diff --git "a/it/test_it_ordered.csv" "b/it/test_it_ordered.csv"
new file mode 100644--- /dev/null
+++ "b/it/test_it_ordered.csv"
@@ -0,0 +1,126 @@
+id,text,labels
+190_94,"[['QUESTION', 'TYPE:', 'PEDIATRIA'], ['CLINICAL', 'CASE:'], ['Un', 'bambino', 'di', '18', 'mesi,', 'con', 'un', 'programma', 'di', 'vaccinazioni', 'completo', 'fino', 'a', 'quel', 'momento,', 'ha', 'consultato', 'il', 'Pronto', 'Soccorso', 'per', 'un', 'gonfiore', 'al', 'ginocchio', 'destro', 'dopo', 'aver', 'giocato', 'al', 'parco,', 'senza', 'traumi', 'evidenti.'], [""Nell'anamnesi"", 'diretta,', 'la', 'madre', 'riferisce', 'che', 'un', 'suo', 'zio', 'ha', 'avuto', 'problemi', 'simili.'], [""L'esame"", 'ecografico', 'era', 'compatibile', 'con', ""un'emartrosi"", 'e', ""l'analisi"", 'mostrava', 'solo', 'un', 'allungamento', ""dell'APTT"", 'di', ""52''"", '(normale', ""25-35'').""], ['Qual', 'è', ""l'ipotesi"", 'diagnostica', 'più', 'probabile?'], ['1-', 'Sindrome', 'di', 'Marfan.'], ['2-', 'Malattia', 'di', 'Von-Willebrand.'], ['3-', 'Malattia', 'di', 'Ehlers-Danlos.'], ['4-', 'Emofilia', 'A.'], ['5-', 'Malattia', 'di', 'Bernard-Soulier.'], ['RISPOSTA', 'CORRETTA:', '4'], ['Anche', 'se', 'altri', 'disturbi', 'emorragici', 'possono', 'presentare', 'un', 'tempo', 'di', 'tromboplastina', 'prolungato,', 'in', 'base', ""all'intensità"", 'della', 'lesione,', 'al', 'sesso', 'e', ""all'anamnesi"", 'familiare', 'del', 'bambino,', 'la', 'diagnosi', 'più', 'probabile', 'è', 'quella', 'di', 'emofilia.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+150_201,"[['QUESTION', 'TYPE:', 'PSICHIATRIA'], ['CLINICAL', 'CASE:'], ['Siamo', 'stati', 'consultati', 'da', 'una', 'donna', 'di', '84', 'anni,', 'a', 'causa', ""dell'insonnia"", 'dovuta', ""all'equilibrio"", 'tra', 'lavoro', 'e', 'vita', 'privata.'], ['Dopo', 'il', 'fallimento', 'delle', 'misure', 'di', 'igiene', 'del', 'sonno,', 'si', 'è', 'deciso', 'di', 'iniziare', 'un', 'trattamento', 'farmacologico.'], ['Quale', 'dei', 'seguenti', 'farmaci', 'sceglierebbe', 'per', 'il', 'paziente?'], ['1-', 'Diacepam.'], ['2-', 'Lormetacepam.'], ['3-', 'Fenobarbital.'], ['4-', 'Clordiazepossido.'], ['5-', 'Cloracepato.'], ['RISPOSTA', 'CORRETTA:', '2'], ['Sapendo', 'che', 'abbiamo', 'adottato', 'misure', 'di', 'igiene', 'del', 'sonno,', 'abbiamo', 'esplorato', 'le', 'cause', 'del', 'suo', 'mancato', 'sonno,', 'e', 'che', 'non', 'dorme', 'nove', 'ore', 'e', 'vuole', 'ancora', 'dormire', 'di', 'più,...', 'allora', 'la', 'risposta', 'meno', 'dannosa', 'è', 'la', '2'], ['Perché?'], ['Perché', 'ha', ""l'emivita"", 'più', 'breve', 'e', 'non', 'si', 'vuole', 'che', 'la', 'signora', 'cada', 'il', 'giorno', 'dopo.']]","[['B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O'], ['O', 'O'], ['O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+454_153,"[['QUESTION', 'TYPE:', 'NEUROLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '65', 'anni', 'si', 'consulta', 'per', 'una', 'debolezza', 'alla', 'mano', 'destra', 'che', 'in', 'pochi', 'mesi', 'si', 'è', 'estesa', 'ad', 'altri', 'territori', 'muscolari', 'di', 'entrambe', 'le', 'braccia', 'e', 'le', 'gambe,', 'prevalentemente', 'distali.'], [""All'esame"", 'sono', 'presenti', 'atrofia', 'e', 'fascicolazioni', 'in', 'diversi', 'territori', 'metamerici', 'con', 'sensibilità', 'conservata.'], ['In', 'presenza', 'di', 'un', 'segno', 'di', 'Babinski', 'bilaterale,', 'qual', 'è', ""l'esame"", 'diagnostico', 'che', 'confermerebbe', 'il', 'sospetto', 'diagnostico?'], ['1-', 'TC', 'cerebrale.'], ['2-', 'Studio', 'elettromiografico.'], ['3-', 'Risonanza', 'magnetica', 'cerebrale.'], ['4-', 'Potenziali', 'evocati', 'multimodali.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['La', 'risposta', 'è', '2,', 'un', 'EMG,', 'che', 'sarebbe', ""l'esame"", 'diagnostico', 'per', 'confermare', 'il', 'sospetto', 'di', 'SLA.', 'Gli', 'esami', 'di', 'imaging', 'come', 'la', 'TAC,', 'ma', 'soprattutto', 'la', 'risonanza', 'magnetica,', 'ci', 'aiuterebbero', 'a', 'escluderla,', 'ma', 'non', 'a', 'confermare', 'la', 'diagnosi.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+541_5,,
