WorksheetsASSESMENT 28.01.2026
Total questions: 92
Worksheet time: 46mins
The primary purpose of source notes in a clinical trial is to:
Help sponsors with marketing
Record data before entering into CRF/EDC
Replace the CRF
Reduce monitoring visits
Source documents are best defined as:
Any trial-related email
Original records where trial data is first recorded
Copies of CRFs
Sponsor-provided templates only
Which of the following is considered a source document?
Monitor visit report
Signed ICF
Query log
Investigator brochure
ALCOA+ in source documentation stands for all EXCEPT:
Attributable
Legible
Consistent
Original
“Attributable” means:
Data is signed by sponsor
It is clear who recorded the data
Data is stored electronically
Data is reviewed by PI
The best time to document a clinical assessment in source notes is:
At end of day
During monitoring visit
Immediately after the assessment
Before entering in CRF
Late entries in source notes should be:
Avoided and never documented
Written without date
Clearly marked as late entry with current date and reason
Backdated to visit date
Backdating source notes is:
Acceptable if PI approves
Allowed for missed vitals
Considered data falsification
Permitted in emergencies
Which correction method is GCP-compliant?
Erasing incorrect data
Using correction fluid
Single line through error, initial, date, reason (if needed)
Overwriting data
Electronic source data must have:
Password sharing
Audit trail
Editable logs
Sponsor access at all times
Who is ultimately responsible for source documentation at the site?
Sponsor
CRC
PI
Monitor
A source note template provided by sponsor:
Is mandatory to use
Replaces medical records
Supports but does not replace routine medical documentation
Can be modified without approval
If a patient forgets to report a symptom during visit but calls next day, CRC should:
Ignore
Document in source as late entry with date/time of call
Backdate to visit date
Wait for monitor advice
Source notes must allow reconstruction of:
Sponsor profits
Entire clinical trial conduct at site
Monitoring schedule
CRO contracts
Which is NOT typically documented in source notes?
Adverse events
Concomitant medications
Monitor travel details
Study procedures performed
When documenting AEs, CRC must include:
Only severity
Only outcome
Onset date, severity, action taken, outcome
Sponsor’s opinion
Concomitant medication documentation must include:
Brand name only
Indication, dose, route, start/stop dates
Pharmacy address
Cost of drug
Source documentation should be written using:
Pencil
Blue/black permanent ink
Red ink
Highlighter
Illegible source notes may lead to:
Faster approvals
Minor issue only
Major audit finding
No impact
Who can make entries in source notes?
Only PI
Only CRC
Delegated and trained study staff
Monitor
Delegation of authority log is important because it:
Tracks salary
Identifies who is authorized to document data
Is required only by sponsor
Replaces training log
Temperature logs for IP storage are:
Regulatory only
Financial records
Source documents
Optional
A blank source note section for a visit should be:
Left empty
Crossed out with N/A
Torn out
Retrospective reconstruction of source data from memory is:
Good practice
Acceptable if PI signs
Unacceptable
Required for audits
Which is an example of original source?
Photocopy of lab report
Transcribed vitals sheet
First lab report from lab
CRF printout
Certified copies must be:
Signed by monitor
Verified as exact copy of original
Kept only by sponsor
Color photocopies
Investigator oversight of source notes should include:
Signing blank pages
Periodic review and sign-off
Letting CRC handle all
Reviewing only at close-out
Source notes for screening failures should be:
Destroyed
Maintained as per protocol
Sent to sponsor
Optional
If lab normal ranges change during study:
No action needed
Document new ranges with effective date
Use old ranges
Inform sponsor only
Which supports data credibility most?
Verbal confirmation
Memory-based notes
Contemporaneous documentation
Sponsor emails
Missing source data detected by monitor should be addressed by:
Ignoring
Creating backdated entry
Writing late entry with explanation
Asking sponsor to remove data
If BP machine was malfunctioning during visit:
Do not record BP
Estimate value
Document issue and repeat measurement with working device
Copy previous visit value
Source notes should document protocol deviations:
Only major ones
Only if monitor asks
All deviations with explanation
None
The most common reason for source documentation findings in audits is:
Too much detail
Illegible handwriting
Missing or inconsistent data
Excess signatures
For electronic medical records used as source:
Print everything
Ensure access and audit trail availability
Allow editing anytime
Share passwords
Source notes must reflect informed consent process including:
Only signature
Date/time of consent and version used
Sponsor approval
Monitor presence
If patient vomits dose at site:
Ignore
Document in source with time and action taken
Only update CRF
Inform sponsor only
Which is NOT part of good source note practice?
Chronological order
Clear visit identification
Copying previous visit text without verification
Investigator review
Source notes should allow an independent person to:
Predict results
Reconstruct trial conduct
Identify sponsor strategy
Approve protocol
Visit windows missed should be:
Ignored
Adjusted in CRF only
Documented with reason in source
Hidden from monitor
Telephone follow-up assessments should be:
Not documented
Entered only in CRF
Documented in source with date/time
Recorded by sponsor
Use of abbreviations in source notes should be:
Unrestricted
Site-standard and understandable
Sponsor-defined only
Avoided completely
When PI reviews source notes, it demonstrates:
Data entry
Oversight and responsibility
Sponsor monitoring
Budget approval
If subject refuses a procedure:
Leave blank
Mark “not done” without reason
Document refusal and reason if given
Remove subject
Source notes must match CRF data because:
Sponsor demands
They are verified during SDV
CRC prefers
Saves time
A missing signature on source notes may indicate:
Efficient documentation
Lack of attribution
Monitor oversight
Sponsor issue
Which is an example of contemporaneous documentation?
