MRO Practice Questions and Answers (Verified Answers)
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Sports Med Chapter 2 Test ENT 1 ISSA Unit 13-20 AP
Teacher 15 terms Teacher 101 terms Teacher 88 terms 98
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Terms in this set (107)
2. Which of the following drug tests is not required for D
federal employees under the federal Drug-Free SAMHSA's Drug Free Workplace Program specifies "Reasonable Suspicion" as
Workplace Program? one of the types of drug testing. This is found on the federal Custody and
Control Form. The incorrect answer was unreasonable suspicion.
A.Preplacement
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random
3. Which of the following is the "weakest link" in drug A
testing, i.e., generally produces the most frequent Among drug testing personnel, there are far more specimen collectors than
errors? laboratory staff or MROs. Collectors receive the least amount of training, are
A.Specimen collection paid the lowest wages, and have the highest job turnover.
B.Laboratory testing Quality reviews show that a substantially larger number of errors occur in
C.MRO review collection and properly completing the Custody and Control Form.
4. MROs must pass a nationally recognized certifying C
examination for which of the following activities? A. All MRO work - Incorrect: includes non-federally regulated drug testing, in
A.All MRO work which only a handful of states require MRO certification
B.All federally regulated MRO work B. All federally-regulated MRO work - Incorrect: includes DOD, NRC and other
C.All DHHS and DOT MRO work agencies, which do not require MRO certification
D.All states with provisions allowing 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 primary for the MRO? c
Although each of these monikers identify occasional, peripheral roles of the
A.Lab checker MRO, the DOT has clearly 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 test results, C
interviewing the donor and documenting findings, an The determination of an MRO is called a "verification" decision. Laboratories
MRO must do which of the following? confirm lab results though performing a second test using a different analytical
A.Confirm laboratory results method and performing internal quality control measures. A laboratory to
B.Reconfirm laboratory results which a split specimen is send reconfirms or fails to reconfirm the original
C.Verify drug test results laboratory's findings. MROs report findings to employers, but do not routinely
D.Report findings to laboratory and employer report to laboratories.
7. The MRO safety duties include all but which of the B
following activities? A, C and D are all part of the considerations of an MRO in assessing workplace
A.Consider essential job functions safety. However, the DOT has made it explicitly clear that while an MRO may
B.Review appropriateness of medications donor is express safety concerns to the donor and discuss them with prescribing health
taking care professional, the MRO is admonished NOT to determine whether the
C.Verify prescriptions with PCP/pharmacy medication was appropriately prescribed.
D.Assess safety risks from medications
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 peak in the U.S.? B
A.12-17 The National Survey on Drug Use and Health has consistently shown in all its
B.18-24 surveys from 2000-2018 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 overdose deaths is E
due to which of the following categories of drugs? The Centers for Disease Control and Prevention (CDC) National Center for
A.Cocaine Health Statistics has tracked drug overdose deaths from 1999-2017. Overdose
B.Heroin deaths from many different drug classes have risen, including heroin, natural
C.Methamphetamine and semisynthetic opioids, cocaine, and methamphetamine. But none have
D.Natural and semi-synthetic opioids risen so dramatically as synthetic opioids other than methadone
E.Synthetic opioids other than methadone (e.g.,
fentanyl)
9a. What are the most frequent sources of pain relievers A. Drug dealers or other stranger - 6.5%
that are misused in the U.S.? B. Prescriptions or stone from a health care provider - 37.6%
A.Drug dealers C. Given by, bought from or took from friend or relative - 51.3%
B.Health care providers
C.Friends or relatives
, 10. Which type of drug tests are non-DOT employers D
most likely to require? SAMHSA has tracked workplace drug testing and confirmed over many years
A.Post-accident that the most frequent type of drug testing required by employers is pre-
B.Reasonable Suspicion employment/pre-placement. The least frequent is random testing.
C.Return to Duty
D.Pre-placement
E.Random
11. What percentage of employees who work part-time D
are likely to have used an illicit drug during the last 30 A higher percent of part-time employees use illicit drugs. Recent NHSDUH
days, according to SAMHSA's National Household results show 14% for part-time employees and 9% for full-time employees.
Survey on Drug Use and Health?
A.4%
B.6%
C.9%
D.14%
E.21%
12. Under the Americans with Disabilities Act which of A, B, C, and D
the following medical procedures cannot be
performed until after a qualified candidate has been The Americans with Disabilities Act prohibits employers from performing
tendered a job offer? (Mark all that apply) medical tests or examinations prior to making an employment offer. The one
Select all that apply. exception is drug testing, which is not considered a medical test, hence drug
A.Medical History Questionnaire testing can be performed. Since alcohol is a legal substance, it cannot be
B.Health Risk Appraisal Survey tested for prior to employment.
C.Physical Examination focused specifically on essential
job duties
D.Alcohol evidentiary breath testing
E.Urine drug test
13. A person who meets 3 criteria for Substance Use A
Disorder is categorized as which of the following? The current definition of Substance Use Disorder comes from the American
A.Mild Psychiatric Association's Diagnostic and Statistical Manual, 5th Edition (DSM-V).
B.Moderate
C.Severe
D.Extreme
14. Marijuana can enter the body by which of the A and C
following routes? (Mark all that apply)
Select all that apply. Unlike all the other drug categories, marijuana only has two routes of entry into
A.Taken Orally the body.
B.Intravenous Injection
C.Smoked
D.Snorted Intra-nasal
E.Skin Patch
Study Guide (latest version verified for accuracy) |
2025\2026 Latest!!
