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Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 55 year old comes to Victoria OPD with history of swelling of his hands, shoness of breath.O/E facial plethora, distened neck viens was noted. Which is the most probable structure involved to cause these symptoms?
... | #### A | A. 3 | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Which of the following tumours have an increase delevation of placental alkaline phosphatase in the serum as well as a positive immunohistochemical staining for placental alkaline phosphatase?
A. Seminoma
B. Hepatobl... | #### A | A. Seminoma | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
2 moles of an ideal gas are expanded reversibly and isothermally at 0°C from 1 atm. Calculate the final volume occupied by the gas if the heat absorbed during the pro-cess is 1 = 750 cal.
A. 84.4 liters
B. 44.8 liter... | #### A | A. 84.4 liters | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Severe Laxity of joints - a) Marfan's syndrome b) Ehler Danlos c) RA d) Osteogenesis imperfecta e) OA
A. ab
B. abc
C. ade
D. ae | #### A | A. ab | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 57-year-old man presents to his physician with dyspnea on exertion and rapid heartbeat. He denies any pain during these episodes. He works as a machine operator at a solar panels manufacturer. He has a 21-pack-year... | #### D | D. Smoking | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A person involved in a murder is brought to you for determination of age since the defence attorney wants him to be treated as a minor. The results of Xrays are as given below:\r\n\r\n1) All the epiphyses of the elbo... | #### D | D. 21 or more. | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 23-year-old woman presents with a 4-week menstrual delay. She also complains of irritability, increased somnolence, and occasional nausea. She had her first menarche at the age of 13, and her menstrual cycle became... | #### C | C. Folic acid | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
According to RNTCP, tubercular pericarditis should be treated with which category of anti-tubercular regimen?
A. Category III
B. Category I
C. Category II
D. Category IV | #### B | B. Category I | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In population of 9000, 2100 were alcoholics out of which 70 alcoholics developed cirrhosis, 23 non-alcoholics developed cirrhosis. Calculate attribute risk
A. 90%
B. 70%
C. 60%
D. 40% | #### B | **B. 70%**. | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 50 year old woman presented with chief complaints of cough with bloody sputum, dyspnoea, chest pain, loss of appetite and unexplained weight loss. Chest X-Ray revealed a mass in the left lung with elevated left dom... | #### D | D. Phrenic nerve | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 64-year-old woman presents to the hospital for chemotherapy. She has newly diagnosed acute myeloid leukemia. She is due to receive treatment with bendamustine for 2 days. On day 2 of her treatment, the patient comp... | #### B | B. Allopurinol | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
In return for a 20% partnership interest, Skinner contributed 5,000 cash and land with a 12,000 basis and a 20,000 fair market value to the partnership. The land was subject to a 10,000 mortgage that the partnership ... | #### G | **G. 13,000** | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
You are examining a direct inguinal hernia in a 45 year old man. On examination the swelling is doughy in consistency and dull on percussion. The swelling is reducible but reduction is difficult towards the end. What... | #### C | C. Epiplocele | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 31 year old female patient complains of bilateral impairment of hearing for the 5 year. On examination, tympanic membrane is normal and audiogram shows a bilateral conductive deafness. Impedance audiometry shows As... | #### D | D. Gentamicin | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Patient comes with crush injury to upper limb, doctor is concerned about gangrene and sepsis what can help decide between amputation and limb salvage?
A. MESS
B. GCS score
C. Gustilo-Anderson classification
D. ASIA g... | #### A | A. MESS | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 2-year-old boy is brought to a pediatrician for recurrent respiratory infections. The parents explain that their child has gotten sick every month since 2 months of age. The boy had multiple upper respiratory infec... | #### A | A. Frameshift | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A child presented with fever for 2 days, altered sensorium and purpuric rashes. His blood pressure is 90/60 mmHg. Treatment of choice is>
A. IV Quinine
B. IV Artesunate
C. IV Penicillin
D. Chloroquine | #### C | C. IV Penicillin | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 50-year-old female patient presented with swelling of the right jaw. The swelling was painless and covered with exudate. She also gave a history of trauma to the same area. The pus was sent for culture. On macrosco... | #### A | A. Penicillin | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 57-year-old man presents the urgent care clinic with a one-week history of diffuse bone pain and generalized weakness. He was diagnosed with end-stage renal disease 6 months ago and is currently on dialysis. His wi... | #### B | B. 1-α-hydroxylase | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
What does a kindergarten teacher do before nap time?
