Search is not available for this dataset
data_source string | prompt list | ability string | reward_model dict | extra_info dict |
|---|---|---|---|---|
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chairman as the attending physician. During the case, the resident inadvertently cuts a flexor tendon. The tendon is repaired without complication. The attending tells the resident th... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "0",
"description": "['junior orthopaedic surgery resident', 'completing', 'carpal tunnel repair', 'department chairman', 'attending physician', 'case', 'resident', 'cuts', 'flexor tendon', 'tendon', 'repaired', 'complication', 'attending', 'resident', 'patient', 'fine', 'need to repor... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 67-year-old man with transitional cell carcinoma of the bladder comes to the physician because of a 2-day history of ringing sensation in his ear. He received this first course of neoadjuvant chemotherapy 1 week ago. Pure tone audiometry shows a sensorineural hearing loss of ... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "1",
"description": "['67 year old man', 'transitional cell carcinoma of the bladder', 'physician', '2-day history', 'ringing sensation', 'ear', 'received', 'first course', 'neoadjuvant chemotherapy 1 week', 'Pure tone audiometry shows', 'sensorineural hearing loss', 'dB', 'expected be... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "Two weeks after undergoing an emergency cardiac catherization with stenting for unstable angina pectoris, a 61-year-old man has decreased urinary output and malaise. He has type 2 diabetes mellitus and osteoarthritis of the hips. Prior to admission, his medications were insulin... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "2",
"description": "['Two weeks', 'emergency cardiac', 'stenting', 'unstable angina pectoris', '61 year old man', 'decreased urinary output', 'malaise', 'type 2 diabetes mellitus', 'osteoarthritis of', 'hips', 'admission', 'medications', 'insulin', 'naproxen', 'started', 'aspirin', 'c... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 39-year-old woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1°C (102.3°F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peri... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "3",
"description": "['year old woman', 'brought', 'emergency department', 'fevers', 'chills', 'left lower quadrant pain', 'temperature', 'pulse', 'min', 'respirations', 'min', 'blood pressure', '80 50 mm Hg', 'blood', 'site of', 'peripheral line', 'Pelvic examination shows mucopurulen... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 35-year-old man comes to the physician because of itchy, watery eyes for the past week. He has also been sneezing multiple times a day during this period. He had a similar episode 1 year ago around springtime. He has iron deficiency anemia and ankylosing spondylitis. Current ... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "4",
"description": "['35 year old man', 'physician', 'of itchy', 'watery', 'past week', 'sneezing multiple times', 'day', 'period', 'similar episode', 'year', 'iron deficiency anemia', 'ankylosing spondylitis', 'Current medications include ferrous sulfate', 'artificial tear drops', 'i... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 39-year-old man presents to the emergency department because of progressively worsening chest pain and nausea that started at a local bar 30 minutes prior. The pain radiates to the epigastric area. He has a 5-year history of untreated hypertension. He has smoked 1 pack of cig... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "5",
"description": "['year old man presents', 'emergency department', 'worsening chest pain', 'nausea', 'started', 'local', '30 minutes prior', 'pain radiates', 'epigastric area', '5 year history of untreated hypertension', 'smoked 1 pack', 'cigarettes daily', 'past', 'years', 'starte... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 68-year-old male comes to the physician for evaluation of right flank pain. He has a history of diabetes and peripheral artery disease. His blood pressure is 160/90 mm Hg. Physical examination shows abdominal tenderness and right flank tenderness. An ultrasound shows dilation... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "6",
"description": "['68 year old male', 'physician', 'evaluation', 'right flank pain', 'history', 'diabetes', 'peripheral artery disease', 'blood pressure', '90 mm Hg', 'Physical examination shows abdominal tenderness', 'right', 'ultrasound shows dilation of', 'right ureter', 'renal ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 65-year-old man is brought to the emergency department 30 minutes after the onset of acute chest pain. He has hypertension and asthma. Current medications include atorvastatin, lisinopril, and an albuterol inhaler. He appears pale and diaphoretic. His pulse is 114/min and blo... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "7",
"description": "['65 year old man', 'brought', 'emergency department 30 minutes', 'onset of acute', 'hypertension', 'asthma', 'Current medications include atorvastatin', 'lisinopril', 'albuterol inhaler', 'appears pale', 'diaphoretic', 'pulse', 'min', 'blood pressure', '88 mm Hg',... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 37-year-old-woman presents to her primary care physician requesting a new form of birth control. She has been utilizing oral contraceptive pills (OCPs) for the past 8 years, but asks to switch to an intrauterine device (IUD). Her vital signs are: blood pressure 118/78 mm Hg, ... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "8",
"description": "['year old woman presents', 'primary care physician requesting', 'new form', 'birth control', 'oral contraceptive pills', 'past', 'years', 'to switch', 'intrauterine device', 'vital signs', 'blood pressure', 'mm Hg', 'pulse', 'min', 'respiratory rate', 'min', 'afeb... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 23-year-old woman comes to the physician because she is embarrassed about the appearance of her nails. She has no history of serious illness and takes no medications. She appears well. A photograph of the nails is shown. Which of the following additional findings is most like... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "9",
