graliuce/Qwen2.5-3B-Instruct_rl_qwenbase2
Text Generation • 3B • Updated • 2
messages stringclasses 1
value | case_vignette stringlengths 74 1.64k | question stringclasses 200
values | choices stringlengths 18 388 | ground_truth stringlengths 3 96 |
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You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 15-year-old girl comes to the physician for the evaluation of a painless swelling under the left lower jaw for 5 months. Her 18-year-old sister has a history of acute lymphoblastic leukemia that has been in remission for 11 years. The patient's temperature is 37°C (98.6°F) Physical examination shows a 3 × 2 cm swelli... | Which is the most likely diagnosis? | Thyroglossal duct cyst, Lymphadenopathy, Cystic hygroma, Branchial cleft cyst | branchial cleft cyst |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 7-year-old boy is brought to the physician by his parents because of a 4.5-kg (10-lb) weight loss during the last 3 months. During this period, he has complained of abdominal pain and fullness, and his parents feel that he has been eating less. His parents also report that his urine has appeared pink for several week... | Which is the most likely diagnosis? | Von Hippel‑Lindau disease, Neurofibromatosis type 1, Tuberous sclerosis, Sturge-Weber syndrome | tuberous sclerosis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 7 -day-old newborn boy presents to the emergency department with a history of fever, irritability, and generalized erythema. During the first 2 days of clinical manifestations, the parents of the child tried to control the symptoms using acetaminophen; however, the newborn continued to be ill, and blisters were notic... | What is the most likely diagnosis in this patient? | Pyoderma, Scalded skin syndrome, Impetigo, Erysipela | scalded skin syndrome |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 38-year-old woman undergoes a diagnostic hysteroscopy for a 6-month history of small volume intermenstrual bleeding with no other complaints. There is no history of pelvic pain, painful intercourse, or vaginal discharge other than blood. During the procedure, a red beefy pedunculated mass is seen arising from the end... | Which is the most likely diagnosis? | Endometrial polyp, Uterine adenomyosis, Endometrial hyperplasia, Uterine leiomyoma | endometrial polyp |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 34-year-old woman visits an outpatient clinic with a complaint of pain in her left breast for the last few months. The pain worsens during her menstrual cycle and relieves once the cycle is over. She denies any nipple discharge, skins changes, warmth, erythema, or a palpable mass in the breast. Her family history is ... | Which is the most likely diagnosis? | Ductal hyperplasia without atypia, Infiltrating ductal carcinoma, Intraductal papilloma, Sclerosing adenosis | sclerosing adenosis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | 49-year-old man complains of no symptoms, but on a routine complete blood count (CBC) has a white blood cell count of 40,000 per uL. A peripheral blood smear demonstrates leukocytosis with myeloid cells present at various stages of differentiation, with more mature cells present at a greater percentage than less mature... | What is the likely diagnosis? | Acute Promyelocytic Leukemia (APL or APML), Acute Lymphoblastic Leukemia (ALL), Chronic Lymphocytic Leukemia (CLL), Chronic Myelogenous Leukemia (CML) | chronic myelogenous leukemia (cml) |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 58-year-old woman with HIV infection is brought to the emergency department because of a 2-week history of headaches, blurred vision, and confusion. Her current medications include antiretroviral therapy and trimethoprim-sulfamethoxazole. Neurological examination shows ataxia and memory impairment. Her CD4+ T-lymphoc... | Which is the most likely diagnosis? | Cerebral toxoplasmosis, Primary cerebral lymphoma, Glioblastoma multiforme, AIDS dementia | primary cerebral lymphoma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 90-year-old male complains of hip and back pain. He has also developed headaches, hearing loss, and tinnitus. On physical exam the skull appears enlarged, with prominent superficial veins. There is marked kyphosis, and the bones of the leg appear deformed. Plasma alkaline phosphatase is elevated. A skull x-ray shows ... | The most likely diagnosis is | Multiple myeloma, Paget's disease, Hypercalcemia, Metastatic bone disease | Paget's disease |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 48-year-old woman comes to the physician because of an increasingly painful swelling behind her right knee for the past 2 months. During this time, she has also had intermittent low-grade fever and she has been more fatigued than usual. She has not had any trauma to the knee. Over the past year, she has had occasiona... | Which is the most likely diagnosis? | Gout, Popliteal artery aneurysm, Rheumatoid arthritis, Systemic lupus erythematosus
" | rheumatoid arthritis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | 65 year old female presented to OPD with complaint of abdominal pain just after eating food , episodes of vomiting and diarrhea. She gave history of Coronary aery disease from last 20 years . BP - 160/100 mm Hg , pulse- 80/min .On abdominal examination, there is no tenderness or rigidity. | What shall be the most likely diagnosis: | Peptic ulcer, Wilkie's disease, Ulcerative colitis, Chronic mesenteric ischemia | Chronic mesenteric ischemia |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 62 years old man with carcinoma of lung presented to emergency depament with respiratory distress. His EKG showed electrical alternans. | The most likely diagnosis is : | Pneumothorax, Pleural effusion, Cardiac tamponade, Constrictive pericarditis. | Cardiac tamponade |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 2-year-old girl is brought to the physician because of abdominal distention and twitching of her feet, which her mother noticed a week ago. The patient has also had a low-grade fever for 5 days. She has not had a bowel movement in 3 days. She was born at term and has been healthy since. She is at the 40th percentile ... | Which is the most likely diagnosis? | Nephroblastoma, Neuroblastoma, Rhabdomyosarcoma, Pheochromocytoma | neuroblastoma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 13-year-old girl is brought to the physician by her parents for the evaluation of progressive hair loss over the past 2 months. The parents report that they have noticed increased number of hairless patches on their daughter's head. The patient denies any itching. There is no personal or family history of serious ill... | Which is the most likely diagnosis? | Obsessive compulsive disorder, Androgenetic Alopecia, Scarring alopecia, Trichotillomania | trichotillomania |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 52-year-old woman with HIV infection is brought to the emergency department 20 minutes after she had a generalized tonic-clonic seizure. She appears lethargic and confused. Laboratory studies show a CD4+ count of 89 cells/μL (N > 500). A CT scan of the head with contrast shows multiple ring-enhancing lesions in the b... | Which is the most likely diagnosis? | HIV encephalopathy, Cryptococcal encephalitis, Primary CNS lymphoma, Cerebral toxoplasmosis | cerebral toxoplasmosis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 25-year-old man presents to the emergency department for a fever and abdominal pain. The patient states that his pain has been worsening over the past week in the setting of a fever. He has a past medical history of IV drug abuse and multiple admissions for septic shock. His temperature is 102°F (38.9°C), blood press... | Which is the most likely diagnosis? | Mesenteric ischemia, Diverticulitis, Splenic abscess, Appendicitis | splenic abscess |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 55-year-old woman comes to your office because she noticed the growth of unwanted hair on her upper lip, chin, and chest. She has also noticed an increase in blackheads and pimples on her skin. Her female partner has also recently brought to her attention the deepening of her voice, weight gain, and changes in her ex... | What is the most likely diagnosis of this patient? | Sertoli-Leydig cell tumour, Adrenocortical carcinoma, Thecoma, Polycystic ovarian syndrome (PCOS) | sertoli-leydig cell tumour |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 45-year old man presents with a daily headache. He describes two attacks per day over the past 3 weeks. Each attack lasts about an hour and awakens the patient from sleep. The patient has noted associated tearing and reddening of his right eye as well as nasal stuffiness. The pain is deep, excruciating, and limited t... | The most likely diagnosis of this patient's headache is : | Migraine headache, Cluster headache, Tension headache, Brain tumour | Cluster headache |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 65-year-old woman comes to the physician because of a 2-month history of persistent pain in her right shoulder. The pain is localized to the top of the shoulder and is worse with movement. She has stiffness in the right shoulder that is worse in the morning and usually lasts 20 minutes. The patient reports that she i... | Which is the most likely diagnosis? | Rotator cuff tear, Subacromial bursitis, Polymyalgia rheumatica, Rotator cuff tendinitis | rotator cuff tear |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A previously healthy eight year old boy presented to the emergency depament with high grade fever, ahralgia, pruritic erythematous rash and lymphadenopathy. He has completed 8 days out of a 10 day course of cefaclor for an upper respiratory tract infection. | Which of the following is the most likely diagnosis | Kawasaki Disease, Type III Hypersensitivity Reaction, Serum sickness Like Illness (SSLI), Henoch schonlein purpura | Serum sickness Like Illness (SSLI) |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 20-year-old student has an appointment with his primary care physician for an annual check-up. He is in his usual state of health. He says his sophomore year of college went well, and he’s currently been home working as a lifeguard for the summer. He asks about a good sunscreen to prevent his “sun-spots.” He reports ... | Which is the most likely diagnosis? | Halo nevi, Vitiligo, Pityriasis alba, Malassezia furfur | malassezia furfur |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A man with chills, fever, and headache is thought to have "atypical" pneumonia. History reveals that he raises chickens and that approximately 3 weeks ago he lost many them to an undiagnosed disease. | The most likely diagnosis of this man's condition is | Anthrax, Q fever, Relapsing fever, Psittacosis | Psittacosis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 23-year old male presents with progressive proptosis of his right eye. The proptosis increases on bending forward and is compressible. No thrill or bruit was present. Orbital ultrasound revealed an echogenic mass with foci of echo shadows. | The most likely diagnosis is | Orbital AV fistula, Orbital encephalocoecle, Orbital varix, Neurofibromatosi | Orbital varix |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 5-year-old girl presents with a rash and a persistent fever of 41.0°C (105.8°F), not relieved by Tylenol. The patient’s mother says that her symptoms started 5 days ago and have not improved. The rash started on her trunk and now is present everywhere including the palms and soles. Her birth history is normal. Her pu... | Which is the most likely diagnosis in this patient? | Juvenile rheumatoid arthritis, Scarlet fever, Staphylococcal scalded skin syndrome, Kawasaki disease | kawasaki disease |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 34-year-old man presents with dyspnea and increasing peripheral edema. He recently had a "flu like" illness with intermittent sharp left-sided chest pain. On examination, his jugular venous pressure (JVP) is elevated at 8 cm, heart sounds are soft and the blood pressure (BP) is 125/80 mm Hg with a 20 mm Hg decrease i... | Which of the following is the most likely diagnosis? | cardiac tamponade, pulmonary hypertension, ventricular septal defect, coarctation of the aorta | cardiac tamponade |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 6 months old infant had itchy erythematous papules and exudative lesions on the scalp, face, groin and axillae for one month. She also had vesicular lesions on the palms. | What is the most likely diagnosis | Psoriasis, Scabies, Congenital syphilis, Seborrheic dermatitis | Scabies |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 