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|---|---|---|---|---|---|---|---|---|
ms-train-2100 | A 5-year-old boy is brought to the physician by his parents for the evaluation of an episode of loss of consciousness while he was playing soccer earlier that morning. He was unconscious for about 15 seconds and did not shake, bite his tongue, or lose bowel or bladder control. He has been healthy except for 1 episode o... | 0 | A 5-year-old boy is brought to the physician by his parents for the evaluation of an episode of loss of consciousness while he was playing soccer earlier that morning.
1 | He was unconscious for about 15 seconds and did not shake, bite his tongue, or lose bowel or bladder control.
2 | He has been healthy except for... | true | treatment | 9 | Patient is prescribed amiodarone after an ECG shows sinus rhythm and a QT interval corrected for heart rate (QTc) of 470 milliseconds. | Patient is prescribed propranolol after an ECG shows sinus rhythm and a QT interval corrected for heart rate (QTc) of 470 milliseconds. | A 5-year-old boy is brought to the physician by his parents for the evaluation of an episode of loss of consciousness while he was playing soccer earlier that morning. He was unconscious for about 15 seconds and did not shake, bite his tongue, or lose bowel or bladder control. He has been healthy except for 1 episode o... |
ms-train-2101 | A 5-year-old boy is brought to the physician by his parents for the evaluation of an episode of loss of consciousness while he was playing soccer earlier that morning. He was unconscious for about 15 seconds and did not shake, bite his tongue, or lose bowel or bladder control. He has been healthy except for 1 episode o... | 0 | A 5-year-old boy is brought to the physician by his parents for the evaluation of an episode of loss of consciousness while he was playing soccer earlier that morning.
1 | He was unconscious for about 15 seconds and did not shake, bite his tongue, or lose bowel or bladder control.
2 | He has been healthy except for... | false | NA | -1 | NA. | NA. | NA |
ms-train-2102 | A 56-year-old man is brought to the emergency department by his neighbor 2 hours after ingesting an unknown substance in a suicide attempt. He is confused and unable to provide further history. His temperature is 39.1 C (102.3 F), pulse is 124/min, respiratory rate is 12/min, and blood pressure is 150/92 mm Hg. His ski... | 0 | A 56-year-old man is brought to the emergency department by his neighbor 2 hours after ingesting an unknown substance in a suicide attempt.
1 | He is confused and unable to provide further history.
2 | His temperature is 39.1 C (102.3 F), pulse is 124/min, respiratory rate is 12/min, and blood pressure is 150/92 mm... | true | treatment | 6 | Naloxone is administered. | Physostigmine is administered. | A 56-year-old man is brought to the emergency department by his neighbor 2 hours after ingesting an unknown substance in a suicide attempt. He is confused and unable to provide further history. His temperature is 39.1 C (102.3 F), pulse is 124/min, respiratory rate is 12/min, and blood pressure is 150/92 mm Hg. His ski... |
ms-train-2103 | A 56-year-old man is brought to the emergency department by his neighbor 2 hours after ingesting an unknown substance in a suicide attempt. He is confused and unable to provide further history. His temperature is 39.1 C (102.3 F), pulse is 124/min, respiratory rate is 12/min, and blood pressure is 150/92 mm Hg. His ski... | 0 | A 56-year-old man is brought to the emergency department by his neighbor 2 hours after ingesting an unknown substance in a suicide attempt.
1 | He is confused and unable to provide further history.
2 | His temperature is 39.1 C (102.3 F), pulse is 124/min, respiratory rate is 12/min, and blood pressure is 150/92 mm... | false | NA | -1 | NA. | NA. | NA |
ms-train-2104 | A 57-year-old woman presents to her primary care physician with complaints of nausea, vomiting, abdominal pain, and bloating that have increased in severity over the past several months. She reports that she occasionally vomits after eating. She states that the emesis contains undigested food particles. Additionally, t... | 0 | A 57-year-old woman presents to her primary care physician with complaints of nausea, vomiting, abdominal pain, and bloating that have increased in severity over the past several months.
1 | She reports that she occasionally vomits after eating.
2 | She states that the emesis contains undigested food particles.
3 |... | true | treatment | 5 | Metoclopramide is prescribed after initial laboratory values were notable only for a hemoglobin A1c of 14%. | Dietary modification is recommended after initial laboratory values were notable only for a hemoglobin A1c of 14%. | A 57-year-old woman presents to her primary care physician with complaints of nausea, vomiting, abdominal pain, and bloating that have increased in severity over the past several months. She reports that she occasionally vomits after eating. She states that the emesis contains undigested food particles. Additionally, t... |
ms-train-2105 | A 57-year-old woman presents to her primary care physician with complaints of nausea, vomiting, abdominal pain, and bloating that have increased in severity over the past several months. She reports that she occasionally vomits after eating. She states that the emesis contains undigested food particles. Additionally, t... | 0 | A 57-year-old woman presents to her primary care physician with complaints of nausea, vomiting, abdominal pain, and bloating that have increased in severity over the past several months.
1 | She reports that she occasionally vomits after eating.
2 | She states that the emesis contains undigested food particles.
3 |... | false | NA | -1 | NA. | NA. | NA |
ms-train-2106 | A 10-year-old girl is brought to the physician because of itching of the vulva and anal region for the past 2 weeks. She has difficulty sleeping because of the itching. Physical examination shows excoriation marks around the vulva and perianal region. There is minor perianal erythema, but no edema or fissures. Microsco... | 0 | A 10-year-old girl is brought to the physician because of itching of the vulva and anal region for the past 2 weeks.
1 | She has difficulty sleeping because of the itching.
2 | Physical examination shows excoriation marks around the vulva and perianal region.
3 | There is minor perianal erythema, but no edema or fi... | true | treatment | 5 | Patient is prescribed diethylcarbamazine. | Patient is prescribed mebendazole. | A 10-year-old girl is brought to the physician because of itching of the vulva and anal region for the past 2 weeks. She has difficulty sleeping because of the itching. Physical examination shows excoriation marks around the vulva and perianal region. There is minor perianal erythema, but no edema or fissures. Microsco... |
ms-train-2107 | A 10-year-old girl is brought to the physician because of itching of the vulva and anal region for the past 2 weeks. She has difficulty sleeping because of the itching. Physical examination shows excoriation marks around the vulva and perianal region. There is minor perianal erythema, but no edema or fissures. Patient ... | 0 | A 10-year-old girl is brought to the physician because of itching of the vulva and anal region for the past 2 weeks.
1 | She has difficulty sleeping because of the itching.
2 | Physical examination shows excoriation marks around the vulva and perianal region.
3 | There is minor perianal erythema, but no edema or fi... | false | NA | -1 | NA. | NA. | NA |
ms-train-2108 | A 22-year-old woman is brought to the emergency department after being struck by a car while crossing the street. She has major depressive disorder with psychosis. Current medications include sertraline and haloperidol. Vital signs are within normal limits. X-ray of the lower extremity shows a mid-shaft femur fracture.... | 0 | A 22-year-old woman is brought to the emergency department after being struck by a car while crossing the street.
1 | She has major depressive disorder with psychosis.
2 | Current medications include sertraline and haloperidol.
3 | Vital signs are within normal limits.
4 | X-ray of the lower extremity shows a mid-s... | true | treatment | 7 | The patient is started on propranolol. | The patient is started on dantrolene. | A 22-year-old woman is brought to the emergency department after being struck by a car while crossing the street. She has major depressive disorder with psychosis. Current medications include sertraline and haloperidol. Vital signs are within normal limits. X-ray of the lower extremity shows a mid-shaft femur fracture.... |
ms-train-2109 | A 22-year-old woman is brought to the emergency department after being struck by a car while crossing the street. She has major depressive disorder with psychosis. Current medications include sertraline and haloperidol. Vital signs are within normal limits. X-ray of the lower extremity shows a mid-shaft femur fracture.... | 0 | A 22-year-old woman is brought to the emergency department after being struck by a car while crossing the street.
1 | She has major depressive disorder with psychosis.
2 | Current medications include sertraline and haloperidol.
3 | Vital signs are within normal limits.
4 | X-ray of the lower extremity shows a mid-s... | false | NA | -1 | NA. | NA. | NA |
ms-train-2110 | A 70-year-old man comes to the physician for the evaluation of pain, cramps, and tingling in his lower extremities over the past 6 months. The patient reports that the symptoms worsen with walking more than two blocks and are completely relieved by rest. Over the past 3 months, his symptoms have not improved despite hi... | 0 | A 70-year-old man comes to the physician for the evaluation of pain, cramps, and tingling in his lower extremities over the past 6 months.
1 | The patient reports that the symptoms worsen with walking more than two blocks and are completely relieved by rest.
2 | Over the past 3 months, his symptoms have not improve... | true | treatment | 9 | Compression stockings were recommended to the patient. | Cilostazol was recommended to the patient. | A 70-year-old man comes to the physician for the evaluation of pain, cramps, and tingling in his lower extremities over the past 6 months. The patient reports that the symptoms worsen with walking more than two blocks and are completely relieved by rest. Over the past 3 months, his symptoms have not improved despite hi... |
ms-train-2111 | A 70-year-old man comes to the physician for the evaluation of pain, cramps, and tingling in his lower extremities over the past 6 months. The patient reports that the symptoms worsen with walking more than two blocks and are completely relieved by rest. Over the past 3 months, his symptoms have not improved despite hi... | 0 | A 70-year-old man comes to the physician for the evaluation of pain, cramps, and tingling in his lower extremities over the past 6 months.
