q_id int64 0 1.27k | source_id stringlengths 36 36 | question stringlengths 220 3.66k | cot_ids listlengths 16 16 | cots listlengths 16 16 | parsed_answers listlengths 16 16 | answer stringclasses 4
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0 | 11798523-ae15-4a7d-8e75-5281282aeadf | Question: A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chairman as the attending physician. During the case, the resident inadvertently cuts a flexor tendon. The tendon is repaired without complication. The attending tells the resident that the patient will do fine, and... | [
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"The situation involves a medical error during surgery, where a junior resident inadvertently cuts a flexor tendon during a carpal tunnel repair. The attending physician instructs the resident to omit this complication from the operative report, arguing that it is minor and will not harm the patient.",
"F... | [
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1 | 248ec4d4-f0a8-4dea-a192-044d7572c5ef | Question: A 67-year-old man with transitional cell carcinoma of the bladder comes to the physician because of a 2-day history of ringing sensation in his ear. He received this first course of neoadjuvant chemotherapy 1 week ago. Pure tone audiometry shows a sensorineural hearing loss of 45 dB. The expected beneficial e... | [
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"The patient is a 67-year-old man with transitional cell carcinoma of the bladder who has developed a ringing sensation in his ear (tinnitus) following a course of neoadjuvant chemotherapy. Pure tone audiometry reveals a sensorineural hearing loss of 45 dB. This suggests that the chemotherapy drug is affectin... | [
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2 | 9cee7247-3969-4d30-87ca-a3a281b0c342 | Question: Two weeks after undergoing an emergency cardiac catherization with stenting for unstable angina pectoris, a 61-year-old man has decreased urinary output and malaise. He has type 2 diabetes mellitus and osteoarthritis of the hips. Prior to admission, his medications were insulin and naproxen. He was also start... | [
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"The patient is a 61-year-old man with a history of unstable angina pectoris who underwent emergency cardiac catheterization with stenting. He now presents with decreased urinary output, malaise, and a fever. He has type 2 diabetes and osteoarthritis, and he is on insulin, naproxen, aspirin, clopidogrel, and ... | [
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3 | 31fa2f2b-ece6-4cb9-bae9-ce3b5674c3d7 | Question: A 39-year-old woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1°C (102.3°F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic ... | [
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"The patient presents with fever, chills, hypotension, tachycardia, and signs of sepsis. The presence of blood oozing around a peripheral IV line suggests coagulopathy or disseminated intravascular coagulation (DIC), which is supported by the laboratory findings of thrombocytopenia, low fibrinogen, and elevat... | [
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4 | 5e6ac665-df6c-4f18-a9da-a2da14c074e5 | Question: A 35-year-old man comes to the physician because of itchy, watery eyes for the past week. He has also been sneezing multiple times a day during this period. He had a similar episode 1 year ago around springtime. He has iron deficiency anemia and ankylosing spondylitis. Current medications include ferrous sulf... | [
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"The patient presents with symptoms of itchy, watery eyes and frequent sneezing, which are classic signs of allergic conjunctivitis. The symptoms have occurred twice, once during springtime, suggesting a seasonal pattern, which is typical of allergic rhinoconjunctivitis. The physical examination confirms conj... | [
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5 | 7c935763-6195-4d87-8f6e-901a2202f058 | Question: A 39-year-old man presents to the emergency department because of progressively worsening chest pain and nausea that started at a local bar 30 minutes prior. The pain radiates to the epigastric area. He has a 5-year history of untreated hypertension. He has smoked 1 pack of cigarettes daily for the past 5 yea... | [
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"The patient presents with acute chest pain that started 30 minutes ago, radiating to the epigastric area, along with nausea and diaphoresis. These are classic signs of an acute coronary syndrome (ACS), which includes conditions such as unstable angina or myocardial infarction (MI). The patient has risk facto... | [
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6 | 35364bfb-187e-4be0-b8d2-55003927dc4c | Question: A 68-year-old male comes to the physician for evaluation of right flank pain. He has a history of diabetes and peripheral artery disease. His blood pressure is 160/90 mm Hg. Physical examination shows abdominal tenderness and right flank tenderness. An ultrasound shows dilation of the right ureter and renal p... | [
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"The patient presents with right flank pain, hypertension (160/90 mm Hg), a history of diabetes and peripheral artery disease, and findings on ultrasound showing dilation of the right ureter and renal pelvis. These findings are suggestive of obstructive uropathy, which can occur due to a blockage in the urina... | [
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7 | b6db6af8-0047-41c9-85ef-7250c8f49197 | "Question: A 65-year-old man is brought to the emergency department 30 minutes after the onset of ac(...TRUNCATED) | [
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8 | e18c905c-70f2-4a44-8517-a16063c55aaa | "Question: A 37-year-old-woman presents to her primary care physician requesting a new form of birth(...TRUNCATED) | [
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9 | d4290264-c2e9-4fe0-8366-0440fde274c5 | "Question: A 23-year-old woman comes to the physician because she is embarrassed about the appearanc(...TRUNCATED) | [
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