data_source
stringclasses 2
values | prompt
listlengths 1
1
| ability
stringclasses 1
value | reward_model
dict | extra_info
dict |
|---|---|---|---|---|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat type of hemorrhage is Nimodipine used to manage?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Subarachnoid hemorrhage",
"style": "rule"
}
|
{
"choices": null,
"index": 10430,
"question": "What type of hemorrhage is Nimodipine used to manage?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nPronator drift is a sign of -\nA. UMN lesion of upper limb\nB. LMN lesion\nC. Dorsal syringomyelia\nD. Carpel tunnel syndrome",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. UMN lesion of upper limb",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "UMN lesion of upper limb"
},
{
"key": "B",
"value": "LMN lesion"
},
{
"key": "C",
"value": "Dorsal syringomyelia"
},
{
"key": "D",
"value": "Carpel tunnel syndrome"
}
],
"index": 10430,
"question": "Pronator drift is a sign of -",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most appropriate next step in management for a 6-year-old girl presenting with signs of central precocious puberty confirmed by a GnRH stimulation test showing elevated luteinizing hormone levels and advanced bone age?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "MRI of the brain",
"style": "rule"
}
|
{
"choices": null,
"index": 8545,
"question": "What is the most appropriate next step in management for a 6-year-old girl presenting with signs of central precocious puberty confirmed by a GnRH stimulation test showing elevated luteinizing hormone levels and advanced bone age?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most common delivery situation associated with transient tachypnea of the newborn?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Elective caesarean section",
"style": "rule"
}
|
{
"choices": null,
"index": 15227,
"question": "What is the most common delivery situation associated with transient tachypnea of the newborn?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 7-month-old boy presents to the emergency room with three episodes of vomiting and severe abdominal pain that comes and goes over the past two hours. His most recent vomit appears bilious, and he has had one stool that is bloody and full of mucus. The mother describes a previous stool at home as \"jelly-like.\" On physical examination, a palpable mass is felt in the right lower quadrant of the abdomen. What is the next best diagnostic test for this patient?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Abdominal ultrasound",
"style": "rule"
}
|
{
"choices": null,
"index": 7288,
"question": "A 7-month-old boy presents to the emergency room with three episodes of vomiting and severe abdominal pain that comes and goes over the past two hours. His most recent vomit appears bilious, and he has had one stool that is bloody and full of mucus. The mother describes a previous stool at home as \"jelly-like.\" On physical examination, a palpable mass is felt in the right lower quadrant of the abdomen. What is the next best diagnostic test for this patient?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat type of epithelium lines the respiratory bronchiole?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Cuboidal",
"style": "rule"
}
|
{
"choices": null,
"index": 12403,
"question": "What type of epithelium lines the respiratory bronchiole?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhich habit is commonly associated with greenish staining on the upper front teeth accompanied by roughening of the enamel beneath the stain in a child?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Mouth breathing",
"style": "rule"
}
|
{
"choices": null,
"index": 19472,
"question": "Which habit is commonly associated with greenish staining on the upper front teeth accompanied by roughening of the enamel beneath the stain in a child?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most appropriate initial treatment for a 5-month-old infant presenting with a generalized pruritic rash characterized by dry, scaly patches on the face and extensor surfaces, sparing the groin, with a family history of asthma?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Topical emollient\n\"",
"style": "rule"
}
|
{
"choices": null,
"index": 8326,
"question": "What is the most appropriate initial treatment for a 5-month-old infant presenting with a generalized pruritic rash characterized by dry, scaly patches on the face and extensor surfaces, sparing the groin, with a family history of asthma?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 55-year-old male with small cell lung cancer is started on etoposide chemotherapy. What is the primary mechanism by which etoposide exerts its anticancer effects?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Inhibition of supercoil relaxation",
"style": "rule"
}
|
{
"choices": null,
"index": 116,
"question": "A 55-year-old male with small cell lung cancer is started on etoposide chemotherapy. What is the primary mechanism by which etoposide exerts its anticancer effects?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the usual cause of death in patients who develop neuroleptic malignant syndrome characterized by high fever, rigidity, leukocytosis, and elevated CPK after treatment with haloperidol?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Acute renal failure",
"style": "rule"
}
|
{
"choices": null,
"index": 18345,
"question": "What is the usual cause of death in patients who develop neuroleptic malignant syndrome characterized by high fever, rigidity, leukocytosis, and elevated CPK after treatment with haloperidol?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nIn forensic medicine, what parameter is the cephalic index primarily used to determine?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Race",
"style": "rule"
}
|
{
"choices": null,
"index": 15951,
"question": "In forensic medicine, what parameter is the cephalic index primarily used to determine?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 50-year-old farmer presents with warty lesions on his left foot. Examination reveals warts, cutaneous nodules, and cauliflower-like growths. KOH mount shows yeast cells with dark brown irregular septae, and culture on Sabouraud's agar reveals sclerotic bodies. What is the most likely diagnosis?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Chromoblastomycosis",
"style": "rule"
}
|
{
"choices": null,
"index": 14130,
"question": "A 50-year-old farmer presents with warty lesions on his left foot. Examination reveals warts, cutaneous nodules, and cauliflower-like growths. KOH mount shows yeast cells with dark brown irregular septae, and culture on Sabouraud's agar reveals sclerotic bodies. What is the most likely diagnosis?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most appropriate next step in management for a 58-year-old woman with a history of invasive lobular carcinoma of the breast who now presents with a 4-cm temporal brain mass on MRI and no focal neurologic deficits?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Surgical resection",
"style": "rule"
}
|
{
"choices": null,
"index": 9772,
"question": "What is the most appropriate next step in management for a 58-year-old woman with a history of invasive lobular carcinoma of the breast who now presents with a 4-cm temporal brain mass on MRI and no focal neurologic deficits?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 24-year-old woman presents to the emergency department with abdominal pain that started while she was at the gym. The patient competes as a power lifter and states that her pain started after one of her heavier lifts. The patient has no significant past medical history and is currently taking a multivitamin and oral contraceptive pills. She smokes cigarettes and drinks alcohol regularly and is currently sexually active with multiple partners. Her temperature is 99°F (37.2°C), blood pressure is 85/55 mmHg, pulse is 125/min, respirations are 18/min, and oxygen saturation is 99% on room air. Physical exam is notable for right upper quadrant abdominal tenderness, acne, and muscle hypertrophy. Right upper quadrant ultrasound demonstrates a solitary heterogeneous mass. Which of the following other findings is most likely to be found in this patient?\nA. Elevated alpha fetoprotein\nB. Elevated viral core antigen\nC. Increased pigmentation in flexural areas\nD. Increased LDL and decreased HDL\nE. Prolonged PT and PTT",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Increased LDL and decreased HDL",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Elevated alpha fetoprotein"
},
{
"key": "B",
"value": "Elevated viral core antigen"
},
{
"key": "C",
"value": "Increased pigmentation in flexural areas"
},
{
"key": "D",
"value": "Increased LDL and decreased HDL"
},
{
"key": "E",
"value": "Prolonged PT and PTT"
}
],
"index": 8738,
"question": "A 24-year-old woman presents to the emergency department with abdominal pain that started while she was at the gym. The patient competes as a power lifter and states that her pain started after one of her heavier lifts. The patient has no significant past medical history and is currently taking a multivitamin and oral contraceptive pills. She smokes cigarettes and drinks alcohol regularly and is currently sexually active with multiple partners. Her temperature is 99°F (37.2°C), blood pressure is 85/55 mmHg, pulse is 125/min, respirations are 18/min, and oxygen saturation is 99% on room air. Physical exam is notable for right upper quadrant abdominal tenderness, acne, and muscle hypertrophy. Right upper quadrant ultrasound demonstrates a solitary heterogeneous mass. Which of the following other findings is most likely to be found in this patient?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most likely cause of this patient's symptoms of profound nausea, diarrhea, malaise, hypotension, and abdominal distension seven weeks after undergoing laparoscopic gastric bypass surgery?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Bacterial overgrowth",
"style": "rule"
}
|
{
"choices": null,
"index": 9236,
