Split (1)

train · 41.4k rows

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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 is the infective stage of Plasmodium vivax for the mosquito?", "role": "user" } ]	medical	{ "ground_truth": "Gametocyte", "style": "rule" }	{ "choices": null, "index": 14079, "question": "What is the infective stage of Plasmodium vivax for the mosquito?", "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 temporary method of contraception?", "role": "user" } ]	medical	{ "ground_truth": "OCP", "style": "rule" }	{ "choices": null, "index": 14670, "question": "What is a temporary method of contraception?", "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\nAoic dissection is associated with\nA. Systemic hypeension\nB. Coarctation of Aoa\nC. In 1\" trimester of pregnancy\nD. Takayasu's aeritis", "role": "user" } ]	medical	{ "ground_truth": "A. Systemic hypeension", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Systemic hypeension" }, { "key": "B", "value": "Coarctation of Aoa" }, { "key": "C", "value": "In 1\" trimester of pregnancy" }, { "key": "D", "value": "Takayasu's aeritis" } ], "index": 10587, "question": "Aoic dissection is associated 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\nA 65-year-old woman presents with a 2-month history of intermittent vaginal bleeding. Pelvic ultrasound reveals a thickened endometrial stripe and a left adnexal mass. Endometrial biopsy shows a well-differentiated adenocarcinoma, and laboratory studies reveal elevated inhibin B levels. What is the most likely diagnosis?", "role": "user" } ]	medical	{ "ground_truth": "Granulosa cell tumor", "style": "rule" }	{ "choices": null, "index": 3826, "question": "A 65-year-old woman presents with a 2-month history of intermittent vaginal bleeding. Pelvic ultrasound reveals a thickened endometrial stripe and a left adnexal mass. Endometrial biopsy shows a well-differentiated adenocarcinoma, and laboratory studies reveal elevated inhibin B levels. 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 proportion of protein and energy does the mid-day meal provide?", "role": "user" } ]	medical	{ "ground_truth": "1/2 of protein and 1/3 of energy", "style": "rule" }	{ "choices": null, "index": 20560, "question": "What proportion of protein and energy does the mid-day meal provide?", "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\nMitral and periglomerular cells are seen in\nA. Medulla\nB. Olfactory bulb\nC. Primary visual cortex\nD. Geniculate body", "role": "user" } ]	medical	{ "ground_truth": "B. Olfactory bulb", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Medulla" }, { "key": "B", "value": "Olfactory bulb" }, { "key": "C", "value": "Primary visual cortex" }, { "key": "D", "value": "Geniculate body" } ], "index": 13035, "question": "Mitral and periglomerular cells are seen in", "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 type of calcification is responsible for calcinosis universalis?", "role": "user" } ]	medical	{ "ground_truth": "Idiopathic calcification", "style": "rule" }	{ "choices": null, "index": 19231, "question": "What type of calcification is responsible for calcinosis universalis?", "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 25-year-old soldier suffers a gunshot wound to the lower part of his back and is unable to move his legs. Neurologic examination and MRI reveal injury to the cauda equina. Which nerve roots are most likely damaged to cause his paralysis?", "role": "user" } ]	medical	{ "ground_truth": "Ventral roots of the sacral spinal nerves", "style": "rule" }	{ "choices": null, "index": 12592, "question": "A 25-year-old soldier suffers a gunshot wound to the lower part of his back and is unable to move his legs. Neurologic examination and MRI reveal injury to the cauda equina. Which nerve roots are most likely damaged to cause his paralysis?", "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\nChronic periapical infection in primary molars is first\nnoted as\nA. Rarefaction of bony furcation\nB. As internal resorption\nC. As rarefaction of Periapical tissues\nD. Widening of Periodontal ligament space", "role": "user" } ]	medical	{ "ground_truth": "A. Rarefaction of bony furcation", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Rarefaction of bony furcation" }, { "key": "B", "value": "As internal resorption" }, { "key": "C", "value": "As rarefaction of Periapical tissues" }, { "key": "D", "value": "Widening of Periodontal ligament space" } ], "index": 19558, "question": "Chronic periapical infection in primary molars is first\nnoted as", "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\nOn which day does ovulation