messages listlengths 3 3 |
|---|
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "\"Here comes a perfectly valid argument: To begin with, every ingredient of Brightening Veil is an ingredient of Clear mascara or an ingredient of Lip Gloss SPF 15. Moreover, no ingredient of Reel Him In is an ingredient of Lip G... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 59-year-old man presents with a fever, chills, night sweats, and generalized fatigue, and is found to have a 12 mm vegetation on the aortic valve. Blood cultures indicate gram-positive, catalase-negative, gamma-hemolytic cocci ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Based on a case of a 45-year-old hypertensive female presenting with symptoms including recurrent sinusitis, otitis media, nasal blockage, cough, hemoptysis, chest discomfort, nasal septal perforation, palpable purpura, non-heali... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "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:\nA. NO\nB. N1\nC. N2\nD. N3"
},
{
"role": "assistant"... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What are the characteristics of a slow sand filter compared to a fast sand filter in terms of time for purification and sand size?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let's think about how slow sand ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What type of cement bonds to tooth structure, provides an anticariogenic effect, has a degree of translucency, and is non-irritating to the pulp?"
},
{
"role": "assistant",
"content": "<think>\nAlright, we're on the h... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 6-month-old boy is brought to the emergency department by his mother, who informs the doctor that her alcoholic husband hit the boy hard on his back. The blow was followed by excessive crying for several minutes and the develop... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A person was brought by police from the railway platform. He is speaking irrelevantly and exhibits a dry mouth, hot skin, dilated pupils, staggering gait, and slurred speech. Based on these symptoms, what is the most probable dia... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A female aged 30 presents with episodic throbbing headache for past 4 years. It usually involves one half of the face and is associated with nausea and vomiting. There is no aura, most likely diagnosis is-\nA. Migraine\nB. Cluste... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What test is used to track the transfer of mutans streptococci (MS) from mother to infant to detect the risk of early childhood caries?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think through this... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In the context of radiotherapy for cervical cancer treatment, explain the relationship between the dose intensity of radiation and the distance from the radiation source."
},
{
"role": "assistant",
"content": "<think>... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Explain whether R[x] is an integral domain when R is an integral domain, and whether the degree of the product of two polynomials in R[x] is always equal to the sum of their degrees."
},
{
"role": "assistant",
"conten... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In the context of monopolistic competition, why is product differentiation important, and how does it affect the pricing power of firms?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think about produ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "a medical student wrote his first year exam and got distinction and he tended to get distinction in other papers too. this is what line of therapy\nA. omission\nB. positive reinforcement\nC. punishment\nD. negative reinforcement"... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the recommended infusion time for the dialysate in a 38-year-old patient with chronic renal failure?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's sort this out. I'm thinking about the infusio... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the next line of management for a 45-year-old woman who complains of contact bleeding and has a positive Pap smear?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let’s think this through step by step. ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A deceased individual is discovered with marks resembling the branching of a tree on the front of their chest. What is the most likely cause of these markings?"
},
{
"role": "assistant",
"content": "<think>\nOh wow, s... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 28-year-old man presents with a complaint of penile discharge. He says that he noticed a yellowish watery discharge from his penis since last week. He adds that he has painful urination only in the mornings, but he sometimes fe... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "When a person with mental illness receives medication and therapy, what has happened?\nA. cause irrational behaviour\nB. recur\nC. effectively treated\nD. managed\nE. cause suffering"
},
{
"role": "assistant",
"conten... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 47-year-old male named Kishore has been diagnosed with acromegaly due to a large pituitary tumor, and surgical treatment was only partially effective in managing his condition. What drug is most likely to be used as additional ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Based on the clinical presentation and laboratory findings, including elevated potassium, low blood pH, reduced bicarbonate, and presence of ketone bodies, what is the expected level of blood glucose in this 45-year-old obese lad... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "At what value for one hour glucose challenge test will you recommend a standard glucose tolerance test:\nA. 120 mg/d1\nB. 140 mg/dl\nC. 150 mg/d1\nD. 160 mg/dl"
},
{
"role": "assistant",
"content": "<think>\nAlright, ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 46-day-old baby is admitted to the pediatric ward with an elevated temperature, erosive periumbilical lesion, clear discharge from the umbilicus, and failure to thrive. She is the first child of a consanguineous couple born vag... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Which organism, when contracted during pregnancy, is most likely to cause congenital hydrocephalus in the infant?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think about congenital hydrocephalus for... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 35-year-old woman with a 2-month history of palpitations, anxiety, 3.1-kg weight loss, tachycardia, fine resting tremor, and brisk reflexes presents for evaluation. A negative pregnancy test was noted. Without initial treatment... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What are the four points of probe placement in a Focused Abdominal Sonogram for Trauma (FAST) when dealing with blunt thoracoabdominal trauma?"
