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SCDM CCDM Exam Syllabus Topics:| Topic | Details | | Topic 1 | - Design Tasks: This section of the CCDM exam measures skills of Data Managers and covers how to design and document data collection instruments, develop workflows and data flows, specify data elements, CRF forms, edit checks, reports, database structure, and define standards and procedures for traceability and auditability.
| | Topic 2 | - Data Processing Tasks: This section measures skills of Clinical Systems Analysts and focuses on handling, transforming, integrating, reconciling, coding, querying, updating, and archiving study data while maintaining quality, consistency, and proper privileges over the data lifecycle.
| | Topic 3 | - Review Tasks: This section measures the skills of Data Managers and involves reviewing protocols, CRFs, data tables, listings, figures, and clinical study reports (CSRs) for consistency, accuracy, and alignment with data handling definitions and regulatory requirements.
| | Topic 4 | - Coordination and Project Management Tasks: This domain evaluates the skills of a Clinical Systems Analyst in coordinating data management workload, vendor selection, scheduling, cross-team communication, project timeline management, risk handling, metric tracking, and preparing for audits.
| | Topic 5 | - Testing Tasks: This section measures the skills of Data Managers and involves creating test plans, generating test data, executing validation and user acceptance testing, and documenting results to ensure systems and processes perform reliably and according to specifications.
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SCDM Certified Clinical Data Manager Sample Questions (Q58-Q63):NEW QUESTION # 58
A Clinical Data Manager reads a protocol for a clinical trial to test the efficacy and safety of a new blood thinner for prevention of secondary cardiac events. The stated endpoint is all-cause mortality at 1 year. Which data element would be required for the efficacy endpoint?
- A. Date of death
- B. Coagulation time
- C. Cause of death
- D. Drug level
Answer: A
Explanation:
The efficacy endpoint of all-cause mortality at one year directly depends on the date of death for each subject, making Option D - Date of death the required data element.
According to the GCDMP (Chapter: Clinical Trial Protocols and Data Planning) and ICH E3/E9 Guidelines, the primary efficacy analysis must be based on time-to-event data, particularly when the endpoint involves mortality or survival. The date of death allows accurate calculation of time from randomization to event, essential for survival analysis (e.g., Kaplan-Meier curves).
While cause of death (C) may be collected for safety or secondary analyses, all-cause mortality specifically includes any death regardless of cause. Drug levels (A) and coagulation times (B) may serve as pharmacodynamic or exploratory endpoints but do not directly measure mortality.
Reference (CCDM-Verified Sources):
SCDM Good Clinical Data Management Practices (GCDMP), Chapter: Data Management Planning and Protocol Review, Section 5.4 - Defining Data Required for Endpoints ICH E9 - Statistical Principles for Clinical Trials, Section 2.3 - Time-to-Event Endpoints FDA Guidance for Industry: Clinical Trial Endpoints for Drug Development and Approval
NEW QUESTION # 59
Which is the MOST appropriate flow for EDC set-up and implementation?
- A. Database created, Database tested, Sites trained, Protocol finalized, Database released
- B. Database created, Subjects enrolled, Database tested, Sites trained, Database released
- C. Protocol finalized, Database created, Edit Checks created, Database tested, Sites trained
- D. CRF "wire-frames" created, CRFs reviewed, CRFs printed, CRFs distributed to sites
Answer: C
Explanation:
The correct and compliant sequence for EDC system setup and implementation begins only after the study protocol is finalized, as all case report form (CRF) designs, database structures, and validation rules derive directly from the finalized protocol.
According to GCDMP (Chapter: EDC Systems Implementation), the proper order is:
Protocol finalized - defines endpoints and data requirements.
Database created - built according to the protocol and CRFs.
Edit checks created - programmed to validate data entry accuracy.
Database tested (UAT) - ensures functionality, integrity, and compliance.
Sites trained and system released - only then can data entry begin.
Option B follows this logical and regulatory-compliant sequence. Other options (A, C, D) are either paper-based workflows or violate GCP-compliant timelines (e.g., enrolling subjects before database validation).
Reference (CCDM-Verified Sources):
SCDM GCDMP, Chapter: Electronic Data Capture (EDC) Systems, Section 5.2 - System Setup and Implementation Flow ICH E6(R2) GCP, Section 5.5.3 - Computerized Systems Validation and User Training Before Use FDA 21 CFR Part 11 - Validation and System Release Requirements
NEW QUESTION # 60
What is the primary benefit of using a standard dictionary for medications?
- A. To identify differences in medication components based on country of source
- B. To standardize recording of medications taken by patients across sites
- C. To improve safety monitoring of patients in a clinical trial setting
- D. To facilitate the reporting and analysis of possible drug interactions
Answer: B
Explanation:
The primary benefit of using a standard medical dictionary (such as WHO Drug Dictionary, WHO-DD Enhanced, or RxNorm) in clinical data management is to standardize the recording and representation of medications taken by study participants across all sites, countries, and data sources (Option A).
