MRO PRACTICE EXAM COMPREHENSIVE
EXAMINATION TEST 2026 QUESTIONS WITH
ANSWERS 100% CORRECT
◉ 1. All but which of the following are FDA approved for treatment
of alcohol dependence?
A.Naltrexone
B.Methadone
C.Acamprosate
D.Disulfiram. Answer: B
Methadone has been long used for treatment of opiate and opioid
addiction. The other 3 drugs have been used to treat alcohol
dependence. Disulfiram was approved in 1949, followed by
naltrexone in 1994 and acamprosate in 2004.
◉ 19a. Which of the following treatment modalities does not show
positive benefits compared to costs according to NORC CALDATA
research?
A.Residential Inpatient
B.Outpatient Treatment
C.Social Model
D.Methadone at Discharge
E.None of the Above. Answer: E
,Slide 9 on Tab 4.41 shows that A, B, C and D all show a positive
benefit to cost ratio. E is the correct answer.
◉ 20. The 12 steps of Alcoholics Anonymous include all but which of
the following:
A.Admit we are powerless over alcohol
B.Make a list of all persons we have harmed
C.Seek support from recovering alcoholics
D.Promptly admit when were are wrong
E.Carry this message to other alcoholics. Answer: C
These are the official 12 steps adopted by AA. Most of these steps
(A,B,D) are self-evident, but it is easy to confuse C and E. Look
closely at the AA material in the syllabus. Step 12 includes "we tried
to carry this message to alcoholics. Seeking support from recovering
alcoholics is NOT one of the 12 steps.
◉ 21. M.A.T. is an acronym for which of the following:
A.Medically Authorized Treatment
B.MRO Assessment of Therapy
C.Medication Assisted Treatment
D.Multi Axial Therapy (Holistic Care)
E.Multiple Accidents requiring Treatment. Answer: C
,The term MAT became well known only in the last decade as
Addiction Medicine has grown and achieved recognition as a
medical specialty by the American Board of Medical Specialties.
◉ 22. As part of the return to duty process, a DOT covered employee
must:
A.Complete an in-patient treatment program1
B.Be removed from safety-sensitive duty for at least 30 days
C.Test negative for both drugs and alcohol on at least 6 follow-up
tests
D.Continue in an after-care program
E.Undergo follow-up evaluation by a Substance Abuse Professional.
Answer: E
There are no requirements for in-patient treatment; a specific length
of time an employee must be removed from duty after a
drug/alcohol violation; return to duty testing for both drugs (urine
test) and alcohol (breath test); mandatory participation in an
aftercare treatment program.
There is a requirement for a follow-up evaluation by a SAP prior to
the individual resuming safety sensitive duties
◉ 23. Which of the following options is not available to a Substance
Abuse Professional in conducting return to duty evaluations:
A.Extend follow-up testing to 60 months
, B.Recommend return to work without education, treatment or
rehabilitation
C.Require both drug and alcohol tests for the return to duty test
D.Require participation in specific aftercare programs
E.Discontinue follow-up testing after six tests in 12 month. Answer:
B
The SAP must make a recommendation for education, treatment or
rehabilitation for each employee who has violated the DOT drug and
alcohol rules. §40.293 (b) Recommend a course of education and/or
treatment with which the employee must demonstrate successful
compliance prior to returning to DOT safety-sensitive duty.
(1) You must make such a recommendation for every individual who
has violated a DOT drug and alcohol regulation.
§The SAP may extend follow-up testing for up to 60 months after the
employee returns to safety-sensitive duties. And the SAP may
discontinue follow-up testing after tests in 12 months.
§40.307 (c) You are the sole determiner of the number and
frequency of follow-up tests and whether these tests will be for
drugs, alcohol, or both, unless otherwise directed by the appropriate
DOT agency regulation. For example, if the employee had a positive
drug test, but your evaluation or the treatment program
professionals determined that the employee had an alcohol problem
as well, you should require that the employee have follow-up tests
for both drugs and alcohol.