1 | The patient reports that the symptoms worsen with walking more than two blocks and are completely relieved by rest.
2 | Over the past 3 months, his symptoms have not improve... | false | NA | -1 | NA. | NA. | NA |
ms-train-2112 | A 60-year-old diabetic male presents to your clinic for right ear pain. The patient reports noting worsening right ear pain for three weeks, purulent otorrhea initially which has resolved, and facial asymmetry for the past several days. He reports being poorly compliant with his diabetes medication regimen. His tempera... | 0 | A 60-year-old diabetic male presents to your clinic for right ear pain.
1 | The patient reports noting worsening right ear pain for three weeks, purulent otorrhea initially which has resolved, and facial asymmetry for the past several days.
2 | He reports being poorly compliant with his diabetes medication regimen.... | true | treatment | 4 | Patient will be treated with oral amoxicillin-clavulanic acid for 10 days based on exam findings. | Patient will be treated with intravenous ciprofloxacin for 6 weeks based on exam findings. | A 60-year-old diabetic male presents to your clinic for right ear pain. The patient reports noting worsening right ear pain for three weeks, purulent otorrhea initially which has resolved, and facial asymmetry for the past several days. He reports being poorly compliant with his diabetes medication regimen. His tempera... |
ms-train-2113 | A 60-year-old diabetic male presents to your clinic for right ear pain. The patient reports noting worsening right ear pain for three weeks, purulent otorrhea initially which has resolved, and facial asymmetry for the past several days. He reports being poorly compliant with his diabetes medication regimen. His tempera... | 0 | A 60-year-old diabetic male presents to your clinic for right ear pain.
1 | The patient reports noting worsening right ear pain for three weeks, purulent otorrhea initially which has resolved, and facial asymmetry for the past several days.
2 | He reports being poorly compliant with his diabetes medication regimen.... | false | NA | -1 | NA. | NA. | NA |
ms-train-2114 | A 70 year-old man comes to the emergency department for sudden loss of vision in the right eye over the last 24 hours. He has noticed progressive bilateral loss of central vision over the last year. He has had difficulty reading his newspaper and watching his television. He has smoked 1 pack daily for 50 years. Ophthal... | 0 | A 70 year-old man comes to the emergency department for sudden loss of vision in the right eye over the last 24 hours.
1 | He has noticed progressive bilateral loss of central vision over the last year.
2 | He has had difficulty reading his newspaper and watching his television.
3 | He has smoked 1 pack daily for 5... | true | treatment | 9 | Macular translocation surgery is indicated. | Ranibizumab is indicated. | A 70 year-old man comes to the emergency department for sudden loss of vision in the right eye over the last 24 hours. He has noticed progressive bilateral loss of central vision over the last year. He has had difficulty reading his newspaper and watching his television. He has smoked 1 pack daily for 50 years. Ophthal... |
ms-train-2115 | A 70 year-old man comes to the emergency department for sudden loss of vision in the right eye over the last 24 hours. He has noticed progressive bilateral loss of central vision over the last year. He has had difficulty reading his newspaper and watching his television. He has smoked 1 pack daily for 50 years. Ophthal... | 0 | A 70 year-old man comes to the emergency department for sudden loss of vision in the right eye over the last 24 hours.
1 | He has noticed progressive bilateral loss of central vision over the last year.
2 | He has had difficulty reading his newspaper and watching his television.
3 | He has smoked 1 pack daily for 5... | false | NA | -1 | NA. | NA. | NA |
ms-train-2116 | A 20-year-old female presents to your clinic for evaluation. She complain of months of daily rhinorrhea, which she describes as watery and clear, as well as nasal congestion bilaterally. In addition, she reports frequent watery and itchy eyes, as well as daily sneezing. Her temperature is 100.1 deg F (37.8 deg C), bloo... | 0 | A 20-year-old female presents to your clinic for evaluation.
1 | She complain of months of daily rhinorrhea, which she describes as watery and clear, as well as nasal congestion bilaterally.
2 | In addition, she reports frequent watery and itchy eyes, as well as daily sneezing.
3 | Her temperature is 100.1 deg F (3... | true | treatment | 4 | Patient is given oral amoxicillin after upon exam, you note edematous, boggy turbinates with watery rhinorrhea. | Patient is given intranasal fluticasone after upon exam, you note edematous, boggy turbinates with watery rhinorrhea. | A 20-year-old female presents to your clinic for evaluation. She complain of months of daily rhinorrhea, which she describes as watery and clear, as well as nasal congestion bilaterally. In addition, she reports frequent watery and itchy eyes, as well as daily sneezing. Her temperature is 100.1 deg F (37.8 deg C), bloo... |
ms-train-2117 | A 20-year-old female presents to your clinic for evaluation. She complain of months of daily rhinorrhea, which she describes as watery and clear, as well as nasal congestion bilaterally. In addition, she reports frequent watery and itchy eyes, as well as daily sneezing. Her temperature is 100.1 deg F (37.8 deg C), bloo... | 0 | A 20-year-old female presents to your clinic for evaluation.
1 | She complain of months of daily rhinorrhea, which she describes as watery and clear, as well as nasal congestion bilaterally.
2 | In addition, she reports frequent watery and itchy eyes, as well as daily sneezing.
3 | Her temperature is 100.1 deg F (3... | false | NA | -1 | NA. | NA. | NA |
ms-train-2118 | A 35-year-old man is brought to the emergency department because of a 2-week history of abdominal cramps, vomiting, and constipation. He also reports having to urinate frequently and occasional leg pain. He has had similar episodes in the past. He has hypertension and peptic ulcer disease. Current medications include c... | 0 | A 35-year-old man is brought to the emergency department because of a 2-week history of abdominal cramps, vomiting, and constipation.
1 | He also reports having to urinate frequently and occasional leg pain.
2 | He has had similar episodes in the past.
3 | He has hypertension and peptic ulcer disease.
4 | Current m... | true | treatment | 12 | Normal saline and intravenous furosemide were administered to the patient. | Normal saline and intravenous calcitonin therapy were administered to the patient. | A 35-year-old man is brought to the emergency department because of a 2-week history of abdominal cramps, vomiting, and constipation. He also reports having to urinate frequently and occasional leg pain. He has had similar episodes in the past. He has hypertension and peptic ulcer disease. Current medications include c... |
ms-train-2119 | A 35-year-old man is brought to the emergency department because of a 2-week history of abdominal cramps, vomiting, and constipation. He also reports having to urinate frequently and occasional leg pain. He has had similar episodes in the past. He has hypertension and peptic ulcer disease. Current medications include c... | 0 | A 35-year-old man is brought to the emergency department because of a 2-week history of abdominal cramps, vomiting, and constipation.
1 | He also reports having to urinate frequently and occasional leg pain.
2 | He has had similar episodes in the past.
3 | He has hypertension and peptic ulcer disease.
4 | Current m... | false | NA | -1 | NA. | NA. | NA |
ms-train-2120 | A 50-year-old woman comes to the physician because of intermittent pain and numbness in her right hand for 6 weeks. She has a pins-and-needles sensation that worsens at night and is relieved when she shakes her hand. She also has episodic left knee pain throughout the day. She has a history of hypertension controlled w... | 0 | A 50-year-old woman comes to the physician because of intermittent pain and numbness in her right hand for 6 weeks.
1 | She has a pins-and-needles sensation that worsens at night and is relieved when she shakes her hand.
2 | She also has episodic left knee pain throughout the day.
3 | She has a history of hypertens... | true | treatment | 12 | Surgical decompression is recommended. | Treatment with L-thyroxine is recommended. | A 50-year-old woman comes to the physician because of intermittent pain and numbness in her right hand for 6 weeks. She has a pins-and-needles sensation that worsens at night and is relieved when she shakes her hand. She also has episodic left knee pain throughout the day. She has a history of hypertension controlled w... |
ms-train-2121 | A 50-year-old woman comes to the physician because of intermittent pain and numbness in her right hand for 6 weeks. She has a pins-and-needles sensation that worsens at night and is relieved when she shakes her hand. She also has episodic left knee pain throughout the day. She has a history of hypertension controlled w... | 0 | A 50-year-old woman comes to the physician because of intermittent pain and numbness in her right hand for 6 weeks.
1 | She has a pins-and-needles sensation that worsens at night and is relieved when she shakes her hand.
2 | She also has episodic left knee pain throughout the day.
3 | She has a history of hypertens... | false | NA | -1 | NA. | NA. | NA |
ms-train-2122 | A previously healthy 8-year-old boy is brought to the physician by his mother because of 6 months of progressive fatigue and weight loss. His mother reports that during this time, he has had decreased energy and has become a "picky eater." He often has loose stools and complains of occasional abdominal pain and nausea.... | 0 | A previously healthy 8-year-old boy is brought to the physician by his mother because of 6 months of progressive fatigue and weight loss.
