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float64
-826.31
4.07M
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225 values
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4.07M
medrbench-oracle
null
1032
Perform a staged right-to-left carotid-bypass followed by thoracic endovascular aortic repair (TEVAR) using a GOREⓇ TAGⓇ Thoracic Branch Endoprosthesis for zone 1 proximal landing and LSA stenting.
null
17,087.252855
sonnet-4_5-20251217-142420
0.0043
1,440
813
2,253
0.0128
sonnet-4_5
null
747
520
1,267
0
0
sonnet-4_5-medrbench-oracle
0.154972
completed
medrbench-treatment
27,561.777592
medrbench-oracle
null
1033
Deliver six weeks of multimodal physical therapy consisting of electrophysical agents, manual therapy, and therapeutic exercises, with sessions three times per week.
null
15,980.804682
sonnet-4_5-20251217-142420
0.0022
691
794
1,485
0.0115
sonnet-4_5
null
647
589
1,236
0.5
0
sonnet-4_5-medrbench-oracle
0.130892
completed
medrbench-treatment
21,298.745632
medrbench-oracle
null
1034
Perform circular hemorrhoidectomy with mucosal bridges under general anesthesia, preceded by anal dilation and supported by postoperative antibiotics and analgesia.
null
13,372.7386
sonnet-4_5-20251217-142420
0.0014
376
755
1,131
0.0095
sonnet-4_5
null
559
369
928
0
0
sonnet-4_5-medrbench-oracle
0.137806
completed
medrbench-treatment
17,366.266251
medrbench-oracle
null
1035
Initiate anti-osteoclast therapy with oral alendronate 70 mg weekly or subcutaneous denosumab 60 mg every six months to stabilize choroidal osteoma progression.
null
15,689.100981
sonnet-4_5-20251217-142420
0.0028
846
815
1,661
0.0132
sonnet-4_5
null
709
854
1,563
0
0
sonnet-4_5-medrbench-oracle
0.183821
completed
medrbench-treatment
33,044.882298
medrbench-oracle
null
1036
Treat the patient with intravenous ceftriaxone, manage sepsis by addressing fluid imbalances with IV fluids, provide supplemental oxygen, monitor renal function conservatively, and ensure detailed outpatient follow-up with urology within two weeks.
null
16,800.086021
sonnet-4_5-20251217-142420
0.0034
1,070
1,016
2,086
0.0127
sonnet-4_5
null
712
676
1,388
0
0
sonnet-4_5-medrbench-oracle
0.102997
completed
medrbench-treatment
24,918.440342
medrbench-oracle
null
1037
Advise the patient to modify dietary liquid consistency (e.g., use thickening agents) and schedule regular follow-up for monitoring symptom progression and nutritional status.
null
14,725.307941
sonnet-4_5-20251217-142420
0.0016
457
703
1,160
0.0116
sonnet-4_5
null
642
645
1,287
0
0
sonnet-4_5-medrbench-oracle
0.170231
completed
medrbench-treatment
19,168.022633
medrbench-oracle
null
1038
Initiate treatment with a fixed 2x4 appliance incorporating brackets on maxillary incisors, molar bands on first permanent maxillary molars, and progressively adjusted nickel-titanium archwires to correct the anterior crossbite with sufficient disocclusion provided by temporary glass ionomer cement bite ramps.
null
13,968.423367
sonnet-4_5-20251217-142420
0.0008
248
851
1,099
0.0097
sonnet-4_5
null
565
402
967
1
0
sonnet-4_5-medrbench-oracle
0.163078
completed
medrbench-treatment
21,118.044615
medrbench-oracle
null
1039
Use a 175 mm stem for THA, bridging regions of cortical thickening in the subtrochanteric area.
null
18,135.607004
sonnet-4_5-20251217-142420
0.0019
595
771
1,366
0.0135
sonnet-4_5
null
772
628
1,400
1
0
sonnet-4_5-medrbench-oracle
4.394531
completed
medrbench-treatment
22,338.712454
medrbench-oracle
null
1040
Proceed with an exploratory laparotomy. Perform reduction if feasible, followed by segmental resection with primary anastomosis if a pathological lead point is identified.
null
12,657.249212
sonnet-4_5-20251217-142420
0.0021
662
702
1,364
0.0098
sonnet-4_5
null
518
667
1,185
0.5
0
sonnet-4_5-medrbench-oracle
0.155687
completed
medrbench-treatment
19,971.516371
medrbench-oracle
null
1041
Perform strabismus surgery tailored to intraoperative findings, including medial rectus resection, lateral rectus recession, and adjustments to other affected muscles (e.g., superior oblique or inferior oblique), with consideration for enhancing surgical measures where muscle degeneration or limited elasticity is obser...
null
15,437.65521
sonnet-4_5-20251217-142420
0.0029
937
901
1,838
0.0113
sonnet-4_5
null
636
575
1,211
1
0
sonnet-4_5-medrbench-oracle
0.175476
completed
medrbench-treatment
21,856.290817
medrbench-oracle
null
1042
Perform an emergency exploratory laparotomy to identify and address congenital band adhesions causing small bowel obstruction, conduct adhesiolysis of bands, resect irreparable bowel segments, and perform end-to-end anastomosis to restore bowel continuity.
null
14,071.754932
sonnet-4_5-20251217-142420
0.0013
369
830
1,199
0.0111
sonnet-4_5
null
611
655
1,266
1
0
sonnet-4_5-medrbench-oracle
0.105619
completed
medrbench-treatment
19,667.274237
medrbench-oracle
null
1043
Perform surgical excision of the mass followed by adjuvant radiotherapy.
null
12,832.782745
sonnet-4_5-20251217-142420
0.002
652
662
1,314
0.01
sonnet-4_5
null
539
634
1,173
1
0
sonnet-4_5-medrbench-oracle
0.15974
completed
medrbench-treatment
23,082.737207
medrbench-oracle
null
1044
Perform direct adhesive resin composite restorations of the peg-shaped maxillary lateral incisors using the putty index technique.
