Unit 6: Research ethics - Practice Quiz

BTY196 — Biosafety And Bioethics 60 Questions
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1 What is the primary purpose of an Institutional Review Board (IRB)?

Institutional Review Board (IRB) and its functions Easy
A. To recruit scientists for a study
B. To secure funding for research projects
C. To protect the rights and welfare of human research subjects
D. To publish research findings in journals

2 Which document must researchers typically submit to an IRB before beginning a study with human participants?

Institutional Review Board (IRB) and its functions Easy
A. A tax return
B. A patent application
C. A marketing plan
D. A research protocol

3 What is the term for a participant's voluntary agreement to take part in research after being fully informed?

Ethical issues in clinical research Easy
A. Peer review
B. Informed consent
C. Data anonymization
D. Randomization

4 In a clinical trial, a placebo is best described as:

Ethical issues in clinical research Easy
A. A high dose of the study drug
B. A genetic test
C. A surgical procedure
D. An inactive substance with no therapeutic effect

5 Which of the following is considered a vulnerable population in research?

Vulnerable populations Easy
A. Children
B. Government officials
C. University professors
D. Salaried professionals

6 Why do vulnerable populations require special protection in research?

Vulnerable populations Easy
A. They are cheaper to recruit
B. They complete studies faster
C. They always produce better data
D. They may have limited ability to protect their own interests

7 Which group is typically NOT classified as a vulnerable population?

Vulnerable populations Easy
A. Healthy independent adults
B. Pregnant women
C. Cognitively impaired individuals
D. Prisoners

8 In research ethics, a favorable risk-benefit ratio means that:

Risks and benefits Easy
A. Risks are completely eliminated
B. Benefits are guaranteed to every subject
C. Potential benefits justify the potential risks
D. Costs are lower than expected

9 Who is responsible for assessing whether the risks of a study are reasonable in relation to its benefits?

Risks and benefits Easy
A. The Institutional Review Board
B. The study participants alone
C. The journal editor
D. The funding agency's accountant

10 Who should generally be listed as an author on a research paper?

Authorship Easy
A. Anyone who works in the department
B. The head of funding only
C. Someone who made a significant intellectual contribution
D. The journal reviewer

11 The unethical practice of listing someone as an author who did not contribute is called:

Authorship Easy
A. Peer review
B. Gift (honorary) authorship
C. Acknowledgment
D. Corresponding authorship

12 Failing to credit a person who made a major contribution to a study is known as:

Authorship Easy
A. Plagiarism of ideas
B. Fabrication
C. Ghost authorship
D. Falsification

13 The ethical principle emphasizing that human subjects must be safeguarded during research is broadly known as:

Human protectionism Easy
A. Human protection
B. Market analysis
C. Cost optimization
D. Data mining

14 Which historical document helped establish principles for protecting human research subjects?

Human protectionism Easy
A. The Kyoto Protocol
B. The Geneva Convention on trade
C. The Nuremberg Code
D. The Paris Agreement

15 Making up data that was never actually collected is known as:

Issues in research ethics Easy
A. Peer review
B. Replication
C. Fabrication
D. Citation

16 Using another person's words or ideas without proper credit is called:

Issues in research ethics Easy
A. Randomization
B. Falsification
C. Plagiarism
D. Anonymization

17 Which type of cloning is aimed at producing a genetically identical individual?

Ethical issues in human cloning reproduction and stem cells research Easy
A. Therapeutic cloning
B. Reproductive cloning
C. Protein folding
D. Gene sequencing

18 A major ethical concern in embryonic stem cell research is:

Ethical issues in human cloning reproduction and stem cells research Easy
A. The destruction of human embryos
B. The high cost of microscopes
C. The speed of computers
D. The lack of laboratories

19 Biological weapons are best defined as agents that use which of the following to cause harm?

Social and ethical implications of biological weapons Easy
A. Electromagnetic pulses
B. Nuclear fission reactions
C. Living organisms or their toxins
D. Chemical explosives only

20 Euthanasia is best described as:

Euthanasia Easy
A. A type of genetic sequencing
B. Intentionally ending a life to relieve suffering
C. A method of vaccine production
D. A form of medical imaging

21 A researcher submits a protocol to enroll healthy adult volunteers in a low-risk survey study. Under standard regulations, the IRB may assign this study to which review category?

