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[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A drug discovery team is conducting research to observe the characteristics of a novel drug under different experimental conditions. The drug is converted into the inactive metabolites by an action of an enzyme E. After multiple experiments,... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 51-year-old man seeks evaluation from his family physician with a complaint of heartburn, which has been gradually increasing over the last 10 years. The heartburn gets worse after eating spicy foods and improves with antacids. The past me... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 20-year-old female presents to the emergency department with squeezing right upper quadrant pain worse after eating. She has a history of a microcytic, hypochromic anemia with target cells. Physical exam shows severe tenderness to palpatio... |
[
{
"content": "Context:\n\n\nQuestion: Intravenous administration of metoclopramide by 2 min bolus vs 15 min infusion: does it affect the improvement of headache while reducing the side effects?",
"role": "user"
},
{
"content": "Answer: OBJECTIVE\nSlowing the infusion rate of metoclopramide is an eff... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 47-year-old female with a history of mild asthma, type II diabetes, hypertension, and hyperlipidemia presents to clinic complaining of swelling in her lips (Image A). She has had no changes to her medications within the past two years. Vit... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 58-year-old man is brought to the emergency department by his wife 30 minutes after the sudden onset of severe retrosternal chest pain radiating to his back. He has a history of hyperlipidemia, hypertension, and type 2 diabetes mellitus. H... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:Thirty minutes after vaginal delivery of a 2780-g (6-lb 2-oz) newborn at term, a 25-year-old woman, gravida 1, para 1, has heavy vaginal bleeding. Her pregnancy was complicated by pre-eclampsia. Her pulse is 111/min and blood pressure is 95/... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 65-year-old man with chronic myelogenous leukemia comes to the physician because of severe pain and swelling in both knees for the past day. He finished a cycle of chemotherapy 1 week ago. His temperature is 37.4°C (99.4°F). Physical exami... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 38-year-old woman comes to the physician because of frequent headaches and blurring of vision. She also complains of weight gain, menstrual irregularities, and excessive growth of body hair. She says that, for the first time since she turn... |
[
{
"content": "Context:\n\n\nQuestion: Is Panton-Valentine leucocidin associated with the pathogenesis of Staphylococcus aureus bacteraemia in the UK?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nWe found that 1.6% of S. aureus (all MSSA) from bacteraemic patients were PVL-positive. This low... |
[
{
"content": "Context:\n\n\nQuestion: Is the advanced age a contraindication to GERD laparoscopic surgery?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nLaparoscopic antireflux surgery is a safe and effective treatment for GERD even in elderly patients, warranting low morbidity and mortality... |
[
{
"content": "Context:\n\n\nQuestion: Does family practice at residency teaching sites reflect community practice?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nThe residency training sites of the Northeastern Ohio Universities College of Medicine provide patient care opportunities similar t... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 57-year-old man comes to the physician with a 3-month history of right flank pain. Urinalysis shows 60 RBC/hpf. Renal ultrasound shows a 3 cm, well-defined mass in the upper pole of the right kidney. A photomicrograph of a section of the r... |
[
{
"content": "Context:\n\n\nQuestion: Does parity increase insulin resistance during pregnancy?",
"role": "user"
},
{
"content": "Answer: AIMS\nParity is not directly linked to insulin sensitivity deterioration, to CP/FPG increase during pregnancy, or to GDM appearance, although it is linked through... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 56-year-old man presents with breathlessness and altered mental status. The patient’s daughter says that he has been having high fever and cough for the last 3 days. Past medical history is significant for a recent hospitalization 5 days a... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 24-year-old woman recently noticed a mass in her left breast. The examination shows a 4-cm mass in the left upper quadrant. The mass is firm, mobile, and has well-defined margins. She complains of occasional tenderness. There is no lymphat... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A previously healthy 57-year-old man comes to the emergency department because of acute retrosternal chest pain that radiates to his back. The pain started suddenly while he was having dinner. A few moments prior to the onset of the pain, he... