MRO Self-Assessment

Staff Report	IN THE WORKPLACE MRO Self-Assessment Evaluation

On August 1, 2001, specimen collectors and Medical Review Officers (MROs) in federally-regulated drug testing programs face new training requirements that end the practice of allowing untrained personnel to perform these functions. Personnel who have not performed specimen collection or MRO functions before August 1, 2001, must complete training before starting to perform those functions. This is a significant change from previous practices. To help address requirements posed by the new regulations, Dr. William Newkirk has developed the MRO Self-Assessment Evaluation, which is available at Occupational Health Research’s web site: www.systoc.com. To show you how the exam is structured, we feature five of the 50 questions below: Medical Review Officer Self-Assessment Examination: A Sampler of Questions Instructions: This examination has 50 questions. For each question, there is one correct answer. Click on what you feel is the best answer for each question. The examination program will respond to your answer with a comment and mark your answer sheet with ~~incorrect answer~~ or correct answer marks. On each question, keep trying until you get the correct answer. 1. Urine drug test results are expressed as nanograms per mililiter. A nanogram is: A. One thousandth of a gram (10-3 gram) B. One ten-thousandth of a gram (10-4 gram) C. One millionth of a gram (10-6 gram) D. One billionth of a gram (10-9 gram) E. One trillionth of a gram (10-12 gram) 2. In the laboratory, confirmatory testing in regulated urine drug testing programs: A. Must be GC/MS B. May be GC/MS C. Must be immunoassay D. May be immunoassay E. May be either immunoassay or GC/MS 3. In micrograms per deciliter, what is the highest acceptable level of nitrites in the urine for urine drug testing? A. 1000 B. 45 C. 1 D. 250 E. 500 4. The specimen ID numbers on the Custody and Control Form (CCF) and the specimen do not match. Fatal or correctable flaw? A. Fatal B. Correctable 5. A positive alcohol breath test must be performed on evidentiary breath alcohol equipment and reviewed by an MRO. A. True B. False [top]