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40 Cards in this Set
- Front
- Back
- 3rd side (hint)
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ICD-O coding systems are designed for: A. Topography Only B. Morphology Only C. Both topography and morphology D. None of the Above |
C. Both topography and morphology |
V-14-Ex Prep |
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A complete ICD-O requires _______ digits or characters to identify the topographic site, morphologic type, behavior and grade or differentiations of a neoplasm. A. 6 B. 8 C. 10 D. 12 |
C. 10 |
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In the numerical list, the first listed term, printed in bold type under a particular code, is: A. the synonym of the preferred term. B. the preferred term. C. the equivalent term of the preferred term. D. the archaic term. |
B. the preferred term. |
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In the alphabetical index, any word that appears as part of three or more terms is: A. In bold type. B. Italicized. C. Underlined. D. Indented. |
A. In bold type. |
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The fifth digit in a morphology code, after the slash, indicates: A. Cell Type. B. Differentiation. C. Tumor Site. D. Tumor Behavior. |
D. Tumor Behavior. |
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Use subcategory ".8" when a tumor: A. Overlap the boundaries of two or more categories or subcategories. B. When exact subcategory is unknown or not stated. C. Point of origin cannot be determined. D. Both A and C. |
D. Both A and C. |
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Malignant lymphoma of the stomach would be assigned code: A. C77.8 B. 16.9 C. C76.2 D. C77.2 |
B. 16.9 |
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V-14-Ex Prep The complete morphology code consist of: A. The Histology. B. The Behavior. C. The Grade. D. All of the above. |
D. All of the above. |
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When a tumor is described as in situ with a small foci of invasion, the behavior code assigned is: A. /3 malignant. B. /2 carcinoma in situ. C. /1 uncertain. D. /0 benign. |
A. /3 malignant. |
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A tumor described as moderately well differentiated would be assigned the grade code as: A. 1 = well differentiated. B. 2 = moderately differentiated. C. 9 = unknown. D. Both A and B are correct. |
B. 2 = moderately differentiated. |
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The suspense file contains information on cases that are: A. Potentially Reportable. B. Definitely Reportable. C. Only reportable by agreement. D. Not Reportable. |
A. Potentially Reportable. |
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Casefinding may also be called which of the following? A. Case Identification. B. Case Abstraction. C. Case Ascertainment. D. A and C are correct. |
D. A and C are correct. |
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V-14-Ex Prep A document that includes a description of all cases to be included in the registry is called a _______. A. Casefinding List. B. Reportable List. C. Reportable by agreement list. D. Registry operations list. |
B. Reportable List. |
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Which of the following terms does not constitute a diagnosis of cancer? A. Suspicious. B. Suggest. C. Comparable with. D. Compatible with. |
B. Suggest. |
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The following data items are required by the COC to be in the suspense file except: A. Patient Name. B. Primary Site. C. Histology. D. Date of Diagnosis. |
C. Histology. |
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A cancer registry abstract is best defined as a summary of a patient's: A. Inpatient medical record. B. Disease over a lifetime of the patient beginning with their diagnosis. C. Cancer care given at the reporting facility. D. Disease status at the time of abstracting. |
B. Disease over a lifetime of the patient beginning with their diagnosis. The abstract serves to document the cancer experience of a patient with a reportable diagnosis. The abstract is a summary of information from the medical record and other sources that is relevant to the initial diagnosis and planned 1st course of treatment of cancer. |
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Accurate and timely cancer data affects: A. Quality Management. B. Resource Planning. C. Physician Treatment Planning. D. All of the Above. |
D. All of the Above. Accurate and timely cancer data is used for all of the listed functions. |
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The following organization does not set cancer data standards for cancer data collection: A. Commission on Cancer (CoC) B. North American Association of Central Cancer Registries (NAACCR) C. American College of Radiology. D. Surveillance, Epidemiology, and End Results. |
C. American College of Radiology. |
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The sequence number indicates the order in which a primary tumor is discovered in relation to the total number of primaries for a given patient. A. True B. False |
A. True |
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Data items that are required to be collected are generally divided into categories which describe: A. The tumor and the stage. B. The patient and the stage. C. The tumor and the outcomes. D. The patient and the tumor. |
D. The patient and the tumor. |
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An endoscopic examination is a medical procedure that: A. Microscopically examines the interior of the body. B. Views the interior of the body through an opening in the body. C. Views the interior structures of the body using high frequency sound waves. D. Examines cells in the blood-forming tissues. |
B. Views the interior of the body through an opening in the body. Endoscopy is a medical procedure for viewing the interior of the body through an opening in the body. |
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Which of the following can take cross-sectional slices from many different angles? A. Bone Scan. B. X-ray. C. CT Scan. D. MRI |
D. MRI Like CT scans, MRI displays a cross-section of the body. The MRI uses a strong magnet instead of radiation to make the images. An MRI can take cross-sectional slices (views) from many angles. |
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Cancer directed treatment is given to: A. Modify primary tumor or metastatic disease. B. Control primary tumor or metastatic disease. C. Remove primary tumor or metastatic disease. D. All of the Above. |