"question": "What is the most likely cause of this patient's symptoms of profound nausea, diarrhea, malaise, hypotension, and abdominal distension seven weeks after undergoing laparoscopic gastric bypass surgery?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 7-year-old girl is brought to the pediatrician by her parents for red papules over her left thigh and swelling in the right axilla for the past few days. Her parents say that she had a cat bite on her left thigh 2 weeks ago. Her temperature is 38.6°C (101.4°F), pulse is 90/min, and respirations are 22/min. On her physical examination, hepatosplenomegaly is present with a healing area of erythema on her left hand. Her laboratory studies show:\nHemoglobin 12.9 gm/dL\nLeukocyte count 9,300/mm3\nPlatelet count 167,000/mm3\nESR 12 mm/hr\nWhich of the following is the most appropriate next step in management?\nA. Doxycycline + rifampin\nB. Rifampin + azithromycin\nC. No treatment is required\nD. Surgical excision of the lymph node\nE. Azithromycin as a single agent",
"role": "user"
}
] |
medical
|
{
"ground_truth": "B. Rifampin + azithromycin",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Doxycycline + rifampin"
},
{
"key": "B",
"value": "Rifampin + azithromycin"
},
{
"key": "C",
"value": "No treatment is required"
},
{
"key": "D",
"value": "Surgical excision of the lymph node"
},
{
"key": "E",
"value": "Azithromycin as a single agent"
}
],
"index": 7953,
"question": "A 7-year-old girl is brought to the pediatrician by her parents for red papules over her left thigh and swelling in the right axilla for the past few days. Her parents say that she had a cat bite on her left thigh 2 weeks ago. Her temperature is 38.6°C (101.4°F), pulse is 90/min, and respirations are 22/min. On her physical examination, hepatosplenomegaly is present with a healing area of erythema on her left hand. Her laboratory studies show:\nHemoglobin 12.9 gm/dL\nLeukocyte count 9,300/mm3\nPlatelet count 167,000/mm3\nESR 12 mm/hr\nWhich of the following is the most appropriate next step in management?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nMost common presentation in nasopharyngeal carcinoma is with:\nA. Epistaxis\nB. Hoarseness of voice\nC. Nasal stuffiness\nD. Cervical lymphadenopathy",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Cervical lymphadenopathy",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Epistaxis"
},
{
"key": "B",
"value": "Hoarseness of voice"
},
{
"key": "C",
"value": "Nasal stuffiness"
},
{
"key": "D",
"value": "Cervical lymphadenopathy"
}
],
"index": 16331,
"question": "Most common presentation in nasopharyngeal carcinoma is with:",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most commonly abused substance that causes dependence?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Heroin",
"style": "rule"
}
|
{
"choices": null,
"index": 15852,
"question": "What is the most commonly abused substance that causes dependence?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 16-year-old boy is brought in to a psychiatrist's office by his mother for increasingly concerning erratic behavior. Her son has recently entered a new relationship, and he constantly voices beliefs that his girlfriend is cheating on him. He ended his last relationship after voicing the same beliefs about his last partner. During the visit, the patient reports that these beliefs are justified, since everyone at school is “out to get him.” He says that even his teachers are against him, based on their criticism of his schoolwork. His mother adds that her son has always held grudges against people and has always taken comments very personally. The patient has no psychiatric history and is in otherwise good health. What condition is this patient genetically predisposed for?\nA. Antisocial personality disorder\nB. Major depressive disorder\nC. Narcolepsy\nD. Schizophrenia\nE. Substance use disorder",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Schizophrenia",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Antisocial personality disorder"
},
{
"key": "B",
"value": "Major depressive disorder"
},
{
"key": "C",
"value": "Narcolepsy"
},
{
"key": "D",
"value": "Schizophrenia"
},
{
"key": "E",
"value": "Substance use disorder"
}
],
"index": 3291,
"question": "A 16-year-old boy is brought in to a psychiatrist's office by his mother for increasingly concerning erratic behavior. Her son has recently entered a new relationship, and he constantly voices beliefs that his girlfriend is cheating on him. He ended his last relationship after voicing the same beliefs about his last partner. During the visit, the patient reports that these beliefs are justified, since everyone at school is “out to get him.” He says that even his teachers are against him, based on their criticism of his schoolwork. His mother adds that her son has always held grudges against people and has always taken comments very personally. The patient has no psychiatric history and is in otherwise good health. What condition is this patient genetically predisposed for?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nBased on the clinical description of this 3-year-old girl, what is the most appropriate assessment of her fine motor, gross motor, language, and social development?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Fine motor: Delayed | Gross motor: Normal | Language: Normal | Social skills: Delayed",
"style": "rule"
}
|
{
"choices": null,
"index": 9766,
"question": "Based on the clinical description of this 3-year-old girl, what is the most appropriate assessment of her fine motor, gross motor, language, and social development?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhich disease is caused by a deficiency of acid lipase?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Wolman disease",
"style": "rule"
}
|
{
"choices": null,
"index": 13266,
"question": "Which disease is caused by a deficiency of acid lipase?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nNimodipine is used in(REPEAT)\nA. Subarachnoid haemorrhage\nB. Intra cerebral haemorrhage\nC. Extra dural haemorrhage\nD. Subdural haemorrhage",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. Subarachnoid haemorrhage",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Subarachnoid haemorrhage"
},
{
"key": "B",
"value": "Intra cerebral haemorrhage"
},
{
"key": "C",
"value": "Extra dural haemorrhage"
},
{
"key": "D",
"value": "Subdural haemorrhage"
}
],
"index": 11526,
"question": "Nimodipine is used in(REPEAT)",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA pregnant lady with persistent variable decelerations with cervical dilatation of 6 cm is planned for emergency LSCS. Which of the following is NOT done in management while preparing patient for surgery\nA. Supine position\nB. O2 inhalation\nC. I.V. fluid\nD. Foleys catheterisation",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. Supine position",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Supine position"
},
{
"key": "B",
"value": "O2 inhalation"
},
{
"key": "C",
"value": "I.V. fluid"
},
{
"key": "D",
"value": "Foleys catheterisation"
}
],
"index": 14341,
"question": "A pregnant lady with persistent variable decelerations with cervical dilatation of 6 cm is planned for emergency LSCS. Which of the following is NOT done in management while preparing patient for surgery",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 9-year-old girl presents with intense perianal and genital itching that is worse at night, along with excoriations around her anus and near her vagina. Given these symptoms, what is the most likely infectious cause?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Enterobius vermicularis",
"style": "rule"
}
|
{
"choices": null,
"index": 7184,
"question": "A 9-year-old girl presents with intense perianal and genital itching that is worse at night, along with excoriations around her anus and near her vagina. Given these symptoms, what is the most likely infectious cause?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 25-year-old homeless woman presents to an urgent care clinic complaining of vaginal bleeding. She also has vague lower right abdominal pain which started a few hours ago and is increasing in intensity. The medical history is significant for chronic hepatitis C infection, and she claims to take a pill for it ‘every now and then.’ The temperature is 36.0°C (98.6°F), the blood pressure is 110/70 mmHg, and the pulse is 80/min. The abdominal examination is positive for localized right adnexal tenderness; no rebound tenderness or guarding is noted. A transvaginal ultrasound confirms a 2.0 cm gestational sac in the right fallopian tube. What is the next appropriate step in the management of this patient? Immunodeficiency (RA, SLE, and Crohns)\nA. Surgery\nB. IV fluids, then surgery\nC. Methotrexate\nD. Pelvic CT without contrast\nE. Tubal ligation",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. Surgery",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Surgery"
},
{
"key": "B",
"value": "IV fluids, then surgery"
},
{
"key": "C",
"value": "Methotrexate"
},
{
"key": "D",
"value": "Pelvic CT without contrast"
},
{
"key": "E",
"value": "Tubal ligation"
}
],
"index": 6985,
"question": "A 25-year-old homeless woman presents to an urgent care clinic complaining of vaginal bleeding. She also has vague lower right abdominal pain which started a few hours ago and is increasing in intensity. The medical history is significant for chronic hepatitis C infection, and she claims to take a pill for it ‘every now and then.’ The temperature is 36.0°C (98.6°F), the blood pressure is 110/70 mmHg, and the pulse is 80/min. The abdominal examination is positive for localized right adnexal tenderness; no rebound tenderness or guarding is noted. A transvaginal ultrasound confirms a 2.0 cm gestational sac in the right fallopian tube. What is the next appropriate step in the management of this patient? Immunodeficiency (RA, SLE, and Crohns)",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 55-year-old man who recently immigrated to the United States from Azerbaijan comes to the physician because of a 6-week history of recurrent fever, progressive cough with bloody streaks, fatigue, and a 3.6-kg (8-lb) weight loss. He has poorly-controlled type 2 diabetes mellitus treated with insulin. An x-ray of the chest shows a cavitary lesion of the posterior apical segment of the right upper lobe with consolidation of the surrounding parenchyma. He is started on a treatment regimen with a combination of drugs. A culture of the sputum identifies a causal pathogen that is resistant to a drug that alters the metabolism of pyridoxine. Which of the following is the most likely mechanism of resistance to this drug?\nA. Increased production of arabinosyl transferase\nB. Changed amino acid composition of DNA gyrase\nC. Impaired conversion to pyrazinoic acid\nD. Mutation in genes encoding RNA polymerase\nE. Decreased production of catalase-peroxidase",