null
13,811.747551
sonnet-4_5-20251217-142420
0.0022
655
673
1,328
0.0088
sonnet-4_5
null
522
324
846
0.5
0
sonnet-4_5-medrbench-oracle
0.178814
completed
medrbench-treatment
20,359.491825
medrbench-oracle
null
1045
Initiate intermittent hemodialysis with appropriate flow rates and parameters to reduce serum phenytoin levels effectively while continuing supportive care.
null
23,485.687971
sonnet-4_5-20251217-142420
0.0008
160
1,243
1,403
0.0183
sonnet-4_5
null
1,077
703
1,780
0.5
0
sonnet-4_5-medrbench-oracle
0.115871
completed
medrbench-treatment
27,741.108418
medrbench-oracle
null
1046
Transition the patient to comfort care and facilitate palliative engagement in alignment with family goals.
null
16,720.929146
sonnet-4_5-20251217-142420
0.0013
339
830
1,169
0.012
sonnet-4_5
null
676
614
1,290
1
0
sonnet-4_5-medrbench-oracle
0.177383
completed
medrbench-treatment
21,068.369865
medrbench-oracle
null
1047
Perform bilateral modified radical mastectomy (MRM). Following surgery, prescribe targeted oral systemic therapies as appropriate for tumor receptor status.
null
17,454.869032
sonnet-4_5-20251217-142420
0.0024
794
818
1,612
0.0128
sonnet-4_5
null
701
757
1,458
0.5
0
sonnet-4_5-medrbench-oracle
0.202417
completed
medrbench-treatment
23,250.953913
medrbench-oracle
null
1048
Perform thrombectomy using a relatively large-diameter aspiration catheter guided coaxially by a micro-guidewire and microcatheter to restore blood flow in the occluded major limb of the fenestrated basilar artery.
null
14,644.898891
sonnet-4_5-20251217-142420
0.0018
586
767
1,353
0.0117
sonnet-4_5
null
664
582
1,246
1
0
sonnet-4_5-medrbench-oracle
0.1266
completed
medrbench-treatment
24,003.431559
medrbench-oracle
null
1049
Perform selective internal radiation therapy (SIRT) using Yttrium-90 resin microspheres targeted at the identified hepatic metastases.
null
11,820.774555
sonnet-4_5-20251217-142420
0.0015
450
678
1,128
0.0093
sonnet-4_5
null
495
629
1,124
0
0
sonnet-4_5-medrbench-oracle
0.308037
completed
medrbench-treatment
18,015.581369
medrbench-oracle
null
1050
Switch to a liquid levothyroxine preparation at the same dose of 175 mcg per day.
null
13,916.804075
sonnet-4_5-20251217-142420
0.0037
1,159
857
2,016
0.011
sonnet-4_5
null
604
651
1,255
0
0
sonnet-4_5-medrbench-oracle
0.184059
completed
medrbench-treatment
28,546.132088
medrbench-oracle
null
1051
Administer 5 mg of baclofen orally three times daily to address vertical nystagmus and associated symptoms.
null
14,716.897726
sonnet-4_5-20251217-142420
0.0029
923
817
1,740
0.0119
sonnet-4_5
null
671
618
1,289
0
0
sonnet-4_5-medrbench-oracle
0.120401
completed
medrbench-treatment
22,843.855381
medrbench-oracle
null
1052
Administer rituximab 500 mg intravenously weekly for four consecutive weeks, proceed with splenectomy for refractory cases, and implement supportive care including platelet transfusions, vaccination, and infection prevention.
null
16,632.402182
sonnet-4_5-20251217-142420
0.0025
796
1,007
1,803
0.0142
sonnet-4_5
null
808
699
1,507
1
0
sonnet-4_5-medrbench-oracle
0.15378
completed
medrbench-treatment
27,721.086979
medrbench-oracle
null
1053
Switch to dupilumab therapy with an initial dose of 600 mg, followed by 300 mg every other week.
null
16,342.315674
sonnet-4_5-20251217-142420
0.0019
561
757
1,318
0.0135
sonnet-4_5
null
770
645
1,415
1
0
sonnet-4_5-medrbench-oracle
0.212908
completed
medrbench-treatment
21,613.226175
medrbench-oracle
null
1054
Perform decoronation of the ankylosed maxillary right canine, followed by soft tissue augmentation and placement of a lithium disilicate ceramic cantilever bridge to achieve functional and aesthetic rehabilitation.
null
20,609.318972
sonnet-4_5-20251217-142420
0.0024
746
844
1,590
0.0159
sonnet-4_5
null
929
652
1,581
0
0
sonnet-4_5-medrbench-oracle
0.108719
completed
medrbench-treatment
26,648.225069
medrbench-oracle
null
1055
Perform enucleation of the dentigerous cyst with extraction of the second and third molars, root canal treatment on the first molar, autogenous symphyseal bone grafting, and eventual placement of an implant-supported crown for oral rehabilitation.
null
13,807.039499
sonnet-4_5-20251217-142420
0.0026
796
780
1,576
0.0111
sonnet-4_5
null
630
539
1,169
0
0
sonnet-4_5-medrbench-oracle
0.12064
completed
medrbench-treatment
28,355.540276
medrbench-oracle
null
1056
Implement a comprehensive physiotherapy program that includes ankle stretches, joint mobilization, core strengthening, hip strengthening, dynamic balance training on unstable surfaces, foot core exercises, and proprioceptive drills, and progressively increase exercise difficulty.
null
13,662.384033
sonnet-4_5-20251217-142420
0.0015
414
755
1,169
0.0095
sonnet-4_5
null
525
525
1,050
0
0
sonnet-4_5-medrbench-oracle
0.113487
completed
medrbench-treatment
18,905.285597
medrbench-oracle
null
1057
Perform bedside aspiration to remove the free intraperitoneal air under sterile conditions.
