumor is infiltrating ductal and the other tumor is
infiltrating lobular.
C. Two tumors with the different histologies "overlap" each other (collision tumors).
D. None of the above
A. Two types of carcinomas are intermixed within one tumor.
Histologic combination codes are intended to describe a single lesion containing multiple histologic
types. Combination codes are not used to code multiple independent tumors of different histologic
types arising in a single primary site.
Which term is used by pathologists to describe a group of cells that can be seen only by a microscope?
A. Focal tumor
B. Tumor focus
C. Overlapping tumor
D. Contiguous tumor
B. Tumor focus
Which is the term used to describe tumor limited to one specific area or organ
A. Focal tumor
Examples of population-based registries are
A. National Cancer Data Base.
B. Central Brain Tumor Registry of the United States (CBTRUS).
C. Both (a) and (b)
D. Neither (a) nor (b)
D. Neither (a) nor (b)
Examples of nonanalytic cases for a typical hospital registry include
A. Autopsy only cases.
B. Cases diagnosed elsewhere and provided only palliative care in lieu of first course treatment at
your facility.
C. Both (a) and (b)
D. Neither (a) nor (b)
A. Autopsy only cases.
Non-analytic cases for a facility are defined as cases who were diagnosed and received all of first
course therapy elsewhere prior to the date of referral to the facility. These cases include patients
treated for recurrence or progression of disease only, patients for whom the facility provided only a
treatment plan or a second opinion regarding the diagnosis and/or treatment options available, as
well as patients diagnosed at autopsy, per death certificate, or who only had pathology slides read at
the facility.
Analytic cases
those cases that were diagnosed at the reporting hospital/ facility or received any first course
treatment at facility
class of case 00-22
Which organization provides the guidelines used by central registries to determine the residence of
the patient at the time of diagnosis?
A. Surveillance, Epidemiology, and End Results (SEER) Program
B. National Program of Cancer Registries (NPCR)
C. U.S. Postal Service
D. U.S. Census Bureau
D. U.S. Census Bureau
Rules must also be established to determine who the members of that population are. The goal is to
have the central registry use the same rules to establish a patient's residency at the time of diagnosis
as the rules used by the Census Bureau in counting the population. In addition, a population-based
registry must have rules for determining residency of part-time residents, prisoners, institutionalized
persons, homeless persons, military personnel, and students.
Updating casefinding programs that use either the ICD-9-CM or ICD-10-CM disease indices to identify
potential reportable cases should be done annually and made effective for admissions during which
month?
A. January
B. June
C. October
D. December
C. October
,Updates to the ICD-9-CM and ICD-10-CM coding manuals are done annually in October. Codes from
these manuals are used to generate a disease index that identifies the diseases and conditions
diagnosed in patients. To ensure that all reportable cases are included in the disease index requested
from facilities, it is important to review and update required codes needed by the registry on an
annual basis.
Casefinding timeliness in a central registry is determined by the
A. Planned use of the data.
B. Agency(ies) to which the central registry reports.
C. Both (a) and (b)
D. Neither (a) nor (b)
C. Both (a) and (b)
The time frame for casefinding and reporting for central registries is determined by both the planned
use of the data and the agency to which the central registry reports.
The purpose of central registry death clearance activities is
A. To update mortality and other information on cases that exist in the registry database.
B. To be used as a casefinding source.
C. Both (a) and (b)
D. Neither (a) nor (b)
C. Both (a) and (b)
Death clearance is referred to as the use of mortality files to update death and other missing
information on cases that exist in the registry database and to increase incidence reporting
completeness by using these files as a casefinding source.
What organization(s) obtain death certificates from governmental vital statistics agencies for the
purpose of identifying missed incidence cases?
A. Central registries
B. Hospital registries
C. Both (a) and (b)
D. Neither (a) nor (b)
A. Central registries
What is the correct order in which pre-abstracting activities are performed?
A. Identify potential reportable cases; determine whether the case is a new or separate primary; and
gather source documents
B. Gather source documents; determine whether the case is a new or separate primary; and conduct
quality control on the data
C. Determine whether the case is a new or separate primary; gather the source documents; and
conduct quality control on the data
D. Identify potential reportable cases;gather source documents and determine whether the case is a
new or separate primary
D. D. Identify potential reportable cases;gather source documents and determine whether the case is
a new or separate primary
What are the data quality characteristics of a cancer registry?