"role": "user"
}
] |
medical
|
{
"ground_truth": "E. Decreased production of catalase-peroxidase",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Increased production of arabinosyl transferase"
},
{
"key": "B",
"value": "Changed amino acid composition of DNA gyrase"
},
{
"key": "C",
"value": "Impaired conversion to pyrazinoic acid"
},
{
"key": "D",
"value": "Mutation in genes encoding RNA polymerase"
},
{
"key": "E",
"value": "Decreased production of catalase-peroxidase"
}
],
"index": 363,
"question": "A 55-year-old man who recently immigrated to the United States from Azerbaijan comes to the physician because of a 6-week history of recurrent fever, progressive cough with bloody streaks, fatigue, and a 3.6-kg (8-lb) weight loss. He has poorly-controlled type 2 diabetes mellitus treated with insulin. An x-ray of the chest shows a cavitary lesion of the posterior apical segment of the right upper lobe with consolidation of the surrounding parenchyma. He is started on a treatment regimen with a combination of drugs. A culture of the sputum identifies a causal pathogen that is resistant to a drug that alters the metabolism of pyridoxine. Which of the following is the most likely mechanism of resistance to this drug?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 55-year-old woman presents to her primary care physician with diarrhea. She states that it has persisted for the past several weeks and has not been improving. She also endorses episodes of feeling particularly flushed in the face. Her temperature is 99°F (37.2°C), blood pressure is 125/63 mmHg, pulse is 100/min, respirations are 15/min, and oxygen saturation is 97% on room air. Physical exam is notable for wheezing on pulmonary exam. The patient is discharged with medications for her symptoms. She returns 2 weeks later with symptoms of diarrhea, dry skin, a non-specific rash, and a notable decline in her memory. Which of the following is the most likely cause of this patient’s most recent presentation?\nA. Increased catecholamine levels\nB. Increased serotonin levels\nC. Increased vasoactive intestinal peptide levels\nD. Niacin deficiency\nE. Vitamin B12 deficiency",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Niacin deficiency",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Increased catecholamine levels"
},
{
"key": "B",
"value": "Increased serotonin levels"
},
{
"key": "C",
"value": "Increased vasoactive intestinal peptide levels"
},
{
"key": "D",
"value": "Niacin deficiency"
},
{
"key": "E",
"value": "Vitamin B12 deficiency"
}
],
"index": 9671,
"question": "A 55-year-old woman presents to her primary care physician with diarrhea. She states that it has persisted for the past several weeks and has not been improving. She also endorses episodes of feeling particularly flushed in the face. Her temperature is 99°F (37.2°C), blood pressure is 125/63 mmHg, pulse is 100/min, respirations are 15/min, and oxygen saturation is 97% on room air. Physical exam is notable for wheezing on pulmonary exam. The patient is discharged with medications for her symptoms. She returns 2 weeks later with symptoms of diarrhea, dry skin, a non-specific rash, and a notable decline in her memory. Which of the following is the most likely cause of this patient’s most recent presentation?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nTokyo convention act of 1975 peains to -\nA. MTP\nB. Clinical trial on humans\nC. Women rights\nD. Offences committed on board aircraft",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Offences committed on board aircraft",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "MTP"
},
{
"key": "B",
"value": "Clinical trial on humans"
},
{
"key": "C",
"value": "Women rights"
},
{
"key": "D",
"value": "Offences committed on board aircraft"
}
],
"index": 15989,
"question": "Tokyo convention act of 1975 peains to -",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 53-year-old man with hypertension, hyperlipidemia, and obesity is started on niacin to improve his elevated LDL cholesterol despite being on maximum statin therapy. One month later, he reports episodes of flushing and a sensation of feeling \"scorching hot\" shortly after taking his medication. What medication can be prescribed to help alleviate these flushing symptoms?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Aspirin",
"style": "rule"
}
|
{
"choices": null,
"index": 5513,
"question": "A 53-year-old man with hypertension, hyperlipidemia, and obesity is started on niacin to improve his elevated LDL cholesterol despite being on maximum statin therapy. One month later, he reports episodes of flushing and a sensation of feeling \"scorching hot\" shortly after taking his medication. What medication can be prescribed to help alleviate these flushing symptoms?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 50-year-old male presents with recurrent bloody diarrhea. Colonoscopy reveals geographical ulcers, and histopathological examination shows features consistent with a chronic inflammatory bowel disease. What is the most likely diagnosis?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Crohn disease",
"style": "rule"
}
|
{
"choices": null,
"index": 11721,
"question": "A 50-year-old male presents with recurrent bloody diarrhea. Colonoscopy reveals geographical ulcers, and histopathological examination shows features consistent with a chronic inflammatory bowel disease. What is the most likely diagnosis?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat hemodynamic change best explains the increase in intensity of a holosystolic murmur heard at the left lower sternal border during inspiration in a patient with tricuspid regurgitation?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Increased right ventricular stroke volume",
"style": "rule"
}
|
{
"choices": null,
"index": 4486,
"question": "What hemodynamic change best explains the increase in intensity of a holosystolic murmur heard at the left lower sternal border during inspiration in a patient with tricuspid regurgitation?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nWhich of the following is the pacemaker of the gastrointestinal tract?\nA. P cells\nB. Oxyntic cells\nC. Interstitial cells of Cajal\nD. Parietal cells",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Interstitial cells of Cajal",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "P cells"
},
{
"key": "B",
"value": "Oxyntic cells"
},
{
"key": "C",
"value": "Interstitial cells of Cajal"
},
{
"key": "D",
"value": "Parietal cells"
}
],
"index": 12742,
"question": "Which of the following is the pacemaker of the gastrointestinal tract?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most common ocular manifestation of mumps?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Dacrodenitis",
"style": "rule"
}
|
{
"choices": null,
"index": 17049,
"question": "What is the most common ocular manifestation of mumps?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 56-year-old man with a history of hypertension and hyperlipidemia presents with decreased energy and coarse breath sounds at the lung bases. He has a 30-pack-year smoking history. A tuberculin skin test shows 12 mm induration, but sputum Ziehl-Neelsen stain is negative. Chest radiograph findings are consistent with active pulmonary tuberculosis. What is the recommended treatment regimen for this patient at this time?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Isoniazid, rifampin, ethambutol, and pyrazinamide",
"style": "rule"
}
|
{
"choices": null,
"index": 6482,
"question": "A 56-year-old man with a history of hypertension and hyperlipidemia presents with decreased energy and coarse breath sounds at the lung bases. He has a 30-pack-year smoking history. A tuberculin skin test shows 12 mm induration, but sputum Ziehl-Neelsen stain is negative. Chest radiograph findings are consistent with active pulmonary tuberculosis. What is the recommended treatment regimen for this patient at this time?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most probable mechanism causing this 55-year-old woman's difficult and incomplete voiding with continuous urine leakage, given her medication history and clinical findings?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Blockage of M-cholinoreceptors",
"style": "rule"
}
|
{
"choices": null,
"index": 9168,
"question": "What is the most probable mechanism causing this 55-year-old woman's difficult and incomplete voiding with continuous urine leakage, given her medication history and clinical findings?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 3-year-old recent immigrant is diagnosed with primary tuberculosis. Her body produces T cells that do not have IL-12 receptors on their surface, and she is noted to have impaired development of Th1 T-helper cells. Which of the following cytokines would benefit this patient?\nA. IL-4\nB. IL-17\nC. IL-22\nD. Interferon-gamma\nE. TGF-beta",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Interferon-gamma",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "IL-4"
},
{
"key": "B",
"value": "IL-17"
},
{
"key": "C",
"value": "IL-22"
},
{
"key": "D",
"value": "Interferon-gamma"
},
{
"key": "E",
"value": "TGF-beta"
}
],
"index": 4772,
"question": "A 3-year-old recent immigrant is diagnosed with primary tuberculosis. Her body produces T cells that do not have IL-12 receptors on their surface, and she is noted to have impaired development of Th1 T-helper cells. Which of the following cytokines would benefit this patient?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most common oral manifestation of HIV infection?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Oral candidiasis",
"style": "rule"
}
|
{
"choices": null,
"index": 19382,
"question": "What is the most common oral manifestation of HIV infection?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat molecular mechanism in immunoglobulin genes is responsible for the affinity maturation of the antibody response?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Somatic hypermutation",
"style": "rule"
}
|
{
"choices": null,
"index": 10460,
