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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"First, let's consider the ethical and legal obligations of a junior orthopaedic surgery resident. As a medical professional, it is crucial to maintain the highest standards of care and uphold the principles of honesty and transparency in patient care. The resident's primary responsibility is to ensure that t... | [
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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 has undergone neoadjuvant chemotherapy, which has led to a sensorineural hearing loss of 45 dB. The question is asking which of the listed actions is most likely the reason for this side effect.",
"Sensorineural hearing loss is typically caused by damage to the cochlea, specifically to the ha... | [
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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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"First, let's consider the patient's symptoms: decreased urinary output and malaise. These symptoms suggest a problem with the kidneys, specifically with their ability to function properly.",
"The patient has diabetes mellitus and type 2 diabetes, which can lead to kidney disease over time. Additionally, ... | [
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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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"First, let's consider the clinical presentation and laboratory findings of the patient. The patient has a fever, chills, left lower quadrant pain, and mucopurulent discharge from the cervical os with left adnexal tenderness. These symptoms are consistent with an acute infection, possibly pelvic inflammatory ... | [
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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 man is experiencing itchy, watery eyes and sneezing, which are symptoms commonly associated with allergic conjunctivitis. Given that he had a similar episode last spring and is currently experiencing these symptoms again, it's likely that the cause is seasonal allergies, especially since springtime is a ... | [
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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(...TRUNCATED) | [
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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 hi(...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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