Certified Clinical Research Associate (CCRA) Practice Exam 2025 – Complete Preparation Guide

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What is a fundamental principle of documenting source data changes according to the guidelines?

Changes should be temporary

Changes should obscure previous entries

Changes must be traceable and explained if necessary

The principle that changes to source data must be traceable and explained if necessary is fundamental to maintaining the integrity and reliability of clinical trial data. This principle ensures that any alterations to the original data can be tracked back to their origins, allowing for full transparency in the research process. It reinforces accountability and helps prevent fraud or errors, as well as ensuring that regulatory authorities and other stakeholders can trust the data being presented.

When changes are made, they should clearly indicate what was modified, why the modification was necessary, and who authorized or performed the update. This level of detail is crucial because it not only safeguards against misunderstandings but also provides a reliable audit trail that can be referenced during audits or inspections. Ensuring that data changes are well-documented is critical for maintaining compliance with Good Clinical Practice (GCP) guidelines and regulatory standards.

In contrast, the other choices do not align with the best practices for documenting data changes. Temporary changes do not support the need for permanent, traceable records. Obscuring previous entries would undermine the ability to review and understand the rationale behind changes, which is essential for data integrity. Oral communications about changes lack the formal documentation required for compliance and can lead to misunderstandings or misinterpretations, thus failing to provide the

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Changes can be communicated orally

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