top of page
sfx_miss_firm
00:00 / 00:00
sfx_correct_minimal
00:00 / 00:00
sfx_complete_fanfare
00:00 / 00:00
Add a Title
feedbackText
⏱️ 240s
🌱 Beginner Level — 0 / 50
Thrombotic Thrombocytopenic Purpura (TTP)
A 42-year-old woman presents with confusion, fever, renal dysfunction, thrombocytopenia, and hemolytic anemia. Labs: schistocytes, ↑LDH, low haptoglobin. ADAMTS13 activity <10% with inhibitor present.
summaryTitle
summaryScore
summaryRefs
💡 Hint: Correct order adjusted to match available steps.
Urgent plasma exchange (PEX)
High-dose corticosteroids
Avoid prophylactic platelet transfusions
Add caplacizumab (anti-vWF nanobody) if available
Add rituximab for refractory/recurrent disease
bottom of page