CSC Treatment Protocols & Procedures 2 — Questions and Answers
Question 1: Under DOT regulations, what is the maximum time a donor is allowed to attempt to provide a urine specimen when shy bladder is suspected?
- 1 hour
- 2 hours
- 3 hours (Correct answer)
- 30 minutes
Correct answer: 3 hours
DOT allows up to 3 hours for a donor to provide a specimen when they cannot initially void, during which they may drink up to 40 oz of water.
Question 2: When a collector observes a donor attempting to substitute a specimen, the correct action is to:
- Discard the specimen and restart the collection
- Document the refusal and terminate the collection (Correct answer)
- Report the attempt to the DER immediately
- Ask the donor to provide a second specimen
Correct answer: Document the refusal and terminate the collection
An attempted substitution is treated as a refusal to test, so the collector must document the refusal and terminate the collection process.
Question 3: A split specimen collection requires the primary specimen to contain at least how many mL?
- 15 mL
- 30 mL (Correct answer)
- 45 mL
- 60 mL
Correct answer: 30 mL
A split specimen collection requires at least 45 mL total, with 30 mL in the primary (Bottle A) and at least 15 mL in the split (Bottle B).
Question 4: Under DOT rules, after a return-to-duty test, how many follow-up tests must an employee undergo at minimum in the first 12 months?
- 3
- 4
- 6 (Correct answer)
- 12
Correct answer: 6
DOT regulations require a minimum of 6 unannounced follow-up tests in the first 12 months after a return-to-duty test.
Question 5: If a specimen temperature is outside the acceptable range (90–100°F), the collector should first:
- Discard the specimen
- Immediately notify the MRO
- Offer the donor a direct observation re-collection (Correct answer)
- Send the specimen to the lab with a temperature remark
Correct answer: Offer the donor a direct observation re-collection
When the temperature is out of range, the collector must offer the donor a second collection under direct observation before taking any other action.
Question 6: Which of the following actions constitutes a 'refusal to test' under DOT regulations?
- Donor asks to use a different restroom
- Donor requests a female collector
- Donor fails to appear within the time allotted (Correct answer)
- Donor asks for clarification of the process
Correct answer: Donor fails to appear within the time allotted
Failing to appear at the collection site within the required time frame is classified as a refusal to test under 49 CFR Part 40.
Question 7: When direct observation is required, the observer must:
- Be of the same gender as the donor and watch urine flow into the collection container (Correct answer)
- Be a licensed medical professional of any gender
- Stand outside the restroom door and listen
- Be the same collector who initiated the test
Correct answer: Be of the same gender as the donor and watch urine flow into the collection container
During a direct observation collection, the observer must be the same gender as the donor and must actually watch urine flow from the donor's body into the container.
CSC Treatment Protocols & Procedures 2
Under DOT regulations, what is the maximum time a donor is allowed to attempt to provide a urine specimen when shy bladder is suspected?