question stringlengths 66 3.58k | answer stringlengths 1 230 | options dict | meta_info stringclasses 2
values | answer_idx stringclasses 4
values | metamap_phrases sequencelengths 1 184 | multiple_choice stringlengths 405 4.28k | embedding sequencelengths 768 768 |
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A 23-year-old pregnant woman at 22 weeks gestation presents with burning upon urination. She states it started 1 day ago and has been worsening despite drinking more water and taking cranberry extract. She otherwise feels well and is followed by a doctor for her pregnancy. Her temperature is 97.7°F (36.5°C), blood pres... | Nitrofurantoin | {
"A": "Ampicillin",
"B": "Ceftriaxone",
"C": "Doxycycline",
"D": "Nitrofurantoin"
} | step2&3 | D | [
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"... | You are a clinical decision-making assistant specialized in obstetric care. Your task is to read the provided clinical scenario carefully and choose the best treatment option from the provided choices.
Question: A 23-year-old pregnant woman at 22 weeks gestation presents with burning upon urination. She states it start... | [
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A 3-month-old baby died suddenly at night while asleep. His mother noticed that he had died only after she awoke in the morning. No cause of death was determined based on the autopsy. Which of the following precautions could have prevented the death of the baby? | Placing the infant in a supine position on a firm mattress while sleeping | {
"A": "Placing the infant in a supine position on a firm mattress while sleeping",
"B": "Keeping the infant covered and maintaining a high room temperature",
"C": "Application of a device to maintain the sleeping position",
"D": "Avoiding pacifier use during sleep"
} | step2&3 | A | [
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Question: A 3-month-old baby died suddenly at night while asleep. His mother noticed that he had died only after she a... | [
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A mother brings her 3-week-old infant to the pediatrician's office because she is concerned about his feeding habits. He was born without complications and has not had any medical problems up until this time. However, for the past 4 days, he has been fussy, is regurgitating all of his feeds, and his vomit is yellow in ... | Abnormal migration of ventral pancreatic bud | {
"A": "Abnormal migration of ventral pancreatic bud",
"B": "Complete failure of proximal duodenum to recanalize",
"C": "Abnormal hypertrophy of the pylorus",
"D": "Failure of lateral body folds to move ventrally and fuse in the midline"
} | step1 | A | [
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"... | You are a clinical decision-making assistant specialized in obstetric care. Your task is to read the provided clinical scenario carefully and choose the best treatment option from the provided choices.
Question: A mother brings her 3-week-old infant to the pediatrician's office because she is concerned about his feedin... | [
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A pulmonary autopsy specimen from a 58-year-old woman who died of acute hypoxic respiratory failure was examined. She had recently undergone surgery for a fractured femur 3 months ago. Initial hospital course was uncomplicated, and she was discharged to a rehab facility in good health. Shortly after discharge home from... | Thromboembolism | {
"A": "Thromboembolism",
"B": "Pulmonary ischemia",
"C": "Pulmonary hypertension",
"D": "Pulmonary passive congestion"
} | step1 | A | [
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Question: A pulmonary autopsy specimen from a 58-year-old woman who died of acute hypoxic respiratory failure was exam... | [
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A 20-year-old woman presents with menorrhagia for the past several years. She says that her menses “have always been heavy”, and she has experienced easy bruising for as long as she can remember. Family history is significant for her mother, who had similar problems with bruising easily. The patient's vital signs inclu... | Von Willebrand disease | {
"A": "Hemophilia A",
"B": "Lupus anticoagulant",
"C": "Protein C deficiency",
"D": "Von Willebrand disease"
} | step1 | D | [
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"heart rate 98 min",
"respiratory rate"... | You are a clinical decision-making assistant specialized in obstetric care. Your task is to read the provided clinical scenario carefully and choose the best treatment option from the provided choices.
Question: A 20-year-old woman presents with menorrhagia for the past several years. She says that her menses “have alw... | [
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A 40-year-old zookeeper presents to the emergency department complaining of severe abdominal pain that radiates to her back, and nausea. The pain started 2 days ago and slowly increased until she could not tolerate it any longer. Past medical history is significant for hypertension and hypothyroidism. Additionally, she... | Scorpion sting | {
"A": "Aspirin",
"B": "Oral contraceptive pills",
"C": "Scorpion sting",
"D": "Hypothyroidism"
} | step1 | C | [
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Question: A 40-year-old zookeeper presents to the emergency department complaining of severe abdominal pain that radia... | [
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A 25-year-old primigravida presents to her physician for a routine prenatal visit. She is at 34 weeks gestation, as confirmed by an ultrasound examination. She has no complaints, but notes that the new shoes she bought 2 weeks ago do not fit anymore. The course of her pregnancy has been uneventful and she has been comp... | 24-hour urine protein | {
"A": "Bilirubin assessment",
"B": "Coagulation studies",
"C": "Leukocyte count with differential",
"D": "24-hour urine protein"
} | step2&3 | D | [
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"... | You are a clinical decision-making assistant specialized in obstetric care. Your task is to read the provided clinical scenario carefully and choose the best treatment option from the provided choices.
Question: A 25-year-old primigravida presents to her physician for a routine prenatal visit. She is at 34 weeks gestat... | [
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A 3900-g (8.6-lb) male infant is delivered at 39 weeks' gestation via spontaneous vaginal delivery. Pregnancy and delivery were uncomplicated but a prenatal ultrasound at 20 weeks showed a defect in the pleuroperitoneal membrane. Further evaluation of this patient is most likely to show which of the following findings? | Gastric fundus in the thorax | {
"A": "Gastric fundus in the thorax",
"B": "Pancreatic ring around the duodenum",
"C": "Hypertrophy of the gastric pylorus",
"D": "Large bowel in the inguinal canal"
} | step1 | A | [
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] | You are a clinical decision-making assistant specialized in obstetric care. Your task is to read the provided clinical scenario carefully and choose the best treatment option from the provided choices.
Question: A 3900-g (8.6-lb) male infant is delivered at 39 weeks' gestation via spontaneous vaginal delivery. Pregnanc... | [
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A 62-year-old woman presents for a regular check-up. She complains of lightheadedness and palpitations which occur episodically. Past medical history is significant for a myocardial infarction 6 months ago and NYHA class II chronic heart failure. She also was diagnosed with grade I arterial hypertension 4 years ago. Cu... | Digoxin | {
"A": "Atenolol",
"B": "Diltiazem",
"C": "Propafenone",
"D": "Digoxin"
} | step1 | D | [
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Question: A 62-year-old woman presents for a regular check-up. She complains of lightheadedness and palpitations which... | [
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A 35-year-old male presents to his primary care physician with complaints of seasonal allergies. He has been using intranasal vasoconstrictors several times per day for several weeks. What is a likely sequela of the chronic use of topical nasal decongestants? | Persistent congestion | {
"A": "Epistaxis",
"B": "Permanent loss of smell",
"C": "Persistent nasal crusting",
"D": "Persistent congestion"
} | step1 | D | [
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"using intranasal vasoconstrictors",
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"several weeks",
"likely sequela of",
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] | You are a clinical decision-making assistant specialized in obstetric care. Your task is to read the provided clinical scenario carefully and choose the best treatment option from the provided choices.
Question: A 35-year-old male presents to his primary care physician with complaints of seasonal allergies. He has been... | [
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