Datasets:
id stringlengths 13 44 | source stringclasses 3
values | topic stringlengths 3 147 | date null | question stringlengths 43 5.62k | answer stringlengths 1 22.6k | source_url stringclasses 3
values |
|---|---|---|---|---|---|---|
medqa_train_18 | medqa | USMLE (step1) | null | A 27-year-old female presents to general medical clinic for a routine checkup. She has a genetic disease marked by a mutation in a chloride transporter. She has a history of chronic bronchitis. She has a brother with a similar history of infections as well as infertility. Which of the following is most likely true rega... | D) It may manifest itself as a prolonged PT | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_21 | medqa | USMLE (step1) | null | An investigator is studying the function of the lateral nucleus of the hypothalamus in an experimental animal. Using a viral vector, the genes encoding chloride-conducting channelrhodopsins are injected into this nucleus. Photostimulation of the channels causes complete inhibition of action potential generation. Persis... | D) Anorexia | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_33 | medqa | USMLE (step2&3) | null | A 27-year-old man presents to the emergency department after a dog bite. The patient was intoxicated and pulled the dog’s tail while it was eating. The dog belongs to his friend and is back at his friend’s house currently. Physical exam is notable for a dog bite on the patient’s right arm. The wound is irrigated and ex... | A) Administer amoxicillin-clavulanic acid | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_36 | medqa | USMLE (step1) | null | A 6-year-old male who recently immigrated to the United States from Asia is admitted to the hospital with dyspnea. Physical exam reveals a gray pseudomembrane in the patient's oropharynx along with lymphadenopathy. The patient develops myocarditis and expires on hospital day 5. Which of the following would have prevent... | D) Circulating IgG against AB exotoxin | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_37 | medqa | USMLE (step1) | null | A 12-year-old boy who recently emigrated from Pakistan presents with fever, muscle pain, and weakness of the trunk, abdomen, and legs. The patient’s mother says that he has not been vaccinated. Physical examination reveals fasciculation and flaccid paralysis of the lower limbs. A CSF analysis reveals lymphocytosis with... | D) Anterior horn of the spinal cord | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_40 | medqa | USMLE (step1) | null | A 43-year-old woman presents to the emergency department complaining of palpitations, dry cough, and shortness of breath for 1 week. She immigrated to the United States from Korea at the age of 20. She says that her heart is racing and she has never felt these symptoms before. Her cough is dry and is associated with sh... | B) A bacterium that induces complete lysis of the red cells of a blood agar plate with an oxygen-sensitive cytotoxin | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_42 | medqa | USMLE (step1) | null | A 4-year-old boy is brought to the emergency department by his parents. He is lethargic and confused and has a severe headache, vomiting, and a high-grade fever since earlier that day. His mother reports that the child was doing well until 2 days ago when he developed a fever and green nasal discharge. The patient has ... | C) Formation of C5-9 complex | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_43 | medqa | USMLE (step1) | null | A 66-year-old woman with chronic obstructive pulmonary disease is brought to the emergency department because of fever, body aches, malaise, and a dry cough. She has smoked one pack of cigarettes daily for 30 years but quit smoking 1 year ago. She lives with her daughter and her granddaughter, who attends daycare. Her ... | C) Inhibition of neuraminidase | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_49 | medqa | USMLE (step2&3) | null | A 23-year-old G1 at 10 weeks gestation based on her last menstrual period is brought to the emergency department by her husband due to sudden vaginal bleeding. She says that she has mild lower abdominal cramps and is feeling dizzy and weak. Her blood pressure is 100/60 mm Hg, the pulse is 100/min, and the respiration r... | C) Chromosomal abnormalities | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_53 | medqa | USMLE (step1) | null | A 28-year-old woman is brought to the hospital by her boyfriend. She has had three days of fever and headache followed by one day of worsening confusion and hallucinations. She also becomes agitated when offered water. Her temperature is 101°F (38.3°C). Two months prior to presentation, the couple was camping and encou... | A) A killed vaccine within ten days of exposure | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_56 | medqa | USMLE (step2&3) | null | A 48-year-old man with HIV comes to the physician because of skin lesions over his face and neck for 2 weeks. They are not itchy or painful. He does not have fever or a sore throat. He was treated for candidal esophagitis 3 months ago. He is sexually active with his wife, who knows of his condition, and uses condoms co... | C) Poxvirus | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_69 | medqa | USMLE (step2&3) | null | A 51-year-old woman comes to the physician because of a 1-day history of right flank pain and bloody urine. Over the past 2 weeks, she has also developed progressive lower extremity swelling and a 3-kg (7-lb) weight gain. She has a history of chronic hepatitis B infection, which was diagnosed 10 years ago. She frequent... | B) Loss of antithrombin III | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_72 | medqa | USMLE (step1) | null | A 52-year-old man presents for a routine checkup. Past medical history is remarkable for stage 1 systemic hypertension and hepatitis A infection diagnosed 10 years ago. He takes aspirin, rosuvastatin, enalapril daily, and a magnesium supplement every once in a while. He is planning to visit Ecuador for a week-long vaca... | D) It is a type B adverse drug reaction. | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_84 | medqa | USMLE (step1) | null | A 46-year-old man comes to the emergency department because of a 10-day history of right upper quadrant abdominal pain. He has also been feeling tired and nauseous for the past 6 weeks. On examination, scleral icterus is present. Abdominal examination shows tenderness to palpation in the right