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536aefa7-03c8-47d8-86ab-ed66913cee8a
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "According to standard clinical guidelines in the US, at what age is the HPV (human papillomavirus) vaccine **routinely recommended** to begin?\n\nA: Birth\nB: 2 years\nC: 6 years\nD: 11-12 years\nE: 15 years\nF: 18 years\nG: 21 y...
Qwen/Qwen3-4B
true
ca6fa248-81ef-46ba-aac1-6d5873da3920
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Which of the following is a defining characteristic of Quantum Non-demolition measurements?\n\nA: The measured observable's expectation value remains constant over time.\nB: The measurement disturbs conjugate observables but not ...
Qwen/Qwen3-4B
true
6b4105c5-8a18-485c-b8e6-01f12e49bfec
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Regarding the Psychopathy Checklist-Revised (PCL-R) Item 20, \"Criminal Versatility,\" which of the following best describes the core criterion required for scoring an individual highly on this item?\n\nA: Extensive criminal reco...
Qwen/Qwen3-4B
true
d637a212-c6a3-4d7e-9a8a-2d360b7dd5cc
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In the context of remote frailty monitoring for older adults, which wearable technology is **most specifically** used to quantitatively measure gait parameters such as step count, stride length, and walking speed?\n\nA: Continuou...
Qwen/Qwen3-4B
true
68e0a989-d21a-4b17-8ad2-497bed95e26e
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A high school physics teacher implements a rigorous flipped classroom model. Students engage with pre-class instructional videos and readings covering foundational concepts like force diagrams and Newton's laws. In-class time is ...
Qwen/Qwen3-4B
true
70afe3e0-72ef-4e38-8359-b8b14e1175a2
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In analyzing the evolution of Greek lyric poetry's societal function, a scholar contends that the performative mechanics of monody versus choral odes fundamentally redefined the audience's relationship to the divine. How did Sapp...
Qwen/Qwen3-4B
true
18d8325a-ac9e-481e-9c8c-8ff7998ad9b2
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Given the following thermodynamic data at 298 K:\n- Methanol (CH\\(_3\\)OH, l): \\(\\Delta_f H^\\circ = -238.7\\) kJ/mol, \\(\\Delta_f G^\\circ = -166.3\\) kJ/mol\n- Ethanol (C\\(_2\\)H\\(_5\\)OH, l): \\(\\Delta_f H^\\circ = -277...
Qwen/Qwen3-4B
true
2f166399-7e3a-461d-80c2-12fa37bc3be7
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Which of the following pathogens, commonly transmitted through contaminated drinking water, is the **most resistant to standard chlorination disinfection**?\n\nA: Vibrio cholerae \nB: Salmonella typhi \nC: Rotavirus \nD: Hepat...
Qwen/Qwen3-4B
true
705aa7d0-72cc-42ff-b794-676b8b546cc8
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "What is the primary working principle of most implantable electrochemical oxygen sensors, such as the Clark-type electrode?\n\nA: Measurement of fluorescence quenching by oxygen molecules\nB: Amperometric detection of oxygen redu...
Qwen/Qwen3-4B
true
fc8b45e7-b840-4169-af67-fae2b4dd1b1d
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "What is the primary advantage of pH-impedance testing over standard pH monitoring in evaluating gastroesophageal reflux?\n\nA: It measures esophageal contractility \nB: It detects both acid and non-acid reflux episodes \nC: It ...
Qwen/Qwen3-4B
true
5ed129f9-8548-4cbd-abd4-7ff362f7facc
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "During a Toupet fundoplication, a 270-degree posterior wrap is performed to treat GERD. Which of the following best explains the primary rationale for choosing this partial wrap over a complete 360-degree Nissen fundoplication in...
Qwen/Qwen3-4B
true
f934d0db-1a7e-493b-8a62-92c9a7ad1a32
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Consider the theoretical foundations of surrogate modeling in high-dimensional optimization under the No Free Lunch (NFL) theorems for optimization. Which statement accurately characterizes the relationship between NFL theorems a...
Qwen/Qwen3-4B
true
c10521dd-d381-4d9c-9e15-eaac38463640
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In a thermoelectric cooling device using the Peltier effect, a junction is formed between a p-type semiconductor and an n-type semiconductor. The magnitude of heat absorbed per unit time at the cold junction is directly proportio...