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 73-year-old man is brought to the emergency department because of fever, malaise, dyspnea, and a productive cough with purulent sputum for the past day. His temperature is 39.2°C (102.6°F). Pulmonary examination shows crackles over the rig... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 72-year-old man with coronary artery disease comes to the emergency department because of chest pain and shortness of breath for the past 3 hours. Troponin levels are elevated and an ECG shows ST-elevations in the precordial leads. Revascu... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 22-year-old man presents to the physician due to a progressively worsening weakness and an increasingly large abdomen. He notes that he eats well and is fairly active; however, his abdomen has become increasingly protuberant. He also compl... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:Twenty minutes after delivery by lower segment cesarean section at 38 weeks' gestation, a 4630-g (10-lb 3-oz) male newborn has respiratory distress. Apgar scores were 7 and 8 at 1 and 5 minutes, respectively. Pregnancy was complicated by ges... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 35-year-old man is referred to a physical therapist due to limitation of movement in the wrist and fingers of his left hand. He cannot hold objects or perform daily activities with his left hand. He broke his left arm at the humerus one mo... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 72-year-old retired shipyard worker received a chest x-ray as part of a routine medical work-up. The radiologist reported incidental findings suggestive of an occupational lung disease. Which of the following descriptions is most consisten... |
[
{
"content": "Context:\n\n\nQuestion: Are Reviewers' Scores Influenced by Citations to Their Own Work?",
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},
{
"content": "Answer: STUDY OBJECTIVE\nIn a leading specialty journal, cited reviewers gave higher scores than noncited reviewers. However, this was likely due to their being as... |
[
{
"content": "Context:\n\n\nQuestion: Cold knife conization vs. LEEP. Are they the same procedure?",
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},
{
"content": "Answer: OBJECTIVE\nIn a prospective evaluation, cold knife cone specimens were 50% longer and 100% heavier than LEEP specimens.",
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}
] |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 13-year-old boy with a history of asthma and seasonal allergies is currently using albuterol to manage his asthma symptoms. Recently, his use of albuterol increased from 1–2 days/week to 4 times/week over the past several weeks, though he ... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 72-year-old man comes to the emergency department because of severe, acute, right leg pain for 2 hours. The patient's symptoms started suddenly while he was doing household chores. He has no history of leg pain at rest or with exertion. Ye... |
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{
"content": "Context:\n\n\nQuestion: Is discordance in TEOAE and AABR outcomes predictable in newborns?",
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{
"content": "Answer: OBJECTIVE\nGiven the available screening technologies, discordant TEOAE and AABR may be inevitable for some categories of hearing loss among apparently h... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 62-year-old woman is brought to the emergency department because of the sudden onset of severe left eye pain, blurred vision, nausea, and vomiting. She has had an upper respiratory tract infection for the past 2 days and has been taking ph... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 22-year-old man volunteers for a research study on lung function. He has no history of lung disease or allergies and does not smoke. His pulmonary blood flow is measured in the various labeled segments of the lungs while standing. Then the... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 28-year-old woman is brought to a counselor by her father after he found out that she is being physically abused by her husband. The father reports that she refuses to end the relationship with her husband despite the physical abuse. She s... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 40-year-old woman in her 18th week of pregnancy based on the last menstrual period (LMP) presents to her obstetrician for an antenatal check-up.\nThe antenatal testing is normal, except the quadruple screen results which are given below:\n... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 24-hour-old newborn presents to the emergency department after a home birth because of fever, irritability alternating with lethargy, and poor feeding. The patient’s mother says symptoms acutely onset 12 hours ago and have not improved. No... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 45-year-old woman comes to the pediatrician’s office with her 17-year-old daughter. She tells the physician that she developed Sjögren’s syndrome when she was her daughter’s age, and that she is concerned about her daughter developing the ... |
