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NCRA – CTR Exam Practice Test – Certified Tumor Registrar Study Guide

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This document provides a practice test tailored for the NCRA CTR (Certified Tumor Registrar) certification exam. It includes realistic exam-style questions covering case abstracting, cancer staging, coding systems (ICD-O-3, AJCC), treatment data, and registry operations. Ideal for candidates preparing for certification, the content is aligned with NCRA exam domains and helps reinforce both technical accuracy and test readiness.

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NCRA CTR Exam Practice Test
Grade - *answers *A measure of how much the malignant cell resembles a normal or
non-malignant cell of the same type.

Topography - *answers *Four-character code for the body site where the tumor arises.

Morphology code - *answers *8500 represents the correct format for a morphology
code.

Casefinding timeliness in a central registry is determined by ? - *answers *The planned
use of the data, and the agency which the central registry reports to, such as NPCR.

Unspecified/other malignant neoplasm of skin of scalp & neck, topography code C44.4.
Is this reportable? - *answers *Yes per ICD-O-3.

The islets of Langerhans are located in ? - *answers *Pancreas

Palliative care provided to relieve symptoms may include: - *answers *Surgery,
radiation therapy, systemic therapy, and/or other pain management therapy.

Asbestos is a causal agent implicated in cancer of which site? - *answers *Pleura.
AJCC Chapter 37: Malignant Pleural Mesothelioma, C38.4 pleura, NOS.

Paracentesis is best described as: - *answers *Removal of ascites from the abdominal
cavity

The lymph node chains behind the knees are named: - *answers *Popliteal

For the purposes of coding and staging, nodal or lymphatic sites include: - *answers
*Lymph nodes, Waldeyer's Ring, thymus, and spleen. All other sites are considered
Extradodal or extralymphatic sites, for example, adrenal glands, blood, bone, bone
marrow, CNS, GI, liver, etc.

Malignant lymphoma staging system is - *answers *Lugano Classification Modification
of the Ann Arbor Staging System.

A main bronchus, pulmonary artery and veins, nerves and lymph vessels enter and
leave through the: - *answers *Hilum

The tonsils are masses of what kind of tissue? - *answers *Lymphoid

Peau d'orange is a condition associated with: - *answers *Dermal lymphatic invasion by
breast cancer

Staging - *answers *is known as the classification of the extent of disease.

An old alternative staging system for colon cancer is: - *answers *Duke's staging

, NCRA CTR Exam Practice Test
Clinical classification is based on: - *answers *Physical exam, laboratory, radiology,
endoscopy, biopsy of the primary site, or surgical exploration

Synonymous for carcinoma in situ is - *answers *carcinoma intraepithelial

Another name for pancreaticoduodenetomy is - *answers *Whipple Procedure

While many different procedures are used to diagnose cancer, what is the most
authoritative diagnosis? - *answers *Microscopic study of the involved tissue

Body fluids in cytology reports include: - *answers *sputum, bronchial washings and
brushings, pleural fluid, peritoneal fluid, spinal fluid, bone marrow aspiration, cervical
smears, FNA of liver/pancreas/breast/lung.

Brachytherapy is - *answers *Radiation therapy where the radiation source is close to
the tumor. Treat cervical cancer.

Genetics is the study of - *answers *heredity and reproduction and origin

The date of diagnosis for a patient diagnosed in utero: - *answers *Is the actual date of
diagnosis

The most common histologies in lung cancer are adenocarcinoma, squamous
carcinoma and ? - *answers *Small cell carcinoma

Hepatocholangioduodenostomy is an operation to - *answers *Connect the hepatic
duct and the duodenum

The mucous membrane lining the inner cheeks is called the - *answers *Buccal
mucosa

Biospy is - *answers *The removal of tissue from a living patient for the purpose of
making a diagnosis by microscopic examination of the cells.

Adrenal gland, Adrenal Cortex - *answers *secretes aldosterones, cortisol, androgens,
estrogens, and progestins

Fulguration is a biopsy procedure using - *answers *electric sparks controlled by a
moving electrode. Also known as electrocautery.

A LEEP is a procedure performed on what organ? - *answers *Cervix

Radiation therapy is used most often in what type of cancer as definitive treatment? -
*answers *Invasive carcinoma of the cervix

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