Latest News - Self Assessment Quiz
 
Important new regarding drug abuse

SELF ASSESSMENT

* not updated past the 2001 rules changes *

 

A QUIZ ON INTERPRETATION OF URINE DRUG TEST RESULTS
FOR DRUG FREE WORKPLACE PROFESSIONALS
    1. Donor A (Joe) shows a test level of 24 for Marijuana.

      2. Donor B (Jane) shows a test level of 160 for Marijuana.
      Based on this information, you can conclude that:
      • Jane has obviously abused more than Joe                TRUE       FALSE
      • Jane must have taken a larger dose of Marijuana.     TRUE       FALSE
      • Jane was most likely much more impaired than Joe   TRUE       FALSE
      • Joe was probably not impaired at all.                            TRUE       FALSE
      • Jane is more addicted than Joe                                      TRUE       FALSE
      ...
    2. During your interview with Jane, she explains to you that she has been taking high doses of Arthritis medication (Motrin and Tolectin.) You can assure her that these meds affect test accuracy and that her results will be "canceled."

      3.                                                                                                TRUE       FALSE
       
    3. During your interview with Joe, he makes an empassioned plea that his test result is false and was caused by his spending several hours in a car with some friends who were doing Marijuana. Joe denies abuse of Marijuana himself and seems to be a credible person. Taking all things into account, including the low number of his test result, you should decide to give Joe the benefit of the doubt and invalidate his test results.

      4.                                                                                                 TRUE       FALSE
       
    4. Donor A (Dan Coker) shows a test level of 725 for Cocaine.

      5. Donor B (Sally Sniffer) shows a test level of 175 for Cocaine.
      Based on this information, you can conclude that:
      • Dan has obviously abused more than Sally                      TRUE       FALSE
      • Dan must have taken a larger dose of Cocaine.            TRUE       FALSE
      • Dan was most likely much more impaired than Sally     TRUE       FALSE
      • Sally was probably not much impaired at all.                    TRUE       FALSE
      • Dan is more addicted than Sally                                        TRUE       FALSE
      .
    5. During your interview, Dan asserts that he had several stitches put in his arm after an accident the day before his urine test. He claims that the doctor used Cocaine to numb the cuts before putting in Dan's stitches. Sadly, you must tell Dan his claim won't hold water.
        6.                                                                                  TRUE       FALSE
        .
    6. During your interview with Sally, she claims that she was in the same room with two friends who were smoking "Crack." She denies any use of Cocaine herself. She has an honest face and has never required hospitalization for substance abuse. You are in doubt about her claim and can give her the benefit of that doubt!

      7.                                                                                               TRUE       FALSE
       
    7. Molly Meanwell has an interview with you today. You know that Molly has had problems abusing many different substances in the past. Molly's drug test report is on your desk and is "negative." You are thus assured that Molly is NOT abusing drugs since her last drug test and interview with you!

      8.                                                                                              TRUE       FALSE
       
    8. Harry Chester has his first interview with you today. You don't know his history; but you are told he is required to have random drug and alcohol testing. On your desk are negative drug and alcohol screens! You are relieved to see the tests because you now know that Harry is NOT ADDICTED to drugs or alcohol!

      9.                                                                                              TRUE       FALSE
        .
    9. Harry's negative test results also assure you that he is NOT ABUSING drugs or alcohol!

      10.                                                                                               TRUE       FALSE
       
    10. Donor A (Crystal Good) shows a test level of 1525 for Methamphetamine.

      11. Donor B (Larry Longtrip) shows a test level of 540 for Methamphetamine.
      Based on this information, you can conclude that:
      • Crystal has obviously abused more than Larry.          TRUE       FALSE
      • Crystal must have taken the larger dose of "Met."         TRUE       FALSE
      • Crystal was most likely more impaired than Larry.       TRUE       FALSE
      • Larry was probably not impaired at all.                          TRUE       FALSE
      • Crystal is more addicted than Larry.                                TRUE       FALSE
      ..
    11. During your interview with Larry, he claims that he was in the same car with two friends who were smoking "Ice" for several hundred miles! He denies any use of drugs himself and has never required hospitalization for substance abuse. You are in doubt about his claim and can give him the benefit of that doubt.

      12.                                                                                                 TRUE       FALSE
       
    12. During her interview with you, Crystal Good (from #10 above) claims she has been using Vick's Nasal Inhaler for the past several days. You suspect she is denying her problem. You must explain to her that this excuse will "not wash!"

      13.                                                                                                 TRUE       FALSE
       
    13. No additional testing is needed to verify Crystal's claim!

      14.                                                                                                 TRUE       FALSE
       
    14. Mabel Parkinson has tested positive for Methamphetamine. During her interview she claims she has been taking a prescription medicine called Seligiline. You suspect she is denying her problem. You must explain to her that this excuse will "not wash!"

      15.                                                                                                 TRUE       FALSE
       
    15. In an "unregulated" testing program, still using the "lower" cutoffs for opiates:

      16. Donor A (Hans Schmerz) shows a test level of 5250 for Opiates
      Donor B (Pierre Dormir) shows a test level of 325 for Opiates
      Based on this information, you can conclude that:
      • Hans has obviously abused more than Pierre.             TRUE       FALSE
      • Hans has taken in more Opiates than Pierre.                TRUE       FALSE
      • Hans was much more impaired than Pierre.                 TRUE       FALSE
      • Pierre was probably not much impaired at all.             TRUE       FALSE
      • Hans is more addicted than Pierre.                                TRUE       FALSE
      ..
    16. During your interview with Hans, (from #15 above) you learn that he has had a problem with Heroin abuse in the past. With his present test results, you can be certain without further testing, that Hans has resumed his heroin use.