"question": "What molecular mechanism in immunoglobulin genes is responsible for the affinity maturation of the antibody response?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nBrain is presented for study in -\nA. 10% formalin\nB. 20% formalin\nC. 30% formalin\nD. 40% formalin",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. 10% formalin",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "10% formalin"
},
{
"key": "B",
"value": "20% formalin"
},
{
"key": "C",
"value": "30% formalin"
},
{
"key": "D",
"value": "40% formalin"
}
],
"index": 16046,
"question": "Brain is presented for study in -",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 5-year-old patient presents to the pediatrician’s office with fatigue and swollen lymph nodes. Extensive work-up reveals a diagnosis of acute lymphoblastic leukemia. In an effort to better tailor the patient’s treatments, thousands of genes are arranged on a chip and a probe is made from the patient’s DNA. This probe is then hybridized to the chip in order to measure the gene expression of thousands of genes. The technology used to investigate this patient’s gene expression profile is the best for detecting which of the following types of genetic abnormalities?\nA. Large scale chromosomal deletions\nB. Frame-shift mutations\nC. Single nucleotide polymorphisms\nD. Trisomies\nE. Chromosomal translocations",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Single nucleotide polymorphisms",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Large scale chromosomal deletions"
},
{
"key": "B",
"value": "Frame-shift mutations"
},
{
"key": "C",
"value": "Single nucleotide polymorphisms"
},
{
"key": "D",
"value": "Trisomies"
},
{
"key": "E",
"value": "Chromosomal translocations"
}
],
"index": 3028,
"question": "A 5-year-old patient presents to the pediatrician’s office with fatigue and swollen lymph nodes. Extensive work-up reveals a diagnosis of acute lymphoblastic leukemia. In an effort to better tailor the patient’s treatments, thousands of genes are arranged on a chip and a probe is made from the patient’s DNA. This probe is then hybridized to the chip in order to measure the gene expression of thousands of genes. The technology used to investigate this patient’s gene expression profile is the best for detecting which of the following types of genetic abnormalities?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 27-year-old female in her 20th week of pregnancy presents for a routine fetal ultrasound screening. An abnormality of the right fetal kidney is detected. It is determined that the right ureteropelvic junction has failed to recanalize. Which of the following findings is most likely to be seen on fetal ultrasound:\nA. Bilateral renal agenesis\nB. Unilateral hydronephrosis\nC. Renal cysts\nD. Pelvic kidney\nE. Duplicated ureter",
"role": "user"
}
] |
medical
|
{
"ground_truth": "B. Unilateral hydronephrosis",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Bilateral renal agenesis"
},
{
"key": "B",
"value": "Unilateral hydronephrosis"
},
{
"key": "C",
"value": "Renal cysts"
},
{
"key": "D",
"value": "Pelvic kidney"
},
{
"key": "E",
"value": "Duplicated ureter"
}
],
"index": 1600,
"question": "A 27-year-old female in her 20th week of pregnancy presents for a routine fetal ultrasound screening. An abnormality of the right fetal kidney is detected. It is determined that the right ureteropelvic junction has failed to recanalize. Which of the following findings is most likely to be seen on fetal ultrasound:",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 30-year-old woman comes to the physician for a pelvic examination and Pap smear. Menses have occurred at regular 28-day intervals since menarche at the age of 11 years and last for 5 days. The first day of her last menstrual period was 3 weeks ago. She is sexually active with her husband and takes oral contraceptive pills. Her last Pap smear was 3 years ago. She has never had a mammography. Her mother and maternal aunt died of breast cancer. Pelvic examination shows a normal vagina and cervix. Bimanual examination shows a normal-sized uterus and no palpable adnexal masses. Which of the following health maintenance recommendations is most appropriate at this time?\nA. Pap smear and human papillomavirus testing now and every year, mammography at age 40\nB. Pap smear and human papillomavirus testing now and every year, mammography at age 65\nC. Pap smear every 5 years, mammography at age 40\nD. Pap smear only every year, mammography at age 50\nE. Pap smear and human papillomavirus testing now and every 5 years, mammography at age 40",
"role": "user"
}
] |
medical
|
{
"ground_truth": "E. Pap smear and human papillomavirus testing now and every 5 years, mammography at age 40",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Pap smear and human papillomavirus testing now and every year, mammography at age 40"
},
{
"key": "B",
"value": "Pap smear and human papillomavirus testing now and every year, mammography at age 65"
},
{
"key": "C",
"value": "Pap smear every 5 years, mammography at age 40"
},
{
"key": "D",
"value": "Pap smear only every year, mammography at age 50"
},
{
"key": "E",
"value": "Pap smear and human papillomavirus testing now and every 5 years, mammography at age 40"
}
],
"index": 9656,
"question": "A 30-year-old woman comes to the physician for a pelvic examination and Pap smear. Menses have occurred at regular 28-day intervals since menarche at the age of 11 years and last for 5 days. The first day of her last menstrual period was 3 weeks ago. She is sexually active with her husband and takes oral contraceptive pills. Her last Pap smear was 3 years ago. She has never had a mammography. Her mother and maternal aunt died of breast cancer. Pelvic examination shows a normal vagina and cervix. Bimanual examination shows a normal-sized uterus and no palpable adnexal masses. Which of the following health maintenance recommendations is most appropriate at this time?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA man weighing 70 kg has a hematocrit of 45%. What would he his approximate plasma volume?\nA. 2310 mL\nB. 2695 mL\nC. 2890 mL\nD. 3080 mL",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. 3080 mL",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "2310 mL"
},
{
"key": "B",
"value": "2695 mL"
},
{
"key": "C",
"value": "2890 mL"
},
{
"key": "D",
"value": "3080 mL"
}
],
"index": 13050,
"question": "A man weighing 70 kg has a hematocrit of 45%. What would he his approximate plasma volume?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nwhich of the following is Marble bone disease ?\nA. Osteoporosis\nB. Paget's disease\nC. Osteopetrosis\nD. Osteogenesis imperfecta",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Osteopetrosis",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Osteoporosis"
},
{
"key": "B",
"value": "Paget's disease"
},
{
"key": "C",
"value": "Osteopetrosis"
},
{
"key": "D",
"value": "Osteogenesis imperfecta"
}
],
"index": 14722,
"question": "which of the following is Marble bone disease ?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nThe sodium gradient across the nerve cell membrane IS:\nA. A result of the Donnan equilibrium\nB. Significantly changed during an action potential\nC. Used as a source of energy for the transport of other ions\nD. An important determinant of the resting membrane potential",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Used as a source of energy for the transport of other ions",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "A result of the Donnan equilibrium"
},
{
"key": "B",
"value": "Significantly changed during an action potential"
},
{
"key": "C",
"value": "Used as a source of energy for the transport of other ions"
},
{
"key": "D",
"value": "An important determinant of the resting membrane potential"
}
],
"index": 20343,
"question": "The sodium gradient across the nerve cell membrane IS:",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nWind swept deformity is seen in –\nA. Scurvy\nB. Rickets\nC. Achondroplasia\nD. Osteoporosis",
"role": "user"
}
] |
medical
|
{
"ground_truth": "B. Rickets",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Scurvy"
},
{
"key": "B",
"value": "Rickets"
},
{
"key": "C",
"value": "Achondroplasia"
},
{
"key": "D",
"value": "Osteoporosis"
}
],
"index": 15392,
"question": "Wind swept deformity is seen in –",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 25-year-old woman with bipolar disorder and schizophrenia presents to the emergency room stating that she is pregnant. She says that she has been pregnant since she was 20 years old and is expecting a baby now that she is breathing much harder and feeling more faint with chest pain caused by deep breaths. Her hospital medical record shows multiple negative pregnancy tests over the past 5 years. The patient has a 20 pack-year smoking history. Her temperature is 98°F (37°C), blood pressure is 100/60 mmHg, pulse is 110/min, respirations are 28/min, and oxygen saturation is 90% on room air. Her fingerstick glucose is 100 mg/dL. She has a large abdominal pannus which is soft and nontender. Her legs are symmetric and non-tender. Oxygen is provided via nasal cannula. Her urine pregnancy test comes back positive and an initial chest radiograph is unremarkable. What is the next best step in diagnosis?\nA. CT angiogram\nB. D-dimer\nC. Psychiatry consult for pseudocyesis\nD. Ultrasound\nE. Ventilation-perfusion scan",
"role": "user"
}
] |
medical
|
{
"ground_truth": "E. Ventilation-perfusion scan",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "CT angiogram"
},
{
"key": "B",
"value": "D-dimer"
},
{
"key": "C",
"value": "Psychiatry consult for pseudocyesis"
},
{
"key": "D",
"value": "Ultrasound"
},
{
"key": "E",
"value": "Ventilation-perfusion scan"
}
],
"index": 6120,
"question": "A 25-year-old woman with bipolar disorder and schizophrenia presents to the emergency room stating that she is pregnant. She says that she has been pregnant since she was 20 years old and is expecting a baby now that she is breathing much harder and feeling more faint with chest pain caused by deep breaths. Her hospital medical record shows multiple negative pregnancy tests over the past 5 years. The patient has a 20 pack-year smoking history. Her temperature is 98°F (37°C), blood pressure is 100/60 mmHg, pulse is 110/min, respirations are 28/min, and oxygen saturation is 90% on room air. Her fingerstick glucose is 100 mg/dL. She has a large abdominal pannus which is soft and nontender. Her legs are symmetric and non-tender. Oxygen is provided via nasal cannula. Her urine pregnancy test comes back positive and an initial chest radiograph is unremarkable. What is the next best step in diagnosis?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat histopathological finding would most likely be seen on lung biopsy in a 61-year-old male with chronic non-productive cough, dyspnea, late inspiratory crackles, and restrictive pulmonary function test results?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Subpleural cystic enlargement",