typically occur in a regular 29-day menstrual cycle?", "role": "user" } ]	medical	{ "ground_truth": "15th", "style": "rule" }	{ "choices": null, "index": 20301, "question": "On which day does ovulation typically occur in a regular 29-day menstrual cycle?", "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 72-year-old man is brought to the physician by his son because of gradually progressive yellow discoloration of his skin and generalized pruritus for the past 2 weeks. During this period, his appetite has decreased and he has had a 6.3-kg (14-lb) weight loss. He reports that his stool appears pale and his urine is very dark. Three years ago, he had an episode of acute upper abdominal pain that was treated with IV fluids, NSAIDs, and dietary modification. He has stopped drinking alcohol since then; he used to drink 1–2 beers daily for 40 years. He has smoked a pack of cigarettes daily for the past 50 years. His vital signs are within normal limits. Physical examination shows yellowing of the conjunctivae and skin. The abdomen is soft and nontender; a soft, cystic mass is palpated in the right upper quadrant. Serum studies show:\nBilirubin, total 5.6 mg/dL\nDirect 4.8 mg/dL\nAlkaline phosphatase 192 U/L\nAST 32 U/L\nALT 34 U/L\nAbdominal ultrasonography shows an anechoic cystic mass in the subhepatic region and dilation of the intrahepatic and extrahepatic bile ducts. Which of the following is the most likely diagnosis?\"\nA. Pancreatic adenocarcinoma\nB. Choledocholithiasis\nC. Alcoholic hepatitis\nD. Cholecystitis\nE. Budd-Chiari syndrome", "role": "user" } ]	medical	{ "ground_truth": "A. Pancreatic adenocarcinoma", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Pancreatic adenocarcinoma" }, { "key": "B", "value": "Choledocholithiasis" }, { "key": "C", "value": "Alcoholic hepatitis" }, { "key": "D", "value": "Cholecystitis" }, { "key": "E", "value": "Budd-Chiari syndrome" } ], "index": 6973, "question": "A 72-year-old man is brought to the physician by his son because of gradually progressive yellow discoloration of his skin and generalized pruritus for the past 2 weeks. During this period, his appetite has decreased and he has had a 6.3-kg (14-lb) weight loss. He reports that his stool appears pale and his urine is very dark. Three years ago, he had an episode of acute upper abdominal pain that was treated with IV fluids, NSAIDs, and dietary modification. He has stopped drinking alcohol since then; he used to drink 1–2 beers daily for 40 years. He has smoked a pack of cigarettes daily for the past 50 years. His vital signs are within normal limits. Physical examination shows yellowing of the conjunctivae and skin. The abdomen is soft and nontender; a soft, cystic mass is palpated in the right upper quadrant. Serum studies show:\nBilirubin, total 5.6 mg/dL\nDirect 4.8 mg/dL\nAlkaline phosphatase 192 U/L\nAST 32 U/L\nALT 34 U/L\nAbdominal ultrasonography shows an anechoic cystic mass in the subhepatic region and dilation of the intrahepatic and extrahepatic bile ducts. Which of the following is the most likely 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\nInto which vein does the right testicular vein drain?", "role": "user" } ]	medical	{ "ground_truth": "IVC", "style": "rule" }	{ "choices": null, "index": 12593, "question": "Into which vein does the right testicular vein drain?", "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\nChild with growth retardation came with Tripod skull and clinodactyly?\nA. Silver russel syndrome\nB. Beckwith wideman syndrome\nC. Angelman syndrome\nD. Prader willi syndrome", "role": "user" } ]	medical	{ "ground_truth": "A. Silver russel syndrome", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Silver russel syndrome" }, { "key": "B", "value": "Beckwith wideman syndrome" }, { "key": "C", "value": "Angelman syndrome" }, { "key": "D", "value": "Prader willi syndrome" } ], "index": 11708, "question": "Child with growth retardation came with Tripod skull and clinodactyly?", "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 inheritance pattern of hereditary multiple exostoses?", "role": "user" } ]	medical	{ "ground_truth": "Autosomal dominant", "style": "rule" }	{ "choices": null, "index": 12128, "question": "What is the inheritance pattern of hereditary multiple exostoses?", "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\nStippled Epiphysis is seen in?