A. lower expectations
B. encourage
C. fear
D. time test
E. tell story | #### E | E. tell story | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 57-year-old man is brought to the emergency department by his wife 20 minutes after having had a seizure. He has had recurrent headaches and dizziness for the past 2 weeks. An MRI of the brain shows multiple, round... | #### C | C. Lung | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Here is a table where the first line is a header and each subsequent line is a penguin: name, age, height (cm), weight (kg) Louis, 7, 50, 11 Bernard, 5, 80, 13 Vincent, 9, 60, 11 Gwen, 8, 70, 15 For example: the ag... | #### C | (C) Vincent | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 5-month old baby presents to emergency with history of vomiting, irritability & jaundice. The baby was previously healthy. History of introducing fruit juices into the diet one week back. USG revealed hepatomegaly ... | #### B | B. Aldolase B | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A middle aged man with chronuc renal failure is diagnostic to have sputum positive pulmonary tuberculosis. His creatinine clearance is 25ml /min. All of the following drugs need modification in doses except
A. Isonia... | #### C | C. Rifampicin | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 5-year-old boy presents to his pediatrician along with his parents due to episodes of “staring into space.” This symptom occurs several times a day and lasts only a few seconds. During these episodes, the boy does ... | #### A | A. Ethosuximide | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 45-year-old man presents with exertional dyspnea and pitting pedal edema. His neck veins are dilated. A diagnosis of superior vena cava (SVC) syndrome is made. What will you do next?
A. Do total blood count and per... | #### B | B. Do a CT chest | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 35-year-old woman visits the office with complaints of yellowish vaginal discharge and increased urinary frequency for a week. She also complains of pain during urination. Past medical history is irrelevant. She ad... | #### B | B. Doxycycline | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
If z = arctan(e^{1 + (1 + x)^2}), what's the derivative of \frac{\partial z}{\partial x} at x = 0.
A. 0.4752
B. 0.6210
C. 0.4123
D. 0.5678
E. 0.5439
F. 0.2896
G. 0.3017
H. 0.1345
I. 0.6571
J. 0.2198 | #### G | G. 0.3017 | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Today, Nancy went to the beach. Between what times could they have gone?
We know that:
Nancy woke up at 6am.
John saw Nancy walking in the garden from 6am to 10am.
Tiffany saw Nancy working at the office from 10am to... | #### A | (A) 12pm to 1pm. | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Treatment of solitary rectal ulcer are A/E:a) Laxativesb) Rectopexyc) Bandingd) Sclerosant injectione) Enema
A. cd
B. bc
C. bd
D. ac | #### A | A. cd | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Consider the following - 1. Kerosene poisoning 2. Organo-phosphorus poisoning 3. Corrosive poisoning 4. Iron poisoning In which of the above is gastric lavage contraindicated?
A. 1 only
B. 1 and 3 only
C. 2 and 4 onl... | #### B | B. 1 and 3 only | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 39-year-old woman presents to the emergency department with fever, cough, and shortness of breath. She reports developing flu-like symptoms 7 days ago but progressively worsened to the point where she experiences d... | #### C | C. Neutropenia | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An infant born at 35 weeks' gestation to a mother with no prenatal care is noted to be jittery and irritable, and is having difficulty feeding. You note coarse tremors on examination. The nurses repo a high-pitched c... | #### C | C. Heroin | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d = "M 22.06,65.18 L 22.58,64.52 L 7.52,52.61 L 7.00,53.26 L 22.06,65.18"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
(H) rectangle
(I... | #### K | (K) trapezoid | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Congo red staining of abdominal fat has confirmed a diagnosis of Amyloidosis in a 28-year-old man. Which is the most common cause of death in primary AL Amylodosis?
