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ACRP CCRC FINAL EXAM 2025 ACTUAL EXAM 300 QUESTIONS WITH DETAILED VERIFIED ANSWERS, Exams of Health sciences

ACRP CCRC FINAL EXAM 2025 ACTUAL EXAM 300 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+ A 22y/o male was entered into a clinical study for treatment of schizophrenia The study drug was administered orally, BID. One week later, the subject visited the investigator complaining of sever sore throat. The IB lists this as an occurrence reported by 1% of subjects receiving drug. How should this severe throat be classified? - answers>>- An adverse event - An adverse drug reaction A number of attributes are considered of universal importance to source data and the records that hold those data. These include that data records are? - answers>>- Accurate and legible -Contemporaneous and original - Attributable and consistent

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ACRP CCRC FINAL EXAM 2025 ACTUAL
EXAM 300 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A 22y/o male was entered into a clinical study for treatment of schizophrenia The study
drug was administered orally, BID. One week later, the subject visited the investigator
complaining of sever sore throat. The IB lists this as an occurrence reported by 1% of
subjects receiving drug. How should this severe throat be classified? - answers>>- An
adverse event
- An adverse drug reaction
A number of attributes are considered of universal importance to source data and the
records that hold those data. These include that data records are? - answers>>-
Accurate and legible
-Contemporaneous and original
- Attributable and consistent
A patient cannot recall the name of the heart condition medication he took a few years
ago. This is important information for deciding whether the patient may be enrolled in a
clinical trial (IC/EC). What's your best course of action? - answers>>You attempt to
retrieve the patients medical history by contacting previous caregivers and you wait for
additional information before enrollment.
A person with LEP? - answers>>Limited ability to read, write, and/or speak english.
A protocol amendment was issued for a trial. Your site received IRB approval for the
amendment and wants to implement the increase in PO dose for your trial subjects as
identified in the amendment trial subjects. As delegated consenting duties you must re-
consent trial subjects before being able to administer the adjusted dose. You decide to
only re-consent trial subjects who are still taking the IP and not from the subjects woh
already completed their drug intake period. Is this allowed according the E6 Guideline
for GCP? - answers>>No, these subjects are still enrolled in the trial and therefore need
to be updated on any changes to the protocol.
A report prepared by marketing-authorization holder describing the worldwide safety
experience with medicine at defined time after authorization is called? -
answers>>Periodic Safety Update Report (PSUR)
A site struggles with the conduct of a phase III trial due to lack of site staff to be able to
conduct all visits and collect required data as identified in the protocol. Upon
completion, the investigator tells the CRA and site staff during a follow-up meeting that
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Download ACRP CCRC FINAL EXAM 2025 ACTUAL EXAM 300 QUESTIONS WITH DETAILED VERIFIED ANSWERS and more Exams Health sciences in PDF only on Docsity!

ACRP CCRC FINAL EXAM 2025 ACTUAL

EXAM 300 QUESTIONS WITH DETAILED

VERIFIED ANSWERS (100% CORRECT

ANSWERS) /ALREADY GRADED A+

A 22y/o male was entered into a clinical study for treatment of schizophrenia The study drug was administered orally, BID. One week later, the subject visited the investigator complaining of sever sore throat. The IB lists this as an occurrence reported by 1% of subjects receiving drug. How should this severe throat be classified? - answers>>- An adverse event

  • An adverse drug reaction A number of attributes are considered of universal importance to source data and the records that hold those data. These include that data records are? - answers>>- Accurate and legible
  • Contemporaneous and original
  • Attributable and consistent A patient cannot recall the name of the heart condition medication he took a few years ago. This is important information for deciding whether the patient may be enrolled in a clinical trial (IC/EC). What's your best course of action? - answers>>You attempt to retrieve the patients medical history by contacting previous caregivers and you wait for additional information before enrollment. A person with LEP? - answers>>Limited ability to read, write, and/or speak english. A protocol amendment was issued for a trial. Your site received IRB approval for the amendment and wants to implement the increase in PO dose for your trial subjects as identified in the amendment trial subjects. As delegated consenting duties you must re- consent trial subjects before being able to administer the adjusted dose. You decide to only re-consent trial subjects who are still taking the IP and not from the subjects woh already completed their drug intake period. Is this allowed according the E6 Guideline for GCP? - answers>>No, these subjects are still enrolled in the trial and therefore need to be updated on any changes to the protocol. A report prepared by marketing-authorization holder describing the worldwide safety experience with medicine at defined time after authorization is called? - answers>>Periodic Safety Update Report (PSUR) A site struggles with the conduct of a phase III trial due to lack of site staff to be able to conduct all visits and collect required data as identified in the protocol. Upon completion, the investigator tells the CRA and site staff during a follow-up meeting that

