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Answers 2025
What steps does the collector take... before the employee provides a Urine specimen? - correct answers ✅* Secure bathroom for the exam
- Check donor ID
- Collector has ID
- Basic procedure explained
- Outer clothing removed
- Donor washes hands
- Select urine kit
- Direct to bathroom (45ml, no flush, reasonable time)
- Be alert for attempts to adulterate What happens it the employee refuses to hand his hands? - correct answers ✅It is considered a refusal When can the collector give the employee permission to leave? - correct answers ✅Only after the testing process is complete; urine obtained (45ml) and both collector and employee complete CCF
Answers 2025
What happens if the employee leaves the collection site prior to completion of the testing process? - correct answers ✅It is a refusal. Shy Bladder What if the employee does not prove 45ml of Urine? - correct answers ✅* Discard insufficient specimen and note time on CCF
- Encourage to drink up to 40oz
- Patient has 3 hours to provide (always a fresh cup)
- no specimen within 3 hours, discontinue, note on CCF, contact DER What does the collector check for when the employee presents a specimen? - correct answers ✅*Temperature
- Signs of adulteration What if the collector see signs of adulteration? - correct answers ✅Second collection conducted under Direct Observation
Answers 2025
Collector dates label and employee initials Discard remainder if not needed for other testing Is a monitored collection a DO? - correct answers ✅No. Conducted in multi-stall restroom to assure no tempering What is a Fatal Flaw? - correct answers ✅* No CCF with the specimen
- No specimen with the CCF
- No printed collector's name and no signature
- Two separate collections and one CCF
- Specimen ID and CCF do not match
- Specimen seal is broken or tampered and split cannot be re- designated
- insufficient volume and split cannot be re-designated What are correctable flaws? - correct answers ✅* Collector's signature omitted
- Non-federal CCF
Answers 2025
- Expired federal CCF Lab on finding a correctable flaw? - correct answers ✅* Document findings on CCF
- Continue testing
- Attempt correction
- Retain for minimum 5 days attempting to correct MFR from collector What happens if a correctable flaw is not corrected? - correct answers ✅Lab reports "rejected for testing" How much L-methamphetamine must be present to say the cause was "vicks"? - correct answers ✅>80% L. or <20% D (methamphetamine) Which form of methamphetamine can be sold legally? - correct answers ✅L-Methamphetamine
Answers 2025
If the donor has a positive opiate test between 2,000-15, and has a Rx for an opiate, do they require a physical exam for abuse? - correct answers ✅No, the results are determined to be negative What is the only drug that produces 6-AM on the urine test? - correct answers ✅Heroine What are the metabolites of Heroin? - correct answers ✅Heroine --> 6-AM --> Morphine What are the major metabolites of codeine? - correct answers ✅codeine-->morphine codeine --> hydrocodeine->hydromorphone What are the metabolites of morphine? - correct answers ✅Morphine --> Normorphine & Morphine glucuronides Morphine --->hydromorphone
Answers 2025
What are the metabolites of Hydrocodone? - correct answers ✅hydromorphone 6-hydrocodone What are the metabolites of Oxycodone? - correct answers ✅Oxymorphone --> Oxymorphine glucuronide also hydrocodone impurities True/False Consumption of hemp or other non-prescription marijuana related products can be accepted for basis of a NEGATIVE marijuana test? - correct answers ✅False True/False Consumption of cocoa teas can be accepted as an explanation for verifying a cocaine test as NEGATIVE? - correct answers ✅False
Answers 2025
- Epidolex (CBD)
- Protonix What positive test would indicate the the donor was smoking or consuming marijuana? - correct answers ✅THC-V What prescription medications would cause a positive amphetamine? - correct answers ✅L-meth: selegiline, Vicks (OTC) D-meth Desoxyn, Gradumet LD- meth didres, famprofaxone ADHD meds: Vynase, Adderall, ritalin etc True/False You must not verify a test negative based on information a physician recommended medical marijuana? - correct answers ✅The test will be positive Can extended use of CBD lead to a (+) THC urine? - correct answers ✅yes
Answers 2025
Benzoylecgonine can be detected in the urine of donor using?
