Regulations and urines

Question 1

What is the history of drug testing

Answer 1

US started testing then Canada

Any transportation drivers had to be screened

Question 2

pros of drug screening

Answer 2

Job safety
Absenteeism
unlawful activity at workplace prevented

Question 3

cons of drug screening

Answer 3

Drugs in urine does NOT mean impairment
Noone dies directly from weed, only indirectly (car accident)

Question 4

What are the types of testing done

Answer 4

Pre employment
Random
Reasonable suspicion
Post accident
Return to work

Question 5

3 limitations of drug tests

Answer 5

1. Not sure how much drugs taken
2. dont know when it was taken
3. Cannot determine if worklife is imparied

Question 6

how long does it take for cannabis and phencyclidine to be eliminated from body

Answer 6

1-30 days

Question 7

how long does it take for alcohol to eliminate and where is it mostly eliminated

Answer 7

14 hours in URINE

Question 8

what drug is a CNS stimulant

Answer 8

Cocaine

Question 9

what are the most abbused drugs

Answer 9

alcohol and weed

Question 10

What are three methods on contaminations when adulterating specimens and how?

Answer 10

bleach = prevent immunoassay
Golden seal = preven weed test
Klear and Urine Luck= prevent mass spec

Question 11

What is the screening and verification process of drugs

Answer 11

immunoassay - screen
mass spec - verify

Question 12

what factors do labs tests for adulteration

Answer 12

temp, pH, odor/color/particles

Question 13

pros and cons of using urine for testing

Answer 13

pro
- high concentration = not related to effect
-SAMHSA approved

con
- easy to adulterate

Question 14

pros of using hair for testing

Answer 14

low risk adulteration and long retention time for drugs

Question 15

pros of using oral fluid for testing

Answer 15

small amount of sample needed

SAMHSA approved

Question 16

what are some cons about POCT

Answer 16

false pos and neg
no QC/QA or documentation
hard to standardize

Question 17

T/F A positive drug test is a measure of impairment

Answer 17

F - positives do NOT measure impairment

Question 18

what metabolite is tested for cocaine

Answer 18

benzoylecgonine

Question 19

what creates chronic pain

Answer 19

Trauma
Mental health disorder
Addiction

Question 20

what are three types of ACES (adverse child events)

Answer 20

Abuse
Neglect
household dysfunction

Question 21

what model is used to display chronic pain

Answer 21

Biopsychosocial model

Question 22

what is the most effective way to intervene chronic pain

Answer 22

exercise

Question 23

when do the benefits of opiod stop working for osteoarthritis

Answer 23

no benefits after 4 wks

Question 24

are there benefits of opioid usage for lower back pain

Answer 24

none

Question 25

What are tests that can be done for bowel symptoms

Answer 25

fecal calprotectin

Question 26

what are tests that can be done for joint involvemnet

Answer 26

CRP
ANTI CCP
Urates

Question 27

When is a urine tox screen ordered

Answer 27

1. confirm presence of medications
2. motivational tool
3. determine drug used at point in time

Question 28

when is a urine tox screen NOT ordered

Answer 28

To increase adherence to treat opioid use disorder

Question 29

what is the best intervention for opioid use disorder

Answer 29

having a family doctor that the patient knows and trusts