[
{
"content": "Context:\n\n\nQuestion: Does normothermic normokalemic simultaneous antegrade/retrograde perfusion improve myocardial oxygenation and energy metabolism for hypertrophied hearts?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nNormothermic normokalemic simultaneous antegrade/retro... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 55-year-old male bodybuilder presents to the emergency department with weakness of his right arm. The patient states he has experienced these symptoms for a few weeks; however, today his hand felt so weak he dropped his cup of tea. The pat... |
[
{
"content": "Context:\n\n\nQuestion: Does base deficit predict mortality in patients with severe traumatic brain injury?",
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},
{
"content": "Answer: OBJECTIVE\nAlthough BD is correlated with GCS at presentation and RTS, it is not a reliable prognostic marker for outcome and mortality ... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 32-year-old woman comes to the physician because she has been unable to conceive for 2 years. The patient also reports monthly episodes of pelvic and back pain accompanied by painful diarrhea for 6 years. She takes naproxen for the pain, w... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 28-year-old woman presents with depressed mood lasting for most days of the week for the past month. She also mentions that she has lost her appetite for the past 3 weeks. She adds that her job performance has significantly deteriorated be... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:An 11-month-old boy is brought to the physician for the evaluation of recurrent otitis media since birth. The patient’s immunizations are up-to-date. He is at the 5th percentile for height and weight. Physical examination shows multiple pete... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A previously healthy 2-year-old boy is brought to the emergency department because of a 36-hour history of fever and profuse, watery diarrhea. Several children at the child's daycare center have developed similar symptoms over the past few d... |
[
{
"content": "Context:\n\n\nQuestion: Should lower limb fractures be treated surgically in patients with chronic spinal injuries?",
"role": "user"
},
{
"content": "Answer: OBJECTIVE\nChronic spinal cord injuries patients with lower limb fractures who are treated surgically achieved a more reliable c... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 47-year-old woman comes to the emergency department 4 hours after the onset of abdominal and right shoulder pain. She has nausea and has had 2 episodes of vomiting. The pain began after her last meal, is constant, and she describes it as 7... |
[
{
"content": "Context:\n\n\nQuestion: Can the prognosis of polymyalgia rheumatica be predicted at disease onset?",
"role": "user"
},
{
"content": "Answer: OBJECTIVE\nA higher PV in PMR increases the risk of prolonged steroid therapy and late GCA. Female sex and particular HLA alleles may increase th... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 9-month-old girl is brought to the physician by her parents for multiple episodes of unresponsiveness in which she stares blankly and her eyelids flutter. She has gradually lost control of her neck and ability to roll over during the past ... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 35-year-old G1 is brought to the emergency department because of sharp pains in her abdomen. She is at 30 weeks gestation based on ultrasound. She complains of feeling a little uneasy during the last 3 weeks of her pregnancy. She mentions... |
[
{
"content": "Context:\n\n\nQuestion: Can dose reduction to one parotid gland prevent xerostomia?",
"role": "user"
},
{
"content": "Answer: AIMS\nMinimising the radiation dose to one of the parotid glands with the help of IMRT in patients with advanced head and neck cancers can prevent xerostomia in... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 35-year-old woman comes to the physician because of a dry cough and worsening shortness of breath with exertion for the past 6 months. She used to go running three times each week but had to stop because of decreased exercise tolerance and... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 14-year-old girl is brought to the pediatrician by her mother. The girl's mother states that she began having her period 6 months ago. The patient states that after her first period she has had a period every 10 to 40 days. Her menses have... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A previously healthy 21-year-old man is brought to the emergency department for the evaluation of an episode of unconsciousness that suddenly happened while playing football 30 minutes ago. He was not shaking and regained consciousness after... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 9-year-old girl is brought to the emergency department with a headache and double vision 1 hour after being hit on the head while playing with a friend. Her friend's elbow struck her head, just above her left ear. She did not lose consciou... |
