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generation_ms
float64
-826.31
4.07M
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12 values
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float64
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225 values
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float64
-691.92
4.07M
medrbench-oracle
null
1232
Use oral propranolol (1 mg/kg/day), administer levothyroxine (9.3 μg/kg/day), and perform transarterial embolization (TAE) of the feeding artery.
null
15,344.891548
sonnet-4_5-20251217-142420
0.0025
792
830
1,622
0.0127
sonnet-4_5
null
703
725
1,428
0
0
sonnet-4_5-medrbench-oracle
0.221252
completed
medrbench-treatment
21,335.943937
medrbench-oracle
null
1233
Implement a physiotherapy regimen involving phonophoresis, kinesio taping, laser therapy, and progressive strengthening exercises tailored for wrist stability and functional recovery.
null
14,076.593399
sonnet-4_5-20251217-142420
0.0017
508
730
1,238
0.0099
sonnet-4_5
null
560
498
1,058
0
0
sonnet-4_5-medrbench-oracle
0.184059
completed
medrbench-treatment
19,180.720568
medrbench-oracle
null
1234
Start tacrolimus for nail dystrophy and apply minoxidil 5% for alopecia areata.
null
18,471.764803
sonnet-4_5-20251217-142420
0.0048
1,501
1,067
2,568
0.0148
sonnet-4_5
null
885
504
1,389
0
0
sonnet-4_5-medrbench-oracle
0.123501
completed
medrbench-treatment
51,991.502285
medrbench-oracle
null
1235
Utilize ultra-low frequency transcutaneous electric nerve stimulation (ULF-TENS) to perform physiologic impression-making for the dentures and record both the functional peripheral borders and the cameo surface of the prosthesis.
null
14,980.313778
sonnet-4_5-20251217-142420
0.0019
558
798
1,356
0.0109
sonnet-4_5
null
604
614
1,218
0
0
sonnet-4_5-medrbench-oracle
0.160217
completed
medrbench-treatment
20,152.998447
medrbench-oracle
null
1236
Administer sodium hyaluronate and diquafosol sodium eye drops, insert punctal plugs, prescribe systemic and topical antivirals, add local steroid medications, and provide comprehensive multidisciplinary care.
null
16,635.740519
sonnet-4_5-20251217-142420
0.0022
710
948
1,658
0.0148
sonnet-4_5
null
821
830
1,651
0
0
sonnet-4_5-medrbench-oracle
0.130177
completed
medrbench-treatment
22,806.620121
medrbench-oracle
null
1237
Perform transsphenoidal surgical resection of the prolactinoma.
null
12,473.521709
sonnet-4_5-20251217-142420
0.0013
365
720
1,085
0.0102
sonnet-4_5
null
570
542
1,112
1
0
sonnet-4_5-medrbench-oracle
0.126839
completed
medrbench-treatment
19,119.894981
medrbench-oracle
null
1238
Perform a central pancreatectomy with resection of the pancreatic tumor and transection of the pancreatic tail without reconstruction of the remnant pancreas.
null
17,991.75024
sonnet-4_5-20251217-142420
0.0025
788
739
1,527
0.0126
sonnet-4_5
null
733
544
1,277
0
0
sonnet-4_5-medrbench-oracle
0.493765
completed
medrbench-treatment
25,771.420717
medrbench-oracle
null
1239
Administer external beam radiotherapy to the sternum with a total dose of 30 Gy delivered in 10 fractions.
null
14,925.52495
sonnet-4_5-20251217-142420
0.002
595
766
1,361
0.0122
sonnet-4_5
null
686
626
1,312
1
0
sonnet-4_5-medrbench-oracle
0.152349
completed
medrbench-treatment
23,836.060762
medrbench-oracle
null
1240
Perform microwave ablation (MWA) of the left renal cell carcinoma using CT guidance, hydrodissection, and overlapping ablations to ensure complete tumor destruction and protection of adjacent tissues.
null
13,912.106276
sonnet-4_5-20251217-142420
0.0025
769
718
1,487
0.0118
sonnet-4_5
null
658
630
1,288
0.5
0
sonnet-4_5-medrbench-oracle
4.404306
completed
medrbench-treatment
19,510.733366
medrbench-oracle
null
1241
Implant an intrathecal drug delivery system with fentanyl for precise and continuous pain management.
null
14,379.336596
sonnet-4_5-20251217-142420
0.0013
382
699
1,081
0.0105
sonnet-4_5
null
588
550
1,138
1
0
sonnet-4_5-medrbench-oracle
0.167131
completed
medrbench-treatment
20,705.358028
medrbench-oracle
null
1242
Postpone gonadectomy until post-puberty, conduct imaging surveillance for malignancy risk, and initiate lifelong estrogen replacement therapy following gonadectomy.
null
18,358.59704
sonnet-4_5-20251217-142420
0.0042
1,336
842
2,178
0.013
sonnet-4_5
null
728
688
1,416
0.5
0
sonnet-4_5-medrbench-oracle
0.153303
completed
medrbench-treatment
38,912.988424
medrbench-oracle
null
1243
Place infra-zygomatic crest (IZC) bone screws to initiate maxillary distalization, use reverse curve of Spee in the lower arch, and flatten occlusal planes with corresponding arch wire adjustments.
null
17,208.629847
sonnet-4_5-20251217-142420
0.0042
1,359
854
2,213
0.0121
sonnet-4_5
null
671
679
1,350
0.5
0
sonnet-4_5-medrbench-oracle
0.131845
completed
medrbench-treatment
26,841.352463
medrbench-oracle
null
1244
Proceed with corrective osteotomy of the talus head, reduction and alignment of the navicular bone, fusion of the talonavicular and talocalcaneal joints, and stabilization with internal fixations involving screws and plates.
null
18,862.828255
sonnet-4_5-20251217-142420
0.002
633
815
1,448
0.0125
sonnet-4_5
null
740
451
1,191
0
0
sonnet-4_5-medrbench-oracle
0.13566
completed
medrbench-treatment
24,495.813131
medrbench-oracle
null
1245
Administer intravenous ceftazidime followed by meropenem for nine weeks, followed by oral doxycycline therapy for three months, and perform transvaginal ultrasound-guided drainage of the diverticular abscess.