"style": "rule"
}
|
{
"choices": null,
"index": 1288,
"question": "What histopathological finding would most likely be seen on lung biopsy in a 61-year-old male with chronic non-productive cough, dyspnea, late inspiratory crackles, and restrictive pulmonary function test results?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhich part of the nervous system does the Varicella zoster virus primarily infect?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Dorsal root ganglion",
"style": "rule"
}
|
{
"choices": null,
"index": 19905,
"question": "Which part of the nervous system does the Varicella zoster virus primarily infect?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nHow does a hot water bottle relieve the pain of abdominal spasm?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Stimulation of adrenergic fibers",
"style": "rule"
}
|
{
"choices": null,
"index": 13102,
"question": "How does a hot water bottle relieve the pain of abdominal spasm?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nDesensitization is a type of\nA. Psychotherapy\nB. Psychoanalysis\nC. Behavioural therapy\nD. Psycodynamic therapy",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Behavioural therapy",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Psychotherapy"
},
{
"key": "B",
"value": "Psychoanalysis"
},
{
"key": "C",
"value": "Behavioural therapy"
},
{
"key": "D",
"value": "Psycodynamic therapy"
}
],
"index": 18598,
"question": "Desensitization is a type of",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 61-year-old woman comes to the physician because of a 6-day history of cough, shortness of breath, and fever. She also reports that she has had 4 episodes of watery diarrhea per day for the last 3 days. She has chronic bronchitis. She has smoked one pack of cigarettes daily for the past 30 years. Her temperature is 39°C (102.2°F) and pulse is 65/min. Examination shows diffuse crackles over the left lower lung field. Laboratory studies show:\nHemoglobin 13.8 g/dL\nLeukocyte count 16,000/mm3\nPlatelet count 150,000/mm3\nSerum\nNa+ 131 mEq/L\nCl- 102 mEq/L\nK+ 4.7 mEq/L\nAn x-ray of the chest shows consolidation of the left lower lobe. A Gram stain of induced sputum shows numerous neutrophils but no organisms. Which of the following is the most appropriate pharmacotherapy?\"\nA. Rifampin\nB. Amoxicillin\nC. Vancomycin\nD. Levofloxacin\nE. Cotrimoxazole",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Levofloxacin",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Rifampin"
},
{
"key": "B",
"value": "Amoxicillin"
},
{
"key": "C",
"value": "Vancomycin"
},
{
"key": "D",
"value": "Levofloxacin"
},
{
"key": "E",
"value": "Cotrimoxazole"
}
],
"index": 5557,
"question": "A 61-year-old woman comes to the physician because of a 6-day history of cough, shortness of breath, and fever. She also reports that she has had 4 episodes of watery diarrhea per day for the last 3 days. She has chronic bronchitis. She has smoked one pack of cigarettes daily for the past 30 years. Her temperature is 39°C (102.2°F) and pulse is 65/min. Examination shows diffuse crackles over the left lower lung field. Laboratory studies show:\nHemoglobin 13.8 g/dL\nLeukocyte count 16,000/mm3\nPlatelet count 150,000/mm3\nSerum\nNa+ 131 mEq/L\nCl- 102 mEq/L\nK+ 4.7 mEq/L\nAn x-ray of the chest shows consolidation of the left lower lobe. A Gram stain of induced sputum shows numerous neutrophils but no organisms. Which of the following is the most appropriate pharmacotherapy?\"",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nThe dose of epinephrine given in anaphylaxis:\nA. 0.5 mg in 1:1000 IM\nB. 0.5 mg in 1:10,000 IM\nC. 0.5 mg in 1:500 IM\nD. 1 mg in 1:100 IM",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. 0.5 mg in 1:1000 IM",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "0.5 mg in 1:1000 IM"
},
{
"key": "B",
"value": "0.5 mg in 1:10,000 IM"
},
{
"key": "C",
"value": "0.5 mg in 1:500 IM"
},
{
"key": "D",
"value": "1 mg in 1:100 IM"
}
],
"index": 11120,
"question": "The dose of epinephrine given in anaphylaxis:",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhich condition is characterized by hypocalcemia and hypophosphatemia?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Vitamin D dependent rickets-II",
"style": "rule"
}
|
{
"choices": null,
"index": 10332,
"question": "Which condition is characterized by hypocalcemia and hypophosphatemia?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat ion is primarily responsible for the hyperosmolarity of the renal medulla?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Na",
"style": "rule"
}
|
{
"choices": null,
"index": 12822,
"question": "What ion is primarily responsible for the hyperosmolarity of the renal medulla?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nThe indicator used in autoclave is -\nA. Clostridium tetani\nB. Bacillus stereothermophilus\nC. Bacillus pumilis\nD. Bacillus subtilisvamiger",
"role": "user"
}
] |
medical
|
{
"ground_truth": "B. Bacillus stereothermophilus",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Clostridium tetani"
},
{
"key": "B",
"value": "Bacillus stereothermophilus"
},
{
"key": "C",
"value": "Bacillus pumilis"
},
{
"key": "D",
"value": "Bacillus subtilisvamiger"
}
],
"index": 14005,
"question": "The indicator used in autoclave is -",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 29-year-old nulligravid woman presents with a 10-day history of small quantities of intermittent, blood-tinged discharge from her left nipple. She has no palpable breast mass or axillary lymphadenopathy, and physical examination is otherwise unremarkable. What is the most appropriate next step in management?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Subareolar ultrasound",
"style": "rule"
}
|
{
"choices": null,
"index": 8299,
"question": "A 29-year-old nulligravid woman presents with a 10-day history of small quantities of intermittent, blood-tinged discharge from her left nipple. She has no palpable breast mass or axillary lymphadenopathy, and physical examination is otherwise unremarkable. What is the most appropriate next step in management?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 22-year-old woman presents with watery diarrhea and abdominal cramps for 3 days after returning from a trip to Mexico. She has a fever of 39.4°C, mild abdominal tenderness, and signs of dehydration. Stool studies show no ova or fecal leukocytes. What is the best treatment option for her condition?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Ciprofloxacin",
"style": "rule"
}
|
{
"choices": null,
"index": 8274,
"question": "A 22-year-old woman presents with watery diarrhea and abdominal cramps for 3 days after returning from a trip to Mexico. She has a fever of 39.4°C, mild abdominal tenderness, and signs of dehydration. Stool studies show no ova or fecal leukocytes. What is the best treatment option for her condition?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the most likely biochemical abnormality causing the neurological symptoms in this HIV-positive patient with numbness, weakness, ataxia, and a smooth, erythematous tongue?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Elevated levels of methylmalonic acid (MMA)",
"style": "rule"
}
|
{
"choices": null,
"index": 9795,
"question": "What is the most likely biochemical abnormality causing the neurological symptoms in this HIV-positive patient with numbness, weakness, ataxia, and a smooth, erythematous tongue?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 31-year-old man with insomnia is prescribed a medication that can cause priapism as a side effect. From which brain region is the neurotransmitter affected by this medication released?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Raphe nucleus",
"style": "rule"
}
|
{
"choices": null,
"index": 440,
"question": "A 31-year-old man with insomnia is prescribed a medication that can cause priapism as a side effect. From which brain region is the neurotransmitter affected by this medication released?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is a characteristic feature of a single exposure common vehicle outbreak?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Explosive",
"style": "rule"
}
|
{
"choices": null,
"index": 19080,
"question": "What is a characteristic feature of a single exposure common vehicle outbreak?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat chest condition is best evaluated using high resolution computed tomography (HRCT)?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Interstitial lung disease",
"style": "rule"
}
|
{
"choices": null,
"index": 17331,
"question": "What chest condition is best evaluated using high resolution computed tomography (HRCT)?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 72-year-old man with a history of anterior wall myocardial infarction complicated by severe left ventricular systolic dysfunction suddenly loses consciousness after experiencing palpitations, lightheadedness, and sweating. He is found to be hypotensive with no palpable carotid pulse and is successfully cardioverted to sinus rhythm. Cardiac enzymes and electrolytes are normal. What is the best next step in management to prevent future episodes of sudden cardiac arrest in this patient?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Implantable cardioverter-defibrillator",
"style": "rule"
}
|
{
"choices": null,
"index": 7495,
"question": "A 72-year-old man with a history of anterior wall myocardial infarction complicated by severe left ventricular systolic dysfunction suddenly loses consciousness after experiencing palpitations, lightheadedness, and sweating. He is found to be hypotensive with no palpable carotid pulse and is successfully cardioverted to sinus rhythm. Cardiac enzymes and electrolytes are normal. What is the best next step in management to prevent future episodes of sudden cardiac arrest in this patient?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA diabetic patient presents with pus from eye. Colonies of isolated organisms are black with microscopic feature of non-septate hyphae and obtuse branching. Diagnosis is -\nA. Aspergillosis\nB. Candidiasis\nC. Mucormycosis\nD. Histoplasmosis",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Mucormycosis",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Aspergillosis"
