messages listlengths 3 3 |
|---|
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Which type of thyroid cancer is commonly associated with conditions such as pancreatitis, pituitary tumor, and pheochromocytoma?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think about the connectio... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the etiological agent responsible for a thick white vaginal discharge and pruritus in a female patient?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let me think this through. We've got a female pa... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A well differenciated follicular carcinoma of thyroid can be best differenciated from a follicular adenoma by\nA. Huhle cell change\nB. Lining of tall columnar and cuboidal cells\nC. Vasular invasion\nD. Nuclear features"
},
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "\"Is Fred a fan of Liverpool? Are supporters of Real Madrid devotees of PSG? In European football, it is sometimes difficult to keep track of the mutual admiration and dislike. The following argument seeks to clarify some such re... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 6-year-old girl develops an itchy rash with erythematous scaly plaques on her fingers after receiving silver rings as a gift. Considering the materials that commonly cause allergic contact dermatitis, what metal alloy is most l... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Which of the following impact strength test measures the strength through both preswing and postswing?\nA. Charpy\nB. I rod\nC. Both\nD. None"
},
{
"role": "assistant",
"content": "<think>\nLet's see, we're looking fo... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 25-year-old man presents with easily ruptured blisters on his scalp, groin, and mouth. Histological examination shows separation of the stratum spinosum from the basal layer, and direct immunofluorescence microscopy reveals IgG... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 10-month-old male child who has been exclusively breastfed presents with vomiting after eating fruits but maintains a normal weight. The doctor suspects fructose intolerance. Identify the enzyme deficiency associated with hered... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 28-year-old woman presents with lower extremity numbness, weakness, and urinary incontinence. Neurologic examination reveals bilateral lower extremity weakness and a positive Babinski sign, characterized by dorsiflexion of the ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "For the prevention of Yellow fever, a single vaccination with 17D non-pathogenic strain of virus gives full protection to the individual for at least: September 2012\nA. 10 years\nB. 12 years\nC. 15 years\nD. 18 years"
},
{
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 58-year-old man develops abdominal pain and bloody diarrhea after being treated with clindamycin for a pulmonary abscess. His laboratory findings show a WBC of 14,000 and serum creatinine of 0.9 mg/dL. The pathogen responsible ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 61-year-old man presents with sharp substernal chest pain two days after an acute myocardial infarction, which worsens with inspiration and improves when leaning forward. During the cardiac examination, a scratchy sound is hear... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Muscles that are best suited for brief high-intensity exercise would contain which of the following types of fibres?\nA. Glycolytic (white)\nB. Slow-twitch oxidative (red)\nC. A mix of slow twitch (red) and fast twicth (red)\nD. ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "((-4 * 4 + -1 * 5) - (-6 + 1 - -8 - 6)) ="
},
{
"role": "assistant",
"content": "<think>\n-4 times 4 is -16, and I've got another multiplication over there, -1 times 5 that gives me -5. So, when I add those two togeth... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "True about Autoimmune type II Liver disease-a) Antinuclear antibodyb) LKM-1 antibodyc) Antismooth muscle antibodyd) DS DNAe) LC-1, and LC-2\nA. be\nB. ad\nC. bc\nD. ce"
},
{
"role": "assistant",
"content": "<think>\nA... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Explain the nature of a chalazion, including its type, possible factors for recurrence, and the gland involved in its formation."