A. Respiratory failure
B. Cardiac failure
C. Renal ... | #### B | B. Cardiac failure | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 56-year-old man presents to his family physician for issues with his back that have persisted since he was in his 20’s. For the last 6 months, his neck has been very stiff and he has been unable to tilt his head ba... | #### B | B. Indomethacin | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A lung biopsy of a HIV patient showed intra nuclear basophilic inclusion bodies with perinuclearhalo.The patient's CD4 was les then 100 at the time of diagnosis. What is the probable cause?
A. CMV
B. MAC
C. Pneumocys... | #### A | A. CMV | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Ultrasound examination of a developing fetus demonstrates a fluid-filled sac at the base of the fetus' spine that connects to the spinal canal and apparently contains pa of the spinal cord. A dietary deficiency of wh... | #### B | B. Folate | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 30 year old farmer presents with the features of high fever painful inguinal lymphadenopathy, vomiting and diarrhoea with hypotension. Which stain will help in the diagnosis?
A. Wayson's stain
B. Neisser stain
C. A... | #### A | A. Wayson's stain | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 42-year-old man comes to the physician for the evaluation of episodic headaches involving both temples for 5 months. The patient has been taking acetaminophen, but it has not provided relief. He has also had double... | #### B | B. Impotence | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An 8-year-old boy is brought to the pediatrician because his mother is concerned about recent behavioral changes. His mother states that she has started to notice that he is slurring his speech and seems to be fallin... | #### B | B. GAA | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 77-year-old woman with congestive heart failure is admitted to the hospital for evaluation prior to cardiac transplantation. During her stay at the hospital, the physician prescribes a drug to improve cardiac contr... | #### B | B. Hypotension | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Say the incidence of a disease D is about 5 cases per 100 people (i.e., P(D) = 0.05). Let Boolean random variable D mean a patient “has disease D” and let Boolean random variable TP stand for "tests positive." Tests ... | #### I | I. 0.078 | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 58-year-old woman with refractory gastrointestinal complaints undergoes a bowel biopsy. On histology, the pathologist observes that submucosal glands of Brunner are present in the specimen. Which portion of the bow... | #### A | A. Duodenum | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 19-year-old college student develops a rash. She works part-time in a pediatric AIDS clinic. Her blood is drawn and tested for specific antibody to the chicken pox virus (varicella-zoster). Which of the following a... | #### A | A. IgG | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Baby 20 year old female complains of sudden onset palpitation and apprehension. She is sweating for last 10 minutes and fears of impending death. Diagnosis is -
A. Hysteria
B. Generalized anxiety disorder
C. Cystic f... | #### D | D. Panic attack | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 10-year old child is undergoing squint surgery. He suddenly developed increased hea rate, arrhythmia, high fever, metabolic and respiratory acidosis on aerial blood gases and elevation of end tidal CO2. Which of th... | #### A | A. Dantrolene | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 50-year-old HIV-positive male comes to OPD wit complaints of fever and breathlessness . He is diagnosed as a case of Pneumocystis jiroveci pneumonia (PCP). At what CD4 T cell % ,primary prophylaxis for this conditi... | #### A | A. < 20% | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A Woman, 29 yrs, married for 3 years, unable to conceive, has regular menstrual cycles, mild dysmenorrhea, Her pelvic scan shows an intramural fibroid of 3 cms and a follicular ovarian cyst A tubal assessment by HSG ... | #### C | C. Endometriosis. | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 6-year-old boy is brought to the physician because of increasing swelling around his eyes for the past 3 days. During this period, he has had frothy light yellow urine. He had a sore throat 12 days ago. He appears ... | #### D | D. Fatty casts | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
During growth factor-induced cellular regeneration, which transition during cell cycle is controlled by the phosphorylation of the retinoblastoma protein:
A. G0 to Gl
B. Gl to S
C. S to G2
