env_id
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17 values
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large_stringclasses
0 values
example_id
large_stringlengths
1
4
answer
large_stringlengths
1
6.76k
extras
large_stringclasses
0 values
generation_ms
float64
-826.31
4.07M
job_run_id
large_stringclasses
12 values
judge_cost
float64
0
0.11
judge_token_completion
float64
0
12.2k
judge_token_prompt
float64
0
400k
judge_token_total
float64
0
404k
model_cost
float64
0
1.05
model_id
large_stringclasses
12 values
version_info
large_stringclasses
0 values
model_token_completion
float64
0
86.5k
model_token_prompt
float64
0
542k
model_token_total
float64
0
554k
reward
float64
0
1
rollout_index
int64
0
2
run_id
large_stringclasses
225 values
scoring_ms
float64
0.03
297k
status
large_stringclasses
1 value
task
large_stringclasses
9 values
total_ms
float64
-691.92
4.07M
medrbench-oracle
null
932
Isolated fetal hydrometrocolpos (HMC) secondary to congenital imperforate hymen.
null
13,091.072083
sonnet-4_5-20251217-142420
0.0005
115
621
736
0.0091
sonnet-4_5
null
520
430
950
1
0
sonnet-4_5-medrbench-oracle
0.12517
completed
medrbench-diagnosis-oracle
20,717.221022
medrbench-oracle
null
933
Hortaea werneckii-induced Tinea Capitis
null
12,390.449762
sonnet-4_5-20251217-142420
0.0017
512
641
1,153
0.0099
sonnet-4_5
null
571
437
1,008
1
0
sonnet-4_5-medrbench-oracle
0.131369
completed
medrbench-diagnosis-oracle
113,612.256289
medrbench-oracle
null
934
Localized Tracheobronchial Amyloidosis
null
12,441.070795
sonnet-4_5-20251217-142420
0.0012
349
622
971
0.0103
sonnet-4_5
null
570
596
1,166
1
0
sonnet-4_5-medrbench-oracle
0.127554
completed
medrbench-diagnosis-oracle
16,994.847536
medrbench-oracle
null
935
Rathke's cleft cyst with apoplexy.
null
16,492.347002
sonnet-4_5-20251217-142420
0.0012
364
625
989
0.0115
sonnet-4_5
null
667
499
1,166
1
0
sonnet-4_5-medrbench-oracle
0.168562
completed
medrbench-diagnosis-oracle
20,488.967896
medrbench-oracle
null
936
Cutaneous myiasis caused by Dermatobia hominis.
null
10,980.792522
sonnet-4_5-20251217-142420
0.0007
191
612
803
0.0075
sonnet-4_5
null
423
377
800
1
0
sonnet-4_5-medrbench-oracle
0.181198
completed
medrbench-diagnosis-oracle
14,582.181931
medrbench-oracle
null
937
Wandering spleen with torsion and infarction.
null
13,292.902231
sonnet-4_5-20251217-142420
0.0011
304
607
911
0.0104
sonnet-4_5
null
610
417
1,027
1
0
sonnet-4_5-medrbench-oracle
0.118732
completed
medrbench-diagnosis-oracle
18,831.026316
medrbench-oracle
null
938
Diamond–Blackfan anemia
null
12,655.404091
sonnet-4_5-20251217-142420
0.0011
326
605
931
0.0113
sonnet-4_5
null
642
561
1,203
1
0
sonnet-4_5-medrbench-oracle
0.128746
completed
medrbench-diagnosis-oracle
18,119.014263
medrbench-oracle
null
939
Tuberculous spondylitis with paravertebral abscess formation.
null
12,379.626036
sonnet-4_5-20251217-142420
0.0014
415
676
1,091
0.0108
sonnet-4_5
null
605
567
1,172
1
0
sonnet-4_5-medrbench-oracle
0.196457
completed
medrbench-diagnosis-oracle
17,534.821749
medrbench-oracle
null
940
Calcifying Fibrous Tumor (CFT)
null
14,587.135315
sonnet-4_5-20251217-142420
0.0008
241
600
841
0.0118
sonnet-4_5
null
694
469
1,163
1
0
sonnet-4_5-medrbench-oracle
0.164986
completed
medrbench-diagnosis-oracle
20,822.196007
medrbench-oracle
null
941
Skeletal class II malocclusion with vertical maxillary excess.
null
11,408.275843
sonnet-4_5-20251217-142420
0.0016
505
661
1,166
0.0096
sonnet-4_5
null
539
516
1,055
1
0
sonnet-4_5-medrbench-oracle
0.134706
completed
medrbench-diagnosis-oracle
17,254.068613
medrbench-oracle
null
942
Primary bilateral adrenal tuberculosis with Addison's disease
null
12,895.76745
sonnet-4_5-20251217-142420
0.0015
470
601
1,071
0.0108
sonnet-4_5
null
583
677
1,260
1
0
sonnet-4_5-medrbench-oracle
0.125885
completed
medrbench-diagnosis-oracle
18,166.951418
medrbench-oracle
null
943
Granulomatosis with polyangiitis (GPA) presenting as pachymeningitis.
null
14,520.779848
sonnet-4_5-20251217-142420
0.0015
461
699
1,160
0.0125
sonnet-4_5
null
718
593
1,311
1
0
sonnet-4_5-medrbench-oracle
0.105381
completed
medrbench-diagnosis-oracle
20,536.49807
medrbench-oracle
null
944
Pediatric Opioid-Use-Associated Neurotoxicity with Cerebellar Edema (POUNCE Syndrome)
null
13,672.305107
sonnet-4_5-20251217-142420
0.0011
293
653
946
0.0104
sonnet-4_5
null
614
398
1,012
0
0
sonnet-4_5-medrbench-oracle
0.131369
completed
medrbench-diagnosis-oracle
18,089.712858
medrbench-oracle
null
945
Intraosseous lipoma of the calcaneus.
