{"id":118043,"date":"2023-09-02T07:47:06","date_gmt":"2023-09-02T07:47:06","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118043"},"modified":"2023-09-02T07:47:10","modified_gmt":"2023-09-02T07:47:10","slug":"full-pack-rac-device-rac-questions-and-answers-with-complete-solutions-verified-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/02\/full-pack-rac-device-rac-questions-and-answers-with-complete-solutions-verified-answers\/","title":{"rendered":"(Full Pack) RAC\/DEVICE RAC Questions and Answers With Complete Solutions| Verified Answers"},"content":{"rendered":"\n<p>DEVICE RAC<br>bestmaxsolutions<br>1<br>DEVICE RAC EXAM QUESTIONS AND<br>ANSWERS| VERIFIED ANSWERS 2022-2023<br>Which division would have primary jurisdiction over a vascular graft with an antibiotic based on<br>primary mode of action?<br>A. CDER<br>B. CBER<br>C. CDRH<br>D. OCP [Correct Ans: &#8211; C<br>A company wants to modify its legally marketed device such that the modification does not affect<br>the intended use or alter the fundamental scientific technology of the device. If the design outputs<br>of the modified device meet the design input requirements, this change would be best filed as a(n):<br>A. Special 510(k)<br>B. Abbreviated 510(k)<br>C. Traditional 510(k)<br>D. De novo 510(k) [Correct Ans: &#8211; A<br>Under the statutory violations, failure to meet 510(k) requirements for a device that is required to<br>have a 510(k) and is in commercial distribution is considered to be:<br>A. Adulteration.<br>B. Improper use<br>C. Misbranded<br>D. Fraudulent [Correct Ans: &#8211; C<br>A company&#8217;s competitor is marketing a Class II suture which dissolves during the third week of use.<br>The company&#8217;s current product has to be removed by a physician. However, a change in weaving<br>configuration gives this product the same dissolving time as the competitors. When can the<br>company&#8217;s new suture be marketed?<br>A. This requires a new 510(k) since significant change in product instructions might affect efficacy.<br>B. After submission in a periodic report<br>C. After reporting clinical studies in an annual report<\/p>\n\n\n\n<p>DEVICE RAC<br>bestmaxsolutions<br>2<br>D. After submission of labelling change [Correct Ans: &#8211; A<br>Which of the following is exempt from GMP\/QSR regulations?<br>A. Remanufacturers<br>B. Custom device manufacturers<br>C. Repackages<br>D. Component manufacturers [Correct Ans: &#8211; D<br>A physician reports to a manufacturer that a patient was hospitalized with acute sepsis after<br>treatment with an approved device. This side effect is not listed in the package insert. This event<br>must be reported by the manufacturer to FDA no later than:<br>A. 5 calendar days<br>B. 15 calendar days<br>C. 30 calendar days<br>D. The next quarterly or annual report [Correct Ans: &#8211; C<br>If a device failure is occurring with greater than expected frequency and investigation of the problem<br>implicates improper use by the end user, which of the following typically occurs?<br>A. The labelling is revised.<br>B. The product is recalled.<br>C. The product is redesigned.<br>D. A &#8220;Dear Doctor&#8221; letter is issued. [Correct Ans: &#8211; A<br>A handling and storage system for medical devices must always include:<br>A. Procedures for rotation of stock<br>B. Separate rooms or cages for release and quarantine products<br>C. Procedures for receipt and transfer of product<br>D. Environmentally controlled areas for products with shelf life [Correct Ans: &#8211; C<br>You have modified your 510(k) cleared device with a special 510(k). In which of the following cases<br>would you need to create a new listing for the device?<br>A. You have added new sizes and shapes in the product portfolio.<\/p>\n\n\n\n<p>DEVICE RAC<br>bestmaxsolutions<br>3<br>B. You have changed the material composition of the device.<br>C. You have changed the package of the device.<br>D. None of the above. [Correct Ans: &#8211; D<br>According to the QSR, when an investigation of a complaint is conducted all of the following are<br>requirements for inclusion in the record of the investigation EXCEPT:<br>A. The dates and results of the investigation<br>B. The nature and details of the complaint<br>C. Changes in procedures correcting quality problems<br>D. Any reply to the complainant [Correct Ans: &#8211; C<br>The QSR calls for the manufacturer of finished devices to carry out all of the following EXCEPT:<br>A. Conduct quality audits by individuals who do not have direct responsibility for the operation being<br>audited<br>B. Audit operations annually<br>C. Document the dates and results of quality audits and re-audits<br>D. Have findings reviewed by management responsible for the matters audited [Correct Ans: &#8211; B<br>Which of the following subsystems is NOT required by FDA in order to implement and maintain a<br>Quality System?<br>A. Production and process controls<br>B. Test and control article characterization<br>C. Packaging and labeling controls<br>D. Facility and equipment controls [Correct Ans: &#8211; B<br>According to the Quality System Regulations, re-testing and re-evaluation of nonconforming devices<br>after rework activities must be documented in the:<br>A. Device history record<br>B. Device master record<br>C. Quality manual<br>D. Design history file [Correct Ans: &#8211; A<\/p>\n\n\n\n<p>RAC<br>BESTMAXSOLUTIONS 1<br>1<br>RAC device Quiz Questions With<br>Complete Solutions 2023-2024<br>EU: Which of the following does NOT describe the CE Mark or its use?<br>A) The CE Mark is an external indication that a device meets the Essential<br>Requirements<br>B) The manufacturer and\/or the Notified Body have checked the device against<br>specifications using a ConformityAssessment Procedure<br>C) A Declaration of Conformity has been produced by the manufacturer<br>D) The CE Mark allows the device to move freely throughout Europe only<br>[Ans: &#8211; D) The CE Mark allows the device to move freely throughout Europe only<br>EU: The following are components of routine risk minimisation EXCEPT:<br>A) Adding protective measures in the manufacturing process<br>B) Application of relevant standards<br>C) An evaluation of the need for risk minimisation activities<br>D) A marketing plan<br>[Ans: &#8211; D) A marketing plan<br>EU: Classification of medical devices is based upon all of the following EXCEPT<br>the:<br>A) Device&#8217;s intended purpose<br>B) Device&#8217;s implantability<br>C) Devise invasiveness<br>D) Device&#8217;s indications for use<br>[Ans: &#8211; D) Device&#8217;s indications for use<br>Note: MDR Chapter V Article 51: &#8220;Devices shall be divided into classes I, IIa, IIb and<br>III, taking into account the intended purpose of the devices and their inherent risks&#8221;<\/p>\n\n\n\n<p>RAC<br>BESTMAXSOLUTIONS 2<br>2<br>EU: Which of the following does NOT describe a &#8220;custom device\u201d?<br>A) It is made specifically in accordance with a duly qualified medical practitioner&#8217;s<br>written prescription, which gives specific design characteristics<br>B) The manufacturer and\/or the Notified Body have checked the device against<br>specifications using a Conformity Assessment Procedure<br>C) It is intended for the sole use of a particular patient<br>D) The device cannot exhibit the CE Mark to move freely throughout Europe<br>[Ans: &#8211; B) The manufacturer and\/or the Notified Body have checked the device<br>against specifications using a Conformity Assessment Procedure<br>MDR: &#8216;custom-made device&#8217; means any device specifically made in accordance with<br>a written prescription of any person authorised by national law by virtue of that<br>person&#8217;s professional qualifications which gives, under that person&#8217;s responsibility,<br>specific design characteristics, and is intended for the sole use of a particular<br>patient exclusively to meet their individual conditions and needs.<br>Your US-based company has a medical device manufacturing site in the<br>Netherlands. It wishes to relocate that facility to Belgium. Which of the following<br>BEST describes the actions required?