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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 one of the following investigations is NOT appropriate in a case of recurrent thrombosis?
  2. All of the following are causes of reactive thrombocytosis, EXCEPT:
  3. Cryoprecipitate cannot be used for treatment of which one of the following conditions?
  4. A young primigravida with 11 weeks pregnancy presents with sudden onset pain and swelling of left lower limb. Homan's sign is positive. Duplex ultrasonogram shows non- compressibility of veins in the affected region, with absent flow. The drug of choice for treatment is:

  5. Which of the following conditions are associated with prolonged prothrombin time?
    1. Factor VIII deficiency
    2. Factor VII deficiency
    3. Heparin anticoagulation
    4. Warfarin anticoagulation
    Select the correct answer using the code given below:
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