"description": "['23 year old woman', 'physician', 'embarrassed', 'appearance of', 'nails', 'history', 'serious illness', 'takes', 'medications', 'appears well', 'photograph', 'nails', 'shown', 'following additional findings', 'most likely', 'patient']",
"problem": "A 23-year-ol... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 24-year-old G2P1 woman at 39 weeks’ gestation presents to the emergency department complaining of painful contractions occurring every 10 minutes for the past 2 hours, consistent with latent labor. She says she has not experienced vaginal discharge, bleeding, or fluid leakage... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "10",
"description": "['year old', 'woman', 'weeks presents', 'emergency department', 'painful contractions occurring', '10', 'past', 'hours', 'consistent with latent labor', 'not experienced vaginal discharge', 'bleeding', 'fluid leakage', 'currently taking', 'medications', 'physical ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 72-year-old man comes to the physician because of a 2-month history of fatigue and worsening abdominal pain. During this period, he also has excessive night sweats and shortness of breath on exertion. Over the past 3 months, he has had a 5.6-kg (12-lb) weight loss. He had a m... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "11",
"description": "['72 year old man', 'physician', '2 month history', 'fatigue', 'worsening abdominal pain', 'period', 'excessive night sweats', 'shortness of breath', 'exertion', 'past 3 months', '5.6 kg', 'weight loss', 'myocardial infarction', 'years', 'hypertension', 'diabetes ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 20-year-old man comes to the physician because of worsening gait unsteadiness and bilateral hearing loss for 1 month. He has had intermittent tingling sensations on both cheeks over this time period. He has no history of serious medical illness and takes no medications. Audio... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "12",
"description": "['20 year old man', 'physician', 'worsening gait unsteadiness', 'bilateral hearing loss', 'month', 'intermittent tingling sensations', 'cheeks', 'time period', 'history of serious medical illness', 'takes', 'medications', 'Audiometry shows bilateral sensorineural ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 47-year-old executive schedules an appointment his physician for a routine medical check-up. He currently has no complaints and claims to be “as fit as a fiddle.” The physical examination findings are unremarkable, except for a mid-systolic murmur heard in the 2nd left interc... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "13",
"description": "['year old executive schedules', 'appointment', 'physician', 'routine medical check-up', 'currently', 'complaints', 'to', 'fit', 'physical examination findings', 'unremarkable', 'except for', 'systolic murmur heard', '2nd left intercostal space', 'radiates', 'caro... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A microbiologist is studying the emergence of a virulent strain of the virus. After a detailed study of the virus and its life cycle, he proposes a theory: Initially, a host cell is co-infected with 2 viruses from the same virus family. Within the host cell, concomitant product... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "14",
"description": "['microbiologist', 'studying', 'emergence', 'virulent strain', 'virus', 'detailed study', 'virus', 'life cycle', 'theory', 'Initially', 'host cell', 'co infected', 'viruses', 'same virus family', 'host cell', 'concomitant production', 'various genome segments', 'v... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 59-year-old overweight woman presents to the urgent care clinic with the complaint of severe abdominal pain for the past 2 hours. She also complains of a dull pain in her back with nausea and vomiting several times. Her pain has no relation with food. Her past medical history... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "15",
"description": "['59 year old overweight woman presents', 'urgent care clinic', 'complaint', 'severe abdominal', 'past', 'hours', 'dull pain', 'back', 'nausea', 'vomiting', 'times', 'pain', 'relation', 'food', 'past medical history', 'significant', 'recurrent abdominal pain', 'ch... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 7-year-old boy is brought to his pediatrician’s office for a follow-up visit. He was diagnosed with asthma when he was 3 years old and has since been on treatment for the condition. He is currently on a β-agonist inhaler because of exacerbation of his symptoms. He has observe... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "16",
"description": "['year old boy', 'brought', 'pediatricians office', 'follow-up visit', 'diagnosed', 'asthma', '3 years old', 'since', 'on treatment', 'condition', 'currently', 'agonist inhaler', 'exacerbation', 'symptoms', 'observed', 'symptoms', 'more prominent', 'new flowers', ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 3-month-old boy is brought the emergency department by his parents after an episode of cyanosis and muscle hypotonia that resolved after 2 minutes. Diagnostic evaluation fails to discover an exact etiology of the boy's symptoms and the episode is classified as a brief resolve... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "17",
"description": "['3 month old boy', 'brought', 'emergency department', 'parents', 'episode of cyanosis', 'muscle hypotonia', 'resolved', 'minutes', 'Diagnostic evaluation fails to discover', 'exact etiology', \"boy's symptoms\", 'episode', 'classified', 'brief resolved unexplaine... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 29-year-old man presents to the emergency department due to central chest pain over the past 3 days which is constant and unrelated to exertion. The pain is sharp, severe, increases when lying down, and improves with leaning forward. The pain also radiates to his shoulders an... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "18",