D. G2 to M | #### B | B. G1 to S | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 6-year-old Hispanic male was admitted to the hospital for pain in his left thigh that has increased in severity over the past several months to the point that he can no longer walk. His mother explained that he had... | #### A | A. Phenylketonuria | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 39-year-old woman complains of developing painful pale fingers on cold exposure for the past 5 years. Recently, she has noticed swollen fingers and tight skin, which limit flexion and extension. She also has new ab... | #### A | A. esophagus | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Here is a table where the first line is a header and each subsequent line is a penguin: name, age, height (cm), weight (kg) Louis, 7, 50, 11 Bernard, 5, 80, 13 Vincent, 9, 60, 11 Gwen, 8, 70, 15 For example: the ag... | #### B | (B) 2 | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Suppose a monopoly market has a demand function in which quantity demanded depends not only on market price (P) but also on the amount of advertising the firm does (A, measured in dollars). The specific form of this ... | #### D | D. 5 | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 52-year-old man presents to the out-patient clinic complaining of episodes of severe unilateral, stabbing facial pain that is intermittent for several hours, and then disappears for several days. The pain is descri... | #### D | D. carbamazepine | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient married for 3 years, unable to conceive, has regular menstrual cyclesHusbands semen analysis is normal and so is his hormonal profile What is the right time in menstrual cycle to do endometrial biopsy for i... | #### C | C. 20-22 days | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient has carcinoma of right tongue on its lateral border of anterior 2/3rd, with lymph node of size 4 cm in level 3 on left side of the neck, stage of disease is:
A. NO
B. N1
C. N2
D. N3 | #### C | C. N2 | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 35 year old male presented with nasal discharge, facial pain and fever which subsided with a course of antibiotics and antihistaminics, which recurred again after 2 months. O/E mucopurulent discharge from middle me... | #### B | B. NCCT PNS | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A child with unilateral white reflex and raised intraocular pressure. the required investigation are all except
A. Usg
B. Tonometer
C. Observation under anaesthesia
D. CT scan | #### D | **D. CT scan** | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An old man's autopsy shows brown atrophy of the liver. Microscopic morphology shows finely granular, yellow-brown pigment which often surrounded the nucleus. Brown atrophy is due to accumulation of:
A. Melanin
B. Hem... | #### D | D. Lipofuscin | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A ten year old child with aggressive behavior and poor concentration is brought with presenting complaints of joint pain and reduced urinary output. Mother gives history of self mutilitative behavior stating that he ... | #### A | A. HGP | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Downbeat nystagmus is characteristic of -a) Posterior fossa lesionb) Vestibular lesionc) Labyrinthine lesiond) Cerebellar lesion
A. b
B. ad
C. ac
D. ab | #### B | B. ad | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 9 year old girl presents with menarche. History reveals thelarche at the age of 7 years and adrenarche at the age of 8 years- the M/C cause of this condition in girls is:
A. Idiopathic
B. Gonadal tumor
C. Mc cure a... | #### A | A. Idiopathic | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 55-year-old woman who is an established patient presents to your office. She is complaining of increased urination and increased thirst. She has recently began taking several over-the-counter vitamins and supplemen... | #### C | C. Calcium level | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 26-year-old man comes to the physician because of a 1-week history of left-sided chest pain. The pain is worse when he takes deep breaths. Over the past 6 weeks, he had been training daily for an upcoming hockey to... | #### E | E. Naproxen | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 10-year-old girl is brought to the emergency department by her mother 30 minutes after having had a seizure. When her mother woke her up that morning, the girl's entire body stiffened and she started shaking vigoro... | #### D | D. Valproate | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Within 5 minutes after a bee sting, a 15-year-old girl suddenly has difficulty breathing, with marked inspiratory stridor from laryngeal edema. She experiences marked urticaria and notes swelling of the hand that was... | #### B | B. Epinephrine | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A ruby laser is aimed in free space at a target 10,000 Km away. If the laser beam initially is 14 mm in diameter, how large in diameter will the beam be when it hits the target? (\lambda = 694.3 nm)
A. 1600 m
B. 1210... | #### B | **B. 1210 m**. | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 32-year-old woman makes an appointment with her family physician for a new-employment physical examination. She has no complaints and the physical examination is unremarkable. The family history is negative for mal... | #### C | C. 3 years | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 29-year-old patient presents to her primary care physician with persistent amenorrhea and inability to breastfeed over the last 5 months. She says that she has also been very tired since her baby was born and this ... | #### D | **D. Aldosterone** | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 25-year-old female presented in the month of December with chronic fatigue, cyanosis with bluish lips and ahralgia. Peripheral blood film is shown below. What is the likely cause?