null
17,393.24522
sonnet-4_5-20251217-142420
0.0007
179
835
1,014
0.0135
sonnet-4_5
null
790
565
1,355
0
0
sonnet-4_5-medrbench-oracle
0.114679
completed
medrbench-treatment
24,260.085106
medrbench-oracle
null
1246
Perform open reduction and internal fixation using a PHILOS plate and screws via the deltopectoral approach, followed by early mobilization exercises and structured physiotherapy.
null
12,619.056463
sonnet-4_5-20251217-142420
0.0017
477
699
1,176
0.0094
sonnet-4_5
null
546
417
963
0
0
sonnet-4_5-medrbench-oracle
0.225544
completed
medrbench-treatment
17,192.784548
medrbench-oracle
null
1247
Perform transcatheter occlusion of the RCA-LA coronary artery fistula using an Amplatzer Vascular Plug 4 under angiographic guidance.
null
20,878.99971
sonnet-4_5-20251217-142420
0.0018
589
737
1,326
0.0139
sonnet-4_5
null
809
590
1,399
1
0
sonnet-4_5-medrbench-oracle
0.204802
completed
medrbench-treatment
26,445.325851
medrbench-oracle
null
1248
Administer intravenous pulse methylprednisolone (1 g daily for 3 days) followed by a tapering schedule over 2 months, along with intravenous immunoglobulin (37.5 g daily for 5 days).
null
17,384.421587
sonnet-4_5-20251217-142420
0.0024
735
1,105
1,840
0.0159
sonnet-4_5
null
899
795
1,694
0
0
sonnet-4_5-medrbench-oracle
0.124454
completed
medrbench-treatment
28,726.089954
medrbench-oracle
null
1249
Stop feeding the compound feed containing copper bilysinate, administer oral or intravenous copper antagonists such as ammonium molybdate or tetrathiomolybdate, and provide blood transfusion and supportive therapy for severe anemia as indicated.
null
19,964.765072
sonnet-4_5-20251217-142420
0.0021
560
1,280
1,840
0.0144
sonnet-4_5
null
850
539
1,389
1
0
sonnet-4_5-medrbench-oracle
0.107765
completed
medrbench-treatment
26,658.967495
medrbench-oracle
null
1250
Implement osteopathic manipulative therapy together with a structured rehabilitation program that includes strengthening exercises, gait training, and fascial release over 37 sessions.
null
18,947.73221
sonnet-4_5-20251217-142420
0.0033
1,082
1,114
2,196
0.0156
sonnet-4_5
null
907
649
1,556
0.5
0
sonnet-4_5-medrbench-oracle
4.423618
completed
medrbench-treatment
30,514.777422
medrbench-oracle
null
1251
Administer tildrakizumab subcutaneously at a dose of 100 mg at weeks 0, 4, and every 12 weeks thereafter.
null
13,834.243059
sonnet-4_5-20251217-142420
0.0021
651
701
1,352
0.0108
sonnet-4_5
null
622
475
1,097
0
0
sonnet-4_5-medrbench-oracle
0.161171
completed
medrbench-treatment
19,465.037584
medrbench-oracle
null
1252
Perform an exploratory laparotomy to manually reduce herniated bowel contents, resect gangrenous ileal loops, and perform an ileo-ileal anastomosis. Close the hernia defect using appropriate sutures.
null
12,214.344501
sonnet-4_5-20251217-142420
0.0015
484
778
1,262
0.01
sonnet-4_5
null
536
648
1,184
1
0
sonnet-4_5-medrbench-oracle
0.131369
completed
medrbench-treatment
19,818.253756
medrbench-oracle
null
1253
Execute canal disinfection, followed by the application of a calcium hydroxide dressing; incorporate concentrated growth factor (CGF) into the canal as a matrix, place a mineral trioxide aggregate (MTA) apical plug, and complete canal obturation with composite restoration.
null
14,890.882969
sonnet-4_5-20251217-142420
0.002
630
769
1,399
0.0094
sonnet-4_5
null
540
435
975
0.5
0
sonnet-4_5-medrbench-oracle
0.137568
completed
medrbench-treatment
20,421.397924
medrbench-oracle
null
1254
Perform selective splenic artery embolization targeting the hemangioma’s feeding branches using Embosphere microspheres of varying sizes.
null
13,191.25247
sonnet-4_5-20251217-142420
0.0018
544
668
1,212
0.01
sonnet-4_5
null
572
466
1,038
0
0
sonnet-4_5-medrbench-oracle
0.199795
completed
medrbench-treatment
18,253.569126
medrbench-oracle
null
1255
Commence intravenous methylprednisolone for three days followed by oral prednisone (tapered dose), add mycophenolate mofetil 500 mg once daily, and administer monthly intravenous cyclophosphamide therapy at 10 mg/kg. Implement speech and swallowing therapy to address bulbar symptoms.
null
19,949.237108
sonnet-4_5-20251217-142420
0.003
954
1,026
1,980
0.0156
sonnet-4_5
null
887
775
1,662
0.5
0
sonnet-4_5-medrbench-oracle
0.127554
completed
medrbench-treatment
33,489.597082
medrbench-oracle
null
1256
Initiate an intensive physiotherapy rehabilitation program, including passive and active assisted range of motion exercises, multimodal sensory stimulation, chest physiotherapy with breathing exercises, and gradual progression to activities of daily living (ADL) training.
null
16,668.081999
sonnet-4_5-20251217-142420
0.0047
1,501
922
2,423
0.0141
sonnet-4_5
null
818
599
1,417
0.5
0
sonnet-4_5-medrbench-oracle
0.125647
completed
medrbench-treatment
28,887.516499
medrbench-oracle
null
1257
Administer 15 mg/day of upadacitinib orally and provide intravenous dexamethasone (e.g., limethason equivalent to 2.5 mg) every two weeks to manage the autoimmune flare-up effectively.