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think about what a chalaz... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In the process of apoptosis, what specific substance is released from the mitochondria to activate Apaf-1?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think this through. We're looking at apoptosis,... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A study is performed to assess the intelligence quotient and the crime rate in a neighborhood. Students at a local high school are given an assessment and their criminal and disciplinary records are reviewed. One of the subjects ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Under the National Polio Eradication Programme, what circumstance would not confirm a case of Acute Flaccid Paralysis as Polio?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let's think about this. We know tha... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 28-year-old woman presents to her family physician complaining that she has a \"growth\" in her genital area. She states that she first noticed it 3 weeks ago and it seems to have grown somewhat since that time. She has hypothy... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 21-year-old man presents to the emergency room with symptoms including abdominal pain, nausea, a fruity smell to his breath, and lab results showing high blood sugar and positive ketones in the urine. Considering these clinical... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In an HIV-positive patient, under what specific immunological circumstance should prophylaxis against mycobacterium avium-intracellulare be recommended?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let's thin... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "If a person has normal blood levels of tyrosine without needing any external supplementation, which amino acid deficiency can be ruled out?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think this thr... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "The levels of nicotine in 6 cigarettes were 13.0, 11.8,\n15.4, 17.4, 31.2 and 24.3 mg. The mean of these values is\nA. 14.9\nB. 15.9\nC. 18.6\nD. 8.4"
},
{
"role": "assistant",
"content": "<think>\nAlright, so I need ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 60 years old diabetic male presented to the emergency with cough and sputum production, fever with chills and rigor. The chest X-ray was done and the finding is given below. Which of the following is an indication for surgery?\... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In a legal case where a breeder's kennel business is disrupted by high-frequency sound waves from a nearby factory that manufactures dog-calling whistles, and the breeder's business is particularly sensitive to such sound waves, ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the immediate line of treatment for a patient with an inferior giant retinal tear following blunt trauma?"
},
{
"role": "assistant",
"content": "<think>\nOkay, so inferior giant retinal tears are pretty seriou... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An astronaut who weighs 800 N on Earth lands on a planet with twice Earth's mass and twice Earth's radius. What is the weight of the astronaut on this new planet?"
},
{
"role": "assistant",
"content": "<think>\nAlrigh... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 54-year-old woman presents with a 1-day history of fever, chills, and double vision, along with a 2-week history of headache and foul-smelling nasal discharge. She has a temperature of 39.4°C, and examination reveals mild swell... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Approximately how many primary oocytes will be ovulated by a woman over the course of her entire reproductive life?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let's see. When do women usually start ovulatin... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Which drug has been associated with the causation of subacute myelo-optic neuropathy (SMON) due to prolonged use?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let's figure this out. We're looking at subacute ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 24-year-old woman presents to the emergency department for chest pain and shortness of breath. She was at home making breakfast when her symptoms began. She describes the pain as sharp and located in her chest. She thought she ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 34-year-old woman experiences constant fatigue and difficulty with breastfeeding 2 weeks after her first childbirth. She was recently discharged from intensive care following severe postpartum hemorrhage and has a blood pressur... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "How would a typical person answer each of the following questions about causation?\nAn intern is taking care of a patient in a hospital. The intern notices that the patient is having some kidney problems. Recently, the intern rea... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 30-year-old male presents with a palpable mass in the testis, noted to be hard upon examination. What is the next best step to further evaluate this testicular mass?"
},
{
"role": "assistant",
"content": "<think>\nO... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What type of membership are non-residential foreign dental practitioners with a dental qualification eligible for in the IDA?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's dig into this. The IDA, or t... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What type of study is conducted when a researcher finds a correlation between dietary factors and a disease by collecting data from food manufacturers and hospitals without studying individuals directly?"
},
{
"role": "as... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Describe the characteristics of speech in a person with Wernicke's aphasia, specifically focusing on the fluency and intelligibility of their language output."
},
{
"role": "assistant",
"content": "<think>\nSo, let's ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In a case where a pregnant woman at 32 weeks' gestation presents with new-onset hypertension, headache, and visual disturbances, with laboratory studies showing no urine protein and normal platelet count, what is the most likely ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 44-year-old farmer presented with high-grade fever for 4 days. On examination, an ulcer was found at the right-hand region along with painful cervical lymphadenopathy. History revealed a bite of an animal 4 days ago. A papule w... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 34-year-old male with a chronic type 2 diabetes history presents with intermittent diarrhea, significant weight loss, and a red-purple pruritic rash consistent with necrolytic migratory erythema. Further investigation reveals a... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In the basic model of a nuclear family life cycle, what is the phase called that starts with the birth of the last child and ends when the first child leaves home?"
