Medical Review Officer (MRO) Exam A&B ALL 400
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR.2026/2027!!
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 - 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 - 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 -
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?
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR.2026/2027!!
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 - 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 - 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 -
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?