[
{
"content": "Context:\n\n\nQuestion: Do ART patients face higher C-section rates during their stage of delivery?",
"role": "user"
},
{
"content": "Answer: PURPOSE\nPatients after ART treatment suffer from higher C-section rates during their stage of delivery.",
"role": "assistant"
}
] |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 7-year-old boy is brought by his parents to his pediatrician with a one-day history of fever, chills, and pain in the right upper extremity. The patient’s mother says that he has injured his right index finger while playing in the garden 3... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 43-year-old man comes to the emergency room complaining of chest discomfort. He describes the feeling as \"tightness,\" and also reports weakness and palpitations for the past hour. He denies shortness of breath, diaphoresis, or lightheade... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 23-year-old male presents to the emergency room following a gunshot wound to the leg. On arrival his temperature is 99°F (37.2°C), blood pressure is 90/60 mmHg, pulse is 112/min, respirations are 21/min, and pulse oximetry is 99% on room a... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 45-year-old man presents with worsening joint pain and stiffness. Past medical history is significant for rheumatoid arthritis, diagnosed 3 months ago and managed with celecoxib and methotrexate, and occasional gastric reflux, managed with... |
[
{
"content": "Context:\n\n\nQuestion: Is delayed gastric emptying following pancreaticoduodenectomy related to pylorus preservation?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nDGE after PPPD seems to be of minor clinical importance following uncomplicated surgery. When taking the results ... |
[
{
"content": "Context:\n\n\nQuestion: Do symptoms predict COPD in smokers?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nCOPD is underdiagnosed in the United States. Symptoms are frequent in subjects with AO and increase their risk for COPD, but add little beyond age and smoking history to t... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 15-year-old high school rugby player presents to your clinic with a sore throat. He reports that he started feeling fatigued along with body aches about a week ago. His vitals and physical are normal except for an exudative pharynx and an ... |
[
{
"content": "Context:\n\n\nQuestion: Appendectomy timing: Will delayed surgery increase the complications?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nIn our study, it was observed that although longer ETA was associated with longer hospitalization, ETA was not correlated with postoperati... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 22-year-old primigravid woman comes to the physician for her initial prenatal visit at 12 weeks' gestation. She has had generalized fatigue and shortness of breath over the past 2 months. She has also had a tingling sensation in her toes f... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 16-year-old female presents to her pediatrician complaining of 2 weeks of fever and 1 week of swollen lumps in her left armpit. Upon examination of the left upper extremity, her physician notes the presence of a single papule which the pat... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 69-year-old man with type 2 diabetes mellitus comes to the physician for a follow-up examination. His only medication is metformin. He has tried to lose weight for several years without success. He is 168 cm (5 ft 6 in) tall and weighs 110... |
[
{
"content": "Context:\n\n\nQuestion: Analysis of the epidemiological pattern of Shigellosis in Barcelona between 1988 and 2012: Is it an emerging sexually transmitted infection?",
"role": "user"
},
{
"content": "Answer: INTRODUCTION\nAn increased trend was detected in men who had no history of food... |
[
{
"content": "Context:\n\n\nQuestion: Can medical students contribute to quality assurance programmes in day surgery?",
"role": "user"
},
{
"content": "Answer: CONTEXT AND OBJECTIVES\nOur study confirms that students are able to identify QA issues and propose solutions. We recommend that students ha... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 45-year-old woman comes to the emergency department because of abdominal cramping, vomiting, and watery diarrhea for the past 4 hours. One day ago, she went to a seafood restaurant with her family to celebrate her birthday. Three of the at... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 44-year-old man is brought to the emergency department by his daughter for a 1-week history of right leg weakness, unsteady gait, and multiple falls. During the past 6 months, he has become more forgetful and has sometimes lost his way alo... |