<br>A) No regulatory actions are required to move facilities within the EU<br>B) A site audit of the new facility based on ISO 13485:2003 requirements will be<br>necessary to ensure the Essential Requirements continue to be met<br>C) Product labelling revisions may be required<br>D) You must obtain new Certificates of Free Sale from Belgium to ship product from<br>the new facility to other EU countries<br>[Ans: &#8211; B) A site audit of the new facility based on ISO 13485:2003 requirements will<br>be necessary to ensure the Essential Requirements continue to be met<br>The development team approaches you concerning the registration strategy and<br>marketing application for a combination product involving inhaled device<br>delivery of a small medicinal molecule. In the US, this product will be treated as<br>a drug and submitted in a New Drug Application (NDA). In Europe, the<br>registration approach may include all of the following EXCEPT a:<\/p>\n\n\n\n<p>RAC Medical<br>BESTMAXSOLUTIONS 1<br>1<br>RAC Medical Devices Exam Questions<br>and Answers With Complete Solutions<br>A Special 510(k) relies on the following information:<br>a) Design control documentation<br>b) Guidance documents<br>c) Consensus standards<br>d) All of the above<br>[Ans: &#8211; d) All of the above<br>A Special 510(k) verifies and validates that a device meets Design Controls by all of<br>the following EXCEPT:<br>A. Ensuring that design outputs meet design inputs<br>B. Ensuring that devices conform to defined user needs and intended uses<br>C. Conforming to the QS Regulation, CFR Part 820<br>D. Claiming substantial equivalence to a competitor device<br>[Ans: &#8211; D. Claiming substantial equivalence to a competitor device<br>(For a Special 510(k), you must claim equivalence to the applicant&#8217;s own marketed<br>device).<br>A design or labeling change to an existing device (including certain changes to the<br>indications for use) may be appropriate for a Special 510(k) when:<br>A. The proposed change is submitted by the manufacturer legally authorized to<br>market the existing device,<br>B. Performance data are unnecessary, or if performance data are necessary, wellestablished methods are available to evaluate the change, and<br>C. All performance data necessary to support substantial equivalence can be<br>reviewed in a summary or risk analysis format<br>D. All of the above<br>[Ans: &#8211; D. All of the above<br>FDA believes that well-established methods for a Special 510(k) may include which<br>of the following:<\/p>\n\n\n\n<p>RAC Medical<br>BESTMAXSOLUTIONS 2<br>2<br>A. Lesser-known test methods that can be proven effective by the manufacturer<br>B. Methods found in an FDA-recognized voluntary consensus standard or FDA<br>guidance document<br>C. Full test reports including methods<br>D. Methods found acceptable by FDA through a competitor&#8217;s 510(k)-clearance or<br>premarket application (PMA) approval<br>[Ans: &#8211; B. Methods found in an FDA-recognized voluntary consensus standard or<br>FDA guidance document<br>Device manufacturers may choose to submit an Abbreviated 510(k) when the<br>submission relies on any of the following EXCEPT:<br>A. FDA guidance document(s)<br>B. Design Control validation and verification<br>C. Demonstration of compliance with special controls for the device type, either in a<br>device-specific classification regulation or a special controls guidance document<br>D. Voluntary consensus standard(s)<br>[Ans: &#8211; B. Design Control validation and verification<br>If you are submitting a 510(k) to FDA that includes a summary of compliance with<br>special controls, you are submitting a:<br>A. Special 510(k)<br>B. Traditional 510(k)<br>C. Abbreviated 510(k)<br>D. de novo 510(k)<br>[Ans: &#8211; C. Abbreviated 510(k)<br>(an Abbreviated 510(k) includes a summary report illustrating compliance to special<br>controls or alignment with guidance documents or voluntary consensus standards)<br>If you are including in your 510(k) a declaration of conformity with voluntary<br>consensus standards, you are submitting a:<br>A. Special 510(k)<br>B. Traditional 510(k)<br>C. Abbreviated 510(k)<br>D. Any of the above<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>1<br>RAC Practice Exam 1 2023-2024 Questions<br>With Complete Solutions| Verified Answers<br>Which of the following is NOT required for compliance under 21 CFR Part 11<br>(electronic records and electronic signatures)?<br>A Manually generated timestamped audit trails to record the date and time of<br>operator entries and actions that create, modify or delete electronic records.<br>B Validation of systems to ensure accuracy<br>C Authority checks to ensure that only authorized personell can create, modify or<br>delete electronic records.<br>D Establishment of and adherence to written procedures [Ans: &#8211; A.<br>The final authority for ensuring the adequacy of an Investigational New Drug (IND)<br>informed consent document resides with the:<br>[Ans: &#8211; Institutional Review Board (IRB)<br>A sponsor wishes to obtain permission from FDA to submit an ANDA for a drug<br>product that varies from the Reference Listed Drug (RLD) in route of<br>administration, dosage form, or strength, but anticipates that the labeling will be<br>identical to that of the RLD. What process should be used to apply for that<br>permission from FDA?<br>[Ans: &#8211; Suitability Petition<br>A 505(b)(2) NDA is not an appropriate regulatory submission for the approval to<br>market a<br>[Ans: &#8211; New chemical entity when the sponsor has a right of reference to all<br>applicable published studies<br>Distribution records for drug products must reference or contain:<br>[Ans: &#8211; Name and address of the consignee<br>A mid-sized pharmaceutical company negotiated with FDA to submit a draft<br>Package Insert (PI) and patient medication guide (MedGuide) in annotated Word<br>format for initial FDA review, and committed to submit the Labeling in Structured<br>Product Label<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>2<br>(SPL) format upon approval of their product. What is the preferred timeline for this<br>pharmaceutical company to submit the SPL formatted labeling upon product<br>approval?<br>[Ans: &#8211; 14 days<br>Adverse event reporting for a marketed biologics product is NOT required for:<br>[Ans: &#8211; Diagnostic non-invasive test kits<br>The quality assurance manager of a small company consisting of 12 employees is<br>the only internal auditor for the company and has been performing all internal<br>quality system audits for three years. This does not meet the requirements for<br>performing internal quality systems audits because<br>[Ans: &#8211; Auditor independence has not been ensured.<br>You have modified your 510(k)-cleared device with a Special 510(k). In which case<br>would a Special 510(k) not be appropriate for the device?<br>[Ans: &#8211; You have changed the primary mechanism of action.<br>Which Premarket Approval Application (PMA) supplements are NOT subject to user<br>fee exemption?<br>[Ans: &#8211; Real Time Supplement<br>A medical device company allows its sales force to maintain a product inventory in<br>the field. The device has an expiration date indicated on its labeling. A sales person<br>notes that one of his products has expired and contacts the headquarters office for<br>direction. He is told to return the product to the headquarter office for<br>replacement. The return of this product is considered as what type of recall?<br>[Ans: &#8211; Not a recall\u2014it is considered normal stock rotation<br>A company is developing an (unapproved) drug-device combination product but is<br>not sure to which center it should submit its marketing application. The company<br>should first submit<br>[Ans: &#8211; A Request for Designation to the Office of Combination Products<br>A medical device company is developing a product with drug, biologic and device<br>components. The product and indication have not been previously classified by<br>FDA. What is the most appropriate regulatory pathway?<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>3<br>[Ans: &#8211; A Request for Designation (RFD) should be sent to the Office of<br>Combination Products (OCP) at FDA to determine the primary mode of action<br>(PMOA) and assign the agency with primary jurisdiction.<br>FDA&#8217;s Office of Generic Drugs (OGD) remains committed to the &#8220;first-in, firstreviewed&#8221; review order for the reviewing original Abbreviated New Drug<br>Applications (ANDAs), amendments and supplements unless there is a specific<br>reason to expedite an application. What is NOT a specific reason to grant expedited<br>review?