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TOEFL ITP ("ITP" stands for "Institutional Testing Program") tests are paper-based and use academic content to evaluate the English-language proficiency of non-native English speakers. The tests use new and previously administered TOEFL test questions and are used for placement, progress, evaluation, exit testing, and other situations.
Diagnosis of ITP involves identifying a low platelet count through a complete blood count, a common blood test. However, since the diagnosis relies on excluding other potential causes of a low platelet count, additional investigations, such as a bone marrow biopsy , may be necessary in certain cases.