CTR Casefinding 2

Question 1

Which department is considered a SECONDARY source for casefinding in a hospital-based cancer registry?

Accepted Answer

Emergency Department

Answer

Emergency departments are secondary sources because cancer diagnoses are rarely made there; pathology, radiology, and surgery are primary sources.

Question 2

A tumor registrar reviews the operating room log and finds a procedure coded as 'excision of lesion, breast.' What is the next casefinding step?

Accepted Answer

Request the pathology report to confirm malignancy

Answer

The pathology report must be reviewed to confirm whether the lesion is malignant before abstracting a case.

Question 3

Which of the following would NOT be reportable to a hospital cancer registry under standard ACOS CoC guidelines?

Accepted Answer

Basal cell carcinoma of the skin diagnosed at the facility

Answer

Basal cell carcinoma of the skin is generally excluded from cancer registry reporting under ACOS CoC guidelines.

Question 4

A patient is diagnosed with lung cancer at an outside facility and comes to your hospital only for a second opinion with no treatment rendered. How should this case be handled?

Accepted Answer

Abstract as a non-analytic case

Answer

A case diagnosed elsewhere where only a second opinion (consultation) is provided without treatment is abstracted as a non-analytic case.

Question 5

When performing casefinding, a registrar discovers a death certificate listing 'carcinoma of the pancreas' with no prior hospital record. What action is required?

Accepted Answer

Create a death certificate only (DCO) case

Answer

A death certificate only (DCO) case is created when the death certificate is the sole source of cancer information and no prior medical records can be obtained.

(CTR) Certified Tumor Registrar Practice Test

(CTR) Certified Tumor Registrar Practice Test

CTR Casefinding 2