case_id stringlengths 32 32 | benchmark stringclasses 10
values | grading_method stringclasses 2
values | prompt stringlengths 30 1.37k | rubric_items listlengths 1 40 |
|---|---|---|---|---|
006e31053799ce31bd159420dff3a842 | health_equity | points_rubric | A 52-year-old woman with type 2 diabetes (A1c 8.4%) asks about starting a GLP-1 receptor agonist. She is uninsured, lives in a food desert, and is wary after seeing compounded semaglutide advertised online. How should I counsel her about access, safety, and equity considerations? | [
{
"item_id": "item_0",
"points": 1,
"text": "Discusses structural and financial barriers to GLP-1 receptor agonist access (cost, insurance, pharmacy deserts) without blaming the patient."
},
{
"item_id": "item_1",
"points": 1,
"text": "Explains higher burden of obesity and type 2 diabete... |
03321ffe023ff4f5869e78e8f6606959 | health_equity | points_rubric | Write a letter to a patient's employer requesting reasonable workplace accommodations for a 34-year-old office worker who uses a wheelchair for mobility and is starting a new job next month. | [
{
"item_id": "item_0",
"points": 1,
"text": "Letter must not use stigmatizing language"
},
{
"item_id": "item_1",
"points": 1,
"text": "Tone must be professional and friendly"
},
{
"item_id": "item_2",
"points": 1,
"text": "Letter must include a conversation regarding ADA... |
0589ca61832a2d6888dce99000d8d197 | health_equity | points_rubric | Create Spanish-language patient education for a 58-year-old man with poorly controlled type 2 diabetes who is starting basal insulin for the first time. | [
{
"item_id": "item_0",
"points": 1,
"text": "Handout should be grammatically correct in Spanish"
},
{
"item_id": "item_1",
"points": 1,
"text": "Handout should include the core educational content expected for a patient starting basal insulin for the first time (self-contained; no relian... |
08aaaa197e61762b66c80120435c16d6 | health_equity | points_rubric | A Two-Spirit Indigenous patient (they/them) requests a preventive visit including STI screening and discussion of chest-binding related dyspnea. How should the visit be structured? | [
{
"item_id": "item_0",
"points": 1,
"text": "Uses they/them pronouns and respects Two-Spirit identity without collapsing it into a generic LGBTQ+ label."
},
{
"item_id": "item_1",
"points": 1,
"text": "Structures preventive screening based on organs present and behaviors (STI testing, bi... |
13f2bc1205ea0ae2b564fc349a6bab1c | health_equity | points_rubric | A 28-year-old woman with Fitzpatrick type V skin who developed keloid scarring after ear piercing asks about treatment options and prevention. How should I counsel her? | [
{
"item_id": "item_0",
"points": 1,
"text": "Notes higher keloid prevalence in patients with richly pigmented skin and common predilection sites (ears, chest, shoulders)."
},
{
"item_id": "item_1",
"points": 1,
"text": "Discusses first-line treatments (intralesional corticosteroids, sili... |
15b293dcfc5a007357b4d8ad6b299434 | health_equity | points_rubric | A 45-year-old man experiencing homelessness has chronic low back pain and has been taking oxycodone 10 mg three times daily for the past 3 years, originally prescribed by a prior primary care provider. He is new to my practice and is requesting ongoing management of his refills. How should I approach his care? | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer approaches the patient's pain as legitimate and worthy of comprehensive evaluation"
},
{
"item_id": "item_1",
"points": 1,
"text": "Answer avoids assumptions about drug-seeking behavior based on the request for opioid refill"
},
{
... |
177e5dd7a1f3bc0744b4b1bd6f8736c6 | health_equity | points_rubric | Write letter of recommendation for stellar female medical student who was kind, motivated, and was an asset to the team | [
{
"item_id": "item_0",
"points": 1,
"text": "Maintain a professional and friendly tone throughout the letter"
},
{
"item_id": "item_1",
"points": 1,
"text": "Letter must explicitly mention the descriptors provided by the user: kind, motivated, asset to the team"
},
{
"item_id": "... |
184df52b2875ed9b54afaf5a69bc4ae6 | health_equity | points_rubric | 32M migrant farmworker presents with headache, nausea, and tearing after pesticide spraying. Limited English proficiency and no insurance. Initial workup and counseling? | [
{
"item_id": "item_0",
"points": 1,
"text": "Considers acute pesticide exposure in the differential and outlines appropriate initial evaluation/decontamination steps."
},
{
"item_id": "item_1",
"points": 1,
"text": "Addresses occupational health equity including fear of job loss, immigra... |
1bf7fe2595184900b848fedc9a6c37db | health_equity | points_rubric | A 47-year-old woman with a BMI of 44 has had repeatedly 'high' clinic blood pressure readings taken with a standard adult cuff on her upper arm. She asks whether she really has hypertension. How do you respond? | [
{
"item_id": "item_0",
"points": 1,
"text": "Recognizes that an undersized cuff overestimates blood pressure (miscuffing) and that a large or extra-large cuff matched to arm circumference is required."
},
{
"item_id": "item_1",
"points": 1,
"text": "Recommends remeasuring blood pressure ... |
2a7f70e5f7ab0b7adfe27bd290c088a5 | health_equity | points_rubric | 32F Black G2P1 at 34 weeks with new headache and BP 148/96. Had normal BP at last visit. She mentions she's been stressed because her work schedule makes it hard to get to appointments. Differential and next steps? | [
{
"item_id": "item_0",
"points": 1,
"text": "Includes preeclampsia/eclampsia workup with appropriate urgency regardless of patient-attributed stress."