1 | His mother reports that during this time, he has had decreased energy and has become a "picky eater."
2 | He often has loose stools and complains of occasional abdominal pain... | true | treatment | 17 | Succimer was administered to the patient. | Glucocorticoids were administered to the patient. | A previously healthy 8-year-old boy is brought to the physician by his mother because of 6 months of progressive fatigue and weight loss. His mother reports that during this time, he has had decreased energy and has become a "picky eater." He often has loose stools and complains of occasional abdominal pain and nausea.... |
ms-train-2123 | A previously healthy 8-year-old boy is brought to the physician by his mother because of 6 months of progressive fatigue and weight loss. His mother reports that during this time, he has had decreased energy and has become a "picky eater." He often has loose stools and complains of occasional abdominal pain and nausea.... | 0 | A previously healthy 8-year-old boy is brought to the physician by his mother because of 6 months of progressive fatigue and weight loss.
1 | His mother reports that during this time, he has had decreased energy and has become a "picky eater."
2 | He often has loose stools and complains of occasional abdominal pain... | false | NA | -1 | NA. | NA. | NA |
ms-train-2124 | A 15-year-old girl is brought to the physician because she has not had a menstrual period. There is no personal or family history of serious illness. She is 165 cm (5 ft 5 in) tall and weighs 57 kg (125 lb); BMI is 21 kg/m2. Vital signs are within normal limits. Vaginal dilatory therapy was recommended based on the fol... | 0 | A 15-year-old girl is brought to the physician because she has not had a menstrual period.
1 | There is no personal or family history of serious illness.
2 | She is 165 cm (5 ft 5 in) tall and weighs 57 kg (125 lb); BMI is 21 kg/m2.
3 | Vital signs are within normal limits.
4 | Vaginal dilatory therapy was recommen... | true | treatment | 4 | Vaginal dilatory therapy was recommended based on the following findings. | A gonadectomy was recommended based on the following findings. | A 15-year-old girl is brought to the physician because she has not had a menstrual period. There is no personal or family history of serious illness. She is 165 cm (5 ft 5 in) tall and weighs 57 kg (125 lb); BMI is 21 kg/m2. Vital signs are within normal limits. A gonadectomy was recommended based on the following find... |
ms-train-2125 | A 15-year-old girl is brought to the physician because she has not had a menstrual period. There is no personal or family history of serious illness. She is 165 cm (5 ft 5 in) tall and weighs 57 kg (125 lb); BMI is 21 kg/m2. Vital signs are within normal limits. Examination of the breasts shows a secondary mound formed... | 0 | A 15-year-old girl is brought to the physician because she has not had a menstrual period.
1 | There is no personal or family history of serious illness.
2 | She is 165 cm (5 ft 5 in) tall and weighs 57 kg (125 lb); BMI is 21 kg/m2.
3 | Vital signs are within normal limits.
4 | Examination of the breasts shows a se... | false | NA | -1 | NA. | NA. | NA |
ms-train-2126 | A 35-year-old male patient is brought into the emergency department by emergency medical services. The patient has a history of schizophrenia and is on medication per his mother. His mother also states that the dose of his medication was recently increased, though she is not sure of the specific medication he takes. Hi... | 0 | A 35-year-old male patient is brought into the emergency department by emergency medical services.
1 | The patient has a history of schizophrenia and is on medication per his mother.
2 | His mother also states that the dose of his medication was recently increased, though she is not sure of the specific medication ... | true | treatment | 7 | Diazepam was prescribed. | Dantrolene was prescribed. | A 35-year-old male patient is brought into the emergency department by emergency medical services. The patient has a history of schizophrenia and is on medication per his mother. His mother also states that the dose of his medication was recently increased, though she is not sure of the specific medication he takes. Hi... |
ms-train-2127 | A 35-year-old male patient is brought into the emergency department by emergency medical services. The patient has a history of schizophrenia and is on medication per his mother. His mother also states that the dose of his medication was recently increased, though she is not sure of the specific medication he takes. Hi... | 0 | A 35-year-old male patient is brought into the emergency department by emergency medical services.
1 | The patient has a history of schizophrenia and is on medication per his mother.
2 | His mother also states that the dose of his medication was recently increased, though she is not sure of the specific medication ... | false | NA | -1 | NA. | NA. | NA |
ms-train-2128 | A 46-year-old woman comes to the physician because of severe muscle and joint pain for 5 months. The pain varies in location and intensity. She also has joint stiffness in the morning and reports fatigue throughout the day that she attributes to not sleeping well. She reports a tingling sensation in her lower limbs. He... | 0 | A 46-year-old woman comes to the physician because of severe muscle and joint pain for 5 months.
1 | The pain varies in location and intensity.
2 | She also has joint stiffness in the morning and reports fatigue throughout the day that she attributes to not sleeping well.
3 | She reports a tingling sensation in her... | true | treatment | 11 | Methotrexate was given. | Amitriptyline was given. | A 46-year-old woman comes to the physician because of severe muscle and joint pain for 5 months. The pain varies in location and intensity. She also has joint stiffness in the morning and reports fatigue throughout the day that she attributes to not sleeping well. She reports a tingling sensation in her lower limbs. He... |
ms-train-2129 | A 46-year-old woman comes to the physician because of severe muscle and joint pain for 5 months. The pain varies in location and intensity. She also has joint stiffness in the morning and reports fatigue throughout the day that she attributes to not sleeping well. She reports a tingling sensation in her lower limbs. He... | 0 | A 46-year-old woman comes to the physician because of severe muscle and joint pain for 5 months.
1 | The pain varies in location and intensity.
2 | She also has joint stiffness in the morning and reports fatigue throughout the day that she attributes to not sleeping well.
3 | She reports a tingling sensation in her... | false | NA | -1 | NA. | NA. | NA |
ms-train-2130 | A 35-year-old woman comes to the physician because of a 3-month history of worsening fatigue. She has difficulty concentrating at work despite sleeping well most nights. Three years ago, she was diagnosed with Crohn disease. She has about 7 non-bloody, mildly painful bowel movements daily. Her current medications inclu... | 0 | A 35-year-old woman comes to the physician because of a 3-month history of worsening fatigue.
1 | She has difficulty concentrating at work despite sleeping well most nights.
2 | Three years ago, she was diagnosed with Crohn disease.
3 | She has about 7 non-bloody, mildly painful bowel movements daily.
4 | Her curre... | true | treatment | 18 | IV iron supplementation would be the appropriate next step in treatment. | Oral prednisone therapy would be the appropriate next step in treatment. | A 35-year-old woman comes to the physician because of a 3-month history of worsening fatigue. She has difficulty concentrating at work despite sleeping well most nights. Three years ago, she was diagnosed with Crohn disease. She has about 7 non-bloody, mildly painful bowel movements daily. Her current medications inclu... |
ms-train-2131 | A 23-year-old woman, gravida 2, para 1, at 13 weeks gestation, comes to the physician because of a 2-day history of burning pain during urination. She has been sexually active with different male partners during the pregnancy and did not use condoms. She has not had any fever, chills, or pelvic pain. Physical examinati... | 0 | A 23-year-old woman, gravida 2, para 1, at 13 weeks gestation, comes to the physician because of a 2-day history of burning pain during urination.
1 | She has been sexually active with different male partners during the pregnancy and did not use condoms.
2 | She has not had any fever, chills, or pelvic pain.
3 | Ph... | true | treatment | 4 | Urine dipstick shows leukocyte esterase, urinalysis shows 10 WBCs/hpf, and intramuscular ceftriaxone is administered after a gram stain of the urethral swab shows polymorphonuclear leukocytes with intracellular gram-negative diplococci. | Urine dipstick shows leukocyte esterase, urinalysis shows 10 WBCs/hpf, and intramuscular ceftriaxone and oral azithromycin after a gram stain of the urethral swab shows polymorphonuclear leukocytes with intracellular gram-negative diplococci. | A 23-year-old woman, gravida 2, para 1, at 13 weeks gestation, comes to the physician because of a 2-day history of burning pain during urination. She has been sexually active with different male partners during the pregnancy and did not use condoms. She has not had any fever, chills, or pelvic pain. Physical examinati... |
ms-train-2132 | A 23-year-old woman, gravida 2, para 1, at 13 weeks gestation, comes to the physician because of a 2-day history of burning pain during urination. She has been sexually active with different male partners during the pregnancy and did not use condoms. She has not had any fever, chills, or pelvic pain. Physical examinati... | 0 | A 23-year-old woman, gravida 2, para 1, at 13 weeks gestation, comes to the physician because of a 2-day history of burning pain during urination.
1 | She has been sexually active with different male partners during the pregnancy and did not use condoms.
2 | She has not had any fever, chills, or pelvic pain.
3 | Ph... | false | NA | -1 | NA. | NA. | NA |
ms-train-2133 | A 39-year-old woman, with a history of thyroidectomy and primary hyperparathyroidism presents for surgical evaluation for a right adrenal mass. Labetalol was prescribed. | 0 | A 39-year-old woman, with a history of thyroidectomy and primary hyperparathyroidism presents for surgical evaluation for a right adrenal mass.