she no longer wants to conduct trials because of the resource challenges they faced. What would you recommend the investigator do? - answers>>Evaluate available resources (staff, time, patient population, financial) and conduct trials in phase for which the site has resources. A study protocol provides? - answers>>A plan for a scientific experiment or for medical treatment. A trial subject in a cardiology trial is admitted to hospital with heart attack. The investigator considers this event possibly related to the study drug even though this is not listed in the IB as a potential adverse reaction. What would the investigator report this event to the sponsor as? - answers>>An unexpected, serious adverse event A trial subject informs you she no longer wants to participant in the trial. What should your course of action be? - answers>>You ask if the patient wishes to share the reason why she wants to leave the trial. If not, you exclude the subject from the trial immediately. A trial subject suffers from severe repeat headaches. Should this adverse event be reported to the IRB? - answers>>No Acceptable method used to assess subject comprehension of consent form and study?

  • answers>>Teach-back method According the MHRA, an inspection finding is considered critical where evidence exists that signifiant and unjustified departure from applicable legislative requirements has occurred with evidence that: - answers>>- Safety/well-being of subject jeopardized
  • Clinical trial data are unreliable
  • Systematic quality assurance failure According to Declaration of Helsinki, where a proven intervention does NOT exist, the physician...? - answers>>May consider an unproven intervention. According to ICH E9, IDMCs should provide what? - answers>>- Intervals assess the safety of clinical trial
  • Recommend to sponsor whether to continue, modify, or stop trial Activity present in research (scientific) is? - answers>>Exploratory data collection, analysis, and hypothesis testing. Adaptive study design is defined as? - answers>>Clinical trials capable of changes in design/feature in response to accumulated data. Adhering to the principles represented in ALCOA-C support? - answers>>Good documentation practice.

Current coordinator is asked a question about the enrollment source completed by prior coordinator during regulatory inspection. What should her response be if she knows the correct answer? - answers>>Decline answer as she has no first hand knowledge of the creation of source document Data manager calls investigator saying fraud has been committed. Did the data manager act as they should? - answers>>No Data manager suspects fraud and immediately calls investigator stating fraud was committed. Was this the best course of action? - answers>>No Decisional conflict can be experienced when? - answers>>Patient has uncertainty about which course of action to take. Differences ithat may be seen in a RBM study include? - answers>>Monitors may conduct less frequent on-site visits. Directed/for-cause inspections may focus on? - answers>>The particular reason that prompted the inspection Documents that may be inspected to show the sponsors oversight of trial may include: - answers>>- Documents that describe transfer of obligations