upper quadrant. The liver... | B) Supportive therapy | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_88 | medqa | USMLE (step2&3) | null | A 22-year-old female presents to her physician for evaluation of a vaginal discharge, itching, and irritation. She recently started a new relationship with her boyfriend, who is her only sexual partner. He does not report any genitourinary symptoms. She takes oral contraceptives and does not use barrier contraception. ... | C) Motile round or oval-shaped microorganisms | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_91 | medqa | USMLE (step2&3) | null | A 53-year-old woman comes to the physician in February because of a 1-day history of fever, chills, headache, and dry cough. She also reports malaise and generalized muscle aches. She works as a teacher at a local high school, where there was recently an outbreak of influenza. She has a history of intermittent asthma, ... | D) Oseltamivir | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_93 | medqa | USMLE (step1) | null | A 45-year-old man is transferred to the intensive care unit from the emergency department for acute respiratory failure. He was rushed to the hospital after developing progressive respiratory distress over the last 24 hours. His medical history is significant for long-standing severe persistent asthma, hypertension, an... | A) Defects in the immune response | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_95 | medqa | USMLE (step2&3) | null | A 40-year-old woman comes to the physician because of a 1-week history of fatigue, dark urine, and a feeling of heaviness in her legs. Two weeks ago, she returned from a vacation to Brazil, where she spent most of her days exploring the city of Rio de Janeiro on foot. She also gained 3 kg (7 lb) during her vacation. Sh... | D) Salt retention | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_98 | medqa | USMLE (step1) | null | Three days after starting a new drug for malaria prophylaxis, a 19-year-old college student comes to the physician because of dark-colored urine and fatigue. He has not had any fever, dysuria, or abdominal pain. He has no history of serious illness. Physical examination shows scleral icterus. Laboratory studies show a ... | A) Primaquine | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_99 | medqa | USMLE (step2&3) | null | You are reviewing raw data from a research study performed at your medical center examining the effectiveness of a novel AIDS screening examination. The study enrolled 250 patients with confirmed AIDS, and 240 of these patients demonstrated a positive screening examination. The control arm of the study enrolled 250 pat... | A) 245 / (245 + 10) | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_100 | medqa | USMLE (step1) | null | A P1G0 diabetic woman is at risk of delivering at 30 weeks gestation. Her obstetrician counsels her that there is a risk the baby could have significant pulmonary distress after it is born. However, she states she will administer a drug to the mother to help prevent this from occurring. By what action will this drug pr... | B) Increasing the secretory product of type II alveolar cells | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_103 | medqa | USMLE (step1) | null | A 45-year-old man with HIV comes to the physician because of multiple lesions on his chest and lower extremities. The lesions have progressively increased in size and are not painful or pruritic. Current medications include abacavir, dolutegravir, and lamivudine. A photograph of the lesions is shown. His CD4+ T-lymphoc... | C) Alpha-interferon | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_104 | medqa | USMLE (step1) | null | An 18-year-old man presents to the office, complaining of an itchy patch on his torso that appeared one week ago. The patient is on the college wrestling team and is concerned he will not be able to compete if it gets infected. He has no significant medical history, and his vital signs are within normal limits. On exam... | D) KOH preparation | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_110 | medqa | USMLE (step1) | null | A 36-year-old man is admitted to the hospital because of a 1-day history of epigastric pain and vomiting. He has had similar episodes of epigastric pain in the past. He drinks 8 oz of vodka daily. Five days after admission, the patient develops aspiration pneumonia and sepsis. Despite appropriate therapy, the patient d... | D) Congenital CMV infection | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_113 | medqa | USMLE (step1) | null | A 55-year-old man presents to the hospital with chief complaints of unintentional weight loss, anorexia, fever, and sweating. The patient has pleuritic chest pain, progressive dyspnea, and dry cough. There is no history of orthopnea or paroxysmal nocturnal dyspnea. On examination, the patient is afebrile and pericardia... | B) Dystrophic calcification | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_115 | medqa | USMLE (step2&3) | null | A 62-year-old woman has been receiving amoxicillin for acute sinusitis for 12 days. She develops a macular rash on her neck, back, and torso. The amoxicillin is therefore changed to cephalexin for an additional week. The rash resolves, but she returns complaining of fatigue, flank pain, and fever that has persisted des... | A) Acute interstitial nephritis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_119 | medqa | USMLE (step2&3) | null | A 74-year-old female is brought to the emergency department because of a 2-week history of increasing weakness and chills. She also notes difficulty breathing for the last three days. Eight weeks ago, she underwent left hemicolectomy for adenocarcinoma of the colon. She subsequently developed a severe urinary tract inf... | D) Enterococcus faecalis infection | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_121 | medqa | USMLE (step1) | null | A 2-year-old boy is brought to the emergency department by his parents after they found him to be lethargic and febrile. His current symptoms started 1 week ago and initially consisted of a sore throat and a runny nose. He subsequently developed a fever and productive cough that has become worse over time. Notably, thi... | A) CD40L | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_124 | medqa | USMLE (step1) | null | A 47-year-old woman comes to the physician because of a 6-week history of fatigue and low-grade fever. She has no history of serious illness