},
{
"role": "assistant",
"content": "<think>\nAlrig... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A young patient presents to the emergency depament with fever and right upper quadrant pain Clinical examination reveals obvious hepatomegaly but there is no jaundice. Ultrasound reveals a solitary, homogeneous, hypoechoic lesion... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A city has a population of 10000 with 500 diabetic patients. A new diagnostic test gives true positive result in 350 patients and false positive result in 1900 patients. Which of the following is/are true regarding the test ?a) P... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An airplane has wings with a total plan area of 320 ft², and the airplane weighs 18,000 lbf. In level flight, its speed is 230 ft/sec with an atmospheric density of 0.076 lbm/ft³. If the tailplane contributes 5 percent of the tot... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What drug, when administered during pregnancy, can lead to abnormalities in the fetus?"
},
{
"role": "assistant",
"content": "<think>\nAlright, so let's think about this. When we talk about drugs that can cause abnorm... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An investigator is studying the regulation of adrenal hormone synthesis in rats. The investigator takes serum concentrations of different hormones before and after intravenous administration of metyrapone, which inhibits adrenal ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Which one of the following is not a feature of liver histology in non-cirrhotic poal fibrosis (NCPF)?\nA. Fibrosis in and around the poal tracts\nB. Thrombosis of the medium and small poal vein branches\nC. Non-specific inflammat... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "When administering thiamine therapy for Wernicke's encephalopathy, which symptom from the classical triad typically shows improvement first?"
},
{
"role": "assistant",
"content": "<think>\nOkay, so Wernicke's encephal... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Will this conversation be kept confidential?\nA. The question is ambiguous.\nB. Yes, this conversation will be kept confidential.\nC. Yes, I will not discuss this conversation.\nD. Yes, you have my word."
},
{
"role": "as... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Solve for the variable x in the equation 13/4 = x/7."
},
{
"role": "assistant",
"content": "<think>\nAlright, I've got this equation that looks like 13/4 equals x/7. This is telling me that the ratio of 13 to 4 should... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In a scenario where a football player experiences a lateral impact to the knee and an MRI reveals a torn medial collateral ligament, which structure is most likely also injured due to its anatomical attachment to the medial colla... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 33-year-old woman presents with a one-month history of non-bloody nipple discharge and bilateral galactorrhea upon palpation. She has a history of smoking, alcohol use, and is receiving psychiatric treatment, although she canno... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What are the characteristics and prognosis of right-sided and left-sided colon carcinoma, and which is the most common site for colon cancer?"
},
{
"role": "assistant",
"content": "<think>\nOkay, let's think about col... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In the case of a patient with traumatic injury to major abdominal vessels requiring exploration of the Suprarenal Aorta, the Celiac Axis, the Superior Mesenteric Artery, and the Left Renal Artery, which surgical maneuver is recom... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A horse is attached to a cart that is at rest behind it. Which force, or combination of forces, explains how the horse-cart system can accelerate from rest?\nA. The force of the horse's muscles directly on the cart provides the n... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Ramkali, a 37-year-old, is a case of polycystic ovary disease. LH/FSH estimation has to be done in which pa of the menstruation cycle\nA. 1-4 days\nB. 8-10 days\nC. 13-15 days\nD. 24-26 days"
},
{
"role": "assistant",
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An 8-year-old boy presents with a gradually progressing swelling and pain over the upper tibia for 6 months, and an X-ray reveals a lytic lesion with sclerotic margins in the upper tibial metaphysis. What is the diagnosis?"
},
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Which one of the following imaging modalities is most sensitive for localization of extra adrenal pheochromocytoma?\nA. USG\nB. DOPA-PET\nC. MRI\nD. MIBG scan"
},
{
"role": "assistant",
"content": "<think>\nAlright, s... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the recommended therapeutic option for a 35-year-old woman who presents with widespread muscle and joint pain, poor sleep, multiple tender points, normal blood tests, and no joint swelling or deformity, considering these ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A patient with Ca endometrium has > 50% myometrial invasion and vaginal metastasis. Pelvic and retroperitoneal lymph nodes are not involved. Peritoneal seedings are +ve. The stage is:\nA. IIIa\nB. IIIb\nC. IIIc1\nD. IIIc2"
},
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In a 36-year-old male presenting with chest pain, hypotension, a diastolic decrescendo murmur at the left third intercostal space, and physical features consistent with Marfan syndrome, what is the most likely cause of his sympto... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What size of X-ray film is typically used for taking an occlusal radiograph to assess the condition of traumatized and succedaneous teeth in a 5-year-old child?"