- correct answers ✅Cocaine Can passive inhalation of cocaine lead to a (+) benzoylecgonine? - correct answers ✅NO What can be the medical alternatives for Cocaine? - correct answers ✅Surgical use (in system 2-3 days after) TAC Is there any alternative medical explanation for PCP? - correct answers ✅NO What are the cutoff levels for THC? - correct answers ✅Immunoassay: 50ng/mL GC/MS: 15ng/mL What are the cutoff levels for Cocaine (Benzoylecgonine)? - correct answers ✅Immunoassay: 150ng/mL
Answers 2025
GC/MS: 25ng/mL What are the cutoff level for amphetamine/methamphetamine? - correct answers ✅Immunoassay: 500ng/mL GC/MS: 250ng/mL What are the cutoff levels for MDMA/MDA? - correct answers ✅Immunoassay: 500ng/mL GC/MS: 250ng/mL How may the testing results be transmitted from the laboratory to MRO? - correct answers ✅Secure fax What are the pH ranges? - correct answers ✅Adulterated: >
Invalid basic: > 9.0 to <11. Normal: 4.5 to 9. Invalid acidic: >4.0 to <4. Adulterated: 1.0 to <4.
Answers 2025
What are the required Specimen validity checks? - correct answers ✅* pH
- Creatinine
- Specific gravity
- Oxidation
- Visual inspection
- Color differences between bottles At what pH ranges should the MRO consider time and temperature affecting the specimen? - correct answers ✅pH 9.0-9. May the laboratory transmit results to the MRO via a third- party administrator (C/TPA)? - correct answers ✅No. Lab must contact the MRO directly How long must the laboratory retain positive specimens? - correct answers ✅one year MRO may request to hold longer if it looks like a legal case
Answers 2025
How long after use can the cocaine metabolite benzoylecgonine be detected by urinalysis? - correct answers ✅60 hours What may the presence of morphine without codeine indicate? - correct answers ✅Heroine abuse Will synthetic narcotics (such as methadone) test positive for morphine and/or codeine? - correct answers ✅No In federally regulated testing, what step is required for MRO during opiate verification that is not required when verifying the other 4 classes of drugs? - correct answers ✅· Evidence of rx and physical signs of abuse. When can quantitative results be released to the employer? - correct answers ✅For legal cases only When can quantitative results be released to the donor? - correct answers ✅With in 10 days of written request
Answers 2025
What are the MRO's responsibilities in regard to split specimen testing? - correct answers ✅* Notify right for a split for (+) or adulteration or substitution
- No split for an INVALID
- Donor has 72 hours to request
- Inform how to request
- Employee may be billed by the employer
- Inform lab to split
- Inform DER of split order Under what conditions may the donor request a test of split specimen? - correct answers ✅* MRO verified specimen Positive and/or adulterated, or substituted
- Donor has 72 hours to request
- Additional tests (DNA) no authorized Can the donor request a split specimen if he/she has admitted to drug use? - correct answers ✅Yes
Answers 2025
If drug test is (+) Codeine and (+) THC and the donor has a RX for codeine, how does the MRO proceed? - correct answers ✅Test is negative for codeine Split can be ordered for THC but not codeine What information can be released to the donor? - correct answers ✅Any tests from MRO Lab package SAP evaluation report NOT SAP Follow up plan 1/ Under what circumstances may the MRO report a positive test to the employer without first having spoken with the donor? - correct answers ✅1. You may verify a test result as a positive or refusal to test, as applicable, if the employee expressly declines the opportunity to discuss the test with you. 2/
Answers 2025
Under what circumstances may the MRO report a positive test to the employer without first having spoken with the donor? - correct answers ✅2. If the DER has successfully made and documented a contact with the employee and instructed the employee to contact, you and more than 72 hours have passed since the time the DER contacted the employee. 3/ Under what circumstances may the MRO report a positive test to the employer without first having spoken with the donor? - correct answers ✅3. If neither you nor the DER, after making and documenting all reasonable efforts, has been able to contact the employee within ten days of the date on which the MRO receives the confirmed test result from the laboratory. What are the consequences of a positive test? - correct answers ✅Remove the employee involved from performing safety-sensitive functions What steps must a driver take before he/she may return to work? - correct answers ✅1. Negative Return-to-work test
- SAP determines completed education or treatment
