MRO Exam – Questions And Accurate Solutions
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Terms in this set (107)
2. Which of the following drug tests is D
not required for federal employees SAMHSA's Drug Free Workplace Program specifies
under the federal Drug-Free "Reasonable Suspicion" as one of the types of drug
Workplace Program? testing. This is found on the federal Custody and
Control Form. The incorrect answer was
A.Preplacement unreasonable suspicion.
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random
3. Which of the following is the A
"weakest link" in drug testing, i.e., Among drug testing personnel, there are far more
generally produces the most frequent specimen collectors than laboratory staff or MROs.
errors? Collectors receive the least amount of training, are
A.Specimen collection paid the lowest wages, and have the highest job
B.Laboratory testing turnover.
C.MRO review Quality reviews show that a substantially larger
number of errors occur in collection and properly
completing the Custody and Control Form.
,4. MROs must pass a nationally C
recognized certifying examination for A. All MRO work - Incorrect: includes non-federally
which of the following activities? regulated drug testing, in which only a handful of
A.All MRO work states require MRO certification
B.All federally regulated MRO work B. All federally-regulated MRO work - Incorrect:
C.All DHHS and DOT MRO work includes DOD, NRC and other agencies, which do
D.All states with provisions allowing not require MRO certification
medical marijuana C. All DHHS and DOT MRO work - Correct Answer:
Both SAMHSA and DOT clearly specify this
requirement for MROs.
D. 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.
5. Which of the following roles is c
primary for the MRO? Although each of these monikers identify occasional,
peripheral roles of the MRO, the DOT has clearly
A.Lab checker earmarked the role of the MRO as a gatekeeper.
B.SAP advisor
C.Gatekeeper
D.Mediator
E.Substance Abuse Identifier
6. After completing review of drug C
test results, interviewing the donor The determination of an MRO is called a "verification"
and documenting findings, an MRO decision. Laboratories confirm lab results though
must do which of the following? performing a second test using a different analytical
A.Confirm laboratory results method and performing internal quality control
B.Reconfirm laboratory results measures. A laboratory to which a split specimen is
C.Verify drug test results send reconfirms or fails to reconfirm the original
D.Report findings to laboratory and laboratory's findings. MROs report findings to
employer employers, but do not routinely report to
laboratories.
,7. The MRO safety duties include all B
but which of the following activities? A, C and D are all part of the considerations of an
A.Consider essential job functions MRO in assessing workplace safety. However, the
B.Review appropriateness of DOT has made it explicitly clear that while an MRO
medications donor is taking may express safety concerns to the donor and
C.Verify prescriptions with discuss them with prescribing health care
PCP/pharmacy professional, the MRO is admonished NOT to
D.Assess safety risks from medications 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
8. At what age does use of illicit drugs B
peak in the U.S.? The National Survey on Drug Use and Health has
A.12-17 consistently shown in all its surveys from 2000-2018
B.18-24 that illicit drug use peaks at ages 18-24.
C.25-3
D.33-50
E.51 and older
9. The greatest increase in U.S. drug E
overdose deaths is due to which of The Centers for Disease Control and Prevention
the following categories of drugs? (CDC) National Center for Health Statistics has
A.Cocaine tracked drug overdose deaths from 1999-2017.
B.Heroin Overdose deaths from many different drug classes
C.Methamphetamine have risen, including heroin, natural and
D.Natural and semi-synthetic opioids semisynthetic opioids, cocaine, and
E.Synthetic opioids other than methamphetamine. But none have risen so
methadone (e.g., fentanyl) dramatically as synthetic opioids other than
methadone
, 9a. What are the most frequent A. Drug dealers or other stranger - 6.5%
sources of pain relievers that are B. Prescriptions or stone from a health care provider
misused in the U.S.? - 37.6%
A.Drug dealers C. Given by, bought from or took from friend or
B.Health care providers relative - 51.3%
C.Friends or relatives
10. Which type of drug tests are non- D
DOT employers most likely to require? SAMHSA has tracked workplace drug testing and
A.Post-accident confirmed over many years that the most frequent
B.Reasonable Suspicion type of drug testing required by employers is pre-
C.Return to Duty employment/pre-placement. The least frequent is
D.Pre-placement random testing.
E.Random
11. What percentage of employees D
who work part-time are likely to have A higher percent of part-time employees use illicit
used an illicit drug during the last 30 drugs. Recent NHSDUH results show 14% for part-
days, according to SAMHSA's National time employees and 9% for full-time employees.
Household Survey on Drug Use and
Health?
A.4%
B.6%
C.9%
D.14%
E.21%
12. Under the Americans with A, B, C, and D
Disabilities Act which of the following
medical procedures cannot be The Americans with Disabilities Act prohibits
performed until after a qualified employers from performing medical tests or
candidate has been tendered a job examinations prior to making an employment offer.
offer? (Mark all that apply) The one exception is drug testing, which is not
Select all that apply. considered a medical test, hence drug testing can be
A.Medical History Questionnaire performed. Since alcohol is a legal substance, it
B.Health Risk Appraisal Survey cannot be tested for prior to employment.