},
{
"key": "B",
"value": "Candidiasis"
},
{
"key": "C",
"value": "Mucormycosis"
},
{
"key": "D",
"value": "Histoplasmosis"
}
],
"index": 13774,
"question": "A diabetic patient presents with pus from eye. Colonies of isolated organisms are black with microscopic feature of non-septate hyphae and obtuse branching. Diagnosis is -",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nWhich of the following is not a green house gas?\nA. CO2\nB. SO2\nC. N2\nD. Methane",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. N2",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "CO2"
},
{
"key": "B",
"value": "SO2"
},
{
"key": "C",
"value": "N2"
},
{
"key": "D",
"value": "Methane"
}
],
"index": 18803,
"question": "Which of the following is not a green house gas?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nAn adult presents with oval scaly hypopigmented macule over the chest and the back. The diagnosis is:\nA. Leprosy\nB. Lupus vulgaris\nC. Pityriasis versicolor\nD. Lichen Planus",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Pityriasis versicolor",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Leprosy"
},
{
"key": "B",
"value": "Lupus vulgaris"
},
{
"key": "C",
"value": "Pityriasis versicolor"
},
{
"key": "D",
"value": "Lichen Planus"
}
],
"index": 19914,
"question": "An adult presents with oval scaly hypopigmented macule over the chest and the back. The diagnosis is:",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 69-year-old man comes to the physician because of progressive difficulty swallowing and a 5-kg (11-lb) weight loss over the past 3 months. He first had trouble swallowing solid foods and then also developed difficulty swallowing liquids over the past week. Endoscopy shows a large mass 3 cm proximal to the esophagogastric junction. Biopsy of the mass shows significant distortion of glandular architecture. Which of the following is the strongest predisposing factor for this patient's condition?\nA. Consumption of hot liquids\nB. Chronic alcohol use\nC. Visceral obesity\nD. Chewing of betel nuts\nE. Consumption of cured meats",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Visceral obesity",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Consumption of hot liquids"
},
{
"key": "B",
"value": "Chronic alcohol use"
},
{
"key": "C",
"value": "Visceral obesity"
},
{
"key": "D",
"value": "Chewing of betel nuts"
},
{
"key": "E",
"value": "Consumption of cured meats"
}
],
"index": 26,
"question": "A 69-year-old man comes to the physician because of progressive difficulty swallowing and a 5-kg (11-lb) weight loss over the past 3 months. He first had trouble swallowing solid foods and then also developed difficulty swallowing liquids over the past week. Endoscopy shows a large mass 3 cm proximal to the esophagogastric junction. Biopsy of the mass shows significant distortion of glandular architecture. Which of the following is the strongest predisposing factor for this patient's condition?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\ntags, I will provide the question in a clear QA format.\n\n</think>",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Lowe's syndrome",
"style": "rule"
}
|
{
"choices": null,
"index": 15231,
"question": "tags, I will provide the question in a clear QA format.\n\n</think>",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nBased on the study results, what is one potential long-term mental health benefit of high-quality afterschool programming for low-income 8-year-old children?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "High-quality afterschool programming for low-income 8-year-olds may correlate with decreased ADHD risk in adults.",
"style": "rule"
}
|
{
"choices": null,
"index": 5934,
"question": "Based on the study results, what is one potential long-term mental health benefit of high-quality afterschool programming for low-income 8-year-old children?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nCommonest site of Necrobiosis Lipidoica Diabeticorum is:\nA. Face\nB. Neck\nC. Leg\nD. Ann",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. Leg",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Face"
},
{
"key": "B",
"value": "Neck"
},
{
"key": "C",
"value": "Leg"
},
{
"key": "D",
"value": "Ann"
}
],
"index": 19723,
"question": "Commonest site of Necrobiosis Lipidoica Diabeticorum is:",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nFrom which part of the auditory pathway is wave V generated in a normal adult?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Lateral lemniscus",
"style": "rule"
}
|
{
"choices": null,
"index": 16618,
"question": "From which part of the auditory pathway is wave V generated in a normal adult?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nAt what age does a child typically have 12 permanent teeth and 12 deciduous teeth?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "9 years",
"style": "rule"
}
|
{
"choices": null,
"index": 19660,
"question": "At what age does a child typically have 12 permanent teeth and 12 deciduous teeth?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nAntiglaucoma drug which acts by increasing uveo- sclerol outflow -\nA. Apraclonidine\nB. Latanoprost\nC. Timolol\nD. Brinzolamide",
"role": "user"
}
] |
medical
|
{
"ground_truth": "B. Latanoprost",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Apraclonidine"
},
{
"key": "B",
"value": "Latanoprost"
},
{
"key": "C",
"value": "Timolol"
},
{
"key": "D",
"value": "Brinzolamide"
}
],
"index": 11405,
"question": "Antiglaucoma drug which acts by increasing uveo- sclerol outflow -",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 74-year-old man with a history of atrial fibrillation presents with sudden onset of severe left lower quadrant abdominal pain, nausea, and maroon-colored bowel movements. On examination, he has abdominal distention, tenderness in all quadrants, and absent bowel sounds. Considering his medical history and presentation, what is the most likely cause of his acute abdominal condition?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Cardiac thromboembolism",
"style": "rule"
}
|
{
"choices": null,
"index": 4169,
"question": "A 74-year-old man with a history of atrial fibrillation presents with sudden onset of severe left lower quadrant abdominal pain, nausea, and maroon-colored bowel movements. On examination, he has abdominal distention, tenderness in all quadrants, and absent bowel sounds. Considering his medical history and presentation, what is the most likely cause of his acute abdominal condition?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 9-year-old girl presents with a 4-month history of early morning headaches accompanied by nausea and occasional vomiting, worsening fatigue, and difficulty with coordination, including a broad-based gait and inability to perform rapid alternating hand movements. An MRI of the brain reveals a posterior fossa mass. What is the most likely diagnosis?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Pilocytic astrocytoma",
"style": "rule"
}
|
{
"choices": null,
"index": 6876,
"question": "A 9-year-old girl presents with a 4-month history of early morning headaches accompanied by nausea and occasional vomiting, worsening fatigue, and difficulty with coordination, including a broad-based gait and inability to perform rapid alternating hand movements. An MRI of the brain reveals a posterior fossa mass. What is the most likely diagnosis?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nAltered sensation over the area of the great saphenous vein in the leg is seen due to an injury to which of the following nerves?\nA. Femoral\nB. Tibial\nC. Sural\nD. Fibular",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. Femoral",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Femoral"
},
{
"key": "B",
"value": "Tibial"
},
{
"key": "C",
"value": "Sural"
},
{
"key": "D",
"value": "Fibular"
}
],
"index": 12572,
"question": "Altered sensation over the area of the great saphenous vein in the leg is seen due to an injury to which of the following nerves?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 5-year-old boy is brought to see his pediatrician because of painless swelling in both legs and around his eyes. His mother reports that it is worse in the morning and these symptoms have started 4 days ago. The child has just recovered from a severe upper respiratory tract infection 8 days ago. The boy was born at 39 weeks gestation via spontaneous vaginal delivery. He is up to date on all vaccines and is meeting all developmental milestones. Today, his blood pressure is 110/65 mm Hg, the heart rate is 90/min, the respiratory rate is 22/min, and the temperature is 36.8°C (98.2°F). On physical examination, his face is edematous and there is a 2+ pitting edema over both legs up to his hips. Laboratory results are shown.\nSerum albumin 2.4 g/dL\nSerum triglycerides 250 mg/dL\nSerum cholesterol 300 mg/dL\nUrine dipstick 4+ protein\nWhich of the following is the best initial therapy for this patient’s condition?\nA. Albumin infusion\nB. Oral antibiotic\nC. Enalapril\nD. Prednisolone and cyclophosphamide\nE. Prednisolone",
"role": "user"
}
] |
medical
|
{
"ground_truth": "E. Prednisolone",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Albumin infusion"
},
{
"key": "B",
"value": "Oral antibiotic"
},
{
"key": "C",
"value": "Enalapril"
},
{
"key": "D",
"value": "Prednisolone and cyclophosphamide"
},
{
"key": "E",
"value": "Prednisolone"
}
],
"index": 8341,
