MEDICAL REVIEW OFFICER CERTIFICATION COUNCIL
REMAINING ONSITE EXAMS IN 2008
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| SAMPLE QUESTIONS * denotes correct response Each of the questions or incomplete statements below is followed by four or five suggested answers or completions. Select the ONE BEST RESPONSE in each case and completely fill in the circle containing the corresponding letter on the score sheet. Chemical Dependency Methadone: *a. has potential for abuse. b. use will result in a confirmed positive DOT test for opiates. c. use poses no safety risk in the workplace. d. may cause a positive test for 6-AM. e. is a short acting opiate. All of the following are usual components of an EAP program EXCEPT: a. employee education b. supervisor training c. clinical assessment d. information and referral *e. pre-employment drug testing Clinical Aspects A positive urine test for cocaine is LEAST likely to be explained by which of the following procedures? a. Laceration repair. *b. Burn dressing change with debridement. c. Minor eye surgery. d. Sinus endoscopy. e. Nasal polypectomy. A donor tested positive for morphine and codeine. A legitimate prescription accounts for the result. The donor's medical records also reveal the use of Retrovir™ to treat HIV infection. How do you report this result to the employer? *a. Negative; do not report HIV status. b. Negative; report donor's HIV status. c. Positive; do not report HIV status. d. Positive; report HIV status. e. Positive with reasonable medical explanation; report work restrictions, but not HIV status. Collections and Procedures A DOT mandated post-accident test was conducted at a hospital emergency room, and the nurse mistakenly used a non-DOT custody and control form. The specimen was screened and confirmed positive for THC in accordance with DHHS laboratory guidelines. You have interviewed the donor and there is no "alternative medical explanation" for the THC. In review of the custody and control form, you discover that the non-DOT form was used. What do you do? a. Require another specimen collection. b. Report as negative. *c. Obtain a written statement from the nurse, and report as positive. d. Report as canceled. e. Report as positive. Regulations & MRO Responsibilities A driver's DOT drug test is positive. To ensure the right to have the split specimen analyzed, the donor must request the additional analysis within: a. 48 hours. *b. 72 hours. c. 5 days. d. 7 days. e. There is no time limit. A split sample has reconfirmed the primary test result. The employee requests reanalysis of the primary specimen. Under DOT regulations, you should: a. direct a reanalysis if requested within 72 hours of the result being reported to the donor. *b. deny the request for reanalysis. c. order a test of the split sample only. d. request a quantitative analysis of the split sample. Laboratory, Toxicology & Pharmacology Which one of the following statements is true? * a. l-methamphetamine is metabolized to l-amphetamine. b. d-amphetamine is metabolized to d-methamphetamine. c. GC/MS methods cannot differentiate between d- and l- forms of methamphetamine. d. The presence of l-methamphetamine rules out the illicit use of methamphetamine. e. The presence of d-methamphetamine rules out the illicit use of methamphetamine. Which of the following is a metabolite of morphine? *a. Normorphine b. Diacetylmorphine c. Monoacetylmorphine d. Hydrocodone e.Hydromorphone |
Each of the questions or incomplete statements below is followed by four or five suggested answers or completions. Select ALL CORRECT RESPONSES by completely filling in the circles containing the corresponding letters on the score sheet. One, more than one or all response options may be correct. Clinical Aspects Which of the following is/are true of alcohol testing? * a. Industrial exposure to certain solvents may cause some interference with the determination of alcohol ingestion. b. Ingested food will generally hasten the absorption of alcohol. *c. Assuming no post-accident consumption, a driver's blood alcohol concentration 45 minutes after an accident may overestimate his or her level at the time of the accident. *d. Assuming no post-accident consumption, a driver's blood alcohol concentration 45 minutes after an accident may underestimate his or her level at the time of the accident. Collections and Procedures Which of the following events REQUIRE(S) an observed collection under DOT regulations? a. Donor admits to illicit drug use. b. Donor presents with clinical signs consistent with opiate abuse. c. Donor states that he or she is unable to provide urine. d. State law permits routine observed collections, and the employer's policy requires this action. *e. Specimen temperature is 89.5 degrees Fahrenheit. Regulations & MRO Responsibilities Under DOT regulations, which of the following is (are) true? *a. If the primary specimen is negative, the lab may dispose of the split sample. *b. If the primary specimen is confirmed positive, the split specimen must be preserved for at least one year. c. If a split test is requested, the MRO must obtain and ship the split sample to another DHHS Certified lab. * d. If the drug(s) is(are) not detected in the split sample, and validity testing is negative, then the test is canceled. Copyright 2008 Medical Review Officer Certification Council. All rights reserved. |