1 | Labetalol was prescribed. | true | treatment | 1 | Labetalol was prescribed. | Phenoxybenzamine was prescribed. | A 39-year-old woman, with a history of thyroidectomy and primary hyperparathyroidism presents for surgical evaluation for a right adrenal mass. Phenoxybenzamine was prescribed. |
ms-train-2134 | A 64-year-old woman comes to the physician because of a 4-month history of vulvar itching and dryness. During this period, she has also had pain during sexual intercourse but no postcoital bleeding. Her last menstrual period was at the age of 51 years. She has type 2 diabetes mellitus and her only medication is metform... | 0 | A 64-year-old woman comes to the physician because of a 4-month history of vulvar itching and dryness.
1 | During this period, she has also had pain during sexual intercourse but no postcoital bleeding.
2 | Her last menstrual period was at the age of 51 years.
3 | She has type 2 diabetes mellitus and her only medic... | true | treatment | 4 | Patient was treated with topical fluconazole based on exam and biopsy results. | Patient was treated with topical clobetasol based on exam and biopsy results. | A 64-year-old woman comes to the physician because of a 4-month history of vulvar itching and dryness. During this period, she has also had pain during sexual intercourse but no postcoital bleeding. Her last menstrual period was at the age of 51 years. She has type 2 diabetes mellitus and her only medication is metform... |
ms-train-2135 | A 64-year-old woman comes to the physician because of a 4-month history of vulvar itching and dryness. During this period, she has also had pain during sexual intercourse but no postcoital bleeding. Her last menstrual period was at the age of 51 years. She has type 2 diabetes mellitus and her only medication is metform... | 0 | A 64-year-old woman comes to the physician because of a 4-month history of vulvar itching and dryness.
1 | During this period, she has also had pain during sexual intercourse but no postcoital bleeding.
2 | Her last menstrual period was at the age of 51 years.
3 | She has type 2 diabetes mellitus and her only medic... | false | NA | -1 | NA. | NA. | NA |
ms-train-2136 | A 40-year-old woman presents to her primary care physician with complaints of worsening muscle aches and diffuse weakness over the past several months. She states that she now has difficulty climbing stairs and extending her neck. Ultimately, she became more concerned when she began having trouble swallowing and experi... | 0 | A 40-year-old woman presents to her primary care physician with complaints of worsening muscle aches and diffuse weakness over the past several months.
1 | She states that she now has difficulty climbing stairs and extending her neck.
2 | Ultimately, she became more concerned when she began having trouble swallowin... | true | treatment | 8 | Intravenous immunoglobin was administered. | Prednisone was administered. | A 40-year-old woman presents to her primary care physician with complaints of worsening muscle aches and diffuse weakness over the past several months. She states that she now has difficulty climbing stairs and extending her neck. Ultimately, she became more concerned when she began having trouble swallowing and experi... |
ms-train-2137 | A 40-year-old woman presents to her primary care physician with complaints of worsening muscle aches and diffuse weakness over the past several months. She states that she now has difficulty climbing stairs and extending her neck. Ultimately, she became more concerned when she began having trouble swallowing and experi... | 0 | A 40-year-old woman presents to her primary care physician with complaints of worsening muscle aches and diffuse weakness over the past several months.
1 | She states that she now has difficulty climbing stairs and extending her neck.
2 | Ultimately, she became more concerned when she began having trouble swallowin... | false | NA | -1 | NA. | NA. | NA |
ms-train-2138 | A 42-year-old man with a history of gout and hypertension presents to his family physician with a complaint of increased left knee pain over the past 2 days. He also reports swelling and redness of the left knee and is unable to bear weight on that side. He denies any prior surgery or inciting trauma to the knee. His t... | 0 | A 42-year-old man with a history of gout and hypertension presents to his family physician with a complaint of increased left knee pain over the past 2 days.
1 | He also reports swelling and redness of the left knee and is unable to bear weight on that side.
2 | He denies any prior surgery or inciting trauma to the... | true | treatment | 9 | Patient was prescribed ceftriaxone. | Patient was prescribed vancomycin and ceftazidime. | A 42-year-old man with a history of gout and hypertension presents to his family physician with a complaint of increased left knee pain over the past 2 days. He also reports swelling and redness of the left knee and is unable to bear weight on that side. He denies any prior surgery or inciting trauma to the knee. His t... |
ms-train-2139 | A 9-year-old girl is brought to the emergency department for sudden-onset slurring of speech and weakness of her right arm and leg. She has a mild intellectual disability. She is at the 10th percentile for weight and at the 85th percentile for height. Physical examination shows bilateral inferonasal subluxation of the ... | 0 | A 9-year-old girl is brought to the emergency department for sudden-onset slurring of speech and weakness of her right arm and leg.
1 | She has a mild intellectual disability.
2 | She is at the 10th percentile for weight and at the 85th percentile for height.
3 | Physical examination shows bilateral inferonasal sub... | true | treatment | 6 | Patient was treated with methionine supplementation. | Patient was treated with vitamin B6 supplementation. | A 9-year-old girl is brought to the emergency department for sudden-onset slurring of speech and weakness of her right arm and leg. She has a mild intellectual disability. She is at the 10th percentile for weight and at the 85th percentile for height. Physical examination shows bilateral inferonasal subluxation of the ... |
ms-train-2140 | A previously healthy 2-month-old girl is brought to the emergency department because her lips turned blue while passing stools 30 minutes ago. She is at the 40th percentile for length and below the 35th percentile for weight. Pulse oximetry on room air shows an oxygen saturation of 65%, which increases to 76% on admini... | 0 | A previously healthy 2-month-old girl is brought to the emergency department because her lips turned blue while passing stools 30 minutes ago.
1 | She is at the 40th percentile for length and below the 35th percentile for weight.
2 | Pulse oximetry on room air shows an oxygen saturation of 65%, which increases to 7... | true | treatment | 3 | Placing the patient in a prone position also improved her oxygen saturation temporarily. | Placing the patient in a knee to chest position also improved her oxygen saturation temporarily. | A previously healthy 2-month-old girl is brought to the emergency department because her lips turned blue while passing stools 30 minutes ago. She is at the 40th percentile for length and below the 35th percentile for weight. Pulse oximetry on room air shows an oxygen saturation of 65%, which increases to 76% on admini... |
ms-train-2141 | A previously healthy 2-month-old girl is brought to the emergency department because her lips turned blue while passing stools 30 minutes ago. She is at the 40th percentile for length and below the 35th percentile for weight. Pulse oximetry on room air shows an oxygen saturation of 65%, which increases to 76% on admini... | 0 | A previously healthy 2-month-old girl is brought to the emergency department because her lips turned blue while passing stools 30 minutes ago.
1 | She is at the 40th percentile for length and below the 35th percentile for weight.
2 | Pulse oximetry on room air shows an oxygen saturation of 65%, which increases to 7... | false | NA | -1 | NA. | NA. | NA |
ms-train-2142 | A 74-year-old woman presents to the emergency department for shortness of breath and bilateral lower extremity pitting edema. She has had exacerbations like this in the past and notes that she has not been taking her home heart medications as scheduled. Review of systems is negative for any other symptoms including GI,... | 0 | A 74-year-old woman presents to the emergency department for shortness of breath and bilateral lower extremity pitting edema.
1 | She has had exacerbations like this in the past and notes that she has not been taking her home heart medications as scheduled.
2 | Review of systems is negative for any other symptoms i... | true | treatment | 8 | The patient is given trimethoprim-sulfamethoxazole. | The patient is given no treatment. | A 74-year-old woman presents to the emergency department for shortness of breath and bilateral lower extremity pitting edema. She has had exacerbations like this in the past and notes that she has not been taking her home heart medications as scheduled. Review of systems is negative for any other symptoms including GI,... |
ms-train-2143 | A 74-year-old woman presents to the emergency department for shortness of breath and bilateral lower extremity pitting edema. She has had exacerbations like this in the past and notes that she has not been taking her home heart medications as scheduled. Review of systems is negative for any other symptoms including GI,... | 0 | A 74-year-old woman presents to the emergency department for shortness of breath and bilateral lower extremity pitting edema.
1 | She has had exacerbations like this in the past and notes that she has not been taking her home heart medications as scheduled.
2 | Review of systems is negative for any other symptoms i... | false | NA | -1 | NA. | NA. | NA |
ms-train-2144 | A 76-year-old man is brought to his geriatrician by his daughter, who reports that he has been "losing his memory." While the patient previously performed all household duties by himself, he has recently had several bills that were unpaid. He also called his daughter several instances after getting lost while driving a... | 0 | A 76-year-old man is brought to his geriatrician by his daughter, who reports that he has been "losing his memory."
1 | While the patient previously performed all household duties by himself, he has recently had several bills that were unpaid.
