CSMLS MLT Exam case studies
CSMLS MLT Exam · Put your knowledge to work in context.
The CSMLS Medical Laboratory Technician (MLT) certification examination is the national credentialing assessment used in Canada to determine whether a candidate has the entry-level competence expected of a practising medical laboratory technologist. It is intended for graduates of accredited Canadian medical laboratory science programs and for internationally educated technologists seeking Canadian certification. The CSMLS MLT Exam case studies are 5 cases and about 2,575 words.
1Pseudohyponatremia in a Hyperglycemic Emergency
A 58-year-old man with type 2 diabetes is admitted with confusion and a glucose of 41.6 mmol/L (750 mg/dL). The chemistry analyzer reports sodium 118 mmol/L by indirect ion-selective electrode (ISE) on a diluted, lipemic sample; triglycerides are 24 mmol/L (2,120 mg/dL), total protein 82 g/L, and the lipemic index is 4+.
599 words, about 3 min2Microcytic Anemia with Inflammation: Iron Deficiency or Anemia of Chronic Disease?
A 71-year-old woman with long-standing rheumatoid arthritis has fatigue and Hb 92 g/L, MCV 76 fL, RBC 4.9 × 10^12/L, RDW 16.2%, and platelets 410 × 10^9/L. Reticulocytes are 1.1% (absolute 54 × 10^9/L).
511 words, about 3 min3Partially Treated Bacterial Meningitis with a Negative Culture
A 24-year-old university student presents with 12 hours of fever 39.4°C, severe headache, photophobia, and neck stiffness. He received one dose of ceftriaxone 2 g IV in the emergency department 45 minutes before lumbar puncture.
450 words, about 2 min4Acute Intravascular Hemolytic Transfusion Reaction from an ABO-Incompatible Unit
A 63-year-old man with myelodysplastic syndrome and Hb 71 g/L is transfused one unit of packed red cells for symptomatic anemia. Fifteen minutes into the transfusion he develops rigors, fever 39.1°C, flank pain, and dark urine.
529 words, about 3 min5Creatinine QC Shift After a Reagent Lot Change
A clinical chemistry laboratory installed a new creatinine reagent lot on Monday. Two levels of quality control are run before the morning batch: Level 1 assigned mean 88 µmol/L, SD 3.5; Level 2 mean 450 µmol/L, SD 15.
486 words, about 2 min