},
{
"role": "assistant",
"content": "<think>\nSo, we'r... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "How should a patient with a resolved liver abscess, who has received systemic amebicides and a seven-day course of luminal amebicides, be followed up if there is a cavity in the liver with nothing inside it?"
},
{
"role":... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Two astronauts, with masses of 2m and 3m, are traveling at relativistic speeds of 0.6c and 0.5c, respectively, in the positive x-direction. Calculate both the relative speed between the two astronauts and the total energy of the ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 3-year-old child presents with fever and earache. On examination, there is a congested tympanic membrane with a slight bulge. The treatment of choice is -\nA. Myringotomy with penicillin\nB. Myringotomy with grommet\nC. Only an... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "According to the Bible, what was the name of Moses and Aaron's sister?"
},
{
"role": "assistant",
"content": "<think>\nOkay, so let's think about Moses and Aaron first. These two guys are pretty important in the Old T... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "The drama guild is considering two financing plans for renovating an old theater they intend to use for 15 years. Plan A involves using $5,000 from guild members upfront to cover the entire renovation immediately, which will last... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A woman delivered a baby 2 days ago and is experiencing increased tearfulness and sleeplessness, but does not exhibit anhedonia, suicidal thoughts, or lack of interest in activities. What is the most likely diagnosis for her cond... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 36-year-old woman with a history of prolonged morning stiffness and wrist pain has elevated serum AST and ALT levels. When examining the biochemical requirements for these enzymes, which substance is essential for their functio... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What are the typical characteristics and primary symptom of a stomach diverticulum?"
},
{
"role": "assistant",
"content": "<think>\nOkay, so let's think about what a stomach diverticulum really is. It's basically this... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In treatment of Papillary Carcinoma thyroid, Radioiodine destroys the neoplastic cells predominantly by-\nA. X rays\nB. b rays\nC. g rays\nD. a paicles"
},
{
"role": "assistant",
"content": "<think>\nAlright, so we're... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Identify a biologic agent approved for the treatment of psoriasis or psoriatic arthritis that does not function as an anti-TNF-alpha agent."
},
{
"role": "assistant",
"content": "<think>\nFirst, I need to think about ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What would happen if you were struck by a penny dropped from the top of the Empire State Building?\nA. You would feel a light impact if you were struck by a penny dropped from the Empire State Building.\nB. If you were struck by ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Which salivary gland neoplasm is known for its characteristic perineural spread along the cranial nerves?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think about which salivary gland tumor is most n... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Alice, Bob, Claire, Dave, Eve, Fred, and Gertrude are playing a game. At the start of the game, they are each holding a ball: Alice has a purple ball, Bob has a brown ball, Claire has a blue ball, Dave has a pink ball, Eve has a ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In a hemodynamically stable patient with an anterior abdominal stab injury, where a tag of omentum is protruding through the abdominal wall near the umbilicus and there are no signs of peritonitis, what should be the initial mana... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "After how many minutes do ischemic cardiac myocytes typically have their ATP levels reduced to 10% of the original quantity?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think this through. Ischemia ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 37-year-old male complains of progressively worsening difficulty eating solids and drinking water, regurgitating undigested food, and having difficulty belching. Lifting his neck helps him keep food down, and he is on omeprazol... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An infant is brought to a hospital because her wet diapers turn black when they are exposed to air. Physical examination is normal. Urine is positive both for reducing substance and when tested with ferric chloride. This disorder... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 39-year-old woman presents with progressive weakness, exercise intolerance, and occasional dizziness for the past 3 months. Past medical history is unremarkable. She reports an 18-pack-year smoking history and drinks alcohol ra... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 60-year-old man is in a car crash in which he is the driver. He did not have a seat belt or an airbag. He is found to have multiple rib fractures over his right chest. His pulse is weaker during inspiration. What are the most l... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "An obese 43 year old female complains of transient visual obscuration, headache and diplopia. All the following are findings EXCEPT\nA. Papilledema\nB. Increased intracranial pressure\nC. Cerebral venous thrombosis\nD. 6th nerve ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the best statistical test to determine the significance of the intervention when comparing the mean blood pressure of a group of persons before and after an interventional trial, assuming the data sets are independent?"
