ITP: Test Your Understanding
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What is the main reason the platelet count is low in ITP?
a
The bone marrow stops making platelets
.
b
The spleen holds on to too many platelets because of liver disease
c
The immune system clears platelets too quickly
In ITP, the immune system mistakenly targets platelets, causing them to be removed from circulation faster than they are produced.
d
The body does not make enough iron
Which platelet count range is most commonly used to decide when treatment may be needed in ITP?
a
Above 150,000
b
80,000–100,000
c
About 20,000–30,000
Most adults with ITP are treated when platelets fall below about 20–30,000 or if they have bleeding symptoms.
d
Below 5,000 only
Which of the following symptoms is most clearly associated with low platelets in ITP?
a
Fever
b
Nosebleeds or easy bruising
Bleeding symptoms such as bruising, petechiae, or nosebleeds are common when platelets are low.
c
Itching after warm showers
d
Joint pain
Which statement about ITP is TRUE?
a
ITP is a form of leukemia
b
Most adults with ITP do not require a bone marrow biopsy
Most adults with typical ITP do not need bone marrow testing unless the presentation is atypical.
c
ITP is contagious
d
People with ITP always need lifelong treatment
Which treatment is commonly used first for adults who need therapy for ITP?
a
Platelet transfusion for all patients
b
Steroids or IVIG
Steroids and IVIG are standard initial treatments. Splenectomy and other therapies are used only if ITP persists.
c
Chemotherapy
d
Surgical splenectomy as first-line therapy
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