},
{
"role": "assistant",
"content": "<think>\nOkay, so we're talking abo... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the medical classification for the use of the Combined oral contraceptive pill in a non-breastfeeding woman during the first three weeks following delivery?"
},
{
"role": "assistant",
"content": "<think>\nAlri... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Based on a 20-year-old patient named Rajesh who presents with fever, chronic cough, an ESR of 35 mm, negative sputum cytology for AFB, and a tuberculin test showing indurations of 19 x 23 mm, what is the most likely diagnosis?"
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "TRUE/FALSE statements regarding management of CBD stone are: 1. Endoscopic papillotomy 2. Ursodeoxycholic acid 3. ERCP 4. Hepaticojejunostomy 5. Choledochotomy\nA. 1,2,3 true & 4,5 false\nB. 1,2,3,4 true & 5 false\nC. 1,2,3,5 tru... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "How would a typical person answer each of the following questions about causation?\nBilly and Suzy are freight train conductors. One day, they happen to approach an old two-way rail bridge from opposite directions at the same tim... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In a forensic laboratory, a sample is examined under ultraviolet light and exhibits a blue-white color. What is the most probable content of the sample?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's s... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 39-year-old female with a long history of major depressive disorder presents to the emergency room with altered mental status. Her husband found her on the floor unconscious and rushed her to the emergency room. He reports that... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 35-year-old Caucasian female presents with anemia, malaise, bloating, and diarrhea and is known to carry the HLA-DQ2 allele. Given her symptoms and genetic predisposition, what test finding would definitively confirm a diagnosi... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 10 yr old boy, unconscious with 2 days h/o fever, comes to pediatric ICU with R.R. 46/min, B.P. 110/ 80 and El V1 M3 on Glasgow coma scale, next step of Mx includes -\nA. Intubate and ventilate\nB. Give 0.9% NaC1\nC. Sta dopami... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In post disaster phase, for ensuring safe water supply, it is advisable to have a Residual Chlorine Level of\nA. 0.3 mg/ litre\nB. 0.5 mg/ litre\nC. 0.7 mg/ litre\nD. 3.0 mg/ litre"
},
{
"role": "assistant",
"content"... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 63-year-old woman with a history of alcohol use disorder presents with severe epigastric pain and nausea. She becomes dyspneic and tachypneic with an oxygen saturation of 81% despite supplemental oxygen. Examination reveals dif... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In which conditions is uniform dilation of the esophagus commonly observed?"
},
{
"role": "assistant",
"content": "<think>\nOkay, so when I think about esophageal dilation, I should first get what it means. It's all a... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Find a movie similar to The Hunt for Red October, The Usual Suspects, The Sixth Sense, The Fugitive:\nOptions:\n(A) The Opposite Sex\n(B) Mr Holmes\n(C) Pulp Fiction\n(D) The Letter"
},
{
"role": "assistant",
"content... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 40 year old tobacco chewer was given a routine oral examination; on examination non-scrapable white patch was noticed in his left buccal mucosa.\n\nDiagnosed disease\nA. Normal variation of mouth\nB. Developmental disorder\nC. ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 5-year-old child presents with pain and swelling of the right tibia, elevated ESR, leucocytosis, and a tibial lesion on X-ray. What investigation is considered definitive for diagnosing the condition in this case?"
},
{
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 43-year-old woman with a 6-month history of heavy, irregular menstrual bleeding has a pelvic examination revealing blood and clots in the posterior fornix with normal-appearing genitalia. An endometrial biopsy shows straight un... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "During a physical examination of a 9-year-old boy who is otherwise healthy, a grade 3 midsystolic ejection murmur is detected at the second intercostal space, and it does not disappear when he sits up. What is the most likely car... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A child presented with a history of ingestion of some unknown plant and developed mydriasis, tachycardia, dry mouth, warm skin and delirium. Which of the following group of drugs is likely to be responsible for the symptoms of th... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A patient presents with recurrent episodes of pain and swelling in the mandibular posterior region. They are diagnosed with pericoronitis, and the partially erupted third molar is vital. On radiographic examination, a well-define... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "If you follow these instructions, do you return to the starting point? Take 8 steps. Take 1 step. Take 8 steps. Turn right.\nOptions:\n- Yes\n- No"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's see. Th... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 50-year-old male patient with a 5-year history of chronic cough and a 2-year history of diabetes presents with worsening cough and asthma for 1 month, and fever for 1 week. Laboratory results show blood pH of 7.25, PaO2 of 40 m... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "When a ball at rest hangs by a single vertical string, the tension in the string is equal to the weight of the ball, mg. If the ball is then made to move in a horizontal circle, forming a conical pendulum, how does the tension in... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 25 year old university student had a fight with the neighboring boy. On the next day while out, he staed feeling that two men in police uniform were observing this movements. When he reached home in the evening he was frightene... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "When ground-state aluminum is ionized, what is the orbital angular momentum quantum number, l, of the electron that is the most easily removed?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let's think this th... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A patient with cirrhosis is found to be positive for HBs Ag and has increased levels of alpha fetoprotein. What is the most probable diagnosis for this patient?"