      17.                                                                                                TRUE       FALSE
       
    17. There is no test available that will show WITH CERTAINTY that a donor, like Hans, has abused heroin WITHOUT A DOUBT!

      18.                                                                                                TRUE       FALSE
       
    18. During your interview with Pierre (from #15 above) he makes an empassioned assertion that his positive test was caused by eating three poppy seed rolls the morning of his urine collection. You notice that the lab has reported a Codein level of 175 and a Morphine level of 150 (which does add up to the correct result of 325.) In this circumstance, you may assure Pierre that he will be "excused" because of the poppy seed rolls.

      19.                                                                                                TRUE       FALSE
       
    19. You are interviewing Mary Smith, who has also tested positive for opiates with a level of 400. She also asserts that she ate four poppy seed rolls the night before her urine test. You note that the lab results show a Morphine level of 380 and a Codein level of 20. You are fed up with Mary's excuses and can accurately tell her that her "poppy seed" excuse will not wash!
                                                                                                              TRUE       FALSE
       
    1.  Assume that donor Dewey Cheatham has a urine specific gravity of 1.020. (even though it was not measured.) During his collection, Dewey urinates 60cc of urine into the cup, and then surreptitiously dips the cup into the toilet bowl and adds another 60 cc of water. His results return showing a Creatinine of 10 and a Marijuana level of 24. Since the dilution was a 1:1 dilution, you would theoretically expect his specific gravity to be 1.010.
                                                                                                               TRUE       FALSE
    ..
    1. Let's assume you are in a urinalysis lab and are given a one ounce urine sample with a specific gravity of 1.020 and a Creatinine of 30 and a Cocaine level of 600. You are instructed to add water to the sample until the specific gravity is 1.010. After adding enough water to make the specific gravity 1.010, you would expect the Creatinine to be 15 and the Cocaine level 300.
                                                                                                              TRUE       FALSE
    ..
    1. Laura Longnight is on the phone with you for a verification interview. Her lab results show a morphine level of 6,000ng/ml with a codeine level of 385. "Yes," she says, "I was expecting your call!" She then proceeds to assert that she has a prescription for Vicodin and reads you the prescription number and the name and phone number of the pharmacy. Since Vicodin is indeed a synthetic opiate; you may pronounce her test result "negative" as soon as you verify that her prescription is valid!                                                        TRUE       FALSE

      2.  
    2. Gunther Handel also has the same lab results (morphine = 6,000 and Codeine = 385.) During your interview, he claims a prescription for Percocet (Oxycodone) and provides a prescription number and the name and phone number of his pharmacist. In this case also you may pronounce the test result "negative" as soon as you verify that the prescription is valid!
    3.                                                                                           TRUE       FALSE

      4.  
    4. Sally Bontemps also has the same lab results (morphine = 6,000 and Codeine = 385.) During your interview, she claims a prescription for Dilaudid (Hydromorphone) and provides a prescription number and the name and phone number of her pharmacist. In this case also you may pronounce the test result "negative" as soon as you verify that the prescription is valid!

      5.                                                                                               TRUE       FALSE
       
    5. Mortimer, a recovering heroin addict, also has the same lab results (morphine = 6,000 and Codeine = 385.) His 6-AM is negative! During your interview, he claims a prescription for Dolophine (Methadone) and provides a prescription number and the name and phone number of his pharmacist. In this case also you may pronounce the test result "negative" as soon as you verify that the prescription is valid!

      6.                                                                                              TRUE       FALSE
       
    6. Sarah, who suffers from kidney stones, also has the same lab results (morphine = 6,000 and Codeine = 385.) During your interview, she claims a prescription for Demerol (Meperidine) and provides a prescription number and the name and phone number of her pharmacist. In this case also you may pronounce the test result "negative" as soon as you verify that the prescription is valid!

      7.                                                                                               TRUE       FALSE
       
    7. Charles is a CDL holder and drives for the trucking company that you are serving as a DFW professional. His test results show a Morphine level of 8,400 with a Codeine of 625. The 6-AM is negative. During your interview, Charles is somewhat tentative and sounds less than assertive; but manifests no actual clinical signs of opiate abuse or withdrawl. He vehemently denies use or abuse of opiates. He also denies knowingly having consumed poppy seeds, and states that he has taken no prescription medications over the past several weeks. Unfortunately, you must tell Charles that these facts leave the lab findings unexplained, and that you will have to report his test results "positive" to his employer.

      8.                                                                                               TRUE       FALSE
       
    8. "Chipper" Friede, also a CDL holder, is also "opiate positive." His quants. show a Morphine level of 2,200 and a Codeine level of of 1680. His 6-AM is negative. During his interview, Chipper recalls that he consumed several "delicious" poppy seed rolls just a few hours prior to his urine collection. A quick review of your manual reminds you that these levels are compatible with poppy seed consumption; and therefore you assure Chipper that his test will be reported as negative.

      9.                                                                                               TRUE       FALSE
       
    9. Johnny White, a truck mechanic, is now two years post rehab for Heroin abuse. On a "routine" relapse prevention test, Johnny's results are opiate positive. His Morphine level is 2,500 with a Codeine level of 1385. These levels are quite compatible with Heroin abuse; and you should conduct the interview accordingly.

      10.                                                                                            TRUE       FALSE
       
    10. Martin Meanwell, an airplane mechanic, is now five years post rehab for Heroin abuse. His random drug test has returned opiate positive and you have obtained the "quants" and 6-AM results which read as follows: Morphine = 3,500; Codein = Negative; and 6-AM = Negative. You are relieved to see the negative 6-AM result because it assures you that Martin's current problem does not involve Heroin.

      11.                                                                                             TRUE       FALSE

      Click here to see the answers (and explanations.)

      [return to question number one]