null
18,310.63056
sonnet-4_5-20251217-142420
0.0052
1,695
938
2,633
0.0149
sonnet-4_5
null
846
745
1,591
0
0
sonnet-4_5-medrbench-oracle
0.108004
completed
medrbench-treatment
39,023.192883
medrbench-oracle
null
1258
Proceed with endoscopic pancreatic stent placement, CT-guided abdominal drainage, daily peritoneal lavage, and endoscopic ultrasound-guided transgastric pseudocyst drainage.
null
12,341.547012
sonnet-4_5-20251217-142420
0.0015
452
740
1,192
0.0099
sonnet-4_5
null
541
584
1,125
0
0
sonnet-4_5-medrbench-oracle
0.138521
completed
medrbench-treatment
24,328.972816
medrbench-oracle
null
1259
Develop a kinetic-chain-oriented rehabilitation program integrating patient education, therapeutic exercises for tendon and knee joint recovery, and ergonomic modifications for occupational demands.
null
15,845.290184
sonnet-4_5-20251217-142420
0.0026
826
868
1,694
0.0118
sonnet-4_5
null
673
568
1,241
0.5
0
sonnet-4_5-medrbench-oracle
0.179529
completed
medrbench-treatment
21,360.989809
medrbench-oracle
null
1260
Perform arthroscopy-assisted extraction of loose bodies and synovectomy.
null
13,568.542004
sonnet-4_5-20251217-142420
0.0015
456
706
1,162
0.0101
sonnet-4_5
null
566
536
1,102
1
0
sonnet-4_5-medrbench-oracle
0.138044
completed
medrbench-treatment
18,234.192848
medrbench-oracle
null
1261
Insert a Double J (DJ) stent and perform percutaneous drainage of the urinoma.
null
18,095.684528
sonnet-4_5-20251217-142420
0.0014
405
710
1,115
0.0136
sonnet-4_5
null
795
572
1,367
1
0
sonnet-4_5-medrbench-oracle
0.173569
completed
medrbench-treatment
21,790.314913
medrbench-oracle
null
1262
Administer intravenous acyclovir (350 mg three times daily) combined with oral prednisolone (60 mg daily), administer intravitreal ganciclovir injections (2 mg per dose), perform prophylactic laser retinopexy in the right eye, and manage diabetic retinopathy in the left eye with panretinal photocoagulation.
null
18,546.033859
sonnet-4_5-20251217-142420
0.001
296
1,088
1,384
0.015
sonnet-4_5
null
856
718
1,574
1
0
sonnet-4_5-medrbench-oracle
4.385948
completed
medrbench-treatment
26,872.867584
medrbench-oracle
null
1263
Administer von Willebrand factor (Humate-P) preoperatively, perform thoracic medial branch blocks followed immediately by bilateral T6-8 radiofrequency ablations, and administer a second dose of Humate-P postoperatively.
null
14,238.223553
sonnet-4_5-20251217-142420
0.0024
753
743
1,496
0.0101
sonnet-4_5
null
595
376
971
0.5
0
sonnet-4_5-medrbench-oracle
0.117064
completed
medrbench-treatment
24,245.188713
medrbench-oracle
null
1264
Initiate V-A ECMO to provide mechanical circulatory support, and engage a multidisciplinary team to manage complications and finalize the diagnosis of the mediastinal mass.
null
13,857.454538
sonnet-4_5-20251217-142420
0.002
690
766
1,456
0.0113
sonnet-4_5
null
612
694
1,306
1
0
sonnet-4_5-medrbench-oracle
0.124931
completed
medrbench-treatment
24,894.085169
medrbench-oracle
null
1265
Perform laparoscopic excision of the colonic lipoma, closing the anterior colonic wall incision with sutures and performing a negative leak test to ensure colon integrity.
null
11,767.578125
sonnet-4_5-20251217-142420
0.0029
933
715
1,648
0.0093
sonnet-4_5
null
517
509
1,026
0.5
0
sonnet-4_5-medrbench-oracle
0.163078
completed
medrbench-treatment
19,758.919239
medrbench-oracle
null
1266
Start the standard anti-tubercular therapy regimen with a 2-month intensive phase of rifampicin, isoniazid, ethambutol, and pyrazinamide, followed by a 4-month continuation phase with rifampicin and isoniazid; immobilize the wrist with a splint and initiate physiotherapy during treatment as tolerated.
null
18,749.050379
sonnet-4_5-20251217-142420
0.0024
767
1,011
1,778
0.0155
sonnet-4_5
null
894
683
1,577
0.5
0
sonnet-4_5-medrbench-oracle
0.163078
completed
medrbench-treatment
28,847.58997
medrbench-oracle
null
1267
Initiate blood and platelet transfusions, administer IV methylprednisolone, a subcutaneous dose of romiplostim, and an intramuscular injection of leuprolide acetate while monitoring vitals and imaging closely to assess the need for surgical intervention.
null
16,815.606833
sonnet-4_5-20251217-142420
0.0042
1,471
985
2,456
0.0145
sonnet-4_5
null
828
687
1,515
0.5
0
sonnet-4_5-medrbench-oracle
0.128031
completed
medrbench-treatment
42,052.961349
medrbench-oracle
null
1268
- Case 1: Construct and use a posterior bite plane with a Z-spring; activate weekly to labialize the incisor. - Case 2: Fabricate and cement Catlan’s appliance to the mandibular incisors and monitor weekly. - Case 3: Attach 2x4 fixed orthodontic brackets with Ni-Ti archwires and place composite material for bite elevat...
null
19,026.524782
sonnet-4_5-20251217-142420
0.0041
1,345
963
2,308
0.0142
sonnet-4_5
null
798
735
1,533
0
0
sonnet-4_5-medrbench-oracle
0.20957
completed
medrbench-treatment
28,523.814917
medrbench-oracle
null
1269
Perform open drainage of the maxillary and frontal sinuses under general anesthesia with nasal endoscopy, administer vancomycin and meropenem as combined intravenous antibiotic therapy, and subsequently transition to oral linezolid therapy.