2 | He also called his daughter several instances after getting lost whi... | true | treatment | 3 | Donepezil was prescribed. | Lumbar puncture was ordered. | A 76-year-old man is brought to his geriatrician by his daughter, who reports that he has been "losing his memory." While the patient previously performed all household duties by himself, he has recently had several bills that were unpaid. He also called his daughter several instances after getting lost while driving a... |
ms-train-2145 | A 76-year-old man is brought to his geriatrician by his daughter, who reports that he has been "losing his memory." While the patient previously performed all household duties by himself, he has recently had several bills that were unpaid. He also called his daughter several instances after getting lost while driving a... | 0 | A 76-year-old man is brought to his geriatrician by his daughter, who reports that he has been "losing his memory."
1 | While the patient previously performed all household duties by himself, he has recently had several bills that were unpaid.
2 | He also called his daughter several instances after getting lost whi... | false | NA | -1 | NA. | NA. | NA |
ms-train-2146 | A 55-year-old woman presents to the emergency department with recent onset confusion and photophobia. Upon questioning her husband, you discover the patient has been sick over the past week with fevers and productive sputum. Her vital signs are Temperature 102.6 Pulse 80 Respirations 18 Blood Pressure 110/70. The physi... | 0 | A 55-year-old woman presents to the emergency department with recent onset confusion and photophobia.
1 | Upon questioning her husband, you discover the patient has been sick over the past week with fevers and productive sputum.
2 | Her vital signs are Temperature 102.6 Pulse 80 Respirations 18 Blood Pressure 110/7... | true | treatment | 6 | Vancomycin, ceftriaxone, and ampicillin were administered to the patient. | Vancomycin, ceftriaxone, dexamethasone, and ampicillin were administered to the patient. | A 55-year-old woman presents to the emergency department with recent onset confusion and photophobia. Upon questioning her husband, you discover the patient has been sick over the past week with fevers and productive sputum. Her vital signs are Temperature 102.6 Pulse 80 Respirations 18 Blood Pressure 110/70. The physi... |
ms-train-2147 | A 55-year-old woman presents to the emergency department with recent onset confusion and photophobia. Upon questioning her husband, you discover the patient has been sick over the past week with fevers and productive sputum. Her vital signs are Temperature 102.6 Pulse 80 Respirations 18 Blood Pressure 110/70. The physi... | 0 | A 55-year-old woman presents to the emergency department with recent onset confusion and photophobia.
1 | Upon questioning her husband, you discover the patient has been sick over the past week with fevers and productive sputum.
2 | Her vital signs are Temperature 102.6 Pulse 80 Respirations 18 Blood Pressure 110/7... | false | NA | -1 | NA. | NA. | NA |
ms-train-2148 | A 22-year-old male college student is brought to the emergency department with fever and headache and is accompanied by his girlfriend. Lumbar puncture is performed and the Gram stain is shown in Figure A. Appropriate treatment is initiated and the patient is hospitalized. Amoxicillin/clavulanate is administered to the... | 0 | A 22-year-old male college student is brought to the emergency department with fever and headache and is accompanied by his girlfriend.
1 | Lumbar puncture is performed and the Gram stain is shown in Figure A.
2 | Appropriate treatment is initiated and the patient is hospitalized.
3 | Amoxicillin/clavulanate is adm... | true | treatment | 3 | Amoxicillin/clavulanate is administered to the girlfriend after the girlfriend reports that they spend all their time together and also have been intimate the past several days. | Oral rifampin is administered to the girlfriend after the girlfriend reports that they spend all their time together and also have been intimate the past several days. | A 22-year-old male college student is brought to the emergency department with fever and headache and is accompanied by his girlfriend. Lumbar puncture is performed and the Gram stain is shown in Figure A. Appropriate treatment is initiated and the patient is hospitalized. Oral rifampin is administered to the girlfrien... |
ms-train-2149 | A 22-year-old male college student is brought to the emergency department with fever and headache and is accompanied by his girlfriend. Lumbar puncture is performed and the Gram stain is shown in Figure A. Appropriate treatment is initiated and the patient is hospitalized. His girlfriend reports that they spend all the... | 0 | A 22-year-old male college student is brought to the emergency department with fever and headache and is accompanied by his girlfriend.
1 | Lumbar puncture is performed and the Gram stain is shown in Figure A.
2 | Appropriate treatment is initiated and the patient is hospitalized.
3 | His girlfriend reports that th... | false | NA | -1 | NA. | NA. | NA |
ms-train-2150 | A 27-year-old woman presents for a checkup. She is 20 weeks pregnant and has been admitted to the hospital multiple times during her pregnancy for seizures. She has a known seizure disorder but discontinued her valproic acid when she became pregnant. The patient's past medical history is otherwise unremarkable. She doe... | 0 | A 27-year-old woman presents for a checkup.
1 | She is 20 weeks pregnant and has been admitted to the hospital multiple times during her pregnancy for seizures.
2 | She has a known seizure disorder but discontinued her valproic acid when she became pregnant.
3 | The patient's past medical history is otherwise unrem... | true | treatment | 7 | The patient is also started on magnesium supplementation. | The patient is also started on folate supplementation. | A 27-year-old woman presents for a checkup. She is 20 weeks pregnant and has been admitted to the hospital multiple times during her pregnancy for seizures. She has a known seizure disorder but discontinued her valproic acid when she became pregnant. The patient's past medical history is otherwise unremarkable. She doe... |
ms-train-2151 | A 27-year-old woman presents for a checkup. She is 20 weeks pregnant and has been admitted to the hospital multiple times during her pregnancy for seizures. She has a known seizure disorder but discontinued her valproic acid when she became pregnant. The patient's past medical history is otherwise unremarkable. She doe... | 0 | A 27-year-old woman presents for a checkup.
1 | She is 20 weeks pregnant and has been admitted to the hospital multiple times during her pregnancy for seizures.
2 | She has a known seizure disorder but discontinued her valproic acid when she became pregnant.
3 | The patient's past medical history is otherwise unrem... | false | NA | -1 | NA. | NA. | NA |
ms-train-2152 | A 31-year-old woman comes to the physician because of intermittent episodes of stabbing right lower jaw pain for 6 weeks. The pain is severe, sharp, and lasts for a few seconds. These episodes commonly occur when she washes her face, brushes her teeth, or eats a meal. She does not have visual disturbances, weakness of ... | 0 | A 31-year-old woman comes to the physician because of intermittent episodes of stabbing right lower jaw pain for 6 weeks.
1 | The pain is severe, sharp, and lasts for a few seconds.
2 | These episodes commonly occur when she washes her face, brushes her teeth, or eats a meal.
3 | She does not have visual disturbanc... | true | treatment | 5 | Treatment with doxepin is initiated. | Treatment with carbamazepine is initiated. | A 31-year-old woman comes to the physician because of intermittent episodes of stabbing right lower jaw pain for 6 weeks. The pain is severe, sharp, and lasts for a few seconds. These episodes commonly occur when she washes her face, brushes her teeth, or eats a meal. She does not have visual disturbances, weakness of ... |
ms-train-2153 | A 16-month-old male patient, with no significant past medical history, is brought into the emergency department for the second time in 5 days with tachypnea, expiratory wheezes and hypoxia. The patient presented to the emergency department initially due to rhinorrhea, fever and cough. He was treated with nasal suctioni... | 0 | A 16-month-old male patient, with no significant past medical history, is brought into the emergency department for the second time in 5 days with tachypnea, expiratory wheezes and hypoxia.
1 | The patient presented to the emergency department initially due to rhinorrhea, fever and cough.
2 | He was treated with na... | true | treatment | 4 | Albuterol, ipratropium, and IV methylprednisolone are administered. | Nasal suctioning, oxygen therapy, and IV fluids are administered. | A 16-month-old male patient, with no significant past medical history, is brought into the emergency department for the second time in 5 days with tachypnea, expiratory wheezes and hypoxia. The patient presented to the emergency department initially due to rhinorrhea, fever and cough. He was treated with nasal suctioni... |
ms-train-2154 | A 16-month-old male patient, with no significant past medical history, is brought into the emergency department for the second time in 5 days with tachypnea, expiratory wheezes and hypoxia. The patient presented to the emergency department initially due to rhinorrhea, fever and cough. He was treated with nasal suctioni... | 0 | A 16-month-old male patient, with no significant past medical history, is brought into the emergency department for the second time in 5 days with tachypnea, expiratory wheezes and hypoxia.
1 | The patient presented to the emergency department initially due to rhinorrhea, fever and cough.
2 | He was treated with na... | false | NA | -1 | NA. | NA. | NA |
ms-train-2155 | A 26-year-old woman presents to the emergency department with vaginal discharge. She states she noticed it a few days ago and states it has been gradually worsening. The patient works at a farmer's market selling produce. Her temperature is 98.4 F (36.9 C), blood pressure is 120/74 mmHg, pulse is 83/min, respirations a... | 0 | A 26-year-old woman presents to the emergency department with vaginal discharge.
1 | She states she noticed it a few days ago and states it has been gradually worsening.
2 | The patient works at a farmer's market selling produce.
