Question 1

All the following are included in the International Classification of Diseases for Oncology, 3rd edition (ICD-O-3) coding scheme except:

Accepted Answer

The ICD-O-3 coding scheme includes differentiation, grading, morphology, and topography. However, it does not include etiology, which is the study of the causes of disease.

Question 2

Which organization plays an active role in trauma registries?

Accepted Answer

The American College of Surgeons plays an active role in trauma registries, as they oversee the National Trauma Data Bank and provide guidance and accreditation for trauma centers. The other organizations listed may be involved in healthcare or medical information, but not specifically in trauma registry management.

Question 3

All of the following are minimum required data in the master patient index of a hospital-based cancer registry except:

Accepted Answer

The address of the patient is not a required data element for the master patient index. The other options listed (accession number, date of diagnosis, and primary site of cancer) are minimum required data elements.

Question 4

Which of the following neoplastic cases is required inclusion in a hospital cancer registry by the American College of Surgeons?

Accepted Answer

All neoplastic cases, regardless of stage or location, are required to be included in a hospital cancer registry by the American College of Surgeons.

Question 5

In Best Health General Hospital, the cancer registrar associated with the cancer program undertakes a systematic sampling of 5% to 10% of cases in the registry. The main goal of the evaluation is to:

Accepted Answer

The main goal of the evaluation is to evaluate the quality of the coded data. Systematic sampling allows for a representative sample of cases in the registry to be reviewed and ensures that data collection and coding practices are accurate and consistent. This helps to maintain the integrity of the cancer registry data and ultimately optimize care for patients with cancer. While contributing to public health cancer-control goals is important, it is not the main goal of this specific evaluation. Comparing the results of two studies with each other is also not specified as the main goal of this particular evaluation.

Question 6

The reference date for a cancer registry is defined as the date the:

Accepted Answer

The reference date for a cancer registry is defined as the date data collection begins. This date is important in order to correctly document the incidence and prevalence of cancer cases. The collection of data is ongoing and as such the reference date will continue to evolve over time.

Question 7

All of the following are designated categories of an approved hospital cancer program except:

Accepted Answer

Incident-oriented cancer program is not a designated category of an approved hospital cancer program. The other three categories (teaching hospital cancer program, community hospital cancer program, and free-standing cancer center program) are all approved categories.

Question 8

What is the required follow-up rate for approved hospital cancer programs?

Accepted Answer

The required follow-up rate for approved hospital cancer programs is 90%. This means that the hospital must be able to track and report the outcomes of 90% of their cancer patients for at least five years after their treatment. This follow-up rate is important for ensuring that the hospital is providing high-quality cancer care and that the patients are receiving appropriate ongoing monitoring and support.

Question 9

All of the following clinical departments are required to be represented on a hospital cancer committee except:

Accepted Answer

While the clinical laboratory is an important department in the diagnosis and treatment of cancer, it is not typically required to be represented on a hospital cancer committee according to guidelines set forth by the American College of Surgeons Commission on Cancer. The other departments listed (surgery, radiology, pathology) are required to be represented.

Question 10

Cancer registries have been established to:

Accepted Answer

Cancer registries are established to assess cancer incidence, treatment, and end results. They collect and analyze data on cancer patients to better understand the disease and improve treatment. While investigating the causes of cancer may be a secondary goal of cancer registries, eradication and monitoring physician performance are not their primary purposes.

Question 11

Which organ-specific registry is associated with the national Organ Procurement Transplantation Network?

Accepted Answer

The national Organ Procurement Transplantation Network (OPTN) includes all organ-specific registries, including kidney, heart/lung, and pancreas, among others.

Question 12

A study is conducted that evaluates the impact on the use of coronary artery bypass grafts in patients with myocardial infarctions in the populations of two states. Which of the following is the most likely way to adjust for risk in the two populations?

Accepted Answer

The Elixhauser Comorbidity Measurement is a commonly used tool for risk adjustment in healthcare research. It takes into account a wide variety of different comorbidities that can impact patient outcomes and mortality rates. This would be the most appropriate choice for adjusting for risk in the two populations being studied. The other options (A, C, and D) are not commonly used for this purpose.

Question 13

To provide a randomly sample of cases for quality control review, the registrar selects cases from:

Accepted Answer

The accession register is a chronological listing of all cases received by the laboratory. It is used to provide a randomly sample of cases for quality control review.

Question 14

Immunization registries store data electronically on all National Vaccine Advisory Committee-approved core data elements. Knowledge of vaccination rates helps to determine:

Accepted Answer

Immunization registries store data electronically on all National Vaccine Advisory Committee-approved core data elements, which can inform decisions on the potential need for rapid immunization in the event of bioterrorist attack, whether public health goals are being met, and whether public health interventions are needed to increase immunization rates. Therefore, all of the above options are correct.

Question 15

A program approved by the American College of Surgeons has 1000 new cases of cancer in the registry annually. To meet approval requirements, at least how many cases must be reviewed?

Accepted Answer

The American College of Surgeons requires that at least 10% of the annual cancer cases in a registry be reviewed. Therefore, for 1000 new cases, at least 100 cases must be reviewed.

Question 16

Each of the following is a required component of an approved hospital cancer program except:

Accepted Answer

All the other options (A, B, and C) are required components of an approved hospital cancer program according to the American College of Surgeons (ACS) Commission on Cancer (CoC), but "cancer control" is not a mandatory component. However, cancer control is an important aspect of cancer treatment and management and may still be included in cancer programs as a supportive service.

Question 17

A cancer registrar identifies applicable data elements and includes them in the registry data. This is an example of what kind of process required by the American College of Surgeons?

Accepted Answer

Abstracting is the process of identifying and recording all relevant data elements related to a cancer case in the registry. This process is required by the American College of Surgeons for accreditation of cancer programs. Posting refers to the process of updating information in the registry. Quality control ensures that the data inputted into the registry is accurate and complete. Accessioning refers to the process of receiving and assigning a unique identifier to a specimen or tissue sample.

Question 18

A physician at Best Health General Hospital questions the quality of the data in the computerized cancer registry. The process by which this could be addressed would be specified in the registry manual under:

Accepted Answer

Quality control policies and procedures cover matters related to the accuracy, completeness, and consistency of the data entered into the registry. This would include procedures for addressing concerns about the quality of data within the registry, such as the concerns raised by the physician at Best Health General Hospital.

Question 19

Which of the following cancer registry files is considered a temporary file?

Accepted Answer

The follow-up file is considered a temporary file because it is constantly being updated with new information on the status of the patient. The other files (accession register, patient index, and primary site) are considered permanent files.

Question 20

Certified Tumor Registrar is:

Accepted Answer

Certified Tumor Registrar (CTR) is a credential that is achieved by passing a national certification examination administered by the National Cancer Registrars Association (NCRA). It is not based on education or honorary recognition.

Quiz 13: Data Reporting, Interpretation, and Use