"description": "['29 year old man presents', 'emergency department due to central chest pain', 'past 3 days', 'constant', 'unrelated', 'exertion', 'pain', 'sharp', 'severe', 'increases', 'lying', 'improves', 'forward', 'pain', 'radiates', 'shoulders', 'neck', 'patient', 'past med... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 46-year-old man is brought to the emergency department for evaluation of altered mental status. He was found on the floor in front of his apartment. He is somnolent but responsive when aroused. His pulse is 64/min, respiratory rate is 15/min, and blood pressure is 120/75 mm H... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "19",
"description": "['year old man', 'brought', 'emergency department', 'evaluation of altered mental status', 'found on', 'floor', 'apartment', 'somnolent', 'responsive', 'aroused', 'pulse', '64 min', 'respiratory rate', 'min', 'blood pressure', '75 mm Hg', 'physical examination', '... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 77-year-old woman presents to the emergency room with the complaints of fever, malaise, and night sweats. She recently observed an enlargement of her axillary lymph nodes, which she examines on a weekly basis. She has a remote history of breast cancer in her 60s that was trea... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "20",
"description": "['year old woman presents', 'emergency room', 'complaints', 'fever', 'malaise', 'night sweats', 'recently observed', 'enlargement of', 'axillary lymph nodes', 'weekly basis', 'remote history of breast cancer', 'treated with radiation', 'chemotherapy', 'reports', '... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 3-month-old infant is brought to her pediatrician because she coughs and seems to have difficulty breathing while feeding. In addition, she seems to have less energy compared to other babies and appears listless throughout the day. She was born by cesarean section to a G1P1 w... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "21",
"description": "['3 month old infant', 'brought', 'pediatrician', 'coughs', 'to', 'difficulty breathing', 'feeding', 'addition', 'to', 'less energy compared', 'babies', 'appears listless', 'day', 'born by cesarean section to', 'G1P1 woman', 'prior medical history', 'normal APGAR ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 30-year-old African American woman comes to the physician for the evaluation of a dry cough and chest discomfort for the past 3 days. During this period, the patient has had headaches, muscle aches, joint pain, fever, and chills. Ten days ago, she was hiking with her family i... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "22",
"description": "['30 year old African American woman', 'physician', 'evaluation', 'dry cough', 'chest discomfort', 'past 3 days', 'period', 'patient', 'headaches', 'muscle aches', 'joint pain', 'fever', 'chills', 'Ten days', 'hiking', 'family', 'Mississippi', 'patient', 'asthma',... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 62-year-old patient has been hospitalized for a week due to a stroke. One week into the hospitalization, he develops a fever and purulent cough. His vitals include: heart rate 88/min, respiratory rate 20/min, temperature 38.4°C (101.1°F), and blood pressure 110/85 mm Hg. On p... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "23",
"description": "['62 year old patient', 'hospitalized', 'week', 'stroke', 'One week', 'hospitalization', 'fever', 'purulent cough', 'include', 'heart rate 88 min', 'respiratory rate 20 min', 'temperature', '4C', 'blood pressure', '85 mm Hg', 'physical examination', 'basal crackle... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 6-year-old boy is brought to the emergency department by his mother for worsening wheezing and shortness of breath over the past day. He has not had a fever, cough, vomiting, or diarrhea. He has asthma and eczema. He uses a glucocorticoid inhaler and an albuterol inhaler but ... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "24",
"description": "['year old boy', 'brought', 'emergency department', 'mother', 'worsening wheezing', 'shortness of breath', 'past day', 'not', 'fever', 'cough', 'vomiting', 'diarrhea', 'asthma', 'eczema', 'uses', 'glucocorticoid inhaler', 'albuterol inhaler', 'missed', 'medication... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 5-year-old female suffers from recurrent infections by Aspergillus species, Pseudomonas species, and Staphylococcus aureus. The patient's neutrophils are examined in the laboratory and they fail to react during the nitroblue tetrazolium test. Which of the following is most li... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "25",
"description": "['5 year old female suffers', 'recurrent infections', 'Aspergillus species', 'Pseudomonas species', 'Staphylococcus aureus', \"patient's neutrophils\", 'examined', 'laboratory', 'fail to react', 'nitroblue tetrazolium test', 'following', 'most likely dysfunctional... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 3-year-old boy presents to the emergency department with a ‘cough-like-a-seal bark’ and a high-pitched inspiratory noise that is audible without a stethoscope. His mother reports that his cough has worsened over the last few hours. The patient's blood pressure is 118/78 mm Hg... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "26",
"description": "['3 year old boy presents', 'emergency department', 'cough', 'seal bark', 'high-pitched inspiratory noise', 'stethoscope', 'mother reports', 'cough', 'worsened', 'hours', \"patient's blood pressure\", 'mm Hg', 'pulse', '90 min', 'respiratory rate', '35 min', 'temp... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 26-year-old woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regular... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "27",
"description": "['year old woman presents', 'gynecologist', 'missed period', 'performing', 'complete physical examination', 'screening', 'pregnancy', 'gynecologist informs', 'pregnant', 'very', 'taking oral contraceptives', 'gynecologist', 'consumption', 'medications', 'placed on... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 4-year-old previously healthy boy presents with 4 days of intermittent vomiting and 5-6 daily loose stools. His mother noted bloody stools and decreased oral intake of food and water over the last 24 hours. He is normally in daycare; however, he has been home for the past 3 d... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "28",