null
12,340.734482
sonnet-4_5-20251217-142420
0.0028
872
711
1,583
0.0096
sonnet-4_5
null
517
616
1,133
0
0
sonnet-4_5-medrbench-oracle
0.127316
completed
medrbench-treatment
19,076.622963
medrbench-oracle
null
1058
Administer ofatumumab subcutaneously following the dosing protocol used for multiple sclerosis (e.g., on days 1, 7, 14, 28, and every 4 weeks thereafter).
null
16,118.212461
sonnet-4_5-20251217-142420
0.0026
802
947
1,749
0.0143
sonnet-4_5
null
809
728
1,537
0
0
sonnet-4_5-medrbench-oracle
0.165939
completed
medrbench-treatment
30,238.13653
medrbench-oracle
null
1059
Perform periradicular surgery with cyst enucleation, apicoectomy, retrofill with mineral trioxide aggregate, placement of bone putty, and application of platelet-rich fibrin to repair the palatal perforation and promote bone regeneration.
null
16,374.702215
sonnet-4_5-20251217-142420
0.0028
881
817
1,698
0.0121
sonnet-4_5
null
692
585
1,277
0.5
0
sonnet-4_5-medrbench-oracle
0.124931
completed
medrbench-treatment
22,197.614193
medrbench-oracle
null
1060
Perform open surgical repair involving debridement, tubularization, peroneal groove deepening, superior peroneal retinaculum (SPR) repair, and modified Brostrom-Gould procedure.
null
15,948.655605
sonnet-4_5-20251217-142420
0.002
659
901
1,560
0.0115
sonnet-4_5
null
678
457
1,135
1
0
sonnet-4_5-medrbench-oracle
0.128031
completed
medrbench-treatment
23,526.812553
medrbench-oracle
null
1061
Perform surgical resection of the orbital granular cell tumor while preserving critical structures; consider partial tumor excision when complete resection is not feasible.
null
14,100.185394
sonnet-4_5-20251217-142420
0.0019
606
719
1,325
0.0101
sonnet-4_5
null
555
600
1,155
0.5
0
sonnet-4_5-medrbench-oracle
0.113249
completed
medrbench-treatment
26,771.398544
medrbench-oracle
null
1062
Perform open ureterolysis with resection of the retrocaval segment and uretero-ureteral anastomosis.
null
15,054.109812
sonnet-4_5-20251217-142420
0.0006
177
742
919
0.0098
sonnet-4_5
null
559
467
1,026
1
0
sonnet-4_5-medrbench-oracle
0.161648
completed
medrbench-treatment
22,108.747959
medrbench-oracle
null
1063
Perform endovascular interventions to reestablish flow to the true lumen and restore perfusion to affected branch vessels.
null
15,613.564014
sonnet-4_5-20251217-142420
0.0006
141
749
890
0.0122
sonnet-4_5
null
692
622
1,314
1
0
sonnet-4_5-medrbench-oracle
0.1719
completed
medrbench-treatment
19,115.564823
medrbench-oracle
null
1064
Administer efgartigimod at 10 mg/kg once weekly for four weeks to achieve rapid reduction in anti-HMGCR antibodies and symptom stabilization.
null
18,428.499699
sonnet-4_5-20251217-142420
0.0027
789
1,012
1,801
0.0163
sonnet-4_5
null
941
737
1,678
0
0
sonnet-4_5-medrbench-oracle
0.154495
completed
medrbench-treatment
26,591.747761
medrbench-oracle
null
1065
Follow a two-stage surgical reconstruction: perform pollicization of the third radial-most digit and selective amputation of radial-most redundant fingers in stage 1, followed by further digit refinement and reconstruction of the transverse metacarpal ligament in stage 2. Use occupational therapy postoperatively and co...
null
17,213.534117
sonnet-4_5-20251217-142420
0.0029
913
958
1,871
0.0114
sonnet-4_5
null
644
565
1,209
0.5
0
sonnet-4_5-medrbench-oracle
0.127316
completed
medrbench-treatment
24,994.75193
medrbench-oracle
null
1066
Proceed with bilateral 1.5-stage total hip arthroplasty using custom-made, antibiotic-loaded articulating spacers prepared with ceftazidime-loaded Palacos cement to ensure infection eradication and functional restoration.
null
19,134.860992
sonnet-4_5-20251217-142420
0.003
1,012
837
1,849
0.0128
sonnet-4_5
null
728
636
1,364
0.5
0
sonnet-4_5-medrbench-oracle
0.178814
completed
medrbench-treatment
29,584.401608
medrbench-oracle
null
1067
Implement a multimodal physiotherapy regimen including Lee Silverman Voice Treatment, Rhythmic Auditory Stimulation, proprioceptive neuromuscular facilitation exercises, and strength training for motor and functional improvements.
null
16,759.889603
sonnet-4_5-20251217-142420
0.0018
493
1,095
1,588
0.0129
sonnet-4_5
null
751
535
1,286
0
0
sonnet-4_5-medrbench-oracle
0.143766
completed
medrbench-treatment
27,215.664625
medrbench-oracle
null
1068
Initiate intravenous liposomal amphotericin B in combination with chemotherapy including etoposide and dexamethasone per the HLH-94 protocol. Escalate or transition to alternative antifungal regimens when adverse effects emerge.
null
20,565.177917
sonnet-4_5-20251217-142420
0.0007
173
985
1,158
0.0178
sonnet-4_5
null
1,051
666
1,717
0.5
0
sonnet-4_5-medrbench-oracle
0.127792
completed
medrbench-treatment
26,954.183578
medrbench-oracle
null
1069
Perform surgical removal of the supernumerary tooth, expose the impacted maxillary right central incisor surgically, bond an orthodontic bracket to the impacted tooth, and initiate orthodontic traction to guide the tooth into its normal position.
