Medical Review Officer Online Course with Live Discussion (Includes Digital Syllabus)-Explanation of 3 Case Studies in Tab 10

Explanation of 3 Case Studies in Tab 10

Pdf Summary

The document discusses several case studies related to drug testing and the actions that the Medical Review Officer (MRO) should take. <br /><br />In Case Study 1a, the donor tested positive for morphine, methamphetamine, and amphetamine. The MRO should order a d/l isomer separation for methamphetamine and consult a forensic toxicologist regarding the nutritional supplements. The MRO should report the positive results for methamphetamine and amphetamine.<br /><br />Case Study 1b confirms that the MRO should order the d/l separation for methamphetamine and consult the forensic toxicologist.<br /><br />In Case Study 1c, the d/l separation reports 88% d-isomer, which indicates drug use. The MRO should report the results as positive for both methamphetamine and amphetamine. The MRO should not wait for confirmation from the split sample.<br /><br />In Case Study 2a, the donor provides explanations for the positive amphetamine, but none of them are valid. The MRO should report the result as positive for amphetamine.<br /><br />Case Study 2b asks which medications could explain a positive amphetamine but negative methamphetamine. The correct answer is Adderall, as it contains l-amphetamine and d-amphetamine.<br /><br />In Case Study 3a, the urine test is positive for hydromorphone, but negative for hydrocodone. Possible reasons for the negative hydrocodone could be that it is below the cutoff, metabolized quicker than the metabolite, or the donor took Dilaudid but provided a hydrocodone prescription.<br /><br />In Case Study 3b, the MRO should report the result as negative for hydromorphone to the DER. The MRO must consider whether taking hydrocodone raises a workplace safety concern.<br /><br />Overall, the case studies emphasize the importance of thorough analysis by the MRO in determining the appropriate actions and reporting the results accurately.

Keywords

drug testing

Medical Review Officer

case studies

methamphetamine

amphetamine

d-isomer

forensic toxicologist

positive results

Adderall

urine test