23-year-old man presents with sudden loss of consciousness while pitching in a baseball game. There is no history of injury. Consciousness is regained after cardiopulmonary resuscitation. Past medical history is negative for any neurological and cardiovascular problems. Physical examination reveals a prominent A wave... | What is the most likely diagnosis? | Hypertrophic cardiomyopathy, Aortic stenosis, Restrictive cardiomyopathy, Takotsubo cardiomyopathy | hypertrophic cardiomyopathy |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A previously healthy 4-month-old girl is brought to the emergency department by her parents because she has not stopped crying for the past 5 hours. Her parents report that she has not eaten anything during this period and that they were unable to calm her down. She has not had any trauma. She was born at term via vagi... | Which is the most likely diagnosis? | Ingrown toe nail, Herpetic whitlow, Hair tourniquet syndrome, Cellulitis | hair tourniquet syndrome |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 36-year-old female with a history of end stage renal disease secondary to poorly controlled type I diabetes on peritoneal dialysis presents to her nephrologist's office with chest pain, shortness of breath, and extreme fatigue. She has a history of inadequate dialysis due to poor compliance. In the office, the patien... | What is the most likely diagnosis? | Pericardial effusion, Non-ST elevation MI, Pericarditis, Hyperkalemia | pericardial effusion |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 22-year-old woman has had multiple episodes of aspiration of food associated with difficulty swallowing during the past year. On auscultation of her chest, crackles are heard at the base of the right lung. A barium swallow shows marked esophageal dilation above the level of the lower esophageal sphincter. A biopsy sp... | What is the most likely diagnosis? | Achalasia, Barrett esophagus, Plummer-Vinson syndrome, Sliding hiatal hernia | Achalasia |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 67-year-old man refers to his physician for a follow-up examination. During his last visit 1 month ago, splenomegaly was detected. He has had night sweats for the past several months and has lost 5 kg (11 lb) unintentionally during this period. He has no history of severe illness and takes no medications. The vital s... | Which is the most likely diagnosis? | Polycythemia vera, Hodgkin’s lymphoma, Chronic myeloid leukemia, Primary myelofibrosis | primary myelofibrosis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 16-year-old boy is found to have hypertension on routine evaluation. He has no symptoms of shortness of breath or chest discomfort, but occasionally on exertion notes that his legs get tired easily. He has no other past medical history.On physical examination, the blood pressure in his arms is 140/90 mm Hg (bilateral... | Which of the following is the most likely diagnosis? | aortic insufficiency, coarctation of the aorta, normal variant, ventricular aneurysm | coarctation of the aorta |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 39-year-old G4P3 woman 38 weeks pregnant presents to the emergency department with bright red vaginal bleeding that started one hour ago following sexual intercourse with her partner. She denies any abdominal pain. Her medical history is notable for three prior cesarean sections. She has not seen an obstetrician beca... | What is the most likely diagnosis? | Uterine rupture, Vasa previa, Cord prolapse, Placenta previa | placenta previa |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 27-year-old woman is brought by ambulance to the emergency department after being hit by a car while walking on the sidewalk. She is conscious and denies any pain, bleeding, or memory loss. The patient states that she is a veterinarian for farm animals, primarily horses. Her temperature is 98.7°F (37°C), blood pressu... | What is the most likely diagnosis? | Echinococcosis, Cystic teratoma, Cysticercosis, Hepatic hemangioma | echinococcosis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | An 8-year-old boy presents with a 7-day history of fever and abdominal pain for the past 4 days. Past medical history is significant for an exchange transfusion for neonatal hyperbilirubinemia and recurrent attacks of pallor during the course of upper respiratory tract infections. His vital signs include: blood pressur... | Which is the most likely diagnosis in this patient? | Gilbert syndrome, Sickle cell disease, Glucose-6-phosphate-dehydrogenase deficiency, IgG mediated autoimmune hemolytic anemia | glucose-6-phosphate-dehydrogenase deficiency |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 24-year-old man is brought to the emergency room with symptoms of acute intestinal obstruction. His temperature is 38degC (101degF), respirations are 25 per minute, and blood pressure is 120/80 mm Hg. Physical examination reveals a mass in the right lower abdominal quadrant. At laparoscopy, there are numerous small b... | Which of the following is the most likely diagnosis? | Adenocarcinoma, Carcinoid tumor, Crohn disease, Pseudomembranous colitis | Crohn disease |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A previously healthy 75-year-old man comes to the physician with a 6-month history of fatigue, weight loss, and abdominal pain. He drinks 2 oz of alcohol on the weekends and does not smoke. He is retired but previously worked in a factory that produces plastic pipes. Abdominal examination shows right upper quadrant ten... | Which is the most likely diagnosis? | Cholangiocarcinoma