null
15,153.257847
sonnet-4_5-20251217-142420
0.0023
700
816
1,516
0.0104
sonnet-4_5
null
594
481
1,075
0.5
0
sonnet-4_5-medrbench-oracle
0.24724
completed
medrbench-treatment
20,565.360785
medrbench-oracle
null
1070
Administer 200 mg of testosterone cypionate intramuscularly every two weeks, and monitor hemoglobin levels regularly for anemia correction and prevention.
null
12,874.581337
sonnet-4_5-20251217-142420
0.0016
490
742
1,232
0.0113
sonnet-4_5
null
579
878
1,457
1
0
sonnet-4_5-medrbench-oracle
0.178099
completed
medrbench-treatment
18,099.040747
medrbench-oracle
null
1071
Perform left laparoscopic retroperitoneal mass resection.
null
16,362.728834
sonnet-4_5-20251217-142420
0.0018
531
809
1,340
0.0136
sonnet-4_5
null
775
664
1,439
0
0
sonnet-4_5-medrbench-oracle
0.143528
completed
medrbench-treatment
23,612.348795
medrbench-oracle
null
1072
Prescribe acyclovir 400 mg five times a day for 7 days, chlorhexidine gluconate 0.2% mouthwash twice daily, vaseline album for lip application twice daily, and a once-daily multivitamin. Educate the patient to rest adequately, maintain oral hygiene, avoid emotional stress, and minimize exposure to triggering factors.
null
15,738.735676
sonnet-4_5-20251217-142420
0.0024
760
1,082
1,842
0.0123
sonnet-4_5
null
716
512
1,228
1
0
sonnet-4_5-medrbench-oracle
0.127554
completed
medrbench-treatment
26,350.593567
medrbench-oracle
null
1073
Perform enucleation of the cystic lesion along with germinated teeth (61 and 62), reimplant tooth 21 after lesion removal, and close the surgical site. Provide postoperative care and arrange regular follow-up.
null
16,536.59606
sonnet-4_5-20251217-142420
0.0022
705
792
1,497
0.0115
sonnet-4_5
null
652
583
1,235
0
0
sonnet-4_5-medrbench-oracle
0.165224
completed
medrbench-treatment
24,119.9193
medrbench-oracle
null
1074
Initiate continuous etomidate infusion for rapid cortisol suppression combined with supportive care for seizure control and stabilize the patient for eventual chemotherapy.
null
14,182.22785
sonnet-4_5-20251217-142420
0.0017
509
828
1,337
0.0121
sonnet-4_5
null
656
762
1,418
1
0
sonnet-4_5-medrbench-oracle
0.196934
completed
medrbench-treatment
24,897.702456
medrbench-oracle
null
1075
Proceed with total hip arthroplasty using the reverse sleeve technique of the S-ROM femoral prosthesis to address the valgus trochanteric deformity and severe hip osteoarthritis.
null
15,457.213879
sonnet-4_5-20251217-142420
0.0018
546
733
1,279
0.0109
sonnet-4_5
null
607
614
1,221
0.5
0
sonnet-4_5-medrbench-oracle
0.173569
completed
medrbench-treatment
20,032.031536
medrbench-oracle
null
1076
Proceed with emergency laparotomy to repair the inferior vena cava laceration via direct suturing (venorrhaphy), perform cholecystectomy for gallbladder perforation, and repair the duodenal laceration using interrupted sutures.
null
14,789.579868
sonnet-4_5-20251217-142420
0.0007
178
818
996
0.0132
sonnet-4_5
null
745
666
1,411
1
0
sonnet-4_5-medrbench-oracle
0.239372
completed
medrbench-treatment
20,625.810862
medrbench-oracle
null
1077
Implement daily physiotherapy sessions with neurodevelopmental techniques, sensory integration therapy, and myofascial release. Encourage caregiver-implemented home-based exercises aimed at achieving developmental milestones.
null
16,147.673845
sonnet-4_5-20251217-142420
0.0028
862
925
1,787
0.0115
sonnet-4_5
null
637
644
1,281
0
0
sonnet-4_5-medrbench-oracle
0.107527
completed
medrbench-treatment
24,632.011175
medrbench-oracle
null
1078
Perform a total conservative parotidectomy with preservation of all branches of the facial nerve.
null
12,627.439737
sonnet-4_5-20251217-142420
0.0028
912
735
1,647
0.0096
sonnet-4_5
null
532
530
1,062
1
0
sonnet-4_5-medrbench-oracle
0.288963
completed
medrbench-treatment
20,216.745853
medrbench-oracle
null
1079
Perform a sleeve resection of the bronchus intermedius with intraoperative frozen section analysis to achieve disease-free margins, followed by bronchial anastomosis and reinforcement with an intercostal muscle flap.
null
12,943.860769
sonnet-4_5-20251217-142420
0.0009
290
766
1,056
0.0091
sonnet-4_5
null
522
422
944
1
0
sonnet-4_5-medrbench-oracle
0.141859
completed
medrbench-treatment
21,736.22942
medrbench-oracle
null
1080
Administer pembrolizumab in 3-week cycles and lenvatinib continuously to reduce tumor size, followed by surgical resection of the thyroid metastases once the tumor becomes operable.
null
16,560.967207
sonnet-4_5-20251217-142420
0.0023
708
802
1,510
0.0125
sonnet-4_5
null
721
546
1,267
1
0
sonnet-4_5-medrbench-oracle
0.187635
completed
medrbench-treatment
24,030.292749
medrbench-oracle
null
1081
Perform emergency open surgical repair, including extracorporeal subclavian-femoral and femoral-femoral bypass, aneurysm resection, infra-renal aortic ligation, hematoma drainage, and initiation of targeted antibiotic therapy.
null
16,198.466301
sonnet-4_5-20251217-142420
0.0027
848
929
1,777
0.0134
sonnet-4_5
null
735
783
1,518
0
0
sonnet-4_5-medrbench-oracle
4.417896
completed
medrbench-treatment
21,533.479929
medrbench-oracle
null
1082
Perform targeted radiation therapy focused on the mass obstructing the right inferior pulmonary vein to relieve venous compression and alleviate symptoms.
