Patient with HIV infection requires an oral surgical procedure | MDS entrance preaparations

A patient with HIV infection requires an oral surgical procedure to remove teeth after severe bone loss due to H1V-related localized periodontitis. Proper precautions should be taken as such patients are likely to develop which of the following

a. Immunogenic thrombocytopenic purpura (ITP). 
b. Hypoglycemia 
c. Urticaria 
d. Angioedema.

The correct answer is A: 

  It is estimated that 10—15% of patients with HIV develop immunogenic thrombocytopenic purpura (ITP). The antiplatelet antibodies appear to be found more frequently in advanced stages of the disease. Affected patients should have a CBC before any oral surgical procedure. If the platelets are low (below 150,000), the procedure should be done only after consultation with the patient’s physician and with the knowledge that bleeding may be increased. The patient may require platelet transfusions to control postoperative bleeding. Platelet antibodies in serum of patients with human immunodeficiency virus (HIV) infection.