Institutional Review Board (IRB) and its functions Medium
A. Expedited review
B. Mandatory data safety monitoring board oversight
C. Automatic exemption without any submission
D. Full board review with quarterly reporting

22 An IRB reviews a study and finds the consent form adequate but the risk-mitigation plan incomplete. What is the most appropriate IRB action?

Institutional Review Board (IRB) and its functions Medium
A. Permanently ban the investigator
B. Refer directly to law enforcement
C. Approve as submitted
D. Require modifications before approval

23 A placebo-controlled trial is proposed for a condition that already has an effective standard treatment. Why is this design ethically problematic?

Ethical issues in clinical research Medium
A. It always increases the cost of the trial
B. It reduces the sample size needed
C. It may deny participants a proven effective therapy
D. It automatically violates copyright law

24 In a clinical trial, which practice best upholds the principle of informed consent?

Ethical issues in clinical research Medium
A. Explaining risks, benefits, and the right to withdraw before enrollment
B. Disclosing only the benefits to encourage participation
C. Enrolling participants first and informing them later
D. Obtaining a signature only after the study ends

25 Which group is generally considered a vulnerable population requiring additional research safeguards?

Vulnerable populations Medium
A. Salaried office employees
B. Retired engineers
C. Prisoners
D. University faculty

26 A study seeks to enroll children. What additional consent requirement typically applies compared to studies with competent adults?

Vulnerable populations Medium
A. Only the researcher's approval is required
B. Parental permission plus the child's assent where appropriate
C. Written consent from the school principal alone
D. No consent is needed for minors

27 An IRB evaluates a study where potential harms clearly outweigh anticipated benefits to participants and society. According to the risk-benefit principle, the study should be:

Risks and benefits Medium
A. Approved only if it is inexpensive
B. Approved to allow scientific progress
C. Approved with a shortened consent form
D. Not approved unless the balance is favorable

28 Which of the following is the best example of minimizing risk in a research design?

Risks and benefits Medium
A. Recruiting only vulnerable individuals for convenience
B. Using the least invasive procedure that answers the question
C. Increasing the drug dose to speed up results
D. Removing the option to withdraw to keep data complete

29 A technician ran all the experiments but contributed no intellectual input to the study design, analysis, or writing. Under standard authorship criteria, this person should typically be:

Authorship Medium
A. Listed as first author
B. Excluded from any mention entirely
C. Acknowledged rather than listed as an author
D. Listed as corresponding author

30 Listing a senior scientist as an author solely because of their position, despite no real contribution, is an example of:

Authorship Medium
A. Gift (honorary) authorship
B. Ghost authorship
C. Co-first authorship
D. Corresponding authorship

31 The concept of human protectionism in research is primarily grounded in which foundational document that emerged after unethical wartime experimentation?

Human protectionism Medium
A. The Nuremberg Code
B. The Geneva Convention on trade
C. The Kyoto Protocol
D. The Human Genome Declaration

32 Which ethical principle most directly requires researchers to protect participants from harm and maximize their well-being?

Human protectionism Medium
A. Beneficence
B. Publication priority
C. Confidentiality of funding
D. Data ownership

33 A researcher reuses large portions of their own previously published text in a new paper without citation. This practice is best described as:

Issues in research ethics Medium
A. Peer review
B. Self-plagiarism
C. Falsification
D. Fabrication

34 Which scenario is the clearest example of data falsification?

Issues in research ethics Medium
A. Sharing raw data with reviewers
B. Reporting an unexpected negative result honestly
C. Citing another author correctly
D. Altering recorded measurements to fit a hypothesis

35 What is a central ethical objection to reproductive human cloning as opposed to therapeutic cloning?

Ethical issues in human cloning reproduction and stem cells research Medium
A. It is universally approved by all regulatory bodies
B. It produces no ethical debate at all
C. It aims to create a genetically identical whole human being with safety and dignity concerns
D. It uses adult stem cells only

36 Much of the ethical controversy surrounding embryonic stem cell research centers on which issue?

Ethical issues in human cloning reproduction and stem cells research Medium
A. The difficulty of writing grant proposals
B. Destruction of the embryo to obtain the cells
C. The naming of cell lines
D. The high cost of laboratory equipment

37 The dual-use dilemma in biological research refers to which situation?

Social and ethical implications of biological weapons Medium
A. Two laboratories share the same equipment
B. Legitimate research findings can be misused to create harmful weapons
C. A drug can treat two different diseases
D. Research can be published in two languages