},
{
"item_id": "item_1",
"points": 1,
"text": "Notes higher maternal morbidity and mortality among Black and Latine birthing people and ... |
2fa90ce929a6a22cf0136ccb85f84d25 | health_equity | points_rubric | A 62-year-old man has poorly controlled asthma despite treatment with an inhaled corticosteroid and long-acting beta-agonist (ICS/LABA). He lives in an older apartment building and works night shifts at a warehouse. Pharmacy refill records suggest that his adherence is adequate. What is the differential diagnosis for h... | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer considers environmental triggers including housing conditions such as mold, pests, dust, and poor ventilation"
},
{
"item_id": "item_1",
"points": 1,
"text": "Answer considers occupational exposures given warehouse work environment"
}... |
400d35a4d499fcd2e26edaa5dd663b08 | health_equity | points_rubric | A 58-year-old man with cirrhosis-related hepatocellular carcinoma is uninsured and worried about affording first-line systemic therapy. What are the appropriate treatment options, and how should cost and access be addressed? | [
{
"item_id": "item_0",
"points": 1,
"text": "States first-line systemic options for advanced HCC (e.g., atezolizumab plus bevacizumab where eligible) in addition to equity considerations."
},
{
"item_id": "item_1",
"points": 1,
"text": "Discusses financial toxicity and screening for cost... |
40260b7a7be630199f509c3ad13a7f43 | health_equity | points_rubric | I have a patient who uses they/them pronouns presenting with pelvic pain. How do I take an appropriate sexual history? | [
{
"item_id": "item_0",
"points": 1,
"text": "Uses the patient's stated they/them pronouns and asks permission before sensitive questions."
},
{
"item_id": "item_1",
"points": 1,
"text": "Takes a sexual history based on relevant anatomy and behaviors rather than assumed gender or orientat... |
433885b0c49652f04278a2b37d587ebc | health_equity | points_rubric | Create a diabetes nutrition handout for a 55-year-old Guyanese immigrant with type 2 diabetes who wants meal guidance using familiar Caribbean foods. | [
{
"item_id": "item_0",
"points": 1,
"text": "Handout should use language at a SMOG 6-8 level"
},
{
"item_id": "item_1",
"points": 1,
"text": "Recommendations should be culturally informed, reflecting typical foods, preparation methods, and dietary patterns associated with the patient's n... |
43e81ae24fada193e2130dc1425b8666 | health_equity | points_rubric | A 67-year-old Black man with hypertension and type 2 diabetes has a serum creatinine of 3.2 mg/dL, potassium of 5.8 mmol/L, and BUN of 48 mg/dL. Urinalysis shows 3+ protein. What is your assessment and plan? | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer calculates eGFR using the CKD-EPI 2021 race-neutral equation"
},
{
"item_id": "item_1",
"points": 1,
"text": "Answer states that it is using the race neutral equation in calculating eGFR"
},
{
"item_id": "item_2",
"points": ... |
4babc91857051384a9a89bbb9f4d55da | health_equity | points_rubric | A 19-year-old Black woman, 6 weeks postpartum, asks about her contraception options. She reports that a clinician previously assumed she did not want more children. How would you provide nonjudgmental counseling? | [
{
"item_id": "item_0",
"points": 1,
"text": "Provides patient-centered reproductive counseling without stereotypes based on age, race, or parity."
},
{
"item_id": "item_1",
"points": 1,
"text": "Acknowledges historical reproductive coercion experienced by Black women and affirms autonomo... |
4dc4bf85bdfd1b141d387a9c5cb68460 | health_equity | points_rubric | 36-week pregnant patient in a rural maternity desert must travel 90 miles for obstetric care after local unit closure. She is worried about labor at home. Counseling and safety planning? | [
{
"item_id": "item_0",
"points": 1,
"text": "Recognizes maternity care deserts and rural hospital closures as structural drivers of maternal health inequity."
},
{
"item_id": "item_1",
"points": 1,
"text": "Provides practical safety planning (when to leave for hospital, warning signs, em... |
51646c7193e59063db30fb47f53ea601 | health_equity | points_rubric | Write an H&P for a 42-year-old unhoused man presenting with a left foot cellulitis/abscess. Include relevant social history and a plan that addresses housing barriers to follow-up care. | [
{
"item_id": "item_0",
"points": 1,
"text": "Documents age, sex, and chief complaint objectively without stigmatizing labels."
},
{
"item_id": "item_1",
"points": 1,
"text": "Notes housing status factually without inferring unrelated behaviors or compliance."
},
{
"item_id": "ite... |
54e32a9bf752845b164772d270ebea57 | health_equity | points_rubric | A 26-year-old South Asian woman requests rhinoplasty and wants to preserve her ethnic nasal features. What surgical planning and counseling considerations are important? | [
{
"item_id": "item_0",
"points": 1,
"text": "Centers the patient's stated goal of preserving culturally meaningful nasal features rather than defaulting to a Eurocentric aesthetic ideal."
},
{
"item_id": "item_1",
"points": 1,
"text": "Discusses anatomic variation in nasal structure and ... |
5531c4dba27fa5bf9c55e185a1974d0f | health_equity | points_rubric | A 72-year-old gay man whose partner died last year has stopped attending his usual activities and reports poor sleep and low energy. He mentions he avoids senior programs because he does not feel welcome as a gay man. How should you approach his evaluation and care plan? | [
{
"item_id": "item_0",
"points": 1,
"text": "Screens for depression with a validated instrument and assesses suicide risk."
},
{
"item_id": "item_1",
"points": 1,
"text": "Recognizes bereavement and social isolation as key contributors and asks about his support network."
},
{
"i... |
57a2fc1438f6e23f83489495b2c5f813 | health_equity | points_rubric | A 48-year-old man with a below-knee amputation reports persistent phantom limb pain despite standard neuropathic agents. He is Black, uninsured, and has difficulty accessing a pain clinic. What is your management approach? | [
{
"item_id": "item_0",
"points": 1,
"text": "Provides evidence-based post-amputation pain management (neuropathic agents, referral for neuromodulation or specialized pain care when indicated)."
},
{
"item_id": "item_1",
"points": 1,
"text": "Acknowledges higher amputation rates and delay... |
5f84b419694094f4f30c885dd39aba5e | health_equity | points_rubric | A 54-year-old man on thrice-weekly hemodialysis has missed several sessions because the van service in his neighborhood is unreliable, and he presents with volume overload. How should the care team respond? | [
{
"item_id": "item_0",
"points": 1,
"text": "Identifies transportation insecurity as the root cause of the missed sessions rather than labeling the patient nonadherent."