null
16,096.660137
sonnet-4_5-20251217-142420
0.0012
332
765
1,097
0.0125
sonnet-4_5
null
725
553
1,278
1
0
sonnet-4_5-medrbench-oracle
0.165939
completed
medrbench-treatment
20,723.218679
medrbench-oracle
null
1083
Perform transarterial chemoembolization for the HCC lesion as an initial step, followed by liver resection (left lateral lobectomy) to remove the two hepatic lesions with accompanying lymph node dissection and cholecystectomy.
null
14,114.063978
sonnet-4_5-20251217-142420
0.0026
849
760
1,609
0.0109
sonnet-4_5
null
610
594
1,204
0
0
sonnet-4_5-medrbench-oracle
0.123978
completed
medrbench-treatment
21,286.138296
medrbench-oracle
null
1084
Administer intravenous pamidronate at specified intervals to address arterial calcification, followed by transitioning to oral etidronate when enteral nutrition is established. Utilize cardiac support medications and antihypertensives as needed to manage the patient's deteriorating cardiac function and hypertension.
null
14,255.266666
sonnet-4_5-20251217-142420
0.0022
675
880
1,555
0.0106
sonnet-4_5
null
599
553
1,152
0.5
0
sonnet-4_5-medrbench-oracle
0.133991
completed
medrbench-treatment
23,441.939592
medrbench-oracle
null
1085
Perform augmented posterior urethroplasty with interposition of a gracilis muscle flap, utilizing the flap to cover the perineal defect and repair the fistula.
null
19,212.66675
sonnet-4_5-20251217-142420
0.0023
743
791
1,534
0.0141
sonnet-4_5
null
828
552
1,380
1
0
sonnet-4_5-medrbench-oracle
0.149727
completed
medrbench-treatment
24,443.498611
medrbench-oracle
null
1086
Perform excision of the mucosal overgrowth using a diode laser under local anesthesia. Prescribe postoperative medications to manage infection and inflammation.
null
12,563.249111
sonnet-4_5-20251217-142420
0.0024
799
729
1,528
0.0093
sonnet-4_5
null
523
473
996
1
0
sonnet-4_5-medrbench-oracle
0.12207
completed
medrbench-treatment
33,252.708912
medrbench-oracle
null
1087
Prescribe osimertinib 80 mg daily as a targeted therapy for leptomeningeal metastasis management.
null
17,291.115999
sonnet-4_5-20251217-142420
0.0013
377
746
1,123
0.0132
sonnet-4_5
null
742
694
1,436
1
0
sonnet-4_5-medrbench-oracle
0.2141
completed
medrbench-treatment
20,729.744911
medrbench-oracle
null
1088
Administer aqueous crystalline penicillin G intravenously, 4 million units over six hours for 14 days, followed by intramuscular benzathine penicillin G (2.4 million units) once weekly for three weeks.
null
14,401.721478
sonnet-4_5-20251217-142420
0.0037
1,251
823
2,074
0.0115
sonnet-4_5
null
653
568
1,221
0.5
0
sonnet-4_5-medrbench-oracle
0.135899
completed
medrbench-treatment
23,286.504745
medrbench-oracle
null
1089
Perform selective embolization of the left uterine artery using Gelfoam to achieve vascular stasis while preserving ovarian arterial supply.
null
14,444.289207
sonnet-4_5-20251217-142420
0.0015
526
692
1,218
0.0106
sonnet-4_5
null
570
678
1,248
1
0
sonnet-4_5-medrbench-oracle
0.165462
completed
medrbench-treatment
24,999.599934
medrbench-oracle
null
1090
Perform complete surgical removal of the bony lesion under local anesthesia, contour the alveolar ridge to restore normal anatomy, and close with sutures.
null
15,137.807846
sonnet-4_5-20251217-142420
0.0017
543
709
1,252
0.0101
sonnet-4_5
null
577
488
1,065
0.5
0
sonnet-4_5-medrbench-oracle
0.137568
completed
medrbench-treatment
20,760.164499
medrbench-oracle
null
1091
Perform left colectomy with immediate colorectal anastomosis without detorsion of the volvulated segments.
null
14,665.28511
sonnet-4_5-20251217-142420
0.0028
894
708
1,602
0.0106
sonnet-4_5
null
597
545
1,142
0
0
sonnet-4_5-medrbench-oracle
1.352072
completed
medrbench-treatment
23,009.737968
medrbench-oracle
null
1092
Perform an exploratory laparotomy and enterotomy to extract the gallstones, without a concurrent cholecystectomy, and ensure appropriate postoperative monitoring and care.
null
13,662.186146
sonnet-4_5-20251217-142420
0.0018
557
752
1,309
0.0109
sonnet-4_5
null
630
489
1,119
1
0
sonnet-4_5-medrbench-oracle
0.15521
completed
medrbench-treatment
17,986.567259
medrbench-oracle
null
1093
Administer daratumumab 16 mg/kg, bortezomib 1.7 mg/m², cyclophosphamide 0.3 g/m², and dexamethasone 20 mg on the specified schedule of the D-VCd regimen.
null
15,850.984335
sonnet-4_5-20251217-142420
0.0036
1,143
838
1,981
0.0128
sonnet-4_5
null
711
728
1,439
0.5
0
sonnet-4_5-medrbench-oracle
0.183344
completed
medrbench-treatment
27,355.876923
medrbench-oracle
null
1094
Administer mifepristone preoperatively, transfuse blood as needed, perform laparotomy with hepatic resection using the Pringle maneuver, and administer postoperative methotrexate alongside supportive care.
null
15,424.606323
sonnet-4_5-20251217-142420
0.0025
793
784
1,577
0.0121
sonnet-4_5
null
674
675
1,349
0.5
0
sonnet-4_5-medrbench-oracle
0.186682
completed
medrbench-treatment
29,695.388794
medrbench-oracle
null
1095
Discontinue leflunomide and initiate baricitinib therapy.
