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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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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? - ✔✔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. -
✔✔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 - ✔✔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 - ✔✔D. Death of Jesse Gelsinger