38 Which international agreement specifically prohibits the development and stockpiling of biological weapons?

Social and ethical implications of biological weapons Medium
A. Helsinki Declaration
B. Nuremberg Code
C. Biological Weapons Convention (BWC)
D. Belmont Report

39 A physician withholds a life-sustaining treatment at a terminally ill, competent patient's explicit request, allowing the natural course of disease. This is best classified as:

Euthanasia Medium
A. Active involuntary euthanasia
B. Passive voluntary euthanasia
C. Non-voluntary active euthanasia
D. Physician-assisted homicide

40 What key ethical distinction separates active euthanasia from passive euthanasia?

Euthanasia Medium
A. Active applies only to animals and passive only to humans
B. Active involves a deliberate act to cause death, passive involves withholding or withdrawing treatment
C. Active requires no consent while passive requires a court order
D. Active is always legal while passive is always illegal

41 A study proposes minimal-risk retrospective analysis of de-identified hospital records. The investigator argues it should be exempt from IRB review. Under the Common Rule, which factor most critically determines whether continuing IRB oversight (expedited vs. exempt) is warranted?

Institutional Review Board (IRB) and its functions Hard
A. Whether the sample size exceeds 1000 records
B. Whether identifiable private information could be readily traced back to individuals
C. Whether the results will be published in a peer-reviewed journal
D. Whether the study is funded by a federal agency

42 In a Phase I oncology trial, participants have advanced disease with no standard options. The therapeutic dose is unknown and toxicity is expected. Which principle best justifies enrollment despite an unfavorable individual risk-benefit ratio?

Risks and benefits Hard
A. The obligation to maximize enrollment to accelerate approval
B. The requirement that risks be entirely eliminated before enrollment
C. The prospect of generalizable knowledge combined with informed, autonomous consent
D. The certainty that participants will directly benefit clinically

43 A trial seeks to enroll incarcerated individuals for a study on a chronic disease unrelated to imprisonment. Which condition would most clearly render this ethically permissible under regulations governing prisoner research?

Vulnerable populations Hard
A. The research concerns conditions affecting prisoners as a class and offers no undue inducement
B. The prisoners receive substantial payment improving their prison standing
C. The prison administration approves for operational convenience
D. The study requires no external IRB because prisons are self-regulating

44 A senior lab head provided funding and lab space but did not contribute intellectually to a manuscript's design, analysis, or writing. Per ICMJE criteria, the appropriate action is to:

Authorship Hard
A. List them as corresponding author regardless of contribution
B. Omit any mention to avoid conflicts of interest
C. List them as first author due to seniority
D. Acknowledge the contribution but not list them as an author

45 The '14-day rule' historically limits in vitro culture of human embryos. What is the primary developmental rationale underlying this specific threshold?

Ethical issues in human cloning reproduction and stem cells research Hard
A. The onset of the primitive streak, marking individuation and the end of possible twinning
B. The point of implantation in the uterine wall
C. The completion of neural tube closure
D. The first heartbeat detectable by ultrasound

46 A competent terminally ill patient requests that a physician withdraw a life-sustaining ventilator, knowing death will follow. Ethically and legally, this is most accurately classified as:

Euthanasia Hard
A. Involuntary euthanasia
B. Active voluntary euthanasia
C. Passive euthanasia / withdrawal of treatment respecting autonomy
D. Physician-assisted suicide

47 A placebo-controlled trial is proposed for a new antihypertensive where effective standard treatment already exists. Under the Declaration of Helsinki, using a placebo arm is most defensible only when:

Ethical issues in clinical research Hard
A. No proven intervention exists, or compelling methodological reasons justify it without serious harm risk
B. The sponsor requires it for faster regulatory approval
C. The placebo arm reduces trial costs significantly
D. Participants are unaware they might receive placebo

48 A researcher publishes gain-of-function methods that enhance pathogen transmissibility, citing scientific openness. This scenario best illustrates which ethical tension central to 'dual-use research of concern' (DURC)?

Social and ethical implications of biological weapons Hard
A. Confidentiality versus the duty to warn identifiable third parties
B. Freedom of scientific inquiry versus prevention of misuse and public safety
C. Distributive justice versus beneficence in resource allocation
D. Individual autonomy versus informed consent

49 The Belmont principle of 'respect for persons' has two distinct components. When enrolling a patient with early-stage dementia who has fluctuating capacity, which action best honors both components?