null
13,682.634115
sonnet-4_5-20251217-142420
0.0004
49
600
649
0.0101
sonnet-4_5
null
577
470
1,047
1
0
sonnet-4_5-medrbench-oracle
0.1719
completed
medrbench-diagnosis-oracle
17,377.693892
medrbench-oracle
null
946
Coinfection of pulmonary lophomoniasis, tuberculosis, and hydatid cyst.
null
14,693.156004
sonnet-4_5-20251217-142420
0.0015
448
661
1,109
0.0122
sonnet-4_5
null
698
586
1,284
1
0
sonnet-4_5-medrbench-oracle
0.113726
completed
medrbench-diagnosis-oracle
20,658.479452
medrbench-oracle
null
947
Acute brodifacoum rodenticide poisoning during pregnancy.
null
13,998.09742
sonnet-4_5-20251217-142420
0.0014
414
624
1,038
0.011
sonnet-4_5
null
613
608
1,221
1
0
sonnet-4_5-medrbench-oracle
0.126123
completed
medrbench-diagnosis-oracle
24,305.78661
medrbench-oracle
null
948
Desmoid tumors (deep fibromatosis) with cystic and keloidal patterns.
null
12,602.143049
sonnet-4_5-20251217-142420
0.0015
458
619
1,077
0.011
sonnet-4_5
null
632
513
1,145
1
0
sonnet-4_5-medrbench-oracle
0.164747
completed
medrbench-diagnosis-oracle
17,734.326363
medrbench-oracle
null
949
Endogenous lipid pneumonia (ELP).
null
12,699.717999
sonnet-4_5-20251217-142420
0.0012
339
592
931
0.0105
sonnet-4_5
null
606
456
1,062
1
0
sonnet-4_5-medrbench-oracle
0.109434
completed
medrbench-diagnosis-oracle
18,525.971889
medrbench-oracle
null
950
Lepromatous Leprosy with Lucio’s Phenomenon.
null
15,572.703362
sonnet-4_5-20251217-142420
0.0023
716
644
1,360
0.0131
sonnet-4_5
null
768
542
1,310
0
0
sonnet-4_5-medrbench-oracle
0.743389
completed
medrbench-diagnosis-oracle
22,776.950836
medrbench-oracle
null
951
Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)
null
11,745.998383
sonnet-4_5-20251217-142420
0.0008
199
632
831
0.0096
sonnet-4_5
null
531
542
1,073
1
0
sonnet-4_5-medrbench-oracle
0.1688
completed
medrbench-diagnosis-oracle
14,521.697521
medrbench-oracle
null
952
Chronic periradicular abscess with odontogenic cutaneous sinus tract.
null
10,955.260754
sonnet-4_5-20251217-142420
0.0018
575
656
1,231
0.0079
sonnet-4_5
null
459
333
792
1
0
sonnet-4_5-medrbench-oracle
0.119209
completed
medrbench-diagnosis-oracle
96,755.247593
medrbench-oracle
null
953
Biermer’s disease (pernicious anemia) with secondary megaloblastic anemia and bilateral macular hemorrhages.
null
12,108.103991
sonnet-4_5-20251217-142420
0.0005
98
653
751
0.0102
sonnet-4_5
null
579
492
1,071
1
0
sonnet-4_5-medrbench-oracle
0.136375
completed
medrbench-diagnosis-oracle
18,103.440285
medrbench-oracle
null
954
Intrathoracic extramedullary hematopoiesis-associated pleural effusion in beta-thalassemia intermedia.
null
16,641.670465
sonnet-4_5-20251217-142420
0.0016
501
665
1,166
0.0127
sonnet-4_5
null
713
678
1,391
1
0
sonnet-4_5-medrbench-oracle
0.120163
completed
medrbench-diagnosis-oracle
21,010.550261
medrbench-oracle
null
955
SAPHO syndrome
null
11,843.603134
sonnet-4_5-20251217-142420
0.0004
73
607
680
0.0101
sonnet-4_5
null
569
529
1,098
1
0
sonnet-4_5-medrbench-oracle
0.679255
completed
medrbench-diagnosis-oracle
16,008.927822
medrbench-oracle
null
956
Metastatic subcutaneous plasmacytoma at the TIVAP site.
null
12,348.243952
sonnet-4_5-20251217-142420
0.0015
492
624
1,116
0.0094
sonnet-4_5
null
532
461
993
1
0
sonnet-4_5-medrbench-oracle
0.104666
completed
medrbench-diagnosis-oracle
18,048.307896
medrbench-oracle
null
957
Administer ruxolitinib 20 mg twice daily to target both interstitial pneumonia and primary myelofibrosis.
null
14,186.862946
sonnet-4_5-20251217-142420
0.0005
115
845
960
0.0122
sonnet-4_5
null
661
760
1,421
0
0
sonnet-4_5-medrbench-oracle
0.126839
completed
medrbench-treatment
21,459.379911
medrbench-oracle
null
958
Perform the Zancolli-Lasso procedure to create tenodesis using the flexor digitorum superficialis (FDS) tendon of the fourth finger, transferring it into the A1 pulleys of the affected digits, and fix the MCP joints in slight flexion.
null
19,786.222219
sonnet-4_5-20251217-142420
0.0019
580
894
1,474
0.0135
sonnet-4_5
null
781
588
1,369
1
0
sonnet-4_5-medrbench-oracle
0.173092
completed
medrbench-treatment
28,540.645599
medrbench-oracle
null
959
Perform surgical excision of the bilateral occipital hydatid cysts using two craniotomies in a single procedure, ensuring cyst integrity with gentle hydro dissection techniques.
null
17,452.331305
sonnet-4_5-20251217-142420
0.0019
604
826
1,430
0.0135
sonnet-4_5
null
782
600
1,382
1
0
sonnet-4_5-medrbench-oracle
0.125647
completed
medrbench-treatment
22,236.395597
medrbench-oracle
null
960
Perform embolization of the type 2 endoleak using a micropuncture introducer set and a triple-coaxial system via the left femoral artery. Use a mixture of N-butyl-2-cyanoacrylate and iodized oil for embolization.