Qwen/Qwen3-4B
true
e370f188-3c6f-4415-ad2b-acdc6a38ff8c
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A patient presents with multiple, firm, non-tender, flesh-colored nodules on the scalp that have rapidly increased in size over six weeks. Histopathological examination reveals metastatic clear cell carcinoma with positive immuno...
Qwen/Qwen3-4B
true
8686a5c6-aa76-477a-a1ab-5facaadf6454
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Which cell types are primarily involved in forming a granuloma for containing pathogens like Mycobacterium tuberculosis?\n\nA: Epithelioid macrophages, lymphocytes, fibroblasts\nB: Neutrophils, basophils, eosinophils\nC: Red bloo...
Qwen/Qwen3-4B
true
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CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A cognitive psychologist conducts a study on schema-driven comprehension using a complex, ambiguous text that permits multiple interpretations. Participants with equivalent prior knowledge are divided into four groups: \n- Group...
Qwen/Qwen3-4B
true
e9937d35-3d18-4ec5-9ccc-4dfa619d69ef
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "During the planning phase for medical coverage of a marathon with 20,000 participants in a hot climate, the medical director prioritizes establishing which of the following within their incident command system (ICS) structure to ...
Qwen/Qwen3-4B
true
4ccb4886-4506-4906-b7ec-940ed5a939ee
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Imagine a philosophical scenario where an individual, deeply influenced by Cartesian skepticism, claims that they cannot definitively know whether other minds exist and therefore must entertain the possibility that they are the o...
Qwen/Qwen3-4B
true
4727f79e-b523-4f6a-a629-2e31866bfa1e
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In X-ray crystallography, Protein Complex X (with only C, H, N, O atoms) and Protein Complex Y (identical sequence but with selenomethionine substitutions) crystallize in the same space group with equivalent unit cell dimensions....
Qwen/Qwen3-4B
true
cd5910b7-9d86-494d-8081-5a694e775d69
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Considering Jean-Paul Sartre's concept of radical freedom and the consequent \"vertigo\" of possibility, which of the following scenarios best illustrates the fundamental existentialist assertion that authentic choice must confro...
Qwen/Qwen3-4B
true
52f382be-e6a0-490a-8885-162501ba93cf
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "According to current theoretical models of planetary system formation (e.g., the Grand Tack or Nice Model), the inward migration of a massive gas giant planet through a region analogous to our Solar System's primordial Kuiper Bel...
Qwen/Qwen3-4B
true
e236cafb-a6ef-442d-8f74-a83ff1b987c4
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A patient with metastatic pancreatic cancer experiences worsening pain, weight loss, and requires increasing assistance with activities of daily living. Their oncologist estimates a prognosis of approximately 4 months. Considerin...
Qwen/Qwen3-4B
true
999d7b83-7b64-4a96-9fa3-48a99023ee7b
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A patient with chronic GERD is prescribed a proton pump inhibitor (PPI). Considering the irreversible inhibition of H⁺/K⁺ ATPase and its pharmacodynamics, which of the following factors contributes most significantly to the **lim...
Qwen/Qwen3-4B
true
df73080a-8e14-43b6-9bc9-941bfaa941ba
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A patient with narcolepsy type 1 is being evaluated for comorbid sleep-disordered breathing. Polysomnography reveals both obstructive sleep apnea (OSA) and spontaneous central sleep apnea (CSA) episodes. Which of the following pa...
Qwen/Qwen3-4B
true
b877cdec-9a52-4a17-bb28-b0233fb436f1
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "The Prothrombin G20210A mutation, despite conferring a significant thrombophilia risk, exhibits a non-negligible prevalence in certain populations. Considering the principles of evolutionary biology and selective pressure, which ...
Qwen/Qwen3-4B
true
39beac61-dd80-41fc-ac68-13acece6c492
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Consider the No Free Lunch (NFL) theorems for optimization, which state that for optimization over discrete domains, no algorithm is better than another when averaged over all possible problems. Now, suppose a Genetic Algorithm (...