+602_112,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '61', 'anni,', 'amministrativa,', 'con', ""un'anamnesi"", 'di', 'sovrappeso,', 'ipertensione,', 'dislipidemia', 'e', 'sindrome', 'metabolica,', 'ha', 'consultato', 'per', 'un', 'dolore', 'a', 'entrambi', 'i', 'glutei,', 'alla', 'regione', 'trocanterica', 'sinistra,', 'alla', 'faccia', 'laterale', 'della', 'coscia', 'sinistra', 'fino', 'al', 'ginocchio', 'e', 'alla', 'gamba', 'sinistra', 'fino', 'al', 'terzo', 'medio.'], ['Il', 'dolore', 'si', 'manifesta', 'quando', ""l'arto"", 'inferiore', 'viene', 'sollevato', 'con', 'il', 'ginocchio', 'esteso,', 'ma', 'si', 'allevia', 'piegando', 'il', 'ginocchio.'], ['Qual', 'è', 'il', 'primo', 'sospetto', 'clinico?'], ['1-', 'Artrite', 'gottosa', ""dell'anca"", 'sinistra.'], ['2-', 'Artrosi', 'coxofemorale', 'sinistra.'], ['3-', 'Dolore', 'lombare', 'irradiato', '/', 'lombosciatalgia.'], ['4-', 'Claudicatio', 'dovuta', 'a', 'stenosi', 'canalare.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['In', 'questo', 'caso,', 'quando', 'si', 'parla', 'di', 'ricomparsa', 'dei', 'sintomi', 'quando', 'si', 'solleva', ""l'arto"", 'inferiore', 'con', 'il', 'ginocchio', 'esteso,', 'si', 'sta', 'descrivendo', 'la', 'Manovra', 'di', 'Lasègue.'], ['Questa', 'manovra', 'è', 'positiva', 'nei', 'casi', 'di', 'lombosciatalgia,', 'in', 'quanto', 'provoca', 'uno', 'stiramento', 'del', 'nervo', 'sciatico,', 'pertanto', 'la', 'risposta', 'corretta', 'è', 'la', 'numero', '3'], ['Le', 'altre', 'patologie', 'non', 'presentano', 'una', 'manovra', 'di', 'Lasègue', 'positiva,', 'quindi', 'queste', 'opzioni', 'non', 'sarebbero', 'corrette.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+127_77,"[['QUESTION', 'TYPE:', 'NEUROLOGIA', 'E', 'NEUROCHIRURGIA'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'diabetico', 'di', '32', 'anni', 'in', 'trattamento', 'con', 'insulina', 'e', 'con', 'un', 'buon', 'controllo', 'dei', 'livelli', 'di', 'glucosio', 'nel', 'sangue', 'si', 'è', 'presentato', 'in', 'clinica', 'con', 'formicolii', 'a', 'entrambe', 'le', 'mani,', 'con', 'una', 'sensazione', 'di', 'intorpidimento', 'e', 'insensibilità', 'termica', 'che', 'si', 'è', 'sviluppata', 'progressivamente', 'nel', 'corso', 'di', '2', 'settimane.'], ['Non', 'riferisce', 'disturbi', 'visivi,', 'deficit', 'di', 'forza,', 'goffaggine', 'motoria', 'o', 'altri', 'sintomi.'], [""All'esame"", 'ha', 'riscontrato', 'anestesia', 'per', 'il', 'dolore', 'e', 'la', 'temperatura', 'in', 'entrambe', 'le', 'mani', 'e', 'negli', 'avambracci', 'distali;', 'la', 'sensibilità', 'posizionale', 'e', 'vibratoria', 'erano', 'conservate.'], ['Nessuna', 'atrofia', 'muscolare', 'o', 'deficit', 'di', 'forza.'], ['I', 'riflessi', 'muscolari', 'sono', 'normali', 'e', 'simmetrici.'], ['Nessuna', 'dismetria,', 'disdiadochinesia', 'o', 'tremore', 'intenzionale.'], ['Il', 'resto', ""dell'esame"", 'neurologico', 'è', 'strettamente', 'normale.'], ['Indicare', 'la', 'diagnosi', 'più', 'probabile', 'in', 'questo', 'caso:'], ['1-', 'Neuropatia', 'periferica', 'sensitivo-simmetrica', 'distale', 'di', 'origine', 'diabetica.'], ['2-', 'Lesione', 'da', 'compressione', 'del', 'midollo', 'spinale', 'cervicale.'], ['3-', 'Sindrome', 'del', 'tunnel', 'carpale', 'bilaterale.'], ['4-', 'Malattia', 'demielinizzante', 'di', 'tipo', 'sclerosi', 'multipla.'], ['5-', 'Lesione', 'del', 'midollo', 'spinale', 'cervicale', 'centrale.'], ['RISPOSTA', 'CORRETTA:', '5'], ['La', 'domanda', 'stronza', 'della', 'sezione', 'Neurologia', 'di', ""quest'anno.""], ['Presenta', 'un', 'paziente', 'diabetico', 'in', 'trattamento', 'insulinico', 'con', 'un', 'buon', 'controllo', '(anche', 'se', 'le', 'neuropatie', 'diabetiche', 'non', 'si', 'sviluppano', 'solo', 'in', 'pazienti', 'con', 'scarso', 'controllo)', 'con', 'sintomi', 'sensoriali', 'limitati', 'agli', 'arti', 'superiori', 'e', 'di', 'breve', 'insorgenza,', 'senza', 'sintomi', 'motori', 'o', 'a', 'qualsiasi', 'altro', 'livello.'], [""All'esame"", 'si', 'nota', 'una', 'chiara', 'dissociazione', 'con', 'anestesia', 'termoalgesica', 'e', 'conservazione', ""dell'anestesia"", 'artrocinetica', 'e', 'vibratoria.'], ['I', 'riflessi', 'sono', 'normali,', 'né', 'aboliti', 'né', 'esagerati.'], ['E', 'il', 'resto', ""dell'esplorazione"", 'è', 'strettamente', 'normale.'], ['Pertanto,', 'ritengo', 'che', 'la', 