\nA. Congenital Hypothyroidism\nB. Juvenile Rheumatoid Ahritis\nC. Scurvy\nD. Achondroplasis", "role": "user" } ]	medical	{ "ground_truth": "A. Congenital Hypothyroidism", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Congenital Hypothyroidism" }, { "key": "B", "value": "Juvenile Rheumatoid Ahritis" }, { "key": "C", "value": "Scurvy" }, { "key": "D", "value": "Achondroplasis" } ], "index": 17261, "question": "Stippled Epiphysis 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 44-year-old woman presents for her annual physical checkup. She says she first noticed a mass in her right breast while taking a shower 3 months ago, which has progressively increased in size. She denies any weight loss, fever, night sweats, discharge from or change in her nipples. Her family history is negative for breast, ovarian, and endometrial cancer. She is afebrile, and her vital signs are within normal limits. Physical examination reveals a smooth, multinodular, firm 5 cm x 5 cm mass in the right breast that is mobile and painless. The skin over the mass appears to be stretched and shiny without ulcerations, erythema, or vascular demarcation. On follow-up 6 weeks later, an interval ultrasound of the right breast reveals a well-circumscribed hypoechoic mass with some cystic components that now measures 8 cm x 7 cm. A core needle biopsy of the mass is performed. Which of the following diagnosis is most likely expected to be confirmed by the core needle biopsy in this patient?\nA. Fibroadenoma\nB. Breast abscess\nC. Phyllodes tumor\nD. Duct ectasia\nE. Fat necrosis", "role": "user" } ]	medical	{ "ground_truth": "C. Phyllodes tumor", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Fibroadenoma" }, { "key": "B", "value": "Breast abscess" }, { "key": "C", "value": "Phyllodes tumor" }, { "key": "D", "value": "Duct ectasia" }, { "key": "E", "value": "Fat necrosis" } ], "index": 212, "question": "A 44-year-old woman presents for her annual physical checkup. She says she first noticed a mass in her right breast while taking a shower 3 months ago, which has progressively increased in size. She denies any weight loss, fever, night sweats, discharge from or change in her nipples. Her family history is negative for breast, ovarian, and endometrial cancer. She is afebrile, and her vital signs are within normal limits. Physical examination reveals a smooth, multinodular, firm 5 cm x 5 cm mass in the right breast that is mobile and painless. The skin over the mass appears to be stretched and shiny without ulcerations, erythema, or vascular demarcation. On follow-up 6 weeks later, an interval ultrasound of the right breast reveals a well-circumscribed hypoechoic mass with some cystic components that now measures 8 cm x 7 cm. A core needle biopsy of the mass is performed. Which of the following diagnosis is most likely expected to be confirmed by the core needle biopsy 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\nA 58-year-old man with obesity presents with progressive exertional breathlessness over 2 years. Physical examination reveals a loud pulmonic component of the second heart sound, and chest X-ray shows enlarged central pulmonary arteries with attenuated peripheral vessels and oligemic lung fields. What medication is most likely to decrease his breathlessness by treating his underlying condition?", "role": "user" } ]	medical	{ "ground_truth": "Riociguat", "style": "rule" }	{ "choices": null, "index": 9057, "question": "A 58-year-old man with obesity presents with progressive exertional breathlessness over 2 years. Physical examination reveals a loud pulmonic component of the second heart sound, and chest X-ray shows enlarged central pulmonary arteries with attenuated peripheral vessels and oligemic lung fields. What medication is most likely to decrease his breathlessness by treating his underlying condition?", "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\nFollowing is a clinical feature of cerebellar disease\nA. Paralysis\nB. Sensory deficit\nC. Ataxia\nD. Resting tremors", "role": "user" } ]	medical	{ "ground_truth": "C. Ataxia", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Paralysis" }, { "key": "B", "value": "Sensory deficit" }, { "key": "C", "value": "Ataxia" }, { "key": "D", "value": "Resting tremors" } ], "index": 10365, "question": "Following is a clinical feature of cerebellar disease", "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 39-year-old woman presents with a one-year history of recurrent severe pain in her neck, back, and shoulders that worsens with exercise and poor sleep. She reports morning stiffness in her shoulders and knees, tingling in her upper extremities, and tenderness over multiple muscle sites. Laboratory tests and spinal X-rays are normal. Given these findings, what is the most likely diagnosis?", "role": "user" } ]	medical	{ "ground_truth": "Fibromyalgia", "style": "rule" }	{ "choices": null, "index": 7814, "question": "A 39-year-old woman presents with a