null
15,690.035105
sonnet-4_5-20251217-142420
0.0031
978
799
1,777
0.0117
sonnet-4_5
null
662
584
1,246
0.5
0
sonnet-4_5-medrbench-oracle
0.16284
completed
medrbench-treatment
23,479.171753
medrbench-oracle
null
961
Perform surgical decompression and lesion resection, administer localized radiotherapy to the epidural site, and initiate systemic chemotherapy with the UKALL14 protocol.
null
17,211.63559
sonnet-4_5-20251217-142420
0.0026
844
809
1,653
0.0134
sonnet-4_5
null
760
653
1,413
0.5
0
sonnet-4_5-medrbench-oracle
0.167131
completed
medrbench-treatment
24,931.869268
medrbench-oracle
null
962
: Administer abrocitinib 100 mg/day orally.
null
12,785.353422
sonnet-4_5-20251217-142420
0.0023
763
671
1,434
0.0114
sonnet-4_5
null
626
685
1,311
0
0
sonnet-4_5-medrbench-oracle
0.205994
completed
medrbench-treatment
18,603.749752
medrbench-oracle
null
963
Perform an exploratory laparotomy, resect the intussuscepted jejunal segment, and perform a jejuno-jejunal anastomosis. Remove the feeding jejunostomy.
null
98,453.552485
sonnet-4_5-20251217-142420
0.0021
700
813
1,513
0.0112
sonnet-4_5
null
638
555
1,193
1
0
sonnet-4_5-medrbench-oracle
0.118971
completed
medrbench-treatment
108,369.035006
medrbench-oracle
null
964
Perform CT cystography with diluted gadolinium-based contrast medium (GBCA) to evaluate for a postoperative bladder leak.
null
14,693.7356
sonnet-4_5-20251217-142420
0.003
960
770
1,730
0.01
sonnet-4_5
null
579
454
1,033
1
0
sonnet-4_5-medrbench-oracle
0.106096
completed
medrbench-treatment
22,121.015787
medrbench-oracle
null
965
Perform an ultrasound-guided Levator Scapulae Plane Block (LeSP Block), injecting a total of 10 mL of 5% dextrose solution combined with 0.25% levobupivacaine at two interfascial planes: the superficial fascia (between the trapezius and levator scapulae) and deep fascia (above the second rib and targeting the dorsal sc...
null
12,965.943575
sonnet-4_5-20251217-142420
0.0022
703
892
1,595
0.0108
sonnet-4_5
null
563
777
1,340
0
0
sonnet-4_5-medrbench-oracle
0.129223
completed
medrbench-treatment
18,574.943781
medrbench-oracle
null
966
Proceed with surgical resection of the affected bowel segment, including the gangrenous Meckel's diverticulum, and perform end-to-end small bowel anastomosis with appropriate lavage.
null
12,020.198107
sonnet-4_5-20251217-142420
0.0012
360
775
1,135
0.0099
sonnet-4_5
null
562
499
1,061
1
0
sonnet-4_5-medrbench-oracle
0.188112
completed
medrbench-treatment
16,833.105803
medrbench-oracle
null
967
Administer 20 mL of 0.5% ropivacaine with 20 µg clonidine through erector spinae plane block (ESPB) under ultrasound guidance as part of multimodal analgesia.
null
95,586.783409
sonnet-4_5-20251217-142420
0.0005
90
851
941
0.0121
sonnet-4_5
null
707
493
1,200
0
0
sonnet-4_5-medrbench-oracle
0.098705
completed
medrbench-treatment
100,458.646774
medrbench-oracle
null
968
Create a customized ocular prosthesis with a stock iris and a personalized sclera using acrylic resin, ensuring detailed sculpting, precise iris positioning, realistic scleral characterization, and proper processing techniques for optimal aesthetic and functional outcomes.
null
15,379.178524
sonnet-4_5-20251217-142420
0.0021
659
761
1,420
0.0091
sonnet-4_5
null
533
374
907
0.5
0
sonnet-4_5-medrbench-oracle
0.111103
completed
medrbench-treatment
20,042.430162
medrbench-oracle
null
969
: Perform feminizing genitoplasty, including neurovascular sparing clitoroplasty, labioplasty, and vaginoplasty.
null
16,082.771301
sonnet-4_5-20251217-142420
0.0013
348
791
1,139
0.0117
sonnet-4_5
null
637
722
1,359
1
0
sonnet-4_5-medrbench-oracle
0.156879
completed
medrbench-treatment
19,440.750837
medrbench-oracle
null
970
Prescribe dabrafenib (150 mg BID) and trametinib (2 mg daily), and monitor for tolerance and tumor progression with periodic clinical evaluations and imaging as necessary.
null
15,077.927351
sonnet-4_5-20251217-142420
0.0023
724
766
1,490
0.0115
sonnet-4_5
null
635
649
1,284
1
0
sonnet-4_5-medrbench-oracle
0.12207
completed
medrbench-treatment
21,993.31212
medrbench-oracle
null
971
Perform rapid palatal expansion with a bonded Hyrax expander, followed by maxillary protraction using a petit facemask with extraoral elastics; after expansion, address mandibular and maxillary crowding and align canines through corrective orthodontics with fixed appliances and premolar extractions; provide long-term r...
null
18,793.79344
sonnet-4_5-20251217-142420
0.0023
722
909
1,631
0.0128
sonnet-4_5
null
715
702
1,417
0.5
0
sonnet-4_5-medrbench-oracle
0.11754
completed
medrbench-treatment
33,605.808496
medrbench-oracle
null
972
Remove silicone breast implants through surgical explantation to address triggering adjuvants contributing to ASIA syndrome.
