MRO Modifications & Change Orders 3

Question 1

Under 49 CFR Part 40, which of the following CCF errors is considered a 'fatal flaw' that requires the MRO to cancel the test?

Accepted Answer

No specimen ID number on the CCF and specimen bottle seal

Answer

A missing or discrepant specimen ID number between the CCF and the bottle seal is a fatal flaw that cannot be corrected and requires the MRO to cancel the test.

Question 2

An MRO receives a laboratory report showing a specimen was positive for cocaine metabolites. The employee claims the result is due to coca tea consumption. How should the MRO handle this?

Accepted Answer

Reject the explanation — coca tea is not a legitimate medical explanation under DOT

Answer

Under DOT rules, the MRO must not accept coca tea as a legitimate medical explanation for a cocaine positive result.

Question 3

When an employer instructs the MRO to report employee testing results directly to a third-party administrator (TPA), who retains final responsibility for the MRO's decisions?

Accepted Answer

The MRO, regardless of who receives the report

Answer

The MRO retains full professional and regulatory responsibility for all MRO decisions, regardless of to whom the results are reported.

Question 4

A specimen arrives at the laboratory with a broken seal. What change does the laboratory make to the result before sending it to the MRO?

Accepted Answer

The lab reports it as rejected for testing

Answer

A specimen with a broken or missing seal is rejected for testing by the laboratory, and the MRO must then cancel the test.

Question 5

An employee tested positive for marijuana. They present the MRO with a valid state medical marijuana card. What should the MRO do?

Accepted Answer

Report the result as positive — federal law supersedes state law under DOT

Answer

Under DOT regulations, a state-issued medical marijuana card is not a valid medical explanation, and the MRO must report the result as positive.

(MRO) Medical Review Officer Certification Practice Test

(MRO) Medical Review Officer Certification Practice Test

MRO Modifications & Change Orders 3