},
{
"role": "assistant",
"content": "<think>\nOkay, le... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In a 13-year-old boy with a history of recurrent lung infections and foul-smelling stools, who presents with fever, chills, severe coughing, and is hard to arouse, what is the most likely characteristic of the organism responsibl... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A farmer who is rearing sheep presents with fever and weakness lasting one month, generalized lymphadenopathy, and hepatomegaly. A liver biopsy reveals non-caseating granuloma. What is the most likely causative infectious agent?"... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In the immediate postoperative period following upper abdominal surgery in a young patient with previously normal lungs, what change is typically observed in arterial oxygen tension when breathing room air?"
},
{
"role": ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 26-year-old female who is 12 weeks pregnant presents to her primary care physician because she is concerned about her acne. While she has struggled with acne for most of her adult life, the acne has become more severe in the pa... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Which isotopes are commonly used in the relief of metastatic bone pain?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think through this. Metastatic bone pain can be pretty severe because it happens w... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Based on specific characteristics such as a hair diameter of 120 micrometers, a rounded cross section, dense auburn pigmentation through the cross section, a thick cuticle, and rare undulations, determine the most probable race o... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An 80-year-old male with known metastatic prostate cancer presents to your office with vague complaints of \"achy bones.\" Strangely, he refers to you using the name of another physician. On physical exam, he is afebrile, but mil... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In the context of obstetrics, which clinical condition is associated with normal or low levels of alpha fetoprotein rather than high levels?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let’s think about alph... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the least appropriate long-term treatment option for a patient with symptoms of obsessive-compulsive disorder, specifically characterized by intrusive thoughts and compulsive checking behaviors?"
},
{
"role": "ass... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An 8-year-old boy experiencing generalized, violent muscle contractions was administered lorazepam in the emergency department. Describe the mechanism by which lorazepam is expected to exert its beneficial effects."
},
{
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Complete the rest of the sequence, making sure that the parentheses are closed properly. Input: < ( [ { ( < > ) } ] ) > { ( ["
},
{
"role": "assistant",
"content": "<think>\nLet's see, I have this sequence of brackets... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 7-year-old boy presents with an abrupt onset of hip pain, holding the hip in abduction, a normal hemogram, and a raised ESR. What is the next step in management for this condition?"
},
{
"role": "assistant",
"conten... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "If Felton Farm Supplies, Inc. has a return on total assets of 8 percent on total assets worth $300,000, and a net profit margin of 5 percent, what is the total amount of its sales?"
},
{
"role": "assistant",
"content"... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 23-year-old woman presents to the emergency room with a self-inflicted laceration on her distal volar forearm and expresses strong emotional reactions to interpersonal stressors, such as intense anxiety over perceived romantic ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Complete the rest of the sequence, making sure that the parentheses are closed properly. Input: [ < ( < < > [ ] ( ) >"
},
{
"role": "assistant",
"content": "<think>\nOkay, let's go through this step by step. We're sta... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the most likely finding on microscopic analysis of the renal biopsy specimen in an 8-year-old male with non-blanching rashes over the shin, knee joint swelling, and haematuria with proteinuria?"
},
{
"role": "assi... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Based on the details provided about a 5-year-old non-verbal child with a history of autism, who is brought into the emergency department by his grandmother and is living in low-income housing with a mother, step-father, and two o... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What medication should be prescribed to a 45-year-old male chronic smoker with a history of seizures who wants assistance in quitting smoking?"
},
{
"role": "assistant",
"content": "<think>\nAlright, I've got a 45-yea... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A child who experienced disruptions in developmental milestones and exhibited hyperactivity, followed by self-mutilating behavior and hair pulling, eventually passed away after a few years. What enzyme deficiency likely caused th... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An antenna radiates a power of 8 kW and draws a current of 20 A. Calculate its radiation resistance in ohms."
},
{
"role": "assistant",
"content": "<think>\nAlright, let's figure this out. We're given that an antenna ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 67-year-old man with type 2 diabetes mellitus and benign prostatic hyperplasia presents with a 2-day history of sneezing and clear nasal discharge. He has a history of similar symptoms, and his examination reveals red, swollen ... |
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