Qwen/Qwen3-4B
true
1a68862b-39af-4706-8199-a6581e2e6c1b
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In Viktor Pelevin's \"Omon Ra,\" the protagonist's transformation into a cosmic entity after his lunar mission can be interpreted as a complex magical realist critique of late-Soviet ideology. Which analysis best captures the bru...
Qwen/Qwen3-4B
true
df840c81-9fbd-418d-a620-e5244c26bc8e
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In patients with multibacillary leprosy undergoing WHO-recommended multidrug therapy (MDT: dapsone, rifampicin, clofazimine), which factor most critically determines the irreversible nature of nerve damage despite microbiological...
Qwen/Qwen3-4B
true
ff67ebcb-f38b-478e-8a8d-42b29d7257c7
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A patient presents with de Musset's sign (rhythmic head bobbing). Considering the pathophysiology underlying this sign, which other clinical finding is **most directly attributable** to the same hemodynamic abnormality responsibl...
Qwen/Qwen3-4B
true
fb995ec7-950a-4aef-bfb3-d09d33ce4767
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "When adjusting Years of Potential Life Lost (YPLL) for differential life expectancies across subpopulations in a high-inequality society, which methodological approach accounts for both shifting demographic boundaries and socioec...
Qwen/Qwen3-4B
true
33c02f11-619f-4e6f-a448-4ab6d1242c4e
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "During the Roman conquest of Gaul, a local deity known as Teutates was worshipped with rituals involving sacrificial drownings. When Julius Caesar recorded Interpretatio Romana practices in *Commentarii de Bello Gallico*, he equa...
Qwen/Qwen3-4B
true
234cc6cb-d95e-4aab-8c6b-b603687e2890
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In Rayleigh flow for a perfect gas, heat is added to a compressible fluid flowing through a constant-area, frictionless duct. At what Mach number does the static temperature reach its maximum value?\n\nA: \\( M = 0 \\)\nB: \\( M ...
Qwen/Qwen3-4B
true
5a4e0ec9-ccc1-414e-bcd0-a4c48f86cfae
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Which statement accurately describes a fundamental limitation of Density Functional Theory (DFT) in predicting bandgaps of strongly correlated electron systems, such as transition metal oxides, even with advanced exchange-correla...
Qwen/Qwen3-4B
true
85c57915-7226-46b7-a45d-a7f3fec9ee66
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A 68-year-old patient with metastatic pancreatic cancer presents with progressive anorexia-cachexia syndrome (ACS), ECOG 2. Current medications include sustained-release morphine for pain and metformin for type 2 diabetes. The pa...
Qwen/Qwen3-4B
true
4c38fa45-3207-4de7-8d9d-f5333232dbb9
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Consider a genotype encoding a bistable gene regulatory network where two mutually repressing transcription factors, TF-A and TF-B, control a phenotypic switch between metabolic states S1 (high growth) and S2 (high stress toleran...
Qwen/Qwen3-4B
true
ac2ea72e-21fe-4eb0-9242-5ea08b62db13
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A palliative care patient on chronic high-dose opioids develops constipation requiring PAMORA therapy. Consider the following statements about specific PAMORAs:\nI. Methylnaltrexone is contraindicated in patients with known gastr...
Qwen/Qwen3-4B
true
63780efc-16ca-44e2-9809-2211238e9e63
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In a FASTA nucleotide sequence comparison, consider a query sequence of length 2000 bases and a database of 1,000,000 sequences each 500 bases long, with a uniform base frequency (A,C,G,T each 1/4). The ktup parameter is initiall...
Qwen/Qwen3-4B
true
c2badb54-4dd2-408d-b269-64182e37da7d
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A 77-year-old man with well-controlled hypertension and a 35-pack-year smoking history presents for routine care. His 82-year-old brother was recently diagnosed with metastatic prostate cancer. The patient expresses concern and r...
Qwen/Qwen3-4B
true
3e68b90c-8b11-4d94-b4f8-52c6ad0c2ff6
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "During a global pandemic, a Kantian legislator must decide whether to implement coercive public health measures (like mandatory masks) to prevent overwhelming harm to vulnerable populations. The legislator recognizes that while u...