C.Physical Examination focused
specifically on essential job duties
D.Alcohol evidentiary breath testing
E.Urine drug test
Save Groups
Terms in this set (107)
2. Which of the following drug tests is D
not required for federal employees SAMHSA's Drug Free Workplace Program specifies
under the federal Drug-Free "Reasonable Suspicion" as one of the types of drug
Workplace Program? testing. This is found on the federal Custody and
Control Form. The incorrect answer was
A.Preplacement unreasonable suspicion.
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random
3. Which of the following is the A
"weakest link" in drug testing, i.e., Among drug testing personnel, there are far more
generally produces the most frequent specimen collectors than laboratory staff or MROs.
errors? Collectors receive the least amount of training, are
A.Specimen collection paid the lowest wages, and have the highest job
B.Laboratory testing turnover.
C.MRO review Quality reviews show that a substantially larger
number of errors occur in collection and properly
completing the Custody and Control Form.
,4. MROs must pass a nationally C
recognized certifying examination for A. All MRO work - Incorrect: includes non-federally
which of the following activities? regulated drug testing, in which only a handful of
A.All MRO work states require MRO certification
B.All federally regulated MRO work B. All federally-regulated MRO work - Incorrect:
C.All DHHS and DOT MRO work includes DOD, NRC and other agencies, which do
D.All states with provisions allowing not require MRO certification
medical marijuana C. All DHHS and DOT MRO work - Correct Answer:
Both SAMHSA and DOT clearly specify this
requirement for MROs.
D. 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.
5. Which of the following roles is c
primary for the MRO? Although each of these monikers identify occasional,
peripheral roles of the MRO, the DOT has clearly
A.Lab checker earmarked the role of the MRO as a gatekeeper.
B.SAP advisor
C.Gatekeeper
D.Mediator
E.Substance Abuse Identifier
6. After completing review of drug C
test results, interviewing the donor The determination of an MRO is called a "verification"
and documenting findings, an MRO decision. Laboratories confirm lab results though
must do which of the following? performing a second test using a different analytical
A.Confirm laboratory results method and performing internal quality control
B.Reconfirm laboratory results measures. A laboratory to which a split specimen is
C.Verify drug test results send reconfirms or fails to reconfirm the original
D.Report findings to laboratory and laboratory's findings. MROs report findings to
employer employers, but do not routinely report to
laboratories.
,7. The MRO safety duties include all B
but which of the following activities? A, C and D are all part of the considerations of an
A.Consider essential job functions MRO in assessing workplace safety. However, the
B.Review appropriateness of DOT has made it explicitly clear that while an MRO
medications donor is taking may express safety concerns to the donor and
C.Verify prescriptions with discuss them with prescribing health care
PCP/pharmacy professional, the MRO is admonished NOT to
D.Assess safety risks from medications 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
8. At what age does use of illicit drugs B
peak in the U.S.? The National Survey on Drug Use and Health has
A.12-17 consistently shown in all its surveys from 2000-2018
B.18-24 that illicit drug use peaks at ages 18-24.
C.25-3
D.33-50
E.51 and older
9. The greatest increase in U.S. drug E
overdose deaths is due to which of The Centers for Disease Control and Prevention
the following categories of drugs? (CDC) National Center for Health Statistics has
A.Cocaine tracked drug overdose deaths from 1999-2017.
B.Heroin Overdose deaths from many different drug classes
C.Methamphetamine have risen, including heroin, natural and
D.Natural and semi-synthetic opioids semisynthetic opioids, cocaine, and
E.Synthetic opioids other than methamphetamine. But none have risen so
methadone (e.g., fentanyl) dramatically as synthetic opioids other than
methadone
, 9a. What are the most frequent A. Drug dealers or other stranger - 6.5%
sources of pain relievers that are B. Prescriptions or stone from a health care provider
misused in the U.S.? - 37.6%
A.Drug dealers C. Given by, bought from or took from friend or
B.Health care providers relative - 51.3%
C.Friends or relatives
10. Which type of drug tests are non- D
DOT employers most likely to require? SAMHSA has tracked workplace drug testing and
A.Post-accident confirmed over many years that the most frequent
B.Reasonable Suspicion type of drug testing required by employers is pre-
C.Return to Duty employment/pre-placement. The least frequent is
D.Pre-placement random testing.
E.Random
11. What percentage of employees D
who work part-time are likely to have A higher percent of part-time employees use illicit
used an illicit drug during the last 30 drugs. Recent NHSDUH results show 14% for part-
days, according to SAMHSA's National time employees and 9% for full-time employees.
Household Survey on Drug Use and
Health?
A.4%
B.6%
C.9%
D.14%
E.21%
12. Under the Americans with A, B, C, and D
Disabilities Act which of the following
medical procedures cannot be The Americans with Disabilities Act prohibits
performed until after a qualified employers from performing medical tests or
candidate has been tendered a job examinations prior to making an employment offer.
offer? (Mark all that apply) The one exception is drug testing, which is not
Select all that apply. considered a medical test, hence drug testing can be
A.Medical History Questionnaire performed. Since alcohol is a legal substance, it
B.Health Risk Appraisal Survey cannot be tested for prior to employment.
C.Physical Examination focused
specifically on essential job duties
D.Alcohol evidentiary breath testing
E.Urine drug test