A. Cold AIHA
B. Warm AIHA
C. Hemog... | #### A | A. Cold AIHA | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 14-year-old girl is brought to the physician because she frequently experiences cramping and pain in her legs during school sports. She is at the 10th percentile for height. Her blood pressure is 155/90 mm Hg. Exam... | #### A | A. Osteoporosis | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Ocular examination of a man with a systemic disease shows 'sunflower cataract'. It has developed due to:
A. Diabetes mellitus
B. SLE
C. Chalcosis
D. Sarcoidosis | #### C | C. Chalcosis | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
True about laryngitis sicca -a) Caused by Klebsiella ozaenab) Caused by Klebsiella rhinoscleromatosisc) Hemorrhagic crust formation seend) Antifungal are effectivee) Microlaryngoscopic surgery is a modality of treatm... | #### B | B. ace | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
This SVG path element <path d = "M 12.98,31.92 L 92.45,24.58 M 92.45,24.58 L 59.03,76.23 L 12.98,31.92"/> draws a
Options:
(A) circle
(B) heptagon
(C) hexagon
(D) kite
(E) line
(F) octagon
(G) pentagon
(H) rectangle
... | #### J | (J) triangle | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 55 year old male patient with gastritis symptoms diagnosed to have gastric ulcer for which he had undergone partial gastrectomy three years back is on high dose omeprazole. Follow-up endoscopy reveals two ulcerativ... | #### C | C. Gastrin level | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 32-year-old male presents to his primary care provider for headache. He reports that he has headaches at night several times a week. He first developed these headaches over a year ago, but he had not had any for se... | #### D | D. Verapamil | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
All are true regarding agammaglobulinemia except -a) Loss of germinal centre in lymph nodeb) Normal cortical lymphocytesc) Normal cortical lymphocytes in paracortex and medullad) Decreased red pulp in spleene) Immuno... | #### D | D. bcd | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 40 year old male, chronic smoker comes with acute epigastric discomfo, for past one hour. ECG showing ST segment elevation in inferior leads. What is the immediate intervention ?
A. Aspirin
B. Thrombolytic therapy
... | #### A | A. Aspirin | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 4-day-old male newborn delivered at 39 weeks' gestation is evaluated because of poor feeding, recurrent vomiting, and lethargy. Physical examination shows tachypnea with subcostal retractions. An enzyme assay perfo... | #### D | D. Aspartate | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Intermittent dysphagia is caused by -a) Strictureb) Reflux esophagitisc) Achalasia cardiad) Pharyngeal diverticulme) Diffuse esophageal spasm
A. ab
B. bc
C. cd
D. de | #### D | D. de | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 59-year-old man presents to the emergency department with diffuse abdominal pain that radiates to his back, nausea, and vomiting. The vital signs include: temperature 36.7°C (98.0°F), blood pressure 126/74 mm Hg, h... | #### B | B. 20% | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
PCOD which of the following is seen:a) Hirsutismb) Secondary amenorrhoeac) Streak ovariesd) ↑ FSH / LHe) Oestrogen (E2)
A. abc
B. bcd
C. abe
D. acd | #### C | C. abe | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A patient presented with weakness of the right side of the face with loss of pain and temperature , Pain and temperature sensation of the left leg is lost The lesion is most likely located
A. lateral poms
B. medial p... | #### A | A. lateral pons | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A village has a total of 100 under-five children. The coverage with measles vaccine in this age group is 60%. Following the occurrence of a measles case in a child after a visit outside, twenty six children developed... | #### D | D. 65% | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Young child weighing 20 kg was given a drug in the dose 100mg/kg body weight. The plasma concentration of the drug is 2mg/ dl and the clearance is 200 ml/hr. What is the time required to reach steady state plasma con... | #### B | **B. 20 hours** | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
50 year old, Rishi has a diagnosis of pulmonary tuberculosis. How many infectious nuclei per cough are likely to be seen in sputum examination?