"description": "['4 year old', 'healthy boy presents', '4 days', 'intermittent vomiting', '5-6 daily loose stools', 'mother noted bloody stools', 'decreased oral intake', 'food', 'water', '24 hours', 'daycare', 'home', 'past 3 days', 'physical exam', 'temperature', 'blood pressur... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 3-week-old male newborn is brought to the physician because of an inward turning of his left forefoot. He was born at 38 weeks' gestation by cesarean section because of breech presentation. The pregnancy was complicated by oligohydramnios. Examination shows concavity of the m... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "29",
"description": "['3 week old male newborn', 'brought', 'physician', 'inward turning', 'left forefoot', 'born', 'weeks', 'gestation', 'cesarean section', 'breech presentation', 'pregnancy', 'complicated', 'oligohydramnios', 'Examination shows concavity of', 'medial border', 'left ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 42-year-old woman comes to the emergency department because of a 2-day history of right upper abdominal pain and nausea. She is 163 cm (5 ft 4 in) tall and weighs 91 kg (200 lb); her BMI is 34 kg/m2. Her temperature is 38.5°C (101.3°F). Physical examination shows a distended ... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "30",
"description": "['year old woman', 'emergency department', '2-day history', 'right upper', 'nausea', '5 ft 4', 'tall', 'kg', '200', 'BMI', 'kg/m2', 'temperature', 'Physical examination shows', 'distended abdomen', 'right upper quadrant tenderness', 'normal bowel sounds', 'Laborat... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 72-year-old woman is admitted to the intensive care unit for shortness of breath and palpitations. A cardiac catheterization is performed and measurements of the left ventricular volume and pressure at different points in the cardiac cycle are obtained. The patient's pressure... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "31",
"description": "['72 year old woman', 'admitted to', 'intensive care unit', 'shortness of breath', 'palpitations', 'cardiac catheterization', 'performed', 'measurements', 'left ventricular volume', 'pressure', 'different points', 'cardiac cycle', 'obtained', \"patient's pressure-... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 22-year-old woman is brought to the emergency department because of a 2-day history of fever, intermittent rigors, and night sweats. She also has a 1-month history of progressive fatigue. Five weeks ago, she was hospitalized and received intravenous antibiotics for treatment ... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "32",
"description": "['year old woman', 'brought', 'emergency department', '2-day history', 'fever', 'intermittent rigors', 'night sweats', '1 month history', 'progressive fatigue', 'Five weeks', 'hospitalized', 'received intravenous antibiotics', 'treatment', 'bacterial meningitis', ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "An otherwise healthy 50-year-old man comes to the physician because of a 6-month history of increasingly frequent episodes of upper abdominal pain, nausea, vomiting, and diarrhea. He has had a 3.2-kg (7-lb) weight loss during this time. Physical examination shows bilateral pitt... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "33",
"description": "['healthy 50 year old man', 'physician', 'of', 'month history', 'frequent episodes', 'upper abdominal pain', 'nausea', 'vomiting', 'diarrhea', '3.2 kg', 'weight loss', 'time', 'Physical examination shows bilateral pitting pedal edema', 'endoscopy shows prominent r... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 27-year-old man presents to the emergency department. He was brought in by staff from the homeless shelter when they found him unresponsive. The patient is a known IV drug abuser but otherwise has an unknown past medical history. He currently attends a methadone clinic. His t... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "34",
"description": "['27 year old man presents', 'emergency department', 'brought', 'staff', 'homeless shelter', 'found', 'unresponsive', 'patient', 'known IV drug abuser', 'unknown past medical history', 'currently attends', 'methadone clinic', 'temperature', '99', 'blood pressure',... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 67-year-old man who was diagnosed with arthritis 16 years ago presents with right knee swelling and pain. His left knee was swollen a few weeks ago, but now with both joints affected, he has difficulty walking and feels frustrated. He also has back pain which makes it extreme... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "35",
"description": "['67 year old man', 'diagnosed', 'arthritis', 'years', 'presents', 'right', 'pain', 'left knee', 'swollen', 'few weeks', 'now', 'joints affected', 'difficulty walking', 'feels frustrated', 'back pain', 'makes', 'extremely difficult to move', 'active', 'day', 'pain... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 65-year-old woman schedules an appointment with her physician for evaluation of weight loss and weakness. The weakness is more noticeable when climbing stairs and combing hair. The weakness improves after brief exercise. She also has bladder incontinence for the past 4 weeks ... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "36",
"description": "['65 year old woman schedules', 'appointment', 'physician', 'evaluation of weight loss', 'weakness', 'weakness', 'more', 'climbing stairs', 'combing hair', 'weakness improves', 'brief exercise', 'bladder incontinence', 'past 4 weeks', 'given', 'anticholinesterase ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 3-month-old boy presents to his pediatrician with persistent diarrhea, oral candidiasis, and signs and symptoms suggestive of respiratory syncytial virus (RSV) pneumonia. His weight is in the 10th percentile. He is being evaluated for an immunodeficiency disease. Laboratory r... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "37",
"description": "['3 month old boy presents', 'pediatrician', 'persistent diarrhea', 'oral candidiasis', 'signs', 'symptoms suggestive of respiratory syncytial virus', 'pneumonia', 'weight', 'percentile', 'evaluated', 'immunodeficiency disease', 'Laboratory results', 'HIV', 'negat... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 53-year-old man with recurrent pancreatic adenocarcinoma is enrolled in a clinical trial for a novel chemotherapeutic agent that his physician believes may be beneficial to his condition. The novel drug was previously tested in a small population and is now undergoing a large... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "38",