3 | Her temperature is 98.4 F (36.9 C), blood pressure is 120/74 mmHg, pulse is 83/min... | true | treatment | 11 | Erythromycin is administered to the patient. | Azithromycin is administered to the patient. | A 26-year-old woman presents to the emergency department with vaginal discharge. She states she noticed it a few days ago and states it has been gradually worsening. The patient works at a farmer's market selling produce. Her temperature is 98.4 F (36.9 C), blood pressure is 120/74 mmHg, pulse is 83/min, respirations a... |
ms-train-2156 | A 26-year-old woman presents to the emergency department with vaginal discharge. She states she noticed it a few days ago and states it has been gradually worsening. The patient works at a farmer's market selling produce. Her temperature is 98.4 F (36.9 C), blood pressure is 120/74 mmHg, pulse is 83/min, respirations a... | 0 | A 26-year-old woman presents to the emergency department with vaginal discharge.
1 | She states she noticed it a few days ago and states it has been gradually worsening.
2 | The patient works at a farmer's market selling produce.
3 | Her temperature is 98.4 F (36.9 C), blood pressure is 120/74 mmHg, pulse is 83/min... | false | NA | -1 | NA. | NA. | NA |
ms-train-2157 | A 45-year-old woman comes to the physician because of a 3-month history of worsening fatigue, loss of appetite, itching of the skin, and progressive leg swelling. Although she has been drinking 2-3 L of water daily, she has been passing only small amounts of urine. She has type 1 diabetes mellitus, chronic kidney disea... | 0 | A 45-year-old woman comes to the physician because of a 3-month history of worsening fatigue, loss of appetite, itching of the skin, and progressive leg swelling.
1 | Although she has been drinking 2-3 L of water daily, she has been passing only small amounts of urine.
2 | She has type 1 diabetes mellitus, chronic ... | true | treatment | 8 | Hemodialysis is recommended. | Living donor kidney transplant is recommended. | A 45-year-old woman comes to the physician because of a 3-month history of worsening fatigue, loss of appetite, itching of the skin, and progressive leg swelling. Although she has been drinking 2-3 L of water daily, she has been passing only small amounts of urine. She has type 1 diabetes mellitus, chronic kidney disea... |
ms-train-2158 | A 45-year-old woman comes to the physician because of a 3-month history of worsening fatigue, loss of appetite, itching of the skin, and progressive leg swelling. Although she has been drinking 2-3 L of water daily, she has been passing only small amounts of urine. She has type 1 diabetes mellitus, chronic kidney disea... | 0 | A 45-year-old woman comes to the physician because of a 3-month history of worsening fatigue, loss of appetite, itching of the skin, and progressive leg swelling.
1 | Although she has been drinking 2-3 L of water daily, she has been passing only small amounts of urine.
2 | She has type 1 diabetes mellitus, chronic ... | false | NA | -1 | NA. | NA. | NA |
ms-train-2159 | A 23-year-old woman is brought to the emergency room by her mother after she is found to have cut both of her wrists with razor blades. The patient admits to a history of self-mutilation and attributed this incident to a recent breakup with a man she had been seeing for the previous 2 weeks. On morning rounds, the pati... | 0 | A 23-year-old woman is brought to the emergency room by her mother after she is found to have cut both of her wrists with razor blades.
1 | The patient admits to a history of self-mutilation and attributed this incident to a recent breakup with a man she had been seeing for the previous 2 weeks.
2 | On morning roun... | true | treatment | 5 | Cognitive behavioral therapy was recommended. | Dialectical behavior therapy was recommended. | A 23-year-old woman is brought to the emergency room by her mother after she is found to have cut both of her wrists with razor blades. The patient admits to a history of self-mutilation and attributed this incident to a recent breakup with a man she had been seeing for the previous 2 weeks. On morning rounds, the pati... |
ms-train-2160 | A 23-year-old woman is brought to the emergency room by her mother after she is found to have cut both of her wrists with razor blades. The patient admits to a history of self-mutilation and attributed this incident to a recent breakup with a man she had been seeing for the previous 2 weeks. On morning rounds, the pati... | 0 | A 23-year-old woman is brought to the emergency room by her mother after she is found to have cut both of her wrists with razor blades.
1 | The patient admits to a history of self-mutilation and attributed this incident to a recent breakup with a man she had been seeing for the previous 2 weeks.
2 | On morning roun... | false | NA | -1 | NA. | NA. | NA |
ms-train-2161 | A 54-year-old male presents to the emergency department with facial pain. He reports feeling well until yesterday, when he developed a headache that has gotten progressively worse. The pain has now spread to the right side of his face. This morning he also developed lacrimation of the right eye and double vision. His p... | 0 | A 54-year-old male presents to the emergency department with facial pain.
1 | He reports feeling well until yesterday, when he developed a headache that has gotten progressively worse.
2 | The pain has now spread to the right side of his face.
3 | This morning he also developed lacrimation of the right eye and doub... | true | treatment | 10 | In addition to surgical debridement, patient will be treated with voriconazole. | In addition to surgical debridement, patient will be treated with amphotericin. | A 54-year-old male presents to the emergency department with facial pain. He reports feeling well until yesterday, when he developed a headache that has gotten progressively worse. The pain has now spread to the right side of his face. This morning he also developed lacrimation of the right eye and double vision. His p... |
ms-train-2162 | A 46-year-old man with a history of hypertension, obesity, and hyperlipidemia presents with complaints of a new skin rash. He was in his usual state of health until 1 week prior when he noted dark urine and a non-pruritic skin rash of his hands. He endorses recent sore throat and rhinorrhea but denies any recent change... | 0 | A 46-year-old man with a history of hypertension, obesity, and hyperlipidemia presents with complaints of a new skin rash.
1 | He was in his usual state of health until 1 week prior when he noted dark urine and a non-pruritic skin rash of his hands.
2 | He endorses recent sore throat and rhinorrhea but denies any r... | true | treatment | 7 | Topical triamcinolone is given to the patient. | Hydroxychloroquine is given to the patient. | A 46-year-old man with a history of hypertension, obesity, and hyperlipidemia presents with complaints of a new skin rash. He was in his usual state of health until 1 week prior when he noted dark urine and a non-pruritic skin rash of his hands. He endorses recent sore throat and rhinorrhea but denies any recent change... |
ms-train-2163 | A 46-year-old man with a history of hypertension, obesity, and hyperlipidemia presents with complaints of a new skin rash. He was in his usual state of health until 1 week prior when he noted dark urine and a non-pruritic skin rash of his hands. He endorses recent sore throat and rhinorrhea but denies any recent change... | 0 | A 46-year-old man with a history of hypertension, obesity, and hyperlipidemia presents with complaints of a new skin rash.
1 | He was in his usual state of health until 1 week prior when he noted dark urine and a non-pruritic skin rash of his hands.
2 | He endorses recent sore throat and rhinorrhea but denies any r... | false | NA | -1 | NA. | NA. | NA |
ms-train-2164 | A 54-year-old G2P2 presents to her gynecologist's office with complaints of frequent hot flashes, malaise, insomnia, and mild mood swings for 2 weeks. She has also noticed some pain with intercourse and vaginal dryness during this time. She is otherwise healthy besides hyperlipidemia, controlled on atorvastatin. She ha... | 0 | A 54-year-old G2P2 presents to her gynecologist's office with complaints of frequent hot flashes, malaise, insomnia, and mild mood swings for 2 weeks.
1 | She has also noticed some pain with intercourse and vaginal dryness during this time.
2 | She is otherwise healthy besides hyperlipidemia, controlled on atorvast... | true | treatment | 5 | Hormone replacement therapy with combined estrogen/progesterone is given to the patient for symptomatic relief. | Hormone replacement therapy with estrogen alone is given to the patient for symptomatic relief. | A 54-year-old G2P2 presents to her gynecologist's office with complaints of frequent hot flashes, malaise, insomnia, and mild mood swings for 2 weeks. She has also noticed some pain with intercourse and vaginal dryness during this time. She is otherwise healthy besides hyperlipidemia, controlled on atorvastatin. She ha... |
ms-train-2165 | A 54-year-old G2P2 presents to her gynecologist's office with complaints of frequent hot flashes, malaise, insomnia, and mild mood swings for 2 weeks. She has also noticed some pain with intercourse and vaginal dryness during this time. She is otherwise healthy besides hyperlipidemia, controlled on atorvastatin. She ha... | 0 | A 54-year-old G2P2 presents to her gynecologist's office with complaints of frequent hot flashes, malaise, insomnia, and mild mood swings for 2 weeks.
1 | She has also noticed some pain with intercourse and vaginal dryness during this time.
2 | She is otherwise healthy besides hyperlipidemia, controlled on atorvast... | false | NA | -1 | NA. | NA. | NA |
ms-train-2166 | A 27-year-old male presents to the emergency department after being brought in from a house fire. The patient has extensive burns covering his body and is conscious but in severe pain. The patient has a past medical history notable for marijuana use. He is not currently on any medications. Physical exam is notable for ... | 0 | A 27-year-old male presents to the emergency department after being brought in from a house fire.
1 | The patient has extensive burns covering his body and is conscious but in severe pain.
2 | The patient has a past medical history notable for marijuana use.
3 | He is not currently on any medications.