null
15,070.691824
sonnet-4_5-20251217-142420
0.0029
932
962
1,894
0.0129
sonnet-4_5
null
748
563
1,311
0.5
0
sonnet-4_5-medrbench-oracle
0.177622
completed
medrbench-treatment
22,238.249302
medrbench-oracle
null
1270
Implement the double stenting technique by first placing an uncovered esophageal stent, allowing tumor ingrowth for stabilization, followed by inserting a fully covered stent of the same size to secure the fistula closure, and fix the stents proximally with hemostatic clips.
null
15,762.532949
sonnet-4_5-20251217-142420
0.0034
1,077
925
2,002
0.0136
sonnet-4_5
null
754
778
1,532
0.5
0
sonnet-4_5-medrbench-oracle
0.176907
completed
medrbench-treatment
23,383.740425
medrbench-oracle
null
1271
Proceed with surgical reconstruction using negative pressure wound therapy, spiral full-thickness skin grafts harvested from the inner thigh, and nanofat grafting on the penile surface.
null
18,078.38583
sonnet-4_5-20251217-142420
0.0024
755
773
1,528
0.0127
sonnet-4_5
null
744
499
1,243
0
0
sonnet-4_5-medrbench-oracle
0.135183
completed
medrbench-treatment
24,541.144371
medrbench-oracle
null
1272
Perform an off-pump esophageal division with repair of the fistula, avoiding cardiopulmonary bypass.
null
17,059.365749
sonnet-4_5-20251217-142420
0.0027
933
785
1,718
0.0134
sonnet-4_5
null
764
660
1,424
1
0
sonnet-4_5-medrbench-oracle
4.372358
completed
medrbench-treatment
33,844.000816
medrbench-oracle
null
1273
Perform distal pancreatectomy, splenectomy, and celiac lymph node dissection followed by adjuvant chemotherapy.
null
16,208.245277
sonnet-4_5-20251217-142420
0.0019
603
725
1,328
0.0145
sonnet-4_5
null
814
761
1,575
1
0
sonnet-4_5-medrbench-oracle
0.115633
completed
medrbench-treatment
20,838.205576
medrbench-oracle
null
1274
Extract the discolored primary canine and impacted permanent maxillary canine, immediately place a dental implant in conjunction with bone grafting, and subsequently rehabilitate with a prosthetic restoration.
null
14,388.52644
sonnet-4_5-20251217-142420
0.0019
608
750
1,358
0.0104
sonnet-4_5
null
611
422
1,033
0.5
0
sonnet-4_5-medrbench-oracle
0.151634
completed
medrbench-treatment
19,974.196434
medrbench-oracle
null
1275
Perform open surgical removal of hepatic hydatid cysts with aspiration, instillation of hypertonic saline, daughter cyst removal, and marsupialization; continue albendazole therapy preoperatively and postoperatively.
null
23,912.915468
sonnet-4_5-20251217-142420
0.002
598
815
1,413
0.0171
sonnet-4_5
null
988
773
1,761
1
0
sonnet-4_5-medrbench-oracle
0.297546
completed
medrbench-treatment
30,175.957441
medrbench-oracle
null
1276
Perform CGF-based coronal pulpotomy. Use rubber dam isolation, administer local anesthesia, excavate caries, and control bleeding. Apply CGF membrane over the pulpal exposure area, cover with 2 mm MTA, and place a temporary restoration with glass-ionomer cement (GIC). Follow up with a final composite restoration within...
null
15,776.786327
sonnet-4_5-20251217-142420
0.0031
941
990
1,931
0.014
sonnet-4_5
null
800
663
1,463
0
0
sonnet-4_5-medrbench-oracle
0.259161
completed
medrbench-treatment
24,111.670256
medrbench-oracle
null
1277
Perform laparoscopic excision of peritoneal cysts, cystectomy for bilateral endometriomas, and excision of deep infiltrating endometriosis with bowel shaving under multidisciplinary expertise.
null
17,789.019108
sonnet-4_5-20251217-142420
0.002
611
861
1,472
0.0133
sonnet-4_5
null
770
587
1,357
0.5
0
sonnet-4_5-medrbench-oracle
4.675865
completed
medrbench-treatment
39,129.398108
medrbench-oracle
null
1278
Continue conservative management with steroids, serial imaging, and maternal-fetal monitoring; perform elective cesarean section at 37 weeks. Avoid adrenalectomy unless condition deteriorates.
null
16,061.830759
sonnet-4_5-20251217-142420
0.0019
617
885
1,502
0.0129
sonnet-4_5
null
733
644
1,377
1
0
sonnet-4_5-medrbench-oracle
0.149012
completed
medrbench-treatment
30,325.580597
medrbench-oracle
null
1279
Initiate treatment with ceftriaxone and meropenem to address multidrug-resistant *Escherichia coli* infection, and plan for follow-up with antimicrobial step-down therapy based on susceptibility testing and clinical improvement.
null
18,555.12929
sonnet-4_5-20251217-142420
0.0025
777
1,056
1,833
0.0151
sonnet-4_5
null
876
657
1,533
1
0
sonnet-4_5-medrbench-oracle
0.170469
completed
medrbench-treatment
25,976.009607
medrbench-oracle
null
1280
Perform a complete surgical excision of the large vulvar epidermal cyst with careful dissection to avoid complications.
null
12,855.189562
sonnet-4_5-20251217-142420
0.0016
538
672
1,210
0.0097
sonnet-4_5
null
545
504
1,049
1
0
sonnet-4_5-medrbench-oracle
0.141859
completed
medrbench-treatment
21,635.074615
medrbench-oracle
null
1281
Prescribe intravenous antibiotics (initial amoxicillin/sulbactam, followed by vancomycin and cefepime), initiate antiplatelet therapy, administer osmotherapy with mannitol to lower intracranial pressure, and plan mastoidectomy for definitive infection control post-acute stabilization.