null
13,941.131353
sonnet-4_5-20251217-142420
0.0017
510
773
1,283
0.0105
sonnet-4_5
null
603
486
1,089
1
0
sonnet-4_5-medrbench-oracle
0.169754
completed
medrbench-treatment
17,766.377687
medrbench-oracle
null
973
Perform an emergency pancreaticoduodenectomy (Whipple procedure) along with inferior vena cava repair, right nephrectomy, adrenalectomy, cholecystectomy, and liver hemostasis.
null
20,468.543053
sonnet-4_5-20251217-142420
0.0028
911
940
1,851
0.015
sonnet-4_5
null
888
553
1,441
0.5
0
sonnet-4_5-medrbench-oracle
0.132084
completed
medrbench-treatment
28,115.794897
medrbench-oracle
null
974
Prescribe cabergoline starting at 0.25 mg taken twice weekly.
null
15,387.848377
sonnet-4_5-20251217-142420
0.0019
573
694
1,267
0.0106
sonnet-4_5
null
606
497
1,103
0
0
sonnet-4_5-medrbench-oracle
0.174284
completed
medrbench-treatment
24,721.735716
medrbench-oracle
null
975
Immobilize the wrist using a Plaster of Paris cast, ensuring adequate stabilization of the scaphoid fracture.
null
13,147.877455
sonnet-4_5-20251217-142420
0.0018
529
755
1,284
0.0096
sonnet-4_5
null
557
416
973
1
0
sonnet-4_5-medrbench-oracle
0.14472
completed
medrbench-treatment
18,086.905718
medrbench-oracle
null
976
Perform robot-assisted laparoscopic cornual resection using the Da Vinci® Robotic Surgical System to remove the ectopic pregnancy, achieve hemostasis, and repair the uterine defect with minimal impact on healthy tissue.
null
15,044.157505
sonnet-4_5-20251217-142420
0.002
632
732
1,364
0.0121
sonnet-4_5
null
689
583
1,272
1
0
sonnet-4_5-medrbench-oracle
0.139236
completed
medrbench-treatment
26,235.664129
medrbench-oracle
null
977
Perform ascending arch repair, hemiarch replacement, left external iliac artery thrombectomy, and descending aortic dissection stent placement with dissection stent deployment across the visceral segment. Ensure postoperative CTA follow-up and gradual renal monitoring.
null
19,512.879848
sonnet-4_5-20251217-142420
0.0018
577
883
1,460
0.0167
sonnet-4_5
null
953
788
1,741
0.5
0
sonnet-4_5-medrbench-oracle
0.127316
completed
medrbench-treatment
75,595.657825
medrbench-oracle
null
978
Replace the missing lower right molar (#46) with a dental implant, ensuring proper positioning and primary stability, followed by adequate oral rehabilitation steps including healing abutment placement and final crown cementation.
null
13,272.73035
sonnet-4_5-20251217-142420
0.0016
508
733
1,241
0.0094
sonnet-4_5
null
551
379
930
1
0
sonnet-4_5-medrbench-oracle
0.156403
completed
medrbench-treatment
22,548.043966
medrbench-oracle
null
979
Initiate a sphingosine 1-phosphate receptor modulator such as ponesimod as part of a de-risking strategy to maintain MS stability while minimizing infection risks.
null
19,862.223625
sonnet-4_5-20251217-142420
0.0006
82
1,100
1,182
0.0155
sonnet-4_5
null
883
757
1,640
0
0
sonnet-4_5-medrbench-oracle
0.164747
completed
medrbench-treatment
24,808.483601
medrbench-oracle
null
980
Perform Robot-Assisted Renal Denervation (RA-RDN) under general anesthesia, systematically dissecting and ablating peri-arterial tissues of all renal arteries bilaterally, to achieve sympathetic denervation and blood pressure control.
null
13,040.924549
sonnet-4_5-20251217-142420
0.0018
566
729
1,295
0.0088
sonnet-4_5
null
496
467
963
1
0
sonnet-4_5-medrbench-oracle
0.831604
completed
medrbench-treatment
17,631.985188
medrbench-oracle
null
981
Perform trans-surgical debridement of the resorptive lesion after initial endodontic treatment, seal the infra-osseous region with bioceramic cement, restore the supra-osseous region with chemically activated glass ionomer cement, and reposition the palatal flap with suturing.
null
15,932.259798
sonnet-4_5-20251217-142420
0.0016
480
768
1,248
0.0121
sonnet-4_5
null
703
521
1,224
0
0
sonnet-4_5-medrbench-oracle
0.149488
completed
medrbench-treatment
23,099.104881
medrbench-oracle
null
982
Perform large Z-plasty, lengthen popliteal vessels and tibial/peroneal nerves using autografts and allografts, release knee capsule and tendons, and implement capsulotomy and Z-lengthening of involved muscles and tendons to achieve knee and foot alignment.
null
16,593.249083
sonnet-4_5-20251217-142420
0.0024
764
870
1,634
0.0122
sonnet-4_5
null
706
550
1,256
0.5
0
sonnet-4_5-medrbench-oracle
0.108719
completed
medrbench-treatment
31,142.398119
medrbench-oracle
null
983
Administer three cycles of cisplatin and ifosfamide at two-week intervals, followed by seven weekly cycles of carboplatin and paclitaxel. Proceed with a cesarean section at term, immediately followed by radical hysterectomy and bilateral salpingo-oophorectomy with lymph node assessment.
null
16,099.190474
sonnet-4_5-20251217-142420
0.0029
924
849
1,773
0.0116
sonnet-4_5
null
660
580
1,240
0.5
0
sonnet-4_5-medrbench-oracle
0.175953
completed
medrbench-treatment
23,658.664465
medrbench-oracle
null
984
Perform intentional replantation with atraumatic extraction of tooth #21, followed by the removal of resorptive granulomatous tissue, composite resin restoration of the defect, re-implantation, splint stabilization, and subsequent endodontic treatment to restore function and esthetics.