4 | Physical ... | true | treatment | 8 | Oxygen administration is begun after oxygen saturation is 93% on room air. | IV fluid administration is begun after oxygen saturation is 93% on room air. | A 27-year-old male presents to the emergency department after being brought in from a house fire. The patient has extensive burns covering his body and is conscious but in severe pain. The patient has a past medical history notable for marijuana use. He is not currently on any medications. Physical exam is notable for ... |
ms-train-2167 | A 27-year-old male presents to the emergency department after being brought in from a house fire. The patient has extensive burns covering his body and is conscious but in severe pain. The patient has a past medical history notable for marijuana use. He is not currently on any medications. Physical exam is notable for ... | 0 | A 27-year-old male presents to the emergency department after being brought in from a house fire.
1 | The patient has extensive burns covering his body and is conscious but in severe pain.
2 | The patient has a past medical history notable for marijuana use.
3 | He is not currently on any medications.
4 | Physical ... | false | NA | -1 | NA. | NA. | NA |
ms-train-2168 | A 35-year-old female presents to her PCP at the request of her husband after 3 weeks of erratic behavior. The patient has been staying up all night online shopping on eBay. Despite a lack of sleep, she is "full of energy" during the day at her teaching job, which she believes is "beneath [her], anyway." She has not sou... | 0 | A 35-year-old female presents to her PCP at the request of her husband after 3 weeks of erratic behavior.
1 | The patient has been staying up all night online shopping on eBay.
2 | Despite a lack of sleep, she is "full of energy" during the day at her teaching job, which she believes is "beneath [her], anyway."
3 |... | true | treatment | 6 | Valproate was prescribed. | Valproate and olanzapine was prescribed. | A 35-year-old female presents to her PCP at the request of her husband after 3 weeks of erratic behavior. The patient has been staying up all night online shopping on eBay. Despite a lack of sleep, she is "full of energy" during the day at her teaching job, which she believes is "beneath [her], anyway." She has not sou... |
ms-train-2169 | A 35-year-old female presents to her PCP at the request of her husband after 3 weeks of erratic behavior. The patient has been staying up all night online shopping on eBay. Despite a lack of sleep, she is "full of energy" during the day at her teaching job, which she believes is "beneath [her], anyway." She has not sou... | 0 | A 35-year-old female presents to her PCP at the request of her husband after 3 weeks of erratic behavior.
1 | The patient has been staying up all night online shopping on eBay.
2 | Despite a lack of sleep, she is "full of energy" during the day at her teaching job, which she believes is "beneath [her], anyway."
3 |... | false | NA | -1 | NA. | NA. | NA |
ms-train-2170 | A 44-year-old woman comes to the physician because of a 6-month history of fatigue, intermittent fever, a 4.0-kg (8.8-lb) weight loss, and a progressive, non-productive cough. She does not smoke. Physical examination shows mild wheezing over bilateral lung fields and enlarged supraclavicular and cervical lymph nodes. B... | 0 | A 44-year-old woman comes to the physician because of a 6-month history of fatigue, intermittent fever, a 4.0-kg (8.8-lb) weight loss, and a progressive, non-productive cough.
1 | She does not smoke.
2 | Physical examination shows mild wheezing over bilateral lung fields and enlarged supraclavicular and cervical ly... | true | treatment | 3 | Based on imaging and biopsy, patient was treated with isoniazid. | Based on imaging and biopsy, patient was treated with prednisone. | A 44-year-old woman comes to the physician because of a 6-month history of fatigue, intermittent fever, a 4.0-kg (8.8-lb) weight loss, and a progressive, non-productive cough. She does not smoke. Physical examination shows mild wheezing over bilateral lung fields and enlarged supraclavicular and cervical lymph nodes. B... |
ms-train-2171 | A 44-year-old woman comes to the physician because of a 6-month history of fatigue, intermittent fever, a 4.0-kg (8.8-lb) weight loss, and a progressive, non-productive cough. She does not smoke. Physical examination shows mild wheezing over bilateral lung fields and enlarged supraclavicular and cervical lymph nodes. A... | 0 | A 44-year-old woman comes to the physician because of a 6-month history of fatigue, intermittent fever, a 4.0-kg (8.8-lb) weight loss, and a progressive, non-productive cough.
1 | She does not smoke.
2 | Physical examination shows mild wheezing over bilateral lung fields and enlarged supraclavicular and cervical ly... | false | NA | -1 | NA. | NA. | NA |
ms-train-2172 | A 70-year-old man comes to the physician because of fatigue and intermittent epigastric pain. The symptoms began about one year ago. He describes the pain as diffuse and 3 out of 10 in intensity. Recently, he has had unusually large black stools. He appears pale. His pulse is 72/min and his blood pressure is 110/70 mm ... | 0 | A 70-year-old man comes to the physician because of fatigue and intermittent epigastric pain.
1 | The symptoms began about one year ago.
2 | He describes the pain as diffuse and 3 out of 10 in intensity.
3 | Recently, he has had unusually large black stools.
4 | He appears pale.
5 | His pulse is 72/min and his bloo... | true | treatment | 11 | Distal gastrectomy with gastrojejunostomy is scheduled. | Treatment with amoxicillin, clarithromycin, and omeprazole is started. | A 70-year-old man comes to the physician because of fatigue and intermittent epigastric pain. The symptoms began about one year ago. He describes the pain as diffuse and 3 out of 10 in intensity. Recently, he has had unusually large black stools. He appears pale. His pulse is 72/min and his blood pressure is 110/70 mm ... |
ms-train-2173 | A 70-year-old man comes to the physician because of fatigue and intermittent epigastric pain. The symptoms began about one year ago. He describes the pain as diffuse and 3 out of 10 in intensity. Recently, he has had unusually large black stools. He appears pale. His pulse is 72/min and his blood pressure is 110/70 mm ... | 0 | A 70-year-old man comes to the physician because of fatigue and intermittent epigastric pain.
1 | The symptoms began about one year ago.
2 | He describes the pain as diffuse and 3 out of 10 in intensity.
3 | Recently, he has had unusually large black stools.
4 | He appears pale.
5 | His pulse is 72/min and his bloo... | false | NA | -1 | NA. | NA. | NA |
ms-train-2174 | A 26-year-old female with no significant past medical history presents to the emergency department complaining of chest pain. She states that she was visiting her boyfriend in the hospital and, approximately 10 minutes ago, she developed chest pain associated with sweating, palpitations, nausea, and chills. She appears... | 0 | A 26-year-old female with no significant past medical history presents to the emergency department complaining of chest pain.
1 | She states that she was visiting her boyfriend in the hospital and, approximately 10 minutes ago, she developed chest pain associated with sweating, palpitations, nausea, and chills.
2 |... | true | treatment | 5 | Patient is referred to cognitive behavioral therapy. | Patient is reassured and encouraged to breath slowly, and alprazolam is administered. | A 26-year-old female with no significant past medical history presents to the emergency department complaining of chest pain. She states that she was visiting her boyfriend in the hospital and, approximately 10 minutes ago, she developed chest pain associated with sweating, palpitations, nausea, and chills. She appears... |
ms-train-2175 | A 26-year-old female with no significant past medical history presents to the emergency department complaining of chest pain. She states that she was visiting her boyfriend in the hospital and, approximately 10 minutes ago, she developed chest pain associated with sweating, palpitations, nausea, and chills. She appears... | 0 | A 26-year-old female with no significant past medical history presents to the emergency department complaining of chest pain.
1 | She states that she was visiting her boyfriend in the hospital and, approximately 10 minutes ago, she developed chest pain associated with sweating, palpitations, nausea, and chills.
2 |... | false | NA | -1 | NA. | NA. | NA |
ms-train-2176 | A 45-year-old man is brought to the physician by his wife for the evaluation of abnormal sleep patterns that began 10 days ago. She reports that he has only been sleeping 2-3 hours nightly during this time and has been jogging for long periods of the night on the treadmill. The patient has also been excessively talkati... | 0 | A 45-year-old man is brought to the physician by his wife for the evaluation of abnormal sleep patterns that began 10 days ago.
1 | She reports that he has only been sleeping 2-3 hours nightly during this time and has been jogging for long periods of the night on the treadmill.
2 | The patient has also been excessi... | true | treatment | 6 | Lithium was prescribed. | Valproate was prescribed. | A 45-year-old man is brought to the physician by his wife for the evaluation of abnormal sleep patterns that began 10 days ago. She reports that he has only been sleeping 2-3 hours nightly during this time and has been jogging for long periods of the night on the treadmill. The patient has also been excessively talkati... |
ms-train-2177 | A 45-year-old man is brought to the physician by his wife for the evaluation of abnormal sleep patterns that began 10 days ago. She reports that he has only been sleeping 2-3 hours nightly during this time and has been jogging for long periods of the night on the treadmill. The patient has also been excessively talkati... | 0 | A 45-year-old man is brought to the physician by his wife for the evaluation of abnormal sleep patterns that began 10 days ago.
1 | She reports that he has only been sleeping 2-3 hours nightly during this time and has been jogging for long periods of the night on the treadmill.
2 | The patient has also been excessi... | false | NA | -1 | NA. | NA. | NA |
ms-train-2178 | A 5-year-old boy is brought to the physician by his mother because he does not "listen to her" anymore. The mother also reports that her son cannot concentrate on any tasks lasting longer than just a few minutes. Teachers at his preschool report that the patient is more active compared to other preschoolers, frequently... | 0 | A 5-year-old boy is brought to the physician by his mother because he does not "listen to her" anymore.