'risposta', 'corretta', 'sia', 'la', '5,', 'cioè', 'una', 'lesione', 'siringomielica,', 'la', 'cui', 'caratteristica', 'iniziale', 'è', 'la', 'dissociazione', 'sensoriale', 'con', 'anestesia', 'per', 'termoalgesia', 'e', 'conservazione', 'delle', 'corde', 'posteriori.'], ['La', 'SM', 'e', 'altre', 'lesioni', 'spinali', 'sarebbero', 'accompagnate', 'da', 'altri', 'segni', 'esplorativi', 'come', ""l'esaltazione"", 'dei', 'riflessi,', 'per', 'il', 'tunnel', 'carpale', ""l'esplorazione"", 'supera', 'il', 'territorio', 'distale', 'al', 'carpo,', 'e', 'per', 'quanto', 'riguarda', 'la', 'risposta', '1,', 'sebbene', 'esistano', 'forme', 'di', 'polineuropatia', 'periferica', 'pseudosiringomielica,', 'esse', 'sono', 'di', 'solito', 'ad', 'esordio', 'lombare.'], ['Il', 'tempo', 'di', 'evoluzione', 'molto', 'breve', '(2', 'settimane),', 'il', 'rispetto', 'degli', 'arti', 'inferiori', 'e', 'la', 'conservazione', 'dei', 'riflessi', 'muscolari', 'mi', 'fanno', 'escludere', 'questa', 'risposta', 'nonostante', 'la', 'distribuzione', 'a', 'guanto.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+43_151,"[['QUESTION', 'TYPE:', 'PEDIATRIA'], ['CLINICAL', 'CASE:'], ['Bambina', 'di', '10', 'anni', 'che', 'si', 'presenta', 'per', 'un', 'controllo', 'sanitario.'], [""L'esame"", 'fisico', 'era', 'normale,', 'con', 'peso', 'e', 'altezza', 'nel', '50°', 'percentile', 'e', 'pressione', 'arteriosa', 'di', '109/65.'], ['Un', 'esame', 'delle', 'urine', 'di', 'routine', 'mostra', 'un', 'peso', 'specifico', 'di', '1035', 'pH6', 'sangue', '2+', 'senza', 'proteine.'], ['Il', 'sedimento', 'urinario', 'mostra', '5-10', 'globuli', 'rossi', 'per', 'campo.'], ['Quale', 'sarebbe', 'la', 'linea', ""d'azione"", 'più', 'appropriata?'], ['1-', 'Determinare', 'la', 'creatinina', 'e', ""l'azoto"", 'nel', 'sangue.'], ['2-', 'Sottoporre', 'la', 'ragazza', 'a', 'cistoscopia.'], ['3-', 'Determinare', 'gli', 'anticorpi', 'antinucleari', 'e', 'il', 'complemento.'], ['4-', 'Ripetere', 'il', 'sedimento', 'urinario', 'tra', '15', 'giorni.'], ['5-', 'Eseguire', 'una', 'TAC', 'addominale.'], ['RISPOSTA', 'CORRETTA:', '4'], ['La', 'risposta', 'corretta', 'è', '4'], ['Quello', 'che', 'non', 'mi', 'è', 'molto', 'chiaro', 'è', 'esami', 'delle', 'urine', 'di', 'routine,', 'perché', 'di', 'solito', 'non', 'vengono', 'fatti', 'in', 'un', 'bambino', 'sano', 'e', 'asintomatico.'], ['La', 'microematuria', 'senza', 'sintomi', 'associati', 'può', 'essere', 'un', 'reperto', 'senza', 'significato', 'patologico', 'e', 'deve', 'essere', 'confermata', 'in', 'un', 'nuovo', 'sedimento', 'in', 'un', 'momento', 'successivo', '(anche', 'se', 'non', 'so', 'se', 'dopo', '15', 'giorni', 'o', 'più', 'tardi).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+616_119,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Donna', 'di', '13', 'anni,', 'senza', 'precedenti', 'rilevanti,', 'con', 'menarca', 'da', '3', 'mesi,', 'seguita', ""dall'età"", 'di', '10', 'anni', 'per', 'una', 'scoliosi', 'idiopatica', 'che', 'è', 'peggiorata.'], [""L'esame"", 'fisico', 'ha', 'evidenziato', 'un', 'gibbo', 'di', '7', 'gradi', 'nel', 'test', 'di', 'Adams', 'e', 'nello', 'scoliogramma', 'una', 'curva', 'toracolombare', 'T4-L1', 'di', '35', 'gradi', 'di', 'Cobb', 'e', 'una', 'curva', 'di', 'Risser', 'di', '0', 'gradi.'], [""L'atteggiamento"", 'giusto', 'da', 'assumere', 'sarà:'], ['1-', 'Raccomandare', 'il', 'nuoto', 'e', 'rivederlo', 'tra', 'tre', 'mesi.'], ['2-', 'Prescrivere', ""un'ortesi"", 'di', 'tipo', 'tutore.'], ['3-', 'Rivolgersi', 'alla', 'fisioterapia', 'per', ""l'elasticizzazione"", 'della', 'colonna', 'vertebrale.'], ['4-', 'Revisione', 'tra', '6', 'mesi', 'con', 'una', 'nuova', 'radiografia.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['Ortesi.'], ['Angolo', 'di', 'Cobb', 'compreso', 'tra', '25º', 'e', '45º.'], ['Scheletro', 'immaturo', '(Risser', '0).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'B-Premise', 'I-Premise']]"
