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Immune thrombocytopenic purpura — MCCQE Part 1 MCQ

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ModerateBleedingImmune thrombocytopenic purpuraMCCQE Part 1

A 2-year-old boy has a non-blanching petechial/purpuric rash. Afebrile, well-appearing. Platelets 15, normal Hb/WBC/blood film. URTI 2 weeks ago. Most appropriate management?

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Correct answer: E — Observation with bleeding precautions and follow-up

Classic ITP: isolated thrombocytopenia in a well child post-viral. CPS: observation for minor/no bleeding regardless of platelet count. IVIG/steroids for significant mucosal bleeding. BMB not routinely needed if classic.

Reference: CPS ITP Statement