MRO EXAM 2025 SOLVED CORRECTLY TO
SCORE A+
Observer does not have to be a "trained collector"
,• Observer instructs donor to position clothing so that observer can
view the donor's body (front and back) from the chest to the mid-
thighs to inspect for a specimen substitution/adulteration device
Give this one a try later!
Rehabilitation & Therapeutic DOT Direct Observation
Medications Procedures
HHS Oral Fluid Mandatory DOT MRO Reporting of Safety
Guidelines Issues
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2 of 284
Definition
• Make sure they represent a valid test
• Examine Custody and Control Form (CCF)
• "Administrative Review" of negatives
• MRO review of "non-negatives (positives, adulterated, substituted,
and invalid specimens)
• Lab may identify a flaw; MRO must decide its significance
Give this one a try later!
Distribution of the CCF 5. Revel (in Donor Explanations)
, Morphine and Codeine 2. Review Results
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3 of 284
Definition
MRO PROCESS:
Donor interview
MRO REPORT:
Report positive and refusal to test results on the specimen
Do not report invalid (cancelled) when positive and/or
adulteration/substitution are verified
Give this one a try later!
Special circumstance: Special circumstance:
Multiple non-negative results Multiple results for a testing event (2
on one specimen specimens collected and tested)
Special circumstance:
How MRO should report lab result:
Invalid specimen report with
LAB. REPORT:
confirmed positive, adulterated or
Negative
substituted test
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, 4 of 284
Definition
• Review laboratory result (electronic or CCF)
• Review CCF (MRO Copy 2) for correctable flaws
• Check negative on CCF Copy 2
• MRO staff can conduct review & use signature stamp with initials
• MRO must personally review & sign 5% of negatives, (up to 500/qtr)
including ALL CCF's with correctible flaws
Give this one a try later!
Reviewing Laboratory
Breath/Blood Conversion of alcohol
Negative Results
Comparing Hair & Urine Testing Testing of Split Specimens: Validity
Don't know?
5 of 284
Definition
Phencyclidine, MDMA
• No medical explanation
• Why communicate with donor?
SCORE A+
Observer does not have to be a "trained collector"
,• Observer instructs donor to position clothing so that observer can
view the donor's body (front and back) from the chest to the mid-
thighs to inspect for a specimen substitution/adulteration device
Give this one a try later!
Rehabilitation & Therapeutic DOT Direct Observation
Medications Procedures
HHS Oral Fluid Mandatory DOT MRO Reporting of Safety
Guidelines Issues
Don't know?
2 of 284
Definition
• Make sure they represent a valid test
• Examine Custody and Control Form (CCF)
• "Administrative Review" of negatives
• MRO review of "non-negatives (positives, adulterated, substituted,
and invalid specimens)
• Lab may identify a flaw; MRO must decide its significance
Give this one a try later!
Distribution of the CCF 5. Revel (in Donor Explanations)
, Morphine and Codeine 2. Review Results
Don't know?
3 of 284
Definition
MRO PROCESS:
Donor interview
MRO REPORT:
Report positive and refusal to test results on the specimen
Do not report invalid (cancelled) when positive and/or
adulteration/substitution are verified
Give this one a try later!
Special circumstance: Special circumstance:
Multiple non-negative results Multiple results for a testing event (2
on one specimen specimens collected and tested)
Special circumstance:
How MRO should report lab result:
Invalid specimen report with
LAB. REPORT:
confirmed positive, adulterated or
Negative
substituted test
Don't know?
, 4 of 284
Definition
• Review laboratory result (electronic or CCF)
• Review CCF (MRO Copy 2) for correctable flaws
• Check negative on CCF Copy 2
• MRO staff can conduct review & use signature stamp with initials
• MRO must personally review & sign 5% of negatives, (up to 500/qtr)
including ALL CCF's with correctible flaws
Give this one a try later!
Reviewing Laboratory
Breath/Blood Conversion of alcohol
Negative Results
Comparing Hair & Urine Testing Testing of Split Specimens: Validity
Don't know?
5 of 284
Definition
Phencyclidine, MDMA
• No medical explanation
• Why communicate with donor?
