CPI Risk Assessment & Management 2 — Questions and Answers
Question 1: Which risk assessment method assigns numerical probabilities to outcomes and calculates expected monetary value?
- Qualitative risk analysis
- Quantitative risk analysis (Correct answer)
- SWOT analysis
- Delphi technique
Correct answer: Quantitative risk analysis
Quantitative risk analysis uses numerical data and probability estimates to calculate expected monetary value and other numerical risk metrics.
Question 2: A principal investigator discovers mid-study that a protocol amendment is needed due to unexpected safety data. The FIRST action should be to:
- Implement the change immediately to protect participants
- Notify the IRB and sponsor before making changes (Correct answer)
- Document the change and proceed with enrollment
- Suspend the study pending regulatory approval
Correct answer: Notify the IRB and sponsor before making changes
Protocol amendments generally require IRB review and sponsor notification before implementation, except in cases of immediate participant danger.
Question 3: The risk matrix approach classifies risks based on which two primary dimensions?
- Cost and timeline
- Likelihood and impact (Correct answer)
- Frequency and severity
- Probability and detectability
Correct answer: Likelihood and impact
A risk matrix plots risks on two axes: the likelihood (probability) of occurrence and the impact (consequence) if the risk occurs.
Question 4: Which strategy involves sharing the financial consequences of a risk with another party, such as through insurance?
- Risk avoidance
- Risk mitigation
- Risk transfer (Correct answer)
- Risk acceptance
Correct answer: Risk transfer
Risk transfer shifts the financial burden of a risk to another party, commonly through insurance contracts or contractual arrangements.
Question 5: In research risk management, a 'residual risk' refers to:
- The risk remaining after all mitigation measures have been applied (Correct answer)
- Risks identified late in the study
- Historical risks from previous similar studies
- Risks that cannot be categorized
Correct answer: The risk remaining after all mitigation measures have been applied
Residual risk is the level of risk that remains after risk controls and mitigation strategies have been implemented.
Question 6: When a study team identifies a risk that has low probability but catastrophic potential impact, the BEST response is to:
- Accept the risk since it is unlikely to occur
- Apply maximum mitigation efforts regardless of cost
- Develop a contingency plan and monitor closely (Correct answer)
- Eliminate the activity that creates the risk
Correct answer: Develop a contingency plan and monitor closely
Low-probability but high-impact risks warrant contingency planning and active monitoring even though immediate intensive mitigation may not be justified.
Question 7: Which document formally records identified risks, their probability, impact, mitigation strategies, and responsible parties?
- Risk appetite statement
- Risk register (Correct answer)
- Hazard log
- Safety monitoring report
Correct answer: Risk register
A risk register is the central repository that documents all identified risks along with their attributes, mitigation plans, and ownership.
Which risk assessment method assigns numerical probabilities to outcomes and calculates expected monetary value?