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "At what rate, in micrometers per day, do tooth cusps reach the surface epithelium during their maximum rate of eruption?"
},
{
"role": "assistant",
"content": "<think>\nLet's think about how teeth actually come out. S... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "When examining muscle function at the metacarpophalangeal (MP), proximal interphalangeal (PIP), and distal interphalangeal (DIP) joints, what findings do you expect in the presence of radial nerve palsy?\nA. Inability to abduct t... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "According to the school health committee's recommendation, how often should medical examinations of school children be conducted?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's think about how often ki... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 88 years male patients presented with end stage renal disease with coronary aery block and metastasis in the lungs. Now presents with acute cholecystitis, patients relatives needs treatments to do something\nA. Open cholecystec... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "What is the ideal treatment for a 40-year-old male presenting with papillary thyroid cancer confined to one lobe, measuring 3x3 cm, and with no palpable lymph nodes?"
},
{
"role": "assistant",
"content": "<think>\nAlr... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 36-year-old G2P1 woman at 24 weeks gestation is noted to have fatigue of 4 weeks duration. Her hemoglobin level is 8.0 g/ dL, leukocyte count is 2.0 cells/ uL, and platelet count is 20,000/ uL. Which of the following is the mos... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 40-year-old woman presents with frequent episodes of weakness, numbness, and tingling in her hands and feet over the past year, alongside high blood pressure measured at 168/112 mm Hg. Her laboratory results reveal sodium at 14... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 42-year-old man was referred with a 2-week history of fever, weakness, and bleeding gums. A peripheral smear showed pancytopenia, and a bone marrow examination revealed 26% blasts frequently exhibiting Auer rods along with matu... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "The Mantaux of a 40-year-old man who had presented with fever, weight loss and cough reads 18 x 19 mm. Sputum cytology is negative for AFB. What is the most likely condition?\nA. Pneumococcal Pneumonia\nB. Pulmonary Tuberculosis\... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "In a 73-year-old man with angina pectoris on exertion and noncritical stenosis of the coronary arteries observed on angiogram, which valvular heart disease is most commonly associated with this clinical presentation?"
},
{
... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 26-year-old male engineer presents to a reproductive specialist due to the inability to conceive after 2 years of trying with his 28-year-old wife. He reports that he is healthy without any significant medical history, surgerie... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 5-year-old child who has been on phenytoin for seizure management is now due for a DTP immunization. Considering this medication, what is the most appropriate next step in the child's management?"
},
{
"role": "assistan... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 69-year-old woman presents to the clinic with memory difficulty, including problems with managing finances and deficits in memory tests such as generating word lists or copying diagrams. What anatomic finding is typically assoc... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A 6-month-old boy was admitted with failure to thrive, hypoglycemia, and high glutamine and uracil levels in urine. Gastric tube feeding was ineffective, and the child became comatose before recovering after receiving parenteral ... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "Up to how many days into the pregnancy is a medical termination of pregnancy legally permissible in this context?"
},
{
"role": "assistant",
"content": "<think>\nAlright, let's figure this out. When we're talking abou... |
[
{
"role": "system",
"content": ""
},
{
"role": "user",
"content": "A pregnant woman causes to OPD for regular ANC checkup. She gives history of previous child diagnosed with congenital adrenal hyperplasia. What drug is given in this pregnancy to prevent development of CAH in this child?\nA. Hydr... |
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