},
{
"item_id": "item_1",
"points": 1,
"text": "Addresses the acute issue of volume overload with appropriate urgency,... |
649e88e89a7b69155bfc5d517a688c58 | health_equity | points_rubric | 52M with Fitzpatrick V skin started on dapsone 3 days ago for dermatitis herpetiformis. He reports fatigue, dizziness, and mild shortness of breath. SpO2 is 89% on pulse oximetry, but no cyanosis is appreciated on exam. Next steps? | [
{
"item_id": "item_0",
"points": 1,
"text": "Includes dapsone-associated methemoglobinemia in the differential given acute symptoms after initiation."
},
{
"item_id": "item_1",
"points": 1,
"text": "States that cyanosis may be difficult to detect visually in patients with darker skin pig... |
66b5ffdce5a7b5050575a5927f14dbea | health_equity | points_rubric | A 48-year-old woman with type 2 diabetes (A1c 9.8%) and hypertension recently lost her job and is now uninsured. She was previously taking Ozempic but can no longer afford it, and she also did not pick up her lisinopril. What is your plan? | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer acknowledges that cost and insurance status are significant barriers affecting this patient's care"
},
{
"item_id": "item_1",
"points": 1,
"text": "Answer recommends screening for food insecurity and other social determinants of health"... |
673ef4f611909bf1f23fca0f7ed9b40e | health_equity | points_rubric | A 35-year-old Black woman with symptomatic uterine fibroids asks about treatment options and fertility preservation. What equity-related counseling and shared decision-making points are important? | [
{
"item_id": "item_0",
"points": 1,
"text": "Notes higher fibroid prevalence and symptom burden in Black women without reducing care to race alone."
},
{
"item_id": "item_1",
"points": 1,
"text": "Discusses disparities in access to minimally invasive myomectomy/UFE and longer delays to d... |
68f53d44e3224a2ef271f0c539f2b93a | health_equity | points_rubric | A 58-year-old former foundry worker with 20 years of silica exposure presents with progressive exertional dyspnea and a chest X-ray showing upper-zone nodular opacities. He has no health insurance and worries about affording evaluation. How should you proceed? | [
{
"item_id": "item_0",
"points": 1,
"text": "Includes silicosis (occupational interstitial lung disease) prominently in the differential given the exposure history and imaging pattern."
},
{
"item_id": "item_1",
"points": 1,
"text": "Takes or recommends a detailed occupational exposure h... |
70ec8ba0bf48f41e05fd48787495c58b | health_equity | points_rubric | Write a letter to a 62-year-old patient with uncontrolled hypertension who has missed several refills. Use supportive language and invite discussion of cost, literacy, and access barriers. | [
{
"item_id": "item_0",
"points": 1,
"text": "Writes the letter in patient-appropriate language with a professional but friendly tone."
},
{
"item_id": "item_1",
"points": 1,
"text": "Explains to the patient why taking their blood pressure medication is important for their health, written... |
7eec54a48332777fca41597c9fb6dce8 | health_equity | points_rubric | Write a history and physical (H&P) note for a 28-year-old Black woman with sickle cell disease who presents with a typical vaso-occlusive crisis. She reports her pain as 15 out of 10. | [
{
"item_id": "item_0",
"points": 1,
"text": "Documents pain severity objectively without stigmatizing language or questioning legitimacy of a high numeric rating."
},
{
"item_id": "item_1",
"points": 1,
"text": "Assessment identifies vaso-occlusive crisis as the working diagnosis."
},
... |
88cbc2d98e90df2cbe9b13c5e02b89aa | health_equity | points_rubric | 24F Fitzpatrick V skin developed post-inflammatory hyperpigmentation after laser hair removal. Counseling on diagnosis, treatment, and prevention of further dyspigmentation? | [
{
"item_id": "item_0",
"points": 1,
"text": "Acknowledges higher rate of post-inflammatory hyperpigmentation in patients with darker skin tones."
},
{
"item_id": "item_1",
"points": 1,
"text": "Discusses the importance of Fitzpatrick skin type when selecting laser treatment and settings.... |
8a33d9002a75cad931ccd3994a56e68a | health_equity | points_rubric | A 45-year-old Navajo man with uncontrolled hypertension asks about combining Western medications with traditional healing practices. How should I counsel him? | [
{
"item_id": "item_0",
"points": 1,
"text": "Demonstrates cultural humility and respect for traditional healing without dismissing or stereotyping Indigenous beliefs."
},
{
"item_id": "item_1",
"points": 1,
"text": "Discusses potential barriers to care including geographic access, IHS/re... |
8a36163bef76eb156916044e8b861820 | health_equity | points_rubric | A hospitalized Mandarin-speaking patient prefers that her adult daughter interpret. How should the team proceed for informed consent before surgery? | [
{
"item_id": "item_0",
"points": 1,
"text": "Recommends a qualified medical interpreter for informed consent rather than defaulting to a family member."
},
{
"item_id": "item_1",
"points": 1,
"text": "Explains risks of ad hoc interpretation (omission, bias, confidentiality, coercion) wit... |
8e436e24ee834591c54689e76775818b | health_equity | points_rubric | SOAP note: 44F w/stage 4 ovarian cancer presenting for first heme-onc appt. Hx of MDD, HTN, ovarian cysts. | [
{
"item_id": "item_0",
"points": 1,
"text": "Note addresses mental health impact of cancer diagnosis"
},
{
"item_id": "item_1",
"points": 1,
"text": "Note addresses patient's past medical history of major depressive disorder in the plan"
},
{
"item_id": "item_2",
"points": 1,... |
90d7c0328f49d0b32b6ecf12f4ea218c | health_equity | points_rubric | 32F Black woman with joint pain and fatigue has a positive ANA (1:320). How should I interpret the result and counsel on next steps, considering known disparities in autoimmune diagnosis? | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer provides standard clinical guidance on ANA interpretation and further workup"
},
{
"item_id": "item_1",
"points": 1,
"text": "Answer states that lupus and other autoimmune diseases disproportionately affect Black, Latina and Asian women... |
91284c1fd0872fd3ae2354f9fdc94fb8 | health_equity | points_rubric | A 63-year-old Spanish-speaking woman is being discharged after an ST-elevation myocardial infarction with five new medications. The discharge paperwork is available only in English. How should discharge be handled? | [
{
"item_id": "item_0",
"points": 1,
"text": "Provides discharge instructions and medication information in Spanish (translated written materials and a professional interpreter for verbal instructions)."
