This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'A 5-year-old boy comes with overnight petechial spots 2 weeks back he had a history of abdominal pain and no hepatosplenomegaly. Diagnosis is – \nSelect and explain. \nA. Aute lymphatic leukemia, B. Aplastic anemia, C. Idiopathic thrombocytopenis purpura, D. Acute viral infection', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Petechial spots without hepatosplenomegaly in a 5-year-old boy suggest the diagnosis of ITP.\nAbout other options\nAcute leukaemia\n\nAcute leukaemia will give features of involvement of all the three lineages i.e.\nanaemia (erythrocyte involvement)\nfever (due to neutrophil involvement)\nbleeding (due to platelet involvement)\nMoreover, splenomegaly and lymphadenopathy are usually present in Acute leukaemias.\n\nAplastic anaemia\n\nAplastic anaemia too will present with features, characteristic of involvement of all the three lineages i.e. severe anaemia, fever bleeding.', 'role': 'assistant'}]