+489_105,"[['QUESTION', 'TYPE:', 'EMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Paziente', 'di', '67', 'anni', 'che', 'negli', 'ultimi', '6', 'mesi,', 'in', 'due', 'analisi', 'di', 'routine,', 'ha', 'presentato', 'una', 'linfocitosi', 'progressiva.'], ['In', ""quest'ultimo,"", 'emoglobina', '15,4', 'g/dl;', 'leucociti', '18,5', 'x103/μL', 'con', ""l'82%"", 'di', 'linfociti', 'maturi', 'che', 'esprimono', 'antigeni', 'CD5/CD19/CD23', 'mediante', 'citometria', 'a', 'flusso', 'e', 'piastrine', '240', 'x103/μL.'], ['Quale', 'atteggiamento', 'pensate', 'sia', 'giusto?'], ['1-', 'Studio', 'delle', 'mutazioni', 'di', 'TP53', 'per', 'stabilire', 'la', 'prognosi.'], ['2-', 'Aspirato', 'osseo/biopsia', 'per', 'confermare', 'la', 'diagnosi.'], ['3-', 'PET/CT', 'per', 'stabilire', ""l'approccio"", 'terapeutico.'], ['4-', 'Nuovo', 'controllo', 'clinico', 'e', 'analitico', 'in', '6', 'mesi.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '4'], ['Il', 'paziente', 'ha', 'già', 'ricevuto', 'una', 'diagnosi', 'di', 'leucemia', 'linfocitica', 'cronica', 'B', '(B-CLLL),', 'presenta', 'una', 'linfocitosi', 'presente', 'da', 'più', 'di', '3', 'mesi', 'e', 'un', 'fenotipo', 'compatibile', 'con', 'essa', 'mediante', 'citometria', 'a', 'flusso.'], ['Pertanto,', 'dobbiamo', 'prima', 'conoscere', 'i', 'fattori', 'di', 'rischio', 'che', 'indicheranno', 'la', 'priorità', 'con', 'cui', 'dovrà', 'essere', 'iniziato', 'il', 'trattamento,', ""l'intensità"", 'di', 'questi', 'fattori', 'e', 'la', 'prognosi,', 'da', 'cui', 'dipende', 'la', 'presenza', 'di', 'mutazioni', 'TP53', 'o', 'delezioni', '17p.'], [""L'aspirato"", 'midollare', 'o', 'la', 'biopsia', 'sono', 'indicati', 'solo', 'se', 'ci', 'sono', 'altre', 'citopenie', 'di', 'accompagnamento', 'che', 'non', 'sono', 'giustificate', 'dalla', 'B-CLL', 'stessa,', 'la', 'PET-CT', 'è', 'indicata', 'solo', 'se', 'si', 'sospetta', 'la', 'sindrome', 'di', 'Ritcher', 'e', 'non', 'ci', 'sono', 'dati', 'sufficienti', 'per', 'sospettarla,', 'non', 'ci', 'sono', 'sintomi', 'B,', 'né', 'si', 'parla', 'di', 'LDH', 'elevato.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
+534_119,"[['QUESTION', 'TYPE:', 'REUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'paziente', 'di', '45', 'anni', 'con', 'anamnesi', 'di', 'reflusso', 'gastro-esofageo', 'presenta', 'da', 'un', 'anno', 'episodi', 'di', 'pallore', 'in', 'alcune', 'dita', ""all'esposizione"", 'al', 'freddo.'], ['Recentemente', 'gli', 'era', 'stato', 'prescritto', 'il', 'prednisone', 'alla', 'dose', 'di', '20', 'mg/die', 'per', 'i', 'dolori', 'articolari', 'e', ""l'indurimento"", 'della', 'pelle', 'delle', 'mani', 'e', 'delle', 'braccia.'], ['Si', 'sentiva', 'male', 'da', '48', 'ore', 'e', 'aveva', 'un', 'forte', 'mal', 'di', 'testa,', 'per', 'il', 'quale', 'si', 'era', 'recata', 'al', 'pronto', 'soccorso.'], [""L'esame"", 'ha', 'rivelato', 'solo', 'una', 'tachicardia', 'ritmica', 'a', '100', 'bpm,', 'senza', 'alcuna', 'focalità', 'neurologica.'], ['La', 'pressione', 'arteriosa', 'è', 'di', '200/110', 'mmHg.'], [""L'esame"", 'del', 'sangue', 'ha', 'mostrato', 'solo', 'un', 'livello', 'di', 'creatinina', 'di', '2,5', 'mg/dl.'], ['Indicare', 'quale', 'dei', 'seguenti', 'autoanticorpi', 'si', 'riferisce', 'meglio', 'al', 'processo', 'descritto:'], ['1-', 'Anticorpi', 'anti-RNA', 'polimerasi', 'III.'], ['2-', 'Anticorpi', 'anti-centromero.'], ['3-', 'Anticorpi', 'anti-proteinasi', '3'], ['4-', 'Anticorpi', 'anti-PM-Scl.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '1'], ['Si', 'tratta', 'di', 'un', 'chiaro', 'caso', 'clinico', 'di', 'sclerosi', 'sistemica', '(Raynaud,', 'coinvolgimento', 'esofageo,', 'indurimento', 'cutaneo)', 'che', 'si', 'presenta', 'con', 'una', 'crisi', 'renale.'], ['Oltre', 'agli', 'anticorpi', 'anti-proteinasi', '3,', 'che', 'non', 'sono', 'associati', 'alla', 'sclerodermia', '(risposta', 'errata', '3),', 'i', 'più', 'probabili', 'sono', 'gli', 'anticorpi', 'anti-RNA', 'polimerasi', 'III,', 'che', 'compaiono', 'nei', 'pazienti', 'più', 'giovani', 'con', 'crisi', 'renali.