PART 1: Foundations of Bioethics
Chapter 1: Christianity and Health Care in a Fallen World (p. 23-37)
1. The author advocated which approach to ethics?
a. "Christian Bioethics Only",
such as represented by John Frame in Medical Ethics, in which
society-wide bioethical questions are to be solved only by applying biblical
b. "Secular and Christian Bioethics
Identical", in which Christianity serves to illuminate and reinforce
the natural law values that are common to every one.
c. "Secular and Christian Bioethics Radically Different", as represented by
H. Tristram Englehardt, who believed that traditional Christianity through
its teachings about life, grace, and union with God is radically distinct
from the secular bioethics that rest only upon the bare will of individuals
consenting to live with one another.
d. "Secular Bioethics and Christian Bioethics Distinct but Legitimate", in
which Christians should participate in the mainstream healthcare system and
contribute to its bioethical debates, while recognizing that their belief in
the Scriptural teachings such as the image of God, suffering, death,
resurrection, and God's grace in Christ will shape their individual and
communal views of bioethics.
2. Christians should pursue medical progress and conversations with
non-Christians about bioethics because
a. God ordained a system of human justice not as the sole possession of
those who believed in Him but as the common possession of the human race. So
not only did God call out a people for Himself from the world and promised
them salvation from their sins, He has also ordained that all people,
whatever their religious convictions, must live together as divine image
bearers entrusted with bearing children, building cities, planting farms,
making music, forging metal, and securing justice against wrongdoing.
b. Community hospitals, medical schools, insurance companies, and medical
practice groups are legitimate expressions of the common cultural task that
God bestowed upon the human race as a whole, the task of protecting life and
promoting its flourishing.
c. Creation in general and the human conscience in particular (natural
revelation) make known to all human beings crucial things about God and His
moral will for them. So natural revelation provides a way for Christians to
engage in meaningful moral conversations in the public square with those who
do not acknowledge the authority of Scripture.
d. All of the above.
Chapter 2: Theological Doctrines (p. 39-67)
3. The doctrine of God's sovereignty teaches that not only does God know all
things -- past, present, and future -- but He also has planned and ordained
all things, from the greatest events of history to the most obscure. How are
we, then, to understand how God, being holy, all-powerful, and good, can
allow many evil things to happen?
a. Although God does permit evil things to happen, and even uses them to
accomplish his overall purpose, He is not the source of evil. Instead, He is
the origin of all good things (James 1:13-18).
b. God's sovereignty does not cancel out human responsibility. All human
beings are accountable for their moral conduct. But neither Romans chapter 9
nor the book of Job provide a philosophical explanation for the two
doctrines of God's sovereignty and human responsibility, probably because
there are things about God's greatness that transcend our small, finite
understanding. Job's example is instructive for us -- At the end of the book
of Job he humbles himself and demands no more explanation from God.
c. People can take great comfort knowing that God's sovereignty, even in
illness and suffering, always works for the good of His people (Romans
8:28). He does not allow His people to be consumed by suffering, and in
every moment of temptation He provides the way of escape (I Corinthians
d. All of the above.
4. What does it NOT mean for human beings to be "made in the image of God"?
a. People are rational and intelligent and morally responsible for their
b. All people have been created in God's image, though this image has been
greatly marred and corrupted by sin.
c. People who sin in major ways no longer bear the image of God.
d. All people should be treated with dignity and honor.
5. For Christians, what is the benefit of the death and
resurrection of Christ?
a. God declares Christians justified and righteous before Him. (Romans
b. Christ now lives to sympathize with and aid Christians in all their
suffering, since He suffered and was tempted as a human as well. (Hebrews
c. Death does not have the final say for Christians, since they will live
with God forever (Luke 11:25).
d. All of the above.
6. For Christians, which is NOT true about suffering?
a. Christians can expect to be fully delivered from the sufferings of
this world only when Christ returns, and not before then. (Revelation
b. Today, Christians, if they have enough faith, should expect God to
frequently perform miracles of healing. (Matthew 4:23)
c. Christians must enter the kingdom of heaven "through many tribulations."
d. God usually does not reveal the precise reasons why each Christian
suffers. The book of Job is an example, where God refrains from explaining
Job's suffering. Rather, He simply contrasts His greatness with Job's
smallness (Job chapters 38-41).
e. God uses the suffering of Christians to help them become more like Christ
in His character (Romans 8:29).
f. Throughout all the suffering of Christians, Christ promises to never
leave them (Hebrews 13:5).
Chapter 3: Christian Virtues (p. 69-94)
7. Through which virtue does a Christian trust not his or her work but only
the work of Christ, and therefore is declared righteous by God?
8. Which is NOT true about the Christian virtues?
a. The New Testament primarily speaks of a Christian's hope in what
could happen in this world, such as healing from sickness, rather than in
what will happen in the world to come, such as one's resurrection to eternal
b. Scripture emphasizes love more as actions done for the good of
others rather than good feelings one has.
c. Scriptural courage is the determination to do what is right
according to the will of God while resisting the temptation to avoid what
d. Contentment, in contrast to grumbling, envy, and covetousness, is
submitting to and finding peace with God's will for our condition in every
circumstance of life. This virtue can exist alongside Christians' attempts
to alleviate suffering.
e. A Christian who approaches a bioethical problem with wisdom will
try to understand the precise nature of the problem, the available remedies,
and the likely consequences of those remedies.
PART 2: The Beginning of Life
Chapter 4: Marriage, Procreation, and Contraception (p. 97-117)
9. Which is NOT a teaching of the Bible concerning marriage?
a. God created marriage for the mutual help of a husband and wife.
b. God created marriage for couples to bear children.
c. God created marriage so believing parents can have children who will
d. It is better to be married than to be single.
e. God created marriage to prevent sexual immorality.
