MRO Regulatory Compliance 2 — Questions and Answers
Question 1: Under 49 CFR Part 40, which agency has primary authority over the MRO qualification and certification requirements?
- DOT Office of Drug and Alcohol Policy and Compliance (ODAPC) (Correct answer)
- DEA
- SAMHSA
- FDA
Correct answer: DOT Office of Drug and Alcohol Policy and Compliance (ODAPC)
ODAPC within DOT administers 49 CFR Part 40 and sets MRO qualification standards.
Question 2: What is the maximum number of business days an MRO has to report a verified positive result to the employer's DER after the MRO verification process is complete?
- 2 business days (Correct answer)
- 3 business days
- 5 business days
- 10 business days
Correct answer: 2 business days
49 CFR Part 40 requires MROs to report verified results to the DER within 2 business days.
Question 3: An employee provides a specimen that tests positive for opiates. The MRO must contact the employee to conduct an interview within how many days of receiving the laboratory report?
- 14 calendar days (Correct answer)
- 3 business days
- 5 business days
- 7 business days
Correct answer: 14 calendar days
The MRO must attempt to contact the employee within 14 calendar days of receiving the lab report.
Question 4: Which of the following is NOT a valid reason for an MRO to cancel a drug test?
- The employee's specimen tested negative on the primary specimen (Correct answer)
- The specimen was reported as unsuitable for testing
- The chain of custody form is missing the collector's signature
- The laboratory reported the specimen as invalid
Correct answer: The employee's specimen tested negative on the primary specimen
A negative result is a valid result and does not constitute a reason to cancel the test.
Question 5: Under DOT regulations, who is responsible for selecting the MRO services used in a covered workplace drug testing program?
- The employer (Correct answer)
- The collection site
- SAMHSA
- The DOT modal agency
Correct answer: The employer
The employer is responsible for selecting and contracting with a qualified MRO for their testing program.
Question 6: When an MRO receives a report of a cancelled test, what action must the MRO take?
- Report the cancellation to the DER and direct a recollection if required by the reason for cancellation (Correct answer)
- Immediately retest the specimen at a different laboratory
- Report the result as negative to the DER
- Retain the test record but take no further action
Correct answer: Report the cancellation to the DER and direct a recollection if required by the reason for cancellation
The MRO must notify the DER of the cancellation and, depending on the reason, may need to direct an immediate recollection.
Question 7: Under 49 CFR Part 40, which of the following substances is included in the standard federal workplace drug testing panel?
- Oxycodone (Correct answer)
- Benzodiazepines
- Barbiturates
- Carisoprodol
Correct answer: Oxycodone
Oxycodone (as a semi-synthetic opioid) is part of the expanded federal drug testing panel added in 2017.
Under 49 CFR Part 40, which agency has primary authority over the MRO qualification and certification requirements?