"description": "['year old man', 'recurrent pancreatic adenocarcinoma', 'enrolled', 'clinical trial', 'novel chemotherapeutic agent', 'physician', 'condition', 'novel drug', 'tested', 'small population', 'now', 'larger phase 3 trial', 'preparation', 'FDA approval', 'dose-response... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 67-year-old male is seen by neurology after he was noticed to be speaking strangely by his family. After acute treatment with tissue plasminogen activator (tPA), the patient is able to recover most of his speech. Subsequent neurologic exam finds that the patient is fluent whi... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "39",
"description": "['67 year old male', 'seen', 'neurology', 'to', 'speaking', 'family', 'acute treatment', 'tissue plasminogen activator', 'patient', 'able to recover most', 'speech', 'Subsequent neurologic exam finds', 'patient', 'fluent', 'speaking', 'able to', 'one', 'two step i... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 27-year-old woman presents to the office with concerns about her long struggle with her physical appearance since adolescence. She says she has always been \"large\" and was constantly targeted by her classmates and coworkers for being so. Her main concern at the moment is he... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "40",
"description": "['27 year old woman presents', 'office', 'concerns', 'long', 'physical appearance', 'adolescence', 'always', 'large', 'constantly targeted', 'classmates', 'coworkers', 'so', 'main concern', 'acne', 'unwanted facial hair', 'upper lip', 'often visits', 'local spa', ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "А 43-уеаr-old mаn рrеѕеntѕ wіth tіnglіng аnd numbnеѕѕ of the lowеr lіmbѕ for 2 wееkѕ. Не also сomрlаіnѕ of реrѕіѕtеnt раіn in his legs whісh is not relieved by over-the-counter analgesics. Past medical history is significant for type 2 dіаbеtes mellitus for 2 уеаrѕ, inconsisten... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "41",
"description": "['r old mn', '2 wk', 'legs', 'not relieved by over-the-counter analgesics', 'Past medical history', 'significant', 'type 2', 'r', 'managed', 'physical', 'thr', 'drd', 'pain', 'lower', 'deep', 'r ntt', 'gn include', 'blood', '84 mm g', '36', '98', 'rt 10 mn', 'ankl... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A one-day-old male is evaluated in the hospital nursery for bilious vomiting. The patient has urinated multiple times since birth but has not yet passed meconium. He was born at 38 weeks gestation to a 36-year-old gravida 3 via vaginal delivery. The pregnancy was complicated by... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "42",
"description": "['one-day old male', 'evaluated', 'hospital nursery', 'bilious vomiting', 'patient', 'multiple times', 'birth', 'not', 'passed meconium', 'born', 'weeks gestation', '36 year old gravida 3', 'vaginal delivery', 'pregnancy', 'complicated', 'gestational diabetes', 'p... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A healthy 23-year-old male is undergoing an exercise stress test as part of his physiology class. If blood were to be sampled at different locations before and after the stress test, which area of the body would contain the lowest oxygen content at both time points?\n\nA. Infer... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "43",
"description": "['healthy 23 year old male', 'exercise stress test', 'part of', 'physiology class', 'blood', 'to', 'sampled', 'different locations', 'stress test', 'area', 'body', 'contain', 'lowest oxygen content', 'time points']",
"problem": "A healthy 23-year-old male is und... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 45-year-old G5P4105 presents to her gynecologist’s office with six months of increasingly heavy periods. She now soaks one super absorbent tampon every two hours for five days each cycle. Her cycles have also become irregular, with intermenstrual bleeding for the last two mon... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "44",
"description": "['year old', 'presents', 'gynecologists office', 'six months', 'heavy periods', 'now soaks one', 'absorbent tampon', 'two hours', 'five', 'cycle', 'cycles', 'irregular', 'intermenstrual bleeding', 'two months', 'now experiences significant dysmenorrhea', '400 mg i... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A man is brought into the emergency department by the police department. The officer state that the man has been arrested multiple times for public alcohol intoxication, but recently became homeless. On exam, the man is behaving erratically. His vitals are all within normal lim... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "45",
"description": "['man', 'brought', 'emergency department', 'police department', 'state', 'man', 'arrested multiple times', 'public alcohol intoxication', 'recently', 'homeless', 'exam', 'man', 'normal limits', 'appears confused', 'slurred speech', 'gait exam', 'patient', 'ataxic'... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A medical research study is evaluating an investigational novel drug (medication 1) compared with standard therapy (medication 2) in patients presenting to the emergency department with myocardial infarction (MI). The study enrolled a total of 3,000 subjects, 1,500 in each stud... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "46",
"description": "['medical', 'evaluating', 'investigational novel drug', 'medication 1', 'compared', 'standard therapy', 'medication 2', 'patients presenting', 'emergency department', 'myocardial infarction', 'study enrolled', 'total', 'subjects', '1 500', 'study arm', 'Follow-up'... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 55-year-old man comes to the physician because of a 6-week history of tingling pain in the sole of his right foot when he raises it above chest level during exercises. He reports that he started exercising regularly 2 months ago and that his right calf cramps when he uses the... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "47",
