[PDF] Quiz 1: Medical Terminology and General Anatomy - NAACCR

176357_7BootCampQuizzes.pdf

Quiz1:MedicalTerminologyandGeneralAnatomy

1.Identifywhichprefix/suffixcorrespondswiththefollowingdefinition

HyperA:Restriction

HypoB:Irregularlyslow

BradyC:ShortAlgiaD:Beyondnormal

BrachyE:Pain

IschF:Inflammation

TachyG:Belownormal

ItisH:Irregularlyfast

 2.

Matchtheprefix/suffixwiththebestdefinition

Myel(o)A:Fatorfattytissue

Mast(o)B:Glandular

AdenoC:Gallbladder

Adipo

D:TongueBuccoE:Bonemarroworspinalcord

Cholecyst(o) F:Cheek

Gloss(o)G:Breast



3.Matchtheprefix/suffixwith

thebestdefinition

InterA:Two

EndoB:TwistedPeriC:In,within

BiD:Between

IpsiE:Above

SupraF:Around

Tort (i)G:Same,sameside

4.Matchthewordwiththebestdefinition

AdenopathyA:Difficultybreathing

EdemaB:Itching

DyspneaC:SuddenlossofstrengthasinfaintingMelenaD:Swellingorenlargementofglandulartissues(i.e.lymphnodes)

PruritisE:Passageofblackbloodystool

SyncopeF:AbnormalaccumulationofserousfluidinconnectivetissueNocturiaG:Spittinguporcoughingupblood

HemoptysisH:Excessiveurinationatnight

  

5.Matchtheorganwiththeregionallymphnodes.

LungA:Gastric

BreastB:None/Notapplicable

ColonC:Internalmammary

BladderD:Paracolic

TongueE:Subcarinal

StomachF:Iliac

BrainG:Cervical



6.Writetheletterofthelymphnoderegionnexttothelinepointingtothelymphnoderegionon

theimage.

A:Axillary

B:Mediastinal

C:Paracolic

D:Inguinal

E:Popliteal

F:Submental

G:Cervical

7.Writetheletterofthecolonsubsitenexttothecorrespondingsiteontheimagebelow.For

A:Transversecolon

B:Hepaticflexure

C:Ascendingcolon

D:Descendingcolon

E:Cecum

F:Appendix

G:SigmoidColon

      

Quiz2:StagingSummaryStage,AJCC

Scenario1

Apatientwasrecentlydiagnosedwithbladdercancer.ATURBshowedapapillarytransitionalcell carcinomainvadingintothedeepmuscularispropria.Imagingdidnotshowanyadditionalmetastasis.

Thepatientnowisadmittedforacystoprostatectomy.

Cystoprostatectomypathologyreport:

oPapillarytransitionalcellcarcinomaofthe bladdertrigonewithdeepinvasionthrough themuscularispropriaandgrossinvasionintotheprostate. oAdenocarcinomaidentifiedinvolvinglessthanhalfoftheleftlobe. o4internaliliaclymphnodesnegativeformetastasis o3perivesicallymphnodesnegativeformetastasis

1.WhatistheSummaryStageforthe

bladderprimary? a.1Localized b.2Regionalbydirectextension c.5Regionalbydirectextension andtolymphnodes d.7Distantmetastasis

2.WhatistheclinicalTforthebladder

primary? a.c2 b.c2a c.c2b d.c3

3.WhatisthepathologicTforthebladder

primary? a.p2a b.p2b c.c4a d.c4b

4.WhatistheSummaryStageforthe

prostateprimary? a.1Localized b.2Regionalbydirectextension c.5Regionalbydirectextension andtolymphnodes d.7Distantmetastasis

5.WhatisourclinicalTfortheprostate

primary? a.Blank b.X c.1c d.2a

6.WhatisourclinicalNfortheprostate

primary? a.Blank b.X c.0 d.1

7.WhatisourpathologicTforthe

prostateprimary? a.Blank b.X c.1c d.2a

Scenario2

Apatientpresentsforaroutinemammogramandisfoundtohavea6cmabnormalmassintheright breast.Additionalworkupshowedthemassextendingintothepectoralmuscle.Physicalexamrevealed a2cmpalpablefixedlevelIaxillarylymphnodenoskinabnormalitiesoradditionalpalpable masses. Acorebiopsyofthebreastmassconfirmedinfiltratingductcarcinoma.AnFNAoftheaxillarymass confirmedlymphnodemetastasis.Thepatientwastreatedwithneoadjuvantchemotherapy. Followingchemotherapyastagingworkupwasdonethatshowedthebreasttumornowmeasured1.3 cmandtheaxillarymasswas nolongerpresent.Thepatientwentontohaveawedgeresectionofright upperouterbreastquadrantandlymphnodedissection.Pathreportdocumented1.3cmduct carcinomaandnometastasisin15axillarynodes.