D. All of the Above. |
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Class of Case 00 includes which of the following scenarios? A. Dx'ed at the reporting facility and treated in the staff Dr's office. B. Dx'ed in a staff Dr's office and treated in the same staff Dr's office. C. Dx'ed at the reporting facility and treated in a non-staff Dr's office. D. Dx'ed at the report fac. Pt never returned. It is unk if tx was given. E. A and C. F. All of the above. |
E. A and C. The definition of class of case 00 is dx'ed at the report fac and you KNOW the pt was tx elsewhere. Physicians not on staff at the report fac are not considered part of the report fac, however are considered "elsewhere". |
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The definition of "adjuvant treatment" is treatment that is given: A. Along with another type of therapy. B. After initial treatment attempts have failed. C. Alone without another type of therapy. D. As the first line of defense after a diagnosis of cancer. |
A. Along with another type of therapy. |
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Which is NOT a classification of chemotherapeutic agents? A. Anti-tumor Antibiotics. B. Taxanes. C. Steroids. D. Antimetabolites. |
C. Steroids. Steroids are considered and coded as hormone therapy. |
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A pt with a primary lung cancer undergoes a bronchoscopy with a fine needle aspiration of lung fluid. This procedure would be assigned a code of ______ in the "Surgical Diagnostic and Staging Procedure" field: A. 00 B. 02 C. 03 D. 05 |
A. 00 Neither the bronchoscopy or the fine needle aspiration are coded in this data item. Cytologic procedures such as brushing, washing, and cell aspirations (including fine needle aspirations that remove cells or fluid only) are not coded in this data field. These are not considered surgical procedures. Endoscopic procedures are not considered surgical procedures. |
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In the "Surgical Margins of the Primary Site" data item, the code that best describes the surgical margins are negative is: A. 2 B. 0 C. 1 D. 7 |
B. 0 |
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Adjuvant chemotherapy may be used to shrink a large tumor so that it can be removed by surgery or a less extensive operation. A. True B. False |
A. True |
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Pt w/ adv Rt Breast Ca has the following proc given as the planned 1st course of tx. 6/8/20xx - Bx of the rt axil LN. 1- LN pos for infiltrating ductal carcinoma c/w breast pri. 7/2/20xx - Adriamycin and Cisplatin chemo for 4 months. 11/15/20xx - Pt refused surgery. What code should be rec'ed in "Scope of Regional LN Sx" data item: A. 0 B. 1 C. 2 D. 4 |
B. 1 Only code the biopsy or removal of lymph nodes considered to be regional for the primary. |
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How would radiation provided to a patient for painful metastasis be coded? A. Curative radiation therapy. B. Palliative radiation therapy. C. Prophylactic radiation therapy. D. Salvage radiation therapy. |
B. Palliative radiation therapy. |
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Which of the following facts are not true regarding the accession number? A. Unique for each patient. B. Always uses the year of diagnosis for first numbers. C. Last numbers are numeric order. D. Use original number if reference date changes. |
B. Always uses the year of diagnosis for first numbers. Accession number uses the year first seen at the reporting facility which is not always the year of diagnosis. |
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Can neo-adjuvant therapy consist of: A. Chemotherapy. B. Hormone therapy. C. Immunotherapy. D. All of the above. |
D. All of the above Any of these can be used for systemic neo-adjuvant therapy. |
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Which of the following is not a criteria for readmission within thirty days? A. Same hospital. B. Within 30 days of surgical discharge. C. Any illness D. None of the above. |
C. Any illness. It must be the same illness. |
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What is the new co-morbidities and complications data field for the switch from ICD-9-CM to ICD-10-CM? A. Secondary Diagnosis. B. Diagnostic Confirmation. C. Treatment Plan. D. None of the Above. |
A. Secondary Diagnosis Secondary Diagnosis is the new data field. |
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Institution referred to data can be used for: A. Evaluate contracts with insurance providers. B. Public relations and advertising. C. Evaluate services, Equipment and Staffing. D. All of the Above. |
D. All of the Above When accessing this data field, administration can use this information to aid in strategic planning for the hospital and consider it in many aspects of improving the hospital and its business. |
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What are reasons for no treatment? A. Patient refuses. B. Protocol option. C. Co-morbid condition. D. All of the Above. |
D. All of the Above. |
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Neoadjuvant therapy is: A. Any two therapies used in conjunctions with each other. B. Systemic/radiation therapy given before surgery. C. Two surgeries, re-excision following the first excision. D. All of the Above. |
B. Systemic / radiation therapy given before surgery. |
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An autologous bone marrow transplant uses cell from: A. Identical twin. B. Patient. C. Donor. D. All of the above. |
B. Patient Autologous is from the patient. |
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A pt has dye inj for a sentinel node proc. The incision is made in the nodal area and a 1 cm blue node is ID and a 1.5 cm node next to the blue node that did not take up dye. There is another 1.8 cm blue node ID and a node next to it that is 1.4 cm that did not take up the dye. All 4 nodes are rem 2 with blue dye and 2 without. How is the scope of regional LN surgery coded? A. 1 - biopsy of regional nodes. B. 2 - sentinel node biopsy. C. 5 - four or more regional nodes removed. D. 6 - sentinel node biopsy and code 3,4, or 5 at the same time. |
B. 2 - sentinel node biopsy. Because removing additional abnormal nodes during the sentinel node procedure does not change this from being a sentinel node procedure. |
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