Writing visit details 3 days later
Entering vitals during patient visit
Filling after monitor reminder
Copying from memory
Source data verification compares:
Protocol vs IB
Source vs CRF/EDC
Budget vs contract
SOP vs GCP
If multiple staff document in source, each must:
Use same handwriting
Initial/date their entries
Inform sponsor
Avoid signatures
Good source documentation ultimately protects:
Sponsor revenue
CRC workload
Subject safety and data integrity
Monitor schedule
The primary responsibility for IP accountability at site lies with:
Sponsor
Monitor
Principal Investigator
Pharmacist only
The IP accountability log should record:
Only dispensing dates
Receipt, dispensing, return, and balance
Subject medical history
Monitor visit dates
When IP is received at site, the CRC should FIRST:
Dispense to subjects
Inform sponsor finance team
Verify quantity, batch number, and condition
Store in general pharmacy
If IP shipment arrives with damaged outer packaging, CRC should:
Accept and store
Dispense immediately
Quarantine and inform sponsor
Discard
Temperature excursions for IP must be:
Ignored if short
Documented and reported to sponsor
Corrected by adjusting log
Hidden from monitor
Access to IP storage should be limited to:
All study staff
Only PI
Authorized and delegated personnel
Monitor
IP storage temperature should be recorded:
Weekly
Only during monitoring visits
Daily (or per protocol/SOP)
Only when excursion occurs
If subject loses IP tablets at home, CRC should:
Ignore
Dispense more without note
Document loss and inform sponsor/PI
Adjust accountability log quietly
The IP label must contain all EXCEPT:
Protocol number
Subject name
Storage conditions
Expiry/retest date (if applicable)
Blinded IP should be handled in a way that:
Allows CRC to know treatment
Prevents accidental unblinding
Lets subject choose treatment
Avoids documentation
Unblinded staff must:
Participate in efficacy assessments
Be separated from blinded assessments
Discuss allocation with subjects
Report directly to sponsor only
IP dispensing must follow:
Subject preference
Monitor instructions
Protocol and prescription by investigator
Sponsor email only
If subject takes wrong dose accidentally, CRC must:
Replace tablets silently
Document as protocol deviation and inform PI
Remove subject immediately
Adjust log only
IP accountability reconciliation should occur:
Only at study end
During each monitoring visit and close-out
Only when sponsor asks
Never at site
IP expiry date check is important because it ensures:
Sponsor compliance
Drug stability and subject safety
Faster enrollment
Easier storage
Expired IP should be:
Dispensed if close to expiry
Destroyed immediately without documentation
Quarantined and sponsor notified
Mixed with new stock
The drug accountability log should always show:
Zero discrepancies
Running balance of IP
Sponsor signature
Subject diagnosis
A discrepancy in IP count means:
Monitor error
CRC must adjust numbers
Investigation and documentation required
Sponsor is responsible
IP returned by subject should be:
Discarded immediately
Counted, documented, and stored separately
Given to another subject
Subject compliance is often assessed by:
Verbal confirmation only
Pill count and diary review
Sponsor report
Lab tests only
If subject forgets to bring IP for return visit:
Skip documentation
Estimate compliance
Document and request return at next visit
Replace full quantity
IP should be stored:
In open shelf
With routine hospital medicines
In secure, access-controlled area
In investigator office drawer
Refrigerated IP must be stored with:
Food
Vaccines
Temperature monitoring device
Water bottles
If temperature log shows freezer at -5°C instead of required -20°C:
Ignore if brief
Immediately inform sponsor and quarantine IP
Adjust log
Move IP without record
Who can prescribe IP to subject?
CRC
Sponsor
Investigator/Sub-investigator per delegation
Pharmacist only
Subject-specific dispensing logs are useful for:
Billing
Monitoring staff attendance
Tracking individual IP assignment
Sponsor inventory only
In double-blind trials, emergency unblinding should occur:
For curiosity
Only when medically necessary
At subject request
At monitor visit
Documentation of emergency unblinding must include:
Sponsor budget
Reason, date, and personnel involved
Monitor signature
New protocol version
IP destruction at site must be:
Done by CRC alone
Documented and authorized per sponsor instructions
Immediate after last visit
Optional
If sponsor requests IP return instead of destruction:
Refuse
Ship without documentation
Follow sponsor procedure with records
Destroy anyway
IP shipment documentation should be filed in:
Subject file
Pharmacy only
Investigator Site File (ISF)
Sponsor TMF only
If kit numbers are pre-assigned via IWRS, CRC must:
Choose any kit
Follow IWRS allocation strictly
Use smallest expiry
Ask subject preference
IWRS helps with:
Budget tracking
Randomization and IP assignment
Temperature monitoring
AE reporting
If CRC dispenses wrong kit number:
Ignore if same drug
Document medication error and inform PI/sponsor
Adjust accountability log only
Replace kit quietly
IP storage area should have:
Open access
Backup power (if temperature controlled)
Sponsor branding
Windows open
Accountability logs must be:
Completed by monitor
Completed in pencil
Contemporaneous and accurate
Rewritten if messy
A subject should NEVER:
Return unused IP
Share IP with another person
Bring diary
Report side effects
If IP is stolen from site:
Replace stock quietly
Document incident and notify sponsor immediately
Hide loss
Wait for monitoring visit
The purpose of IP reconciliation is to:
Match sponsor inventory
Ensure all IP is accounted for
Reduce storage space
Speed enrollment
If subject overdoses IP accidentally:
Ignore if mild
Document and inform PI immediately
Remove subject from study
Adjust logs only
Drug accountability errors are considered:
Minor paperwork issue
Serious GCP compliance issue
Sponsor responsibility
Financial issue only
IP labels should not be altered because:
Sponsor prints them
It may affect blinding and compliance
CRC is not allowed to write
They look official