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+273_71,"[['QUESTION', 'TYPE:', 'APPARATO', 'DIGERENTE'], ['CLINICAL', 'CASE:'], ['Un', 'giovane', 'di', '18', 'anni', 'con', ""un'anamnesi"", 'di', 'asma,', 'allergia', 'ai', 'pollini,', 'agli', 'acari', 'e', 'al', 'pelo', 'di', 'gatto,', 'si', 'è', 'presentato', 'al', 'pronto', 'soccorso', 'lamentando', 'una', 'sensazione', 'di', 'impattamento', 'alimentare', 'retrosternale', 'con', 'pratica', 'incapacità', 'di', 'deglutire', 'la', 'propria', 'saliva.'], ['Riferisce', 'di', 'episodi', 'simili', 'in', 'altre', 'occasioni', 'che', 'si', 'sono', 'attenuati', 'spontaneamente', 'nel', 'giro', 'di', 'pochi', 'minuti.'], ['Quale', 'delle', 'seguenti', 'è', 'la', 'diagnosi', 'più', 'probabile?'], ['1-', 'Esofago', 'di', 'Barrett.'], ['2-', 'Anello', 'esofageo', 'distale', '(Schatzki).'], ['3-', 'Esofagite', 'infettiva.'], ['4-', 'Esofagite', 'eosinofila.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '4'], ['Si', 'tratta', 'di', 'disfagia', 'intermittente.'], [""L'esofago"", 'di', 'Barrett', 'non', 'implica', 'necessariamente', 'una', 'stenosi', 'peptica,', 'ma', 'se', 'lo', 'è,', 'è', 'progressivo.'], [""L'esofagite"", 'infettiva', 'è', 'più', 'comune', 'nei', 'pazienti', 'immunocompromessi.'], ['Rimangono', ""l'anello"", 'esofageo', 'distale', 'e', ""l'esofagite"", 'eosinofila;', 'entrambi', 'sono', 'possibili,', 'ma', ""l'insistenza"", 'sul', 'carico', 'atopico', 'del', 'paziente', 'indica', 'la', 'probabilità', 'della', 'seconda', 'ipotesi.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+56_76,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIA'], ['CLINICAL', 'CASE:'], ['Ragazza', 'di', '14', 'anni', 'che', 'si', 'consulta', 'per', 'una', 'diminuzione', 'della', 'crescita', 'da', '2-3', 'anni', 'prima', 'normale', '(fornisce', 'i', 'dati)', 'e', 'che', 'le', 'altre', 'ragazze', 'della', 'sua', 'età', 'hanno', 'un', 'maggiore', 'sviluppo', 'fisico', 'e', 'sessuale.'], ['Ultimamente', 'ha', 'avuto', 'mal', 'di', 'testa', 'e', 'problemi', 'visivi', 'che', 'ha', 'notato', 'in', 'classe', 'e', 'durante', 'lo', 'studio.'], ['Non', 'ha', 'avuto', 'menarca', 'o', 'polidipsia', 'o', 'poliuria.'], ['Genitori', 'con', 'dimensioni', 'normali.'], ['Esame:', 'bassa', 'statura', 'a', '-2,1', 'deviazioni', 'standard,', 'proporzioni', 'corporee', 'normali,', 'pochi', 'peli', 'pubici', 'e', 'sviluppo', 'del', 'seno.'], ['La', 'campimetria', 'mostra', ""un'emianopsia"", 'parziale', 'temporale', 'sinistra.'], ['Età', 'ossea:', 'ritardata', 'di', '2', 'anni.'], ['Emocromo', 'normale.'], ['Basse', 'gonadotropine', '(FSH', 'e', 'LH)', 'ed', 'estradiolo.'], ['Quale', 'pensate', 'sia', 'la', 'risposta', 'più', 'appropriata?'], ['1-', 'La', 'diminuzione', 'della', 'crescita', 'e', 'dello', 'sviluppo', 'sessuale,', 'il', 'ritardo', ""dell'età"", 'ossea,', 'la', 'cefalea', 'e', 'i', 'disturbi', 'visivi', 'suggeriscono', 'un', 'deficit', 'ormonale', 'e', 'il', 'coinvolgimento', 'del', 'chiasma', 'ottico.'], ['2-', 'Essendo', 'una', 'ragazza', 'in', 'età', 'puberale,', 'è', 'molto', 'probabile', 'che', 'la', 'crescita', 'stentata', 'e', 'il', 'ritardo', 'sessuale', 'siano', 'dovuti', 'alla', 'sindrome', 'di', 'Turner.'], ['3-', 'Non', 'deve', 'avere', 'un', 'tumore', 'ipotalamico', 'per', ""l'assenza"", 'di', 'poliuria', 'e', 'polidipsia.', 'Probabilmente', 'ha', 'un', 'ritardo', 'costituzionale', 'e', 'il', 'suo', 'problema', 'visivo', 'è', 'un', 'problema', 'di', 'rifrazione.'], ['4-', 'Una', 'carenza', 'di', 'ormone', 'della', 'crescita', 'può', 'spiegare', 'il', 'ritardo', 'nello', 'sviluppo', 'e', 'il', 'basso', 'livello', 'di', 'estradiolo.', 'Valutare', 'se', 'ha', 'bisogno', 'di', 'occhiali,', 'a', 'causa', 'di', 'cefalee', 'e', 'disturbi', 'visivi.'], ['5-', 'Potrebbe', 'avere', 'un', 'craniofaringioma,', 'ma', 'sarebbe', 'strano', 'se', 'non', 'avesse', 'manifestato', 'sintomi', 'in', 'precedenza.', 'Inoltre,', 'non', 'giustificherebbe', 'le', 'gonadotropine', 'basse', 'e', ""l'estradiolo"", 'basso.'], ['RISPOSTA', 'CORRETTA:', '1'], ['La', 'risposta', '2', 'è', 'falsa', '(sindrome', 'di', 'Turner:', 'estradiolo', 'basso', 'e', 'gonadotropine', 'elevate),', 'i', 'tumori', 'cerebrali', 'che', 'colpiscono', ""l'ipotalamo-ipofisi"", 'non', 'danno', 'gonadotropine', 'basse', '(5', 'falso)', 'e', 'sembra', 'ovvio', 'che', 'i', 'difetti', 'di', 'rifrazione', 'non', 'diano', 'emianopsia', '(3', 'e', '4', 'falso).