"question": "A 5-year-old boy is brought to see his pediatrician because of painless swelling in both legs and around his eyes. His mother reports that it is worse in the morning and these symptoms have started 4 days ago. The child has just recovered from a severe upper respiratory tract infection 8 days ago. The boy was born at 39 weeks gestation via spontaneous vaginal delivery. He is up to date on all vaccines and is meeting all developmental milestones. Today, his blood pressure is 110/65 mm Hg, the heart rate is 90/min, the respiratory rate is 22/min, and the temperature is 36.8°C (98.2°F). On physical examination, his face is edematous and there is a 2+ pitting edema over both legs up to his hips. Laboratory results are shown.\nSerum albumin 2.4 g/dL\nSerum triglycerides 250 mg/dL\nSerum cholesterol 300 mg/dL\nUrine dipstick 4+ protein\nWhich of the following is the best initial therapy for this patient’s condition?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat laboratory value is an indicator of moderate to severe malnutrition?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Albumin 2.1 g/dl",
"style": "rule"
}
|
{
"choices": null,
"index": 15655,
"question": "What laboratory value is an indicator of moderate to severe malnutrition?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA middle aged female has flaccid bullac in the skin and oral erosion. Histopathology shows intraepidermal acanthololytic blisters. The most likely diagnosis is\nA. Pemphigus vulgaris\nB. Paraneoplastic pemphigus\nC. Bullous pemphigoid\nD. Dermatitis hepatifOflis",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. Pemphigus vulgaris",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Pemphigus vulgaris"
},
{
"key": "B",
"value": "Paraneoplastic pemphigus"
},
{
"key": "C",
"value": "Bullous pemphigoid"
},
{
"key": "D",
"value": "Dermatitis hepatifOflis"
}
],
"index": 19376,
"question": "A middle aged female has flaccid bullac in the skin and oral erosion. Histopathology shows intraepidermal acanthololytic blisters. The most likely diagnosis is",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the underlying pathophysiology responsible for the clinical presentation of this 8-month-old infant with poor feeding, flaccid muscle tone, bilateral ptosis, and lethargy?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Ingestion of a preformed toxin",
"style": "rule"
}
|
{
"choices": null,
"index": 5693,
"question": "What is the underlying pathophysiology responsible for the clinical presentation of this 8-month-old infant with poor feeding, flaccid muscle tone, bilateral ptosis, and lethargy?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nIn a patient with acute cholecystitis presenting with right upper quadrant abdominal pain that radiates to the right shoulder or upper back, what is the most likely nerve pathway responsible for the referred pain?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "The phrenic nerve",
"style": "rule"
}
|
{
"choices": null,
"index": 698,
"question": "In a patient with acute cholecystitis presenting with right upper quadrant abdominal pain that radiates to the right shoulder or upper back, what is the most likely nerve pathway responsible for the referred pain?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nBased on Ranson’s criteria and the clinical presentation of a 59-year-old man with acute pancreatitis who has a serum glucose of 2410 mg/dL, AST of 321 IU/dL, and leukocytes of 21,200 /mL on admission, what is his overall risk of mortality assuming all other relevant factors are negative?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "15%",
"style": "rule"
}
|
{
"choices": null,
"index": 6086,
"question": "Based on Ranson’s criteria and the clinical presentation of a 59-year-old man with acute pancreatitis who has a serum glucose of 2410 mg/dL, AST of 321 IU/dL, and leukocytes of 21,200 /mL on admission, what is his overall risk of mortality assuming all other relevant factors are negative?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nTensors of the vocal cords are?\nA. Posterior cricoarytenoid , internal interarytenoid\nB. Lateral cricothyroid, internal interarytenoid\nC. Thyroarytenoid, internal interarytenoid\nD. Cricothyroid and internal thyroarytenoid",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Cricothyroid and internal thyroarytenoid",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Posterior cricoarytenoid , internal interarytenoid"
},
{
"key": "B",
"value": "Lateral cricothyroid, internal interarytenoid"
},
{
"key": "C",
"value": "Thyroarytenoid, internal interarytenoid"
},
{
"key": "D",
"value": "Cricothyroid and internal thyroarytenoid"
}
],
"index": 20269,
"question": "Tensors of the vocal cords are?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhich section of the Indian Penal Code deals with unnatural sexual offences?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Sec 377 IPC",
"style": "rule"
}
|
{
"choices": null,
"index": 12556,
"question": "Which section of the Indian Penal Code deals with unnatural sexual offences?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA child presenting with localized patches of complete hair loss with normal appearance of scalp. Diagnosis is ?\nA. Tinea capitis\nB. Cradle cap\nC. Alopecia areata\nD. Telogen effluvium",
"role": "user"
}
] |
medical
|
{
"ground_truth": "A. Tinea capitis",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Tinea capitis"
},
{
"key": "B",
"value": "Cradle cap"
},
{
"key": "C",
"value": "Alopecia areata"
},
{
"key": "D",
"value": "Telogen effluvium"
}
],
"index": 19681,
"question": "A child presenting with localized patches of complete hair loss with normal appearance of scalp. Diagnosis is ?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 2-year-old boy is brought to the physician for the evaluation of fever, breathing difficulty, and cough during the past week. In the past year, the patient was diagnosed with four sinus infections, 3 upper respiratory tract infections, and an episode of severe bronchiolitis requiring hospitalization. Since birth, he has had multiple episodes of oral thrush treated with nystatin, as well as chronic diarrhea and failure to thrive. His temperature is 38.0°C (100.4°F), pulse is 130/min, respirations are 38/min, and blood pressure is 106/63 mm Hg. Pulse oximetry at room air shows an oxygen saturation of 88%. Pulmonary auscultation shows bilateral crackles and wheezing. Physical examination indicates a prominent nasal bridge, hypoplastic nasal wing, a shortened chin, and dysplastic ears. An X-ray of the chest shows hyperinflation of the lungs, interstitial infiltrates, and atelectasis. The patient tests positive for respiratory syncytial virus (RSV) in the nasopharyngeal aspirate. This patient most likely has a deficiency of which of the following?\nA. B cells\nB. B and T cells\nC. Immunoglobulin A\nD. Interleukin-12 receptor\nE. T cells",
"role": "user"
}
] |
medical
|
{
"ground_truth": "E. T cells",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "B cells"
},
{
"key": "B",
"value": "B and T cells"
},
{
"key": "C",
"value": "Immunoglobulin A"
},
{
"key": "D",
"value": "Interleukin-12 receptor"
},
{
"key": "E",
"value": "T cells"
}
],
"index": 8167,
"question": "A 2-year-old boy is brought to the physician for the evaluation of fever, breathing difficulty, and cough during the past week. In the past year, the patient was diagnosed with four sinus infections, 3 upper respiratory tract infections, and an episode of severe bronchiolitis requiring hospitalization. Since birth, he has had multiple episodes of oral thrush treated with nystatin, as well as chronic diarrhea and failure to thrive. His temperature is 38.0°C (100.4°F), pulse is 130/min, respirations are 38/min, and blood pressure is 106/63 mm Hg. Pulse oximetry at room air shows an oxygen saturation of 88%. Pulmonary auscultation shows bilateral crackles and wheezing. Physical examination indicates a prominent nasal bridge, hypoplastic nasal wing, a shortened chin, and dysplastic ears. An X-ray of the chest shows hyperinflation of the lungs, interstitial infiltrates, and atelectasis. The patient tests positive for respiratory syncytial virus (RSV) in the nasopharyngeal aspirate. This patient most likely has a deficiency of which of the following?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 50-year-old female patient presented with chief complaints of painless thyroid nodule. Fuher examination is insignificant. TSH levels are normal. FNAC reveals papillary changes with nuclear atypia. Total thyroidectomy is planned. However, during surgery, a nearby nerve is injured while ligating Superior thyroidal aery. Which of the following laryngeal muscle is likely to be affected?\nA. B\nB. C\nC. A\nD. D",
"role": "user"
}
] |
medical
|
{
"ground_truth": "C. A",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "B"
},
{
"key": "B",
"value": "C"
},
{
"key": "C",
"value": "A"
},
{
"key": "D",
"value": "D"
}
],
"index": 20572,
"question": "A 50-year-old female patient presented with chief complaints of painless thyroid nodule. Fuher examination is insignificant. TSH levels are normal. FNAC reveals papillary changes with nuclear atypia. Total thyroidectomy is planned. However, during surgery, a nearby nerve is injured while ligating Superior thyroidal aery. Which of the following laryngeal muscle is likely to be affected?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhat is the safest and most effective treatment for a pregnant woman presenting with itchy hand lesions consistent with scabies, especially when her husband is also affected?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Permethrin",
"style": "rule"
}
|
{
"choices": null,
"index": 20161,
"question": "What is the safest and most effective treatment for a pregnant woman presenting with itchy hand lesions consistent with scabies, especially when her husband is also affected?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nHow do these skin lesions typically change over time?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "They will likely increase in number over time.",
"style": "rule"
}
|
{
"choices": null,
"index": 961,
"question": "How do these skin lesions typically change over time?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 30-year-old woman came to her OBGYN for an infertility consultation. The patient reports having intercourse with her husband at least 3 times per week with increasing frequency during the periods. The lab reports of her husband revealed an adequate sperm count. After the work-ups was complete, her OBGYN prescribed a medication similar to GnRH to be administered in a pulsatile manner. Which drug is prescribed to the patient?\nA. Danazol\nB. Leuprolide\nC. Anastrazole\nD. Clomiphene\nE. Mestranol",
"role": "user"
}
] |
medical
|
{
"ground_truth": "B. Leuprolide",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Danazol"
},
{
"key": "B",
"value": "Leuprolide"
},
{
"key": "C",
