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meta_info string | question string | answer_idx string | answer string | options list | problem string | responses sequence | response_answers sequence | is_correct sequence |
|---|---|---|---|---|---|---|---|---|
step1 | "A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chai(...TRUNCATED) | C | Tell the attending that he cannot fail to disclose this mistake | [{"key":"A","value":"Disclose the error to the patient but leave it out of the operative report"},{"(...TRUNCATED) | "A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chai(...TRUNCATED) | ["## Step 1: Evaluate the ethical responsibilities\nThe resident has an ethical obligation to act in(...TRUNCATED) | ["B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B"(...TRUNCATED) | [false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,fal(...TRUNCATED) |
step1 | "A 67-year-old man with transitional cell carcinoma of the bladder comes to the physician because of(...TRUNCATED) | E | Cross-linking of DNA | [{"key":"A","value":"Inhibition of thymidine synthesis"},{"key":"B","value":"Inhibition of proteasom(...TRUNCATED) | "A 67-year-old man with transitional cell carcinoma of the bladder comes to the physician because of(...TRUNCATED) | ["## Step 1: Identify the drug responsible for the symptoms\nIn a patient undergoing chemotherapy fo(...TRUNCATED) | ["D","D","D","E","E","E","D","D","E","E","E","E","D","E","E","E","E","E","E","E","E","E","D","E","D"(...TRUNCATED) | [false,false,false,true,true,true,false,false,true,true,true,true,false,true,true,true,true,true,tru(...TRUNCATED) |
step2&3 | "Two weeks after undergoing an emergency cardiac catherization with stenting for unstable angina pec(...TRUNCATED) | C | Cholesterol embolization | [{"key":"A","value":"Renal papillary necrosis"},{"key":"B","value":"Allergic interstitial nephritis"(...TRUNCATED) | "Two weeks after undergoing an emergency cardiac catherization with stenting for unstable angina pec(...TRUNCATED) | ["## Step 1: Assess the patient's symptoms and background\nThe patient presents with decreased urina(...TRUNCATED) | ["C","C","C","C","C","C","C","C","\\text{C. Cholesterol embolization}","C","C","C","\\text{C}","C","(...TRUNCATED) | [true,true,true,true,true,true,true,true,false,true,true,true,false,true,true,true,true,true,true,tr(...TRUNCATED) |
step1 | "A 39-year-old woman is brought to the emergency department because of fevers, chills, and left lowe(...TRUNCATED) | D | Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar | [{"key":"A","value":"Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methi(...TRUNCATED) | "A 39-year-old woman is brought to the emergency department because of fevers, chills, and left lowe(...TRUNCATED) | ["## Step 1: Analyze clinical presentation\nThe patient exhibits signs of severe infection with the (...TRUNCATED) | ["B","B","B","B","B","B","D","B","B","D","B","B","B","B","B","B","D","B","B","B","A","B","B","B","B"(...TRUNCATED) | [false,false,false,false,false,false,true,false,false,true,false,false,false,false,false,false,true,(...TRUNCATED) |
step2&3 | "A 35-year-old man comes to the physician because of itchy, watery eyes for the past week. He has al(...TRUNCATED) | B | Ketotifen eye drops | [{"key":"A","value":"Erythromycin ointment"},{"key":"B","value":"Ketotifen eye drops"},{"key":"C","v(...TRUNCATED) | "A 35-year-old man comes to the physician because of itchy, watery eyes for the past week. He has al(...TRUNCATED) | ["## Step 1: Identify the condition\nThe patient presents with itchy, watery eyes and sneezing, cons(...TRUNCATED) | ["B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B"(...TRUNCATED) | [true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true(...TRUNCATED) |
step2&3 | "A 39-year-old man presents to the emergency department because of progressively worsening chest pai(...TRUNCATED) | E | Reassurance and continuous monitoring | [{"key":"A","value":"Diltiazem"},{"key":"B","value":"Labetalol"},{"key":"C","value":"Nitroglycerin"}(...TRUNCATED) | "A 39-year-old man presents to the emergency department because of progressively worsening chest pai(...TRUNCATED) | ["## Step 1: Assess the clinical situation\nThis patient presents with chest pain, nausea, diaphores(...TRUNCATED) | ["C","B","C","C","C","C","B","B","C","C","C","C","B","B","C","B","C","C","B","C","C","B","B","C","C"(...TRUNCATED) | [false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,fal(...TRUNCATED) |
step1 | "A 68-year-old male comes to the physician for evaluation of right flank pain. He has a history of d(...TRUNCATED) | D | Common iliac artery aneurysm | [{"key":"A","value":"Renal artery stenosis"},{"key":"B","value":"Benign prostatic hyperplasia"},{"ke(...TRUNCATED) | "A 68-year-old male comes to the physician for evaluation of right flank pain. He has a history of d(...TRUNCATED) | ["## Step 1: Evaluate Symptoms\nThe patient's presentation includes right flank pain, abdominal tend(...TRUNCATED) | ["B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","B","\\text{B}","B","B","B"(...TRUNCATED) | [false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,false,fal(...TRUNCATED) |
step2&3 | "A 65-year-old man is brought to the emergency department 30 minutes after the onset of acute chest (...TRUNCATED) | C | Clopidogrel | [{"key":"A","value":"Nifedipine"},{"key":"B","value":"Enoxaparin"},{"key":"C","value":"Clopidogrel"}(...TRUNCATED) | "A 65-year-old man is brought to the emergency department 30 minutes after the onset of acute chest (...TRUNCATED) | ["## Step 1: Determine the type of ACS\nThis patient presents with ST-segment depression and elevate(...TRUNCATED) | ["C","C","C","C","C","C","C","C","C","C","C","C","C","\\text{C}","C","C","C","C","C","C","C","C","C"(...TRUNCATED) | [true,true,true,true,true,true,true,true,true,true,true,true,true,false,true,true,true,true,true,tru(...TRUNCATED) |
step2&3 | "A 37-year-old-woman presents to her primary care physician requesting a new form of birth control. (...TRUNCATED) | C | Active or recurrent pelvic inflammatory disease (PID) | [{"key":"A","value":"A history of stroke or venous thromboembolism"},{"key":"B","value":"Current tob(...TRUNCATED) | "A 37-year-old-woman presents to her primary care physician requesting a new form of birth control. (...TRUNCATED) | ["## Step 1: Identify contraindications for copper IUD\nCopper IUD placement has specific contraindi(...TRUNCATED) | ["C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C","C"(...TRUNCATED) | [true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true(...TRUNCATED) |
step1 | "A 23-year-old woman comes to the physician because she is embarrassed about the appearance of her n(...TRUNCATED) | A | Silvery plaques on extensor surfaces | [{"key":"A","value":"Silvery plaques on extensor surfaces"},{"key":"B","value":"Flesh-colored papule(...TRUNCATED) | "A 23-year-old woman comes to the physician because she is embarrassed about the appearance of her n(...TRUNCATED) | ["In a 23-year-old woman concerned about her nail appearance, the history and age suggest a possibil(...TRUNCATED) | ["A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A","A"(...TRUNCATED) | [true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true,true(...TRUNCATED) |
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