null
19,393.120527
sonnet-4_5-20251217-142420
0.0029
885
904
1,789
0.0154
sonnet-4_5
null
858
837
1,695
0
0
sonnet-4_5-medrbench-oracle
0.110149
completed
medrbench-treatment
26,006.072998
medrbench-oracle
null
1096
Initiate a 6-month antituberculosis treatment consisting of rifampicin, isoniazid, pyrazinamide, and ethambutol for 2 months, followed by rifampicin and isoniazid for 4 months.
null
15,893.366814
sonnet-4_5-20251217-142420
0.0018
512
949
1,461
0.0138
sonnet-4_5
null
828
463
1,291
1
0
sonnet-4_5-medrbench-oracle
0.16284
completed
medrbench-treatment
27,827.511072
medrbench-oracle
null
1097
Perform adenoidectomy and/or adenotonsillectomy with tympanostomy tube placement, along with nasal brushing for ciliary functional analysis in all three pediatric patients.
null
14,219.14506
sonnet-4_5-20251217-142420
0.0026
864
711
1,575
0.0126
sonnet-4_5
null
643
979
1,622
0
0
sonnet-4_5-medrbench-oracle
0.102282
completed
medrbench-treatment
33,723.41466
medrbench-oracle
null
1098
Use anti-BCMA bispecific antibody (Elranatamab) followed by anti-GPRC5D bispecific antibody (Talquetamab) as sequential salvage treatments when other options fail. Manage toxicities like CRS with supportive care, including Tocilizumab, as required.
null
16,218.893051
sonnet-4_5-20251217-142420
0.0016
454
928
1,382
0.0136
sonnet-4_5
null
778
651
1,429
0
0
sonnet-4_5-medrbench-oracle
0.128508
completed
medrbench-treatment
26,896.946669
medrbench-oracle
null
1099
Administer 240 mg of galcanezumab subcutaneously followed by 120 mg monthly injections as a preventive treatment.
null
17,682.276726
sonnet-4_5-20251217-142420
0.0016
485
783
1,268
0.0142
sonnet-4_5
null
850
472
1,322
0
0
sonnet-4_5-medrbench-oracle
0.121355
completed
medrbench-treatment
26,768.259048
medrbench-oracle
null
1100
Administer pembrolizumab in combination with carboplatin and paclitaxel.
null
16,151.995897
sonnet-4_5-20251217-142420
0.0017
494
771
1,265
0.0133
sonnet-4_5
null
755
658
1,413
1
0
sonnet-4_5-medrbench-oracle
0.134706
completed
medrbench-treatment
21,521.267891
medrbench-oracle
null
1101
Perform middle meningeal artery embolization (MMAE) combined with small craniotomy or burr hole perforation surgery for hematoma evacuation and drain placement.
null
15,462.730408
sonnet-4_5-20251217-142420
0.0017
524
773
1,297
0.0125
sonnet-4_5
null
694
683
1,377
0
0
sonnet-4_5-medrbench-oracle
0.160694
completed
medrbench-treatment
25,267.89093
medrbench-oracle
null
1102
Administer systemic steroids at 1 mg/kg (e.g., prednisolone) for acute symptom control and oral mesalamine at 2400 mg twice daily as maintenance therapy; consider resuming atezolizumab/bevacizumab therapy after clinical stabilization.
null
19,327.724457
sonnet-4_5-20251217-142420
0.0039
1,279
1,073
2,352
0.0162
sonnet-4_5
null
927
779
1,706
0.5
0
sonnet-4_5-medrbench-oracle
0.13566
completed
medrbench-treatment
26,841.360331
medrbench-oracle
null
1103
Proceed with adjuvant intensity-modulated proton therapy (IMPT) targeting the vaginal cuff and regional lymph nodes, supplemented with vaginal cuff brachytherapy.
null
16,557.065248
sonnet-4_5-20251217-142420
0.0014
442
780
1,222
0.0136
sonnet-4_5
null
774
662
1,436
0
0
sonnet-4_5-medrbench-oracle
0.369787
completed
medrbench-treatment
22,177.281618
medrbench-oracle
null
1104
Prepare the patient for retrograde endovascular intervention via popliteal artery access combined with aggressive wound care, infection management, and optimization of comorbid conditions.
null
16,965.341568
sonnet-4_5-20251217-142420
0.0022
698
830
1,528
0.0139
sonnet-4_5
null
781
727
1,508
1
0
sonnet-4_5-medrbench-oracle
4.824638
completed
medrbench-treatment
23,152.549982
medrbench-oracle
null
1105
Resuscitate the patient with blood transfusion and supportive care measures, including stabilization via intubation, followed by close monitoring and conservative management. If further deterioration occurs, plan for surgical or interventional radiology interventions such as vessel ligation or embolization.
null
14,101.368904
sonnet-4_5-20251217-142420
0.0021
689
780
1,469
0.0102
sonnet-4_5
null
569
568
1,137
1
0
sonnet-4_5-medrbench-oracle
0.102282
completed
medrbench-treatment
18,968.836784
medrbench-oracle
null
1106
Perform mechanical removal of larvae under topical anesthesia, followed by the administration of topical antibiotics and supportive therapy for symptom relief.
null
14,563.198328
sonnet-4_5-20251217-142420
0.0016
434
888
1,322
0.012
sonnet-4_5
null
714
439
1,153
1
0
sonnet-4_5-medrbench-oracle
0.172853
completed
medrbench-treatment
21,457.871199
medrbench-oracle
null
1107
Utilize a dose escalation protocol for cetuximab with comprehensive pre-medication and close monitoring to mitigate allergic reactions and ensure safe administration.
