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Forensic Medicine · Medical ethics: Belmont Report
Sample itemA trial of a risky new drug recruits only patients from a charity ward because they are easy to enrol, though the drug will be marketed mainly to wealthy patients. Which Belmont principle is violated?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Justice
The Belmont Report lists respect for persons, beneficence and justice. Justice requires that the burdens and benefits of research are fairly distributed, so recruiting a convenient, vulnerable group for the benefit of others is unjust.
Option by option
A. Respect for persons
Respect for persons concerns autonomy and informed consent, which are not the issue described.
B. Beneficence
Beneficence concerns maximising benefit and minimising harm, which is a separate issue.
C. Justice (correct)
Correct. Unfair selection of subjects violates justice.
D. Non-maleficence
Non-maleficence is part of beneficence in the Belmont framework, not the principle at issue.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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