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 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+409_191,"[['QUESTION', 'TYPE:', 'CURA', 'PRIMARIA'], ['CLINICAL', 'CASE:'], ['Si', 'reca', 'a', 'casa', 'di', 'un', 'paziente', 'oncologico', 'il', 'cui', 'dolore', 'non', 'è', 'stato', 'ben', 'controllato', 'negli', 'ultimi', 'tempi.'], [""All'esame"", 'fisico', 'non', 'sembra', 'esserci', 'alcuna', 'evidenza', 'di', 'progressione', 'del', 'tumore', 'e', 'non', 'sono', 'stati', 'rilevati', 'reperti', 'di', 'interesse', 'precedentemente', 'noti.'], [""Nell'anamnesi,"", ""l'assistente"", 'principale', 'dichiara', 'che', 'il', 'paziente', 'ha', 'dolore', '8', 'ore', 'dopo', 'aver', 'ricevuto', 'la', 'dose', 'basale', 'di', 'morfina', 'prescritta', 'ogni', '12', 'ore.'], ['Questa', 'situazione', 'clinica', 'viene', 'definita:'], ['1-', 'Tolleranza'], ['2-', 'Iperalgesia'], ['3-', 'Dipendenza'], ['4-', 'Inefficacia'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '1'], ['La', 'risposta', 'corretta', 'è', '1'], [""L'affermazione"", 'definisce', 'perfettamente', 'un', 'fenomeno', 'di', 'tolleranza,', 'in', 'cui', 'il', 'paziente', 'si', 'è', 'abituato', 'alla', 'dose', 'e', 'ne', 'ha', 'bisogno', 'di', 'una', 'maggiore', 'per', 'avere', 'lo', 'stesso', 'effetto', 'analgesico.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+179_98,"[['QUESTION', 'TYPE:', 'EMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '33', 'anni', 'si', 'consulta', 'per', 'ripetute', 'epistassi,', 'petecchie', 'ed', 'ecchimosi.'], ['Gli', 'esami', 'di', 'laboratorio', 'mostrano', 'una', 'trombocitopenia', 'con', 'una', 'conta', 'piastrinica', 'di', '4000', 'piastrine/microlitro.'], ['La', 'diagnosi', 'presuntiva', 'iniziale', 'è', 'di', 'porpora', 'trombocitopenica', 'cronica', '(ITP).'], ['Quale', 'delle', 'seguenti', 'affermazioni', 'è', 'FALSA', 'per', 'quanto', 'riguarda', 'la', 'diagnosi', 'di', 'ITP?'], ['1-', 'La', 'presenza', 'di', 'linfoadenopatia', 'o', 'splenomegalia', ""all'esame"", 'fisico', 'suggerisce', 'una', 'diagnosi', 'diversa', ""dall'ITP.""], ['2-', ""L'analisi"", 'del', 'midollo', 'osseo', 'mostra', 'una', 'diminuzione', 'del', 'numero', 'di', 'megacariociti', 'senza', 'altre', 'alterazioni.'], ['3-', ""L'emocromo"", 'completo', 'mostra', 'una', 'trombocitopenia', 'isolata', 'con', 'piastrine', 'spesso', 'grandi,', 'senza', 'anemia', 'a', 'meno', 'che', 'non', 'vi', 'sia', ""un'emorragia"", 'importante', 'o', ""un'emolisi"", 'autoimmune', 'associata', '(sindrome', 'di', 'Evans).'], ['4-', 'La', 'diagnosi', 'di', 'ITP', 'viene', 'stabilita', 'escludendo', 'altri', 'processi', 'che', 'causano', 'trombocitopenia.'], ['5-', 'La', 'determinazione', 'degli', 'anticorpi', 'antiplacca', 'non', 'è', 'accurata', 'per', 'stabilire', 'la', 'diagnosi.'], ['RISPOSTA', 'CORRETTA:', '2'], ['In', 'caso', 'di', 'trombocitopenia', 'isolata,', ""l'esame"", 'fisico', 'non', 'deve', 'essere', 'trascurato;', 'la', 'presenza', 'di', 'linfoadenopatia,', 'ad', 'esempio,', 'ci', 'obbliga', 'a', 'escludere', 'la', 'presenza', 'di', 'un', 'linfoma.'], ['1', 'è', 'corretto.'], ['Una', 'biopsia-aspirato', 'del', 'midollo', 'osseo', 'mostra', 'che', 'il', 'numero', 'di', 'megacariociti', 'è', 'normale', 'o', 'addirittura', 'aumentato,', 'la', 'colpa', 'non', 'è', 'del', 'midollo', 'ma', 'del', 'sangue', 'periferico,', 'dove', 'le', 'piastrine', 'vengono', 'distrutte.'], ['Quindi...'], ['La', 'risposta', 'errata', 'è', 'la', '2']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+353_161,"[['QUESTION', 'TYPE:', 'GINECOLOGIA', 'E', 'OSTETRICIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '27', 'anni', 'si', 'è', 'rivolta', 'al', 'reparto', 'di', 'ginecologia', 'per', 'una', 'valutazione,', 'riferendo', 'dispareunia', 'da', '8', 'mesi,', 'insieme', 'a', 'dischezia', 'e', 'rettorragia', 'occasionale', 'in', 'coincidenza', 'con', 'le', 'mestruazioni', 'da', '3-4', 'mesi.'], ['Da', 'anni', 'riferisce', 'anche', 'dismenorrea,', 'ben', 'controllata', 'con', 'ibuprofene.'], ['Ha', 'cercato', 'di', 'rimanere', 'incinta', 'per', 'circa', '16', 'mesi', 'senza', 'successo.'], [""All'esame"", 'ginecologico', 'si', 'nota', 'solo', 'dolore', 'alla', 'pressione', 'sul', 'fornice', 'vaginale', 'posteriore.'], ['Quale', 'esame', 'pensa', 'che', 'le', 'consentirebbe', 'di', 'raggiungere', 'una', 'diagnosi', 'di', 'certezza', 'della', 'sua', 'patologia?'], ['1-', 'Ecografia', 'transvaginale.'], ['2-', 'Laparoscopia', 'diagnostica.'], ['3-', 'Risonanza', 'magnetica.'], ['4-', 'Colonoscopia.