"description": "['55 year old man', 'physician', 'week history', 'tingling pain', 'sole of', 'right foot', 'chest level', 'exercises', 'reports', 'started exercising', 'months', 'right', 'uses', 'feature', 'treadmill', 'forcing', 'to take frequent breaks', 'pain completely', 'res... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 29-year-old primigravid woman at 35 weeks' gestation is admitted to the hospital in labor. She has no history of serious medical illness. She has had an uncomplicated pregnancy. Her last ultrasound at 22 weeks' gestation was normal. On admission, fetal heartbeats cannot be de... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "48",
"description": "['29 year old primigravid woman', '35 weeks', 'gestation', 'admitted', 'hospital', 'labor', 'history of serious medical illness', 'uncomplicated pregnancy', 'last ultrasound', 'weeks', 'gestation', 'normal', 'On admission', 'fetal heartbeats', 'detected', 'fetal d... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 67-year-old man is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the patient is started on a standard five day course of oseltamivir. Despite therapy, his shortness of breath continues... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "49",
"description": "['67 year old man', 'hospitalized', 'days', 'fever', 'increasing shortness of breath', 'Respiratory viral panel returns positive', 'influenza A', 'patient', 'started', 'standard five day course', 'oseltamivir', 'therapy', 'shortness of breath continues to worsen',... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 65-year-old male is treated for anal carcinoma with therapy including external beam radiation. How does radiation affect cancer cells?\n\nA. Induces the formation of thymidine dimers\nB. Induces the formation of disulfide bonds\nC. Induces deamination of cytosine\nD. Induces ... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "50",
"description": "['65 year old male', 'treated', 'anal carcinoma', 'therapy including external beam radiation', 'radiation affect cancer cells']",
"problem": "A 65-year-old male is treated for anal carcinoma with therapy including external beam radiation. How does radiation affe... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 56-year-old man with a history of hypertension presents to his physician with progressive fatigue and new onset muscle cramps. He has had no recent changes to his medication regimen, which includes hydrochlorothiazide, lisinopril, and amlodipine. His temperature is 98.0°F (36... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "51",
"description": "['year old man', 'history of hypertension presents', 'physician', 'progressive fatigue', 'new onset muscle cramps', 'recent changes', 'medication regimen', 'includes hydrochlorothiazide', 'lisinopril', 'amlodipine', 'temperature', '98', '36', 'blood pressure', 'mm... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 65-year-old man comes to the physician because of a 1-week history of yellowish discoloration of his skin and generalized pruritus. Examination shows jaundice of the skin and scleral icterus. Urinalysis shows an elevated concentration of bilirubin and a low concentration of u... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "52",
"description": "['65 year old man', 'physician', 'of', '1-week history', 'discoloration', 'skin', 'generalized pruritus', 'Examination shows jaundice', 'skin', 'scleral icterus', 'Urinalysis shows', 'elevated concentration', 'bilirubin', 'low concentration', 'urobilinogen', 'foll... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 72-year-old woman is brought to the physician by her daughter because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the patient develops vomiting, mild crampy abdominal pain, and w... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "53",
"description": "['72 year old woman', 'brought', 'physician', 'daughter', 'month history', 'worsening short-term memory deficits', 'social withdrawal', 'Treatment', 'galantamine', 'initiated', 'Two weeks later', 'patient', 'vomiting', 'mild crampy abdominal pain', 'watery', 'diar... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 61-year-old man with schizophrenia in a locked inpatient psychiatry unit was observed making an unusual smacking motion with his lips, pursing his mouth, and blinking excessively. These symptoms started slowly about 2 weeks ago and have become more pronounced, but they do not... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "54",
"description": "['61 year old man', 'schizophrenia', 'locked inpatient psychiatry unit', 'observed making', 'unusual smacking motion', 'lips', 'mouth', 'blinking excessively', 'symptoms started slowly', 'weeks', 'more', 'not', 'to', 'patient', 'resides', 'inpatient psychiatric fa... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 17-year-old football player with no significant past medical history, social history, or family history presents to his pediatrician with itching in his groin. He says this started during summer workouts leading up to this season. He denies having any rash anywhere else on hi... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "55",
"description": "['year old football', 'significant past medical history', 'social history', 'family history presents', 'pediatrician', 'itching', 'groin', 'started', 'summer', 'leading', 'season', 'denies', 'rash', 'else', 'body', 'blood pressure', 'mm Hg', 'pulse', '67 min', 're... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "An otherwise healthy 26-year-old man comes to the physician for medication counseling after recently being diagnosed with schizophrenia. Risperidone therapy is initiated. This patient is at increased risk for which of the following adverse effects?\n\nA. Agranulocytosis\nB. Sho... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "56",
"description": "['healthy', 'year old man', 'physician', 'medication counseling', 'recently', 'diagnosed', 'schizophrenia', 'Risperidone therapy', 'initiated', 'patient', 'increased risk', 'following adverse effects']",
"problem": "An otherwise healthy 26-year-old man comes to ... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 15-year-old woman presents with fever, altered mental status and a petechial rash on her lower extremities and back since yesterday evening. She also says she has been nauseous for the past 3 hours and has vomited twice. The patient mentions she has had heavy menstrual bleedi... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "57",
