MRO Review & Interpretation 1 — Questions and Answers
Question 1: What is the role of the MRO when reviewing a confirmed positive test result?
- Report it immediately as positive
- Ignore the test result
- Determine if a valid medical reason exists (Correct answer)
- Invalidate the result without review
Correct answer: Determine if a valid medical reason exists
The MRO evaluates whether a legitimate medical explanation, such as a prescribed medication, exists before reporting the result.
Question 2: What is the next step if a donor claims a prescription for a detected substance?
- Ask the donor to retest
- Automatically clear the result
- Verify the prescription source (Correct answer)
- Report as refusal to test
Correct answer: Verify the prescription source
The MRO must verify the prescription with a pharmacy or prescribing physician to confirm legitimacy.
Question 3: What does a 'negative-dilute' result indicate?
- High drug concentration
- Invalid sample
- Diluted sample with no drugs (Correct answer)
- Positive with interference
Correct answer: Diluted sample with no drugs
A negative-dilute result means the sample was diluted but no drugs were detected; a retest may be required based on policy.
Question 4: Why must the MRO maintain confidentiality during review?
- To avoid extra paperwork
- To share results freely with coworkers
- To protect donor privacy and comply with law (Correct answer)
- To delay the process
Correct answer: To protect donor privacy and comply with law
Maintaining confidentiality is critical to protect the donor's medical privacy and comply with legal standards.
Question 5: How does the MRO notify an employee of a positive result?
- Post on a public bulletin
- Call the donor's manager
- Attempt confidential contact with the donor (Correct answer)
- Notify family members first
Correct answer: Attempt confidential contact with the donor
The MRO must make a reasonable effort to contact the donor confidentially before final reporting.
Question 6: What does a verified negative result mean?
- No prescription was provided
- Lab failed to analyze sample
- No drugs detected and specimen was valid (Correct answer)
- Test result was inconclusive
Correct answer: No drugs detected and specimen was valid
A verified negative result indicates no prohibited substances were found and the sample met validity standards.
What is the role of the MRO when reviewing a confirmed positive test result?