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AAMRO Exam Review – Questions With Verified Answers

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AAMRO Exam Review – Questions With Verified Answers

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What steps does the collector take... * Secure bathroom for the exam
before the employee provides a Urine * Check donor ID
specimen? * Collector has ID
* Basic procedure explained
* Outer clothing removed
* Donor washes hands
* Select urine kit
* Direct to bathroom (45ml, no flush, reasonable
time)
* Be alert for attempts to adulterate


What happens it the employee refuses It is considered a refusal
to hand his hands?


When can the collector give the Only after the testing process is complete; urine
employee permission to leave? obtained (45ml) and both collector and employee
complete CCF


What happens if the employee leaves It is a refusal.
the collection site prior to completion
of the testing process?


Shy Bladder * Discard insufficient specimen and note time on CCF
What if the employee does not prove * Encourage to drink up to 40oz
45ml of Urine? * Patient has 3 hours to provide (always a fresh cup)
* no specimen within 3 hours, discontinue, note on
CCF, contact DER

,What does the collector check for *Temperature
when the employee presents a * Signs of adulteration
specimen?


What if the collector see signs of Second collection conducted under Direct
adulteration? Observation
Remarks line links 1 of 1 (1st collection) and 2 of 2
(2nd collection)
Notify DER was a DO


When is a directly observed collection * When directed by DER
conducted? * Invalid result no medical explanation
* Canceled (+) test- no split available
* Negative-dilute with Creatinine concentration >
2mg/dl but < 5mg/dl
* Return to Duty or Follow Up test
* When determined by the collector


How is a D.O. collection conducted? * Same gender "body to bottle"
* Observer does not need to be trained
* Employee declines it is "refusal"


Are all DOT specimens split? Yes. (a) 30ml/ (b) 15ml
Collector dates label and employee initials
Discard remainder if not needed for other testing


Is a monitored collection a DO? No. Conducted in multi-stall restroom to assure no
tempering


What is a Fatal Flaw? * No CCF with the specimen
* No specimen with the CCF
* No printed collector's name and no signature
* Two separate collections and one CCF
* Specimen ID and CCF do not match
* Specimen seal is broken or tampered and split
cannot be re-designated
* insufficient volume and split cannot be re-
designated

, What are correctable flaws? * Collector's signature omitted
* Non-federal CCF
* Expired federal CCF


Lab on finding a correctable flaw? * Document findings on CCF
* Continue testing
* Attempt correction
* Retain for minimum 5 days attempting to correct
MFR from collector


What happens if a correctable flaw is Lab reports "rejected for testing"
not corrected?


How much L-methamphetamine must >80% L . or <20% D (methamphetamine)
be present to say the cause was
"vicks"?


Which form of methamphetamine can L-Methamphetamine
be sold legally?


What are the Amphetamine MDMA, MDA, MDEA (not tested)
analogues?


What are the opioids tested for? 1) Morphine
2) Codeine
3) 6-Acetylmorphine
4) hydrocodone
5) hydromorphone
6) oxycodone
7) oxymorphone


Up to what positive codeine/morhine up to 15,000 ng/ml
level can be attributed to poppy seed
ingestion?


What levels of opiates require an 2,000-15,000 ng/ml
exam for "clinical evidence" of abuse
or unauthorized use?

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