<br>[Ans: &#8211; Products that show evidence of safety and effectiveness in a new<br>subpopulation<br>A firm is preparing a 510(k), premarket notification to FDA for an in vitro<br>diagnostic test, a microhematocrit analyzer that, among other intended uses, can<br>determine the hematocrit of a blood donor prior to donation of a blood product.<br>The firm should address the 510(k) submission to:<br>[Ans: &#8211; CBER<br>Notice of Intent to Revoke license can be issued for the following reason, EXCEPT<br>A Unable to gain access to the manufacturing plant,<br>B Licensed product are no longer safe and effective<br>C Failure to report serious adverse event,<br>D Manufacturer fails to conform to applicable standards [Ans: &#8211; C<br>What is the formal early collaboration meeting that was implemented through the<br>Food and Drug Modernization Act (FDAMA)?<br>[Ans: &#8211; Agreement Meeting<br>The Agreement Meeting is a formal meeting to agree upon the parameters of the<br>investigational plan. When a meeting request is received by FDA, the meeting will be<br>held within 30 days. The agreements made at the meeting are provided in writing to<br>the sponsor and are binding on FDA. Regulatory Reference: Early Collaboration<br>Meetings Under the FDA Modernization Act; Final Guidance for Industry and for<br>CDRH Staff (February 2001).<br>A US medical device contract manufacturer has customers for whom it<br>manufactures medical device components (parts) and finished medical devices. To<br>date, all products have been either parts for Class II medical devices or Class II<br>finished medical devices. The manager of new business contacts the regulatory<br>manager to assess the impact of a possible new customer involving a Class III<\/p>\n\n\n\n<p>RAC<br>1<br>BESTMAXSOLUTIONS |<br>RAC Practice Exam 2 Questions and<br>Answers| Verified Answers<br>You work for a German-based device manufacturer (Company A) that produces a power supply<br>based on a US-based medical device company&#8217;s (Company B) design. The power supply is imported<br>into your company&#8217;s US-based manufacturing site (Company C) for further processing and then sent<br>to the US-based medical device company (Company B) for final assembly. Which company needs to<br>register with FDA:<br>A. Company A<br>B. Company B<br>C. Company A &amp;B<br>D. Company A, B &amp;C [Ans: &#8211; B.<br>Company A qualifies as a foreign component manufacturer and as such, does not require<br>establishment registration under 21 CFR 807.65(a).<br>Company C is the initial imported of a component and does not need register under 21 CFR 807.20.<br>The following biological products are regulated by CBER EXCEPT:<br>A. Immunizing toxoids<br>B. Monoclonal antibodies for in vitro use<br>C. Monoclonal antibodies for in vivo use<br>D. Infusion of animal sourced cells into a human [Ans: &#8211; C.<br>PHS Act Section 351(a)<br>SOPP 8001.5 Intercenter Consultative\/Collaborative Review Process<br>Transfer of Therapeutic Biological Products to the Center for Drug Evaluation and Research<br>http:\/\/www.fda.gov\/CombinationProducts\/JurisdictionalInformation\/ucm136265.htm<br>(http:\/\/www.fda.gov\/CombinationProducts\/JurisdictionalInformation\/ucm136265.htm)<\/p>\n\n\n\n<p>RAC<br>2<br>BESTMAXSOLUTIONS |<br>Monoclonal antibodies for in vivo use were transferred to CDER&#8217;s Office of New Drugs (OND)<br>effective 30 June 2003<br>A company is developing a new device and the classification under which it would fall is unclear. As<br>the regulatory professional, you would submit the following:<br>A. 510(k) Premarket Notification<br>B. Request for Designation<br>C. 513(g) Request for Information<br>D. Type A Meeting Request [Ans: &#8211; C.<br>A 513(g) Request for Information is submitted to ask FDA to determine a device&#8217;s classification and<br>applicable requirements under the FD&amp;C Act.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A 510(k) submission is filed when a device&#8217;s classification is known and the device is compared to a<br>predicate device to obtain FDA clearance.<\/li>\n\n\n\n<li>A Request for Designation asks FDA to determine whether a product is a drug, device, biological<br>product or combination product.<\/li>\n\n\n\n<li>A Type A Meeting is needed to help an otherwise stalled product development program proceed.<br>Your company&#8217;s commercial product is manufactured by a third-party manufacturer (TPM). The<br>manufacturing site undercharges one of the excipients. Without contacting your company, the TPM<br>decides to rework the batch and now would like the product to be released upon completion of the<br>investigation. Your technical team contacts you for regulatory advice on whether the lot can be<br>released upon approval of the investigation. As a regulatory professional, as a first step you:<br>A. Recommend the lot be released<br>B. Recommend the lot not be released<br>C. Assess whether the rework steps are within the regulatory filing and whether there is a<br>potential regulatory impact<br>D. If the rework steps are not in the current filing, submit a postapproval change to include the<br>rework steps in order to release the material [Ans: &#8211; C<br>Guidance for Industry: Drug Product: Chemistry, Manufacturing, and Controls Information<\/li>\n<\/ul>\n\n\n\n<p>RAC<br>3<br>BESTMAXSOLUTIONS |<br>http:\/\/www.fda.gov\/OHRMS\/DOCKETS\/98fr\/02d-0525gdl00001.PDF<br>(http:\/\/www.fda.gov\/OHRMS\/DOCKETS\/98fr\/02d-0525gdl00001.PDF)<br>Guidance for Industry: Immediate Release Solid Oral Dosage Forms<br>http:\/\/www.fda.gov\/downloads\/Drugs\/Guidances\/UCM070636.pdf<br>(http:\/\/www.fda.gov\/downloads\/Drugs\/Guidances\/UCM070636.pdf)<br>SUPAC-IR Questions and Answers about SUPAC-IR Guidance<br>http:\/\/www.fda.gov\/Drugs\/GuidanceComplianceRegulatoryInformation\/Guidances\/ucm124826.htm<br>(http:\/\/www.fda.gov\/Drugs\/GuidanceComplianceRegulatoryInformation\/Guidances\/ucm124826.ht<br>m)<br>Product release and disposition is a quality responsibility, not regulatory. The regulatory professional<br>is responsible for reviewing the event and assessing whether the additional steps performed in the<br>manufacturing process are allowed within the regulatory filing. The team may decide to include the<br>rework procedure; however, additional data may be needed for the submission. Therefore the<br>recommended first step is response 3.<br>A company&#8217;s competitor is marketing a Class II suture that dissolves during the third week of use.<br>The company&#8217;s current product has to be removed by a physician. However, a change in weaving<br>configuration gives this product the same dissolving time as the competitor&#8217;s. What needs to be<br>done for the company to market this new dissolving suture?<br>A. Filing a new 510(k) documenting changes in product instructions for use<br>B. Submission of changes in a periodic report<br>C. After-reporting clinical studies in an Annual Report<br>D. After-submission of labeling change [Ans: &#8211; A.<br>A new intended use requires a 510(k).<br>While reviewing product complaint files for MDR reportability, you notice a complaint regarding a<br>common failure mode of an implantable screw. No patient involvement or adverse consequences<br>were reported in the complaint. Your firm has initiated a Class I recall for this implantable screw due<br>to safety issues associated with this failure mode. As a regulatory professional your decision is:<br>A. This complaint is reportable; an MDR will be filed with FDA within 30 days<br>B. A review of the complaint history is needed to see whether such failure mode likely will cause or<br>contribute to death or serious injury<\/p>\n\n\n\n<p>RAC<br>4<br>BESTMAXSOLUTIONS |<br>C. No MDR is needed as there is no patient involvement and no adverse consequences were<br>reported<br>D. No MDR is needed but you will file this complaint in the recall file [Ans: &#8211; A.<br>When a recall is initiated for a particular product failure mode, such failure mode automatically is<br>MDR-reportable to FDA. Additionally, while the complaint did not report an adverse event, the<br>manufacturer should evaluate the potential to cause an adverse event if the failure mode was to reoccur.<br>An IVD submission could be submitted as a(n):<br>A. NDA<br>B. BLA<br>C. 510(k)<br>D. BLA or 510(k) [Ans: &#8211; D.<br>IVDs could be submitted as a 510(k) under the FD&amp;C Act or a BLA under the PHS Act.