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Free PDF CCDM - Certified Clinical Data Manager Accurate Latest Examprep
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SCDM Certified Clinical Data Manager Sample Questions (Q43-Q48):
NEW QUESTION # 43
A study has an expected enrollment period of one year but has subject recruitment issues. Twelve new sites are added toward the end of the expected enrollment period to help boost enrollment. What is the most likely impact on data flow?
- A. The database set-up will need to be changed to allow for additional sites as they are added to the study.
- B. A bolus of CRFs at the end of the study will result in the need to increase data entry and cleaning rates to meet existing timelines.
- C. The distribution of subjects selected for quality control will need to be stratified to allow for the twelve new sites.
- D. Additional sites will likely have increased query rates since site training is occurring closer to study close.
Answer: B
Explanation:
Adding multiple new sites late in the enrollment period creates a concentrated influx of new data near the end of the study. These sites typically start enrolling patients later, resulting in a "bolus" of Case Report Forms (CRFs) that must be entered, validated, and cleaned within a shorter timeframe to meet database lock deadlines.
According to the Good Clinical Data Management Practices (GCDMP, Chapter: Project Management and Data Flow), late site activation compresses the timeline for data management tasks, necessitating increased resources for data entry, query management, and cleaning. Data management teams must anticipate this surge and plan accordingly-either by increasing staffing or revising timelines to prevent bottlenecks and maintain quality.
While option D (increased query rates) can occur, it is a secondary effect. The most direct and consistent impact is the surge in data volume requiring expedited processing near study end.
Reference (CCDM-Verified Sources):
SCDM GCDMP, Chapter: Project Management, Section 5.3 - Managing Changes in Site Activation and Data Flow ICH E6(R2) GCP, Section 5.1 - Quality Management and Oversight
NEW QUESTION # 44
In an EDC study, an example of an edit check that would be inefficient to run at data entry is a check:
- A. Against a valid numeric range.
- B. Across visits for consistency.
- C. On the format of a date.
- D. Against a valid list of values.
Answer: B
Explanation:
In Electronic Data Capture (EDC) systems, edit checks are categorized based on when and how they are executed - typically immediate (at data entry) or batch (post-entry). Checks that require data from multiple visits or forms are generally inefficient to run at data entry because they depend on information that may not yet exist in the system.
According to the Good Clinical Data Management Practices (GCDMP, Chapter: Data Validation and Cleaning), cross-visit consistency checks - such as comparing baseline and follow-up blood pressure or verifying date order between screening and dosing - should be executed as batch or scheduled validations, not at the point of data entry. Running these complex checks in real time can slow system performance, increase query load unnecessarily, and confuse site users if related data are not yet entered.
Conversely, edit checks against valid ranges, formats, or predefined value lists (options A, C, and D) are simple, local validations ideally performed immediately at data entry to prevent basic errors.
Therefore, cross-visit consistency checks (Option B) are best executed later, making them inefficient for real-time data entry validation.
Reference (CCDM-Verified Sources):
SCDM Good Clinical Data Management Practices (GCDMP), Chapter: Data Validation and Cleaning, Section 6.4 - Real-Time vs. Batch Edit Checks FDA Guidance for Industry: Computerized Systems Used in Clinical Investigations - Section on Edit Checks and Data Validation Logic CDISC SDTM Implementation Guide - Section on Temporal Data Consistency Validation
NEW QUESTION # 45
An organization has completed a study and wants to submit the data to the FDA using CDISC SDTM. Which of the following must be done?
- A. SDTM cannot be used in this situation
- B. Provide a letter of intent to use SDTM to the FDA
- C. Map and transform the study data to SDTM
- D. Re-enter the data into an SDTM compliant system
Answer: C
Explanation:
To submit study data to the FDA in CDISC SDTM format, the sponsor must map and transform the collected data from the study's operational database (e.g., EDC) into SDTM-compliant domains.