null
18,592.983246
sonnet-4_5-20251217-142420
0.0026
863
1,101
1,964
0.015
sonnet-4_5
null
879
605
1,484
0.5
0
sonnet-4_5-medrbench-oracle
0.162363
completed
medrbench-treatment
33,999.000311
medrbench-oracle
null
1282
Proceed with fluoroscopy-free radiofrequency catheter ablation of the premature ventricular beat originating from the trabeculae carneae of the right ventricle using ultrasound and three-dimensional mapping for guidance.
null
15,665.787697
sonnet-4_5-20251217-142420
0.003
971
772
1,743
0.0107
sonnet-4_5
null
610
533
1,143
0
0
sonnet-4_5-medrbench-oracle
0.131369
completed
medrbench-treatment
22,605.196953
medrbench-oracle
null
1283
Perform open surgical repair of the inguinoscrotal hernia using the Lichtenstein technique, reduce the herniated bladder, place a mesh to prevent recurrence, and drain and evert the left hydrocele sac.
null
14,729.751825
sonnet-4_5-20251217-142420
0.0007
190
805
995
0.011
sonnet-4_5
null
599
677
1,276
1
0
sonnet-4_5-medrbench-oracle
1.720905
completed
medrbench-treatment
17,875.921726
medrbench-oracle
null
1284
Perform a palliative Blalock-Taussig shunt (BTS) surgery followed by definitive Réparation à l'Ètage Ventriculaire (REV) repair surgery at the appropriate timelines.
null
16,423.922062
sonnet-4_5-20251217-142420
0.0016
456
803
1,259
0.0142
sonnet-4_5
null
795
768
1,563
1
0
sonnet-4_5-medrbench-oracle
0.191689
completed
medrbench-treatment
21,334.486008
medrbench-oracle
null
1285
Perform arthroscopic lesion clearance of the calcified deposit in the medial collateral ligament under general anesthesia, followed by pathological confirmation of the lesion and early postoperative rehabilitation.
null
14,196.556568
sonnet-4_5-20251217-142420
0.0018
566
800
1,366
0.0108
sonnet-4_5
null
608
545
1,153
1
0
sonnet-4_5-medrbench-oracle
0.150204
completed
medrbench-treatment
20,833.671331
medrbench-oracle
null
1286
Perform a single-stage surgical resection involving hysterectomy, vascular tumor excision, and removal of IVL under extracorporeal circulation.
null
14,842.0825
sonnet-4_5-20251217-142420
0.0019
608
824
1,432
0.0124
sonnet-4_5
null
699
625
1,324
1
0
sonnet-4_5-medrbench-oracle
0.168324
completed
medrbench-treatment
22,829.737663
medrbench-oracle
null
1287
Continue conservative management with daily clopidogrel and regularly scheduled imaging follow-ups.
null
13,882.879019
sonnet-4_5-20251217-142420
0.002
633
759
1,392
0.0108
sonnet-4_5
null
597
624
1,221
1
0
sonnet-4_5-medrbench-oracle
0.11754
completed
medrbench-treatment
24,581.650734
medrbench-oracle
null
1288
Perform surgical repair using fibrin glue to seal the thoracic duct leakage and transplant a free omental flap through minimally invasive trans-umbilical laparotomy to obliterate the lymphocele cavity.
null
13,319.856644
sonnet-4_5-20251217-142420
0.0027
833
764
1,597
0.0101
sonnet-4_5
null
535
708
1,243
0
0
sonnet-4_5-medrbench-oracle
0.123501
completed
medrbench-treatment
35,318.118095
medrbench-oracle
null
1289
Initiate a comprehensive chest physiotherapy protocol, incorporating coughing techniques, postural drainage, breathing exercises, thoracic expansion exercises, and early mobilization strategies.
null
14,703.840494
sonnet-4_5-20251217-142420
0.0014
404
948
1,352
0.0126
sonnet-4_5
null
737
522
1,259
1
0
sonnet-4_5-medrbench-oracle
0.680923
completed
medrbench-treatment
32,652.531147
medrbench-oracle
null
1290
Perform wide local excision with pre-surgical optimization to control sepsis, followed by abdominoperineal resection (APR) with fasciocutaneous flap reconstruction, and consider radiotherapy for recurrent disease.
null
13,296.715498
sonnet-4_5-20251217-142420
0.0024
811
771
1,582
0.0103
sonnet-4_5
null
584
505
1,089
1
0
sonnet-4_5-medrbench-oracle
0.158548
completed
medrbench-treatment
22,578.340054
medrbench-oracle
null
1291
Initiate targeted antibiotic therapy with vancomycin, repair the dural tear surgically with appropriate closure techniques, and manage discitis with transforaminal lumbar interbody fusion (TLIF).
null
15,423.171043
sonnet-4_5-20251217-142420
0.0025
789
833
1,622
0.0125
sonnet-4_5
null
737
496
1,233
0.5
0
sonnet-4_5-medrbench-oracle
0.19002
completed
medrbench-treatment
21,116.928577
medrbench-oracle
null
1292
Administer intravenous normal saline hydration, loop diuretics, calcitonin injections, intravenous zoledronic acid, and consider glucocorticoids; initiate hemodialysis with a low-calcium dialysate if pharmacologic therapies fail.
null
20,505.099297
sonnet-4_5-20251217-142420
0.0028
869
1,009
1,878
0.0161
sonnet-4_5
null
943
636
1,579
0
0
sonnet-4_5-medrbench-oracle
0.116348
completed
medrbench-treatment
28,245.026112
medrbench-oracle
null
1293
Initiate glyburide at 2.5 mg once daily, with gradual tapering and discontinuation of insulin under glucose-monitoring guidance.
null
14,610.122919
sonnet-4_5-20251217-142420
0.0015
426
845
1,271
0.0112
sonnet-4_5
null
625
600
1,225
0
0
sonnet-4_5-medrbench-oracle
0.169516
completed
medrbench-treatment
19,848.678589
medrbench-oracle
null
1294
Perform a hymenectomy with a cruciate incision technique followed by suction evacuation.