<br>http:\/\/www.fda.gov\/medicaldevices\/deviceregulationandguidance\/ivdregulatoryassistance\/ucm123<br>682.htm<br>(http:\/\/www.fda.gov\/medicaldevices\/deviceregulationandguidance\/ivdregulatoryassistance\/ucm12<br>3682.htm)<br>Regulatory Authority: IVDs are &#8220;medical devices&#8221; as defined in Federal Food, Drug, and Cosmetic Act<br>Section 210(h) or biological products subject to Public Health Service Act Section 351.<br>The two mechanisms to amend an OTC Monograph are:<br>A. Time &amp; Extent Application (TEA) or Annual Report<br>B. Time &amp; Extent Application (TEA) or Citizen Petition<br>C. Annual Report or Preapproval Supplement<br>D. Citizen Petition or Preapproval Supplement [Ans: &#8211; B.<br>21 CFR 10.30, 21 CFR 330.14, Regulation of Non-Prescription Drug Products ODE-IV (Slide 23 to 25)<br>located at http:\/\/www.fda.gov\/downloads\/AboutFDA\/CentersOffices\/CDER\/UCM148055.pdf<br>(http:\/\/www.fda.gov\/downloads\/AboutFDA\/CentersOffices\/CDER\/UCM148055.pdf)<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>1<br>RAC Exam Practice Latest Questions<br>and Answers\/Complete Solutions<br>Which of the following was NOT a requirement of the original Food Drug and Cosmetic Act of 1938?<br>a) Proof of efficacy b) Proof of safety c) Authorized standards of identify d) Safe tolerances for<br>unavoidable poisonous substances(1:1) [Ans: &#8211; A: Proof of efficacy<br>Which amendments to the FD&amp;C Act resulted from the thalidomide tragedy? a) Durham-Humphrey<br>Amendments b) Hatch-Waxman Act c) Controlled Substances Act d) Kefauver-Harris Amendments<br>(1:2) [Ans: &#8211; D: Kefauver-Harris Amendments<br>The Color Additive Amendment of 1960 required FDA to prove that a color additive was unsafe<br>before removing it from the market. a) True b) False(1:3) [Ans: &#8211; B: False<br>What has been described as &#8220;the most extensive change to the agency&#8217;s practices since 1938?&#8221; a)<br>Prescription Drug User Fee Act of 1922b) GMPs for the 21st Century initiative c) Food and Drug<br>Administration Modernization Act d) Food and Drug Administration Amendments Act(1:4) [Ans: &#8211; C:<br>Food and Drug Administration Modernization Act<br>Both regulations and guidance documents have the force of law. True or False?(2:1) [Ans: &#8211; False.<br>Only regulations have the force of law.<br>Although FDA&#8217;s statutory authority does not extend to the occupational safety and health<br>responsibilities of OSHA the agencies coordinate their efforts in matters of related responsibility<br>such as unshielded syringes and natural rubber latex. True or False?(2:2) [Ans: &#8211; True<br>An FDA petition much contain which of the following? a) Action requested b) Statement of grounds<br>c) Environmental impact d) All of the above(2:3) [Ans: &#8211; D: All of the above<br>Drugs may be eligible for over-the-counter status when: a) They have been marketed to a material<br>extent b) They have been marketed for a material time c) Are generally recognized as safe d) All of<br>the above(2:4) [Ans: &#8211; D: All of the above<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>2<br>Biologics are cleared for marketing through which process ?a) Establishment License Application<br>(ELA)b) Product License Application (PLA)c) Biologics License Application (BLA)d) All of the above(2:5)<br>[Ans: &#8211; C: Biologics License Application (BLA)<br>A Special 510(k) relies on the following information: a) Design control documentation b) Guidance<br>documents c) Consensus standards d) All of the above(2:6) [Ans: &#8211; A: Design control documentation<br>Which act required rulemaking meetings to be open to the public? a) Moonshine Act b) Government<br>in the Sunshine Act c) Food Drug and Cosmetics Act d) Administrative Amendments Act(2:7) [Ans: &#8211;<br>B: Government in the Sunshine Act<br>Which of the following does not distinguish the development of drugs for animal use from those for<br>human use: a) The ability to use known data from the development of a drug for use in humans or<br>other animal species as applicable. b) Generally safety and efficacy studies require only 10s of<br>animals per group compared to the 100s of patients per group required for human drugs. c) Does<br>not have user fees for NADAs. d) Species class and breed of animals as well as geographical<br>differences are more relevant.(3:1) [Ans: &#8211; C: Does not have user fees for NADAs.<br>A generic drug is deemed bioequivalent to the RLD if in clinical bioequivalence studies the 90%<br>confidence intervals for the ratio of population geometric means between the two treatments based<br>on log-transformed data is contained within the equivalence limits of <strong><em>% &#8211; <\/em><\/strong>% for AUC and<br>Cmax. a) 80 120 b) 75 125 c) 90 110 d) 80 125(3:2) [Ans: &#8211; D: 80% and 125%<br>What is the definition of a biologic?(3:3) [Ans: &#8211; A substance derived from or made with the aid of<br>living organisms.<br>What are the major categories of ICH guidelines?(3:4) [Ans: &#8211; Quality Safety Efficacy<br>Multidisciplinary<br>What is the deadline for an initial IND Safety report of a fatal or life-threatening serious adverse<br>event?(3:5) [Ans: &#8211; 7 days<br>FDA promulgates regulations in which of the following? a) Code of Federal Regulations b) Docket<br>Management System c) Federal Register d) Federal Docket(4:1) [Ans: &#8211; C: Federal Register<br>What five types of application meetings are available to sponsors submitting medical devices to<br>CDRH?(4:2) [Ans: &#8211; Agreement Determination Pre-IDE Pre-PMA and PMA day-100<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>3<br>Under what circumstances is it appropriate to request a Type A meeting?(4:3) [Ans: &#8211; The Type A<br>meeting is one that is immediately necessary for an otherwise stalled drug development program to<br>proceed. Type A meetings are reserved for dispute resolution discussion of clinical holds and special<br>protocol assessment meetings.<br>True or False: A hearing to review the safety and efficacy of an NDC is a public hearing before the<br>commissioner. (4:4) [Ans: &#8211; False. A hearing to review the safety and efficacy of an NDA is a public<br>hearing before a public advisory committee.<br>True or False: FDA advisory committee meetings may be completely closed to the public and notice<br>of a meeting is not required to be published until the day of the meeting. (5:1) [Ans: &#8211; False:<br>Advisory committee meetings may be closed but no advisory committee meeting can be completely<br>closed (21 CFR 14.27)<br>True or False: FDA advisory committees provide independent expert advice and credibility to<br>product reviews. (5:2) [Ans: &#8211; True<br>Where can you find guidance on the time frames for preparing briefing materials for an advisory<br>committee meeting?(5:3) [Ans: &#8211; &#8220;Guidance for Industry Advisory Committee Meetings &#8211;<br>Preparation and Public Availability of Information Given to Advisory Committee Members (August<br>2008)&#8221;<br>True or False: There are 31 advisory committees within FDA.(5:4) [Ans: &#8211; True<br>Industry representatives are\/are not voting members of an advisory committee because they are<br>independent of the sponsor company and represent the industry as a whole.(5:5) [Ans: &#8211; Industry<br>members are non-voting members of an advisory committee. (21 CFR 14.84)<br>Stability testing of clinical trial materials and commercial drug products is subject to: a) Good<br>Laboratory Practice Regulations b) Good Scientific Practice Regulations c) Good Manufacturing<br>Practice Regulations d) Both a and b e) None f) All of the above(6:1) [Ans: &#8211; C: Good Manufacturing<br>Practice Regulations<br>True or False: Good Laboratory Practice Regulations require the Quality Assurance Unit to prepare a<br>GLP Compliance Statement for inclusion in the final study report(6:2). [Ans: &#8211; True<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>1<br>US RAC Review Questions RAPS Modules With Complete<br>Solutions (Latest Update 2023|Verified Answers<br>In which situation is an IND not required?