", Kaposi sarcoma, Angiosarcoma, Hepatic adenoma | angiosarcoma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 4-year-old boy presents to the opthalmologist for a down- and inward dislocation of the lens in his left eye. On physical exam, the boy has a marfanoid habitus and mental retardation. Biochemical tests were performed to locate the exact defect in this boy. It was found that there was a significant reduction of the co... | Which is the diagnosis? | Homocystinuria, Marfan syndrome, Maple syrup disease, Phenylketonuria | homocystinuria |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 4-year-old girl is brought to the physician for a painless lump on her neck. She has no history of serious illness and her vital signs are within normal limits. On examination, there is a firm, 2-cm swelling at the midline just below the level of the hyoid bone. The mass moves cranially when she is asked to protrude ... | Which is the most likely diagnosis? | Ranula, Dermoid cyst, Thyroglossal cyst, Branchial cyst | thyroglossal cyst |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 40-year-old nulliparous woman with no significant medical history presents to your office with shortness of breath and increased abdominal girth over the past month. The initial assessment demonstrates that the patient has a right-sided hydrothorax, ascites, and a large ovarian mass. Surgery is performed to remove th... | What is the most likely diagnosis? | Meigs syndrome, Nephrotic syndrome, Metastatic ovarian cancer, Metastatic colon cancer | meigs syndrome |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 67-year-old man presents to his physician’s office with a progressive cough. It has been increasing in intensity over the past week. He has also been noticing an increase in the amount of sputum he usually produces, which is thick and yellow. He also complains of increased difficulty in breathing, more so than he pre... | Which pathogens should be considered before initiating treatment for the current episode? | Syncytial virus, M. catarrhalis, P. aeruginosa, H. influenzae | p. aeruginosa |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 62-year-old man is referred to a gastroenterologist because of difficulty swallowing for the past 5 months. He has difficulty swallowing both solid and liquid foods, but there is no associated pain. He denies any shortness of breath or swelling in his legs. He immigrated from South America 10 years ago. He is a non-s... | What is the most likely underlying cause of this patient’s condition? | Chagas disease, Squamous cell carcinoma of the esophagus, Esophageal rupture, Gastroesophageal reflux disease | chagas disease |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 15-year-old boy is brought to the physician by his parents for evaluation of his “weird” behavior. The parents report that their son tortured their cat to death two weeks ago. Over the past year, he has been accused of stealing a car and setting a fire at his school. He has no history of serious illness. He attends a... | Which is the most likely diagnosis? | Disruptive mood dysregulation disorder
", Conduct disorder, Attention deficit hyperactivity disorder, Autism spectrum disorder | conduct disorder |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 55-year-old woman is recently diagnosed with amyloidosis. She is now noticing increasing shortness of breath, fatigue, and edema. On examination, the JVP is at 10 cm with a negative Kussmaul's sign but prominent x and y descent. | The blood pressure is 90/70 mm Hg, no pulsus paradoxus, pulse 100/min with low volume, and normal heart sounds.For the above patient with shortness of breath and peripheral edema, select the most likely diagnosis. | cardiac tamponade, constrictive pericarditis, restrictive cardiomyopathy, right ventricle myocardial infarction (RVMI) | restrictive cardiomyopathy |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A newborn presented severe respiratory distress. On examination he was found to have scaphoid abdomen and absent breath sounds on left side of chest. | The most likely diagnosis is: | Transient tachypnea of newborn, Congenital adenomatoid lung disease, Congenital Diaphragmatic hernia, Sequestration of lung | Congenital Diaphragmatic hernia |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 29-year-old woman, gravida 1, para 0 at 11 weeks' gestation comes to the physician because of a 2-day history of left lower extremity pain and swelling. Her temperature is 37.9°C (100.2°F). Physical examination shows a tender, palpable cord on the lateral aspect of the left lower leg. The overlying skin is erythemato... | Which is the most likely diagnosis? | Erythema nodosum, Superficial thrombophlebitis, Erysipelas, Lymphedema | superficial thrombophlebitis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 39-year-old man presents to a primary care clinic for a routine physical exam. He denies any complaints. He has a long beard and hair, wears several copper bracelets, and a crystal amulet. When asked about his diet, he discloses eating mostly canned foods, which he has stockpiled in his cabin in case there is a natur... | Which is the most likely diagnosis for this patient? | Schizotypal personality disorder, Schizophrenia, Schizophreniform disorder, Schizoid personality disorder | schizotypal personality disorder |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 62-year-old man comes to the physician for decreased exercise tolerance. Over the past four months, he has noticed progressively worsening shortness of breath while walking his dog. He also becomes short of breath when lying in bed at night. His temperature is 36.4°C (97.5°F), pulse is 82/min, respirations are 19/min... | Which is the most likely diagnosis? | Mitral valve regurgitation, Aortic valve regurgitation, Aortic valve stenosis
", Tricuspid valve regurgitation | aortic valve regurgitation |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A previously healthy infant presents with a recurrent episode of abdominal pain. The mother says that the child has been passing an altered stool after episodes of pain, but gives no history of vomiting or bleeding per diagnosis -rectum. | Which of the following is the most likely diagnosis – | Rectal Polys, Intussuception, Meckel's Diverticulum, Necrotizing Enterocolitis | Intussuception |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 22-year-old man presents to the emergency department with a 2-day history of fever and altered mentation. He reports fever without chills and rigors and denies sore throat, abdominal pain, headache, loose stool, burning micturition, or seizures. He has a history of tics and is currently on a low dose of haloperidol. ... | What is the most likely diagnosis? | Encephalitis, Neuroleptic malignant syndrome, Acute disseminated encephalomyelitis, Meningitis | neuroleptic malignant syndrome |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 2-year-old female with abdominal pain undergoes laparoscopic surgery. An outpouching of tissue is excised from the ileum and sent to the laboratory for evaluation. The pathologist notes