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['Laparoscopia', 'diagnostica.'], ['Si', 'tratta', 'di', 'un', 'caso', 'tipico', 'di', 'endometriosi', 'profonda,', 'con', 'impianti', 'in', 'diverse', 'parti', 'della', 'pelvi.'], ['La', 'diagnosi', 'definitiva', 'sarà', 'fatta', ""dall'anatomia"", 'patologica,', 'quindi', 'per', 'questo', 'dobbiamo', 'fare', 'una', 'laparoscopia', 'e', 'inviarla', 'alla', 'PA.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+438_119,"[['QUESTION', 'TYPE:', 'EPIDEMIOLOGIA', 'E', 'MEDICINA', 'PREVENTIVA'], ['CLINICAL', 'CASE:'], ['Veterinaria', 'di', '38', 'anni,', 'responsabile', 'del', 'monitoraggio', 'degli', 'animali', 'selvatici', 'e', ""dell'assistenza"", 'alla', 'consegna', 'del', 'bestiame', 'domestico.'], ['Inizia', 'con', 'febbre', 'alta', 'con', 'brividi,', 'cefalea,', 'mialgia', 'e', 'tosse', 'non', 'produttiva,', 'che', 'interpreta', 'come', 'una', 'malattia', 'influenzale.'], ['Ha', 'presentato', 'un', 'dolore', 'al', 'petto.'], ['La', 'radiografia', 'del', 'torace', 'mostra', 'infiltrati', 'polmonari', 'bilaterali', 'nei', 'campi', 'inferiori.'], ['Viene', 'eseguito', 'un', 'test', 'sierologico', 'con', 'titoli', 'elevati', 'di', 'anticorpi', 'contro', 'gli', 'antigeni', 'di', 'fase', 'II.'], ['Quale', 'delle', 'seguenti', 'affermazioni', 'è', 'VERA?'], ['1-', 'La', 'modalità', 'di', 'trasmissione', 'di', 'questa', 'malattia', 'è', 'rappresentata', 'dalle', 'zecche.'], ['2-', 'Sia', 'la', 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+579_108,"[['QUESTION', 'TYPE:', 'NEUROLOGIA'], ['CLINICAL', 'CASE:'], ['Uomo', 'di', '49', 'anni', 'ricoverato', 'in', 'terapia', 'intensiva', 'per', 'lesioni', 'cerebrali', 'traumatiche', 'in', 'seguito', 'a', 'un', 'incidente', 'sul', 'lavoro.'], [""All'esame"", 'fisico,', 'non', 'apre', 'gli', 'occhi,', 'non', 'emette', 'suoni', 'prima', ""dell'intubazione"", 'e', 'mostra', ""un'estensione"", 'degli', 'arti', 'allo', 'stimolo', 'nocicettivo.'], ['Viene', 'posizionato', 'un', 'sensore', 'di', 'pressione', 'intracranica', 'e', 'deve', 'essere', 'eseguita', 'una', 'craniotomia', 'decompressiva', 'per', ""l'emorragia"", 'intraparenchimale.'], ['Quale', 'delle', 'seguenti', 'affermazioni', 'è', 'corretta?'], ['1-', ""All'arrivo"", 'è', 'in', 'coma', 'con', 'scala', 'di', 'Glasgow', 'pari', 'a', '7'], ['2-', 'La', 'pressione', 'di', 'perfusione', 'cerebrale', 'è', 'la', 'pressione', 'arteriosa', 'media', 'più', 'la', 'pressione', 'intracranica.'], ['3-', ""L'edema"", 'cerebrale', 'vasogenico', 'è', 'causato', 'da', 'edema', 'cellulare,', 'rottura', 'della', 'membrana', 'e', 'morte', 'cellulare.'], ['4-', 'Il', 'flusso', 'vascolare', 'cerebrale', 'aumenta', 'con', ""l'ipercapnia"", 'e', ""l'acidosi.""], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '4'], [""L'ipercapnia"", 'e', ""l'acidosi"", 'provocano', 'una', 'vasodilatazione', 'che', 'porta', 'a', 'un', 'aumento', 'del', 'flusso', 'sanguigno', 'cerebrale.'], ['Secondo', ""l'esame"", 'descritto,', 'il', 'punteggio', 'di', 'Glasgow', 'è', '4', '(O1V1M2).'], ['La', 'pressione', 'di', 'perfusione', 'cerebrale', 'è', 'la', 'pressione', 'arteriosa', 'media', 'meno', 'la', 'pressione', 'intracranica.'], [""L'edema"", 'cerebrale,', 'in', 'cui', ""l'edema"", 'cellulare', 'è', 'causato', ""dall'introduzione"", 'di', 'liquido', 'extracellulare', 'nel', 'compartimento', 'intracellulare,', 'è', 'citotossico.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+212_88,"[['QUESTION', 'TYPE:', 'CHIRURGIA', 'GENERALE'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '45', 'anni', 'è', 'stato', 'sottoposto', 'a', 'vagotomia', 'troncale', 'e', 'antrectomia', 'con', 'ricostruzione', 'Billroth', 'II', 'per', 'malattia', 'cronica', 'da', 'ulcera', 'peptica', 'con', 'stenosi', 'piloro-duodenale.'], ['Sei', 'settimane', 'dopo', ""l'intervento,"", 'ha', 'riferito', 'che', 'poco', 'dopo', ""l'ingestione"", '(meno', 'di', ""mezz'ora)"", 'ha', 'accusato', 'nausea,', 'astenia', 'e', 'sudorazione,', 'vertigini', 'e', 'crampi', 'addominali', 'generalmente', 'accompagnati', 'da', 