[
{
"content": "Context:\n\n\nQuestion: Prevalence of chronic conditions among Medicare Part A beneficiaries in 2008 and 2010: are Medicare beneficiaries getting sicker?",
"role": "user"
},
{
"content": "Answer: INTRODUCTION\nAnalyzing the prevalence of 11 chronic conditions by using Medicare claims d... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:An 7-month-old boy is brought to the pediatrician by his parents due to progressively worsening weakness for the last three months. The parents also describe the boy as having an exaggerated response when startled as well as diminishing resp... |
[
{
"content": "Context:\n\n\nQuestion: Cue-induced behavioural activation: a novel model of alcohol craving?",
"role": "user"
},
{
"content": "Answer: RATIONALE\nCue-induced behavioural activation was specific to alcohol cues, reproducible, persistent and could be blocked by naltrexone, and its corre... |
[
{
"content": "Context:\n\n\nQuestion: Preparing patients at high risk of falls for discharge home after rehabilitation: Do we meet the guidelines?",
"role": "user"
},
{
"content": "Answer: METHODS\nThere was little evidence that people at high risk of falls received systematic falls risk assessment ... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 63-year-old African American man presents to the physician for a follow-up examination. He has a history of chronic hypertension and type 2 diabetes mellitus. He has no history of coronary artery disease. His medications include aspirin, h... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 65-year-old man comes to the physician because of abdominal pain and bloody, mucoid diarrhea for 3 days. He has been taking over-the-counter supplements for constipation over the past 6 months. He was diagnosed with type 2 diabetes mellitu... |
[
{
"content": "Context:\n\n\nQuestion: Cutaneous melanoma in a multiethnic population: is this a different disease?",
"role": "user"
},
{
"content": "Answer: HYPOTHESIS\nIn a multiethnic population, cutaneous melanoma in nonwhite persons is unusual but not rare. Although the diagnoses are distinctly ... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 43-year-old woman comes to the physician because of tingling and weakness in her left arm for the past 2 days. An image of the brachial plexus is shown. Nerve conduction study shows decreased transmission of electrical impulses in the labe... |
[
{
"content": "Context:\n\n\nQuestion: Gadofosveset-enhanced MR angiography of carotid arteries: does steady-state imaging improve accuracy of first-pass imaging?",
"role": "user"
},
{
"content": "Answer: PURPOSE\nGadofosveset-enhanced MR angiography is a promising technique for imaging carotid arter... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 13-year-old boy re-presents to his pediatrician with a new onset rash that began a few days after his initial visit. He initially presented with complaints of sore throat but was found to have a negative strep test. His mother demanded tha... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 66-year-old man comes to the emergency department because of shortness of breath. His temperature is 37.2°C (99°F) and pulse is 105/min. When the blood pressure cuff is inflated to 140 mm Hg, the patient's pulse is audible and regular. How... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 27-year-old man is brought to the emergency department because of weakness, headache, and vomiting for 40 minutes. He is an amateur chef and his symptoms started 10 minutes after he ingested pufferfish that he had prepared. On arrival, he ... |
[
{
"content": "Context:\n\n\nQuestion: Gluten tolerance in adult patients with celiac disease 20 years after diagnosis?",
"role": "user"
},
{
"content": "Answer: BACKGROUND AND OBJECTIVE\nDevelopment of tolerance to gluten seems possible in some patients with CD. Further follow-up will show whether t... |
[
{
"content": "Context:\n\n\nQuestion: Does radiotherapy of the primary rectal cancer affect prognosis after pelvic exenteration for recurrent rectal cancer?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nPatients who previously received radiotherapy for primary rectal cancer treatment have wo... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 30-year-old woman presents to clinic for for a routine checkup. She reports that she is in good health but that she felt short of breath on her hiking and skiing trip to Colorado the week prior. She explains that this was the first time sh... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 42-year-old woman comes to the physician because of increasing fatigue and difficulty concentrating at work for the last 2 months. She has hypertension and a 22-year history of Crohn disease. She has been hospitalized and treated for acute... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 16-year-old boy is brought to the physician by his mother because of a 4-day history of painful lesions in his mouth. During the past year, he has twice had similar lesions that resolved without treatment after approximately 10 days. He ha... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 53-year-old man comes to the emergency department for severe left knee pain for the past 8 hours. He describes it as an unbearable, burning pain that woke him up from his sleep. He has been unable to walk since. He has not had any trauma t... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 61-year-old man is brought to the emergency department by ambulance because of severe retrosternal chest pain and shortness of breath for 30 minutes. Paramedics report that an ECG recorded en route to the hospital showed ST-segment elevati... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 46-year-old female is brought to the emergency department by her husband 1 hour after the onset of chest palpitations. Her symptoms began suddenly while she was drinking coffee and have persisted since then. She has not had shortness of br... |
[
{
"content": "Context:\n\n\nQuestion: Does family practice at residency teaching sites reflect community practice?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nThe residency training sites of the Northeastern Ohio Universities College of Medicine provide patient care opportunities similar t... |
[
{
"content": "Context:\n\n\nQuestion: Does microbial contamination influence the success of the hematopoietic cell transplantation outcomes?",
"role": "user"
},
{
"content": "Answer: INTRODUCTION\nThe use of contaminated products with antibiotic prophylaxis may be safe in terms of the first day of f... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 3-year-old girl presents with her mother for a well-child checkup. Recent laboratory data has demonstrated a persistent normocytic anemia. Her mother denies any previous history of blood clots in her past, but she says that her mother has ... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:Researchers are studying a farming community with a high incidence of acute myelogenous leukemia (AML). A retrospective cohort study is performed looking at the relationship between exposure to a certain pesticide chemical and the risk of de... |
[
{
"content": "Context:\n\n\nQuestion: Are Biochemical Markers of Bone Turnover Representative of Bone Histomorphometry in 370 Postmenopausal Women?",
"role": "user"
},
{
"content": "Answer: CONTEXT\nBone turnover markers were significantly but modestly associated with bone turnover parameters measur... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 34-year-old woman visits a fertility clinic with her husband with concerns about their inability to conceive their first child. Originally from India, she met her present husband during a humanitarian mission in Nepal 10 years ago. In addi... |
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{
"content": "Please answer with one of the option in the bracket\n\nQ:A 3670-g (8 lb 1 oz) male newborn is delivered to a 26-year-old primigravid woman. She received adequate prenatal care and labor was uncomplicated. She has chronic hepatitis B infection and gastroesophageal reflux disease. Her only medicatio... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 28-year-old patient presents to the hospital complaining of progressively worsening dyspnea and a dry cough. Radiographic imaging is shown below. Pulmonary function testing (PFT's) reveals a decreased FEV1 and FEV1/FVC, but an increase TLC... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 24-year-old woman presents to the emergency department after she was found agitated and screaming for help in the middle of the street. She says she also has dizziness and tingling in the lips and hands. Her past medical history is relevan... |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 57-year-old man presents with a large wound on his right lower leg that has been present for 6 months as shown in the picture. He has had chronically swollen legs for over 10 years. His mother and brother had similar problems with their le... |
[
{
"content": "Context:\n\n\nQuestion: Is Panton-Valentine leucocidin associated with the pathogenesis of Staphylococcus aureus bacteraemia in the UK?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nWe found that 1.6% of S. aureus (all MSSA) from bacteraemic patients were PVL-positive. This low... |
[
{
"content": "Context:\n\n\nQuestion: Do general practice selection scores predict success at MRCGP?",
"role": "user"
},
{
"content": "Answer: BACKGROUND\nThe general practice selection process is predictive of future performance in the MRCGP.",
"role": "assistant"
}
] |
[
{
"content": "Please answer with one of the option in the bracket\n\nQ:A 32-year-old pregnant woman presents to the clinic with complaints of cramping, abdominal pain, and severe watery diarrhea for the past 3 days. She also is nauseous and complains of fever and malaise. She was started on a 7-day course of am... |
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