MRO Donor Interview & Verification

Question 1

Under 49 CFR Part 40, if an MRO cannot reach a donor within 24 hours of a non-negative laboratory result, what is the MRO's next required action?

Accepted Answer

Contact the DER to ensure the employee calls the MRO within 72 hours

Answer

Report the positive result directly to the employer's DER immediately

Answer

Attempt contact by certified mail and wait 5 business days

Answer

Cancel the test and require a new collection

Question 2

What is the primary purpose of the MRO's interview with a donor following a non-negative drug test result?

Accepted Answer

To determine whether a legitimate medical explanation accounts for the result

Answer

To obtain a signed admission of drug use from the donor

Answer

To inform the employer of the specific substance concentration detected

Answer

To conduct a physical examination and assess impairment

Question 3

Under DOT regulations, how must the MRO conduct the verification interview with the donor?

Accepted Answer

By telephone or in person, on a confidential basis

Answer

In person at the MRO's licensed medical office only

Answer

Through the employer's occupational health department

Answer

Via written questionnaire submitted through the DER

Question 4

When verifying a claimed prescription during a donor interview, the MRO should:

Accepted Answer

Contact the prescribing physician or dispensing pharmacy directly to confirm the prescription

Answer

Accept the donor's verbal statement as sufficient verification

Answer

Notify the DEA to verify the controlled substance schedule

Answer

Instruct the laboratory to conduct confirmatory split specimen testing

Question 5

If a donor fails to contact the MRO within the 72-hour window established by the DER, the MRO should:

Accepted Answer

Report the verified result to the DER based on the laboratory findings

Answer

Wait an additional 24 hours before taking action

Answer

Cancel the test due to procedural failure

Answer

Require the employer to mandate a new specimen collection

Question 6

A donor presents a valid prescription for amphetamines during the MRO interview. The MRO's next step should be to:

Accepted Answer

Evaluate whether the prescribed medication use is consistent with safe performance of safety-sensitive duties

Answer

Automatically report the result as verified negative based on the prescription alone

Answer

Cancel the test since the prescription fully explains the laboratory result

Answer

Report the prescription to the DEA for schedule verification before proceeding

Question 7

Which of the following best describes the MRO's obligation regarding confidentiality during the donor interview process?

Accepted Answer

The MRO must keep the interview confidential and only disclose verified results as required by regulation

Answer

The MRO may share interview details with the employer's HR department for recordkeeping

Answer

The MRO must provide a full transcript of the interview to the employer upon request

Answer

The MRO may share the donor's explanation with the collecting site for documentation purposes