inflammation and the presence of mucosa, submucosa, and muscle in the walls of the specimen. | Which is the most likely diagnosis? | Henoch-Schonlein purpura, Meckel's diverticulum, Hirschprung's disease, Appendicitis | meckel's diverticulum |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 70 yrs male patient has single well defined lytic lesion of skull. The patient had no other complaint and urine examination had no abnormality. | What is the most likely diagnosis? | L.C.H, Localized myeloproliferative disorder, Generalized myeloproliferative disorder, Tumor of osteoblasts | L.C.H |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 65-year-old man presents to his primary care physician for fatigue. The patient states that he has not been sleeping well and requests sleep medication to help him with his fatigue. He recently changed his diet to try to increase his energy and has been on a vegetarian diet for the past several months. The patient ha... | Which is the most likely diagnosis? | Iron deficiency anemia, Cholangiocarcinoma, Autoimmune hemolytic anemia, Pancreatic adenocarcinoma | pancreatic adenocarcinoma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 71-year-old woman comes to her doctor because she is having trouble staying awake in the evening. Over the past year, she has noticed that she gets tired unusually early in the evenings and has trouble staying awake through dinner. She also experiences increased daytime sleepiness, fatigue, and difficulty concentrati... | Which is the most likely diagnosis? | Advanced sleep phase disorder, Insomnia disorder, Delayed sleep phase disorder, Non-REM sleep arousal disorder | advanced sleep phase disorder |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 45-year-old woman comes to the physician because of shortness of breath while lying on her back over the past month. During this period, she has also had several episodes of bloody coughing. The patient reports that she had a heart problem when she was a child that was treated with antibiotics. She emigrated to the U... | Which is the most likely diagnosis? | Aortic valve regurgitation, Mitral valve prolapse, Mitral valve stenosis, Aortic valve stenosis | mitral valve stenosis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 35-year-old African American man presents with fever, abdominal pain, and severe weakness since yesterday. On physical examination, the patient is jaundiced and shows a generalized pallor. Past medical history is significant for recently receiving anti-malaria prophylaxis before visiting Nigeria. Laboratory tests sho... | Which is the most likely diagnosis in this patient? | Sickle cell disease, Glucose-6-phosphate-dehydrogenase (G6PD) deficiency, Microangiopathic hemolytic anemia, Paroxysmal nocturnal hemoglobinuria (PNH) | glucose-6-phosphate-dehydrogenase (g6pd) deficiency |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 10-year-old boy is brought to the pediatric clinic because of persistent sinus infections. For the past 5 years, he has had multiple sinus and upper respiratory infections. He has also had recurrent diarrhea throughout childhood. His temperature is 37.0°C (98.6°F), the heart rate is 90/min, the respirations are 16/mi... | Which is the most likely diagnosis? | Selective IgA deficiency, Common variable immunodeficiency, Drug-induced IgA deficiency, Chediak-Higashi syndrome | selective iga deficiency |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 6-year-old girl is brought to the physician for a well-child examination. She has no history of serious illness. Her temperature is 37°C (98.6°F), pulse is 95/min, and blood pressure is 96/52 mm Hg. Examination shows a 2/6 continuous, low-pitched murmur over the left upper sternal border that radiates towards the nec... | Which is the most likely diagnosis? | Coarctation of the aorta, Venous hum, Patent ductus arteriosus, Atrial septal defect | venous hum |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 21 years old woman has 3 cm node in the lower deep cervical chain on the left. The biopsy is interpreted as revealing normal thyroid tissue in a lymph node. | The most likely diagnosis is | Subacute thyroiditis, Papillary carcinoma thyroid, Hashimoto's disease, Lateral aberrant thyroid | Papillary carcinoma thyroid |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 75-year-old man comes to the physician because of a 2-week history of sharp, stabbing pain in the lower back that radiates to the back of his left leg. He also has had a loss of sensitivity around his buttocks and inner thighs as well as increased trouble urinating the last week. Two years ago, he was diagnosed with ... | Which is the most likely diagnosis? | Conus medullaris syndrome, Cauda equina syndrome, Brown-sequard syndrome, Central cord syndrome | cauda equina syndrome |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 50-year, old patient tSCIILS wnn n1 ea i-,ess and bleeding episodes. His leukocyte count was 48 x 109 cells/L and platelet count was 50 x 109 cells/L. There was dysplasia of neutrophils with a differential count showing 76% neutrophils, 8% blast cells, 12% myelocytes and metamyelocytes and 4% other cells Bonemarrow e... | The most likely diagnosis is: | Acute myeloid leukemia, Chronic myeloid leukemia, Chronic lymphoid leukemia, Myelodysplastic syndrome | Acute myeloid leukemia |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 56-year-old woman has noticed an enlarging lump on the right side of her neck for the past 7 months. On physical examination, there is a 3-cm nodule in the right upper neck, medial to the sternocleidomastoid muscle and lateral to the trachea at the angle of the mandible. CT scan shows a circumscribed, solid mass adja... | What is the most likely diagnosis? | Metastatic squamous cell carcinoma, Metastatic thyroid medullary carcinoma, Mucoepidermoid carcinoma, Paraganglioma | Paraganglioma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 50 year old lady presented with history of pain upper abdomen, nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2 years back. Her bilirubin was 10 mg/d1, SGPT 900 1U/L SGOT 700 IU/L and serum alkaline phosphatase was 280 IU/L. | What is the most likely diagnosis ? | Acute pancreatitis, Acute cholangitis, Acute viral hepatitis, Posterior penetration of peptic ulcer | Acute viral hepatitis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 