  • Investigator/site qualifications/selection process and training
  • Monitoring plans, reports and corrective actions through the monitoring process During a study visit a patient tells the investigator that she visited an emergency room and received intensive treatment for allergic bronchospasm. Since the patient was in the emergency room for only three hours, the investigator did not assess the event as serious. Is this a correct assessment? - answers>>No, this would be a medically important event and should be considered serious During a visit with investigator, a subject reported feeling heart palpitations for a brief period of time during the previous evening. The heart palpitations resolved without reoccurrence. The investigator considered these symptoms to be unrelated to study drug. The next day, the subject told a fellow student that he felt tired and was planning on taking a nap. Later, the subject was found dead. A preliminary report from the medical examiner indicated the subject died of pulmonary embolism. What should your next course of action be? - answers>>- Record these events in case report form
  • Immediately notify sponsor about serious adverse events During the budget preparation phase, the site should? - answers>>- Analyze protocol
  • Determine study services
  • Obtain necessary clarifications from sponsor
  • Analyze CRF eCRFs when used as source should enhance? - answers>>- Remote review by sponsor
  • Timing of completion of data entry
  • Faster data review and cleaning (queries) Electronic systems are being used in collaboration by sponsors and sites to: - answers>>- Reduce transcription errors
  • Increase accessibility to data in faster timeframe
  • Allow for rapid review of results and safety management EMA uses how many categories to rate inspection findings for inspectors? - answers>> 3 Examples of electronic signature? - answers>>Signature linked to password Examples of electronic systems utilized in clinal trials? - answers>>- electronic medical records
  • electronic case report forms (eCRFs)
  • electronic diaries Factors that influence GCP inspection selection process include? - answers>>- The number of UK patients and nature of subjects
  • Outcome of previous GCP inspections
  • Organization with no inspection history For each electronic system to be acceptable for use in research the system must? - answers>>- Be available and accessible
  • Be valid
  • Have back-up and internal parameters Funding for study? - answers>>Derived from external or internal sources. General regulatory expections for electronic systems include: - answers>>- Password control
  • Audit trail
  • Appropriate access by qualified personnel (read vs write access) Having which two people sign and date the consent form is a quality standard for the informed consent documentation? - answers>>The subject and the person obtaining consent. How do population studies differ from case-control? - answers>>Larger in sample size. How is the seriousness of a risk calculated? - answers>>Likelihood of risk x consequences of risk. How many categorizes are in research design? - answers>>Four

In which trial phases would the following trial design most likely be found? An international double-blind randomized trial comparing the efficacy of two doses of trial drug with a commonly used competition in 50 sites recruitment of 10- 3 0 subjects each. - answers>>Phase III, IV Inspection objective include verifying? - answers>>- Rights, safety, welfare of subjects

  • Compliance with regulations
  • Adherence to pharmacovigilance requirements
  • Data integrity of submitted data and reports Investigator continues postponing dates for QC. Is this unethical behavior? - answers>>Yes Investigator continues postponing meeting because he's busy. Do you consider this unethical behavior? - answers>>Yes Investigator continues randomizing patient until they received investigators desire product. Is this ethical? - answers>>No Investigator continues to randomize patient until patient is grouped with investigators desired product. Is this ethical? - answers>>No Menu diversification means? - answers>>A sites trial menu should be in concordance with types of trials offered, patients seen, and burden of disease on community. Name an element of a feasibility assessment related to analyzing clinical and ethical characteristics of protocol design and perceived impact of study objectives on local patients treatment. - answers>>Interest Other considerations for study design and feasibility assessment? - answers>>- Ethics
  • Funding
  • Practicality Password protection allows monitors and auditors to confirm that subjects confidentiality was maintained as well as providing a methodology to confirm that only individuals with appropriate education, experience and training completed study related procedures as tasked on a what? - answers>>Delegation log Patient Centered Outcomes Research study design defined as? - answers>>Takes into account voice and input for patients. Planning for how to handle risks include what two activities? - answers>>- Risk avoidance
  • Risk mitigation

Population, case-control, and cohort studies are what type of study? - answers>>Observational Potential reasons for an unannounced clinical investigator inspection can include what?

  • answers>>- Receipt of complaint
  • On termination of clinical site
  • In response to sponsor or IRB/IEC inspections Protocol adherence is derived from what? - answers>>Good training techniques Protocol design starts with? - answers>>Identifying gab in knowledge. Quality standards are set by? - answers>>- Regulatory bodies
  • IRB/IECs Randomized Controlled Trials (RCTs) differ from other study types in what way? - answers>>- Greatest level of interaction with participant
  • Greatest involvement with investigator
  • Most complex design and structure Research study design can be utilized in what function? - answers>>- Constructing new protocol
  • Amending existing study
  • Study feasibility assessment Responses to a regulatory authority must? - answers>>Come from the person most responsible and in the timeframe specified. Risk related to study can involve what aspect? - answers>>- Risk of study participants
  • Risk of study integrity Sponsors consider what criteria when selecting clinical research sites for their trials - answers>>- Coordinator workload (number of studies per coordinator)
  • IRB/IEC timelines and reporting policies
  • Number/type of competing trials ongoing at site
  • Investigator expertise in area being researched Study protocol is composed of? - answers>>- Background
  • Purpose
  • Methods The 1572 is an agreement between the PO and who? - answers>>FDA The average population in the US of person with EP is estimated to be? - answers>>~9%