1.WhatistheSummaryStage?

a.Localized b.Regionalbydirectextension c.Regionaltoipsilateralregional lymphnodes d.Regionalbybothdirect extensionandipsilateral regionallymphnodes

2.WhatistheclinicalT?

a.c1b b.c2 c.c3 d.c4a

3.WhatistheclinicalN?

a.c0 b.c2 c.c2a d.c2b

4.WhatisTNMPathDescriptor?

a.0None b.1E(Extranodal,lymphomas only) c.3M(Multipleprimarytumors inasinglesite) d.4Y(Classificationduringor afterinitialmultimodality therapy)

5.WhatisthepT?

a.X b.p1 c.p1c d.p3

6.WhatisthepN?

a.X b.cN0 c.pN0 d.pN1a

Scenario3

A13yearoldpresentswithsymptomsofappendicitis.AWBCwashighandaCToftheabdomen showedafluidfilledappendixconsistentwithappendicitis.Noindicationofanyadditional abnormalities.Anappendectomywasdoneanda.5cmfocusofwelldifferentiatedadenocarcinomawas foundinthe appendix.Thetumorinvadedinto,butnotthroughthelaminapropria.Noadditional treatmentwasperformed.

7.WhatistheSummaryStage?

a.0Insitu b.1Localized c.2Regionalbydirectextension d.5Regionalbydirectextensionandtolymphnodes

8.WhatistheclinicalT?

a.Blank b.X c.pis d.c1

9.WhatisthepathologicT?

a.Blank b.X c.pis d.p1

10.WhatisthepathologicN?

a.Blank b.X c.c0 d.p1

11.WhatisthepathologicM?

a.Blank b.X c.c0 d.p0

Quiz3:Treatment

1.Apatienthadacorebiopsyoftheprostateandwasfoundtohaveprostatecancer.Thepatientalso

hadabiopsyofabonelesionthatwasfoundtobepositiveformetastasisfromtheprostate primary.IfyoucanonlycodeoneSurgicalDiagnosticStagingProcedure,what codewouldyouuse? a.00ͲNone b.01ͲBiopsytoasiteotherthanprimarysite c.02ͲAbiopsyoftheprimarysite d.09ͲUnknown

2.Apatienthadaperipheralbloodsmearthatwasdiagnosticofchroniclymphocyticleukemia(CLL).

AccordingtotheHematopoieticLymphoidNeoplasm

Manualaperipheralbloodsmearisconsidered

pathologicconfirmationfor(CLL).HowwouldyoucodeSurgicalDiagnosticandStagingProcedure? a.00ͲNone b.01ͲBiopsytoasiteotherthanprimarysite c.02ͲAbiopsyoftheprimarysite d.09ͲUnknown

3.Apatientreceived45Gy

ofintensitymodulatedradiationtherapyutilizing18MVin25sessionsto thetumorbedintheupperabdomenutilizingparallelopposedRAO/LPOobliquefields.Regional

TreatmentModalitywouldbecodedas...

a.25-Photons(11Ͳ19MV) b.28ͲElectrons c.31ͲIMRT d.20-ExternalBeam,NOS

4.Thepatientabovereceivedanadditional5.4Gyin3treatmentsasaboosttothetumorbed,

utilizing18MVphotonsinopposingRAO/LPOobliquefieldstothetumorbed.Boosttreatment modalitywouldbecodedas.... a.25-Photons(11Ͳ19MV) b.28ͲElectrons c.

31ͲIMRT

d.20-ExternalBeam,NOS

5.Apatientwasfoundtohaveaverysmalltumorinherbreastonmammogram.Acoreneedlebiopsy

wasdoneandshowedmalignancy.Marginswerenotevaluated.Thepatientreturnedfora lumpectomy,butnoresidualtumorwasfound.Thecoreneedlebiopsywouldbecodedas: a.

02DiagnosticStagingProcedure

b.22Excisionalbiopsy(SurgicalProcedureofPrimarySite) c.23ͲWideExcision d.Noneoftheabove

6.Anoperativereportstatesthatalumpectomywithsentinellymphnodebiopsywasdone.Scopeof

RegionalLymphnodesurgerywouldbecodedas....

a.2-

SentinelLymphNodeBiopsy

b.3-Numberofregionallymphnodesremovedunknownornotstated c.1-Biopsyoraspirationofregionallymphnodes(s) d.4-1Ͳ3regionallymphnodesremoved

7.Anoperativereportstatesthatallbreasttissuewasremovedaswellthe

nippleareolacomplexand asentinellymphnodebiopsywasdone.TheSurgicalProcedureofPrimarySitewouldbecoded to.... a.51-Modifiedradicalmastectomy,singlebreast b.22-Lumpectomyorexcisionalbiopsy c.41-Total(simple)mastectomy,singlebreast d.30ͲSubcutaneousMastectomy 8.A patientwithsuspectedlungcancerhadamediastinoscopy.Twoparatracheallymphnodeswere excisedandfoundtobepositiveforcarcinoma.Thepatientdidnothaveanyadditionaltreatment.

