Dental OSCE (Objective Structured Clinical Examination) Practice Exam

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What condition is indicated by a white blood cell count of 9700 and a platelet count of 27,000 with spontaneous bleeding?

Anemia
Thrombocytopenia
Leukemia
Hemophilia

The correct answer is: Thrombocytopenia

The condition indicated by a white blood cell count of 9700 and a platelet count of 27,000 with spontaneous bleeding is thrombocytopenia. Thrombocytopenia is defined as a low platelet count, specifically below 150,000 platelets per microliter of blood. In this scenario, the platelet count of 27,000 is significantly lower than the normal range, which can lead to spontaneous bleeding due to the inability of the blood to clot effectively. Spontaneous bleeding occurs when the platelet count is critically low, as platelets play an essential role in the hemostatic process by helping to form blood clots. While the white blood cell count is within a relatively normal range, it is the low platelet count that directly contributes to the risk of bleeding in this case. Other conditions listed, while they may involve changes in blood cells or bleeding, do not explain the specific combination of low platelet count and the presence of spontaneous bleeding as clearly as thrombocytopenia does.