True and False? If a clinical trial required home visits, the subjects address should be listed on 1572. - answers>>False True of False? The per subject cost section of budget should include cost for one single completed subject. - answers>>True True or False? A CRC claims that you doin't need to assess the impact of your risk management efforts on an ongoing basis as long as the plan was executed properly. - answers>>False True or False? A key component of RBM is building quality into protocol design in order to enable more focused and efficient monitoring. - answers>>True True or False? A retroactive approach is the best approach to ensure subject safety. - answers>>False True or False? A site has limited resources and the investigator is promised a trip if enrollment increases. The CRA claims this is ethical. - answers>>False True or False? A well-educated person is always health literate. - answers>>False True or False? An example of a risk indicator would be an out of range laboratory value related to IC/EC on a subject that was just randomized. - answers>>True True or False? An investigator claims he can conduct the Phase II trial without issues as he's already conducted ten Phase III and IV trials. - answers>>False True or False? Bribes trip to NY for increased number of enrolled patients. Is this ethical? - answers>>False True or False? Clinical research sites may recruit subjects for trials by contacting their own patients, asking outside physicians to refer their patients, or by advertising trial within community. - answers>>True True or False? Comprehensive data management plans can help ensure the recording of accurate and complete data. - answers>>True True or False? Concerns about accuracy of submitted data can include an unusual recruitment pattern. - answers>>True True or False? Concluding that theres a difference between two treatments when in actual fact there is no different is type 1 error. - answers>>True True or False? Concluding there's no difference between two treatments when in actual there's a difference is type II error. - answers>>True

True or False? For the EMA, inspections are conducted by the EMA inspectorate of the EU. - answers>>False True or False? Globalization of clinical research is a major factor that's led to development of a common and accepted framework and sharing of inspection observations in different regions. - answers>>True True or False? If a resident is on rotation, and assessed an AE, it's okay if they're NOT listed on 1572. - answers>>True True or False? If the investigator is a non-physician, the investor should make adequate provision for an necessary medical care. - answers>>True True or False? In an industry initiated clinical trial, the site should ask sponsor for an advance vs start-up costs. - answers>>False True or False? In the US, device trials are to be conducted under CFR part 812. - answers>>True True or False? In the US, it's ethically unacceptable to routinely consider non-english speaking patients ineligible for trial. - answers>>True True or False? Indirect cost should only be charged on per-subject costs. - answers>>False True or False? It's important for a clinical research site to have a clinical trial menu reflective of patient population. A formal feasibility assessment of all potential trials often satisfies this need. Assessment includes examining interest, capacity, potential rate of accrual and diversification - answers>>True True or False? It's important for research sites to have a plan in place (including qualified translators) for consent patients with LEP. - answers>>True True or False? It's important for sites to have formal trial/patient feasibility assessment processes which involve internal stakeholders in order to create balanced portfolio/trial menu. - answers>>True True or False? Nuremberg Code states human subjects should be at liberty to withdraw.

  • answers>>True True or False? One of four participants leave a trial before it's completed. - answers>>True True or False? Only ~50% of participant who signed consent could explain how they're randomized during the trial. - answers>>True

True or False? Studies of research sites globally have shown that between 2009 and 2013, 95% achieved their enrollment goals. - answers>>False True or False? Subjects have right to withdraw from experimental trial? - answers>>True True or False? The 1572 is considered a legally binding contract between the PI and FDA. - answers>>False True or False? The charge to sponsor should be the actual cost of protocol required items or services. - answers>>False True or False? The investigator should NOT attempt to negotiate clinical trial budget with sponsor. - answers>>False True or False? The menu/portfolio of studies offered at a site, along with research staff feasibility assessment prior to selecting a trial has an important impact on accural. - answers>>True True or False? The site should review sponsors budget before drafting own site budget.

