This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General surgery, Subject name: Surgery
What is the treatment of Choice for Idiopathic Thrombocytopenic Purpura 
Select and explain. 
A. Steroids, B. IV immunoglobin, C. Blood transfusion, D. Splenectomy
A: Steroids
Answer: A: Steroids 
Explanation: Medical Treatment of ITP:- * The treatment of choice is medical- oral prednisolone 1mg/kg produces dramatic response in 50-70% cases. * Intravenous immunoglobin is indicated for internal bleeding. Refractory ITP:- * Failure of initial therapy mentioned above. * Rituximab given IV * Thromboplastin Receptor antagonists- Eltrombopag and Romiplostim Splenectomy Indications :- * Most common indication for elective splenectomy * For patients with low platelet count should have platelets available at surgery but should be infused only after ligating the pedicle. * Should not be given preoperatively Ref:- Surgery Sixer 3rd Edition; pg num:- 724