<br>A) You intend to conduct a clinical trial with an investigational new drug<br>B) You intend to conduct a clinical trial with an approved drug to support a marketing application for<br>a new indication<br>C) You intend to collect blood samples from subjects to look for biomarkers or pharmacogenetic<br>information<br>D) You intend to conduct a clinical trial using 2 of your approved drugs in a new combination<br>[Ans: &#8211; C) You intend to collect blood samples from subjects to look for biomarkers or<br>pharmacogenetic information<br>In the clinical development plan for an investigational antihypertensive drug, which of the<br>following studies would typically be conducted first:<br>A) 1 month repeat dose toxicology study<br>B) Single dose escalation PK study in healthy volunteers<br>C) Multiple dose PK study in healthy volunteers<br>D) Single dose escalation study in hypertensive patients<br>[Ans: &#8211; B) Single dose escalation PK study in healthy volunteers<br>A sponsor must report an unexpected, fatal or life-threatening experience believed to be<br>associated with an unapproved drug\/biologic:<br>A) to FDA, investigators and IRBs within 7 calendar days<br>B) to FDA and investigators within 7 calendar days<br>C) to FDA within 14 calendar days<br>D) to FDA and investigators within 7 working days<br>[Ans: &#8211; B) to FDA and investigators within 7 calendar days<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>2<br>Which of the following is a covered study as defined under Financial Disclosure regulations?<br>A) Phase I dose escalation study<br>B) Phase I\/II Pharmacokinetic Study<br>C) A large open label safety study conducted at a large number of study sites<br>D) Phase III pivotal study<br>[Ans: &#8211; D) Phase III pivotal study<br>Your company is developing a product to treat a serious and life-threatening disease. A clinically<br>meaningful, well established primary endpoint will be used in the pivotal studies. Which<br>regulatory strategy might you select prior to commencing Phase 3 studies?<br>A) Request Special Protocol Assessment<br>B) Request Fast Track Designation<br>C) Request Priority Review<br>D) Approval under Subpart H, Accelerated Approval of New Drugs for Serious or Life Threatening<br>Illnesses<br>[Ans: &#8211; A) Request Special Protocol Assessment<br>As a regulatory affair professional, you are responsible for developing the content of an<br>information package for a Type B meeting with FDA. Your primary objective is to:<br>A) Reach consensus on content from contributing team members<br>B) Ensure content is sufficient to support meeting objective(s) and questions to FDA<br>C) Provide appropriate preclinical summary<br>D) Provide appropriate clinical summary<br>[Ans: &#8211; B) Ensure content is sufficient to support meeting objective(s) and questions to FDA<br>You, a regulatory affair professional, are assessing the information to be submitted in support of a<br>marketing application for a new dosage form for a listed drug. You lack right of reference to one<br>key preclinical report. Which type of application will you prepare for submission?<br>A) 505 (b) (1)<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>3<br>B) 505 (b) (2)<br>C) 505 (j)<br>D) PMA<br>[Ans: &#8211; B) 505 (b) (2)<br>8) If FDA were to invoke the Application Integrity Policy, which of the following is a possible<br>outcome?<br>A) Defer review of pending application(s)<br>B) &#8220;File&#8221; a marketing application at the 60 day review<br>C) Grant a waiver or deferral for pediatric clinical study<br>D) Approve a marketing application<br>[Ans: &#8211; A) Defer review of pending application(s)<br>9) Which of the following supplements to an approved NDA\/BLA must be approved by FDA prior<br>to distributing product made using the change?<br>A) Make change(s) to comply with USP<br>B) Change in the technical grade of an excipient, same<br>specifications and use<br>C) Add a warning statement to prescribing information<br>D) Process change outside the validated range<br>[Ans: &#8211; D) Process change outside the validated range<br>10) Which of the following products would not be regulated by CDER?<br>A) Therapeutic proteins<br>B) Vaccines<br>C) Chemically synthesized small molecules<br>D) Monoclonal antibodies<br>[Ans: &#8211; B) Vaccines<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>1<br>RAC Sample Test 2023-2024 Questions<br>with All Correct Answers + Feedback<br>Which of the following is considered part of the Device Master Record?<br>A. Employee training record<br>B. Labelling specifications<br>C. Design reviews<br>D. Calibration records [Correct Ans: &#8211; B. Labeling specifications<br>Question Feedback: Labelling specifications are part of the DMR<br>A company has a new oral drug, GOODDRUG, it wishes to market in the US. Studies on intravenous<br>GOODDRUG have been conducted by several academic centers demonstrating safety and efficacy<br>and have been published in peer-reviewed journals. The most-appropriate method to gain approval<br>would be by filing a:<br>A. ANDA<br>B. SNDA<br>C. 505(b)2<br>D. 505(b)1 [Correct Ans: &#8211; C. 505(b)2<br>Question Feedback: Since the drug has been studied and those results published, a comparability<br>study between IV and oral dosage forms is acceptable under a 505(b)2<br>Your company is considering a new drug product. It has been on the market for more than 30 years<br>in a foreign country, but has never been approved in the US. To sell this product in the US, you may<br>do the following immediately EXCEPT:<br>A. Determine monograph or NDA status of the product<br>B. Initiate clinical studies in the foreign country to support the claims since the clinical data are old<br>and would not meet current requirements<br>C. Determine whether this is a New Chemical Entity<br>D. Import the product and use new labelling [Correct Ans: &#8211; D. Import the product and use new<br>labelling<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>2<br>Question Feedback: The importation of a drug product to be distributed in the US must meet US<br>regulations, regardless of its approved status in another country, therefore answer 4 is correct.<br>A company is developing a combination product consisting of a device that injects a specially<br>formulated small molecule drug for pain into the muscle tissue. Which of the following describes the<br>best US regulatory path?<br>A. The product is regulated as a drug<br>B. The product is regulated under CDRH<br>C. The company should file a BLA to obtain US marketing approval<br>D. The company should submit a request for designation to OCP [Correct Ans: &#8211; A. The product is<br>regulated as a drug<br>Question Feedback: Primary mode of action is the pain drug and the device is a delivery system<br>FDA has issued a Complete Response Letter to a company. The company views many of the<br>deficiencies as minor. The regulatory professional should meet with the team to:<br>A. Devise a strategy for responding to all deficiencies identified by FDA<br>B. Devise a strategy to respond to any minor deficiencies in order to restart the review clock<br>C. Inform the team a Class 1 resubmission has a six-month review clock<br>D. Inform the team a Class 2 resubmission has a three-month review clock [Correct Ans: &#8211; A. Devise a<br>strategy for responding to all deficiencies identified by FDA<br>Question Feedback: Resubmission\u2019s purport to answer all of the deficiencies needing to be<br>addressed by the applicant prior to the original application&#8217;s approval as set forth in a previous<br>action letter.<br>A drug manufacturer creates a game-based simulation to assist diabetes patients with management<br>of their blood glucose levels and to motivate them to adhere to their medication schedules. The<br>game will be based on a password protected website that will be made available to patients when an<br>FDA-approved drug is prescribed to them. How will the game most likely be regulated by FDA?<br>A. It should be included as part of the NDA submission<br>B. It will be regulated as a Class I medical device<br>C. It will be regulated as an in vitro diagnostic product<br>D. It will not be an FDA regulated product [Correct Ans: &#8211; D. It will not be an FDA regulated product<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>3<br>Question Feedback: This type of &#8220;advertising&#8221; would fall under the category of a &#8220;help-seeking&#8221;<br>advertisement because the product is not named, although it likely makes recommendations about<br>actions that might be taken based on a particular symptom, i.e., low or elevated glucose levels.