"description": "['year old woman presents', 'fever', 'altered mental status', 'petechial rash', 'lower extremities', 'back', 'evening', 'nauseous', 'past', 'hours', 'vomited twice', 'patient', 'heavy menstrual bleeding', 'past', 'days', 'blood pressure', '95 80 mm Hg', 'temperatu... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 2-year-old boy is brought to the physician for evaluation of pallor and increasing lethargy for 2 days. One week ago, he experienced abdominal pain, vomiting, and bloody diarrhea that have since subsided. The patient's father states that they returned early from a 6-week road... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "58",
"description": "['2 year old boy', 'brought', 'physician', 'evaluation', 'pallor', 'increasing lethargy', '2', 'One', 'experienced abdominal pain', 'vomiting', 'bloody diarrhea', 'since', 'patient', 'ather tates ', 'eturned arly ', 'eek ', 'exico ', 'ymptoms.', 'arents ', 'ivin... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 17-year-old girl is referred by her dentist for a suspected eating disorder. She has been visiting the same dentist since childhood and for the past 2 years has had at least 2 visits for dental caries. She eventually admitted to him that she regularly induces vomiting by putt... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "59",
"description": "['year old girl', 'referred by', 'dentist', 'suspected eating disorder', 'visiting', 'same dentist', 'childhood', 'past', 'years', 'visits', 'dental caries', 'admitted', 'induces vomiting', 'putting', 'fingers', 'throat', 'last', 'years', 'purging', 'week', 'recen... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 14-year-old girl is brought to the physician by her father because of fever, chills, abdominal pain, and profuse non-bloody diarrhea. Her symptoms began one week ago, when she had several days of low-grade fever and constipation. She returned from Indonesia 2 weeks ago, where... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "60",
"description": "['year old girl', 'brought', 'physician', 'father', 'fever', 'chills', 'abdominal pain', 'non bloody diarrhea', 'symptoms began one week', 'several days', 'low-grade fever', 'constipation', 'returned', 'Indonesia 2 weeks', 'spent', 'summer', 'grandparents', 'tempe... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 22-year-old female college student is treated with metronidazole after presenting to student health services with itching, discharge, and pain in her vagina. At a party shortly afterward she experiences facial flushing, nausea, tachycardia, dyspnea, headache, and abdominal cr... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "61",
"description": "['year old female college student', 'treated with metronidazole', 'presenting', 'student health services', 'itching', 'discharge', 'pain in', 'vagina', 'party', 'experiences facial flushing', 'nausea', 'tachycardia', 'dyspnea', 'headache', 'abdominal cramps', 'alc... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 23-year-old primigravida presents for a regular prenatal care visit at 16 weeks gestation. She complains of increased fatigability, but is otherwise well. She takes folic acid, iron, and vitamin D supplementation. Her vital signs are as follows: blood pressure, 110/70 mm Hg; ... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "62",
"description": "['23 year old primigravida presents', 'regular prenatal visit', 'weeks gestation', 'increased fatigability', 'well', 'takes folic acid', 'iron', 'vitamin', 'supplementation', 'vital signs', 'follows', 'blood pressure', '70 mm Hg', 'heart rate', 'min', 'respiratory... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "An 80-year-old man is transferred from a step-down unit to a med-surg floor in the hospital. He had undergone a successful hernia surgery 14 hours ago. Before the surgery, he was pre-treated with atropine, scopolamine, and morphine and recovered well in the PACU after the surge... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "63",
"description": "['80 year old man', 'transferred', 'step-down unit', 'med surg floor', 'hospital', 'successful hernia surgery', 'hours', 'surgery', 'pre treated with atropine', 'scopolamine', 'morphine', 'recovered well', 'PACU', 'surgery', 'complications', 'step-down unit', 'pat... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A healthy 19-year-old man presents to his primary care provider complaining of painless “blisters” in his mouth. He reports that he noticed a white film on his tongue and the sides of his mouth 2 days ago while brushing his teeth. The film was easily brushed off. He also compla... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "64",
"description": "['healthy', 'year old man presents', 'primary care provider', 'painless blisters', 'mouth', 'reports', 'white film', 'tongue', 'sides', 'mouth 2 days', 'brushing', 'teeth', 'film', 'easily brushed', 'bitter metallic', 'mouth', 'denies pain', 'burning', 'dysphagia'... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 56-year-old man presents to the clinic complaining of subacute back pain for the past month. The pain is described as a dull, constant ache that is worse at night. He could not recall any precipitating event except for an amateur weight-lifting competition that he participate... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "65",
"description": "['year old man presents', 'clinic', 'of subacute back pain', 'past month', 'pain', 'described', 'dull', 'constant ache', 'worse', 'night', 'not recall', 'precipitating event', 'amateur weight-lifting competition', 'months', 'Past medical history', 'significant', '... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 4-year-old boy is brought to the emergency department because of severe abdominal pain and bilious vomiting for 6 hours. He has not had bowel movements in the past 24 hours. He appears ill. His temperature is 37.8°C (100°F) and pulse is 122/min. Examination shows a distended ... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "66",
