source stringclasses 1
value | metadata stringlengths 3.21k 65.7k | reasoning stringlengths 826 29.7k | text stringlengths 1.33k 32.1k | question stringlengths 36 2.27k | response stringlengths 60 2.79k |
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UCSC-VLAA/m23k-tokenized | {'answer_idx': 2, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': '{\'question\': "A mother brings her 3-week-old infant to the pediatrician\'s office because she is concerned about his feeding habits. He was born without complications and has not had any medical problems up until this time. However, for the past... | Okay, let me try to work through this question. Let's start by reading it carefully.
So, the scenario is a 3-week-old infant with fussiness, regurgitating all feeds, and yellow vomit for the past 4 days. The baby was born without complications and no prior medical issues. On physical exam, the abdomen is minimally dis... | <|begin_of_text|><|start_header_id|>system<|end_header_id|>
Cutting Knowledge Date: December 2023
Today Date: 26 Jul 2024
<|eot_id|><|start_header_id|>user<|end_header_id|>
A mother brings her 3-week-old infant to the pediatrician's office because she is concerned about his feeding habits. He was born without compli... | A mother brings her 3-week-old infant to the pediatrician's office because she is concerned about his feeding habits. He was born without complications and has not had any medical problems up until this time. However, for the past 4 days, he has been fussy, is regurgitating all of his feeds, and his vomit is yellow in ... | The infant’s presentation of bilious vomiting (yellow vomit) and mild abdominal distension suggests an intestinal obstruction **distal to the ampulla of Vater**, as bile enters the duodenum at this point. The key embryologic errors to consider are:
1. **Option C: Abnormal migration of ventral pancreatic bud**
Thi... |
UCSC-VLAA/m23k-tokenized | {'answer_idx': 2, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': '{\'question\': "A 46-year-old woman comes to the physician because of a 2-week history of diplopia and ocular pain when reading the newspaper. She also has a 3-month history of amenorrhea, hot flashes, and increased sweating. She reports that she ... | Okay, let's see. I need to figure out the most likely cause of this patient's ocular complaints. Let's start by summarizing the information given. The main symptoms are diplopia (double vision) and ocular pain when reading, which have been present for two weeks. She also has a three-month history of amenorrhea, hot fla... | <|begin_of_text|><|start_header_id|>system<|end_header_id|>
Cutting Knowledge Date: December 2023
Today Date: 26 Jul 2024
<|eot_id|><|start_header_id|>user<|end_header_id|>
A 46-year-old woman comes to the physician because of a 2-week history of diplopia and ocular pain when reading the newspaper. She also has a 3-... | A 46-year-old woman comes to the physician because of a 2-week history of diplopia and ocular pain when reading the newspaper. She also has a 3-month history of amenorrhea, hot flashes, and increased sweating. She reports that she has been overweight all her adult life and is happy to have lost 6.8-kg (15-lb) of weight... | The patient's clinical presentation is consistent with Graves' disease, an autoimmune disorder causing hyperthyroidism and associated ophthalmopathy. Key findings include systemic symptoms of hyperthyroidism (weight loss, tachycardia, hypertension, tremor, hyperreflexia) and ocular manifestations (proptosis, lid retrac... |
UCSC-VLAA/m23k-tokenized | {'answer_idx': 1, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': "{'question': 'A 68-year-old man comes to the physician because of recurrent episodes of nausea and abdominal discomfort for the past 4 months. The discomfort is located in the upper abdomen and sometimes occurs after eating, especially after a big... | Okay, let's start thinking through this case. So, the patient is a 68-year-old man with recurrent nausea and upper abdominal discomfort, especially after big meals. Walking after eating makes it worse. He also has trouble climbing stairs for the past three weeks. His history includes type 2 diabetes, hypertension, peri... | <|begin_of_text|><|start_header_id|>system<|end_header_id|>
Cutting Knowledge Date: December 2023
Today Date: 26 Jul 2024
<|eot_id|><|start_header_id|>user<|end_header_id|>
A 68-year-old man comes to the physician because of recurrent episodes of nausea and abdominal discomfort for the past 4 months. The discomfort ... | A 68-year-old man comes to the physician because of recurrent episodes of nausea and abdominal discomfort for the past 4 months. The discomfort is located in the upper abdomen and sometimes occurs after eating, especially after a big meal. He has tried to go for a walk after dinner to help with digestion, but his compl... | The patient's presentation of upper abdominal discomfort associated with both postprandial and exertional triggers, alongside significant cardiac risk factors (diabetes, hypertension, smoking, obesity, peripheral arterial disease), raises concern for coronary artery disease (CAD) manifesting as atypical angina. Diabeti... |