42-year-old Caucasian male presents to your office with hematuria and right flank pain. He has no history of renal dialysis but has a history of recurrent urinary tract infections. You order an intravenous pyelogram, which reveals multiple cysts of the collecting ducts in the medulla. | What is the most likely diagnosis? | Autosomal dominant polycystic kidney disease, Acquired polycystic kidney disease, Chronic renal failure, Medullary sponge kidney | medullary sponge kidney |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 21-year-old man presents to the clinic complaining of feeling tired during the day. He is concerned as his grades in school have worsened and he does not want to lose his scholarship. Upon further questioning, the patient describes frequently experiencing a dreamlike state before falling asleep and after waking up. H... | What is this patient's diagnosis? | Obstructive sleep apnea (OSA), Insomnia, Narcolepsy, Delayed sleep phase syndrome (DSPS) | narcolepsy |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 5-year-old boy is brought to the emergency department by his parents after a month of fatigue, difficulty concentrating, and diffuse abdominal pain. The pain has been mild, does not radiate, and was not associated with eating. He denies any nausea, vomiting, or diarrhea. His parents recently noticed that he began to ... | Which diseases involves the same metabolic pathway as the most likely diagnosis for this patient? | Porphyria cutanea tarda, Xeroderma pigmentosum, Von Gierke’s disease, Lesch-Nyhan syndrome | porphyria cutanea tarda |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 65-year-old woman who has smoked 2 packs per day for forty years comes to your practice complaining of a chronic cough, dyspnea, hemoptysis, and difficulty rising from a chair. | Based on CXR and biopsy slides shown, you feel that all would be consistent with her diagnosis EXCEPT? | Dry mouth, Antibodies to presynaptic calcium channels, Blurry vision, Decreasing muscle strength with repetitive stimulation | decreasing muscle strength with repetitive stimulation |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 10-year-old boy presents to his pediatrician for a well child appointment. The patient has been doing well in school. He plays on a club basketball team and is also a member of the chess club. He has many friends and is very happy. His parents currently have no concerns for him. His temperature is 99.5°F (37.5°C), bl... | Which is the most likely underlying diagnosis in this patient? | Precocious puberty, Sertoli cell tumor, Pituitary adenoma, Leydig cell tumor | leydig cell tumor |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 50-year-old farmer from Jamaica presents to his physician with a wart-like lesion on his left foot. He is a plantain farmer and often farms barefoot because of the pleasant climate. Physical examination reveals warty, cutaneous nodules that resemble the florets of cauliflower. On a KOH preparation, irregular, dark br... | Which is the most likely diagnosis? | Mycetoma, Chromoblastomycosis, Sporotrichosis, Rhinosporidiosis | chromoblastomycosis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 57-year-old man is brought to the physician for worsening mental status over the past 2 months. His wife reports he was initially experiencing lapses in memory and over the past 3 weeks he has begun having difficulties performing activities of daily living. Yesterday, he became lost heading to the post office down th... | Which is the most likely diagnosis? | Alzheimer's disease, Frontotemporal dementia, Amyotrophic lateral sclerosis, Creutzfeldt-Jakob disease | creutzfeldt-jakob disease |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 33-year-old woman presents to her primary care physician for a wellness check-up. She states that recently she has been feeling well other than headaches that occur occasionally, which improve with ibuprofen and rest. She has a past medical history of hypertension and headaches and is currently taking hydrochlorothia... | Which is the most likely diagnosis? | Cushing syndrome, Benign essential hypertension, Narrowing of the renal arteries, Primary hyperaldosteronism | primary hyperaldosteronism |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 58 years old woman, who had backache and recurrent chest infections for 6 months, develops sudden weakness of the legs and urinary retention. Her investigations show hemoglobin of 7.3 gm/d1, serum calcium 12.6 mg/d1, phosphate 2.5 mg/dl, alkaline phosphatse 100 uil, serum albumin 3 gm/d1, globulin 7.1 gm/d1, and urea... | What is the most likely diagnosis ? | Lung cancer, Disseminated tuberculosis, Multiple myeloma, Osteoporosis | Multiple myeloma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 60–year old diabetic patient has an uneventful phacoemulsification with IOL implantation. He presented with pain, diminished vision, redness, watering and a greyish yellow pupillary reflex on the third postoperative day. Examination revealed circumcorneal congestion, aqueous cells 4+, hypopyon in the anterior chamber... | The most likely diagnosis is – | Keratitis, Glaucoma, Endophthalmitis, Postoperative cyclitis | Endophthalmitis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | An 18-year-old male with a history of recurrent pharyngitis presents to your clinic with fever, sore throat and decreased oral intake. The patient states that his symptoms have been present for about 1-week, although over the past couple of days they have gotten much worse. The patient's vital signs are as follows: tem... | What is the most likely diagnosis in this patient? | Peritonsillar abscess, Infectious mononucleosis, Peritonsillar cellulitis, Lymphoma | peritonsillar abscess |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 28-year-old male complains of glare in both eyes. The cornea shows whorl-like opacities of the epithelium. He also gave a history of long-term treatment with amiodarone. | The most likely diagnosis is – | Terrain's marginal degeneration, Cornea verticillata, Band shaped keratophathy, Arcus juvenalis | Cornea verticillata |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 14-year-old male of eastern European descent presents to the free clinic at a university hospital for a respiratory infection, which his mother explains occurs quite frequently. The male is