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Question

Thrombocytosis may be seen in the following conditions $except$ :

The correct answer is
Hypersplenism

Conditions Associated with Thrombocytosis

Thrombocytosis refers to an abnormally high platelet count in the blood. Certain medical conditions are known to cause this increase.

Causes of Thrombocytosis

Several conditions listed can lead to thrombocytosis:

  • Idiopathic myelofibrosis: This is a bone marrow disorder where abnormal cells proliferate, often leading to an elevated platelet count among other blood cell abnormalities.
  • Chronic myeloid leukemia (CML): A type of cancer where the bone marrow produces too many white blood cells, but often also results in a significantly increased platelet count.
  • Essential thrombocythemia (ET): This is a myeloproliferative neoplasm specifically characterized by the overproduction of platelets by the bone marrow.

Hypersplenism Explained

Hypersplenism is a condition where the spleen becomes overactive and removes blood components, including platelets, at an accelerated rate. This typically results in thrombocytopenia (a low platelet count), not thrombocytosis.

Identifying the Exception

Since Idiopathic myelofibrosis, Chronic myeloid leukemia, and Essential thrombocythemia are all associated with increased platelet production (thrombocytosis), and Hypersplenism is associated with increased platelet destruction or sequestration (leading to low platelets), Hypersplenism is the condition that does not typically cause thrombocytosis.

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Important Questions from Coagulation Disorders

  1. Which of the following is an oral anticoagulant?
  2. Which one of the following statements is characteristic of Purpura fulminans ?
  3. With regard to transfusion therapy, cryoprecipitate is a rich source of which of the following? 

    1. Fibrinogen 

    2. Clotting factor VIII 

    3. Clotting factor IX 

    4. von Willebrand factor 

    Select the correct answer using the code given below.

  4. Which one of the following correctly describes the mode of inheritance of haemophilia B?
  5. Which one of the following is correct regarding blood components in clinical practice ?
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