MRO Practice Questions With Complete Solutions
2. 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 Answer - 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.
3. 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 Answer - 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.
4. 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
Answer - 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.
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?
A.Lab checker
B.SAP advisor
C.Gatekeeper
D.Mediator
E.Substance Abuse Identifier Correct Answer - 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.
6. 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 Answer -
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.
7. The MRO safety duties include all but which of the following
activities?
A.Consider essential job functions
B.Review appropriateness of medications donor is taking
C.Verify prescriptions with PCP/pharmacy
D.Assess safety risks from medications Correct Answer - 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
8. 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 Answer - B
The National Survey on Drug Use and Health has consistently shown
in all its surveys from 2000-2018 that illicit drug use peaks at ages
18-24.
, 9. The greatest increase in U.S. drug overdose deaths is due to which
of the following categories of drugs?
A.Cocaine
B.Heroin
C.Methamphetamine
D.Natural and semi-synthetic opioids
E.Synthetic opioids other than methadone (e.g., fentanyl) Correct
Answer - E
The Centers for Disease Control and Prevention (CDC) National
Center for Health Statistics has tracked drug overdose deaths from
1999-2017. Overdose deaths from many different drug classes have
risen, including heroin, natural and semisynthetic opioids, cocaine,
and methamphetamine. But none have risen so dramatically as
synthetic opioids other than methadone
9a. What are the most frequent sources of pain relievers that are
misused in the U.S.?
A.Drug dealers
B.Health care providers
C.Friends or relatives Correct Answer - A. Drug dealers or
other stranger - 6.5%
B. Prescriptions or stone from a health care provider - 37.6%
C. Given by, bought from or took from friend or relative - 51.3%
10. Which type of drug tests are non-DOT employers most likely to
require?
A.Post-accident
B.Reasonable Suspicion
C.Return to Duty
D.Pre-placement
E.Random Correct Answer - D
SAMHSA has tracked workplace drug testing and confirmed over
many years that the most frequent type of drug testing required by
2. 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 Answer - 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.
3. 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 Answer - 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.
4. 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
Answer - 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.
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?
A.Lab checker
B.SAP advisor
C.Gatekeeper
D.Mediator
E.Substance Abuse Identifier Correct Answer - 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.
6. 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 Answer -
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.
7. The MRO safety duties include all but which of the following
activities?
A.Consider essential job functions
B.Review appropriateness of medications donor is taking
C.Verify prescriptions with PCP/pharmacy
D.Assess safety risks from medications Correct Answer - 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
8. 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 Answer - B
The National Survey on Drug Use and Health has consistently shown
in all its surveys from 2000-2018 that illicit drug use peaks at ages
18-24.
, 9. The greatest increase in U.S. drug overdose deaths is due to which
of the following categories of drugs?
A.Cocaine
B.Heroin
C.Methamphetamine
D.Natural and semi-synthetic opioids
E.Synthetic opioids other than methadone (e.g., fentanyl) Correct
Answer - E
The Centers for Disease Control and Prevention (CDC) National
Center for Health Statistics has tracked drug overdose deaths from
1999-2017. Overdose deaths from many different drug classes have
risen, including heroin, natural and semisynthetic opioids, cocaine,
and methamphetamine. But none have risen so dramatically as
synthetic opioids other than methadone
9a. What are the most frequent sources of pain relievers that are
misused in the U.S.?
A.Drug dealers
B.Health care providers
C.Friends or relatives Correct Answer - A. Drug dealers or
other stranger - 6.5%
B. Prescriptions or stone from a health care provider - 37.6%
C. Given by, bought from or took from friend or relative - 51.3%
10. Which type of drug tests are non-DOT employers most likely to
require?
A.Post-accident
B.Reasonable Suspicion
C.Return to Duty
D.Pre-placement
E.Random Correct Answer - D
SAMHSA has tracked workplace drug testing and confirmed over
many years that the most frequent type of drug testing required by