null
17,685.365915
sonnet-4_5-20251217-142420
0.0021
637
763
1,400
0.0116
sonnet-4_5
null
677
478
1,155
0
0
sonnet-4_5-medrbench-oracle
0.122786
completed
medrbench-treatment
23,804.952621
medrbench-oracle
null
985
Perform a right lower lobectomy to surgically remove the extralobar sequestration (ELS) and evaluate for associated conditions such as intralobar sequestration (ILS) with histological confirmation.
null
15,879.268646
sonnet-4_5-20251217-142420
0.0016
547
770
1,317
0.011
sonnet-4_5
null
631
503
1,134
1
0
sonnet-4_5-medrbench-oracle
0.113726
completed
medrbench-treatment
23,722.4648
medrbench-oracle
null
986
Treat with corticosteroids, intravenous immunoglobulin (IVIG), thrombopoietin receptor agonists (TPO-RAs), rituximab, and supplementary therapies (e.g., low-dose anticoagulants, erythropoietin, vitamin B12, folic acid) to manage refractory ITP and prevent further complications.
null
16,348.653316
sonnet-4_5-20251217-142420
0.0023
697
971
1,668
0.0149
sonnet-4_5
null
832
812
1,644
0
0
sonnet-4_5-medrbench-oracle
0.254869
completed
medrbench-treatment
21,533.039808
medrbench-oracle
null
987
Administer oral valacyclovir and taper topical prednisolone acetate ophthalmic drops appropriately to address HSV-2-related conjunctival phlyctenule and nodular scleritis.
null
14,109.064817
sonnet-4_5-20251217-142420
0.0014
440
777
1,217
0.0112
sonnet-4_5
null
624
609
1,233
1
0
sonnet-4_5-medrbench-oracle
0.10705
completed
medrbench-treatment
20,415.573359
medrbench-oracle
null
988
Perform percutaneous nephrostomy and drain placement to relieve pressure and manage the urinoma, then proceed with retrograde pyelography, flexible ureteroscopy with stone fragmentation and extraction, and double-J stent insertion to address the obstruction and restore normal urinary flow.
null
16,867.734432
sonnet-4_5-20251217-142420
0.0025
796
822
1,618
0.0132
sonnet-4_5
null
754
617
1,371
0.5
0
sonnet-4_5-medrbench-oracle
0.174522
completed
medrbench-treatment
32,199.725151
medrbench-oracle
null
989
Initiate systemic intravenous immunoglobulin (1 g/kg) for 3 days, pulsed-dose methylprednisolone (10 mg/kg/day), oral cyclosporin A (3 mg/kg/day), and subcutaneous etanercept (0.8 mg/kg) on days 4 and 10. Combine this regimen with supportive care, including parenteral nutrition, wound care, emollients, non-stick dressi...
null
23,009.448051
sonnet-4_5-20251217-142420
0.0009
198
1,331
1,529
0.0199
sonnet-4_5
null
1,163
808
1,971
0.5
0
sonnet-4_5-medrbench-oracle
0.524998
completed
medrbench-treatment
28,077.081442
medrbench-oracle
null
990
Perform a hymenotomy to drain the accumulated secretions and relieve the obstruction caused by the imperforate hymen.
null
14,002.398729
sonnet-4_5-20251217-142420
0.0012
327
711
1,038
0.0102
sonnet-4_5
null
582
498
1,080
1
0
sonnet-4_5-medrbench-oracle
0.114441
completed
medrbench-treatment
25,191.839218
medrbench-oracle
null
991
Perform diode laser excision of granulation tissue, disinfect the surgical site, complete root canal therapy with intracanal medications, and restore the tooth with a glass fiber post, composite buildup, and zirconia crown.
null
14,179.592609
sonnet-4_5-20251217-142420
0.0024
777
805
1,582
0.0105
sonnet-4_5
null
612
446
1,058
0.5
0
sonnet-4_5-medrbench-oracle
0.134706
completed
medrbench-treatment
21,977.281332
medrbench-oracle
null
992
Continue therapeutic anticoagulation with apixaban for three months before performing renal biopsy. Empirically initiate an ACE inhibitor.
null
21,027.898788
sonnet-4_5-20251217-142420
0.0027
822
1,128
1,950
0.0166
sonnet-4_5
null
969
675
1,644
0
0
sonnet-4_5-medrbench-oracle
0.107765
completed
medrbench-treatment
27,648.606539
medrbench-oracle
null
993
Administer tocilizumab intravenously at 10 mg/kg alongside plasma exchange, glucocorticoids (2 mg/kg/day with tapering), hydroxychloroquine (5 mg/kg/day), tacrolimus (0.05 mg/kg/day), tofacitinib (2.5 mg b.i.d.), pirfenidone (50 mg t.i.d.), IVIG sessions monthly, and cyclophosphamide monthly, adapting the dosage and sc...
null
12,768.337965
sonnet-4_5-20251217-142420
0.0041
1,342
1,138
2,480
0.0122
sonnet-4_5
null
701
556
1,257
0.5
0
sonnet-4_5-medrbench-oracle
0.105858
completed
medrbench-treatment
24,426.373005
medrbench-oracle
null
994
Start intravenous cefoperazone-sulbactam for 21 days and treat the MRSA infection with vancomycin.
null
16,742.217541
sonnet-4_5-20251217-142420
0.0029
873
1,144
2,017
0.0139
sonnet-4_5
null
797
640
1,437
0.5
0
sonnet-4_5-medrbench-oracle
0.125647
completed
medrbench-treatment
25,205.899
medrbench-oracle
null
995
Administer 100 mg of abrocitinib orally once daily.
null
15,911.841869
sonnet-4_5-20251217-142420
0.0027
886
747
1,633
0.0126
sonnet-4_5
null
723
597
1,320
0.5
0
sonnet-4_5-medrbench-oracle
0.14925
completed
medrbench-treatment
23,299.381971
medrbench-oracle
null
996
Perform debridement of all non-viable tissue, followed by free latissimus dorsi flap transfer with skin grafting for coverage.