According to GCDMP (Chapter: Standards and Data Integration) and CDISC SDTM Implementation Guide, this process includes:
Mapping raw data elements from the clinical database to SDTM domains (e.g., DM, AE, VS).
Transforming data to comply with SDTM structural and naming conventions.
Validating the output using CDISC compliance tools (e.g., Pinnacle 21).
Re-entering data (B) is unnecessary, and a letter of intent (C) is not required. SDTM is explicitly accepted by FDA for both retrospective and prospective submissions, so (D) is incorrect.
Thus, option A is correct - map and transform existing data to SDTM format for regulatory submission.
Reference (CCDM-Verified Sources):
SCDM GCDMP, Chapter: Standards and Data Integration, Section 5.3 - Data Transformation and CDISC Mapping CDISC SDTM Implementation Guide, Version 3.4 - Data Conversion and Submission Requirements FDA Study Data Technical Conformance Guide, Section 2.2 - SDTM Mapping and Validation
NEW QUESTION # 46
What additional task does the site study coordinator role perform when utilizing an EDC application compared to paper CRF?
- A. Data curation
- B. Resolving queries
- C. Medical record abstraction
- D. Data entry
Answer: D
Explanation:
In paper-based trials, site staff (e.g., study coordinators) record data manually on paper Case Report Forms (CRFs), which are later transcribed by data entry personnel into an electronic database.
However, in EDC-based studies, the site coordinator is directly responsible for entering data into the EDC system. This eliminates the need for centralized double data entry and shortens data cleaning timelines.
The GCDMP (Chapter: Electronic Data Capture Systems) states that EDC systems shift certain tasks, including data entry, initial query response, and source verification preparation, to the site level. Yet, data entry remains the most significant additional responsibility compared to paper-based studies.
Option A (Query resolution) is performed in both EDC and paper-based systems.
Option C (Data curation) is typically a Data Management function.
Option D (Medical record abstraction) is part of source documentation, not specific to EDC.
Thus, option B (Data entry) is correct - it is the additional site coordinator duty unique to EDC environments.
Reference (CCDM-Verified Sources):
SCDM GCDMP, Chapter: Electronic Data Capture (EDC) Systems, Section 5.3 - Site Responsibilities and Workflow Changes ICH E6(R2) GCP, Section 5.5.3 - Data Entry and Role Delegation in Computerized Systems FDA Guidance for Industry: Computerized Systems Used in Clinical Investigations, Section 6.2 - Site-Level Data Entry Controls
NEW QUESTION # 47
Which protocol section best defines data needed for the primary study analysis?
- A. Study schedule of events
- B. Protocol synopsis
- C. Study endpoints section
- D. ICH essential documents
Answer: C
Explanation:
The study endpoints section of the protocol best defines the data required for the primary study analysis.
According to the Good Clinical Data Management Practices (GCDMP, Chapter: Data Management Planning and Study Start-up), the endpoint section specifies the critical efficacy and safety variables upon which the study's success criteria are based. These endpoints directly determine what data elements must be collected, validated, and analyzed. For example, if the primary endpoint is "change in systolic blood pressure from baseline to week 12," then data collection must include baseline and week 12 systolic blood pressure values and corresponding timepoints.
The schedule of events (option A) lists when data are collected but not their analytical relevance. The protocol synopsis (option C) provides a summary, while the ICH essential documents (option D) refer to trial documentation standards, not endpoint specifications.
Thus, the study endpoints section defines the core analytical data requirements for clinical data managers, biostatisticians, and programmers.
Reference (CCDM-Verified Sources):
SCDM Good Clinical Data Management Practices (GCDMP), Chapter: Data Management Planning and Study Start-up, Section 5.2 - Defining Data Needed for Endpoints ICH E6 (R2) Good Clinical Practice, Section 6.3 - Trial Objectives and Endpoints FDA Guidance for Industry: Clinical Trial Endpoints for Drug Development and Approval
NEW QUESTION # 48
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