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Systemic Treatment

Total questions: 39

Worksheet time: 21mins

Name
Class
Date
1.

What is the code for endocrine radiation?

a)

30

b)

20

c)

40

d)

coded to radiation

2.

Hormone therapy is commonly given to which of the following sites?

a)

breast

b)

prostate

c)

endometrial

d)

all of the above

3.

In a systemic regimen, if the hormonal therapy does not affect the cancer, we do not code it. 

a)

True

b)

False

4.

In regards to Systemic/surgery Sequence code: Systemic includes but not limited to

a)

chemotherapy

b)

hormone

c)

Endocrine Surgery

d)

Surgery

5.

Prednisone will always be coded as Hormonal Therapy?

a)

Yes

b)

No

6.

_____ inhibit formation of estrogen and androgens thus have been found to be of use in breast and prostate cancer.

a)

Aromatase inhibitors

b)

Adrenocorticoids

c)

Antiandrogens

d)

Antiestrogens

7.

Tamoxifen is an example of what kind of hormonal therapy?

a)

antiestrogen

b)

anriandrogens

c)

adrenocorticoids

d)

megestrol

8.

Patient presented for bone marrow biopsy revealing Myelodysplastic syndrome (MDS). According to NCCN guidelines chemotherapy is considered typical treatment. How do I code chemotherapy?

a)

99

b)

89

c)

88

d)

00

9.

The Oncologist recommended immunotherapy to the patient for their cancer. The patient refused, what is the reason for no immunotherapy?

a)

87

b)

88

c)

00

d)

99

10.

______ is a procedure in which blood supply to tumor is blocked surgically or mechanically and anti-cancer drugs are administered directly into tumor.

a)

Hormone

b)

Radiation

c)

Tumor Embolization

d)

Chemoembolization

11.

Surgical removal of an organ for hormonal manipulation is coded to hormone therapy?

a)

True

b)

False

12.

Patient has ductal carcinoma of the right breast and ductal carcinoma in situ of the left breast. Oncologist performed Oxaliplatin, which abstract do I code the chemotherapy under?

a)

right breast

b)

left breast

c)

both

d)

neither

13.

Patient received bone marrow transplant from their identical twin. How do I code this treatment? (use your STORE/SEER Manual to find exact code)

a)

12

b)

11

c)

20

d)

10

14.

Patient had neoadjuvant carboplatin on 02/11/25, lumpectomy on 03/15/25, followed by paclitaxel on 04/20/25. How do I code systemic surgery sequence? (use your STORE/SEER Manual to find this code)

a)

2

b)

3

c)

4

d)

5

15.

A patient was given multiple options for treatment, 1. surgery only. 2. chemo with radiation, or 3. radiation with hormone. Patient chose option 1. What is the code for hormone?

a)

00

b)

87

c)

88

d)

01

16.

Hematologic transplant & endocrine procedures include but not limited to:

a)

Radioembolization

b)

Stem cell transplant

c)

Endocrine Surgery

d)

bone marrow transplant

17.

For Date of Chemotherapy started what statement(s) are true?

a)

Record date of 1st chemotherapy if chemo was given

b)

code date of prescription if administered date is unknown

c)

Code as the date of admission

d)

Code as date of diagnosis

18.

Patient was offered 3 treatment options:

option 1: surgery w/ radiation

option 2: surgery w/ hormone

option 3: surgery w/ chemotherapy

Patient chose option 1. What is the reason for no hormone?

a)

00

b)

10

c)

87

d)

99

19.

Patient with breast cancer was given prednisone for allergic reaction, how do I code hormone therapy?

a)

00

b)

01

c)

02

d)

03

20.

Syngeneic is coded to what type of bone marrow transplant?

a)

Syngeneic

b)

Autologous

c)

Allogeneic

d)

Not coded

21.

Two hormonal drugs were administered for cancer treatment. What is my hormone therapy code?

a)

00

b)

01

c)

02

d)

03

22.

Patient was given Anastrozole (hormone) to prevent the high risk of breast cancer. How do I code Hormonal therapy?

a)

00

b)

01

c)

02

d)

03

23.

___ is often first-line of treatment for post-menopausal women w/ ER positive breast carcinoma.

a)

Adrenocorticoids

b)

Arimidex/Anastrozole

c)

Tamoxifen

d)

Zoladex

24.

Carboplatin and Paclitaxel were given to patient. What is my chemotherapy code?

a)

00

b)

01

c)

02

d)

03

25.

Patient's oncologist stated that patient was not a candidate for chemotherapy due to patient's history of heart issues. What is the reason for no chemotherapy?

a)

00

b)

82

c)

85

d)

86

26.

___ is a treatment that uses drugs to kill cancer cell or prevent them from dividing.

a)

Hormone

b)

immunotherapy

c)

Radiation

d)

Chemotherapy

27.

Which of the following are ways chemotherapy are administered? (more than one answer)

a)

Intravenous

b)

Intraperitoneal

c)

Intra-arterial

d)

Oral

e)

Topically

28.

___ administration of chemotherapy is the most common way chemotherapy is administered.

a)

Intraperitoneal

b)

Topical

c)

Oral

d)

Intravenous

29.

____ administration of chemotherapy exposes tumor in the cavity to higher doses. Used for Ovarian carcinoma.

a)

intravenous

b)

Oral

c)

Intraperitoneal

d)

intramuscular

30.

____ administration of chemotherapy is also known as chemoembolization when given with therapeutic microspheres.

a)

Intra-arterial

b)

Intraperitoneal

c)

Intraventricular

d)

intravenous

31.

____ administration is most widely used in treating liver cancer and liver mets.

a)

intrathecal

b)

oral

c)

Intra-arterial

d)

intra-peritoneal

32.

____ administration of chemotherapy injects drugs into the CNS to circumvent blood-brain barriers.

a)

intravenous

b)

oral

c)

intramuscular

d)

intraventricular/intrathecal

33.

Xeloda and Temodar are chemotherapy drugs given how?

a)

orally

b)

IV

c)

intramuscular

d)

topically

34.

Mycosis Fungoides (also called cutaneous T-Cell lymphoma) is usually treated with what type of chemotherapy?

a)

oral

b)

topical

c)

intramuscular

d)

IV

35.

What type of stem cell transplant is given by a matched relative?

a)

allogeneic

b)

autologous

36.

What type of bone marrow transplant is when the patient receives their own bone marrow?

a)

allogeneic

b)

syngeneic

c)

autologous

37.

___ is when patient received bone marrow from donor

a)

allogeneic

b)

autologous

c)

hormonal

38.

This therapy uses the body's immune system to fight cancer or reduce side effects.

a)

Chemo

b)

Hormone

c)

Immuno

d)

Bone Marrow Transplant

39.

R-CHOP is coded how? (chemo, hormone, immuno)

a)

chemo 01

hormone 01

immuno 01

b)

chemo 03

hormone 01

immuno 01

c)

chemo 02

hormone 00

immuno 01

d)

chemo 03

hormone 00

immuno 01