A. Monitoring, completeness and timeliness
B. Accuracy, timeliness and monitoring
C. Monitoring, accuracy and completeness
,D. Accuracy, timeliness and completeness
D. Accuracy, timeliness and completeness
Generally, abstracted data is classified into five groups. In which group would each of the following be
classified: 1) diagnostic confirmation, 2) class of case, and 3) date of first recurrence?
A. 1) Cancer identification, 2) patient identification and 3) outcomes
B. 1) Outcomes, 2) patient identification and 3) cancer identification
C. 1) Cancer identification, 2) cancer identification, and 3) cancer identification
D. 1) Cancer identification, 2) cancer identification and 3) outcomes
D. 1) Cancer identification, 2) cancer identification and 3) outcomes
Patient identification fields include:
accession number,
sequence number,
social security number,
race, sex,
date of birth,
geographic location,
physicians and institutions involved in the care of the patient.
Cancer identification fields include:
class of case,
date of initial diagnosis,
primary site,
histology,
behavior code,
grade,
diagnostic confirmation.
Stage of disease at diagnosis fields include
data items that identify, confirm and support the assigned stage of disease:
AJCC clinical and pathologic TNM elements,
Site specific data items (SSDI)
Summary Stage 2018
Collaborative Stage (CS) data elements.
First course of treatment fields include
specific treatment modalities (palliative procedures, surgery, radiation, chemotherapy, hormonal
therapy, immunotherapy, hematologic transplants and endocrine procedures) and dates each was
provided.
Outcome data items include
date of last contact or death, vital status, cancer status, following registry, follow-up source, next
follow-up source, date of first recurrence, and type of first recurrence.
What resource(s) is used by CoC accredited hospital registries as the basis of the data collection effort
for their facility?
A. International Classification of Disease for Oncology (ICD-O), 3rd Edition
B. SEER Coding and Staging Manual
C. Standards for Oncology Registry Entery (STORE)
, D. Neither (a) nor (b)
D. Neither (a) nor (b)
The Standards for Oncology Registry Entry(STORE) manual is the basis of the data collection efforts for
all Commission on Cancer (CoC) accredited cancer programs.
What statement(s) is true regarding an accession number?
A. A patient is assigned an accession number for each primary treated at a given facility.
B. If a patient is an analytic case for the same primary at more than one facility, the patient has the
same accession number at all facilities.
C. A patient is only assigned one accession number regardless of the number of primaries reported
from the facility.
D. None of the above
C. A patient is only assigned one accession number regardless of the number of primaries reported
from the facility.
Why does the Department of Health and Human Services support the coding change from ICD-9-CM
to ICD-10-CM?
A. The content in ICD-9-CM is no longer clinically accurate and the number of available codes is
limited and has been maxed out for some categories.
B. In 2013 the United States moved to ICD-10 for mortality (death certificate) coding so it will not be
able to directly compare morbidity diagnosis data to state and national mortality data unless this
change is adopted.
C. Both (a) and (b)
D. Neither (a) nor (b)
A. The content in ICD-9-CM is no longer clinically accurate and the number of available codes is
limited and has been maxed out for some categories.
Combination codes such as 8523/3 (infiltrating duct mixed with other types of carcinoma) and 8524/3
(infiltrating lobular mixed with other types of carcinoma) are used when
A. Two types of carcinomas are intermixed within one tumor.
B. Two tumors exist in the same primary site - one tumor is infiltrating ductal and the other tumor is
infiltrating lobular.
C. Two tumors with the different histologies "overlap" each other (collision tumors).
D. None of the above
A. Two types of carcinomas are intermixed within one tumor.
Histologic combination codes are intended to describe a single lesion containing multiple histologic
types. Combination codes are not used to code multiple independent tumors of different histologic
types arising in a single primary site.
Which term is used by pathologists to describe a group of cells that can be seen only by a microscope?
A. Focal tumor
B. Tumor focus
C. Overlapping tumor
D. Contiguous tumor
B. Tumor focus
Which is the term used to describe tumor limited to one specific area or organ
A. Focal tumor