UCSC-VLAA/m23k-tokenized | {'answer_idx': 0, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': "{'question': 'A previously healthy 36-year-old man comes to the physician for a yellow discoloration of his skin and dark-colored urine for 2 weeks. He does not drink any alcohol. Physical examination shows jaundice. Abdominal and neurologic exami... | Okay, let's take a look at this case. So we have a 36-year-old man who is previously healthy but presents with jaundice, dark urine for two weeks. No alcohol use, which probably rules out alcoholic liver disease. The physical exam shows jaundice, but the abdominal and neuro exams are normal. His serum ALT and AST are e... | <|begin_of_text|><|start_header_id|>system<|end_header_id|>
Cutting Knowledge Date: December 2023
Today Date: 26 Jul 2024
<|eot_id|><|start_header_id|>user<|end_header_id|>
A previously healthy 36-year-old man comes to the physician for a yellow discoloration of his skin and dark-colored urine for 2 weeks. He does n... | A previously healthy 36-year-old man comes to the physician for a yellow discoloration of his skin and dark-colored urine for 2 weeks. He does not drink any alcohol. Physical examination shows jaundice. Abdominal and neurologic examinations show no abnormalities. Serum studies show increased levels of alanine aminotran... | The patient presents with jaundice, elevated transaminases (ALT/AST), and a liver biopsy showing PAS-stained findings. The absence of alcohol use and neurologic symptoms, combined with the histologic clues, points to **alpha-1 antitrypsin deficiency**. This condition is characterized by abnormal protein accumulation in... |
UCSC-VLAA/m23k-tokenized | "{'answer_idx': 0, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': \"{'question': 'A 42-year-o(...TRUNCATED) | "Okay, let's tackle this question step by step. The patient is a 42-year-old woman who's post-op day(...TRUNCATED) | "<|begin_of_text|><|start_header_id|>system<|end_header_id|>\n\nCutting Knowledge Date: December 202(...TRUNCATED) | "A 42-year-old woman is in the hospital recovering from a cholecystectomy performed 3 days ago that (...TRUNCATED) | "The patient presents with tachycardia, hypertension, low-grade fever, visual hallucinations (percei(...TRUNCATED) |
UCSC-VLAA/m23k-tokenized | "{'answer_idx': 0, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': \"{'question': 'A 43-year-o(...TRUNCATED) | "Okay, let's try to work through this problem step by step. So we have a 43-year-old woman who prese(...TRUNCATED) | "<|begin_of_text|><|start_header_id|>system<|end_header_id|>\n\nCutting Knowledge Date: December 202(...TRUNCATED) | "A 43-year-old woman presents to the emergency department complaining of palpitations, dry cough, an(...TRUNCATED) | "The patient's presentation of mitral stenosis (mid-diastolic rumble at the apex), heart failure sym(...TRUNCATED) |
UCSC-VLAA/m23k-tokenized | "{'answer_idx': 3, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': '{\\'question\\': \"A 21-ye(...TRUNCATED) | "Okay, let's tackle this question. So, it's a 21-year-old man with a stab wound to the neck. The loc(...TRUNCATED) | "<|begin_of_text|><|start_header_id|>system<|end_header_id|>\n\nCutting Knowledge Date: December 202(...TRUNCATED) | "A 21-year-old man presents to the emergency department after sustaining a stab wound to the neck at(...TRUNCATED) | "The most appropriate next step in the management of this stable patient with a stab wound to the ne(...TRUNCATED) |
UCSC-VLAA/m23k-tokenized | "{'answer_idx': 2, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': '{\\'question\\': \"A 48-ye(...TRUNCATED) | "Okay, let's try to work through this case step by step. So, the patient is a 48-year-old man with H(...TRUNCATED) | "<|begin_of_text|><|start_header_id|>system<|end_header_id|>\n\nCutting Knowledge Date: December 202(...TRUNCATED) | "A 48-year-old man with HIV comes to the physician because of skin lesions over his face and neck fo(...TRUNCATED) | "The patient's presentation of multiple skin-colored papules with central umbilication (dimpled cent(...TRUNCATED) |
UCSC-VLAA/m23k-tokenized | "{'answer_idx': 1, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': \"{'question': 'A new scree(...TRUNCATED) | "Okay, let me try to figure out this statistics problem. It's about calculating sensitivity, specifi(...TRUNCATED) | "<|begin_of_text|><|start_header_id|>system<|end_header_id|>\n\nCutting Knowledge Date: December 202(...TRUNCATED) | "A new screening test utilizing a telemedicine approach to diagnosing diabetic retinopathy has been (...TRUNCATED) | "To determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive(...TRUNCATED) |
UCSC-VLAA/m23k-tokenized | "{'answer_idx': 2, 'source': 'GBaker/MedQA-USMLE-4-options', 'metadata': \"{'question': 'A healthy 2(...TRUNCATED) | "Okay, let's tackle this multiple-choice question step by step. The question involves understanding (...TRUNCATED) | "<|begin_of_text|><|start_header_id|>system<|end_header_id|>\n\nCutting Knowledge Date: December 202(...TRUNCATED) | "A healthy 22-year-old male participates in a research study you are leading to compare the properti(...TRUNCATED) | "To analyze the tension and electrical activity in each phase:\n\n**Phase 1 (Biceps lifting 2.3 kg w(...TRUNCATED) |
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