except for a bicuspid aortic valve, diagnosed 10 years ago. She does not use illicit drugs. Her temperature is 37.7°C (99.9°F). Physical examination shows petechiae under the fing... | C) Streptococcus sanguinis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_132 | medqa | USMLE (step2&3) | null | A 35-year-old woman with type 1 diabetes mellitus comes to the emergency department for evaluation of a 1-month history of fever, fatigue, loss of appetite, and a 3.6-kg (8-lb) weight loss. She has also had a cough for the last 2 months. She reports recent loss of pubic hair. The patient immigrated from the Philippines... | C) Infection with acid-fast bacilli | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_134 | medqa | USMLE (step1) | null | A 3000-g (6.6-lb) female newborn is delivered at term to a 23-year-old primigravid woman. The mother has had no prenatal care. Immunization records are not available. Cardiac examination shows a continuous heart murmur. There are several bluish macules on the skin that do not blanch with pressure. Slit lamp examination... | B) Congenital rubella infection | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_138 | medqa | USMLE (step2&3) | null | A 52-year-old man presents to the emergency department because of pain and swelling in his left leg over the past few hours. He traveled from Sydney to Los Angeles 2 days ago. He has had type 2 diabetes mellitus for 10 years and takes metformin for it. He has smoked a pack of cigarettes daily for 25 years. His temperat... | A) Impaired venous blood flow | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_142 | medqa | USMLE (step2&3) | null | A 27-year-old G2P2002 is recovering in the hospital on postpartum day 3 after a low transverse C-section. During morning rounds, she reports a “pus-like” discharge and shaking chills overnight. She also endorses increased uterine cramping compared to the day before, but her postpartum course has otherwise been uneventf... | B) C-section after onset of labor | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_143 | medqa | USMLE (step2&3) | null | A 34-year-old man comes to the physician because of fatigue and shortness of breath with moderate exertion for the past 2 months. Over the past 10 days, he has had low-grade fevers and night sweats. He has no history of serious illness except for a bicuspid aortic valve diagnosed 5 years ago. He has smoked one pack of ... | B) Streptococcus sanguinis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_148 | medqa | USMLE (step2&3) | null | Nucleic acid amplification testing (NAAT) of first-void urine confirms infection with Chlamydia trachomatis. Treatment with the appropriate pharmacotherapy is started. Which of the following health maintenance recommendations is most appropriate at this time?
A) Avoid sun exposure
B) Avoid drinking alcohol
C) Take med... | A) Avoid sun exposure | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_150 | medqa | USMLE (step1) | null | An investigator who studies virology obtains a biopsy from the ulcer base of an active genital herpes lesion for viral culture. The cultured virions, along with herpes simplex virions of a different phenotype, are cointroduced into a human epithelial cell in vitro. The progeny viruses are found to have phenotypes that ... | B) Recombination | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_157 | medqa | USMLE (step1) | null | A 10-year-old boy is referred to a pediatric neurologist by his pediatrician for lower extremity weakness. The boy is healthy with no past medical history, but his parents began to notice that he was having difficulty at football practice the previous day. Over the course of the past 24 hours, the boy has become increa... | A) First dorsal webspace of foot | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_162 | medqa | USMLE (step1) | null | A 28-year-old woman with a history of intravenous drug use is brought to the emergency department because of a 1-day history of fatigue, yellow eyes, confusion, and blood in her stools. She appears ill. Her temperature is 38.1°C (100.6°F). Physical examination shows pain in the right upper quadrant, diffuse jaundice wi... | D) Deltavirus | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_169 | medqa | USMLE (step1) | null | A 52-year-old farmer presents to his physician with a puncture wound on his left shin. He got this wound accidentally when he felt unwell and went out to his garden "to catch some air". He reports he had been treated for tetanus 35 years ago and has received the Tdap vaccine several times since then, but he does not re... | D) The patient should receive both tetanus toxoid-containing vaccine and human tetanus immunoglobulin. | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_171 | medqa | USMLE (step2&3) | null | A 63-year-old man comes to the emergency department because of pain in his left groin for the past hour. The pain began soon after he returned from a walk. He describes it as 8 out of 10 in intensity and vomited once on the way to the hospital. He has had a swelling of the left groin for the past 2 months. He has chron... | B) Open surgical repair | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_181 | medqa | USMLE (step1) | null | A 3550-g (7-lb 13-oz) male newborn is delivered at 37 weeks' gestation to a 28-year-old woman. Apgar scores are 9 and 10 at 1 and 5 minutes, respectively. His vital signs are within normal limits. Physical examination shows no abnormalities. Routine neonatal screening tests show mildly elevated TSH concentrations. Ultr... | A) Transplacental transmission of thyroxine | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_185 | medqa | USMLE (step1) | null | A 60-year-old man comes to the physician’s office with jaundice. Liver ultrasound reveals a shrunken liver and biopsy reveals cirrhosis. Hepatitis serologies are below:
Anti-HAV: negative
HBsAg: negative
HBsAb: positive
HBeAg: negative
Anti-HBe: negative
Anti-HBc: negative
Anti-HCV: positive