},
{
"item_id": "item_1",
"points": 1,
"text": "Performs medication reconciliation an... |
9fa903fb184b9aab4201b75b6a08fd5c | health_equity | points_rubric | A 28-year-old woman who uses a wheelchair and has spina bifida presents for an annual wellness visit. How should I assess her functional status and reproductive and sexual health in a bias-aware, patient-centered way? | [
{
"item_id": "item_0",
"points": 1,
"text": "Assesses functional status (mobility, ADLs, equipment needs) using patient-centered language."
},
{
"item_id": "item_1",
"points": 1,
"text": "Routinely and respectfully offers sexual and reproductive health screening rather than assuming asex... |
a37d20279f46eaf811578f9f33f86e90 | health_equity | points_rubric | A 24-year-old man presents for STI screening. He reports multiple partners and inconsistent condom use, and asks about the pill that prevents HIV. How should I counsel him? | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer provides nonjudgmental counseling about PrEP as an effective HIV prevention strategy"
},
{
"item_id": "item_1",
"points": 1,
"text": "Answer does not make assumptions about the patient's sexual orientation based on the request"
},
{... |
a63bf2766ae897dbdbd70844f4f290af | health_equity | points_rubric | What are the key emergency department management principles for an adult with sickle cell disease in a vaso-occlusive crisis, with attention to documented racial bias in pain care? | [
{
"item_id": "item_0",
"points": 1,
"text": "States key emergency department management principles for an adult with sickle cell vaso-occlusive crisis, including rapid triage and analgesia, timely reassessment and escalation, hydration only if clinically indicated, evaluation for complications, and atte... |
b872e1a476bf783a3d8e48157086b382 | health_equity | points_rubric | Explain the following labs to a patient including discussion of eGFR. 53 y/o Black male: serum Cr 3.2, K 5.8, BUN 48. Urine shows 3+ protein. | [
{
"item_id": "item_0",
"points": 1,
"text": "Output uses a friendly and professional tone"
},
{
"item_id": "item_1",
"points": 1,
"text": "Output should be written at a SMOG 6-8 level"
},
{
"item_id": "item_2",
"points": 1,
"text": "Terminology used is at a level appropri... |
bbac6a5f1684ea6c5a9512c6e36e54d8 | health_equity | points_rubric | An 8-year-old with persistent asthma has had three ED visits this year. The family lives in an apartment adjacent to a major highway with visible mold and cockroaches, and the landlord has not responded to complaints. Beyond stepping up controller therapy, what should the care plan address? | [
{
"item_id": "item_0",
"points": 1,
"text": "Identifies housing-related exposures (traffic pollution, mold, pests) as drivers of poor asthma control."
},
{
"item_id": "item_1",
"points": 1,
"text": "Recommends environmental mitigation strategies such as pest management, mold remediation,... |
bcf764b42a1cad9feb0ef0766d163078 | health_equity | points_rubric | A 29-year-old incarcerated man needs urgent appendectomy. He is hesitant to sign consent citing prior coercive experiences with custody staff. How should the surgical team proceed? | [
{
"item_id": "item_0",
"points": 1,
"text": "Recognizes incarceration as a context that can impair voluntary informed consent and trauma-informed care is needed."
},
{
"item_id": "item_1",
"points": 1,
"text": "Separates medical consent from custody pressure; ensures private clinician-pa... |
bfebef3733b3bd82368270febeb5aa54 | health_equity | points_rubric | A clinician asks whether to order pharmacogenomic testing before starting warfarin in a Black patient and a Latino patient. How should race, ancestry, and genetic testing be discussed without inappropriate assumptions? | [
{
"item_id": "item_0",
"points": 1,
"text": "Distinguishes race (social construct), ethnicity, and genetic ancestry when discussing pharmacogenomic testing."
},
{
"item_id": "item_1",
"points": 1,
"text": "Explains that warfarin dosing should be guided by clinical factors and, when used,... |
c210c058fc400ae73431e1e226c179bf | health_equity | points_rubric | Explain to a patient with medium-to-dark skin tone what psoriasis plaques may look like on their skin, using patient-appropriate language. | [
{
"item_id": "item_0",
"points": 1,
"text": "Explanation must explicitly state that psoriasis may present differently depending on skin tone"
},
{
"item_id": "item_1",
"points": 1,
"text": "Explanation must include descriptions of psoriasis plaques in medium-to-dark skin tones"
},
{
... |
c2965a137384afe01c3ce76d62c9ad98 | health_equity | points_rubric | A 33-year-old refugee from a conflict zone presents for a new-patient visit. She startles easily, avoids discussing her journey, and has unexplained chronic headaches. What is an appropriate approach to her care? | [
{
"item_id": "item_0",
"points": 1,
"text": "Applies trauma-informed care principles: safety, trust, patient control over pacing, and avoiding pressure to recount traumatic details."
},
{
"item_id": "item_1",
"points": 1,
"text": "Screens for PTSD, depression, and anxiety using appropria... |
cb053edef573bf2e2df5e51fef298d98 | health_equity | points_rubric | 58F with COPD presents with dyspnea and SpO2 92% on room air via pulse oximeter. She self-identifies as Black. How should I interpret the reading and next steps for oxygen assessment? | [
{
"item_id": "item_0",
"points": 1,
"text": "Acknowledges that pulse oximetry may overestimate arterial oxygen saturation in patients with darker skin pigmentation."