one-year history of recurrent severe pain in her neck, back, and shoulders that worsens with exercise and poor sleep. She reports morning stiffness in her shoulders and knees, tingling in her upper extremities, and tenderness over multiple muscle sites. Laboratory tests and spinal X-rays are normal. Given 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 first number in the instrument formula indicates\nA. Length of the blade in centimeters\nB. 1/10th of the width\nC. angulation of the blade in degrees\nD. primary cutting edge angle", "role": "user" } ]	medical	{ "ground_truth": "B. 1/10th of the width", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Length of the blade in centimeters" }, { "key": "B", "value": "1/10th of the width" }, { "key": "C", "value": "angulation of the blade in degrees" }, { "key": "D", "value": "primary cutting edge angle" } ], "index": 19234, "question": "The first number in the instrument formula indicates", "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 56-year-old man comes to the physician because of intense anal pain that began 2 hours ago. He has a history of chronic constipation and rectal itching. His past medical history is otherwise unremarkable. He takes no medications. His vital signs are within normal limits. Because of extreme pain, a rectal examination is performed in the office under local anesthesia and shows a palpable perianal mass. No skin tag or mucosal prolapse through the anal canal is noted. Which of the following is the most appropriate immediate management?\nA. Elliptical excision\nB. Incision and drainage\nC. Infrared photocoagulation\nD. Rubber band ligation\nE. Sclerotherapy", "role": "user" } ]	medical	{ "ground_truth": "A. Elliptical excision", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Elliptical excision" }, { "key": "B", "value": "Incision and drainage" }, { "key": "C", "value": "Infrared photocoagulation" }, { "key": "D", "value": "Rubber band ligation" }, { "key": "E", "value": "Sclerotherapy" } ], "index": 7310, "question": "A 56-year-old man comes to the physician because of intense anal pain that began 2 hours ago. He has a history of chronic constipation and rectal itching. His past medical history is otherwise unremarkable. He takes no medications. His vital signs are within normal limits. Because of extreme pain, a rectal examination is performed in the office under local anesthesia and shows a palpable perianal mass. No skin tag or mucosal prolapse through the anal canal is noted. Which of the following is the most appropriate immediate management?", "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 asthma and chronic rhinosinusitis develops wheezing and shortness of breath shortly after taking aspirin, which irreversibly inhibits cyclooxygenase-1 and 2, prescribed for stable angina. After stabilization, which mechanism of action should the alternative antiplatelet drug used for primary prevention of coronary artery disease have?", "role": "user" } ]	medical	{ "ground_truth": "Blockage of P2Y12 component of ADP receptors", "style": "rule" }	{ "choices": null, "index": 1615, "question": "A 53-year-old man with asthma and chronic rhinosinusitis develops wheezing and shortness of breath shortly after taking aspirin, which irreversibly inhibits cyclooxygenase-1 and 2, prescribed for stable angina. After stabilization, which mechanism of action should the alternative antiplatelet drug used for primary prevention of coronary artery disease have?", "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\nComment on the pic below?\nA. FAST inconclusive\nB. FAST positive\nC. FAST negative\nD. FAST equivocal", "role": "user" } ]	medical	{ "ground_truth": "B. FAST positive", "style": "rule" }	{ "choices": [ { "key": "A", "value": "FAST inconclusive" }, { "key": "B", "value": "FAST positive" }, { "key": "C", "value": "FAST negative" }, { "key": "D", "value": "FAST equivocal" } ], "index": 17486, "question": "Comment on the pic below?", "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 typical working intra-abdominal pressure used during gynecological laparoscopy?", "role": "user" } ]	medical	{ "ground_truth": "10-15 mm Hg", "style": "rule" }	{ "choices": null, "index": 14512, "question": "What is the typical working intra-abdominal pressure used during gynecological laparoscopy?", "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 37-year-old primigravid woman at 36 weeks' gestation is admitted to the hospital 30 minutes after the onset of labor. On arrival, contractions occur every 8–10 minutes. During the last 2 days she has noted decreased fetal movements. The pregnancy had been complicated by gestational hypertension. Current medications include labetalol and a pregnancy multivitamin. Her temperature is 36.8°C (98.2°F), pulse is 94/min, and blood pressure is 154/96 mm Hg. On pelvic examination, the cervix is 40% effaced and 2 cm dilated; the vertex is at -2 station. The uterus is consistent in size with a 30-week gestation. Ultrasonography shows the fetus in vertex position and a decreased amount of amniotic fluid. A fetal heart tracing is shown. Which of the following is the most likely diagnosis?