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Treatment Protocols & Procedures Flashcards

7 cards from real CSC practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

Read the first 7 Treatment Protocols & Procedures flashcards as text
  1. A donor states they take a prescribed diuretic and believes it caused a dilute result. Who determines whether the dilute result is medically explained?

    Answer: The MRO

    The MRO (Medical Review Officer) reviews medical explanations for laboratory results, including whether a legitimate prescription could account for a dilute specimen.

  2. Under DOT regulations, if a specimen is reported as 'invalid' by the laboratory, the MRO must order:

    Answer: A second collection under direct observation

    When a specimen is reported invalid, the MRO must direct the employer to have the donor submit an immediate recollection under direct observation.

  3. The chain of custody form (CCF) must be initiated by the collector:

    Answer: Before the donor provides the specimen

    The collector must begin completing the CCF before the collection begins, entering required donor and employer information prior to specimen provision.

  4. Which of the following is an acceptable reason to conduct an observed collection without prior MRO or DER authorization?

    Answer: The collector observes the donor attempting to tamper with a specimen

    If a collector directly observes tampering or an attempt to substitute a specimen during the collection, they may immediately proceed with a direct observation collection.

  5. After a positive drug test, a DOT-regulated employee must be evaluated by which professional before returning to safety-sensitive duty?

    Answer: A Substance Abuse Professional (SAP)

    A Substance Abuse Professional (SAP) must evaluate the employee, recommend education or treatment, and conduct a follow-up evaluation before the employee can return to safety-sensitive functions.

  6. What is the required water intake limit for a donor during the shy bladder waiting period?

    Answer: 40 oz (1,182 mL)

    During the 3-hour shy bladder waiting period, donors may drink up to 40 oz (approximately 1,182 mL) of water to facilitate urination.

  7. When a collector discovers a specimen has been out of their control (e.g., left unattended), what must occur?

    Answer: The collector must discard and restart under direct observation

    Any break in chain of custody requires the collector to discard the compromised specimen and conduct a new collection, typically under direct observation.