AAMRO Exam Review Questions With Complete Solutions
What is SAP's role in follow up evaluation?
Second face to face eval
re-evaluation of requirements
Determine success of treatment
Written report to DER
Must provide aftercare recommendations in report
DOT testing For Alcohol
1. Screening Test
- Breath or Oral
2. Confirmation Test-Evidentiary (EBT) . ONLY breath
What are the steps for an initial test STT or BAT?
1. ID Donor
2. <0.02 complete form, report to DER
3. >0.02 go to confirmation test BAT only
What are the first steps of Alcohol confirmation?
* Ensure at least 15 min waiting period
* Tell employee test at end of waiting period
* ID donor
* Steps 1 & 2 on AFT
* >30 minutes do confirmation test
* enter elapsed time
* not invalidated, compliance DOT sanction
What happens after alcohol confirmation test results?
,<0.02 end
=/> 0.02 employee sign
Invalid- cancel repeat if possible
Valid results to DER
Who can be the representative observer?
As the BAT or STT, you must not allow any person other than
you the employee or DOT agency representative to actually
witness the testing process
What does the screening test technician (STT) do if a saliva
screening device does not activate?
Discard and repeat
What does DOT define as a dilute specimen (specific
gravity/creatinine levels)? (40.93)
Creatinine Concentration:
> 2mg/dL but < 20mg/dL
What are some causes of dilute specimens?
Tampered with, increase hydration
What steps must the MRO take if a specimen is found to be
dilute?
1) Report to DER that specimen is +/- and dilute
2) Check “dilute” box Copy 2 CCF
3) Employer May direct employee repeat specimen immediately
(DO if Cr Conc of neg dilute > 2mg/dL but < 5mg/dL)
4) immediate recollect under DO
, What is Urine specimen is found to be dilute after DO
collection?
If recollection under DO is repeat neg-dilute:
1) Ensure recollection was DO
2) If DO report to DER neg-dilute
3)If not DO, immediate recollection under DO
What steps may the employer take if urine specimen is found to
be dilute?
Positive is positive even if dilute
Request collect immediately DO for Cr Conc of neg
dilute > 2mg/dL but < 5mg/dL
Cr. Conc > 5 mg/dL may but not required to test immediately
- Test not under DO unless other reason
- Treat all employees equal
Adulterated or Substituted Specimens:
What doe DOT define as a substituted specimen (specific
gravity/creatinine levels)?
*Creatinine < 2mg/dL Specific gravity < 1.0010
* Or > 1.0200 on BOTH initial and confirmatory creatinine tests
AND on BOTH initial and confirmatory specific gravity tests on
@ separate aliquots
Adulterated or Substituted Specimens:
How is an adulterated or substituted result reported by the lab to
the MRO?
What is SAP's role in follow up evaluation?
Second face to face eval
re-evaluation of requirements
Determine success of treatment
Written report to DER
Must provide aftercare recommendations in report
DOT testing For Alcohol
1. Screening Test
- Breath or Oral
2. Confirmation Test-Evidentiary (EBT) . ONLY breath
What are the steps for an initial test STT or BAT?
1. ID Donor
2. <0.02 complete form, report to DER
3. >0.02 go to confirmation test BAT only
What are the first steps of Alcohol confirmation?
* Ensure at least 15 min waiting period
* Tell employee test at end of waiting period
* ID donor
* Steps 1 & 2 on AFT
* >30 minutes do confirmation test
* enter elapsed time
* not invalidated, compliance DOT sanction
What happens after alcohol confirmation test results?
,<0.02 end
=/> 0.02 employee sign
Invalid- cancel repeat if possible
Valid results to DER
Who can be the representative observer?
As the BAT or STT, you must not allow any person other than
you the employee or DOT agency representative to actually
witness the testing process
What does the screening test technician (STT) do if a saliva
screening device does not activate?
Discard and repeat
What does DOT define as a dilute specimen (specific
gravity/creatinine levels)? (40.93)
Creatinine Concentration:
> 2mg/dL but < 20mg/dL
What are some causes of dilute specimens?
Tampered with, increase hydration
What steps must the MRO take if a specimen is found to be
dilute?
1) Report to DER that specimen is +/- and dilute
2) Check “dilute” box Copy 2 CCF
3) Employer May direct employee repeat specimen immediately
(DO if Cr Conc of neg dilute > 2mg/dL but < 5mg/dL)
4) immediate recollect under DO
, What is Urine specimen is found to be dilute after DO
collection?
If recollection under DO is repeat neg-dilute:
1) Ensure recollection was DO
2) If DO report to DER neg-dilute
3)If not DO, immediate recollection under DO
What steps may the employer take if urine specimen is found to
be dilute?
Positive is positive even if dilute
Request collect immediately DO for Cr Conc of neg
dilute > 2mg/dL but < 5mg/dL
Cr. Conc > 5 mg/dL may but not required to test immediately
- Test not under DO unless other reason
- Treat all employees equal
Adulterated or Substituted Specimens:
What doe DOT define as a substituted specimen (specific
gravity/creatinine levels)?
*Creatinine < 2mg/dL Specific gravity < 1.0010
* Or > 1.0200 on BOTH initial and confirmatory creatinine tests
AND on BOTH initial and confirmatory specific gravity tests on
@ separate aliquots
Adulterated or Substituted Specimens:
How is an adulterated or substituted result reported by the lab to
the MRO?