According to the Good Clinical Data Management Practices (GCDMP, Chapter on Medical Coding and Dictionaries), standardized coding ensures that all variations of drug names - including brand names, generic names, abbreviations, and misspellings - are consistently mapped to a uniform dictionary term. This harmonization allows for accurate aggregation, analysis, and regulatory reporting of concomitant medications and investigational products across multiple studies and global sites.
For example, "Paracetamol" and "Acetaminophen" are the same compound but are known by different names in different regions. Coding both to the same preferred term (PT) in the WHO Drug Dictionary ensures that all references are analyzed consistently in safety summaries and pharmacovigilance reports.
While other options describe secondary benefits:
Option B: Facilitating drug interaction analysis is an important downstream benefit, but it depends on having standardized coding first.
Option C: Identifying differences in medication components by country is a feature of dictionary metadata but not the primary goal.
Option D: Safety monitoring relies on consistent adverse event and drug data but is an overarching objective, not the direct function of dictionary coding.
Thus, the primary benefit lies in ensuring consistency, clarity, and interoperability of medication data across all clinical sites and systems, forming the foundation for reliable safety and efficacy analysis.
Reference (CCDM-Verified Sources):
Society for Clinical Data Management (SCDM), Good Clinical Data Management Practices (GCDMP), Chapter: Medical Coding and Dictionaries, Section 6.1 - Purpose and Principles of Coding WHO Drug Dictionary (WHO-DD) User Manual, Section 2.3 - Standardization of Medicinal Product Terminology ICH E2B (R3) Clinical Safety Data Management - Data Elements for Transmission of Individual Case Safety Reports FDA Study Data Technical Conformance Guide, Section 3.2 - Use of Controlled Terminology in Drug and Event Coding
NEW QUESTION # 61
Which is a minimum prerequisite that should be in place before choosing an EDC system?
- A. Completed installation qualification
- B. Updated governance documentation
- C. Knowledge of functional requirements
- D. Draft validation plan
Answer: C
Explanation:
Before selecting an Electronic Data Capture (EDC) system for a clinical trial, it is essential to have a clear understanding of the functional requirements. This serves as the minimum prerequisite to guide system selection, ensuring that the EDC solution aligns with the protocol needs, data workflow, security requirements, and regulatory compliance.
According to the Good Clinical Data Management Practices (GCDMP, Chapter: Computerized Systems and Compliance), functional requirements describe what the system must do-such as data entry capabilities, edit checks, query management, user roles, audit trails, and integration with external systems (e.g., labs, ePRO). This understanding allows sponsors and CROs to evaluate vendor systems effectively during the selection and qualification phase.
Other options:
B . Installation qualification and D. Validation plan occur after system selection.
C . Governance documentation supports operations but is not required before choosing the system.
Hence, option A is correct - the first and most essential prerequisite before EDC selection is a solid understanding of the functional requirements.
Reference (CCDM-Verified Sources):
SCDM GCDMP, Chapter: Computerized Systems and Compliance, Section 4.2 - Requirements Gathering and System Selection FDA 21 CFR Part 11 - System Validation and Intended Use Requirements ICH E6(R2) GCP, Section 5.5.3 - Computerized System Selection and Qualification
NEW QUESTION # 62
Which of the following data verification checks would most likely be included in a manual or visual data review step?
- A. Checking mandatory fields for missing values
- B. Checking an entered value against a valid list of values
- C. Checking adverse event treatments against concomitant medications
- D. Checking a value against a reference range
Answer: C
Explanation:
Manual or visual data review is used to identify complex clinical relationships and contextual inconsistencies that cannot be detected by automated edit checks.
According to the GCDMP (Chapter: Data Validation and Cleaning), automated edit checks are ideal for structured validations, such as missing fields (option C), reference ranges (option D), or predefined value lists (option A). However, certain clinical cross-checks-such as verifying adverse event treatments against concomitant medication records-require clinical judgment and contextual understanding.
For example, if an adverse event of "severe headache" was reported but no analgesic appears in the concomitant medication log, the data may warrant manual review and query generation. These context-based checks are best performed by trained data reviewers or medical data managers during manual data review cycles.
Reference (CCDM-Verified Sources):
SCDM Good Clinical Data Management Practices (GCDMP), Chapter: Data Validation and Cleaning, Section 6.3 - Manual Review and Clinical Data Consistency Checks ICH E6 (R2) Good Clinical Practice, Section 5.18.4 - Clinical Data Review Responsibilities FDA Guidance for Industry: Computerized Systems Used in Clinical Investigations - Data Verification Principles
NEW QUESTION # 63
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