<br>Unlike drug and device promotional labeling and prescription drug and restricted device advertising,<br>disease awareness communications are not subject to the requirements of the FD&amp;C Act and FDA<br>regulations.<br>For which device below does the Quality System Regulation require the same procedures for<br>identifying the control number for each unit, lot or batch of finished devices as those mandated by<br>the new UDI Rule?<br>A. Surgical gloves<br>B. X-ray machines<br>C. Pacemakers<br>D. Syringes [Correct Ans: &#8211; C. Pacemakers<br>Question Feedback: According to 21 CFR 820.65,&#8221;Each manufacturer of a device that is intended<br>for surgical implant into the body or to support or sustain life and whose failure to perform when<br>properly used in accordance with instructions for use provided in the labeling can be reasonably<br>expected to result in a significant injury to the user shall establish and maintain procedures for<br>identifying with a control number each unit, lot, or batch of finished devices and where appropriate<br>components.&#8221; The Pacemaker is a Class III implantable device and subject to 21 CFR 820.65. (Sec.<br>820.65 Traceability- Each manufacturer of a device that is intended for surgical implant into the body<br>or to support or sustain life and whose failure to perform when properly used in accordance with<br>instructions for use provided in the labeling can be reasonably expected to result in a significant<br>injury to the user shall establish and maintain procedures for identifying with a control number each<br>unit, lot, or batch of finished devices and where appropriate components. The procedures shall<br>facilitate corrective action. Such identification shall be documented in the DHR.)<br>Your company is developing a new drug to be developed and used in combination with a cystoscopic<br>light device for the early detection of bladder cancer. You are asked to develop an overall regulatory<br>strategy. The first step you undertake is:<br>A. Submit a Request for Designation to FDA Office of Combination Products for determination of the<br>lead center for primary jurisdiction for the combination product.<br>B. Make a preliminary internal company determination of the combination product&#8217;s primary<br>mode of action.<br>C. Submit an IND along with a Request for Designation to FDA CDER Office of Oncology Drug<br>Products (OODP).<br>D. Submit a request for designation to FDA CDRH and notify the Office of Combination Products<br>[Correct Ans: &#8211; B. Make a preliminary internal company determination of the combination product&#8217;s<br>primary mode of action.<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>4<br>Question Feedback: It is important to determine the primary mode of action first to be able to<br>make a recommendation as to which agency component should have primary jurisdiction, to be<br>followed by a request for designation to FDA OCP if deemed necessary when the product&#8217;s<br>classification or the agency center to which it should be assigned in unclear or in dispute.<br>A key pharmaceutical product parameter has a specification range of 90-100. Which of the following<br>postmarketing specification changes would require FDA notification prior to making the change?<br>A. 89-100<br>B. 90-99<br>C. 95 +\/- 5<br>D. 95-100 [Correct Ans: &#8211; A. 89-100<br>Question Feedback: Notification is required when the specification range is widened. VIII.<br>Specifications: B. Major Changes (Prior Approval Supplement) The following are examples of changes<br>in specifications considered to have a substantial potential to have an adverse effect on the identity,<br>strength, quality, purity, or potency of a drug product as these factors may relate to the safety or<br>effectiveness of the drug product. C. Moderate Changes (Supplement\u2014Changes Being Effected)<br>Supplement\u2014Changes Being Effected in 30 Days b. Relaxing an acceptance criterion<br>Which of the following statements is NOT true for Phase I Investigational New Drug (IND)<br>Applications and Investigational Device Exemptions (IDEs) for significant-risk products?<br>A. The investigational product must be manufactured in full compliance with CGMP<br>B. Clinical study protocols must be reviewed and approved by an Institutional Review Board<br>C. The IND or IDE goes into effect 30 days after FDA receives the application, unless FDA notifies the<br>sponsor otherwise<br>D. The application must include an environmental impact statement that contains a claim for<br>categorical exclusion or an environmental assessment [Correct Ans: &#8211; A. The investigational product<br>must be manufactured in full compliance with CGMP<br>Question Feedback: According to CFR 210, 2(c), &#8220;An investigational drug for use in a phase 1 study,<br>as described in 312.21(a) of this chapter, is subject to the statutory requirements set forth in 21<br>U.S.C. 351(a)(2)(B). The production of such drug is exempt from compliance with the regulations in<br>part 211 of this chapter.&#8221; However, based on FDA guidance, Phase 1 investigational drugs should be<br>manufactured with the application of some (not full) CGMP.<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>1<br>US RAC Practice Exam Latest Questions With<br>Complete Solutions| Verified Answers<br>[Q]Which meeting is held with the FDA for the purpose of reaching concurrence on the key<br>parameters of the investigational plan for a Class III device?<br>[A] Agreement meeting<br>[B] Determination meeting<br>[C] Presubmission meeting<br>[D] PMA Day-100 meeting [Ans: &#8211; [A] Agreement meeting<br>[Q]Which meeting held with the FDA is necessary for an otherwise stalled drug product<br>development program to proceed?<br>[A] Type A<br>[B] Type B<br>[C] Type C<br>[D] Type D [Ans: &#8211; [A] Type A<br>[Q]Which type of meeting is held with the FDA for a Special Protocol Assessment?<br>[A] Type A<br>[B] Type B<br>[C] Type C<br>[D] Type D [Ans: &#8211; [A] Type A<br>[Q]Within how many days after FDA&#8217;s receipt of a written request for a meeting should the following<br>meetings occur: Type A, Type B, Type C<br>[A] 15, 30, 45<br>[B] 30, 45, 60<br>[C] 30, 60, 90<br>[D] 30, 60, 75 [Ans: &#8211; [D] 30, 60, 75<br>[Q]How often does a drug product listing need to occur?<br>[A] Annually<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>2<br>[B] Every June and December<br>[C] Quarterly<br>[D] Once [Ans: &#8211; [B] Every June and December<br>[Q]Upon receipt of a complete PMA, how many days does the FDA have to approve or not approve<br>the PMA?<br>[A] 90<br>[B] 120<br>[C] 150<br>[D] 180 [Ans: &#8211; [D] 180<br>[Q]What is the one section that is required in an NDA but not in a BLA?<br>[A] CMC<br>[B] Clinical data<br>[C] Field copy certification<br>[D] Microbiology [Ans: &#8211; [C] Field copy certification<br>[Q]What are the possible outcomes to a PMA?<br>[A] Approval, unacceptable, refusal<br>[B] Acceptance, pending, rejected<br>[C] Approval, Approvable, not approvable, denial<br>[D] Approval letter, complete response letter, refuse to file letter [Ans: &#8211; [C] Approval, Approvable,<br>not approvable, denial<br>[Q]What are the possible outcomes to an NDA?<br>[A]Approval, unacceptable, refusal<br>[B]Approval letter, complete response letter, refuse to file letter<br>[C]Approval, not approvable, denial<br>[D]Acceptance, pending, rejected [Ans: &#8211; [B]Approval letter, complete response letter, refuse to file<br>letter<br>[Q]What is the approval timeline for a priority NDA versus a standard NDA?<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>3<br>[A] 10 months, 12 months<br>[B] 6 months, 10 months<br>[C] 6 months, 12 months<br>[D] 12 months, 18 months [Ans: &#8211; [B] 6 months, 10 months<br>[Q]A new drug is any drug not generally recognized as safe and effective before <strong><em>. [A] 1964 [B] 1948 [C] 1927 [D] 1938 [Ans: &#8211; [D] 1938 [Q]A 510 (k) is required for<\/em><\/strong> Class I devices and <strong><em>_ Class II devices. [A] Some, most [B] All, all [C] All, most [D] Most, some [Ans: &#8211; [A] Some, most [Q]Which 510 (k) do you file where a guidance document exists that provides reasonable assurance that the device&#8217;s safety and effectiveness have been established? [A] Traditional [B] Standard [C] Abbreviated [D] Special [Ans: &#8211; [C] Abbreviated [Q]Which 510 (k) do you file where the device modification does not affect its intended use? [A] Traditional [B] Standard [C] Abbreviated [D] Special [Ans: &#8211; [D] Special [Q]A determination of substantial equivalence to a 510 (k) implies <\/em><\/strong><em>to market the device,<br>not <strong><em>_<\/em><\/strong><\/em> to market the device.