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 secure funding for research projects
B. To protect the rights and welfare of human research subjects
C. To publish research findings in journals
D. To recruit scientists for a study

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 research protocol
C. A patent application
D. A marketing plan

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. Randomization
C. Informed consent
D. Data anonymization

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

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

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

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

6 Why do vulnerable populations require special protection in research?

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

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

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

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

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

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 journal editor
B. The funding agency's accountant
C. The study participants alone
D. The Institutional Review Board

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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. Protein folding
B. Therapeutic cloning
C. Reproductive cloning
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. Chemical explosives only
C. Nuclear fission reactions
D. Living organisms or their toxins

20 Euthanasia is best described as:

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

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. Full board review with quarterly reporting
B. Mandatory data safety monitoring board oversight
C. Automatic exemption without any submission
D. Expedited review

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. Require modifications before approval
C. Approve as submitted
D. Refer directly to law enforcement

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 reduces the sample size needed
B. It always increases the cost of the trial
C. It automatically violates copyright law
D. It may deny participants a proven effective therapy

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

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

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

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

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

Vulnerable populations Medium
A. Parental permission plus the child's assent where appropriate
B. Only the researcher's approval is required
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. Not approved unless the balance is favorable
C. Approved with a shortened consent form
D. Approved to allow scientific progress

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

Risks and benefits Medium
A. Increasing the drug dose to speed up results
B. Using the least invasive procedure that answers the question
C. Recruiting only vulnerable individuals for convenience
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. Excluded from any mention entirely
B. Listed as corresponding author
C. Listed as first author
D. Acknowledged rather than listed as an 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. Corresponding authorship
B. Gift (honorary) authorship
C. Co-first authorship
D. Ghost 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 Human Genome Declaration
C. The Geneva Convention on trade
D. The Kyoto Protocol

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. Data ownership
D. Confidentiality of funding

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. Fabrication
C. Falsification
D. Self-plagiarism

34 Which scenario is the clearest example of data falsification?

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

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

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 high cost of laboratory equipment
B. The naming of cell lines
C. The difficulty of writing grant proposals
D. Destruction of the embryo to obtain the cells

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. A drug can treat two different diseases
C. Research can be published in two languages
D. Legitimate research findings can be misused to create harmful weapons

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

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

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. Physician-assisted homicide
C. Non-voluntary active euthanasia
D. Passive voluntary euthanasia

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

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

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 results will be published in a peer-reviewed journal
B. Whether the sample size exceeds 1000 records
C. Whether the study is funded by a federal agency
D. Whether identifiable private information could be readily traced back to individuals

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

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

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

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 first heartbeat detectable by ultrasound
B. The onset of the primitive streak, marking individuation and the end of possible twinning
C. The point of implantation in the uterine wall
D. The completion of neural tube closure

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

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. The sponsor requires it for faster regulatory approval
B. No proven intervention exists, or compelling methodological reasons justify it without serious harm risk
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. Individual autonomy versus informed consent
C. Freedom of scientific inquiry versus prevention of misuse and public safety
D. Distributive justice versus beneficence in resource allocation

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. Proceeding based on the patient's original consent regardless of later capacity loss
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. Excluding all cognitively impaired individuals from any research

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

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. Delegate the decision entirely to the sponsor
B. Suspend or terminate approval and require re-consent or protocol modification
C. Refer the matter solely to the funding agency for a decision
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. Failure to obtain IRB registration
B. Undue inducement compromising voluntary consent
C. Breach of authorship norms
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 risk of teratoma formation in transplants
B. The destruction of human embryos to derive stem cells
C. The need for informed consent from donors
D. The problem of immune rejection after transplantation

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 lethal outcome is the direct means of achieving relief
B. The patient explicitly requests a lethal dose
C. The physician intends the patient's death to relieve suffering
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 research is likely to yield vital knowledge about the subjects' disorder or condition
B. The intervention offers a guaranteed therapeutic benefit
C. Parents waive all liability on behalf of the child
D. The children provide fully informed adult-level consent

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

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. Recommend early termination so all participants can access the effective treatment
C. Continue to the planned end for maximal statistical power
D. Switch the control arm to a placebo

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

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. Divesting the financial interest or delegating trial oversight to an independent party
D. Simply noting the interest in the methods section