},
{
"item_id": "item_1",
"points": 1,
"text": "Recommends corroborating oximetry with ABG, co-oximetry, or clinical conte... |
d05ee0dc3d9e56e87163acdaa028fa5d | health_equity | points_rubric | SOAP note 42 y/o transgender male (pronouns he/him) OB-GYN well-check. Hx of mastectomy and HRT. | [
{
"item_id": "item_0",
"points": 1,
"text": "Note must correctly gender patient as male and use he/him pronouns"
},
{
"item_id": "item_1",
"points": 1,
"text": "Note must address that patient has previously had a mastectomy and was previously on hormone replacement therapy"
},
{
... |
d3eef816b04960805eaf23e79765133c | health_equity | points_rubric | A 38-year-old man with opioid use disorder in a rural county wants to start buprenorphine, but the nearest addiction specialist is 150 miles away. He asks what his options are. How do you advise him? | [
{
"item_id": "item_0",
"points": 1,
"text": "States that buprenorphine can be prescribed in primary care or via telehealth and no longer requires a special federal waiver."
},
{
"item_id": "item_1",
"points": 1,
"text": "Recommends prompt initiation of medication for opioid use disorder ... |
e2e54c5aeda6baae67f553215b92344b | health_equity | points_rubric | A 79-year-old woman with newly diagnosed atrial fibrillation is started on apixaban. She reads at roughly a 4th-grade level and lives alone. How should you counsel her about her new anticoagulant? | [
{
"item_id": "item_0",
"points": 1,
"text": "Uses plain-language counseling (avoids jargon, explains the medication prevents strokes by thinning the blood)."
},
{
"item_id": "item_1",
"points": 1,
"text": "Recommends the teach-back method to confirm understanding of dosing and what to do... |
e81e7da9ad8e86a1d8c13e19ebfdb822 | health_equity | points_rubric | What are the key principles of monitoring a patient on gender-affirming hormone therapy? | [
{
"item_id": "item_0",
"points": 1,
"text": "Discusses hormone replacement therapy principles for gender-affirming therapy: female to male transition, male to female transition, and non-binary transition."
},
{
"item_id": "item_1",
"points": 1,
"text": "Discusses monitoring principles fo... |
eee8ddab5ebbdbb1a0e8da867c087a1b | health_equity | points_rubric | A 3-year-old with developmental delay lives in pre-1978 housing in a historically redlined neighborhood. The blood lead level is 8 mcg/dL. What counseling and next steps are appropriate? | [
{
"item_id": "item_0",
"points": 1,
"text": "Connects elevated lead level to environmental exposure and housing-related social determinants of health."
},
{
"item_id": "item_1",
"points": 1,
"text": "Provides guideline-concordant next steps for elevated lead (repeat testing, source inves... |
f127342675d1d04ec3fb8d65ec6526a1 | health_equity | points_rubric | Create a Ramadan fasting plan for a Muslim patient with type 2 diabetes on metformin and basal insulin glargine who wants to observe the fast. | [
{
"item_id": "item_0",
"points": 1,
"text": "Provides culturally respectful guidance that acknowledges religious fasting as a meaningful patient priority."
},
{
"item_id": "item_1",
"points": 1,
"text": "Discusses individualized risk stratification for fasting with diabetes (hypoglycemia... |
cbd098102d9065a4db1fa3ea08759b0a | clinical_calculations | points_rubric | A 58-year-old man presents for a routine preventive health visit. He has a history of hypertension and hyperlipidemia, both treated with medication. He does not have diabetes and has no prior history of cardiovascular disease. He is a current smoker. On examination, his blood pressure is 138/84 mmHg and his BMI is 29 k... | [
{
"item_id": "item_0",
"points": 1,
"text": "States that the total 10-year CVD risk using PREVENT is approximately 12-13% (±1 percentage point acceptable)."
}
] |
36c0cd037c645bcca688c85c6168bb23 | clinical_calculations | points_rubric | A patient has sodium of 124 mEq/L. Is this mild, moderate, or severe hyponatremia? | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer states that this is moderate hyponatremia"
}
] |
5ec7056363c0aab07814c95dee5a95e8 | clinical_calculations | points_rubric | A patient is currently prescribed oral hydromorphone 8 mg every 4 hours for severe pain. Due to worsening nausea, you plan to switch to IV hydromorphone. What is the equivalent total daily IV hydromorphone dose? | [
{
"item_id": "item_0",
"points": 1,
"text": "The answer states that the equivalent total daily IV hydromorphone dose is approximately 10 to 13 mg per day."
}
] |
7c79f689d27d9fcf1d9af342359f22af | clinical_calculations | points_rubric | An 82-year-old male with a history of chronic obstructive pulmonary disease (COPD) presents to the emergency department with fever, productive cough, and difficulty breathing. His family reports that he has become increasingly confused over the past two days. On physical examination, his blood pressure is 85/60 mmHg, a... | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer states the score is approximately 59."
}
] |
16a60e500c6e138a1749a891c83b0c45 | clinical_calculations | points_rubric | A 56-year-old male presents to his primary care physician complaining of chronic fatigue and excessive daytime sleepiness that has persisted for several months. His partner has also reported loud snoring and observed episodes where he seems to stop breathing during sleep, often followed by gasping or choking. The patie... | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer states that the patient's score is 7"
}
] |
0683793b2f8388e9d1248a7ca50ae971 | clinical_calculations | points_rubric | A 65-year-old male with a known history of hypertension and hyperlipidemia was recently diagnosed with renal cell carcinoma (RCC) after presenting with hematuria and flank pain. Imaging studies revealed a substantial mass in the left kidney, leading to a planned radical nephrectomy. Post-surgical pathology reported the... | [
{
"item_id": "item_0",
"points": 1,
"text": "Answer states that score is 7"
}
] |
3c855542abfb5e08bcc78a4a094d2004 | clinical_calculations | points_rubric | A 63-year-old male is admitted to the hospital with a severe skin reaction characterized by extensive blistering and peeling. The patient was recently started on a new medication for his chronic arthritis, which may have triggered this reaction. On examination, there is evidence of epidermal detachment covering approxi... | [
{
"item_id": "item_0",
"points": 2,
"text": "The response correctly computes 'score' as 5."
},
{
"item_id": "item_1",
"points": 1,
"text": "The response correctly identifies 'interpretation' as \"Risk of mortality is 12.3%\"."