EXAMINATION TEST 2026 QUESTIONS WITH
ANSWERS 100% CORRECT
◉ 1. All but which of the following are FDA approved for treatment
of alcohol dependence?
A.Naltrexone
B.Methadone
C.Acamprosate
D.Disulfiram. Answer: B
Methadone has been long used for treatment of opiate and opioid
addiction. The other 3 drugs have been used to treat alcohol
dependence. Disulfiram was approved in 1949, followed by
naltrexone in 1994 and acamprosate in 2004.
◉ 19a. Which of the following treatment modalities does not show
positive benefits compared to costs according to NORC CALDATA
research?
A.Residential Inpatient
B.Outpatient Treatment
C.Social Model
D.Methadone at Discharge
E.None of the Above. Answer: E
,Slide 9 on Tab 4.41 shows that A, B, C and D all show a positive
benefit to cost ratio. E is the correct answer.
◉ 20. The 12 steps of Alcoholics Anonymous include all but which of
the following:
A.Admit we are powerless over alcohol
B.Make a list of all persons we have harmed
C.Seek support from recovering alcoholics
D.Promptly admit when were are wrong
E.Carry this message to other alcoholics. Answer: C
These are the official 12 steps adopted by AA. Most of these steps
(A,B,D) are self-evident, but it is easy to confuse C and E. Look
closely at the AA material in the syllabus. Step 12 includes "we tried
to carry this message to alcoholics. Seeking support from recovering
alcoholics is NOT one of the 12 steps.
◉ 21. M.A.T. is an acronym for which of the following:
A.Medically Authorized Treatment
B.MRO Assessment of Therapy
C.Medication Assisted Treatment
D.Multi Axial Therapy (Holistic Care)
E.Multiple Accidents requiring Treatment. Answer: C
,The term MAT became well known only in the last decade as
Addiction Medicine has grown and achieved recognition as a
medical specialty by the American Board of Medical Specialties.
◉ 22. As part of the return to duty process, a DOT covered employee
must:
A.Complete an in-patient treatment program1
B.Be removed from safety-sensitive duty for at least 30 days
C.Test negative for both drugs and alcohol on at least 6 follow-up
tests
D.Continue in an after-care program
E.Undergo follow-up evaluation by a Substance Abuse Professional.
Answer: E
There are no requirements for in-patient treatment; a specific length
of time an employee must be removed from duty after a
drug/alcohol violation; return to duty testing for both drugs (urine
test) and alcohol (breath test); mandatory participation in an
aftercare treatment program.
There is a requirement for a follow-up evaluation by a SAP prior to
the individual resuming safety sensitive duties
◉ 23. Which of the following options is not available to a Substance
Abuse Professional in conducting return to duty evaluations:
A.Extend follow-up testing to 60 months
, B.Recommend return to work without education, treatment or
rehabilitation
C.Require both drug and alcohol tests for the return to duty test
D.Require participation in specific aftercare programs
E.Discontinue follow-up testing after six tests in 12 month. Answer:
B
The SAP must make a recommendation for education, treatment or
rehabilitation for each employee who has violated the DOT drug and
alcohol rules. §40.293 (b) Recommend a course of education and/or
treatment with which the employee must demonstrate successful
compliance prior to returning to DOT safety-sensitive duty.
(1) You must make such a recommendation for every individual who
has violated a DOT drug and alcohol regulation.
§The SAP may extend follow-up testing for up to 60 months after the
employee returns to safety-sensitive duties. And the SAP may
discontinue follow-up testing after tests in 12 months.
§40.307 (c) You are the sole determiner of the number and
frequency of follow-up tests and whether these tests will be for
drugs, alcohol, or both, unless otherwise directed by the appropriate
DOT agency regulation. For example, if the employee had a positive
drug test, but your evaluation or the treatment program
professionals determined that the employee had an alcohol problem
as well, you should require that the employee have follow-up tests
for both drugs and alcohol.
