Copyright © 2010 by Medical Review Officer Certification Council  ·  All Rights reserved  ·  E-Mail: mrocc@mrocc.org
SAMPLE QUESTIONS
* denotes correct response

Each of the questions or incomplete statements below is followed by four or
five suggested answers or completions. Select the ONE BEST RESPONSE in each
case and completely fill in the circle containing the corresponding letter on the
score sheet.

Substance Abuse

Methadone:
*a. has potential for abuse.
b. use will result in a confirmed positive DOT test for opiates.
c. use poses no safety risk in the workplace.
d. may cause a positive test for 6-AM.
e. is a short acting opiate.

All of the following are usual components of an EAP program EXCEPT:
a. employee education
b. supervisor training
c. clinical assessment
d. information and referral
*e. pre-employment drug testing

Clinical Aspects

A positive urine test for cocaine is LEAST likely to be explained by which of the
following procedures?
a. Laceration repair.
*b. Burn dressing change with debridement.
c. Minor eye surgery.
d. Sinus endoscopy.
e. Nasal polypectomy.

A donor tested positive for morphine and codeine. A legitimate prescription
accounts for the result. The donor's medical records also reveal the use of
Retrovir™ to treat HIV infection. How do you report this result to the employer?
*a. Negative; do not report HIV status.
b. Negative; report donor's HIV status.
c. Positive; do not report HIV status.
d. Positive; report HIV status.
e. Positive with reasonable medical explanation; report work restrictions, but
not HIV status.

Collections and Procedures

A DOT mandated post-accident test was conducted at a hospital emergency
room, and the nurse mistakenly used a non-DOT custody and control form. The
specimen was screened and confirmed positive for THC in accordance with
DHHS laboratory guidelines. You have interviewed the donor and there is no
"alternative medical explanation" for the THC. In review of the custody and
control form, you discover that the non-DOT form was used. What do you do?
a. Require another specimen collection.
b. Report as negative.
*c. Obtain a written statement from the nurse, and report as positive.
d. Report as canceled.
e. Report as positive.

continue to additional sample test items . . .

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