\nA. Umbilical cord prolapse\nB. Umbilical cord compression\nC. Physiologic fetal heart rate pattern\nD. Placental insufficiency\nE. Chorioamnionitis", "role": "user" } ]	medical	{ "ground_truth": "D. Placental insufficiency", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Umbilical cord prolapse" }, { "key": "B", "value": "Umbilical cord compression" }, { "key": "C", "value": "Physiologic fetal heart rate pattern" }, { "key": "D", "value": "Placental insufficiency" }, { "key": "E", "value": "Chorioamnionitis" } ], "index": 7507, "question": "A 37-year-old primigravid woman at 36 weeks' gestation is admitted to the hospital 30 minutes after the onset of labor. On arrival, contractions occur every 8–10 minutes. During the last 2 days she has noted decreased fetal movements. The pregnancy had been complicated by gestational hypertension. Current medications include labetalol and a pregnancy multivitamin. Her temperature is 36.8°C (98.2°F), pulse is 94/min, and blood pressure is 154/96 mm Hg. On pelvic examination, the cervix is 40% effaced and 2 cm dilated; the vertex is at -2 station. The uterus is consistent in size with a 30-week gestation. Ultrasonography shows the fetus in vertex position and a decreased amount of amniotic fluid. A fetal heart tracing is shown. Which of the following is the most likely diagnosis?", "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 62-year-old man comes to the physician because of an oozing skin ulceration on his foot for 1 week. He has a history of type 2 diabetes mellitus and does not adhere to his medication regimen. Physical exam shows purulent discharge from an ulcer on the dorsum of his left foot. Pinprick sensation is decreased bilaterally to the level of the mid-tibia. A culture of the wound grows beta-hemolytic, coagulase-positive cocci in clusters. The causal organism most likely produces which of the following virulence factors?\nA. Protein A\nB. P fimbriae\nC. Exotoxin A\nD. IgA protease\nE. M protein", "role": "user" } ]	medical	{ "ground_truth": "A. Protein A", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Protein A" }, { "key": "B", "value": "P fimbriae" }, { "key": "C", "value": "Exotoxin A" }, { "key": "D", "value": "IgA protease" }, { "key": "E", "value": "M protein" } ], "index": 752, "question": "A 62-year-old man comes to the physician because of an oozing skin ulceration on his foot for 1 week. He has a history of type 2 diabetes mellitus and does not adhere to his medication regimen. Physical exam shows purulent discharge from an ulcer on the dorsum of his left foot. Pinprick sensation is decreased bilaterally to the level of the mid-tibia. A culture of the wound grows beta-hemolytic, coagulase-positive cocci in clusters. The causal organism most likely produces which of the following virulence factors?", "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 inheritance pattern of Duchenne's muscular dystrophy?", "role": "user" } ]	medical	{ "ground_truth": "X-Linked recessive", "style": "rule" }	{ "choices": null, "index": 15578, "question": "What is the inheritance pattern of Duchenne's muscular dystrophy?", "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 voice is not affected in -\nA. Unilateral abductor palsy\nB. Unilateral adductor palsy\nC. Partial abductor palsy\nD. Total adductor palsy", "role": "user" } ]	medical	{ "ground_truth": "A. Unilateral abductor palsy", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Unilateral abductor palsy" }, { "key": "B", "value": "Unilateral adductor palsy" }, { "key": "C", "value": "Partial abductor palsy" }, { "key": "D", "value": "Total adductor palsy" } ], "index": 16476, "question": "The voice is not affected in -", "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 illness is not caused by bacterial toxins?", "role": "user" } ]	medical	{ "ground_truth": "Septic Shock", "style": "rule" }	{ "choices": null, "index": 13998, "question": "Which illness is not caused by bacterial toxins?", "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 69-year-old man with end-stage renal disease and anemia is started on long-term therapy to treat his anemia. What is a common side effect of this