Human protectionism Hard
A. Excluding all cognitively impaired individuals from any research
B. Obtaining consent during lucid periods while providing additional protections such as a legal representative
C. Relying solely on a family member's decision without assessing the patient's wishes
D. Proceeding based on the patient's original consent regardless of later capacity loss

50 An investigator discovers that a co-author fabricated part of a dataset after publication. Which sequence of actions best conforms to responsible conduct of research?

Issues in research ethics Hard
A. Ignore it since the paper is already published
B. Notify the institution's research integrity officer and initiate correction or retraction of the publication
C. Publicly accuse the co-author on social media immediately
D. Quietly remove the co-author's name from future work

51 During continuing review, an IRB learns of an unanticipated serious adverse event that shifts the risk-benefit balance unfavorably. The IRB's most appropriate immediate authority is to:

Institutional Review Board (IRB) and its functions Hard
A. Suspend or terminate approval and require re-consent or protocol modification
B. Refer the matter solely to the funding agency for a decision
C. Delegate the decision entirely to the sponsor
D. Wait until the scheduled annual review to act

52 In international research conducted in a low-income country, offering free healthcare that participants could never otherwise access raises concern about:

Vulnerable populations Hard
A. Breach of authorship norms
B. Failure to obtain IRB registration
C. Undue inducement compromising voluntary consent
D. Violation of the placebo requirement

53 Induced pluripotent stem cells (iPSCs) are often cited as sidestepping a key ethical objection to embryonic stem cells. Which objection do they primarily circumvent?

Ethical issues in human cloning reproduction and stem cells research Hard
A. The need for informed consent from donors
B. The destruction of human embryos to derive stem cells
C. The problem of immune rejection after transplantation
D. The risk of teratoma formation in transplants

54 The doctrine of double effect is invoked to justify palliative sedation that may hasten death. For the doctrine to apply, which condition is essential?

Euthanasia Hard
A. The physician intends the patient's death to relieve suffering
B. The patient explicitly requests a lethal dose
C. The lethal outcome is the direct means of achieving relief
D. The intended effect is symptom relief and death is a foreseen but unintended consequence

55 An IRB is evaluating a pediatric study with no prospect of direct benefit to child participants. Under the 'minor increase over minimal risk' standard, approval additionally requires that:

Risks and benefits Hard
A. The children provide fully informed adult-level consent
B. Parents waive all liability on behalf of the child
C. The research is likely to yield vital knowledge about the subjects' disorder or condition
D. The intervention offers a guaranteed therapeutic benefit

56 Two researchers dispute the order of authorship on a collaborative paper where contributions were roughly equal. Which mechanism most appropriately resolves this within accepted publishing norms?

Authorship Hard
A. Designating co-first authorship with an equal-contribution footnote
B. Assigning first authorship to the more senior researcher automatically
C. Alphabetical ordering imposed by the journal editor
D. Excluding one author to avoid the dispute

57 The Biological Weapons Convention (BWC) is often criticized for a structural weakness compared to the Chemical Weapons Convention. This weakness is:

Social and ethical implications of biological weapons Hard
A. The lack of any signatory states
B. The absence of a formal verification and inspection mechanism
C. The permission to stockpile pathogens for defense
D. The failure to ban offensive research entirely

58 A trial's data safety monitoring board (DSMB) observes at interim analysis that the experimental arm shows overwhelming benefit exceeding a pre-specified stopping boundary. The ethically indicated action is to:

Ethical issues in clinical research Hard
A. Unblind only the sponsor and continue enrollment
B. Switch the control arm to a placebo
C. Continue to the planned end for maximal statistical power
D. Recommend early termination so all participants can access the effective treatment

59 The Tuskegee Syphilis Study is a foundational case in research ethics. Its most egregious violation, which directly shaped later protections, was:

Human protectionism Hard
A. Paying participants excessive incentives
B. Withholding available effective treatment (penicillin) from participants without disclosure
C. Enrolling participants from multiple countries without harmonized rules
D. Failing to publish the study results

60 A researcher holds equity in the company sponsoring the drug trial they lead. Beyond disclosure, which management strategy most robustly addresses this conflict of interest?

Issues in research ethics Hard
A. Increasing the sample size to dilute bias
B. Selecting only participants likely to respond favorably
C. Simply noting the interest in the methods section
D. Divesting the financial interest or delegating trial oversight to an independent party