"description": "['4 year old boy', 'brought', 'emergency department', 'severe abdominal', 'bilious vomiting', 'hours', 'not', 'bowel movements', 'past 24 hours', 'appears ill', 'temperature', 'pulse', 'min', 'Examination shows', 'distended abdomen', 'tenderness', 'palpation', 'lo... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 3-week-old male newborn is brought to the hospital because of poor weight gain since birth. He was born at 38 weeks' gestation via normal vaginal delivery. He weighed 3005 g (6 lb, 10 oz) at birth and currently weighs 2835 g (6 lb, 4 oz). He has been latching on and breastfee... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "67",
"description": "['3 week old male newborn', 'brought', 'hospital', 'poor weight gain', 'birth', 'born', 'weeks', 'gestation', 'normal vaginal', 'g', '10 oz', 'birth', 'currently', 'g', '4 oz', 'latching', 'breastfeeding well', 'birth', 'mother', 'history of Graves', 'disease', 't... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 57-year-old female with a past medical history of alcoholism presents to the emergency room vomiting bright red blood. She is accompanied by her partner, who reports that she had been complaining of black and tarry stools for the past several days. Vital signs are temperature... | MED | {
"style": "mcq",
"ground_truth": "D"
} | {
"split": "test",
"index": "68",
"description": "['57 year old female', 'past medical presents', 'emergency room vomiting bright red blood', 'partner', 'reports', 'black', 'tarry stools', 'past', 'days', 'Vital signs', 'temperature', 'degrees celsius', 'heart rate', 'beats per minute', 'blood pressure 90 60', 'r... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 65-year-old man with a history of hypertension, obesity, and alcoholic cirrhosis is seen in clinic for follow-up. He feels well and currently drinks 5 glasses of wine each night. Medications include atenolol and lisinopril. On physical exam, temperature is 98.1 deg F (36.7 de... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "69",
"description": "['65-year-old man', 'history of hypertension', 'obesity', 'alcoholic cirrhosis', 'seen in clinic', 'follow-up', 'feels well', 'currently drinks 5 glasses', 'wine', 'night', 'Medications include atenolol', 'lisinopril', 'physical exam', 'temperature', '98', 'deg F'... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 66-year-old man is brought to the emergency room by his wife due to abdominal distension and persistent somnolence for the past 2 weeks. The patient’s wife says that he has been sleeping much more than usual for the past 5 days. His bowel and bladder habit have not changed. H... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "70",
"description": "['66 year old man', 'brought', 'emergency room', 'wife due to abdominal distension', 'persistent somnolence', 'past 2 weeks', 'patients wife', 'sleeping much', 'usual', 'past', 'days', 'bowel', 'bladder habit', 'not changed', 'past medical history', 'significant',... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 27-year-old man presents to the emergency department after a motor vehicle collision. The patient was the front seat unrestrained driver in a head on collision. The patient’s echocardiogram (ECG) is notable only for sinus tachycardia. His temperature is 99.5°F (37.5°C), blood... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "71",
"description": "['27 year old man presents', 'emergency department', 'motor vehicle collision', 'patient', 'front', 'driver', 'head', 'collision', 'patients echocardiogram', 'notable only', 'sinus tachycardia', 'temperature', '99', 'blood pressure', '58 mmHg', 'pulse', 'min', 're... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 56-year-old man presents to the emergency department for progressively worsening fatigue, malaise, fever, and abdominal pain. He reports that his symptoms began approximately 1 week ago and he has noticed episodes of diarrhea. He recently started melatonin and magnesium suppl... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "72",
"description": "['year old man presents', 'emergency department', 'worsening fatigue', 'malaise', 'fever', 'abdominal pain', 'reports', 'symptoms began approximately', 'week', 'episodes of diarrhea', 'recently started melatonin', 'magnesium supplementation', 'hopes', 'improving',... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 29-year-old woman presents to the clinic after several months of weight loss. She noticed a 6.8 kg (15 lb) unintentional weight loss over the preceding several months. She has not changed her diet or exercise habits. She also reports feuding with her boyfriend over the temper... | MED | {
"style": "mcq",
"ground_truth": "B"
} | {
"split": "test",
"index": "73",
"description": "['29 year old woman presents', 'clinic', 'several months of weight loss', 'kg', 'unintentional weight loss', 'preceding', 'months', 'not changed', 'diet', 'exercise habits', 'reports', 'boyfriend', 'temperature', 'shared apartment', 'always feels warmer', 'vital s... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 21-year-old man comes to the physician because of pruritus and a hypopigmented rash on his upper body for 5 days. He first noticed the symptoms after returning from a business trip last week in the Bahamas. While he was there, he visited a couple of beaches and went hiking wi... | MED | {
"style": "mcq",
"ground_truth": "C"
} | {
"split": "test",
"index": "74",
"description": "['21-year-old man', 'physician', 'pruritus', 'hypopigmented rash', 'upper body', '5 days', 'first', 'symptoms', 'returning', 'business trip', 'week', 'Bahamas', 'visited', 'couple', 'beaches', 'hiking', 'coworkers', 'rash initially started', 'single lesion', 'uppe... |
MedQA-USMLE-4-options | [
{
"role": "user",
"content": "A 5-year-old female is brought to a speech therapist for continuing work on improving her communication skills. She is only able to verbalize two word sentences and has generalized developmental delay. When she was born it was noticed that she had a high pitched mewing cry and ... | MED | {
"style": "mcq",
"ground_truth": "A"
} | {
"split": "test",
"index": "75",
"description": "['5 year old female', 'brought', 'speech therapist', 'continuing work', 'improving', 'communication skills', 'only able to', 'two word sentences', 'generalized developmental delay', 'born', 'high pitched', 'cry', 'subsequent physical exam revealed microcephaly', '... |
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