<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>4<br>[A] Approval, clearance<br>[B] Clearance, approval<br>[C] Permission, approval<br>[D] Clearance, notification [Ans: &#8211; [B] Clearance, approval<br>[Q]If the FDA requests additional information while reviewing a 510 (k) submission, you have <em>_<\/em><br>days to respond.<br>[A] 30<br>[B] 60<br>[C] 90<br>[D] 180 [Ans: &#8211; [D] 180<br>[Q]Which of the following are exempt from premarket notification?<br>[A] Custom devices<br>[B] Special devices<br>[C] Restricted devices<br>[D] None of the above [Ans: &#8211; [A] Custom devices<br>[Q]Form FDA <strong><em>, Blood Establishment Registration and Product Listing, is used for submission of registration and product listing information to the FDA. [A] 4030 [B] 2830 [C] 3356 [D] 1170 [Ans: &#8211; [B] 2830 [Q]Completion of Form FDA<\/em><\/strong> is required for all establishments engaged in the recovery,<br>processing, storage, labeling, packaging, or distribution of any Human Cells, Tissues, and Cellular and<br>Tissue-Based Products (HCT\/Ps), or the screening or testing of a cell or tissue donor.<br>[A] 4030<br>[B] 2830<br>[C] 3356<br>[D] 1170 [Ans: &#8211; [C] 3356<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>1<br>RAC Practice Exam 2023-2024 Update<br>Questions With Complete Solutions<br>A Special 510(k) must contain all of the following components EXCEPT:<br>A. Proposed Labeling<br>B. Design Controls Activity Summary<br>C. 510(k) Summary or 510(k) Statement<br>D. Summary of Safety and Effectiveness Data [Ans: &#8211; D. Summary of Safety and Effectiveness Data<br>Summary of Safety and Effectiveness Data is not a requirement of a Special 510(k).<br>Sec. 807.87 Information required in a premarket notification submission.<br>(j) For submissions claiming substantial equivalence to a device which has been classified into class III<br>under section 513(b) of the act:<br>(1) Which was introduced or delivered for introduction into interstate commerce for commercial<br>distribution before December 1, 1990; and<br>(2) For which no final regulation requiring premarket approval has been issued under section 515(b)<br>of the act, a summary of the types of safety and effectiveness problems associated with the type of<br>devices being compared and a citation to the information upon which the summary is based (class III<br>summary). The 510(k) submitter shall also certify that a reasonable search of all information known<br>or otherwise available about the class III device and other similar legally marketed devices has been<br>conducted (class III certification), as described in 807.94. This information does not refer to<br>information that already has been submitted to the Food and Drug Administration (FDA) under<br>section 519 of the act. FDA may require the submission of the adverse safety and effectiveness data<br>described in the class III summary or citation.<br>A company is developing a demineralized bone matrix (DBM) product intended as a bone void filler.<br>The DBM product consists of DBM manufactured from human allograft bone and a polymer gel to<br>improve handling and containment of the DBM in the bone defect. The DBM product must comply<br>with the following regulation(s):<br>A. 21 CFR 210 and 211<br>B. 21 CFR 820<br>C. 21 CFR 1271<br>D. 21 CFR 1271 and 820 [Ans: &#8211; D. 21 CFR 1271 and 820<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>2<br>Demineralized bone matrix alone (i.e., not combined with another component) is an HCT\/P which<br>meets the four criteria to be regulated solely under Section 361 of the Public Health Service Act.<br>FDA, however, has determined the addition of certain components to DBM, such as polymer gels or<br>calcium phosphates, meets the definition of a device as they are intended to affect the structure or<br>function of the body by assisting in the filling of bone voids. These DBM products, therefore, are<br>regulated as devices by CDRH (510(k) clearance required) and as such must comply with 21 CFR 820<br>Quality System Regulation. In addition, the product also needs to comply with the requirements of<br>21 CFR 1271 Human Cells, Tissues and Cellular and Tissue-Based Products due to the human tissue<br>component.<br>You work for a company that is developing an autologous cellular therapy product. FDA informed<br>your company that its product will be regulated as an HCT\/P (Human Cells, Tissues and Cellular and<br>Tissue-Based Product). Based on this information, with which of the following regulatory<br>requirements will your company need to be compliant when manufacturing the product?<br>A. 21 CFR 210 \/ 211 (CGMP requirements for pharmaceuticals)<br>B. 21 CFR 2171 and 21 CFR 820<br>C. All Subparts of 21 CFR 1271 except Subpart C (Donor Eligibility)<br>D. All Subparts of 21 CFR 1271 [Ans: &#8211; C. All Subparts of 21 CFR 1271 except Subpart C (Donor<br>Eligibility)<br>As the product is regulated under section 361 of the PHS Act, it is only subject to the requirements in<br>21 CFR 1271, with the exception of Subpart C, as autologous products are not subject to donor<br>eligibility requirements.<br>A drug manufacturer is assembling a clinical evaluation plan for a New Chemical Entity (NCE) to<br>include in an IND submission. Which of the following NCE studies DOES NOT need to be included by<br>the manufacturer in the clinical trial registry at www.clinicaltrials.gov?<br>A. Phase 1 studies<br>B. Phase 2 studies<br>C. Phase 3 studies<br>D. Phase 4 postmarketing studies [Ans: &#8211; A. Phase 1 studies<br>Clinical Trials That Must be Registered at ClinicalTrials.gov\u2014FDAAA, Title VIII, Sec. 801 (&#8220;Applicable<br>Clinical Trials&#8221;)<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>3<br>\u2014Trials of drugs and biologics: controlled clinical investigations, other than Phase 1 investigations, of<br>a product subject to FDA regulation<br>\u2014Trials of devices: (a) a prospective clinical study of health outcomes comparing an intervention<br>with a device, subject to FDA regulation, against a control in human subjects, (other than small<br>feasibility studies), and (b) pediatric postmarket surveillance<br>The two mechanisms to amend an OTC Monograph are:<br>A. Time &amp; Extent Application (TEA) or Annual Report<br>B. Time &amp; Extent Application (TEA) or Citizen Petition<br>C. Annual Report or Preapproval Supplement<br>D. Citizen Petition or Preapproval Supplement [Ans: &#8211; B. Time &amp; Extent Application (TEA) or Citizen<br>Petition<br>Which of the following is NOT required in a Biologics License Application (BLA) but is required in a<br>New Drug Application (NDA)?<br>A. FDA form 3397 (user fee cover sheet)<br>B. Field copy certification<br>C. Chemistry section<br>D. Debarment certification [Ans: &#8211; B. Field copy certification<br>Field copy certification only applies to NDA products, whereas all of the others sections are<br>requirements for both BLAs and NDAs.<br>Your company would like to submit an IND for the use of a new drug on subjects with a lifethreatening disease for which there are no suitable alternative drugs available. Which type of IND<br>application would be most suitable for this type of investigation?<br>A. Treatment IND<br>B. Emergency Use IND<br>C. Investigator IND<br>D. Expanded access IND [Ans: &#8211; A. Treatment IND<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>4<br>A treatment IND would be most suitable for this application (answer 1). Treatment INDs are issued<br>as a means of providing eligible subjects with investigational drugs or biologics for the treatment of<br>serious and life-threatening illnesses for which there are no suitable alternative treatments.<br>You are assigned the task of obtaining an Orphan Drug Designation (ODD) for a novel investigational<br>drug for new onset Type I diabetes mellitus. Which of the following is NOT among your points of<br>consideration for this ODD application?