MRO Practice Exam Questions and

MRO Practice Exam Questions and Answers (Solved Papers)

• Which of the following drug tests is not required for federal

employees under the federal Drug-Free Workplace Program?A.Preplacement B.Post-accident C.Return to duty D.Unreasonable suspicion E.Random - Correct Answers ✅D SAMHSA's Drug Free Workplace Program specifies "Reasonable Suspicion" as one of the types of drug testing.This is found on the federal Custody and Control Form. The incorrect answer was unreasonable suspicion.

• Which of the following is the "weakest link" in drug testing,

i.e., generally produces the most frequent errors?A.Specimen collection B.Laboratory testing C.MRO review - Correct Answers ✅A Among drug testing personnel, there are far more specimen collectors than laboratory staff or MROs. Collectors receive the least amount of training, are paid the lowest wages, and have the highest job turnover.Quality reviews show that a substantially larger number of errors occur in collection and properly completing the Custody and Control Form. 1 / 4

MRO Practice Exam Questions and Answers (Solved Papers)

• MROs must pass a nationally recognized certifying

examination for which of the following activities?A.All MRO work B.All federally regulated MRO work C.All DHHS and DOT MRO work D.All states with provisions allowing medical marijuana - Correct Answers ✅C

A. All MRO work - Incorrect: includes non-federally regulated

drug testing, in which only a handful of states require MRO certification

B. All federally-regulated MRO work - Incorrect: includes DOD,

NRC and other agencies, which do not require MRO certification

C. All DHHS and DOT MRO work - Correct Answer: Both

SAMHSA and DOT clearly specify this requirement for MROs.

• All states with provisions allowing medical marijuana -

Incorrect: state Marijuana laws make no reference to MROs,

and only allow medical authorization or recommendation permitting marijuana use. Health care professions do not "prescribe" marijuana.

• Which of the following roles is primary for the MRO?

A.Lab checker B.SAP advisor 2 / 4

MRO Practice Exam Questions and Answers (Solved Papers) C.Gatekeeper D.Mediator E.Substance Abuse Identifier - Correct Answers ✅c Although each of these monikers identify occasional, peripheral roles of the MRO, the DOT has clearly earmarked the role of the MRO as a gatekeeper.

• After completing review of drug test results, interviewing

the donor and documenting findings, an MRO must do which of the following?A.Confirm laboratory results B.Reconfirm laboratory results C.Verify drug test results D.Report findings to laboratory and employer - Correct Answers ✅C The determination of an MRO is called a "verification" decision. Laboratories confirm lab results though performing a second test using a different analytical method and performing internal quality control measures. A laboratory to which a split specimen is send reconfirms or fails to reconfirm the original laboratory's findings. MROs report findings to employers, but do not routinely report to laboratories.

• The MRO safety duties include all but which of the

following activities?A.Consider essential job functions 3 / 4

MRO Practice Exam Questions and Answers (Solved Papers) B.Review appropriateness of medications donor is taking C.Verify prescriptions with PCP/pharmacy D.Assess safety risks from medications - Correct Answers ✅B A, C and D are all part of the considerations of an MRO in assessing workplace safety. However, the DOT has made it explicitly clear that while an MRO may express safety concerns to the donor and discuss them with prescribing health care professional, the MRO is admonished NOT to determine whether the medication was appropriately prescribed.The one exception for federal employees is mentioned the SAMHSA MRO Guidance Manual, which does allow MROs to "use reasonable medical judgement to make the decision that the provided prescription was generated in response to the donor's current medical condition

• At what age does use of illicit drugs peak in the U.S.?

A.12-17

B.18-24

C.25-3

D.33-50

E.51 and older - Correct Answers ✅B

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