MELE study materials
MELE study resources

MELE case studies

MELE · Put your knowledge to work in context.

The Medical Laboratory Evaluation (MELE) is a multiple-choice examination used to assess the knowledge and problem-solving skills expected of a medical laboratory professional. Candidates typically encounter it as part of a certification or competency pathway for technologists, technicians, and other laboratory personnel who want independent evidence that they can handle the breadth of routine and specialized testing. The exam is organized around the major laboratory disciplines: blood banking and immunohematology, clinical chemistry, hematology, microbiology, immunology and serology, urinalysis and body fluids, laboratory operations and quality management, molecular diagnostics, and laboratory safety. Questions tend to test practical judgment rather than isolated recall, so expect scenarios involving discrepant results, quality control failures, specimen integrity, and method selection. The MELE case studies are 5 cases and about 2,545 words.

1

Acquired B Phenotype in a Septic Postoperative Patient

R, 66, is admitted with fever (38.9°C), hypotension (88/54 mmHg), and a distended abdomen three days after a sigmoid colectomy for colon cancer. Blood cultures are pending.

598 words, about 3 min
2

Pseudohyponatremia and Anion Gap in Diabetic Ketoacidosis

L, 31, is brought to the emergency department with 2 days of vomiting, abdominal pain, and confusion. He has type 1 diabetes and uses an insulin pump.

526 words, about 3 min
3

Thrombocytopenia in Pregnancy: TTP or HELLP?

K, 38, at 30 weeks' gestation, presents with 3 days of bruising, confusion, and dark urine. Platelets 14 × 10^9/L, Hb 7.8 g/dL, MCV 92 fL, reticulocytes 8%, LDH 1,450 U/L, haptoglobin <10 mg/dL, creatinine 1.6 mg/dL, total bilirubin 3.2 mg/dL, AST 68 U/L, ALT 52 U/L.

482 words, about 2 min
4

ESBL Pyelonephritis with Penicillin Anaphylaxis

D, 58, with type 2 diabetes, presents with 2 days of fever (39.1°C), right flank pain, and dysuria. BP 102/66 mmHg, HR 112/min.

453 words, about 2 min
5

QC Failure on a Chemistry Analyzer

A 220-bed hospital laboratory runs chemistry on two identical analyzers. On Monday at 7:00 a.m., the level 2 QC for the general chemistry panel shows glucose 118 mg/dL (mean 100, SD 5), creatinine 1.8 mg/dL (mean 1.2, SD 0.05), and sodium 130 mmol/L (mean 140, SD 2).

486 words, about 2 min