noted to be of short stature, have a gargoyle-like facies, clouded corneas, poor dentition, and is severely mentally retarded. A... | Which is the most likely diagnosis? | Fabry's disease, Gaucher's disease, Hurler's syndrome, Hunter's syndrome | hurler's syndrome |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 3-month-old boy presents for routine health maintenance. The patient has coarse facial features and stiff joint movements with restricted passive and active range of motion. He also has problems following objects with his eyes and seems not to focus on anything. On physical examination, the corneas are clouded, and t... | Which is the most likely diagnosis in this patient? | Kartagener syndrome, Inclusion cell disease, Tay-Sachs disease, Adrenoleukodystrophy | inclusion cell disease |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 75-year old patient present with deterioration of vision. On examination the pupillary reflex is observed to be sluggish and the intraocular pressure is normal. Optic disc evaluation shows a large and deep cup and primarily shows paracentral scotomas. | The most likely diagnosis is: | Primary narrow angle glaucoma, Normal tension glaucoma, Neovascular glaucoma, Absolute glaucoma | Normal tension glaucoma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 68-year-old man presents to the emergency department complaining of difficulty in breathing for the past 2 days. He has had recurrent episodes of bacterial pneumonia in the right lower lobe during the last 6 months. His last episode of pneumonia started 7 days ago for which he is being treated with antibiotics. He ha... | Which is the most likely diagnosis of this patient? | Non-small cell lung cancer, Small cell lung cancer, Mesothelioma, Metastatic lung disease | small cell lung cancer |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 26-year-old woman presents to the clinic complaining of a headache, runny nose, and malaise. A few minutes into the interview, she mentions that she recently started her job and is glad to work long hours despite the toll on her health. However, she admits that she is finding it difficult to keep up with the workload... | Which is the most likely diagnosis in this patient? | Ego-syntonic obsessive-compulsive personality disorder, Ego-dystonic obsessive-compulsive disorder, Ego-syntonic obsessive-compulsive disorder, Ego-dystonic obsessive-compulsive personality disorder | ego-syntonic obsessive-compulsive personality disorder |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 14-year-old boy is brought to the physician for the evaluation of back pain for the past six months. The pain is worse with exercise and when reclining. He attends high school and is on the swim team. He also states that he lifts weights on a regular basis. He has not had any trauma to the back or any previous proble... | Which is the most likely diagnosis? | Facet joint syndrome, Overuse injury, Spondylolisthesis, Ankylosing spondylitis | spondylolisthesis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 32-year-old woman presents to her family physician with a long history of depression, irritability, and, more recently, personality changes. As her partner comments, she has stopped engaging in activities she used to enjoy like dancing, drumming lessons, and yoga. The patient denies changes in skin pigmentation and a... | What is the most likely diagnosis? | Wilson disease, Primary sclerosing cholangitis, Hemochromatosis, Autoimmune hepatitis | wilson disease |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 40 year old male patient has a large, foul smelling ulcer with bright red granulation tissue over the glans penis. There was no lymphadenopathy. | The most likely diagnosis is: | Syphilis, Chancroid, LGV, Granuloma inguinale | Granuloma inguinale |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 65-year-old woman who lives in New York City presents with headache, fever, and neck stiffness. She received a diagnosis of HIV infection 3 years ago and has been inconsistent with her antiretroviral medications. Recent interferon-gamma release assay testing for latent tuberculosis was negative. A computed tomography... | Which organisms is the most likely cause of her symptoms? | Cryptococcus neoformans, Aspergillus fumigatus, Coccidioides immitis, Blastomyces dermatitidis | cryptococcus neoformans |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | An army recruit, smoker and 6 months into training staed complaining of pain at postero medial aspect of both legs. There was acute point tenderness and the pain was aggravated on physical activity. | The most likely diagnosis is | Bearger's disease, Gout, Lumbar canal stenosis, Stress fracture | Stress fracture |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 75-year-old woman presents with sudden loss of vision. She says that she was reading when suddenly she was not able to see the print on half of the page. Her symptoms started 4 hours ago and are accompanied by a severe posterior headache. Vital signs reveal the following: blood pressure 119/76 mm Hg, pulse 89/min, Sp... | What is the most likely diagnosis in this patient? | Middle cerebral artery stroke, Vertebrobasilar stroke, Posterior cerebral artery stroke, Subarachnoid hemorrhage | posterior cerebral artery stroke |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 25-year-old man comes to the physician for the evaluation of recurrent episodes of nosebleeds over the past 6 months. The nosebleeds occur spontaneously and stop after 10 minutes after pinching the nose at the nostrils. He has no history of serious illness except for prolonged bleeding following wisdom teeth extracti... | Which is the most likely diagnosis?" | Hemophilia A, Von Willebrand disease, Factor X deficiency, Glanzmann thrombasthenia | von willebrand disease |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 27-year-old woman presents to the emergency department for pain in multiple joints. She states that she has had symmetric joint pain that started yesterday and has been worsening. It is affecting her wrists, elbows, and shoulders. She also endorses a subjective fever and some fatigue but denies any other symptoms. Th... | Which is the most likely diagnosis? | Parvovirus B19, Systemic lupus erythematosus, Rheumatoid arthritis, Gonococcal arthritis | parvovirus b19 |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 