This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
[{'content': 'An evidence that splenectomy might benefit a patient with idiopathic thrombocytopenic purpura includes which of the following \nSelect and explain. \nA. A signifificant enlargement of the spleen, B. A high reticulocyte count, C. Patients age less than five years, D. An increase in platelet count on coicosteroid therapy', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Splenectomy is not indicated in non-bleeding ITP for 6 months with platelet count above 50,000 /cu.mm.reaponse rate 80%.relapse of ITP after splenectomy is 10%.it is probably due to hepatic sequestration of platelets in such patients or presence of accessory spleens Ref: SRB&;s manual of surgery,ed5, pg no 675', 'role': 'assistant'}]