"value": "Anastrazole"
},
{
"key": "D",
"value": "Clomiphene"
},
{
"key": "E",
"value": "Mestranol"
}
],
"index": 4585,
"question": "A 30-year-old woman came to her OBGYN for an infertility consultation. The patient reports having intercourse with her husband at least 3 times per week with increasing frequency during the periods. The lab reports of her husband revealed an adequate sperm count. After the work-ups was complete, her OBGYN prescribed a medication similar to GnRH to be administered in a pulsatile manner. Which drug is prescribed to the patient?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 24-year-old man presents to the clinic with a new rash that is not bothersome but unusual for him. He reports a one-time severe flu-like illness two months ago but has otherwise been healthy. On physical examination, characteristic lesions consistent with molluscum contagiosum are observed. What is the cause of this patient's rash?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Molluscum contagiosum virus",
"style": "rule"
}
|
{
"choices": null,
"index": 7587,
"question": "A 24-year-old man presents to the clinic with a new rash that is not bothersome but unusual for him. He reports a one-time severe flu-like illness two months ago but has otherwise been healthy. On physical examination, characteristic lesions consistent with molluscum contagiosum are observed. What is the cause of this patient's rash?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 62-year-old woman presents with a 3-year history of hearing loss. On examination, a vibrating tuning fork held against her mastoid bone and then near her ear is heard better near the ear on both sides. When the tuning fork is placed on the bridge of her forehead, she hears the sound louder on the right side than the left. Based on these findings, what is the most likely diagnosis?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Acoustic neuroma on the left",
"style": "rule"
}
|
{
"choices": null,
"index": 3191,
"question": "A 62-year-old woman presents with a 3-year history of hearing loss. On examination, a vibrating tuning fork held against her mastoid bone and then near her ear is heard better near the ear on both sides. When the tuning fork is placed on the bridge of her forehead, she hears the sound louder on the right side than the left. Based on these findings, what is the most likely diagnosis?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nThe efferent fiber bundle of substantia nigra transmits dopamine to which area\nA. Thalamus\nB. Corpus striatum\nC. Tegmentum of pons\nD. Tectum of midbrain",
"role": "user"
}
] |
medical
|
{
"ground_truth": "B. Corpus striatum",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Thalamus"
},
{
"key": "B",
"value": "Corpus striatum"
},
{
"key": "C",
"value": "Tegmentum of pons"
},
{
"key": "D",
"value": "Tectum of midbrain"
}
],
"index": 12912,
"question": "The efferent fiber bundle of substantia nigra transmits dopamine to which area",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhich of the following are NOT presenting features of gonorrhoea?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "ad",
"style": "rule"
}
|
{
"choices": null,
"index": 14609,
"question": "Which of the following are NOT presenting features of gonorrhoea?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nWhich disease is characterized by a deficiency of glucose-6-phosphatase (G-6-P)?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Von-Gierke disease",
"style": "rule"
}
|
{
"choices": null,
"index": 13395,
"question": "Which disease is characterized by a deficiency of glucose-6-phosphatase (G-6-P)?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 46-year-old man presents to his primary care provider for an ulcerating skin lesion on his leg for the past week. He says that the week prior he slipped while hiking and scraped his left leg. Over the course of the next week, he noticed redness and swelling of the scraped area and the development of a nodule that eventually ulcerated. On exam, his temperature is 99.5°F (37.5°C), blood pressure is 136/92 mmHg, pulse is 88/min, and respirations are 12/min. Over his left lateral leg is an erythematous patch with a 2-cm nodule with central ulceration. Staining of a sample from the nodule demonstrates gram-positive organisms that are also weakly acid-fast. Morphologically, the organism appears as branching filaments. Which of the following should be used to treat this infection?\nA. Clindamycin\nB. Doxycycline\nC. Penicillin\nD. Streptomycin\nE. Trimethoprim-sulfamethoxazole",
"role": "user"
}
] |
medical
|
{
"ground_truth": "E. Trimethoprim-sulfamethoxazole",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Clindamycin"
},
{
"key": "B",
"value": "Doxycycline"
},
{
"key": "C",
"value": "Penicillin"
},
{
"key": "D",
"value": "Streptomycin"
},
{
"key": "E",
"value": "Trimethoprim-sulfamethoxazole"
}
],
"index": 110,
"question": "A 46-year-old man presents to his primary care provider for an ulcerating skin lesion on his leg for the past week. He says that the week prior he slipped while hiking and scraped his left leg. Over the course of the next week, he noticed redness and swelling of the scraped area and the development of a nodule that eventually ulcerated. On exam, his temperature is 99.5°F (37.5°C), blood pressure is 136/92 mmHg, pulse is 88/min, and respirations are 12/min. Over his left lateral leg is an erythematous patch with a 2-cm nodule with central ulceration. Staining of a sample from the nodule demonstrates gram-positive organisms that are also weakly acid-fast. Morphologically, the organism appears as branching filaments. Which of the following should be used to treat this infection?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-rank
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process and then provides the user with an accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think>reasoning process here</think> answer here. After thinking, when you finally reach a conclusion, clearly list all possible answers in order from most likely to least likely. Start with \"# Final Answer\" followed by numbered lines using the format `n. answer` for each answer. Each item MUST contain only the answer without any explanation or reasoning.\n\nExample:\n<think>...</think>\n\n# Final Answer\n1. xxx\n2. xxx\n\nNow the user asks you to solve a problem.\n\nA 32-year-old pregnant woman with a history of seizure disorder treated with valproic acid presents at 36 weeks of gestation. Given her medication history, what fetal condition is most likely to develop?",
"role": "user"
}
] |
medical
|
{
"ground_truth": "Neural tube defects (NTDs)",
"style": "rule"
}
|
{
"choices": null,
"index": 7899,
"question": "A 32-year-old pregnant woman with a history of seizure disorder treated with valproic acid presents at 36 weeks of gestation. Given her medication history, what fetal condition is most likely to develop?",
"split": "train",
"type": "rank"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nA 29-year-old woman with hypothyroidism comes to her primary care physician for advice on a health insurance plan. She works as a baker and owns a small bakery. The patient explains that she would like to have affordable monthly premiums. She would be willing to make additional payments to be able to see providers outside her network and to get specialist care if referred by her primary care physician. Which of the following health insurance plans would be most appropriate?\nA. Preferred provider organization\nB. Medicare\nC. Medicaid\nD. Point of service\nE. Health maintenance organization",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Point of service",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Preferred provider organization"
},
{
"key": "B",
"value": "Medicare"
},
{
"key": "C",
"value": "Medicaid"
},
{
"key": "D",
"value": "Point of service"
},
{
"key": "E",
"value": "Health maintenance organization"
}
],
"index": 2908,
"question": "A 29-year-old woman with hypothyroidism comes to her primary care physician for advice on a health insurance plan. She works as a baker and owns a small bakery. The patient explains that she would like to have affordable monthly premiums. She would be willing to make additional payments to be able to see providers outside her network and to get specialist care if referred by her primary care physician. Which of the following health insurance plans would be most appropriate?",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nWhich treatment in the optic neuritis treatment trial (ONTT) had the highest rate of recurrence\nA. IV methy prednisolone alone\nB. Oral prednisone alone\nC. IV methyl prednisolone and oral prednisone\nD. Observation",
"role": "user"
}
] |
medical
|
{
"ground_truth": "B. Oral prednisone alone",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "IV methy prednisolone alone"
},
{
"key": "B",
"value": "Oral prednisone alone"
},
{
"key": "C",
"value": "IV methyl prednisolone and oral prednisone"
},
{
"key": "D",
"value": "Observation"
}
],
"index": 16693,
"question": "Which treatment in the optic neuritis treatment trial (ONTT) had the highest rate of recurrence",
"split": "train",
"type": "mcq"
}
|
pittawat/medqa-medmcqa-mcq
|
[
{
"content": "You are a helpful and harmless expert clinical assistant. The assistant first thinks about the reasoning process in the mind and then provides the user with the accurate answer. The reasoning process is enclosed within <think></think> tags followed by an answer, i.e., <think> reasoning process here </think> answer here. Now the user asks you to solve a problem. After thinking, when you finally reach a conclusion, clearly state the final answer in \\boxed{}. You always begins your answer with the choice, e.g., A., B., C., D., E. in the \\boxed{}.\n\nThe mucosa of the posterior third of the tongue is supplied by\nA. Facial nerve\nB. Trigeminal nerve\nC. Mandibular nerve\nD. Glossopharyngeal nerve",
"role": "user"
}
] |
medical
|
{
"ground_truth": "D. Glossopharyngeal nerve",
"style": "rule"
}
|
{
"choices": [
{
"key": "A",
"value": "Facial nerve"
},
{
"key": "B",
"value": "Trigeminal nerve"
},
{
"key": "C",
"value": "Mandibular nerve"
},
{
"key": "D",
"value": "Glossopharyngeal nerve"
}
],
"index": 12457,
"question": "The mucosa of the posterior third of the tongue is supplied by",
"split": "train",
"type": "mcq"
}
|
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