Questions with 100% Correct Answers
A subject participates in a drug study because treatment is available at no or reduced cost, and he
could not otherwise afford it. This is an example of
A. Institutional vulnerability
B. Communicative vulnerability
C. Economic vulnerability
D. Social vulnerability Correct Answer: C. Economic vulnerability
According to the authors, there are four common abuses that historically are described as giving
rise to vulnerability . Which response below contains the correct four?
A. Coercion, undue influence, neglect and disrespect
B. Physical control, coercion, undue influence, and manipulation
C. Prejudice, physical control, manipulation and coercion
D. Physical control, coercion, undue influence and neglect Correct Answer: B. Physical control,
coercion, undue influence, and manipulation
Identify the following groups that are protected in the federal regulations (45 CFR 46),
specifically in Subparts B, C, and D with additional protections:
A. Pregnant women, prisoners, children
B. Prisoners, children, and older adults
C. Pregnant women, prisoners, and individuals who are economically disadvantaged
D. Children, prisoners, and individuals who are critically ill Correct Answer: A. Pregnant
women, prisoners, children
Subjects with a serious illness may be at risk for exploitation since they may be desperate for a
possible cure. This is an example of
A. Deferential vulnerability
B. Therapeutic misconception
C. Medical Vulnerability
D. Economic vulnerability Correct Answer: C. Medical Vulnerability
Which is an example of a situation where deferential vulnerability might be a factor?
A. A college professor recruiting among his students
B. An army medical officer recruiting subjects among lower ranks
C. A physician recruiting his patients
D. An employer recruiting among persons who directly report to him Correct Answer: C. A
physician recruiting his patients
, In considering NBAC's analytic approach, an otherwise competent person who is acutely ill
might be considered at especially high risk of harm for:
A. Economic vulnerability
B. Communicative vulnerability
C. Situational cognitive vulnerability
D. Capacity-related cognitive vulnerability Correct Answer: C. Situational cognitive
vulnerability
When an IRB is reviewing a research study and they are considering if a potential subject
population is vulnerable, they should consider:
A. Are there adequate resources to conduct the study?
B. Is there a power differential between researchers and subjects?
C. Are the research procedures greater than minimal risk of harm?
D. Has the researcher completed required training? Correct Answer: B. Is there a power
differential between researchers and subjects?
Which is true of inducements in research?
A. Like coercion, undue inducement is easy for IRBs to determine.
B. Offering $10 for an hour long research study constitutes undue inducement.
C. Inducements, like coercion, are always inappropriate, as they violate the ethical principle of
respect for persons.
D. Inducements constitute an "undue influence" if they alter a potential subject's decision-
making processes, such that they do not appropriately weigh the risk-benefit relationship of the
research. Correct Answer: D. Inducements constitute an "undue influence" if they alter a
potential subject's decision-making processes, such that they do not appropriately weigh the risk-
benefit relationship of the research.
NBAC proposed a concept of vulnerability in research based on features of potential subjects or
of their situation. Which of the following was NOT included as possibly leading to vulnerability?
A. High risk for exploitation
B. High potential for individual benefit from participating in research
C. Difficulty providing voluntary, informed consent arising from limitations in decision-making
capacity
D. Difficulty providing voluntary, informed consent arising from or situational circumstances
Correct Answer: B. High potential for individual benefit from participating in research
Which of the following brought increased public attention to the problems with the IRB system?
A. HHS Inspector General Report of 1998
B. 1983 Presidential Commission Report
C. "Shut Downs" by OHRP
D. Death of Jesse Gelsinger Correct Answer: D. Death of Jesse Gelsinger