question_number int64 1 50 | stem stringlengths 138 1.23k | options listlengths 4 9 | correct_answer stringclasses 9
values | explanation stringlengths 430 2.6k | images listlengths 0 2 | _source_page stringlengths 6 8 | _page_image_data stringlengths 300k 921k ⌀ |
|---|---|---|---|---|---|---|---|
1 | "A study is conducted to assess the normal frequency distribution of plasma sodium concentrations in(...TRUNCATED) | [{"letter":"A","text":"25%"},{"letter":"B","text":"33%"},{"letter":"C","text":"50%"},{"letter":"D","(...TRUNCATED) | F | "In a Gaussian (normal) distribution, data points center around the mean value. Standard deviation i(...TRUNCATED) | [] | page-137 | "data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAxcAAAQACAIAAAAcNjPGAAEAAElEQVR4nOzddZwTx/sH8M/MbjznB(...TRUNCATED) |
50 | "A 43-year-old woman comes to the physician because of a 2-month history of intermittent abdominal p(...TRUNCATED) | [{"letter":"A","text":"Decreased cholesterol secretion into bile"},{"letter":"B","text":"Enhanced ch(...TRUNCATED) | A | "The classic presentation of cholelithiasis is intermittent right upper quadrant pain and nausea tha(...TRUNCATED) | [] | page-44 | "data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAxcAAAQACAIAAAAcNjPGAAEAAElEQVR4nOy9dXhVx/b4vWa2HI27u(...TRUNCATED) |
42 | "A 65-year-old woman comes to the physician because of a 10-week history of low-grade fever, fatigue(...TRUNCATED) | [{"letter":"A","text":"Hematopoietic stem cells"},{"letter":"B","text":"Monomyelocytic stem cells"},(...TRUNCATED) | E | "Multiple myeloma is a malignancy caused by the neoplastic proliferation of plasma cells, and presen(...TRUNCATED) | [{"role":"clinical","caption":"X-ray of the right upper extremity showing lytic bone lesion in the d(...TRUNCATED) | page-81 | null |
20 | "A 33-year-old man comes to the physician with his wife for a routine health maintenance examination(...TRUNCATED) | [{"letter":"A","text":"Ask the patient to attend a few 12-step program meetings before his next appo(...TRUNCATED) | C | "This patient with longstanding alcohol use disorder is displaying physical examination signs of liv(...TRUNCATED) | [] | page-63 | "data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAxcAAAQACAIAAAAcNjPGAAEAAElEQVR4nOydd3gUR9Lwq3vC5l3ln(...TRUNCATED) |
12 | "An 84-year-old man is brought to the emergency department 30 minutes after an episode of syncope. T(...TRUNCATED) | [{"letter":"A","text":"Crista terminalis"},{"letter":"B","text":"Fossa ovalis region"},{"letter":"C"(...TRUNCATED) | C | "Normal cardiac conduction starts with an electrical impulse in the sinoatrial (SA) node located in (...TRUNCATED) | [] | page-100 | "data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAxcAAAQACAIAAAAcNjPGAAEAAElEQVR4nOy9d3wUt9b4faSZ2eZ17(...TRUNCATED) |
29 | "A 67-year-old man comes to the physician because of numbness in his hands and feet for 3 months. Vi(...TRUNCATED) | [{"letter":"A","text":"Acetoacetate"},{"letter":"B","text":"Alanine"},{"letter":"C","text":"Lactate"(...TRUNCATED) | F | "Vitamin B12, or cobalamin, is a water-soluble B vitamin that is essential for DNA synthesis as well(...TRUNCATED) | [] | page-26 | "data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAxcAAAQACAIAAAAcNjPGAAEAAElEQVR4nOy9dXxVx9b4vWa2HI27E(...TRUNCATED) |
30 | "During an experiment, a drug that specifically dilates the efferent arterioles of the kidney is inf(...TRUNCATED) | [{"letter":"A","text":"Absolute Proximal Tubule Reabsorption: ↑, Renal O₂ Consumption: ↑, Filt(...TRUNCATED) | H | "Each nephron of the kidney contains a glomerulus, a network of capillaries where blood is filtered (...TRUNCATED) | [] | page-118 | "data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAxcAAAQACAIAAAAcNjPGAAEAAElEQVR4nOy9d5gVxba4vao67TQ55(...TRUNCATED) |
30 | "A 20-year-old woman (III-1) comes to the physician for cancer risk assessment. She has a family his(...TRUNCATED) | [{"letter":"A","text":"0%"},{"letter":"B","text":"25%"},{"letter":"C","text":"50%"},{"letter":"D","t(...TRUNCATED) | B | "Most breast cancers are sporadic, but a minority are caused by germline mutations in BRCA1 or BRCA2(...TRUNCATED) | [{"role":"clinical","caption":"Pedigree showing three generations of a family with breast cancer his(...TRUNCATED) | page-27 | null |
11 | "A 60-year-old woman is found to have osteoporosis. Her last menstrual period was 10 years ago. She (...TRUNCATED) | [{"letter":"A","text":"Bisphosphonates"},{"letter":"B","text":"Gonadotropins"},{"letter":"C","text":(...TRUNCATED) | A | "Osteoporosis is caused by the loss of bone mineral density, commonly appearing in postmenopausal fe(...TRUNCATED) | [] | page-8 | "data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAxcAAAQACAIAAAAcNjPGAAEAAElEQVR4nOyddZwVt9r4n2Tk+Lq7s(...TRUNCATED) |
9 | "A 35-year-old man has a sinus tachycardia of 120/min. Which of the following best describes the rel(...TRUNCATED) | [{"letter":"A","text":"Diastole and systole are equally prolonged"},{"letter":"B","text":"Diastole a(...TRUNCATED) | D | "Tachycardia results in significantly decreased diastolic filling time. In normal sinus rhythm, card(...TRUNCATED) | [] | page-7 | "data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAxcAAAQACAIAAAAcNjPGAAEAAElEQVR4nOydd5QVxbbwd1WHk8/kn(...TRUNCATED) |
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