Qwen/Qwen3-4B
true
9c4c4efa-277e-4222-a185-b3a4cb0a0d34
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Which of the following is considered the **earliest and most characteristic vascular complication** of scleroderma affecting the feet?\n\nA: Development of Charcot neuroarthropathy\nB: Plantar fasciitis\nC: Raynaud's phenomenon w...
Qwen/Qwen3-4B
true
3c893074-0101-4b74-bec3-201d0efb55a8
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In a nuclear resonance scattering experiment, a resonance is observed with a width of 200 keV. Given that ħ = 6.582 × 10^{-22} MeV·s and 1 eV = 10^{-6} MeV, what is the approximate lifetime of the resonant state in seconds?\n\nA:...
Qwen/Qwen3-4B
true
6fe5da6e-8f80-472c-8a7c-e3fc7012db2d
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A 28-year-old man presents with recurrent asymmetric oligoarthritis (knees and ankles), bilateral plantar fasciitis, and non-gonococcal urethritis over 5 months. He reports occasional low back pain but no psoriasis, IBD, or uveit...
Qwen/Qwen3-4B
true
6c836429-5dc5-498d-b049-4ee27e4892e7
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A metropolitan area experiences higher rates of cardiovascular emergencies during prolonged heat waves, particularly in low-income neighborhoods with dense concrete infrastructure and limited green space. Epidemiological studies ...
Qwen/Qwen3-4B
true
8c750482-5e23-46c5-bf2c-377be2cdb1b5
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "During Xenopus gastrulation, convergent extension of the dorsal mesoderm involves mediolateral cell intercalation driven by polarized, junction-associated actomyosin networks. These networks generate mediolateral protrusive activ...
Qwen/Qwen3-4B
true
d1f5f897-009f-4613-80b7-ddb9df0bf1ee
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A learning specialist designing a curriculum sequence receives diagnostic pre-assessment data for three students in a unit on abstract algebra concepts. The data is presented as a \"Current Independent Level\" (CIL) and a \"Poten...
Qwen/Qwen3-4B
true
e0413cbf-21ca-4a5c-9082-3c219a827ac3
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "Which Enlightenment philosopher argued that in the state of nature, human life would be \"solitary, poor, nasty, brutish, and short,\" leading individuals to form a social contract granting absolute authority to a sovereign ruler...
Qwen/Qwen3-4B
true
a6112868-75db-408c-9281-c4792eafd662
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In designing a noise barrier for a hospital adjacent to a highway, the acoustic material must achieve high sound transmission loss at mid-frequencies (500-2000 Hz) while meeting structural weight constraints. Which material is op...
Qwen/Qwen3-4B
true
a75b8841-ad79-4172-b4d8-75e34866fbbb
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In diabetic nephropathy, hyperglycemia induces sustained TGF-β and VEGF expression through complex feedback mechanisms. Which of the following accurately describes a **critical pathway** by which prolonged hyperglycemia directly ...
Qwen/Qwen3-4B
true
fe0629f4-0ff1-4d2b-b297-2728ecb2c8e6
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "In a large, randomly mating population of diploid organisms at Hardy-Weinberg equilibrium for a locus with two alleles, T and t, the frequency of allele t is 0.4. A selective event occurs where individuals homozygous for t (tt) h...
Qwen/Qwen3-4B
true
6798513a-b827-49a2-84db-85929c0058dd
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "For two complementary screens in diffraction, which of the following statements about their Fraunhofer diffraction patterns is correct?\n\nA: The patterns are identical at every point\nB: The patterns are identical everywhere exc...
Qwen/Qwen3-4B
true
76195913-5c0a-403b-af74-d621b5c6bbb1
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "According to current methodologies for developing hematology clinical practice guidelines, which factor is **most** responsible for discrepant recommendations regarding anticoagulant selection in non-valvular atrial fibrillation ...
Qwen/Qwen3-4B
true
48eec826-984a-45fb-8824-abcff39e5b04
CC BY 4.0
Qwen/Qwen3-4B
v2
stem
off
[ { "role": "system", "content": "" }, { "role": "user", "content": "A metropolitan trauma center implements theoretically ideal versions of five violence intervention strategies for victims of intentional penetrating trauma presenting to their ED. Each program has unlimited resources and perfect ...
Qwen/Qwen3-4B
true
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