The hepatitis C viral loa... | D) Inhibits RNA-dependent RNA polymerase | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_186 | medqa | USMLE (step1) | null | A 55-year-old Chinese man presents to the office with a complaint of progressive unilateral nasal obstruction for 10 months. Though he was able to tolerate his symptoms at the beginning, he can’t breathe properly through the obstructed nostril anymore. Also, a bloody nasal discharge has started recently through the occ... | C) Epstein-Barr virus | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_189 | medqa | USMLE (step1) | null | A group of scientists is studying the mechanism by which the human papillomavirus (HPV) vaccine confers immunity. They observe that during the inoculation of test subjects, mammals with certain viral proteins result in the organism’s antigen-presenting cells (APCs) absorbing the antigen and presenting it on major histo... | B) Cross-presentation | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_190 | medqa | USMLE (step2&3) | null | A 21-year-old woman presents with the complaints of nausea, vomiting, and diarrhea for 5 days. She adds that she has fever and abdominal cramping as well. She had recently attended a large family picnic and describes eating many varieties of cold noodle salads. Her past medical history is insignificant. Her temperature... | B) Replacement of fluids and electrolytes | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_201 | medqa | USMLE (step2&3) | null | A 23-year-old woman is brought to the emergency department 8 hours after the sudden onset of shortness of breath and pleuritic chest pain. She has cystic fibrosis and, during the past year, has had 4 respiratory exacerbations that have required hospitalization. Current medications include an inhaled bronchodilator, an ... | C) Apical subpleural cyst | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_203 | medqa | USMLE (step1) | null | An 82-year-old woman is admitted to the hospital because of wet gangrene on her right leg. Two days after admission, she becomes increasingly confused and tachypneic. She is intubated and ventilatory support is initiated. Her temperature is 39.6°C (102.5°F), pulse is 127/min, and blood pressure is 83/47 mm Hg. The vent... | D) Fluid in the alveolar space | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_207 | medqa | USMLE (step1) | null | You are seeing a patient in clinic who recently started treatment for active tuberculosis. The patient is currently being treated with rifampin, isoniazid, pyrazinamide, and ethambutol. The patient is not used to taking medicines and is very concerned about side effects. Specifically regarding the carbohydrate polymeri... | C) Vision loss | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_212 | medqa | USMLE (step1) | null | A researcher is studying how arachidonic acid metabolites mediate the inflammatory response in rats. She has developed multiple enzyme inhibitors that specifically target individual proteins in the arachidonic acid pathway. She injects these inhibitors in rats who have been exposed to common bacterial pathogens and ana... | D) Interleukin 8 | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_219 | medqa | USMLE (step2&3) | null | A 67-year-old man presents to the physician with profuse watery diarrhea along with fever and crampy abdominal pain. He has been taking an antibiotic course of cefixime for about a week to treat a respiratory tract infection. At the doctor’s office, his pulse is 112/min, the blood pressure is 100/66 mm Hg, the respirat... | A) Identification of C. difficile toxin in stool | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_231 | medqa | USMLE (step2&3) | null | A 17-year-old Latin American woman with no significant past medical history or family history presents to her pediatrician with concerns about several long-standing skin lesions. She notes that she has had a light-colored rash on her chest and abdomen that has been present for the last 2 years. The blood pressure is 11... | A) Malassezia yeast | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_232 | medqa | USMLE (step1) | null | A 45-year-old male presents to the emergency room complaining of severe diarrhea. He recently returned from a business trip to Bangladesh. Since returning, he has experienced several loose bloody stools per day that are accompanied by abdominal cramping and occasional nausea and vomiting. His temperature is 101.7°F (38... | D) Inhibition of 60S ribosomal subunit | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_239 | medqa | USMLE (step1) | null | An 18-year-old female returning from a trip to a developing country presents with diarrhea and pain in the abdominal region. Microscopic evaluation of the stool reveals the presence of RBC's and WBC's. The patient reports poor sewage sanitation in the region she visited. The physician suspects a bacterial infection and... | A) Inhibit the 60S ribosome | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_242 | medqa | USMLE (step1) | null | A 29-year-old female presents to her primary care provider complaining of pain and stiffness in her hands and knees. She reports that the stiffness is worse in the morning and appears to get better throughout the day. She is otherwise healthy and denies any recent illness. She does not play sports. On examination, her ... | D) Synovial hypertrophy and pannus formation | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_244 | medqa | USMLE (step2&3) | null | An 11-year-old girl is brought to the emergency department because of high-grade fever, headache, and nausea for 3 days. She avoids looking at any light source because this aggravates her headache. She has acute lymphoblastic leukemia and her last chemotherapy cycle was 2 weeks ago. She appears lethargic. Her temperatu... | C) Antibiotic therapy | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_245 | medqa | USMLE (step1) | null | A 49-year-old man presents to a new primary care provider complaining of fatigue and occasional fever over the last month. These symptoms are starting to affect his job and he would like treatment. The physician runs a standard metabolic panel that shows elevated AST and ALT. The patient is then tested for hepatitis vi... | A) Hemolytic anemia | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_249 | medqa | USMLE (step1) | null | In a previous experiment infecting hepatocytes, it was shown that viable HDV virions were only produced in the presence of a co-infection with HBV. To better understand which HBV particle was necessary for the production of viable HDV virions, the scientist encoded in separate plasmids the various antigens/proteins of ... | A) HBsAg | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_253 | medqa | USMLE (step2&3) | null | A 65-year-old man presents with painless swelling of the neck over the past week. He also has noted severe night sweats, which require a change