US Department of Transportation
Urine Specimen Collection Training Exam
Circle the correct answer and give to your Supervisor to correct.
1.
If a collector causes a fatal flaw, he/she must undergo corrective training…
a. Within 1 day.
b. Within 30 days.
c. Within 90 days.
2.
The Collector is required to inspect the collection site prior to the collection.
a. T
b. F
3.
Which one is NOT an acceptable way to identify the donor?
a. Photo I.D.
b. Identification by an employer representative of the donor’s employer.
c. Faxed copy of photo I.D.
d. Two forms of signature I.D. for an owner-operator or other self-employed
individual.
4.
The donor refusing to wash their hands is correctable error.
a. T
b. F
5.
For a pre-employment test, if an employee donor leaves before the collection
process begins, is considered a refusal to test.
a. T
b. F
6.
The Medical Review Officer’s name is not required on the CCF, only the name
of the Doctor’s office is required.
a. T
b. F
7.
Prior to the collection, which is not a requirement?
a. Collector requests donor to remove any unnecessary outer clothing (e.g.
Coat, jacket, hat, etc.)
b. Collector retains donor’s wallet.
c. Collector provides a safe place for donor’s personal belongings.
d. Collector must provide a receipt of items to the donor, if requested by
donor.
8.
If the employee refuses to empty his or her pockets, this is considered a refusal
to test.
a. T
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b. F
9.
When should the Collector document the temperature of the donor specimen?
a. Within 2 minutes.
b. Within 4 minutes.
c. Within 6 minutes.
10.
If the Donor cannot provide at least 45mL and the temperature is in range, the
collector should…
a. Allow donor to drink water and then try to add to specimen to acquire the
minimum 45mL.
b. Begin shy bladder process.
c. Write in remarks section of CCF “Refusal to Test”
d. Discard the specimen and write “Test Invalid” in the CCF remarks.
11.
Donor’s day-time and evening contact numbers are written on which page of
CCF?
a. Laboratory Copy
b. MRO Copy
c. Collector Copy
d. Donor Copy
12.
The collector must fax or otherwise submit the MRO copy to the MRO within
a. the same day
b. 24 hours or during the next business day.
c. 3 business days.
d. 1 week
13.
During the shy-bladder process the Collector can encourage the donor to drink
up to _______ oz of water over a period of ________ hour(s).
a. 15 oz. and 1 hour.
b. 30 oz and 2 hours.
c. 40 oz and 3 hours.
14.
Is it a ‘refusal to test’ if a donor declines to drink water during the shy bladder
process?
a. yes
b. no
15.
There is a time when it is OK to combine urine from separate voids to create
one specimen of sufficient volume.
a. T
b. F
16.
A Monitored collection takes place…
a. All the time.
b. When the collector is using a multi-stall restroom for the collection.
c. When the collector is suspicious the donor has tampered with the
specimen.
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17.
The monitor performing the monitored collection MUST be the same gender as
donor. Unless the monitor is a medical professional (e.g. nurse, doctor etc.)
a. T
b. F
18.
It is an acceptable practice to have a medical professional of a different gender
than donor to perform an observed collection.
a. T
b. F
19.
The collector takes control of the donor’s specimen immediately following an
observed collection.
a. T
b. F
20.
If there are two specimens, the initial and the one obtained through
observation. Only the specimen from the observed collection needs to be sent
to the laboratory.
a. T
b. F
21.
Fatal flaws can be corrected with a memorandum for record or Affidavit.
a. T
b. F
22.
Is it ever OK to use a non-regulated CCF for a Federally Mandated D.O.T.
collection?
a. yes
b. no
23.
Which is NOT a fatal flaw?
a. The Specimen ID number on the bottle/seals does not match the Specimen
ID on the form.
b. The specimen bottle label/seal is missing, broken or shows sings of
tampering.
c. Insufficient quantity of urine provided to laboratory.
d. Collector omits their signature on CCF.
24.
The collector must write in the remarks section if any other agent than blue dye
was used to color the water in the toilet.
a. T
b. F
25.
The collector is required to provide their Collector Certificate to the donor upon
request.
a. T
b. F
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US Department of Transportation
Urine Specimen Collection Training
EXAM KEY
This exam key is downloaded and printed by the Collection Supervisor.
Use this key to correct the exam; a passing score is 20 correct answers. If
the prospective collector fails, have them review the Guidelines, especially
missed questions, and retake the test.
See also the required Collector Documentation to be kept in the Collector
files. A DOT inspector has authority to review documentation of training.
Correct Answers: p is a page reference to the DOT Urine Collection Guidelines August
25, 2008
1. b. p.32
2. a. p.10
3. c. p10
4. b. p.13
5. b. p.11
6. b. p.7
7. b. p.12
8. a. p.13
9. b. p.14
10. b. p.19
11. b. p.8
12. b. p.18
13. c. p.19
14. a. p.20
15. b. p20
16. b. p.16
17. a. p.23
18. b. p.20
19. a. p.23
20. b. p.21
21. b. p.28
22. a. p.29
23. d. p.29
24. b. p.11
25. b. p.11
Contact your Phamatech Laboratories sales person for additional information
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