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Sports Med Chapter 2 Test ENT 1 ISSA Unit 13-20 AP
Teacher 15 terms Teacher 101 terms Teacher 88 terms 98
BRITAN934 Preview cmuia6216 Preview bensonfujoh Preview
Terms in this set (107)
2. Which of the following drug tests is not required for D
federal employees under the federal Drug-Free SAMHSA's Drug Free Workplace Program specifies "Reasonable Suspicion" as
Workplace Program? one of the types of drug testing. This is found on the federal Custody and
Control Form. The incorrect answer was unreasonable suspicion.
A.Preplacement
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random
3. Which of the following is the "weakest link" in drug A
testing, i.e., generally produces the most frequent Among drug testing personnel, there are far more specimen collectors than
errors? laboratory staff or MROs. Collectors receive the least amount of training, are
A.Specimen collection paid the lowest wages, and have the highest job turnover.
B.Laboratory testing Quality reviews show that a substantially larger number of errors occur in
C.MRO review collection and properly completing the Custody and Control Form.
4. MROs must pass a nationally recognized certifying C
examination for which of the following activities? A. All MRO work - Incorrect: includes non-federally regulated drug testing, in
A.All MRO work which only a handful of states require MRO certification
B.All federally regulated MRO work B. All federally-regulated MRO work - Incorrect: includes DOD, NRC and other
C.All DHHS and DOT MRO work agencies, which do not require MRO certification
D.All states with provisions allowing 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 primary for the MRO? c
Although each of these monikers identify occasional, peripheral roles of the
A.Lab checker MRO, the DOT has clearly 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 test results, C
interviewing the donor and documenting findings, an The determination of an MRO is called a "verification" decision. Laboratories
MRO must do which of the following? confirm lab results though performing a second test using a different analytical
A.Confirm laboratory results method and performing internal quality control measures. A laboratory to
B.Reconfirm laboratory results which a split specimen is send reconfirms or fails to reconfirm the original
C.Verify drug test results laboratory's findings. MROs report findings to employers, but do not routinely
D.Report findings to laboratory and employer report to laboratories.
7. The MRO safety duties include all but which of the B
following activities? A, C and D are all part of the considerations of an MRO in assessing workplace
A.Consider essential job functions safety. However, the DOT has made it explicitly clear that while an MRO may
B.Review appropriateness of medications donor is express safety concerns to the donor and discuss them with prescribing health
taking care professional, the MRO is admonished NOT to determine whether the
C.Verify prescriptions with PCP/pharmacy medication was appropriately prescribed.
D.Assess safety risks from medications
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 peak in the U.S.? B
A.12-17 The National Survey on Drug Use and Health has consistently shown in all its
B.18-24 surveys from 2000-2018 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 overdose deaths is E
due to which of the following categories of drugs? The Centers for Disease Control and Prevention (CDC) National Center for
A.Cocaine Health Statistics has tracked drug overdose deaths from 1999-2017. Overdose
B.Heroin deaths from many different drug classes have risen, including heroin, natural
C.Methamphetamine and semisynthetic opioids, cocaine, and methamphetamine. But none have
D.Natural and semi-synthetic opioids risen so dramatically as synthetic opioids other than methadone
E.Synthetic opioids other than methadone (e.g.,
fentanyl)
9a. What are the most frequent sources of pain relievers A. Drug dealers or other stranger - 6.5%
that are misused in the U.S.? B. Prescriptions or stone from a health care provider - 37.6%
A.Drug dealers C. Given by, bought from or took from friend or relative - 51.3%
B.Health care providers
C.Friends or relatives
, 10. Which type of drug tests are non-DOT employers D
most likely to require? SAMHSA has tracked workplace drug testing and confirmed over many years
A.Post-accident that the most frequent type of drug testing required by employers is pre-
B.Reasonable Suspicion employment/pre-placement. The least frequent is random testing.
C.Return to Duty
D.Pre-placement
E.Random
11. What percentage of employees who work part-time D
are likely to have used an illicit drug during the last 30 A higher percent of part-time employees use illicit drugs. Recent NHSDUH
days, according to SAMHSA's National Household results show 14% for part-time employees and 9% for full-time employees.
Survey on Drug Use and Health?
A.4%
B.6%
C.9%
D.14%
E.21%
12. Under the Americans with Disabilities Act which of A, B, C, and D
the following medical procedures cannot be
performed until after a qualified candidate has been The Americans with Disabilities Act prohibits employers from performing
tendered a job offer? (Mark all that apply) medical tests or examinations prior to making an employment offer. The one
Select all that apply. exception is drug testing, which is not considered a medical test, hence drug
A.Medical History Questionnaire testing can be performed. Since alcohol is a legal substance, it cannot be
B.Health Risk Appraisal Survey tested for prior to employment.
C.Physical Examination focused specifically on essential
job duties
D.Alcohol evidentiary breath testing
E.Urine drug test
13. A person who meets 3 criteria for Substance Use A
Disorder is categorized as which of the following? The current definition of Substance Use Disorder comes from the American
A.Mild Psychiatric Association's Diagnostic and Statistical Manual, 5th Edition (DSM-V).
B.Moderate
C.Severe
D.Extreme
14. Marijuana can enter the body by which of the A and C
following routes? (Mark all that apply)
Select all that apply. Unlike all the other drug categories, marijuana only has two routes of entry into
A.Taken Orally the body.
B.Intravenous Injection
C.Smoked
D.Snorted Intra-nasal
E.Skin Patch
