Datasets:

JesseLiu
/

medbulltes5op

question stringclasses 10 values	choicesA stringclasses 10 values	choicesB stringclasses 10 values	choicesC stringclasses 10 values	choicesD stringclasses 10 values	choicesE stringclasses 10 values	answer_idx stringclasses 5 values	answer stringclasses 10 values	explanation stringclasses 10 values	link stringclasses 10 values
A 25-year-old man presents to his primary care physician for trouble with focus and concentration. He states that he lives at home with his parents his entire life and recently was able to get a job at a local factory. Ever since the patient started working, he has had trouble focusing on his job. He is unable to stay ...	Bright light therapy and decreased light at night	Ethosuximide	Modafinil	Polysomnography	Zolpidem	A	Bright light therapy and decreased light at night	This patient is presenting with fatigue and an inability to fall asleep until late in the morning suggesting a diagnosis of delayed sleep phase syndrome. The most appropriate initial therapy is light therapy, behavioral therapy, and sleep hygiene practices in addition to decreasing exposure to light at night. Delayed ...	https://step2.medbullets.com/testview?qid=109002
A 68-year-old man presents for evaluation by a neurologist for an involuntary hand tremor that started approximately 3 months ago. The shaking improves when he reaches for objects but returns when he is not using his hand. His temperature is 98.6°F (37.0°C), blood pressure is 115/70 mmHg, pulse is 70/min, and respirati...	Cerebellar stroke	Essential tremor	Huntington disease	Lacunar stroke	Parkinson disease	E	Parkinson disease	This patient who presents with a low amplitude, 4-6 Hz resting tremor that resolves with voluntary movement and associated rigidity most likely has Parkinson disease. Parkinson disease is caused by degeneration of dopaminergic neurons in the substantia nigra pars compacta of the basal ganglia. This neurodegenerative p...	https://step2.medbullets.com/testview?qid=215182
A newborn boy is assessed in the newborn nursery due to central cyanosis that does not respond to oxygen therapy. The patient was born to a G1P1 mother at 39 weeks gestation. The mother had diabetes that was managed with exercise and insulin during the pregnancy. The mother has never been vaccinated and did not follow ...	Tetralogy of Fallot	Total anomalous pulmonary venous return	Transposition of the great vessels	Tricuspid valve atresia	Truncus arteriosus	C	Transposition of the great vessels	This patient is presenting with right axis deviation on ECG and an "egg on a string" heart on chest radiograph suggesting a diagnosis of transposition of the great vessels. Transposition of the great vessels occurs when the spiral septum that divides the truncus arteriosus into the aorta and pulmonary artery fails to ...	https://bit.ly/3Qq9vcA
A 55-year-old man presents to the emergency department with nausea and vomiting for the past week. He decided to come in when his symptoms worsened. He feels that his symptoms are exacerbated with large fatty meals and when he drinks alcohol. His wife recently returned from a cruise with symptoms of vomiting and diarrh...	Adhesions	Enteric nervous system damage	Impacted stool	Norovirus	Twisting of the bowel	A	Adhesions	This patient is presenting with abdominal pain and a tympanitic abdomen, which are symptoms suggestive of a small bowel obstruction. In developed countries, these typically occur secondary to adhesions. Small bowel obstructions (SBO) typically present with an absence of bowel sounds, bowel movements, and flatus, as we...	https://bit.ly/3MoRM2B
A 52-year-old G3P3 woman presents to clinic with a 2-year history of urinary incontinence. She has had frequent, involuntary loss of urine over the last 2 years but presented today because of 10 days of dysuria. She has been treated for 2 urinary tract infections over the past 6 months. She does not endorse any loss of...	Overflow incontinence	Pelvic organ prolapse	Stress urinary incontinence	Urethral diverticulum	Vesicovaginal fistula	D	Urethral diverticulum	This patient is presenting with a history of dysuria, incontinence, and recurrent lower urinary tract infections in conjunction with a tender anterior vaginal wall mass. The most likely diagnosis is a urethral diverticulum. A urethral diverticulum is an abnormal, localized outpouching of the urethral mucosa often due ...	https://step2.medbullets.com/testview?qid=216247