of clothes and bed linens the next day. His medical history is significant for long-standing hypertension. He received a kidney transplant 6 years ago. His current medications ... | D) Non-Hodgkin’s lymphoma (NHL) | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_257 | medqa | USMLE (step1) | null | A 14-month-old boy is brought to the clinic for evaluation of a rash. The rash started on the face and spread to the trunk. He also had a fever and cough for the past 2 days. His mother says that they recently immigrated from Asia and cannot provide vaccination records. The physical examination reveals a maculopapular ... | D) ssRNA enveloped viruses | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_262 | medqa | USMLE (step1) | null | A 67-year-old man comes to the physician because of a 3-day history of fever, chills, headache, and fatigue. He appears ill. His temperature is 39°C (102.2°F). Analysis of nasal secretions shows infection with an enveloped, single-stranded segmented RNA virus. In response to infection with this pathogen, certain cells ... | B) The molecule consists of a heavy chain associated with β2 microglobulin | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_263 | medqa | USMLE (step2&3) | null | A 58-year-old female, being treated on the medical floor for community-acquired pneumonia with levofloxacin, develops watery diarrhea. She reports at least 9 episodes of diarrhea within the last two days, with lower abdominal discomfort and cramping. Her temperature is 98.6° F (37° C), respiratory rate is 15/min, pulse... | B) C. difficile colitis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_265 | medqa | USMLE (step1) | null | A 47-year-old man comes to the physician because of abdominal pain and foul-smelling, watery diarrhea for several days. He has not had nausea, vomiting, or blood in the stool. He has a history of alcohol use disorder and recently completed a 7-day course of clindamycin for pneumonia. He has not traveled out of the Unit... | D) Clostridioides difficile cytotoxin | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_268 | medqa | USMLE (step1) | null | An infectious disease investigator is evaluating the diagnostic accuracy of a new interferon-gamma-based assay for diagnosing tuberculosis in patients who have previously received a Bacillus Calmette-Guérin (BCG) vaccine. Consenting participants with a history of BCG vaccination received an interferon-gamma assay and w... | B) 90/100 | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_274 | medqa | USMLE (step2&3) | null | A 52-year-old woman comes to the physician because of a 4-month history of progressive pain and stiffness of the fingers of her right hand that is worse at the end of the day. She works as a hair dresser and has to take frequent breaks to rest her hand. She has hypertension, for which she takes hydrochlorothiazide. Two... | C) Degenerative disease of the joints | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_275 | medqa | USMLE (step2&3) | null | A 51-year-old man presents to his dermatologist because of severe stomatitis and superficial skin erosions over his trunk. His condition started 2 months ago and was unresponsive to oral antibiotics and antiherpetic medications. He has no history of a similar rash. His medical history is remarkable for type 2 diabetes ... | C) Anti-desmoglein-3 antibodies | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_278 | medqa | USMLE (step1) | null | A 29-year-old African American female presents to your office with extreme fatigue and bilateral joint pain. Serologies demonstrate the presence of rheumatoid factor along with anti-Smith and anti-dsDNA antibodies. A VDRL syphilis test is positive. You order a coagulation profile, which reveals normal bleeding time, no... | D) History of multiple spontaneous abortions | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_283 | medqa | USMLE (step2&3) | null | A 7-year-old boy comes to the physician because of a generalized rash for 3 days. Over the past 5 days, he has also had a high fever and a sore throat. His 16-year-old sister was treated for infectious mononucleosis 2 weeks ago. He returned from a summer camp a week ago. His immunizations are up-to-date. Three years ag... | C) Azithromycin therapy | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_296 | medqa | USMLE (step2&3) | null | A 26-year-old woman presents with sudden-onset pain in her lower back. She says she was exercising in the gym several hours ago when she felt a sharp pain. The pain is radiating down the side of her leg and into her foot. On physical exam, her vital signs are as follows: HR 95, BP 120/70, T 37.2 degrees C. She has extr... | A) Disc herniation | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_297 | medqa | USMLE (step2&3) | null | A 34-year-old man with AIDS comes to the physician because of a 2-day history of decreasing vision and seeing black spots in his right eye. He has no pain and the left eye is asymptomatic. He was treated for fungal esophagitis 6 months ago with fluconazole. He was diagnosed with Kaposi's sarcoma 2 years ago. Current me... | A) Cytomegalovirus retinitis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_299 | medqa | USMLE (step2&3) | null | A 17-year-old boy is brought to the physician because of increasing pain and swelling of his right knee for 12 days. He has had episodes of pain with urination for 3 weeks. He had a painful, swollen left ankle joint that resolved without treatment one week ago. His mother has rheumatoid arthritis. He is sexually active... | C) Reactive arthritis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_302 | medqa | USMLE (step1) | null | A case-control study looking to study the relationship between infection with the bacterium Chlamydia trachomatis and having multiple sexual partners was conducted in the United States. A total of 100 women with newly diagnosed chlamydial infection visiting an outpatient clinic for sexually transmitted diseases (STDs) ... | D) Reporting bias | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_307 | medqa | USMLE (step1) | null | A 31-year-old man comes to the physician because of severe muscle pain and fever for 4 days. He likes to go hunting and consumed bear meat 1 month ago. Examination shows periorbital edema and generalized muscle tenderness. His leukocyte count is 12,000/mm3 with 19% eosinophils. The release of major basic protein in res... | D) Antibody-dependent cell-mediated cytotoxicity | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_309 | medqa | USMLE (step2&3) | null | A 47-year-old man presents to the clinic with a 10-day history of a sore throat and fever. He has a past medical history significant for ulcerative colitis and chronic lower back pain. He smokes at least 1 pack of cigarettes daily for 10 years. The father of the patient died of colon cancer at the age of 50. He takes s... | D) Colonoscopy | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_310 | medqa | USMLE (step2&3) | null | A patient with HCC and a long history of alcohol dependence and chronic hepatitis C has been using the mTOR inhibitor Metalimus 100 mg for cancer treatment. Her cancer has shown a partial response. She also has a history of hypertension and poorly controlled type 2 diabetes mellitus complicated by diabetic retinopathy.... | A) The patient is not a good candidate for Noxbinle due to her history of diabetes | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_313 | medqa | USMLE (step2&3) | null | A 32-year-old man comes to the physician for a follow-up examination. He has a 2-month history of increasing generalized fatigue and severe pruritus. He has hypertension and ulcerative colitis which was diagnosed via colonoscopy 5 years ago. Current medications include lisinopril and rectal mesalamine. He is sexually a... | B) Primary sclerosing cholangitis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_316 | medqa | USMLE (step2&3) | null | A 4-year-old boy is brought to the clinic by his mother with fever and a rash. The patient’s mother says his symptoms started 1 week ago with the acute onset of fever and a runny nose, which resolved over the next 3 days. Then, 4 days later, she noted a rash on his face, which, after a day, spread to his neck, torso, a... | D) ELISA for parvovirus B-19 IgM and IgG antibodies | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_317 | medqa | USMLE (step2&3) | null | A 24-year-old woman presents to her physician’s office complaining of a worsening cough with large volumes of mucoid sputum in her phlegm every morning and thickened foul smell sputum almost every time she coughs. She says that this cough started about one month ago and has been increasing in intensity. Over the counte... | D) Intravenous ciprofloxacin | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_323 | medqa | USMLE (step2&3) | null | A 52-year-old woman presents to her primary care physician with a chief complaint of diarrhea. She states that it has been going on for the past month and started after she ate a burger cooked over a campfire. She endorses having lost 10 pounds during this time. The patient has no other complaints other than hoarseness... | C) Episodic hypertension and headaches | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_328 | medqa | USMLE (step2&3) | null | A 40-year-old woman presents to her primary care physician with a 5-month history of worsening bladder discomfort. Her discomfort is relieved by voiding. She voids 10–15 times per day and wakes up 2–3 times per night to void. She has not had any involuntary loss of urine. She has tried cutting down on fluids and taking... | B) Interstitial cystitis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_333 | medqa | USMLE (step1) | null | On the 4th day of hospital admission due to pneumonia, a 69-year-old woman develops non-bloody diarrhea and abdominal pain. She is currently treated with ceftriaxone. Despite the resolution of fever after the first 2 days of admission, her temperature is now 38.5°C (101.3°F). On physical examination, she has mild gener... | D) Stool culture for bacterial isolation and toxin presence | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_334 | medqa | USMLE (step2&3) | null | A 2-year-old boy is brought to the physician for a well-child examination. Since infancy, he has frequently had large-volume stools that are loose and greasy. He was treated for otitis media twice in the past year. He has a history of recurrent respiratory tract infections since birth. He is at the 5th percentile for h... | B) CFTR gene mutation | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_338 | medqa | USMLE (step1) | null | A 16-year-old boy comes to the physician because of a 1-week history of difficulty swallowing, a foreign body sensation at the back of his throat, and trouble breathing at night. He has just recovered from an upper respiratory tract infection that began 5 days ago. On questioning, he reports that he has had similar sym... | C) Arrested endodermal migration from pharyngeal floor | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_340 | medqa | USMLE (step2&3) | null | A 35-year-old male anesthesiologist presents to the occupational health clinic after a needlestick exposure while obtaining an arterial line in a patient with cirrhosis. In addition to a standard bloodborne pathogen laboratory panel sent for all needlestick exposures at his hospital, additional hepatitis panels are ord... | B) Immune due to infection | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_344 | medqa | USMLE (step2&3) | null | A 17-year-old boy comes to the emergency department because of a 3-day history of pain in his left wrist. That morning the pain increased and he started to have chills and malaise. Last week he had self-resolving left knee pain. He is otherwise healthy and has not had any trauma to the wrist. He recently returned from ... | C) Disseminated gonococcal infection | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_346 | medqa | USMLE (step1) | null | A 7-year-old African-American boy presents to his physician with fatigue, bone and abdominal pain, and mild jaundice. The pain is dull and remitting, and the patient complains it sometimes migrates from one extremity to another. His mother reports that his jaundice and pain have occurred periodically for the past 5 yea... | B) The patient should receive serogroup B meningococcal vaccination at the age of 10 years. | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_351 | medqa | USMLE (step2&3) | null | A 32-year-old G1P0 woman presents to her obstetrician for a prenatal visit. She is 30 weeks pregnant. She reports some fatigue and complains of urinary urgency. Prior to this pregnancy, she had no significant medical history. She takes a prenatal vitamin and folate supplements daily. Her mother has diabetes, and her br... | D) Rubella infection | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_354 | medqa | USMLE (step1) | null | A 35-year-old woman presents to a physician’s office for a follow-up visit. She recently underwent a complete physical examination with routine laboratory tests. She also had a Pap smear and testing for sexually transmitted diseases. Since her divorce 2 years ago, she had sexual encounters with random men at bars or so... | D) Replace didanosine with lamivudine | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_373 | medqa | USMLE (step2&3) | null | A 53-year-old man comes to the physician for recurring fever and night sweats for the past 6 months. The fevers persist for 7 to 10 days and then subside completely for about a week before returning again. During this period, he has also noticed two painless lumps on his neck that have gradually increased in size. Over... | B) CD15/30 positive cells | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_375 | medqa | USMLE (step1) | null | A 7-year-old boy is brought to the emergency department because of sudden-onset abdominal pain that began 1 hour ago. Three days ago, he was diagnosed with a urinary tract infection and was treated with nitrofurantoin. There is no personal history of serious illness. His parents emigrated from Kenya before he was born.... | A) Enzyme deficiency in red blood cells | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_376 | medqa | USMLE (step1) | null | A 72-year-old man comes to the physician with chills, nausea, and diffuse muscle aches for 3 days. His niece had similar symptoms 2 weeks ago and H1N1 influenza strain was isolated from her respiratory secretions. He received his influenza vaccination 2 months ago. His temperature is 38°C (100.4°F). A rapid influenza t... | A) Random point mutations within viral genome | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_378 | medqa | USMLE (step2&3) | null | Blood cultures are sent to the laboratory. Intravenous antibiotic therapy is started. Transesophageal echocardiography shows a large, oscillating vegetation attached to the tricuspid valve. There are multiple small vegetations attached to tips of the tricuspid valve leaflets. There is moderate tricuspid regurgitation. ... | D) Staphylococcus aureus | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_384 | medqa | USMLE (step2&3) | null | A 17-year-old boy comes to the physician because of fever, fatigue, and a sore throat for 12 days. He was prescribed amoxicillin at another clinic and now has a diffuse rash all over his body. He was treated for gonorrhea one year ago. He has multiple sexual partners and uses condoms inconsistently. He appears lethargi... | C) Heterophile agglutination test | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_388 | medqa | USMLE (step1) | null | A 45-year-old man comes to the physician because of a productive cough and dyspnea. He has smoked one pack of cigarettes daily for 15 years. His temperature is 38.8°C (102°F). Physical examination shows decreased breath sounds and dullness on percussion above the right lower lobe. An x-ray of the chest shows a right lo... | A) Fibrin-rich infiltrate | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_390 | medqa | USMLE (step1) | null | An 18-month-old boy presents to the clinic with his mother for evaluation of a rash around the eyes and mouth. His mother states that the rash appeared 2 weeks ago and seems to be very itchy because the boy scratches his eyes often. The patient is up to date on all of his vaccinations and is meeting all developmental m... | C) Atopic dermatitis | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_403 | medqa | USMLE (step1) | null | A 13-year-old girl is brought to the physician because of worsening fever, headache, photophobia, and nausea for 2 days. One week ago, she returned from summer camp. She has received all age-appropriate immunizations. Her temperature is 39.1°C (102.3°F). She is oriented to person, place, and time. Physical examination ... | A) Echovirus | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_408 | medqa | USMLE (step1) | null | An 11-year-old girl is brought to the physician by her parents because of a mildly pruritic rash on her trunk and extremities for 2 days. One week ago, she developed a low-grade fever, rhinorrhea, and headache, followed by a facial rash 4 days later. The facial rash did not involve the perioral skin. Her temperature is... | B) Erythema infectiosum | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_409 | medqa | USMLE (step1) | null | An 11-year-old boy is brought to the emergency department by his parents with a 2-day history of fever, malaise, and productive cough. On presentation, he is found to be very weak and is having difficulty breathing. His past medical history is significant for multiple prior infections requiring hospitalization includin... | D) Protein phosphorylation | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_416 | medqa | USMLE (step1) | null | A 9-year-old boy presents for incision and drainage of a small abscess on his left thigh. No significant past medical history. No current medications. Before the procedure, the patient is allowed to inhale colorless, sweet-smelling gas. After the procedure, the patient receives 3–4 minutes of high flow oxygen through a... | D) Diffusion hypoxia | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_433 | medqa | USMLE (step2&3) | null | A 5-year-old boy is brought to the emergency department for right elbow swelling and pain 45 minutes after he fell while playing on the monkey bars during recess. He has been unable to move his right elbow since the fall. Examination shows ecchymosis, swelling, and tenderness of the right elbow; range of motion is limi... | B) Absent radial pulse | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
medqa_train_442 | medqa | USMLE (step1) | null | A 52-year-old female presents to her primary care physician for medical evaluation prior to an elective hip replacement surgery. She has hypertension and diabetes, both of which are well controlled on oral medications. She also admits to occasional use of recreational injection drugs so a panel of serologies are obtain... | A) It exists as a monomer | https://huggingface.co/datasets/GBaker/MedQA-USMLE-4-options |
EpiInfDisQA
EpiInfDisQA is an infectious-disease-focused question-answering dataset assembled by filtering three existing open medical QA benchmarks down to their infectious-disease-relevant subsets and normalizing them into a single schema.