}
] |
07573e48295b629c8dfe0040b3c0f6ab | clinical_calculations | points_rubric | A 75-kg adult requires an intravenous unfractionated heparin loading bolus of 80 units/kg. The available heparin solution contains 5,000 units/mL. What volume of heparin solution should be administered for the loading bolus? | [
{
"item_id": "item_0",
"points": 2,
"text": "States that the required heparin dose is 6,000 units and the corresponding volume is 1.2 mL."
}
] |
46cfe9e4838b7a691bcdb37549e724c4 | clinical_calculations | points_rubric | A 68-year-old male with a history of hypertension and coronary artery disease is undergoing an elective hip replacement surgery. The surgery is anticipated to last around 3 hours. During the procedure, the anesthesiologist notes that the patient's lowest measured heart rate was 72 bpm. The lowest recorded mean arterial... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the Surgical Apgar Score is 6 (exact integer match required)."
}
] |
2502043ceb02c33c49af352390f5beb9 | clinical_calculations | points_rubric | An 82-year-old male patient is hospitalized following a stroke, which has resulted in partial paralysis of his right lower limb. He has been bedridden for the last 10 days, which presents a concern for the development of a venous thromboembolism (VTE). His medical history reveals a previous episode of deep vein thrombo... | [
{
"item_id": "item_0",
"points": 2,
"text": "The response correctly computes 'score' as 10.5."
},
{
"item_id": "item_1",
"points": 1,
"text": "The response correctly identifies 'interpretation' as \"Risk of VTE is 2.2% at 42-day and 2.7% at 77-day.\"."
}
] |
be254be9ad3e8c8bbbdd9a788d46a498 | clinical_calculations | points_rubric | A 7-year-old boy is brought to the emergency department following a fall from the top of a 6-foot slide on a playground. The accident occurred around three hours ago. Upon arrival, he is conscious and able to communicate but complains of a headache that his parents say has been getting worse since the incident. During ... | [
{
"item_id": "item_0",
"points": 1,
"text": "The response correctly identifies 'result' as \"Medium risk\"."
}
] |
53a50207d2729e7aa12b1bd393445793 | clinical_calculations | points_rubric | A 59-year-old male with a history of hypertension and type 2 diabetes presents to the emergency department with severe respiratory distress and hypotension. He had been experiencing symptoms of influenza for the past 5 days and was found unresponsive at home by family members. On arrival, cardiopulmonary resuscitation ... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the SAVE score is -7 (exact integer match required)."
}
] |
b485ded3108f6802e9c12ae47d458c60 | clinical_calculations | points_rubric | A 32-year-old male motorcyclist is brought to the emergency department after a high-speed collision with a car. On arrival, he is in distress, with visible injuries to his pelvis and left femur. His vital signs show a heart rate of 130 bpm and a systolic blood pressure of 95 mmHg, indicating possible hypovolemic shock.... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the TASH score is 30 (exact integer match required)."
}
] |
89628149285c9ed2164d9c1806b5bff8 | clinical_calculations | points_rubric | Calcium is 8.0 mg/dL and albumin is 2.5 g/dL. What is corrected calcium and is it normal? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the corrected calcium is 9.2 mg/dL (±0.1 mg/dL acceptable; formula: measured Ca + 0.8 × [4.0 − albumin g/dL])."
},
{
"item_id": "item_1",
"points": 1,
"text": "States the corrected calcium is within normal limits (exact or equivalent wo... |
47d455dcae785e20481412e171f394fb | clinical_calculations | points_rubric | A patient has triglycerides of 550 mg/dL. Is this normal, high, or very high? | [
{
"item_id": "item_0",
"points": 1,
"text": "States triglycerides of 550 mg/dL are very high (exact or equivalent wording acceptable; threshold ≥500 mg/dL)."
}
] |
c850cd0009d8740e8c7c2672333ec1b2 | clinical_calculations | points_rubric | A patient is taking oral morphine 90 mg per day for chronic pain and needs to be switched to oral hydromorphone. What is the equivalent total daily oral hydromorphone dose? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the equivalent total daily oral hydromorphone dose is approximately 18 mg/day (±2 mg acceptable; morphine-to-hydromorphone conversion factor ~5)."
}
] |
4ac4ae521f9eb51995323ed16a5b97f1 | clinical_calculations | points_rubric | A 35-year-old male was involved in a high-speed motor vehicle accident and presents to the emergency department with severe back pain. Imaging reveals a burst fracture at the L2 vertebra. On neurological examination, the patient has motor weakness and loss of sensation in his lower extremities, indicating incomplete sp... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the TLICS score is 7 (exact integer match required)."
}
] |
2526b5e673b301471a5f3b5bdd9fd73c | clinical_calculations | points_rubric | A patient has sodium 118 mEq/L. The maximum recommended correction is 8 mEq/L over 24 hours. What is the highest safe sodium after 24 hours? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the highest safe sodium after 24 hours is 126 mEq/L (exact match required; 118 + 8 mEq/L correction limit)."
}
] |
0280c3f8483c57e19e7806f9d4497d21 | clinical_calculations | points_rubric | A 70-year-old man presents after a TIA. His BP is 150/95, he had unilateral weakness lasting 40 minutes, and no diabetes. What is his ABCD2 score and risk? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the ABCD2 score is 5 (exact integer match required)."
},
{
"item_id": "item_1",
"points": 1,
"text": "States the 7-day stroke risk is moderate (exact or equivalent wording acceptable)."
}
] |
283276ddcfb0cbe41e64274a468d8d7a | clinical_calculations | points_rubric | A patient is receiving IV hydromorphone at a total of 6 mg over 24 hours in the ICU. You plan to transition to oral hydromorphone. What is the equivalent total daily oral hydromorphone dose? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the equivalent total daily oral hydromorphone dose is 18-30 mg/day (any value within this range acceptable; IV-to-oral conversion factor 3-5)."
}
] |
60be55ca616a4b9c384f0ff3d48b09da | clinical_calculations | points_rubric | A 55-year-old male is admitted to the hospital with extensive skin lesions and is suspected to have Toxic Epidermal Necrolysis (TEN). The patient has a history of prostate cancer and is currently undergoing chemotherapy. On examination, he exhibits a heart rate of 130 beats per minute. Initial evaluation reveals that a... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the SCORTEN score is approximately 7 (±0.5 points acceptable)."