<br>A. The ODD application must be submitted for review to FDA Office of Orphan Products<br>Development (OOPD)<br>B. This investigational drug may qualify for ODD as new onset Type I diabetes mellitus may be a<br>medically plausible disease subset under the Orphan Drug Act<br>C. The ODD application must be submitted electronically to the OOPD through the FDA Electronic<br>Submission Gateway (ESG)<br>D. The scientific rationale and population prevalence are two areas of the ODD application that are<br>most critically reviewed by FDA [Ans: &#8211; C. The ODD application must be submitted electronically to<br>the OOPD through the FDA Electronic Submission Gateway (ESG)<br>Sponsors may send the submission directly to OOPD on physical media with a signed paper cover<br>letter.<br>How many days does FDA have to review an Abbreviated 510(k)?<br>A. 30 days<br>B. 60 days<br>C. 90 days<br>D. 180 days [Ans: &#8211; C. 90 days<br>Because both Special 510(k) and Abbreviated 510(k) are alternate approaches to the Traditional<br>510(k), with the goal of streamlining evaluation of the application, the Special 510(k) review clock is<br>30 days. Many people often think the review clock for an Abbreviated 510(k) is also 30 days, but it is<br>actually 90.<br>Which federal law made it illegal for physicians being reimbursed by federally funded programs to<br>prescribe or recommend that the patient use a particular manufacturer&#8217;s medical products when the<br>doctor receives payment from that manufacturer?<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>1<br>US RAC Practice Exam Latest Questions<br>and Answers| Verified Answers<br>A physician reports to a manufacturer that a patient was hospitalized with acute sepsis after<br>treatment with an approved device. This side effect is not listed in the package insert. This event<br>must be reported by the manufacturer to FDA no later than:<br>A. 5 calendar days.<br>B. 15 calendar days.<br>C. 30 calendar days.<br>D. The next quarterly or annual report.<br>[Ans: &#8211; Explanation:<br>B. There are no 15 day reports included in MDR regulations. 15 Day reports are required b by drug<br>reporting regulations.<br>The correct answer is: C<br>Under the IDE regulation, all of the following must be reported to the sponsor within five working<br>days<br>EXCEPT:<br>A. A deviation from the investigational plan.<br>B. Withdrawal of IRB approval.<br>C. An unanticipated adverse device effect.<br>D. Use of a device without informed consent.<br>[Ans: &#8211; Explanation:<br>B. Withdrawal of IRB approval is reported within five days.<br>The correct answer is C.<br>When design verification testing is being performed by a manufacturer, which element is NOT<br>included as a potential requirement under device design verification section of the QSR?<br>A. Identification of the design<br>B. Software validation<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>2<br>C. Identification of test methods used.<br>D. Name of individuals performing the testing .<br>[Ans: &#8211; Explanation:<br>B. Software validation is generally included in design validation, not verification (820.30 (g)).<br>The correct answer is C.<br>Under the statutory violations, lack of an approved PMA for a PMA device that is not exempt and is<br>in commercial distribution is considered to be:<br>A. Adulteration.<br>B. Improper use.<br>C. Misbranded.<br>D. Fraudulent. [Ans: &#8211; Explanation:<br>D. PMA products introduced into commercial distribution without an approval PMA are considered<br>to be adulterated. FD&amp;C Act 501 (f).<br>The correct answer is A.<br>A manufacturer of the following must file an IDE before conducting a human clinical study?<br>A. A device in commercial distribution before 28 May 1976 when used or investigated in accordance<br>with its indications in labeling in effect at that time.<br>B. A device intended solely for veterinary use.<br>C. A custom device being studied for safety and effectiveness.<br>D. A device in commercial distribution before 28 May 1976 when used or investigated in accordance<br>with its indications in labeling in effect at that time. And a device intended solely for veterinary use.<br>[Ans: &#8211; Explanation:<br>C. While a custom device may be studied in humans without an IDE, if its safety and efficacy are<br>being studied<br>in support of commercial marketing, an IDE must be file (21 CFR 812.2(c)(7))<br>The regulatory affairs professional performs all of the following prior to submitting a PMA to FDA<br>EXCEPT:<br>A Preparing criteria for the MDR report.<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>3<br>B. Preparing a brief statement of reasons for noncompliance with regulation.<br>C. Identifying all omissions in PMA content.<br>D. Reviewing, organizing and checking adequacy of data pertaining to safety and efficacy evaluation.<br>[Ans: &#8211; Explanation:<br>B. This item is required by 814.20(b)<br>The correct answer is A<br>Which of the following sections is required in a PMA?<br>A. Patent certification information.<br>B. A copy of quality manual.<br>C. An economic cost\/benefit assessment.<br>D. A discussion of benefit and risk considerations. [Ans: &#8211; Explanation:<br>D. See 21 CFR 814.20(b)(3)(vi)<br>D. A discussion of benefit and risk considerations<br>Subacute toxicity testing should be performed:<br>A. In two rodent species.<br>B. In one rodent and one non-rodent species.<br>C. For a minimum of two weeks.<br>D. For a minimum of six months. [Ans: &#8211; Explanation:<br>B. See ICH guideline M3 Maintenance of The ICH Guideline on Non-Clinical Safety Studies for The<br>Conduct of Human Clinical Trials for Pharmaceuticals.<br>B. In one rodent and one non-rodent species.<br>What FDA clearances are required to export a drug approved by FDA?<br>A. Certificate of Free Sale.<br>B. Customs Tax Stamps.<br>C. No clearance required.<\/p>\n\n\n\n<p>RAC<br>bestmaxsolutions<br>4<br>D. FDA receipt for sample Form-484. [Ans: &#8211; Explanation:<br>C. There are no FDA export requirements for approved products.<br>C. No clearance required.<br>Fully quality-assured individual toxicology reports are not required for submission of an initial IND<br>application. However, finalized and fully quality assured reports should be available to FDA upon<br>request within what period of the start of the human study?<br>A 90 days.<br>B. 120 days.<br>C. One year.<br>D. The final report is only required in the submission for the NDA [Ans: &#8211; Explanation:<br>A See FDA &#8220;Guidance for Industry Q &amp; A: Content and Format of INDs for Phase 1 Studies of Drugs,<br>Including Well-Characterized, Therapeutic, Biotechnology-Derived Products.&#8221; OctoBer 2000.<br>The correct answer is B.<br>With respect to drug product distribution procedures, a distributor is required to do all of the<br>following EXCEPT:<br>A. Establish a system whereby the oldest approved stock of a drug is distributed last.<br>B. Establish written procedures describing the distribution of drug products.<br>C. Establish a system whereby the oldest approved stock of a drug is distributed first.<br>D. Establish a system by which the distribution of each lot of drug product can be readily determined<br>to facilitate its recall if necessary. [Ans: &#8211; Explanation:<br>A. According to \u00a7211.150, this is not required of a distributor since this way of rotating stock would<br>potentially allow a drug product to expire in storage while awaiting distribution.<br>The correct answer is A.<br>Because of reported dispensing errors due to the similarity of proprietary drug names, one of the<br>companies involved has decided to quickly and voluntarily notify physicians and others responsible<br>for providing patient care about the issue via a &#8220;Dispensing Error Alert&#8221;. In this approach, the<br>company is NOT required to:<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DEVICE RACbestmaxsolutions1DEVICE RAC EXAM QUESTIONS ANDANSWERS| VERIFIED ANSWERS 2022-2023Which division would have primary jurisdiction over a vascular graft with an antibiotic based onprimary mode of action?A. CDERB. CBERC. CDRHD. OCP [Correct Ans: &#8211; CA company wants to modify its legally marketed device such that the modification does not affectthe intended use or alter the fundamental [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118043","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118043","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118043"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118043\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118043"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118043"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}