1 | The mother also reports that her son cannot concentrate on any tasks lasting longer than just a few minutes.
2 | Teachers at his preschool report that the patient is more active compared to other preschoolers... | true | treatment | 9 | Methylphenidate was prescribed to the patient after the remainder of the examination showed no abnormalities. | The patient started behavior therapy after the remainder of the examination showed no abnormalities. | A 5-year-old boy is brought to the physician by his mother because he does not "listen to her" anymore. The mother also reports that her son cannot concentrate on any tasks lasting longer than just a few minutes. Teachers at his preschool report that the patient is more active compared to other preschoolers, frequently... |
ms-train-2179 | A 5-year-old boy is brought to the physician by his mother because he does not "listen to her" anymore. The mother also reports that her son cannot concentrate on any tasks lasting longer than just a few minutes. Teachers at his preschool report that the patient is more active compared to other preschoolers, frequently... | 0 | A 5-year-old boy is brought to the physician by his mother because he does not "listen to her" anymore.
1 | The mother also reports that her son cannot concentrate on any tasks lasting longer than just a few minutes.
2 | Teachers at his preschool report that the patient is more active compared to other preschoolers... | false | NA | -1 | NA. | NA. | NA |
ms-train-2180 | A previously healthy 2-year-old girl is brought to the physician by her mother because of a dry, harsh cough for 2 days that worsens at night. She has also had mild rhinorrhea and fever. Her older brother has asthma and had a cold last week. Immunizations are up-to-date. She appears to be in mild distress. Her temperat... | 0 | A previously healthy 2-year-old girl is brought to the physician by her mother because of a dry, harsh cough for 2 days that worsens at night.
1 | She has also had mild rhinorrhea and fever.
2 | Her older brother has asthma and had a cold last week.
3 | Immunizations are up-to-date.
4 | She appears to be in mild di... | true | treatment | 10 | A chest x-ray was recommended for further evaluation. | Cool mist and dexamethasone were administered. | A previously healthy 2-year-old girl is brought to the physician by her mother because of a dry, harsh cough for 2 days that worsens at night. She has also had mild rhinorrhea and fever. Her older brother has asthma and had a cold last week. Immunizations are up-to-date. She appears to be in mild distress. Her temperat... |
ms-train-2181 | A previously healthy 2-year-old girl is brought to the physician by her mother because of a dry, harsh cough for 2 days that worsens at night. She has also had mild rhinorrhea and fever. Her older brother has asthma and had a cold last week. Immunizations are up-to-date. She appears to be in mild distress. Her temperat... | 0 | A previously healthy 2-year-old girl is brought to the physician by her mother because of a dry, harsh cough for 2 days that worsens at night.
1 | She has also had mild rhinorrhea and fever.
2 | Her older brother has asthma and had a cold last week.
3 | Immunizations are up-to-date.
4 | She appears to be in mild di... | false | NA | -1 | NA. | NA. | NA |
ms-train-2182 | A 23-year-old woman is brought to the emergency department 30 minutes after being found unresponsive on the floor by her boyfriend. Paramedics found several empty pill bottles next to her on the floor. According to her boyfriend, she has a history of insomnia and generalized anxiety disorder and was recently diagnosed ... | 0 | A 23-year-old woman is brought to the emergency department 30 minutes after being found unresponsive on the floor by her boyfriend.
1 | Paramedics found several empty pill bottles next to her on the floor.
2 | According to her boyfriend, she has a history of insomnia and generalized anxiety disorder and was recentl... | true | treatment | 9 | Naloxone administered. | Flumazenil administered. | A 23-year-old woman is brought to the emergency department 30 minutes after being found unresponsive on the floor by her boyfriend. Paramedics found several empty pill bottles next to her on the floor. According to her boyfriend, she has a history of insomnia and generalized anxiety disorder and was recently diagnosed ... |
ms-train-2183 | A 23-year-old woman is brought to the emergency department 30 minutes after being found unresponsive on the floor by her boyfriend. Paramedics found several empty pill bottles next to her on the floor. According to her boyfriend, she has a history of insomnia and generalized anxiety disorder and was recently diagnosed ... | 0 | A 23-year-old woman is brought to the emergency department 30 minutes after being found unresponsive on the floor by her boyfriend.
1 | Paramedics found several empty pill bottles next to her on the floor.
2 | According to her boyfriend, she has a history of insomnia and generalized anxiety disorder and was recentl... | false | NA | -1 | NA. | NA. | NA |
ms-train-2184 | A 47-year-old man presents with hemoptysis, diffuse muscle pain, and shortness of breath. He has had these symptoms before but did not seek treatment. His past medical history is not known as he is not typically followed by a doctor and is homeless. His temperature is 99.0 F (37.2 C), blood pressure is 154/94 mmHg, pul... | 0 | A 47-year-old man presents with hemoptysis, diffuse muscle pain, and shortness of breath.
1 | He has had these symptoms before but did not seek treatment.
2 | His past medical history is not known as he is not typically followed by a doctor and is homeless.
3 | His temperature is 99.0 F (37.2 C), blood pressure is ... | true | treatment | 18 | Methylprednisolone and cyclophosphamide are prescribed. | Methylprednisolone and cyclophosphamide are prescribed and plasmapharesis is started. | A 47-year-old man presents with hemoptysis, diffuse muscle pain, and shortness of breath. He has had these symptoms before but did not seek treatment. His past medical history is not known as he is not typically followed by a doctor and is homeless. His temperature is 99.0 F (37.2 C), blood pressure is 154/94 mmHg, pul... |
ms-train-2185 | A 31-year-old man comes to the physician because of diarrhea, bloating, nausea, and vomiting for the past week. He describes his stool as greasy, frothy, and soft; it is not red or darkened. The patient went on a hiking trip in Brazil 3 weeks ago. He has no history of serious illness and takes no medications. The patie... | 0 | A 31-year-old man comes to the physician because of diarrhea, bloating, nausea, and vomiting for the past week.
1 | He describes his stool as greasy, frothy, and soft; it is not red or darkened.
2 | The patient went on a hiking trip in Brazil 3 weeks ago.
3 | He has no history of serious illness and takes no medica... | true | treatment | 7 | Patient is started on ciprofloxacin therapy after microscopy of the stool reveals egg-shaped cysts with prominent two-layered cell wall and multiple nuclei. | Patient is started on metronidazole therapy after microscopy of the stool reveals egg-shaped cysts with prominent two-layered cell wall and multiple nuclei. | A 31-year-old man comes to the physician because of diarrhea, bloating, nausea, and vomiting for the past week. He describes his stool as greasy, frothy, and soft; it is not red or darkened. The patient went on a hiking trip in Brazil 3 weeks ago. He has no history of serious illness and takes no medications. The patie... |
ms-train-2186 | A 31-year-old man comes to the physician because of diarrhea, bloating, nausea, and vomiting for the past week. He describes his stool as greasy, frothy, and soft; it is not red or darkened. The patient went on a hiking trip in Brazil 3 weeks ago. He has no history of serious illness and takes no medications. The patie... | 0 | A 31-year-old man comes to the physician because of diarrhea, bloating, nausea, and vomiting for the past week.
1 | He describes his stool as greasy, frothy, and soft; it is not red or darkened.
2 | The patient went on a hiking trip in Brazil 3 weeks ago.
3 | He has no history of serious illness and takes no medica... | false | NA | -1 | NA. | NA. | NA |
ms-train-2187 | A 31-year-old man, who was hospitalized for substance-induced psychosis two days prior, has had episodic neck stiffness and pain for the past 8 hours. These episodes last for approximately 25 minutes and are accompanied by his neck rotating to the right. During the last episode, he was able to relieve the stiffness by ... | 0 | A 31-year-old man, who was hospitalized for substance-induced psychosis two days prior, has had episodic neck stiffness and pain for the past 8 hours.
1 | These episodes last for approximately 25 minutes and are accompanied by his neck rotating to the right.
2 | During the last episode, he was able to relieve the s... | true | treatment | 8 | Patient was prescribed baclofen. | Patient was prescribed benztropine. | A 31-year-old man, who was hospitalized for substance-induced psychosis two days prior, has had episodic neck stiffness and pain for the past 8 hours. These episodes last for approximately 25 minutes and are accompanied by his neck rotating to the right. During the last episode, he was able to relieve the stiffness by ... |
ms-train-2188 | A 31-year-old man, who was hospitalized for substance-induced psychosis two days prior, has had episodic neck stiffness and pain for the past 8 hours. These episodes last for approximately 25 minutes and are accompanied by his neck rotating to the right. During the last episode, he was able to relieve the stiffness by ... | 0 | A 31-year-old man, who was hospitalized for substance-induced psychosis two days prior, has had episodic neck stiffness and pain for the past 8 hours.
1 | These episodes last for approximately 25 minutes and are accompanied by his neck rotating to the right.
2 | During the last episode, he was able to relieve the s... | false | NA | -1 | NA. | NA. | NAThere are also 327 empty rows at the bottom of th |
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