  • answers>>False True or False? There's no need to review/cross-check because unethical conduct almost never occurs anymore. - answers>>False True or False? Trial accural performance involves collecting data in real time for all ongoing studies as well as past studies at a participating site. - answers>>True True or False? Typically, when a participant signs consent, it indicates they clearly understand the information within the consent and details of trial. - answers>>False True or False? Unethical conduct almost never occurs so investigator doesn't need to cross-check data. - answers>>False True or False? Within the US, clinical investigations of drugs and biological products must be conducted in accordance with 21 CFR part 312. - answers>>True True or False. Moving away from preventing problems to identifying and correcting problems is a key paradigm shift taking place in clinical trial conduct. - answers>>False True or False. When engaged in quality improvement activities, it's important to identify who is to blame for quality failure? - answers>>False TWhich are operational principles for effective and efficient recruitment and retention? - answers>>- Support: All enrolled participants receive adequate support to ensure compliance and retention throughout trial.
  • Normalization: Trials are normalized by all staff/providers on an institutional-wide basis through effective communication with patients
  • Trial selection: Trials selected for local implementation will appropriately meet need of local participants. Wh's the industry average patient conversion ratio? For every 1 subject randomized, what's the average number of subjects that need to be identified? - answers>> 10 What Adverse Events (AEs) are Serious Adverse Events (SAEs)? - answers>>- Any AE that results in death
  • Any AE that results in inpatient hospitalization
  • Any AE that is a congenital anomaly What are benchmarks that can predict likelihood of successful accrual? - answers>>- Expected enrollment time period
  • Time to first enrollment What are characteristics of health literacy? - answers>>- Obtain, process, understand basic health information
  • Relies on cultural and conceptual knowledge What are clinical trial performance metrics? - answers>>Data points that provide insights into operational performance. What are elements of a formal feasibility assessment process? - answers>>- Interest
  • Accruability
  • Capacity
  • Menu diversification What are expectations in relation to the qualifications of an investigator? - answers>>- Be qualified by education, training, and experience to assume responsibility for the proper conduct of the trial.
  • Be thoroughly familiar with appropriate use of IP
  • Permit for monitoring and auditing by the sponsor and inspection by the appropriate regulatory authorities What are expected or possible consequences of over-estimation of recruitment potential? - answers>>- The trial will overrun its projected timeline
  • The recruitment period will be prolonged and more sites may be needed
  • The study will not have sufficient data within the required timeframe and will be stopped because of lack of budget What are fishbone diagrams, process flow charts, and the 5 whys used for determining?
  • answers>>Root causes
  • Commitment by investigator for appropriate conduct of the clinical trial
  • Name and address of where the investigation will be held What are the sites responsibilities regarding QC? - answers>>- Sites need to ensure high quality of data
  • Sites need to conduct their own QC What are three activities that should be considered by sites in a risk-based monitoring environment? - answers>>- Implementing additional quality control measures
  • Revising study contracts
  • Updating internal SOPs What are three applications of adult learning? - answers>>- Problem based learning (PBL)
  • Clinical problem solving
  • Problems require different expertise What are three key areas of focus in RBM? - answers>>- Patient safety
  • Accurate representation of key data
  • Protocol compliance What are three key elements included as part of SOP development? - answers>>- Develop a template
  • Designate categories
  • Determine a number system What are three key principles of Belmont Report? - answers>>- Respect for Persons
  • Justice
  • Beneficience What are three key principles of the Belmont Report? - answers>>- Respect for persons
  • Justice
  • Beneficence What are three techniques used for process improvement? - answers>>- Correction and prevention implementation
  • Identify plans for process management
  • Conducting a RCA to identify cause of error(s) What are three true statements about cross-over trials? - answers>>- The subjects are their won control
  • The drug being studied is highly variable
  • Some subjects start on treatment arm A and other on treatment arm B or C

What are three true statements with respect to protecting the rights, safety, and welfare of study subjects? - answers>>- Providing subjects with method of communication with the investigator or qualified designee for questions or concerns