null
13,643.261433
sonnet-4_5-20251217-142420
0.0018
525
695
1,220
0.0102
sonnet-4_5
null
580
492
1,072
0
0
sonnet-4_5-medrbench-oracle
0.195265
completed
medrbench-treatment
19,013.421774
medrbench-oracle
null
1295
Perform a personalized Two-Step Lamellar Keratoplasty (LK), including posterior lamellar graft implantation followed by anterior lamellar graft transplantation using the same donor tissue.
null
15,898.181915
sonnet-4_5-20251217-142420
0.0026
811
708
1,519
0.0108
sonnet-4_5
null
596
633
1,229
0
0
sonnet-4_5-medrbench-oracle
0.221968
completed
medrbench-treatment
23,783.646107
medrbench-oracle
null
1296
Perform endovascular embolization of uterine arteries followed by operative hysteroscopy to remove trophoblastic retention.
null
14,345.268726
sonnet-4_5-20251217-142420
0.002
642
718
1,360
0.0107
sonnet-4_5
null
596
575
1,171
1
0
sonnet-4_5-medrbench-oracle
0.128746
completed
medrbench-treatment
19,467.911243
medrbench-oracle
null
1297
Monitor the patients conservatively, adjust device programming as needed, and provide symptomatic support to maintain quality of life during the observation period.
null
18,194.682598
sonnet-4_5-20251217-142420
0.0016
441
988
1,429
0.0131
sonnet-4_5
null
751
626
1,377
1
0
sonnet-4_5-medrbench-oracle
0.111341
completed
medrbench-treatment
24,260.218143
medrbench-oracle
null
1298
Perform an endoscopic excision of the external auditory canal osteoma and associated canal wall cholesteatoma under general anesthesia, with thorough debridement of granulation tissue and keratin debris while preserving the tympanic membrane.
null
14,135.737896
sonnet-4_5-20251217-142420
0.0022
745
791
1,536
0.0115
sonnet-4_5
null
633
684
1,317
1
0
sonnet-4_5-medrbench-oracle
0.097752
completed
medrbench-treatment
22,323.346615
medrbench-oracle
null
1299
Perform laparoscopic cholecystectomy to remove the ischemic gallbladder and administer perioperative antibiotics.
null
12,697.827578
sonnet-4_5-20251217-142420
0.0016
568
666
1,234
0.0109
sonnet-4_5
null
597
647
1,244
0.5
0
sonnet-4_5-medrbench-oracle
0.138283
completed
medrbench-treatment
22,906.339645
medrbench-oracle
null
1300
Perform treatment with a Forsus fixed functional appliance combined with fixed mechanotherapy using MBT brackets in a non-extraction plan to correct mandibular retrusion and attain Class I canine and molar relationship.
null
14,109.712601
sonnet-4_5-20251217-142420
0.0021
639
786
1,425
0.0096
sonnet-4_5
null
545
477
1,022
0
0
sonnet-4_5-medrbench-oracle
0.169039
completed
medrbench-treatment
19,817.711592
medrbench-oracle
null
1301
Initiate intravenous liposomal amphotericin B at 3 mg/kg daily, transition to oral itraconazole 200 mg twice daily after stabilization for long-term management, and discontinue proton pump inhibitors to optimize itraconazole absorption.
null
15,842.312813
sonnet-4_5-20251217-142420
0.0053
1,773
865
2,638
0.0134
sonnet-4_5
null
734
794
1,528
1
0
sonnet-4_5-medrbench-oracle
0.195742
completed
medrbench-treatment
47,883.276224
medrbench-oracle
null
1302
Prescribe a hypoallergenic extruded dry food diet (e.g., hydrolyzed soy protein and rice bran) to maintain energy requirements, combined with cyclosporine for immunosuppressive therapy.
null
11,954.473257
sonnet-4_5-20251217-142420
0.0016
481
757
1,238
0.009
sonnet-4_5
null
473
634
1,107
0
0
sonnet-4_5-medrbench-oracle
0.197887
completed
medrbench-treatment
16,350.316763
medrbench-oracle
null
1303
Administer sodium bicarbonate boluses followed by continuous infusion, start benzodiazepine therapy for seizures, initiate ACLS measures for cardiac arrests, provide airway management via endotracheal intubation, perform gastric decontamination via activated charcoal, and administer lipid emulsion therapy while monitor...
null
20,724.034786
sonnet-4_5-20251217-142420
0.0008
182
1,213
1,395
0.0164
sonnet-4_5
null
978
591
1,569
1
0
sonnet-4_5-medrbench-oracle
0.165701
completed
medrbench-treatment
27,288.353682
medrbench-oracle
null
1304
For the first patient, perform a combined anterior-posterior surgical excision via laparotomy with coccygectomy to remove the large tailgut cyst. For the second patient, excise the tumor and coccyx using the Kraske approach, ensuring complete removal while minimizing risk to adjacent anorectal structures.
null
18,358.777285
sonnet-4_5-20251217-142420
0.0019
604
941
1,545
0.0139
sonnet-4_5
null
787
693
1,480
0.5
0
sonnet-4_5-medrbench-oracle
0.205517
completed
medrbench-treatment
23,908.666849
medrbench-oracle
null
1305
Apply ozonated oil topically to the affected areas three times daily until erythema resolves, rinse mouth three times daily with a freshly prepared triphala solution, avoid spicy foods, stay hydrated, and take clonazepam (1 mg) orally three times per day for 14 days.
null
18,970.185518
sonnet-4_5-20251217-142420
0.0041
1,316
1,261
2,577
0.0139
sonnet-4_5
null
830
486
1,316
0
0
sonnet-4_5-medrbench-oracle
0.134945
completed
medrbench-treatment
28,268.010855
medrbench-oracle
null
1306
Perform the Whipple procedure (pancreaticoduodenectomy) with extensive resection, including removal of the tumour, pancreatic head, part of the bile duct, duodenum, gallbladder, and proximal jejunum, followed by reconstruction via pancreatojejunostomy, choledochojejunostomy, and gastrojejunostomy.