null
16,127.459764
sonnet-4_5-20251217-142420
0.0013
347
726
1,073
0.0108
sonnet-4_5
null
616
529
1,145
0
0
sonnet-4_5-medrbench-oracle
0.128031
completed
medrbench-treatment
20,489.091635
medrbench-oracle
null
997
Extract the retained deciduous canines, surgically expose the transmigrated canine using an open window technique, bond a bracket for orthodontic guidance, and use TAD-supported uprighting springs and elastic forces to reposition the canine into its occlusal alignment. Follow with progressive archwire adjustments and t...
null
18,115.087509
sonnet-4_5-20251217-142420
0.0032
998
1,031
2,029
0.0138
sonnet-4_5
null
817
517
1,334
0
0
sonnet-4_5-medrbench-oracle
0.109434
completed
medrbench-treatment
25,870.07165
medrbench-oracle
null
998
Perform laparoscopic excision of endometriosis, left ureterolysis, and ureterorenoscopic dilatation of the left ureter followed by the placement of an Allium self-expandable ureteral stent.
null
15,214.102983
sonnet-4_5-20251217-142420
0.0032
1,028
794
1,822
0.0118
sonnet-4_5
null
688
494
1,182
0.5
0
sonnet-4_5-medrbench-oracle
0.201225
completed
medrbench-treatment
22,454.883337
medrbench-oracle
null
999
Administer intravenous ceftazidime and ciprofloxacin for six weeks; perform drainage of postauricular swelling with regular daily dressings; switch to oral ciprofloxacin for four additional weeks; optimize glycemic control and schedule regular multidisciplinary follow-ups.
null
15,048.587322
sonnet-4_5-20251217-142420
0.003
974
1,137
2,111
0.0135
sonnet-4_5
null
778
613
1,391
0.5
0
sonnet-4_5-medrbench-oracle
0.26536
completed
medrbench-treatment
28,631.853819
medrbench-oracle
null
1000
Administer apatinib (500-750 mg orally, daily) as first-line maintenance therapy following chemotherapy and interval debulking surgery.
null
14,537.213326
sonnet-4_5-20251217-142420
0.002
598
847
1,445
0.0113
sonnet-4_5
null
644
540
1,184
0
0
sonnet-4_5-medrbench-oracle
0.181675
completed
medrbench-treatment
19,931.727648
medrbench-oracle
null
1001
Initiate and maintain optimal medical therapy (OMT) using a combination of insulin, metformin, dapagliflozin, pioglitazone, pitavastatin, ezetimibe, omega-3 fatty acids, aspirin, olmesartan, and nifedipine to control glycemia, lipids, and blood pressure while addressing cardiovascular risks.
null
15,124.54915
sonnet-4_5-20251217-142420
0.0036
1,203
1,009
2,212
0.0135
sonnet-4_5
null
765
675
1,440
0.5
0
sonnet-4_5-medrbench-oracle
0.182152
completed
medrbench-treatment
27,863.793373
medrbench-oracle
null
1002
Perform enucleation of the cystic lesion with or without peripheral ostectomy, ensuring excision of the lesion and complete closure of the surgical site. In pediatric cases, use a conservative surgical technique to protect normal jaw development.
null
17,651.361227
sonnet-4_5-20251217-142420
0.0025
757
970
1,727
0.0161
sonnet-4_5
null
875
978
1,853
1
0
sonnet-4_5-medrbench-oracle
4.463673
completed
medrbench-treatment
24,269.055605
medrbench-oracle
null
1003
Administer intravenous antihypertensives to control severe hypertension, initiate systemic chemotherapy for metastasis control, and engage the palliative care team for symptom management and quality-of-life enhancement.
null
23,110.186338
sonnet-4_5-20251217-142420
0.0042
1,371
967
2,338
0.0188
sonnet-4_5
null
1,141
547
1,688
0.5
0
sonnet-4_5-medrbench-oracle
0.225306
completed
medrbench-treatment
32,790.278912
medrbench-oracle
null
1004
Apply a hybrid external skeletal fixation device, administer a BMP-2-loaded hydroxyapatite and gelatin biomaterial to the fracture site, and stabilize fractures with a combination of devices that minimize soft tissue damage and promote bone healing. If necessary post-healing, revise using a locking plate for further st...
null
13,494.83037
sonnet-4_5-20251217-142420
0.0018
522
794
1,316
0.01
sonnet-4_5
null
569
479
1,048
0
0
sonnet-4_5-medrbench-oracle
0.165701
completed
medrbench-treatment
20,963.702917
medrbench-oracle
null
1005
Deliver 50 Gy of proton SBRT in 5 fractions every other day to the hepatic metastases.
null
19,627.326727
sonnet-4_5-20251217-142420
0.0017
519
704
1,223
0.0153
sonnet-4_5
null
884
675
1,559
0
0
sonnet-4_5-medrbench-oracle
0.122309
completed
medrbench-treatment
26,852.333069
medrbench-oracle
null
1006
Treat the patient with a pelvic compression belt, prescribe physical therapy, and continue multimodal pain management.
null
17,027.089357
sonnet-4_5-20251217-142420
0.0005
109
796
905
0.0131
sonnet-4_5
null
751
609
1,360
1
0
sonnet-4_5-medrbench-oracle
0.18096
completed
medrbench-treatment
24,247.850418
medrbench-oracle
null
1007
Perform therapeutic leukapheresis immediately to achieve rapid leukoreduction and stabilize the patient, followed by induction chemotherapy.
