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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"To approach this question, let's break down the key points and ethical considerations involved.",
"Firstly, it's essential to understand that honesty and transparency are fundamental principles in the doctor-patient relationship. Patients have the right to know about their medical condition, the treatmen... | [
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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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"To answer this question, let's break it down step by step.",
"First, we need to identify the chemotherapy drug that is most likely causing the patient's symptoms, specifically the hearing loss. The patient has transitional cell carcinoma of the bladder and received neoadjuvant chemotherapy. One of the mo... | [
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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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"To determine the most likely cause of this patient's symptoms, let's break down the key elements from the case description:",
"The patient underwent a recent cardiac catheterization with stenting for unstable angina pectoris. This is a crucial point because procedures involving the aorta or large arterie... | [
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] | B |
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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"To solve this question, let's analyze the given information step by step.",
"The patient presents with symptoms of a severe infection, including fever, chills, left lower quadrant pain, and hypotension. The presence of mucopurulent discharge from the cervical os and left adnexal tenderness suggests a gyn... | [
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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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[
"To approach this question, let's break it down step by step.",
"First, let's identify the key symptoms presented in the scenario: itchy, watery eyes, and sneezing, particularly during the spring season. These symptoms, along with bilateral conjunctival injection and watery discharge, are classic indicato... | [
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] | B |
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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[
"To approach this patient's condition, let's break down the key components of the case presentation:",
"The patient presents with chest pain radiating to the epigastric area, nausea, and diaphoresis after using cocaine. These symptoms are highly suggestive of an acute coronary syndrome (ACS), likely due t... | [
"C",
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] | D |
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 hi(...TRUNCATED) | [
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] | [["To approach this question, let's break down the key components of the patient's presentation and (...TRUNCATED) | [
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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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7,
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