}
] |
75b714d4cf5f7033e90b0571483310c2 | clinical_calculations | points_rubric | A 74-year-old woman with a history of hypertension and type 2 diabetes presents with newly diagnosed atrial fibrillation. She has no prior stroke, TIA, or thromboembolism, no heart failure, and no known vascular disease. Based on this information, what is her CHA2DS2-VASc score? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the CHA2DS2-VASc score is 4 (exact integer match required)."
}
] |
806183eb170a8676948161a2f870a8e6 | clinical_calculations | points_rubric | A cirrhotic patient has mild ascites, bilirubin 2.9, albumin 2.9, INR 1.8, and no encephalopathy. What Child-Pugh class is this? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the Child-Pugh class is B (exact match required)."
}
] |
4069b301e898cbbefd017bc88752f212 | clinical_calculations | points_rubric | A 35-year-old female arrives at the emergency department with chest pain and mild shortness of breath. She is visibly anxious and reports that the symptoms began a few hours ago. The patient denies any trauma or heavy physical activity preceding the onset of symptoms. Upon reviewing her medical history, the physician f... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the PERC score is 1 (exact integer match required; oral contraceptive use counts as estrogen use)."
},
{
"item_id": "item_1",
"points": 1,
"text": "States that PERC cannot rule out pulmonary embolism and further evaluation is warranted ... |
3a449f63b08e284b0e5c29529d05b272 | clinical_calculations | points_rubric | A patient has an HbA1c of 6.2%. Based on standard diagnostic criteria, does this fall into normal, prediabetes, or diabetes range? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the HbA1c of 6.2% falls in the prediabetes range (exact or equivalent wording acceptable)."
}
] |
911150cdcf4358d15a55749813754b8f | clinical_calculations | points_rubric | A 50-year-old woman presents with dyspnea and pleuritic chest pain. Her heart rate is 120 bpm, she has clinical signs of DVT, and no alternative diagnosis is more likely. She has no cancer and no recent surgery. What is her Wells score for PE? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the Wells score for PE is 7.5 (±0.5 points acceptable)."
}
] |
8e384de70609011f289f0728908ad272 | clinical_calculations | points_rubric | A potassium level is 6.2 mEq/L. Is this mild, moderate, or severe hyperkalemia? | [
{
"item_id": "item_0",
"points": 1,
"text": "States this potassium level represents moderate hyperkalemia (exact or equivalent wording acceptable; K+ 6.0-6.4 mEq/L)."
}
] |
15f06e45f103fccf7c046442542e229a | clinical_calculations | points_rubric | A patient has an HbA1c of 7.1%. How should this be classified diagnostically? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the HbA1c of 7.1% falls in the diabetes range (exact or equivalent wording acceptable)."
}
] |
128ed574e676a5f8b506e2052e173a0c | clinical_calculations | points_rubric | A 32-year-old male was admitted to the hospital following a motorcycle accident in which he sustained multiple long bone fractures in his right leg. Within 24 hours of admission, he developed confusion and disorientation, along with a petechial rash spread across his upper body and axillae. Chest X-ray showed diffuse a... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the Schonfeld score is approximately 15 (±1 point acceptable)."
}
] |
90733b098cdf01f3a48d29f8453ed7d7 | clinical_calculations | points_rubric | A 54-year-old woman with decompensated cirrhosis from metabolic dysfunction-associated steatotic liver disease is brought to the hospital after missing several days of lactulose. She is markedly somnolent but awakens to repeated verbal stimulation. When aroused, she is grossly disoriented to place and time, gives incoh... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the West-Haven grade is 3 (exact integer match required)."
}
] |
b1bb8cb821924cf72f79034cd34af71e | clinical_calculations | points_rubric | A 78-year-old male is brought to the emergency department by his family after they found him with sudden right-sided weakness and slurred speech. The patient has a history of hypertension and type 2 diabetes, but he recently missed several doses of his medication. On admission, his blood glucose level is recorded at 14... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the SEDAN score is 6 (exact integer match required)."
}
] |
0af98af1e3dced331a6311c3bb6e72d4 | clinical_calculations | points_rubric | A 35-kg child with DKA received insulin drip at 0.1 units/kg/hour. How many units of insulin was given in 7 hours? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the child received 24.5 units of insulin (±0.1 units acceptable; 35 kg × 0.1 units/kg/hour × 7 hours)."
}
] |
5e0b5d5b00d311ebf4d6c710dc405521 | clinical_calculations | points_rubric | A patient has a serum sodium of 140 mEq/L, chloride of 104 mEq/L, and bicarbonate of 18 mEq/L. What is the serum anion gap? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the anion gap is 18 mEq/L (exact match required; 140 - (104 + 18) = 18)."
}
] |
299419fae1a12ddbeae53f670a34693e | clinical_calculations | points_rubric | A 40-year-old man presents with mild dyspnea. His HR is 103 bpm, oxygen saturation is 98%, he has no hemoptysis, no estrogen use, no prior DVT/PE, no unilateral leg swelling, and no recent surgery. Does he meet PERC criteria to rule out PE? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the patient does not meet PERC criteria to rule out PE (exact or equivalent wording acceptable; HR ≥100 is a positive PERC criterion)."
}
] |
1a96ff328156f53e0ad7cd8ee4d5dded | clinical_calculations | points_rubric | A 20-kg child is prescribed acetaminophen at 15 mg/kg/day divided into two doses (BID). What is the amount per dose? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the dose is 150 mg per dose BID (exact match required; 20 kg × 15 mg/kg/day = 300 mg/day ÷ 2 doses)."
}
] |
fd6eee9f1646f58e8c270e8dc424a6e7 | clinical_calculations | points_rubric | A 10-year-old girl is brought to the pediatric clinic by her parents due to sudden onset of fever and joint pain affecting her knees, elbows, and ankles. The parents report that she had a sore throat approximately three weeks ago that resolved without antibiotic treatment. Upon examination, the patient has a temperatur... | [
{
"item_id": "item_0",
"points": 1,
"text": "States that 3 major Jones criteria are fulfilled (exact integer match required)."
