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2. Which of the following D
drug tests is not required SAMHSA's Drug Free Workplace Program specifies
for federal employees "Reasonable Suspicion" as one of the types of drug
under the federal Drug- testing. This is found on the federal Custody and
Free Workplace Program? Control Form. The incorrect answer was unreasonable
suspicion.
A.Preplacement
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random
A
3. Which of the following
Among drug testing personnel, there are far more
is the "weakest link" in
specimen collectors than laboratory staff or MROs.
drug testing, i.e., generally
Collectors receive the least amount of training, are
produces the most
paid the lowest wages, and have the highest job
frequent errors?
turnover.
A.Specimen collection
Quality reviews show that a substantially larger
B.Laboratory testing
number of errors occur in collection and properly
C.MRO review
completing the Custody and Control Form.
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C
A. All MRO work - Incorrect: includes non-federally
4. MROs must pass a
regulated drug testing, in which only a handful of
nationally recognized
states require MRO certification
certifying examination for
B. All federally-regulated MRO work - Incorrect:
which of the following
includes DOD, NRC and other agencies, which do not
activities?
require MRO certification
A.All MRO work
C. All DHHS and DOT MRO work - Correct Answer:
B.All federally regulated
Both SAMHSA and DOT clearly specify this
MRO work
requirement for MROs.
C.All DHHS and DOT
D. All states with provisions allowing medical
MRO work
marijuana - Incorrect: state Marijuana laws make no
D.All states with provisions
reference to MROs, and only allow medical
allowing medical
authorization or recommendation permitting
marijuana
marijuana use. Health care professions do not
"prescribe" marijuana.
5. Which of the following c
roles is primary for the Although each of these monikers identify occasional,
MRO? peripheral roles of the MRO, the DOT has clearly
earmarked the role of the MRO as a gatekeeper.
A.Lab checker
B.SAP advisor
C.Gatekeeper
D.Mediator
E.Substance Abuse
Identifier
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6. After completing review C
of drug test results, The determination of an MRO is called a "verification"
interviewing the donor decision. Laboratories confirm lab results though
and documenting findings, performing a second test using a different analytical
an MRO must do which of method and performing internal quality control
the following? measures. A laboratory to which a split specimen is
A.Confirm laboratory send reconfirms or fails to reconfirm the original
results laboratory's findings. MROs report findings to
B.Reconfirm laboratory employers, but do not routinely report to
results laboratories.
C.Verify drug test results
D.Report findings to
laboratory and employer
B
A, C and D are all part of the considerations of an
7. The MRO safety duties
MRO in assessing workplace safety. However, the
include all but which of
DOT has made it explicitly clear that while an MRO
the following activities?
may express safety concerns to the donor and discuss
A.Consider essential job
them with prescribing health care professional, the
functions
MRO is admonished NOT to determine whether the
B.Review appropriateness
medication was appropriately prescribed.
of medications donor is
taking
The one exception for federal employees is
C.Verify prescriptions with
mentioned the SAMHSA MRO Guidance Manual,
PCP/pharmacy
which does allow MROs to "use reasonable medical
D.Assess safety risks from
judgement to make the decision that the provided
medications
prescription was generated in response to the donor's
current medical condition
8. At what age does use of B
illicit drugs peak in the The National Survey on Drug Use and Health has
U.S.? consistently shown in all its surveys from 2000-2018
A.12-17 that illicit drug use peaks at ages 18-24.
B.18-24
C.25-3
D.33-50
E.51 and older
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9. The greatest increase in E
U.S. drug overdose deaths The Centers for Disease Control and Prevention
is due to which of the (CDC) National Center for Health Statistics has
following categories of tracked drug overdose deaths from 1999-2017.
drugs? Overdose deaths from many different drug classes
A.Cocaine have risen, including heroin, natural and semisynthetic
B.Heroin opioids, cocaine, and methamphetamine. But none
C.Methamphetamine have risen so dramatically as synthetic opioids other
D.Natural and semi- than methadone
synthetic opioids
E.Synthetic opioids other
than methadone (e.g.,
fentanyl)
9a. What are the most A. Drug dealers or other stranger - 6.5%
frequent sources of pain B. Prescriptions or stone from a health care provider -
relievers that are misused 37.6%
in the U.S.? C. Given by, bought from or took from friend or
A.Drug dealers relative - 51.3%
B.Health care providers
C.Friends or relatives
10. Which type of drug D
tests are non-DOT SAMHSA has tracked workplace drug testing and
employers most likely to confirmed over many years that the most frequent
require? type of drug testing required by employers is pre-
A.Post-accident employment/pre-placement. The least frequent is
B.Reasonable Suspicion random testing.
C.Return to Duty
D.Pre-placement
E.Random
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