null
17,363.725662
sonnet-4_5-20251217-142420
0.0019
574
705
1,279
0.0131
sonnet-4_5
null
771
511
1,282
0
0
sonnet-4_5-medrbench-oracle
4.393101
completed
medrbench-treatment
33,102.581978
medrbench-oracle
null
1108
Administer intravenous ceftriaxone 2 g daily for 6 weeks; then transition to oral cefuroxime 500 mg every 12 hours.
null
17,189.791441
sonnet-4_5-20251217-142420
0.002
684
888
1,572
0.0129
sonnet-4_5
null
733
634
1,367
0.5
0
sonnet-4_5-medrbench-oracle
0.27585
completed
medrbench-treatment
26,260.274887
medrbench-oracle
null
1109
Administer anti-tuberculosis therapy consisting of isoniazid, rifampicin, pyrazinamide, and ethambutol for two weeks before surgery. Perform combined anterior and posterior spinal surgery to remove purulent lesions, necrotic bones, and leaked bone cement, decompress the spinal cord, reconstruct spinal stability with a ...
null
18,623.304129
sonnet-4_5-20251217-142420
0.0033
1,116
1,030
2,146
0.0142
sonnet-4_5
null
826
598
1,424
0.5
0
sonnet-4_5-medrbench-oracle
0.14329
completed
medrbench-treatment
31,790.575266
medrbench-oracle
null
1110
Proceed with computer-guided flapless placement of four 3D-printed titanium implants for immediate full-arch rehabilitation, ensuring torque greater than 32 Ncm and providing an immediate screw-retained provisional prosthesis. Make adjustments to eliminate cantilever stresses and optimize patient comfort.
null
14,798.774719
sonnet-4_5-20251217-142420
0.003
997
780
1,777
0.0101
sonnet-4_5
null
587
435
1,022
0.5
0
sonnet-4_5-medrbench-oracle
0.142336
completed
medrbench-treatment
23,285.163879
medrbench-oracle
null
1111
Proceed with prolonged EVLP (9+ hours) using albumin-enhanced perfusate for pulmonary edema management, combined with graft pronation, followed by bilateral lung transplantation using central veno-arterial ECMO support.
null
10,609.274149
sonnet-4_5-20251217-142420
0.0023
733
728
1,461
0.0085
sonnet-4_5
null
445
616
1,061
0.5
0
sonnet-4_5-medrbench-oracle
0.149488
completed
medrbench-treatment
16,547.41478
medrbench-oracle
null
1112
Proceed with complete surgical resection of the left suprarenal mass, preserving vascularized adrenal tissue when feasible to maintain adrenal function.
null
14,553.319216
sonnet-4_5-20251217-142420
0.0018
564
698
1,262
0.0112
sonnet-4_5
null
631
590
1,221
0.5
0
sonnet-4_5-medrbench-oracle
0.120878
completed
medrbench-treatment
19,135.159492
medrbench-oracle
null
1113
Implement a comprehensive multidisciplinary care plan, incorporating individualized PHPT interventions, nutritional counseling, pain neuroscience education, psychological therapy referrals, vaginal estrogen cream, and a home exercise/dilation program to restore pelvic function and improve the patient’s quality of life.
null
17,208.121538
sonnet-4_5-20251217-142420
0.0025
767
940
1,707
0.0141
sonnet-4_5
null
807
650
1,457
0.5
0
sonnet-4_5-medrbench-oracle
0.226498
completed
medrbench-treatment
32,882.405996
medrbench-oracle
null
1114
Stabilize the patient with VA-ECMO, initiate short-term alpha-adrenergic receptor blockade, and perform surgical resection of the paraganglioma under ECMO support.
null
17,209.25355
sonnet-4_5-20251217-142420
0.004
1,245
1,130
2,375
0.0139
sonnet-4_5
null
805
597
1,402
0.5
0
sonnet-4_5-medrbench-oracle
0.168324
completed
medrbench-treatment
27,213.926792
medrbench-oracle
null
1115
Administer intravenous ampicillin (2 g every 4 hours) for a total of 14 days to resolve the infection and clear *Leuconostoc pseudomesenteroides* bacteremia.
null
14,857.692719
sonnet-4_5-20251217-142420
0.0024
764
815
1,579
0.0129
sonnet-4_5
null
713
726
1,439
1
0
sonnet-4_5-medrbench-oracle
0.117302
completed
medrbench-treatment
21,747.803211
medrbench-oracle
null
1116
Perform emergency laparoscopic left salpingo-oophorectomy, ensuring meticulous hemostatic management intraoperatively.
null
17,559.960127
sonnet-4_5-20251217-142420
0.0007
201
748
949
0.0139
sonnet-4_5
null
769
804
1,573
1
0
sonnet-4_5-medrbench-oracle
0.166655
completed
medrbench-treatment
22,660.843372
medrbench-oracle
null
1117
Perform transurethral resection of the prostate (TURP), prescribe oral diclofenac potassium (50 mg twice daily) and oral ciprofloxacin (500 mg twice daily) for 5 days.
null
13,216.87746
sonnet-4_5-20251217-142420
0.0041
1,328
790
2,118
0.0113
sonnet-4_5
null
642
555
1,197
0.5
0
sonnet-4_5-medrbench-oracle
0.1688
completed
medrbench-treatment
23,839.655876
medrbench-oracle
null
1118
Combine neoadjuvant chemotherapy with tegafur-gimeracil-oteracil potassium, subtotal glossectomy, modified radical neck dissection, reconstructive surgery using a rectus abdominis musculocutaneous flap, and concurrent chemoradiotherapy.
null
15,760.136604
sonnet-4_5-20251217-142420
0.0025
800
825
1,625
0.0122
sonnet-4_5
null
695
587
1,282
0
0
sonnet-4_5-medrbench-oracle
0.252962
completed
medrbench-treatment
22,001.087666
medrbench-oracle
null
1119
Perform an exploratory laparotomy and Hartmann’s procedure, including proctosigmoidectomy with end colostomy, to resect the perforated sigmoid colon and remove the migrated stent.