Howdowecodetheremovalofthesetwolymphnodes?

a.01ͲBiopsytositeotherthanprimary(SurgicalDiagnostic

StagingProcedure)

b.02ͲBiopsytotheprimarysite(SurgicalDiagnosticStagingProcedure) c.4Ͳ1to3regionallymphnodesremoved(ScopeofRegionalLymphNodes) d.Noneoftheabove

9.On1/21/15abreastcancerpatientpresentedforasentinellymphnodebiopsy.Theoperative

reportstated dyewasinjectedandincisionmade,butnosentinellymphnodeswereidentified.The physicianproceededwithasimplemastectomyandaxillarynodedissection.12lymphnodeswere removed.HowdowecodeScopeofRegionalLymphNodeSurgery? a.0ͲNoregionallymphnodesurgery b.2ͲSentinellymphnode biopsy c.5Ͳ4ormoreregionalnodesremoved d.6ͲSentinellymphnodebiopsyandcode3,4,or5atsametime,ortimingnotstated

10.Apatienthadacolonoscopywhichrevealedapolypintheascendingcolon.Apolypectomywas

doneandthepathologycamebackshowingadenocarcinomaarisinginatubularadenoma,margins negative.Thecolonoscopywouldbecodedunder: a.02ͲBiopsyoftheprimarysite(DiagnosticStagingProcedures) b.27ͲExcisional

Biopsy

c.28ͲPolypectomyͲendoscopic d.29ͲPolypectomyͲsurgicalexcision

11.Apatientwasdiagnosedwithprostatecancer.Afteraconsultwithhisphysicianconcerning

treatmentoptions,thepatientchoseactivesurveillance.Twomonthslaterthepatientchangedhis mindanddecidedtoproceedwithradiation.WhatistheRX

ͲSumm-TreatmentStatus?

a.0ͲNotreatmentgiven b.1ͲTreatmentgiven c.2ͲActivesurveillance(watchfulwaiting) d.9ͲUnknowniftreatmentwasgiven

12.Apatientpresentedwithbilateralbreastcancers(2primaries).Abilateralmodifiedradical

mastectomywasperformed.Thesurgicalprocedureofprimarysitecode is... a.50(MastectomyNOS)foreachprimary. b.51(Mastectomywithoutremovalofcontralateraluninvolvedbreast)foreachprimary. c.52(Mastectomywithremovalofcontralateraluninvolvedbreast)foreachprimary. d.52(Mastectomywithremovalofcontralateraluninvolvedbreast)onlyforthebreastwiththe largertumor. 13. Apatientwithlungcancerreceivedbeamradiationtothelungprimaryandtoalargesymptomatic metastaticbraintumor.Treatmentislimitedtothetwotumors.TheRadiationTreatmentVolume wouldbecodedas... a.03Brain(nos) b.04Brain(limited) c.10Chest/lung(nos) d.11Lung limited(nos)

14.Aphysicianrecommendsthatapatientwithstage3breastcancerreceivechemotherapy.The

patientdidnotreturntoyourfacilityandyoudonotknowifshereceivedchemotherapy.

Chemotherapywouldbecodedas...

a.00None,chemotherapywasnotpartoftheplannedfirstcourse oftherapy b.86Chemotherapywasnotadministered.Itwasrecommendedbythepatient'sphysician,but wasnotadministeredaspartofthefirstcourseoftherapy.Noreasonwasstatedinpatient record c.88Chemotherapywasrecommended,butitisunknownifitwasadministered. d.99Itis unknownwhetherachemotherapeuticagent(s)wasrecommendedoradministered becauseitisnotstatedinpatientrecord.

15.Apatientwasrecentlydiagnosedwithcancer.Sheisdiscussinghertreatmentoptionswithher

oncologist.Theoncologisttellsherthatbasedonthetypeofcancerandherclinicalstageshecan haveanexcisionalbiopsyfollowedbychemotherapyorshecanamoreextensivesurgeryandno chemotherapy. Thepatientchoosestohavethemoreextensivesurgeryandnochemotherapy.

Chemotherapywouldbecodedas...

a.00None,chemotherapywasnotpartoftheplannedfirstcourseoftherapy b.86Chemotherapywasnotadministered.Itwasrecommendedbythepatient'sphysician,but wasnotadministeredaspart ofthefirstcourseoftherapy.Noreasonwasstatedinpatient record c.88Chemotherapywasrecommended,butitisunknownifitwasadministered. d.99Itisunknownwhetherachemotherapeuticagent(s)wasrecommendedoradministered becauseitisnotstatedinpatientrecord.