MRO Practice UPDATED ACTUAL Questions and CORRECT Answers
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 errors? Among drug testing personnel, there are far more specimen collectors than
A.Specimen collection laboratory staff or MROs. Collectors receive the least amount of training, are paid
B.Laboratory testing the lowest wages, and have the highest job turnover.
C.MRO review 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 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 MRO,
A.Lab checker 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 which a
B.Reconfirm laboratory results split specimen is send reconfirms or fails to reconfirm the original laboratory's
C.Verify drug test results findings. MROs report findings to employers, but do not routinely report to
D.Report findings to laboratory and employer 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 taking express safety concerns to the donor and discuss them with prescribing health
C. Verify prescriptions with PCP/pharmacy care professional, the MRO is admonished NOT to determine whether the
D. Assess safety risks from medications 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.? 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 Health
A.Cocaine Statistics has tracked drug overdose deaths from 1999-2017. Overdose deaths
B.Heroin from many different drug classes have risen, including heroin, natural and
C.Methamphetamine semisynthetic opioids, cocaine, and methamphetamine. But none have risen so
D.Natural and semi-synthetic opioids 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 that
A.Post-accident 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 results
days, according to SAMHSA's National Household Survey show 14% for part-time employees and 9% for full-time employees.
on Drug Use and Health?
A.4%
B.6%
C.9%
D.14%
E.21%
12. Under the Americans with Disabilities Act which of the A, B, C, and D
following medical procedures cannot be performed until
after a qualified candidate has been tendered a job The Americans with Disabilities Act prohibits employers from performing medical
offer? (Mark all that apply) tests or examinations prior to making an employment offer. The one exception is
Select all that apply. drug testing, which is not considered a medical test, hence drug testing can be
A.Medical History Questionnaire performed. Since alcohol is a legal substance, it cannot be tested for prior to
B.Health Risk Appraisal Survey 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
15. Which of the following drugs used as a skin patch can D
be misused?
A.Cocaine Only selected synthetic opioids can enter the body through transdermal
B.Methamphetamine absorption. Fentanyl is the most commonly misused of these substances.
C.LSD
D.Fentanyl
E.Hashish
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 errors? Among drug testing personnel, there are far more specimen collectors than
A.Specimen collection laboratory staff or MROs. Collectors receive the least amount of training, are paid
B.Laboratory testing the lowest wages, and have the highest job turnover.
C.MRO review 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 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 MRO,
A.Lab checker 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 which a
B.Reconfirm laboratory results split specimen is send reconfirms or fails to reconfirm the original laboratory's
C.Verify drug test results findings. MROs report findings to employers, but do not routinely report to
D.Report findings to laboratory and employer 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 taking express safety concerns to the donor and discuss them with prescribing health
C. Verify prescriptions with PCP/pharmacy care professional, the MRO is admonished NOT to determine whether the
D. Assess safety risks from medications 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.? 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 Health
A.Cocaine Statistics has tracked drug overdose deaths from 1999-2017. Overdose deaths
B.Heroin from many different drug classes have risen, including heroin, natural and
C.Methamphetamine semisynthetic opioids, cocaine, and methamphetamine. But none have risen so
D.Natural and semi-synthetic opioids 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 that
A.Post-accident 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 results
days, according to SAMHSA's National Household Survey show 14% for part-time employees and 9% for full-time employees.
on Drug Use and Health?
A.4%
B.6%
C.9%
D.14%
E.21%
12. Under the Americans with Disabilities Act which of the A, B, C, and D
following medical procedures cannot be performed until
after a qualified candidate has been tendered a job The Americans with Disabilities Act prohibits employers from performing medical
offer? (Mark all that apply) tests or examinations prior to making an employment offer. The one exception is
Select all that apply. drug testing, which is not considered a medical test, hence drug testing can be
A.Medical History Questionnaire performed. Since alcohol is a legal substance, it cannot be tested for prior to
B.Health Risk Appraisal Survey 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
15. Which of the following drugs used as a skin patch can D
be misused?
A.Cocaine Only selected synthetic opioids can enter the body through transdermal
B.Methamphetamine absorption. Fentanyl is the most commonly misused of these substances.
C.LSD
D.Fentanyl
E.Hashish