  • Adhering to the protocol so that study subjects aren't exposed to unreasonable risk
  • Providing reasonable access to needed medical care What are two examples of how normalizing of trials can be achieved? - answers>>- Education programs for staff/providers/general public
  • Communication programs about active trials at trial sites What are two possible risk mitigation strategies? - answers>>- Training staff
  • Implementing SOPs What are two true statements about RBDM? - answers>>- Risk-based decision making is a process, not a one-time activity
  • RBDM is a continuous process in which the endpoint leads back to earlier stages What areas are applicable to assess the adequacy of supervision by an investigator? - answers>>- Whether individuals who were delegated tasks were qualified to reform such tasks
  • Whether study staff received adequate training on how to conduct the delegated tasks
  • Whether there was adequate supervision and involvement in the ongoing conduct of the study What data points minimally need to be reported by the site when reporting an SAE, so that the sponsor can process the event? - answers>>Identification of event, product, and trial subject What design is most commonly used for confirmatory trials? - answers>>Parallel group What determines the causality of an adverse event? - answers>>The investigator What documentation must accompany the 1572 submission? - answers>>PI CV What documents support quality control? - answers>>- SOPS,
  • Concomitant medication log What does CAPA stand for? - answers>>Corrective and Preventive Action What does NAI stand for? - answers>>No action indicated What does OAI stand for? - answers>>Official action indicated What does the following statement mean? Appropriateness of trials should be >75%. - answers>>The ratio of the number of eligible trial subjects beginning treatment is >75% for previous month.

What key ares should be included for consideration in development by sponsor or investor? - answers>>- Creation and modification of systems from sponsor or investigator

  • Creation, modification and transfer for data from sponsor or investigator
  • Control, copying and storage What makes a metric "meaningful"? - answers>>It leads to testable hypotheses and predictions. What must or may the physician do with regard to unproven intervention? (Declaration of Helsinki) - answers>>May consider an unproved intervention What percentage of subjects who sign consent can later recall important elements? - answers>>50% What risk should be appointed highest priority to manage in view of patient safety and data quality? - answers>>Insufficient IP accountability. What should be considered for all patients during ICF process? - answers>>- Emotional state
  • Learning style
  • Health literacy What should be considered part of a proactive approach for a site? - answers>>- Ensure that the study population matches the site population
  • Verification that adequate resources are available to conduct the trial
  • Ensure protocol requirements are consistent with standard of care What should be considered part of a proactive approach for a sponsor? - answers>>- Identification of risk and strategies for mitigation
  • Feasibility process to identify qualified sites
  • Training a management plan to ensure sites are equipped to work on study What should be contained in study design? - answers>>- Appropriate comparators
  • Adequate numbers of subjects
  • Clear endpoints What should be the first consideration when conducting a clinical trial? - answers>>Subject welfare What skills are essential for making risk based decision making successful? - answers>>- Quality control skills
  • Motivational skills
  • Change management skills

What skills are most affected by the introduction of risk-based decision making? - answers>>- Motivational skills

  • Change management What statements are true concerning an adverse drug reaction? - answers>>- All noxious and unintended responses to a medicinal product related to any dose should be considered as an ADR
  • An ADR suggests a relationship to trail medication
  • All ADRs must be documented What techniques reduce bias? - answers>>- Blinding
  • Randomization What three assumptions are included in the six knowles principles for adult learners? - answers>>- Practical
  • Relevancy oriented
  • Goal oriented What tip for enhancing understanding during consent process is true? - answers>>- Explaining 2-3 concepts at a time
  • Giving opportunity for participant to recall information
  • Using visual images What type of risk-based inspection involves the selection of a number of clinical trials for the inspection sample? - answers>>Routine National Systems Inspections What value type has components that may sometimes be analyzed separately? - answers>>Composite What variable type is usually a scale of ordered categorial ratings? - answers>>Global assessment What variable type may not be a true predictor of the clinical outcome of interest? - answers>>Surrogate What's a benefit of assessing detailed metrics regarding screen failures? - answers>>The ability to observe trends across trial types, or within trial itself. What's a benefit of measuring time between final contract signature and enrolling firm subject? - answers>>This cycle time is indicative of overall success in achieving accural goal for trial. What's a reason why clinical sites should measure accural rates? - answers>>To identify strengths and opportunity for development and improvement.