A. 1000
B. 2000
C. 3000
D. 4000 | #### C | C. 3000 | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An obese lady aged 45 years, was brought to emergency in a semi comatose condition. The laboratory investigations showed K+ (5.8 mmol/L); Na+ (136 mmol/L); blood pH (7.1), HCO3 (12 mmol/L),' ketone bodies (350 mg/dI)... | #### C | C. >180 mg/dl. | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 16-year-old male was brought with removal of clothes while watching movies complaints of seeing wave like forms and sudden monocular blindness. The diagnosis is
A. Migraine
B. Exhibitionism
C. Temporal lobe epileps... | #### A | A. Migraine | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Solve for the sum of all possible values of x when 3^{x^2+4x+4} = 9^{x+2}.
A. 3
B. -5
C. -2
D. -4
E. 2
F. 1
G. -3
H. 0
I. 4
J. 5 | #### C | C. -2 | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 5-year-old male visits his pediatrician for a check-up. His height corresponds to the 99th percentile for his age, and pubic hair is present upon physical examination. Serum renin and potassium levels are high, as ... | #### C | C. 21-hydroxylase | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 25-year-old medical student returns from a volunteer mission trip in Nicaragua with persistent cough and occasional hemoptysis for 3 weeks. A purified protein derivative test revealing a 20 mm wheal and a chest rad... | #### E | E. Vision changes | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 60 year old male suffering from auditory hallucination says that people staying upwards are talking about him and conspiring against him. He dropped a police compliant against them but the allegations were proved t... | #### D | D. Schizophrenia | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
An investigator is comparing the risk of adverse effects among various antiarrhythmic medications. One of the drugs being studied primarily acts by blocking the outward flow of K+ during myocyte repolarization. Furth... | #### E | E. Amiodarone | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
Superficial perineal muscles include -a) Superficial transverse perineib) Bulbospongiosusc) Ischiocavernosusd) Iliococcygeuse) Pubococcygeus
A. ab
B. bc
C. acd
D. abc | #### D | D. abc | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
a female have pain and insect crawling like feeling on legs at night which is relieved by shaking her legs .whats the doc ?
A. pramiprexole
B. vit b12
C. fe tablets
D. gabapentin | #### A | A. pramiprexole | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 25 year old male patient complains of pain in the lower back tooth region. History of similar complaint 6 months ago.
Intra-oral examination reveals pericoronitis with 36. An IOPA is taken with the same tooth. Duri... | #### D | D. 5 minutes | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 36 years old woman recently treated for leukemia is admitted to the hospital with malaise, chills and high fever. Gram stain of blood reveals the presence of gram-negative bacilli. The initial diagnosis is bacterem... | #### B | B. Aztreonam | LLMcompe-Team-Watanabe/grpo4medical-1k |
Given the following medical question or situation, provide the most suitable reasoning or explanation.
A 57-year-old man with a history of coronary artery disease has been brought to the emergency department due to the sudden onset of chest pain. He was diagnosed with hypertension 12 years ago and takes enalapril regu... | #### E | E. I, II, IV | LLMcompe-Team-Watanabe/grpo4medical-1k |
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