null
20,327.821016
sonnet-4_5-20251217-142420
0.002
587
855
1,442
0.015
sonnet-4_5
null
884
589
1,473
1
0
sonnet-4_5-medrbench-oracle
0.90313
completed
medrbench-treatment
25,612.882137
medrbench-oracle
null
1008
Perform angular stable fixation using a dynamic hip screw (135° DHS) after fracture realignment. Supplement the surgical intervention with morselized bone allograft, demineralized bone matrix, and bone marrow concentrate to promote healing. Ensure cessation of smoking in the affected patient.
null
16,433.700323
sonnet-4_5-20251217-142420
0.0031
1,003
840
1,843
0.013
sonnet-4_5
null
766
501
1,267
0
0
sonnet-4_5-medrbench-oracle
0.163078
completed
medrbench-treatment
23,999.613047
medrbench-oracle
null
1009
Perform surgical separation of fused labia majora with midline vertical incision under spinal anesthesia, drain bladder using a 14F catheter, prescribe topical estrogen cream twice weekly for six months postoperatively, and recommend gentle vulvar care with daily warm soaks and long-term application of bland ointment. ...
null
17,118.772507
sonnet-4_5-20251217-142420
0.0024
807
910
1,717
0.0118
sonnet-4_5
null
664
618
1,282
1
0
sonnet-4_5-medrbench-oracle
0.121593
completed
medrbench-treatment
25,234.099388
medrbench-oracle
null
1010
Administer dexamethasone (intravenous high-dose corticosteroid) with initial doses of 12 mg/day for 7 days, tapering down to 4 mg/day, and provide intravenous hydration with Ringer lactate 1500 mL/day.
null
16,971.282482
sonnet-4_5-20251217-142420
0.0022
653
855
1,508
0.0139
sonnet-4_5
null
801
614
1,415
0
0
sonnet-4_5-medrbench-oracle
0.160456
completed
medrbench-treatment
25,064.711332
medrbench-oracle
null
1011
Perform a one-step transvaginal surgery to isolate and repair the vesicovaginal fistula and perform anterior colporrhaphy to correct the associated grade III cystocele.
null
17,870.455265
sonnet-4_5-20251217-142420
0.0016
456
966
1,422
0.0128
sonnet-4_5
null
745
551
1,296
1
0
sonnet-4_5-medrbench-oracle
0.295639
completed
medrbench-treatment
21,948.58861
medrbench-oracle
null
1012
Enhance management by utilizing protective measures, engaging in low-impact physical therapy, monitoring cardiovascular health regularly, and administering antihypertensive therapy as prescribed.
null
21,902.328491
sonnet-4_5-20251217-142420
0.0023
660
1,214
1,874
0.0179
sonnet-4_5
null
1,051
723
1,774
1
0
sonnet-4_5-medrbench-oracle
0.171185
completed
medrbench-treatment
26,436.633587
medrbench-oracle
null
1013
Administer multimodal treatment including systemic chemotherapy, surgical resection for debulking, and peptide receptor radionuclide therapy (Lu-PRRT) tailored to receptor-positive disease components.
null
18,560.662508
sonnet-4_5-20251217-142420
0.0038
1,233
822
2,055
0.0142
sonnet-4_5
null
808
684
1,492
0.5
0
sonnet-4_5-medrbench-oracle
0.136614
completed
medrbench-treatment
28,006.291151
medrbench-oracle
null
1014
Perform carotid endarterectomy with bovine pericardial patch angioplasty, complemented by preemptive shunting of the persistent hypoglossal artery and intraoperative electroencephalogram monitoring.
null
18,858.82473
sonnet-4_5-20251217-142420
0.0027
828
798
1,626
0.0137
sonnet-4_5
null
802
568
1,370
0
0
sonnet-4_5-medrbench-oracle
0.170946
completed
medrbench-treatment
26,143.602371
medrbench-oracle
null
1015
Place nine basal implants in the mandible and utilize a strategic combination of four basal, three pterygoid, and one zygomatic basal implants in the maxilla to rehabilitate the full mouth, followed by immediate loading with a fixed prosthesis.
null
12,760.098696
sonnet-4_5-20251217-142420
0.002
627
759
1,386
0.0082
sonnet-4_5
null
465
396
861
0
0
sonnet-4_5-medrbench-oracle
0.121593
completed
medrbench-treatment
20,084.249496
medrbench-oracle
null
1016
Proceed with scleral patch graft surgery to address progressive necrotizing scleritis.
null
15,969.213247
sonnet-4_5-20251217-142420
0.0017
488
842
1,330
0.0125
sonnet-4_5
null
689
729
1,418
1
0
sonnet-4_5-medrbench-oracle
0.353336
completed
medrbench-treatment
20,478.29628
medrbench-oracle
null
1017
Perform antibiotic therapy, administer extractions, execute gingivectomy and gingivoplasty to excise gingival overgrowth, and conduct osteoplasty to reshape supporting bone followed by ridge preservation for future oral rehabilitation.
null
16,761.768341
sonnet-4_5-20251217-142420
0.0042
1,385
969
2,354
0.0129
sonnet-4_5
null
755
518
1,273
0.5
0
sonnet-4_5-medrbench-oracle
0.105619
completed
medrbench-treatment
30,579.726934
medrbench-oracle
null
1018
Perform PCI with intravascular imaging-guided stent placement to restore coronary blood flow, manage dissection, and address thrombus-related complications. Administer dual antiplatelet therapy (e.g., aspirin and ticagrelor) and optimize medical therapy for hypertension and depression.
null
18,328.2094
sonnet-4_5-20251217-142420
0.0017
524
841
1,365
0.014
sonnet-4_5
null
830
525
1,355
0.5
0
sonnet-4_5-medrbench-oracle
0.187159
completed
medrbench-treatment
34,320.465565
medrbench-oracle
null
1019
Perform surgical debridement and lavage with prosthesis retention, initiate high-dose targeted antibiotics pending microbiological confirmation, and administer 12 weeks of levofloxacin.