null
15,180.387735
sonnet-4_5-20251217-142420
0.0015
406
902
1,308
0.0119
sonnet-4_5
null
690
527
1,217
0
0
sonnet-4_5-medrbench-oracle
0.136852
completed
medrbench-treatment
19,793.035984
medrbench-oracle
null
1307
Perform a transnasal endoscopic repair of the cribriform plate defect utilizing a septal cartilage graft, fat, Surgicel, and middle turbinate mucosa, combined with lumbar drainage and administration of acetazolamide, vancomycin, and meropenem.
null
15,844.360828
sonnet-4_5-20251217-142420
0.0022
722
832
1,554
0.012
sonnet-4_5
null
651
748
1,399
1
0
sonnet-4_5-medrbench-oracle
0.1297
completed
medrbench-treatment
23,317.13748
medrbench-oracle
null
1308
Administer anakinra 100 mg daily while monitoring for effectiveness and tolerance.
null
12,141.828299
sonnet-4_5-20251217-142420
0.0023
711
732
1,443
0.0097
sonnet-4_5
null
528
607
1,135
0
0
sonnet-4_5-medrbench-oracle
0.145197
completed
medrbench-treatment
18,783.842564
medrbench-oracle
null
1309
Perform open reduction and internal fixation of the talus fractures using a dual surgical approach (anteromedial and anterolateral), securing fragments with Herbert screws and a mini fragment locking plate, and immobilize in a below-knee slab postoperatively. Manage the fifth metatarsal base fracture conservatively.
null
15,543.911219
sonnet-4_5-20251217-142420
0.0026
851
843
1,694
0.011
sonnet-4_5
null
630
518
1,148
1
0
sonnet-4_5-medrbench-oracle
0.164509
completed
medrbench-treatment
23,880.439997
medrbench-oracle
null
1310
Perform a C4-C5 laminectomy and completely excise the tumor.
null
13,991.31918
sonnet-4_5-20251217-142420
0.0013
391
722
1,113
0.0094
sonnet-4_5
null
535
472
1,007
1
0
sonnet-4_5-medrbench-oracle
0.110388
completed
medrbench-treatment
19,054.866076
medrbench-oracle
null
1311
- Initiate sequential anthracycline- and paclitaxel-containing chemotherapy to address metastatic disease. - Undertake palliative extended latissimus dorsi musculocutaneous flap grafting for chest wall coverage. - Begin fulvestrant and palbociclib endocrine therapy postoperatively for maintenance and long-term disease...
null
15,502.823114
sonnet-4_5-20251217-142420
0.0027
866
880
1,746
0.0116
sonnet-4_5
null
652
610
1,262
0
0
sonnet-4_5-medrbench-oracle
0.212193
completed
medrbench-treatment
21,953.486681
medrbench-oracle
null
1312
Perform release of the common peroneal nerve and correct the left knee deformity using the pre-built Ilizarov fixator in the first stage of surgical intervention.
null
15,162.733793
sonnet-4_5-20251217-142420
0.0028
905
755
1,660
0.0106
sonnet-4_5
null
590
572
1,162
0
0
sonnet-4_5-medrbench-oracle
0.15521
completed
medrbench-treatment
21,521.390676
medrbench-oracle
null
1313
Proceed with fingertip replantation with single digital artery anastomosis, no venous anastomosis, and post-operative care including wound cleaning, antibiotic therapy, and daily dressing.
null
21,647.029638
sonnet-4_5-20251217-142420
0.0015
421
840
1,261
0.015
sonnet-4_5
null
885
563
1,448
0
0
sonnet-4_5-medrbench-oracle
0.166655
completed
medrbench-treatment
25,415.62748
medrbench-oracle
null
1314
Initiate glucocorticoid replacement therapy with oral hydrocortisone as needed, transition to maintenance doses, and remove the levonorgestrel-releasing intrauterine system (LNG-IUS).
null
11,811.623812
sonnet-4_5-20251217-142420
0.0006
146
849
995
0.0104
sonnet-4_5
null
572
609
1,181
1
0
sonnet-4_5-medrbench-oracle
0.182152
completed
medrbench-treatment
20,020.9167
medrbench-oracle
null
1315
Perform surgery to repair the abdominal wall defect using polypropylene mesh, dissociate and suture surrounding tissues, apply vacuum sealing drainage (VSD) postoperatively, and carry out appropriate pressure bandaging.
null
18,637.499094
sonnet-4_5-20251217-142420
0.0022
711
897
1,608
0.0128
sonnet-4_5
null
728
632
1,360
1
0
sonnet-4_5-medrbench-oracle
0.114679
completed
medrbench-treatment
32,562.500477
medrbench-oracle
null
1316
Prescribe oral valganciclovir at 16 mg/kg/dose every 12 hours for six months and provide supportive management including blood transfusion, hydration, and nutritional support.
null
12,323.524952
sonnet-4_5-20251217-142420
0.0032
1,017
843
1,860
0.0108
sonnet-4_5
null
596
611
1,207
0
0
sonnet-4_5-medrbench-oracle
0.199556
completed
medrbench-treatment
29,640.978813
medrbench-oracle
null
1317
Perform hybrid endoscopic submucosal dissection (hybrid ESD) with circumferential mucosal incision, partial submucosal dissection, and en bloc snare resection to completely excise the gastric mass. Ensure secure closure of the resection base with endoscopic clips to minimize risk of delayed adverse events.
null
12,466.062069
sonnet-4_5-20251217-142420
0.0023
679
763
1,442
0.0094
sonnet-4_5
null
522
531
1,053
0
0
sonnet-4_5-medrbench-oracle
0.149488
completed
medrbench-treatment
18,029.92487
medrbench-oracle
null
1318
Prescribe a personalized rehabilitation program comprising therapeutic lower limb exercise and localized cryotherapy focused on the left foot.
null
15,240.71002
sonnet-4_5-20251217-142420
0.0022
721
789
1,510
0.0133
sonnet-4_5
null
750
693
1,443
0
0
sonnet-4_5-medrbench-oracle
0.11754
completed
medrbench-treatment
22,069.340229
medrbench-oracle
null
1319
Initiate treatment with daratumumab, lenalidomide, and dexamethasone (DRd regimen).
