Question 345 · LEK · Obstetric coagulopathies

Indicate true statements regarding thrombocytopenia in pregnant women:

1) it usually appears in the third trimester, and the platelet count does not fall below 70,000/μL;
2) it occurs together with arterial hypertension and proteinuria;
3) it requires differentiation from immune thrombocytopenia;
4) it may lead to neonatal thrombocytopenia;
5) it requires no treatment and resolves within a few weeks after delivery.
The correct answer is:
  1. A. 1,2.
  2. B. 1,3,5.
  3. C. 1,2,3,5.
  4. D. 2,3,4.
  5. E. all of the above.
Hint

Gestational thrombocytopenia is a benign dilutional and consumptive phenomenon; ask whether maternal antibodies or hypertension are involved.

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