null
16,534.084558
sonnet-4_5-20251217-142420
0.0009
304
827
1,131
0.0141
sonnet-4_5
null
810
653
1,463
0.5
0
sonnet-4_5-medrbench-oracle
0.263214
completed
medrbench-treatment
27,419.580936
medrbench-oracle
null
1020
Begin treatment with high-dose glucocorticoids (intravenous methylprednisolone 500 mg once daily for 3 days, followed by oral prednisone 60 mg daily), initiate rituximab therapy, and implement standard heart failure medications (spironolactone, losartan, metoprolol). After remission, use avacopan for maintenance while ...
null
14,985.844851
sonnet-4_5-20251217-142420
0.0013
453
1,015
1,468
0.0133
sonnet-4_5
null
728
779
1,507
1
0
sonnet-4_5-medrbench-oracle
0.11754
completed
medrbench-treatment
24,310.940027
medrbench-oracle
null
1021
Administer high-flow 100% oxygen therapy using a non-rebreather mask at 15 L/min, initiate empirical antibiotics to cover possible necrotizing fasciitis, and start therapeutic anticoagulation with heparin.
null
13,462.608576
sonnet-4_5-20251217-142420
0.0022
712
810
1,522
0.0098
sonnet-4_5
null
531
609
1,140
0
0
sonnet-4_5-medrbench-oracle
0.120878
completed
medrbench-treatment
20,371.850967
medrbench-oracle
null
1022
Administer broad-spectrum and culture-targeted antibiotics to manage the Salmonella epididymo-orchitis and closely monitor the patient's clinical and laboratory progress.
null
18,191.623926
sonnet-4_5-20251217-142420
0.0023
718
817
1,535
0.0155
sonnet-4_5
null
882
759
1,641
1
0
sonnet-4_5-medrbench-oracle
0.127554
completed
medrbench-treatment
25,915.846109
medrbench-oracle
null
1023
Perform open cystectomy and partial pericystectomy with application of a scolicidal agent and prescribe pre- and post-operative Albendazole therapy.
null
17,874.259233
sonnet-4_5-20251217-142420
0.0018
543
860
1,403
0.0145
sonnet-4_5
null
843
617
1,460
1
0
sonnet-4_5-medrbench-oracle
0.172138
completed
medrbench-treatment
22,017.116547
medrbench-oracle
null
1024
Proceed with surgical resection and anastomosis using goal-directed fluid therapy and vigilant hemodynamic monitoring to maintain preload, afterload, and sinus rhythm.
null
26,336.695433
sonnet-4_5-20251217-142420
0.0017
463
1,142
1,605
0.0193
sonnet-4_5
null
1,158
629
1,787
1
0
sonnet-4_5-medrbench-oracle
0.163794
completed
medrbench-treatment
30,075.036287
medrbench-oracle
null
1025
Administer an infusion cycle of zoledronic acid over three consecutive days, followed by corrective osteotomy and internal fixation using Fassier-Duval rods for the femur and tibia.
null
14,440.707922
sonnet-4_5-20251217-142420
0.0024
809
761
1,570
0.0105
sonnet-4_5
null
592
528
1,120
1
0
sonnet-4_5-medrbench-oracle
0.185966
completed
medrbench-treatment
28,196.021795
medrbench-oracle
null
1026
s For both cases, perform surgical excision of the seminal vesicle cyst, manage associated abnormalities laparoscopically, and consider robotic assistance where applicable.
null
33,402.37236
sonnet-4_5-20251217-142420
0.0017
521
804
1,325
0.0168
sonnet-4_5
null
938
894
1,832
1
0
sonnet-4_5-medrbench-oracle
0.165224
completed
medrbench-treatment
38,804.573059
medrbench-oracle
null
1027
Perform microsurgical clipping of the superior cerebellar artery aneurysm using a left-sided occipito-parietal far-lateral approach.
null
14,784.163237
sonnet-4_5-20251217-142420
0.003
929
717
1,646
0.0119
sonnet-4_5
null
658
672
1,330
0
0
sonnet-4_5-medrbench-oracle
0.17786
completed
medrbench-treatment
22,557.445049
medrbench-oracle
null
1028
Perform laparoscopic bilateral high ligation of the processus vaginalis to resolve the condition and prevent further recurrence.
null
14,075.949192
sonnet-4_5-20251217-142420
0.0013
387
687
1,074
0.0103
sonnet-4_5
null
599
441
1,040
1
0
sonnet-4_5-medrbench-oracle
0.129223
completed
medrbench-treatment
21,068.42947
medrbench-oracle
null
1029
Use dexmedetomidine with ketamine for anesthesia, ensure hemodynamic stability, avoid hypoglycemia and hypothermia, and maintain vigilant perioperative monitoring, especially of glucose levels, body temperature, and cardiopulmonary status.
null
21,941.309929
sonnet-4_5-20251217-142420
0.0021
610
1,036
1,646
0.0159
sonnet-4_5
null
968
473
1,441
1
0
sonnet-4_5-medrbench-oracle
0.181913
completed
medrbench-treatment
27,904.260397
medrbench-oracle
null
1030
Perform six sessions of CT-guided intralesional doxycycline ablation at intervals of 2–3 months.
null
17,817.517281
sonnet-4_5-20251217-142420
0.0021
637
768
1,405
0.0127
sonnet-4_5
null
715
660
1,375
0
0
sonnet-4_5-medrbench-oracle
0.997782
completed
medrbench-treatment
23,353.826523
medrbench-oracle
null
1031
Perform segmental mandibulectomy, neck dissection, mandibular reconstruction, and initiate adjuvant chemoradiotherapy (66 Gy/33 fractions combined with weekly cisplatin at 40 mg/m² for six cycles).
null
16,347.204447
sonnet-4_5-20251217-142420
0.0043
1,441
846
2,287
0.0127
sonnet-4_5
null
734
566
1,300
0.5
0
sonnet-4_5-medrbench-oracle
0.109911
completed
medrbench-treatment
31,099.336147