null
17,901.524305
sonnet-4_5-20251217-142420
0.0018
545
805
1,350
0.0149
sonnet-4_5
null
877
572
1,449
0
0
sonnet-4_5-medrbench-oracle
0.137091
completed
medrbench-treatment
23,133.024216
medrbench-oracle
null
1320
Implement a 5-week inpatient pulmonary rehabilitation (PR) program combined with robot-assisted gait training (RAGT), including 30-minute RAGT sessions conducted 22 times, with progressive increases in gait training parameters based on task-specific performance.
null
14,787.024736
sonnet-4_5-20251217-142420
0.0037
1,160
930
2,090
0.0111
sonnet-4_5
null
617
621
1,238
0.5
0
sonnet-4_5-medrbench-oracle
0.169277
completed
medrbench-treatment
25,498.695374
medrbench-oracle
null
1321
Initiate fasting, administer meropenem empirically, provide supportive care to inhibit pancreatic enzyme secretion, manage renal failure with continuous renal replacement therapy, and administer high-flow nasal cannula oxygen therapy.
null
22,185.56571
sonnet-4_5-20251217-142420
0.0041
1,306
1,241
2,547
0.019
sonnet-4_5
null
1,090
869
1,959
0.5
0
sonnet-4_5-medrbench-oracle
0.150681
completed
medrbench-treatment
30,916.263819
medrbench-oracle
null
1322
Perform an open laparotomic splenectomy to remove the enlarged spleen.
null
15,097.683907
sonnet-4_5-20251217-142420
0.0016
495
709
1,204
0.0121
sonnet-4_5
null
690
571
1,261
1
0
sonnet-4_5-medrbench-oracle
0.126123
completed
medrbench-treatment
20,808.765173
medrbench-oracle
null
1323
Remove the PICC line, initiate enoxaparin 1 mg/kg subcutaneously every 12 hours, and continue HAE therapy via a peripheral IV line.
null
20,009.461641
sonnet-4_5-20251217-142420
0.002
584
966
1,550
0.0152
sonnet-4_5
null
880
657
1,537
1
0
sonnet-4_5-medrbench-oracle
0.180006
completed
medrbench-treatment
40,022.283316
medrbench-oracle
null
1324
Proceed with mandibular resection, External Beam Radiation Therapy (EBRT), bisphosphonate therapy, and TSH suppression therapy.
null
18,957.751274
sonnet-4_5-20251217-142420
0.0042
1,391
774
2,165
0.0144
sonnet-4_5
null
842
581
1,423
0.5
0
sonnet-4_5-medrbench-oracle
0.193357
completed
medrbench-treatment
29,127.068281
medrbench-oracle
null
1325
Perform navigation-assisted occipitocervical fixation and decompression, including resection of the hyperplastic occipital bone, removal of the C1 posterior arch, and placement of an occipital plate with C2 and C3 pedicle screws.
null
15,156.830072
sonnet-4_5-20251217-142420
0.0025
818
786
1,604
0.0113
sonnet-4_5
null
649
535
1,184
0.5
0
sonnet-4_5-medrbench-oracle
0.13876
completed
medrbench-treatment
31,902.792454
medrbench-oracle
null
1326
Perform surgical excision of the hemangiopericytoma with complete tumor removal and negative margins, followed by adjuvant radiotherapy to minimize recurrence risk.
null
14,047.033548
sonnet-4_5-20251217-142420
0.0021
663
741
1,404
0.0107
sonnet-4_5
null
603
555
1,158
0.5
0
sonnet-4_5-medrbench-oracle
0.138044
completed
medrbench-treatment
24,697.569847
medrbench-oracle
null
1327
Perform segmental resection and debridement, initiate bone transport using the Ilizarov technique, utilize external fixation with an LCP for intermediate stability, and complete the treatment with internal fixation and bone grafting.
null
19,126.89209
sonnet-4_5-20251217-142420
0.0024
698
1,081
1,779
0.0149
sonnet-4_5
null
880
563
1,443
0.5
0
sonnet-4_5-medrbench-oracle
0.13423
completed
medrbench-treatment
25,952.235699
medrbench-oracle
null
1328
Perform staged operative interventions including initial sharp debridement and hematoma evacuation, implement negative pressure wound therapy, apply xenograft for wound bed optimization, and complete wound closure with split-thickness skin grafting from the right thigh donor site.
null
14,628.377199
sonnet-4_5-20251217-142420
0.0024
756
763
1,519
0.0103
sonnet-4_5
null
600
419
1,019
0.5
0
sonnet-4_5-medrbench-oracle
0.128031
completed
medrbench-treatment
20,924.505234
medrbench-oracle
null
1329
Administer intravenous and oral vitamin K1 based on serum brodifacoum levels, correct coagulopathy with FFP and PCC, monitor coagulation status vigilantly, and proceed with labor induction as indicated.
null
20,123.815536
sonnet-4_5-20251217-142420
0.0032
1,030
881
1,911
0.0157
sonnet-4_5
null
901
721
1,622
1
0
sonnet-4_5-medrbench-oracle
0.173092
completed
medrbench-treatment
41,760.292768
medrbench-oracle
null
1330
Perform minimally invasive percutaneous plate osteosynthesis using a proximal humerus locking plate for stabilization of the left comminuted subtrochanteric femur fracture.
null
16,273.713827
sonnet-4_5-20251217-142420
0.0031
1,056
741
1,797
0.0117
sonnet-4_5
null
694
415
1,109
0.5
0
sonnet-4_5-medrbench-oracle
0.132084
completed
medrbench-treatment
23,629.458189
medrbench-oracle
null
1331
Apply Integra DRT double-layer sheets in a staged manner, complemented by MicroMatrix UBM particulate for irregular wound areas, followed by split-thickness skin grafting after achieving a stable neodermal substrate.
null
18,245.582104
sonnet-4_5-20251217-142420
0.0027
825
903
1,728
0.0126
sonnet-4_5
null
741
491
1,232
0
0
sonnet-4_5-medrbench-oracle
0.139713
completed
medrbench-treatment
24,858.980656