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: Medicine
All are among the features of thrombotic thrombocytopenic purpura, EXCEPT: 
Select and explain. 
A. Microangiopathic hemolytic anemia, B. Neurologic findings, C. Fever, D. Splenomegaly
D: Splenomegaly
Answer: D: Splenomegaly 
Explanation: The pentad of findings in thrombotic thrombocytopenic purpura are microangiopathic hemolytic anemia, thrombocytopenia, renal failure, neurologic findings and fever. Ref: Harrisons principles of internal medicine, Edition -18, Page - 969.