null
16,530.440807
sonnet-4_5-20251217-142420
0.0017
504
782
1,286
0.0125
sonnet-4_5
null
700
678
1,378
1
0
sonnet-4_5-medrbench-oracle
0.121355
completed
medrbench-treatment
20,562.13665
medrbench-oracle
null
1120
Proceed with root canal treatment for affected teeth, apply standard root-crown posts and cores, design temporary composite crowns using CAD/CAM software, and fabricate using 3D printing technology. Extract non-restorable teeth and provide oral hygiene education to support future orthodontic interventions.
null
21,335.305929
sonnet-4_5-20251217-142420
0.0012
364
1,343
1,707
0.0167
sonnet-4_5
null
1,000
555
1,555
1
0
sonnet-4_5-medrbench-oracle
0.112534
completed
medrbench-treatment
32,353.824377
medrbench-oracle
null
1121
Administer lenalidomide at prescribed dosages for salvage therapy and subsequent maintenance, combined with prednisone as needed.
null
16,376.688719
sonnet-4_5-20251217-142420
0.0018
527
684
1,211
0.014
sonnet-4_5
null
780
783
1,563
0
0
sonnet-4_5-medrbench-oracle
0.156641
completed
medrbench-treatment
22,408.052206
medrbench-oracle
null
1122
Opt for nonoperative management with analgesics for pain relief as needed.
null
12,518.236399
sonnet-4_5-20251217-142420
0.0015
452
702
1,154
0.0108
sonnet-4_5
null
591
655
1,246
0
0
sonnet-4_5-medrbench-oracle
0.17333
completed
medrbench-treatment
17,005.061626
medrbench-oracle
null
1123
Start treatment with angiotensin II receptor blockers (ARBs) and diuretics for edema control, and monitor renal function and proteinuria regularly.
null
16,313.63368
sonnet-4_5-20251217-142420
0.0015
421
961
1,382
0.0147
sonnet-4_5
null
825
780
1,605
1
0
sonnet-4_5-medrbench-oracle
0.132084
completed
medrbench-treatment
20,244.376183
medrbench-oracle
null
1124
Perform laparoscopic Heller myotomy with Dor’s anterior partial fundoplication.
null
13,618.200064
sonnet-4_5-20251217-142420
0.0013
382
689
1,071
0.0113
sonnet-4_5
null
616
679
1,295
0
0
sonnet-4_5-medrbench-oracle
0.120878
completed
medrbench-treatment
18,132.282257
medrbench-oracle
null
1125
Perform open reduction and internal fixation with intramedullary interlocking nailing for both femoral shaft fractures in a single-stage procedure.
null
14,111.059666
sonnet-4_5-20251217-142420
0.0023
739
739
1,478
0.01
sonnet-4_5
null
583
414
997
0
0
sonnet-4_5-medrbench-oracle
0.137091
completed
medrbench-treatment
20,414.139986
medrbench-oracle
null
1126
Administer systemic corticosteroids followed by localized photodynamic therapy with Hiporfin to manage tumor control and alleviate immune-related adverse events.
null
20,241.837025
sonnet-4_5-20251217-142420
0.0029
892
1,065
1,957
0.0173
sonnet-4_5
null
1,023
668
1,691
0
0
sonnet-4_5-medrbench-oracle
0.152349
completed
medrbench-treatment
26,328.02248
medrbench-oracle
null
1127
Initiate broad-spectrum antibiotic therapy, perform ultrasound-guided drainage of abscesses, and proceed with endovascular stenting of the mycotic aneurysm.
null
16,301.154137
sonnet-4_5-20251217-142420
0.002
637
846
1,483
0.0133
sonnet-4_5
null
761
616
1,377
1
0
sonnet-4_5-medrbench-oracle
0.483751
completed
medrbench-treatment
21,331.461668
medrbench-oracle
null
1128
Perform anterior cervical thoracic exploration with partial sternotomy, tumor excision, C7 corpectomy, spinal cord decompression, MESH cage insertion with bone graft, anterior cervical plate fixation, and posterior fixation using lateral mass screws (C5-C6) and pedicle screws (T1-T2).
null
19,186.129808
sonnet-4_5-20251217-142420
0.0028
876
869
1,745
0.0135
sonnet-4_5
null
776
613
1,389
0
0
sonnet-4_5-medrbench-oracle
0.157356
completed
medrbench-treatment
26,160.22253
medrbench-oracle
null
1129
Manage initial DKA with insulin drip and electrolytes; treat alcohol withdrawal with benzodiazepines; administer antibiotics for MSSA bacteremia; perform T1-T3 laminectomy to drain the epidural abscess; switch antibiotics as per culture sensitivity and manage complications such as neutropenia.
null
13,790.659904
sonnet-4_5-20251217-142420
0.0011
376
862
1,238
0.0113
sonnet-4_5
null
620
661
1,281
1
0
sonnet-4_5-medrbench-oracle
0.146627
completed
medrbench-treatment
23,370.058537
medrbench-oracle
null
1130
Perform marsupialization with excision of the overlying oral mucosa, followed by curettage combined with peripheral ostectomy, Carnoy’s solution application, and removal of associated teeth with poor prognosis.
null
14,796.841145
sonnet-4_5-20251217-142420
0.0032
1,016
777
1,793
0.0107
sonnet-4_5
null
599
559
1,158
0.5
0
sonnet-4_5-medrbench-oracle
0.148058
completed
medrbench-treatment
26,240.306139
medrbench-oracle
null
1131
Perform surgical ligation of the coronary-pulmonary artery fistula and revascularization using coronary artery bypass grafting with the left internal mammary artery to the left anterior descending artery.
null
18,566.632271
sonnet-4_5-20251217-142420
0.0018
517
821
1,338
0.014
sonnet-4_5
null
823
543
1,366
1
0
sonnet-4_5-medrbench-oracle
0.13566
completed
medrbench-treatment
22,364.047766