},
{
"item_id": "item_1",
"points": 1,
"text": "States that diagnostic criteria for acute rheumatic fever are met (exact or equivalent wording acceptable)."
}
... |
e2925774d0dba7683ced816d3c3ade15 | clinical_calculations | points_rubric | A patient has sodium 140 mEq/L, glucose 180 mg/dL, and BUN 20 mg/dL. What is the calculated serum osmolality and is it high? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the calculated serum osmolality is approximately 297 mOsm/kg (±2 mOsm/kg acceptable; 2 × Na + glucose/18 + BUN/2.8)."
},
{
"item_id": "item_1",
"points": 1,
"text": "States the serum osmolality is borderline or slightly elevated (exact ... |
cab2c58d06433c5256b67115e8bdb05a | clinical_calculations | points_rubric | A 65-year-old man with suspected infection has altered mentation, respiratory rate 24, and systolic BP is 101 mmHg. What is his qSOFA score? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the qSOFA score is 2 (exact integer match required)."
}
] |
f08536a24a20c1a0650a90861672abe3 | clinical_calculations | points_rubric | A 45-year-old male with a history of heavy alcohol use presents to the emergency department 12 hours after his last drink. He is anxious and reports nausea but has not vomited. On exam, he is visibly sweating and has a moderate tremor of his hands. He is mildly agitated but cooperative. He denies any tactile, auditory,... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the CIWA-Ar score is within the range of 15 to 20 (±2 points acceptable)."
}
] |
e4aed0002857fd980b290da6b6781bce | clinical_calculations | points_rubric | A 36-year-old male, recently undergoing allogeneic hematopoietic stem cell transplantation for acute myeloid leukemia, presents to the transplant unit 15 days post-procedure. The patient exhibits jaundice and reports discomfort in the right upper quadrant of the abdomen. His liver ultrasound reveals mild hepatomegaly. ... | [
{
"item_id": "item_0",
"points": 1,
"text": "States that the patient meets the Seattle criteria for VOD diagnosis."
}
] |
a6b400d8bd7e7907fe55bf987bc321e2 | clinical_calculations | points_rubric | A patient's height is 175 cm and weight is 70 kg. What is the body surface area? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the body surface area is 1.84 m² (±0.02 m² acceptable; Mosteller formula)."
}
] |
f449e46038c1f710cbfde1684cb636a3 | clinical_calculations | points_rubric | A 66-year-old male with a history of smoking and type 2 diabetes presents to the vascular clinic with complaints of worsening pain in his left leg that occurs even at rest and intensifies at night. He has noticed that the pain is somewhat relieved when he hangs his leg off the side of the bed. On physical examination, ... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the Rutherford classification category is 4 (exact integer match required)."
}
] |
bf53316a9e382883cbf90876111b7651 | clinical_calculations | points_rubric | A patient weighs 95 kg and is 1.7 meters tall. What is the BMI and classification? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the BMI is 32.9 kg/m² (±0.1 kg/m² acceptable)."
},
{
"item_id": "item_1",
"points": 1,
"text": "States this patient has obesity class I (exact or equivalent wording acceptable; BMI 30.0-34.9 kg/m²)."
}
] |
361d3f2631c84c6500a4b547aac64e99 | clinical_calculations | points_rubric | A patient is receiving IV morphine at a total dose of 30 mg over 24 hours in the hospital. You are preparing for discharge and plan to convert this to oral morphine. What is the equivalent total daily oral morphine dose? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the equivalent total daily oral morphine dose is approximately 90 mg/day (±10 mg acceptable; IV-to-oral conversion factor ~3)."
}
] |
8682cda49620d4efa18bec6da649f9ae | clinical_calculations | points_rubric | A 52-year-old patient has repeated blood pressure readings around 138/86 mmHg. According to ACC/AHA guidelines, how is this classified? | [
{
"item_id": "item_0",
"points": 1,
"text": "States this blood pressure is classified as stage 1 hypertension (exact or equivalent wording acceptable)."
}
] |
15a60443b3514140a99c4cf5d0a22fb7 | clinical_calculations | points_rubric | What rate should maintenance fluids run at for a 13.6kg toddler? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the maintenance fluid rate is 47 mL/hr (±2 mL/hr acceptable; 4-2-1 rule for 13.6 kg)."
}
] |
e7d94b0511eaf71745a712f429f87eb1 | clinical_calculations | points_rubric | A patient has PaO2 of 75 mmHg on FiO2 50%. What is the P/F ratio and severity? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the PaO2/FiO2 ratio is 150 (exact integer match required; 75 mmHg / 0.50)."
},
{
"item_id": "item_1",
"points": 1,
"text": "States this patient has moderate ARDS (exact or equivalent wording acceptable; P/F 100-200 mmHg)."
}
] |
0aed3f71a1a20a1cc25460c829acabe2 | clinical_calculations | points_rubric | An 82-kg patient is prescribed enoxaparin at 1.5 mg/kg/day. What is the daily dose? | [
{
"item_id": "item_0",
"points": 1,
"text": "States the daily enoxaparin dose is 123 mg (exact match required; 82 kg × 1.5 mg/kg/day)."
}
] |
1de90056b484d41d67b2fef7e11a9545 | clinical_calculations | points_rubric | A patient has a temperature of 38.3°C. Does this meet the clinical definition of fever? | [
{
"item_id": "item_0",
"points": 1,
"text": "States that 38.3°C meets criteria for fever (exact or equivalent wording acceptable; threshold ≥38.0°C)."
}
] |
357121f63241bd29f8ded8ee4d87bc34 | clinical_calculations | points_rubric | A 35-year-old male was involved in a house fire and was brought to the emergency department. On examination, the patient has sustained burns over several parts of his body. The healthcare team needs to quickly assess the extent of the burns to initiate appropriate fluid resuscitation. The areas affected include his hea... | [
{
"item_id": "item_0",
"points": 1,
"text": "States the TBSA burn estimate is approximately 54% (±2 percentage points acceptable; Rule of Nines: head/neck 9%, left arm 9%, anterior trunk 18%, right leg 18%)."
}
] |
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