MRO Donor Interview & Verification 3

Question 1

Under 49 CFR Part 40, which individuals have the right to receive a copy of the MRO's written report of a verified test result?

Accepted Answer

The employee (donor) who was tested

Answer

The employee's union representative upon written request

Answer

Any treating physician listed in the employee's medical record

Answer

The employee's legal counsel upon subpoena only

Question 2

When a donor requests testing of the split specimen (Bottle B) after receiving a verified positive MRO report, the MRO must:

Accepted Answer

Direct the primary laboratory to ship the split specimen to a second HHS-certified laboratory

Answer

Approve or deny the request based on the strength of the positive result

Answer

Conduct an additional donor interview before processing the request

Answer

Notify the employer's DER before authorizing the split specimen test

Question 3

How long must an MRO retain records of verified positive, adulterated, substituted, and cancelled test results under DOT regulations?

Accepted Answer

5 years from the date of the verified result

Answer

1 year from the date of the verified result

Answer

2 years from the date of the verified result

Answer

10 years from the date of the verified result

Question 4

Under what circumstance may an MRO communicate a safety concern to the employer before completing the full verification process?

Accepted Answer

When the MRO determines the employee may pose an immediate safety risk based on available information

Answer

Never — the MRO must complete the full verification before any employer contact

Answer

Only when the detected substance is a Schedule I controlled substance

Answer

Only when the employer's DER specifically requests an expedited report

Question 5

What documentation must an MRO maintain for each donor interview conducted during the verification process?

Accepted Answer

Notes on the interview including the donor's explanation, documentation reviewed, and basis for the MRO's decision

Answer

Only the final verified result code

Answer

A complete audio or video recording of the interview

Answer

Only prescription copies provided by the donor, with no additional notes required

Question 6

An MRO receives a laboratory report for a specimen reported as 'substituted' (creatinine <2 mg/dL and specific gravity <1.0010 or >1.0200). During the donor interview, the donor claims a rare kidney condition causes abnormal urine. The MRO should:

Accepted Answer

Request the donor provide physician documentation supporting the medical condition within a reasonable timeframe

Answer

Accept the medical explanation and report a verified negative

Answer

Immediately report a verified substituted result without allowing a medical explanation

Answer

Cancel the test and require a direct observation collection

Question 7

Under DOT regulations, which of the following accurately describes how the MRO must handle a situation where a donor's prescription is valid but issued by a physician outside the United States?

Accepted Answer

The MRO must evaluate the foreign prescription using the same criteria as a domestic prescription, verifying its legitimacy and the prescriber's credentials

Answer

Foreign prescriptions are automatically disqualified and cannot be used as alternative medical explanations

Answer

Foreign prescriptions are automatically accepted if the donor presents the original document

Answer

The MRO must escalate to the DOT agency for a ruling before making any determination