A 7-year-old boy is brought to the emergency department by his parents for worsening symptoms of previously diagnosed acute sinusitis. Initially, the pediatrician prescribed decongestants and sent the patient home. Since then, the patient has developed a nasal discharge with worsening pain. The patient has a medical hi...	Bleeding and infected vessel of Kiesselbach plexus	Foreign body obstruction	Nasopharyngeal carcinoma	Septal perforation	Sinusitis with bacterial superinfection	B	Foreign body obstruction	This patient presents with unilateral bloody/purulent discharge from the nose suggesting a diagnosis of a nasal foreign body. The most common cause of unilateral nasal symptoms in a pediatric patient is a nasal foreign body. Nasal foreign bodies tend to be unilateral (though bilateral symptoms are plausible) and prese...	https://bit.ly/3sn97S5
A 23-year-old man presents to the emergency department. He was brought in by police for shouting on a subway. The patient claims that little people were trying to kill him and he was acting within his rights to defend himself. The patient has a medical history of marijuana and IV drug use as well as multiple suicide at...	Chlorpromazine	Clozapine	Fluphenazine	Olanzapine	Thioridazine	B	Clozapine	This patient is presenting with symptoms of schizophrenia that are refractory to treatment with both typical and atypical antipsychotics. The most appropriate next step in management is treatment with clozapine. Schizophrenia presents with auditory and/or visual hallucinations among many other findings. The most appro...	https://step2.medbullets.com/testview?qid=108999
A 37-year-old machinist presents to his primary care physician with eye problems. He has felt a mass in his eye that has persisted for the past month. The patient has a medical history of blepharitis treated with eye cleansing and squamous cell carcinoma of the skin treated with Mohs surgery. His temperature is 99.5°F ...	Chalazion	Foreign body	Hordeolum	Ingrown eyelash follicle	Meibomian cell carcinoma	A	Chalazion	This patient presenting with a painless firm and rubbery nodule has symptoms that are suggestive of a chalazion. Chalazion presents with a hard and painless eyelid nodule. This pathology occurs secondary to granulomatous inflammation of the Meibomian gland. The lesion can be treated with simple excision; however, recu...	https://bit.ly/483O4Um
A 67-year-old man presents to the emergency department 1 hour after sudden-onset weakness and double vision. His medical history is significant for hyperlipidemia and poorly controlled hypertension. His current medications include atorvastatin and amlodipine. His temperature is 98.6°F (37.0°C), blood pressure is 175/95...	Lateral medulla	Lateral pons	Medial pons	Midbrain	Posterior limb of internal capsule	D	Midbrain	This patient with a history of poorly controlled hypertension, acute onset of left-sided oculomotor nerve palsy (mydriasis, ptosis, and “down and out” pupil), right-sided paresis, and right-sided dysdiadochokinesia most likely has a lacunar stroke of the left midbrain. Important structures in the midbrain often affect...	https://bit.ly/3FwRzGJ
A 55-year-old man with a history of polysubstance abuse is found down in his home acutely obtunded. Emergency medical services administered naloxone which immediately woke the patient up and improved his oxygen saturation from 40% to 90%. However, they noted subsequently that the patient demonstrated increased work of ...	Atypical pneumonia	Chronic obstructive pulmonary disease	Community acquired pneumonia	Medication administration	Poor cardiac function	D	Medication administration	This patient is presenting after administration of naloxone with respiratory distress, wheezing, crackles, and pulmonary edema on chest radiography, suggesting acute pulmonary edema. Given the presence of symptoms immediately following naloxone administration, the cause of the pulmonary edema is likely the naloxone (me...	https://step2.medbullets.com/testview?qid=216360

This dataset was created based on the format specified in the paper Benchmarking Large Language Models on Answering and Explaining Challenging Medical Questions by Hanjie Chen, Zhouxiang Fang, Yash Singla, and Mark Dredze.

Original Paper: Benchmarking Large Language Models on Answering and Explaining Challenging Medical Questions
Authors: Hanjie Chen, Zhouxiang Fang, Yash Singla, Mark Dredze

If you use this dataset format, please consider citing the original paper as follows:

Citation Information

@misc{chen2024benchmarkinglargelanguagemodels,
      title={Benchmarking Large Language Models on Answering and Explaining Challenging Medical Questions}, 
      author={Hanjie Chen and Zhouxiang Fang and Yash Singla and Mark Dredze},
      year={2024},
      eprint={2402.18060},
      archivePrefix={arXiv},
      primaryClass={cs.CL},
      url={https://arxiv.org/abs/2402.18060}, 
}

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Paper for JesseLiu/medbulltes5op

Benchmarking Large Language Models on Answering and Explaining Challenging Medical Questions

Paper • 2402.18060 • Published Feb 28, 2024 • 2