data/sample_medqa.json

[
  {
    "question": "A 45-year-old man presents with chest pain radiating to the left arm, diaphoresis, and nausea. ECG shows ST elevation in leads II, III, and aVF. What is the most likely diagnosis?",
    "answer": "Inferior ST-elevation myocardial infarction (STEMI)"
  },
  {
    "question": "A patient presents with fever, productive cough, and consolidation on chest X-ray. Gram stain shows gram-positive diplococci. What is the most likely causative organism?",
    "answer": "Streptococcus pneumoniae"
  },
  {
    "question": "A 30-year-old woman presents with fatigue, weight gain, cold intolerance, and constipation. TSH is elevated, free T4 is low. What is the diagnosis?",
    "answer": "Primary hypothyroidism"
  },
  {
    "question": "A child presents with a barking cough, inspiratory stridor, and low-grade fever. What is the most likely diagnosis?",
    "answer": "Croup (laryngotracheobronchitis)"
  },
  {
    "question": "A 60-year-old smoker presents with progressive dyspnea, barrel chest, and decreased breath sounds bilaterally. Spirometry shows FEV1/FVC < 0.70. What is the diagnosis?",
    "answer": "Chronic obstructive pulmonary disease (COPD)"
  },
  {
    "question": "A patient on warfarin presents with an INR of 8.5 and minor bleeding. What is the most appropriate immediate management?",
    "answer": "Hold warfarin and administer vitamin K orally"
  },
  {
    "question": "A 25-year-old woman presents with a butterfly rash, joint pain, and positive ANA. What is the most likely diagnosis?",
    "answer": "Systemic lupus erythematosus (SLE)"
  },
  {
    "question": "A newborn develops jaundice within 24 hours of birth. The mother is blood type O, the baby is blood type A. What is the most likely cause?",
    "answer": "ABO incompatibility hemolytic disease of the newborn"
  },
  {
    "question": "A 70-year-old man presents with urinary hesitancy, decreased stream, and nocturia. PSA is elevated. What is the most likely diagnosis?",
    "answer": "Benign prostatic hyperplasia (BPH)"
  },
  {
    "question": "A patient presents with sudden onset severe headache described as the worst headache of their life. CT head is negative. What is the next step?",
    "answer": "Lumbar puncture to rule out subarachnoid hemorrhage"
  }
]