40-year-old woman presents to the clinic for hair loss. She was in her usual state of health until earlier this month when she started noticing more and more hair on her pillow in the morning. The problem has only been getting worse since then; she's even started pulling out clumps of hair when she shampoos in the mo... | Which is the most likely diagnosis? | Secondary syphilis, Trichotillomania, Alopecia areata, Tinea capitis | alopecia areata |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 17-year-old boy is brought to the emergency room by his mother for altered mental status. His mother reports that over the past month, the patient has been failing his high school exams. She has noticed reduced attention and poor memory. She has had to repeat conversations that they had only hours ago. Then this morn... | Which is the most likely diagnosis? | Huntington disease, Subacute sclerosing panencephalitis, Human immunodeficiency virus, Guillain-Barre syndrome | subacute sclerosing panencephalitis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 27-year-old man presents to a dermatologist because his skin has become chronically itchy. He has also been experiencing chronic, progressive fatigue. On physical examination, no specific skin lesions are seen, but the patient is noted to be mildly jaundiced. Serum chemistry tests demonstrate elevated serum alkaline ... | Which of the following is the most likely diagnosis? | Ascending cholangitis, Bile duct tumor, Primary biliary sclerosis, Primary sclerosing cholangitis | Primary sclerosing cholangitis |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 70-year-old male presents with hearing loss and tinnitus. On examination, he has a conductive type of deafness and a dull tympanic membrane on the right side. Lymph nodal enlargement of 3x3 cm was noted in the posterior triangle of the neck. Tympanogram revealed a type B wave. | The most likely diagnosis is | Middle ear tumor, Nasopharyngeal malignancy, Acoustic neuroma, Tuberculosis of middle ear | Nasopharyngeal malignancy |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A middle aged man presents with paraesthesia of hands and feet. Examination reveals presence of 'Mees' lines in the nails and rain drop type pigmentation in the hands. | The most likely causative toxin for the above mentioned symptoms is: | Lead, Arsenic, Thallium, Mercury | Arsenic |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 35-year-old is brought into the emergency room after a bicycle vs motored vehicle accident. He was unconscious after hitting the side of his head on the road, but recovered consciousness after a few minutes. He started to ride his bicycle again, but then developed a severe headache with nausea and vomiting, at which ... | What is the most likely diagnosis? | Caput succedaneum, Subarachnoid hemorrhage, Epidural hematoma, Subgaleal hematoma | epidural hematoma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 25-year-old man presents to the emergency department after numerous episodes of vomiting. The patient states that he thinks he ‘ate something weird’ and has been vomiting for the past 48 hours. He says that he came to the hospital because the last few times he "threw up blood". He is hypotensive with a blood pressure... | Which is the most likely diagnosis? | Mallory-Weiss tear, Boerhaave syndrome, Gastric ulcer, Hiatal hernia | mallory-weiss tear |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A young patient presents to the ophthalmic outpatient depament with gradual blurring of vision in the left eye. Slit lamp examination reveals fine stellate keratatic precipitates and aqueous flare and a typical complicated posterior subcapsular cataract. No posterior synechiae were observed. | The most likely diagnosis is: | Intermediate Uveitis (Pars plants), Heerford's disease, Heterochromic iridocyclitis of Fuch's, Subacute Iridocyclitis | Heterochromic iridocyclitis of Fuch's |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 3-day-old infant presents because the patient’s parents noticed that his skin was becoming yellow. The mother said that the patient eats well, has normal stool and urine color. It’s her first child from first healthy pregnancy. The patient was born on time and delivered via spontaneous vaginal delivery with no compli... | Which is the most likely diagnosis in this patient? | Neonatal jaundice, Gilbert syndrome, Hemolytic anemia, Crigler–Najjar syndrome type I | crigler–najjar syndrome type i |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 25 - years old married infeile woman having regular menstruation, fever, lower abdominal pain and dysmenorrhoea present herself at the OPD. On examination, there are bilateral soft tender masses of 3cm diameter in both fornices and uterus is of normal size. | The most likely diagnosis is : | Cystic ovaries, Tubo - ovarian masses, Ectopic pregnancy, Tuberculous salpingitis | Tubo - ovarian masses |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 32-year-old woman visits the office with a complaint of recurrent abdominal pain for the past 2 months. She says the pain has been increasing every day and is located in the right upper quadrant. She has been using oral contraceptive pills for the past 2 years. She is a nonsmoker and does not drink alcohol. Her vital... | What is the most likely diagnosis? | Hepatic adenoma, Focal nodular hyperplasia, Cholangiocarcinoma, Metastatic disease | hepatic adenoma |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 38-year-old woman complains to a physician because of having chronic pelvic pressure. On fuher questioning, she repos chronic lower back pain, constipation, difficulty in walking, and difficulty while intercourse. Pelvic examination showed uterine cervix lying low within the vaginal canal, but does not protrude throu... | Which of the following is the most likely diagnosis? | Cystocele, Femoral hernia, Rectocele, Uterine prolapse | Uterine prolapse |
You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. Th... | A 5-year-old girl presents with difficulty breathing. On examination, of the oral cavity a 3 cm mass is found in the midline on the posterior aspect of the tongue. | The most likely diagnosis is: | Lingual tonsil, Lingual thyroid, Foreign body stuck to the tongue, Dermoid | Lingual thyroid |
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