Dataset Summary
71,725 question/answer records covering infectious disease topics — exam-style multiple-choice questions (USMLE, Indian medical entrance exams) and research-question QA over PubMed abstracts — drawn from:
| Source | License | Kept / Scanned |
|---|---|---|
| MedQA-USMLE | CC-BY-4.0 | 2,428 / 11,451 |
| MedMCQA | Apache-2.0 | 37,256 / 187,005 |
PubMedQA (pqa_labeled + pqa_artificial) |
MIT | 32,041 / 212,269 |
Records were kept if their question, answer, or topic text matched an infectious-disease keyword or acronym list (pathogens, disease names, antimicrobials, vaccination/outbreak terms, etc. — see Limitations below for what this means for precision).
Dataset Structure
Data Fields
id(string): unique record id, prefixed by source (e.g.medqa_train_18).source(string): one ofmedqa,medmcqa,pubmedqa.topic(string): subject/topic label — MedMCQA'ssubject_name(e.g."Microbiology","Surgery"), MedQA's exam step (e.g."USMLE (step1)"), or PubMedQA's top MeSH terms.date(null): always null — none of the three source datasets carry a per-question or per-article publication date.question(string): the question text. For multiple-choice sources (MedQA, MedMCQA) the options are folded in asA) ... B) ... C) ... D) .... For PubMedQA, the source abstract is appended asContext: ...so the question is self-contained.answer(string): the correct answer. For MCQ sources, the correct option's letter + text (plus anExplanation:block, when MedMCQA provides one). For PubMedQA, the paper's free-text conclusion (long_answer).source_url(string): the source dataset's Hugging Face page (no per-question URL exists upstream).
Data Splits
Single train split, 71,725 records. No held-out split is provided —
consumers who need train/val/test should split downstream (the underlying
MedQA/MedMCQA test-labeled splits are already folded into this single file).
Limitations
- The infectious-disease filter is keyword-based and recall-oriented, not a ground-truth label from the source datasets. It will include false positives — e.g. a paper about pediatric ward efficiency that happens to mention "pneumonia" and "gastroenteritis" as common admission diagnoses, without infectious disease being its actual subject. Spot-check before using for training, and tighten the keyword list if you need higher precision.
dateis always null. These are exam question banks and biomedical abstracts, not dated news/reference content — there is no reliable per-record date to attach (PubMedQA'spubidcould in principle be resolved to a real publication date via the PubMed API, but this hasn't been done here).- MedMCQA's official
testsplit is excluded — itscop(correct option) field is unlabeled (-1) on that split, so onlytrain+validationare usable for QA purposes. - IDQuAD, a purpose-built infectious-disease QA dataset from a 2025 paper (Yonsei/Yarmouk universities), was considered but has no public Hugging Face release — only the paper and its supplementary files — so it is not included here.
Licensing Information
This dataset is a derivative work combining three sources under different licenses:
- MedQA-USMLE: CC-BY-4.0
- MedMCQA: Apache-2.0
- PubMedQA: MIT
The combined dataset is released under CC-BY-4.0 — the most restrictive of the three (it requires attribution), applied uniformly since license information is not tracked per-row. Attribution to all three original sources is required per their license terms; see the citations below.
Citation Information
@article{jin2021disease,
title={What disease does this patient have? a large-scale open domain question answering dataset from medical exams},
author={Jin, Di and Pan, Eileen and Oufattole, Nassim and Weng, Wei-Hung and Fang, Hanyi and Szolovits, Peter},
journal={Applied Sciences},
volume={11},
number={14},
pages={6421},
year={2021},
publisher={MDPI}
}
@inproceedings{pal2022medmcqa,
title={MedMCQA: A Large-scale Multi-Subject Multi-Choice Dataset for Medical domain Question Answering},
author={Pal, Ankit and Umapathi, Logesh Kumar and Sankarasubbu, Malaikannan},
booktitle={Conference on Health, Inference, and Learning},
pages={248--260},
year={2022},
organization={PMLR}
}
@inproceedings{jin2019pubmedqa,
title={PubMedQA: A Dataset for Biomedical Research Question Answering},
author={Jin, Qiao and Dhingra, Bhuwan and Liu, Zhengping and Cohen, William and Lu, Xinghua},
booktitle={Proceedings of the 2019 Conference on Empirical Methods in Natural Language Processing and the 9th International Joint Conference on Natural Language Processing (EMNLP-IJCNLP)},
pages={2567--2577},
year={2019}
}
- Downloads last month
- 54