10. The Bible would support a couple considering all of
the following factors in delaying to have more children EXCEPT
a. waiting to reduce their burden of debt.
b. trying to maintain a lifestyle that kept pace with their peers or
c. saving for their children's future.
d. increasing their skills in disciplining children effectively.
Chapter 5: Assisted Reproduction (p. 119-145)
11. The first thing a Christian couple should do when they discover
their infertility is to
a. start saving money for expensive fertility treatments.
b. ask God to develop contentment within them, finding peace in the midst of
their infertility, whatever the outcome.
c. consult with a competent physician about possible fertility treatments.
d. ask God what they did to deserve this suffering.
12. What is the author's position concerning third-party
options for overcoming infertility, where “third party” means having a third
person as sperm donor or egg donor or surrogate mother?
a. Although the Bible does not explicitly prohibit third-party options,
they can potentially do damage to natural biological family relations. So
Christian couples should therefore exercise the greatest caution before
proceeding with third-party options.
b. All third-party options should be avoided because they are equivalent to
c. All third-party options result in family anger, jealousy, and discord, as
demonstrated by the biblical story of Abraham, Sarah, and Hagar.
d. The Bible specifically promotes third-party options in Deuteronomy
25:5-10 which is about a surviving brother's obligation to marry his dead
13. Which husband-and-wife option for overcoming
infertility does the author OPPOSE?
a. Artificial insemination (AIH) of the husband's sperm into his wife's
b. In vitro fertilization (IVF) in which only one embryo created from the
husband's sperm and his wife's egg is nurtured throughout the entire
c. In vitro fertilization (IVF) in which multiple embryos are created from
the husband's sperm and his wife's eggs and only one or two are nurtured
throughout the entire course of pregnancy and the rest are destroyed.
d. In vitro fertilization (IVF) is which only two or three embryos are
created from the husband's sperm and his wife's eggs and then implanted into
his wife's body.
Chapter 6: The Human Embryo (p. 147-168)
14. What biblical evidence is there for people to hold a high view of the
a. King David refers to his existence in his mother's womb in Psalm
139:13 “For you formed my inward parts; you knitted me together in my
b. God was intimately at work in David's mother's womb to “knit” and
“intricately weave” David together (Psalm 139:13-16).
c. The power of the Holy Spirit impregnated the virgin Mary with the eternal
Son of God, Jesus, who also became an image bearer of God at the moment He
was conceived as a human embryo. Luke 1:35 “The Holy Spirit will come upon
you, and the power of the Most High will overshadow you; therefore the child
to be born will be called holy – the son of God.”
d. All of the above.
15. The author believes that human personhood begins at
a. fertilization, which causes a radical transformation in which two
entities, a husband's sperm and a wife's egg, genetically different from
each other and unable to survive without each other, combine to form a
genetically unique living human entity that is capable of developing into a
full-grown human being.
b. birth, because a baby ceases to exist
in the mother's body and no longer depends fully upon it for sustenance.
c. viability, when a fetus would be able to live outside the mother's
d. around the 20th week, when the fetus' nervous system is fully integrated,
because then it potentially has the capability for rational activity.
16. The only instance in which the author believes
abortion is justified is when
a. a woman becomes pregnant through rape.
b. tests performed while the baby is in utero show that the child will be
c. the pregnancy threatens the life of the mother.
d. a young woman becomes pregnant and has no financial resources.
PART 3: The End of Life
Chapter 7: Approaching Death -- Dying as a Way of Life (p. 171-193)
17. Which best represents the Christian view and experience of death?
a. Death is a horrible experience that should be fought and delayed at
all costs. Therefore, the best death is one is sudden and involves no
extended period of pain and suffering.
b. Death is a natural process that should be accepted, not feared.
c. Death is an enemy that produces sorrow and grief, but it has been
defeated by Christ's death and resurrection.
d. Death is a biological experience that produces denial, anger, bargaining,
depression, and finally acceptance.
18. Which is NOT true?
a. When Christians visit someone who is dying, they should prepare
something to say that would be comforting. Otherwise, their visit will
probably not be encouraging.
b. The primary purpose of a living will is to provide instructions about
whether a person wishes to receive life-sustaining treatment when in a
permanently unconscious or terminal condition.
c. The power of attorney for health care enables a person to name an agent
who will have legal authority to make necessary healthcare decisions for him
when he is in an incapacitated state.
d. It is wise for each person to execute a will, to have a life insurance
policy as a way of providing immediate financial relief for dependents, and
to put their financial assets in a trust.
Chapter 8: Suicide, Euthanasia, and the Distinction between Killing and
Letting Die (p. 195-212)
19. There are three exceptions to the commandment "You shall not kill."
Which is NOT one of them?
a. administering capital punishment to someone who committed murder.
b. killing one's enemy during a war.
c. defending one's own life or another's life.
d. ending one's life because of extreme
Chapter 9: Accepting and Foregoing
Treatment (p. 213-238)
20. The author would support an elderly person discontinuing any more
chemotherapy treatments for cancer in which of the following situations?
a. The person knew that continuing with chemotherapy only offered a very
small chance of recovery, and the person wanted to have more meaningful
interactions with family members which she did not have while undergoing
b. The person discontinued the painful chemotherapy treatments in order to
focus more upon God and holy living, hoping to be an example to the rest of
c. The person discontinued the expensive chemotherapy treatments in order to
leave more of a financial estate to her family, and to forego the extreme
suffering brought on by the painful treatments.
d. All of the above.