therapy?", "role": "user" } ]	medical	{ "ground_truth": "Hypertension", "style": "rule" }	{ "choices": null, "index": 9996, "question": "A 69-year-old man with end-stage renal disease and anemia is started on long-term therapy to treat his anemia. What is a common side effect of this therapy?", "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 which neurological or psychiatric condition is coprolalia commonly observed?", "role": "user" } ]	medical	{ "ground_truth": "Tourette's syndrome", "style": "rule" }	{ "choices": null, "index": 18374, "question": "In which neurological or psychiatric condition is coprolalia commonly observed?", "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 5-year-old girl with a history of cystic hygroma detected shortly after birth and short stature presents with increased muscle cramping in her lower extremities after walking extended distances. What radiologic finding is most likely to be observed in this patient?", "role": "user" } ]	medical	{ "ground_truth": "Inferior erosion of the ribs", "style": "rule" }	{ "choices": null, "index": 4331, "question": "A 5-year-old girl with a history of cystic hygroma detected shortly after birth and short stature presents with increased muscle cramping in her lower extremities after walking extended distances. What radiologic finding is most likely to be observed in 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\nWhich substance secreted by cytotoxic T cells induces apoptosis in target tissue cells during an immune response?", "role": "user" } ]	medical	{ "ground_truth": "Granzyme B", "style": "rule" }	{ "choices": null, "index": 4538, "question": "Which substance secreted by cytotoxic T cells induces apoptosis in target tissue cells during an immune 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\nA 2-week-old newborn is brought to the physician because of worsening feeding difficulty since birth. Examination shows a grade 2/6 harsh holosystolic murmur, heard most clearly at the left lower sternal border, and a soft mid-diastolic rumble over the cardiac apex. Echocardiography shows shunting of blood through the ventricular septum during systole. The patient undergoes surgery for closure of the defect. Which of the following sets of changes are expected after successful repair of this cardiac defect?\n $$$ Left atrial pressure %%% Left ventricular pressure %%% Right ventricular pressure $$$\nA. ↓ ↑ no change\nB. ↓ ↑ ↓\nC. ↑ ↑ ↑\nD. ↓ ↓ ↓\nE. ↑ ↑ ↓", "role": "user" } ]	medical	{ "ground_truth": "B. ↓ ↑ ↓", "style": "rule" }	{ "choices": [ { "key": "A", "value": "↓ ↑ no change" }, { "key": "B", "value": "↓ ↑ ↓" }, { "key": "C", "value": "↑ ↑ ↑" }, { "key": "D", "value": "↓ ↓ ↓" }, { "key": "E", "value": "↑ ↑ ↓" } ], "index": 4163, "question": "A 2-week-old newborn is brought to the physician because of worsening feeding difficulty since birth. Examination shows a grade 2/6 harsh holosystolic murmur, heard most clearly at the left lower sternal border, and a soft mid-diastolic rumble over the cardiac apex. Echocardiography shows shunting of blood through the ventricular septum during systole. The patient undergoes surgery for closure of the defect. Which of the following sets of changes are expected after successful repair of this cardiac defect?\n $$$ Left atrial pressure %%% Left ventricular pressure %%% Right ventricular pressure $$$", "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 neurotransmitter is primarily associated with the biochemical etiology of Alzheimer's disease?", "role": "user" } ]	medical	{ "ground_truth": "Acetylcholine", "style": "rule" }	{ "choices": null, "index": 18408, "question": "Which neurotransmitter is primarily associated with the biochemical etiology of Alzheimer's disease?", "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 local anesthetic agent provides the longest duration of anesthesia for repairing a 5-cm laceration on the buttock of a 4-year-old child?", "role": "user" } ]	medical	{ "ground_truth": "Bupivacaine with epinephrine", "style": "rule" }	{ "choices": null, "index": 6988, "question": "Which local anesthetic agent provides the longest duration of anesthesia for repairing a 5-cm laceration on the buttock of a 4-year-old child?", "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\nIv glucose tolerance is done in -\nA. Children\nB. Pregnancy\nC. Gastrectomy\nD. Old age", "role": "user" } ]	medical	{ "ground_truth": "C. Gastrectomy", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Children" }, { "key": "B", "value": "Pregnancy" }, { "key": "C", "value": "Gastrectomy" }, { "key": "D", "value": "Old age" } ], "index": 10484, "question": "Iv glucose tolerance is done in -", "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 name of the test used to assess hip dislocation by comparing the heights of the knees when the hips and knees are flexed?", "role": "user" } ]	medical	{ "ground_truth": "Galeazzi’s test", "style": "rule" }	{ "choices": null, "index": 20442, "question": "What is the name of the test used to assess hip dislocation by comparing the heights of the knees when the hips and knees are flexed?", "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 23-year-old man presents to the emergency department with severe pain. The patient, who is a construction worker, was at work when he suddenly experienced severe pain in his arms, legs, chest, and back. He has experienced this before and was treated 2 months ago for a similar concern. His temperature is 100°F (37.8°C), blood pressure is 127/68 mmHg, pulse is 120/min, respirations are 17/min, and oxygen saturation is 98% on room air. Physical exam is notable for tenderness to palpation of the patient's legs, chest, abdomen, and arms. Laboratory values are obtained and shown below.\n\nHemoglobin: 10 g/dL\nHematocrit: 30%\nLeukocyte count: 8,500/mm^3 with normal differential\nPlatelet count: 199,000/mm^3\n\nSerum:\nNa+: 139 mEq/L\nCl-: 100 mEq/L\nK+: 4.9 mEq/L\nHCO3-: 25 mEq/L\nBUN: 23 mg/dL\nLDH: 327 U/L\nGlucose: 99 mg/dL\nCreatinine: 1.1 mg/dL\nCa2+: 10.2 mg/dL\nAST: 12 U/L\nALT: 10 U/L\n\nWhich of the following is the most likely diagnosis?\nA. Autoimmune hemolysis\nB. Avascular necrosis\nC. Infarction of a major organ\nD. Infection of the bone\nE. Microvascular occlusion", "role": "user" } ]	medical	{ "ground_truth": "E. Microvascular occlusion", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Autoimmune hemolysis" }, { "key": "B", "value": "Avascular necrosis" }, { "key": "C", "value": "Infarction of a major organ" }, { "key": "D", "value": "Infection of the bone" }, { "key": "E", "value": "Microvascular occlusion" } ], "index": 10016, "question": "A 23-year-old man presents to the emergency department with severe pain. The patient, who is a construction worker, was at work when he suddenly experienced severe pain in his arms, legs, chest, and back. He has experienced this before and was treated 2 months ago for a similar concern. His temperature is 100°F (37.8°C), blood pressure is 127/68 mmHg, pulse is 120/min, respirations are 17/min, and oxygen saturation is 98% on room air. Physical exam is notable for tenderness to palpation of the patient's legs, chest, abdomen, and arms. Laboratory values are obtained and shown below.\n\nHemoglobin: 10 g/dL\nHematocrit: 30%\nLeukocyte count: 8,500/mm^3 with normal differential\nPlatelet count: 199,000/mm^3\n\nSerum:\nNa+: 139 mEq/L\nCl-: 100 mEq/L\nK+: 4.9 mEq/L\nHCO3-: 25 mEq/L\nBUN: 23 mg/dL\nLDH: 327 U/L\nGlucose: 99 mg/dL\nCreatinine: 1.1 mg/dL\nCa2+: 10.2 mg/dL\nAST: 12 U/L\nALT: 10 U/L\n\nWhich of the following is the most likely diagnosis?", "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 21-year-old man presents to the emergency room complaining of pain upon urination and a watery discharge from his penis. It started a few days ago and has been getting progressively worse. His temperature is 98.0°F (36.7°C), blood pressure is 122/74 mmHg, pulse is 83/min, respirations are 14/min, and oxygen saturation is 98% on room air. Physical exam is notable for a tender urethra with a discharge. Gram stain of the discharge is negative for bacteria but shows many neutrophils. Which of the following is the most likely infectious etiology of this patient's symptoms?\nA. Chlamydia trachomatis\nB. Escherichia coli\nC. Neisseria gonorrhoeae\nD. Staphylococcus saprophyticus\nE. Trichomonas vaginalis", "role": "user" } ]	medical	{ "ground_truth": "A. Chlamydia trachomatis", "style": "rule" }	{ "choices": [ { "key": "A", "value": "Chlamydia trachomatis" }, { "key": "B", "value": "Escherichia coli" }, { "key": "C", "value": "Neisseria gonorrhoeae" }, { "key": "D", "value": "Staphylococcus saprophyticus" }, { "key": "E", "value": "Trichomonas vaginalis" } ], "index": 7185, "question": "A 21-year-old man presents to the emergency room complaining of pain upon urination and a watery discharge from his penis. It started a few days ago and has been getting progressively worse. His temperature is 98.0°F (36.7°C), blood pressure is 122/74 mmHg, pulse is 83/min, respirations are 14/min, and oxygen saturation is 98% on room air. Physical exam is notable for a tender urethra with a discharge. Gram stain of the discharge is negative for bacteria but shows many neutrophils. Which of the following is the most likely infectious etiology of this patient's symptoms?", "split": "train", "type": "mcq" }