'scariche', 'diarroiche.'], ['Quale', 'dei', 'seguenti', 'è', ""l'atteggiamento"", 'più', 'appropriato', 'per', 'la', 'gestione', 'iniziale?'], ['1-', 'Trattamento', 'con', 'un', 'inibitore', 'della', 'somatostatina', '(octreotide).'], ['2-', 'Seguire', 'misure', 'dietetiche', 'specifiche.'], ['3-', 'Effettuare', 'un', 'trattamento', 'di', 'prova', 'con', 'una', 'benzodiazepina.'], ['4-', 'Ricerca', 'di', 'un', 'probabile', 'tumore', 'neuroendocrino', '(ad', 'es.', 'carcinoide).'], ['5-', 'Indicare', 'il', 'trattamento', 'chirurgico', 'per', 'eseguire', 'una', 'gastrogiunostomia', 'Roux-en-Y', 'antiperistaltica.'], ['RISPOSTA', 'CORRETTA:', '2'], ['Le', 'risposte', '1,', '2', 'e', '5', 'sono', 'trattamenti', 'appropriati', 'per', 'la', 'sindrome', 'da', 'dumping', 'o', 'per', 'la', 'postgastrectomia,', 'ma', 'la', 'domanda', 'è', 'focalizzata', 'sulla', 'gestione', 'iniziale,', 'quindi', 'la', 'risposta', 'più', 'appropriata', 'sembra', 'essere', 'la', '2']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+507_89,"[['QUESTION', 'TYPE:', 'PSICHIATRIA'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '46', 'anni', 'con', 'disturbo', 'bipolare', 'viene', 'portato', 'al', 'pronto', 'soccorso', 'dopo', ""un'overdose"", 'di', 'carbonato', 'di', 'litio.'], [""L'esame"", 'rivela', 'tremore', 'intenso,', 'atassia,', 'disartria,', 'mioclono', 'e', 'fascicolazioni.'], ['La', 'litemia', 'è', 'di', '4,1', 'mEq/L', '(tossicità', '>', '1,6', 'mEq/L).'], ['Quale', 'delle', 'seguenti', 'opzioni', 'terapeutiche', 'sarebbe', 'più', 'appropriata?'], ['1-', 'Aminofillina', 'associata', 'a', 'un', 'catartico.'], ['2-', 'Carbone', 'attivo.'], ['3-', 'Emodialisi.'], ['4-', 'Diuresi', 'forzata.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Attenzione', 'al', 'litio.'], ['Sono', 'state', 'osservate', 'intossicazioni', 'con', 'una', 'normale', 'litiemia.'], ['Non', 'è', 'raro,', 'soprattutto', 'in', 'termini', 'di', 'interazioni.'], ['Un', 'farmaco', 'molto', 'efficace', 'se', 'si', 'fa', 'prevenzione.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+552_89,"[['QUESTION', 'TYPE:', 'DERMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'bambina', 'di', '4', 'anni', 'si', 'presenta', 'con', 'febbre', 'alta', 'da', '6', 'giorni.'], [""L'esame"", 'clinico', 'ha', 'rivelato', ""un'eruzione"", 'maculopapulare', 'eritematosa', 'sul', 'tronco', 'e', ""sull'area"", 'genitale,', 'con', 'tendenza', 'alla', 'confluenza,', 'senza', 'diventare', 'scarlattiniforme;', 'iniezione', 'congiuntivale', 'senza', 'scarico', 'e', 'labbra', 'rosse', 'con', 'lingua', 'a', 'lampone.'], ['Erano', 'inoltre', 'presenti', 'eritema', 'con', 'edema', 'alle', 'mani', 'e', 'ai', 'piedi', 'e', 'una', 'linfoadenopatia', 'cervicale', 'unilaterale', 'di', '2', 'cm', 'di', 'diametro.'], ['La', 'diagnosi', 'clinica', 'più', 'probabile', 'è', 'quella', 'di', 'sospetto:'], ['1-', 'Malattia', 'di', 'Kawasaki.'], ['2-', 'Morbillo.'], ['3-', 'Rosolia.'], ['4-', 'Scarlattina.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '1'], ['Indubbiamente,', 'non', 'soddisfano', 'i', 'criteri', 'diagnostici', 'della', 'malattia', 'di', 'Kawasaki', '(febbre', 'di', 'diversi', 'giorni,', 'eruzione', 'cutanea,', 'iniezione', 'congiuntivale,', 'labbra', 'rosse,', 'lingua', 'a', 'lampone,', 'edema', 'delle', 'parti', 'acrali', 'e', 'adenopatia).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
+598_181,"[['QUESTION', 'TYPE:', 'REUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '67', 'anni', 'si', 'è', 'presentato', 'con', '3', 'mesi', 'di', 'astenia', 'e', 'febbre,', 'a', 'cui', 'si', 'è', 'aggiunta', ""nell'ultimo"", 'mese', ""l'ostruzione"", 'nasale', 'con', 'emissione', 'di', 'muco', 'con', 'alcuni', 'coaguli.'], ['Negli', 'ultimi', 'giorni', 'ha', 'notato', 'dolore', ""all'occhio"", 'destro', 'e', 'asimmetria', 'rispetto', ""all'occhio"", 'controlaterale.'], [""L'esame"", 'fisico', 'ha', 'rivelato', 'una', 'proptosi', 'del', 'bulbo', 'oculare', 'destro', 'e', ""l'ispezione"", 'delle', 'narici', 'ha', 'evidenziato', 'una', 'mucosa', 'eritematosa', 'con', 'croste', 'sierologiche.'], ['Il', 'resto', ""dell'esame"", 'è', 'normale.'], ['Gli', 'esami', 'del', 'sangue', '(emogramma,', 'funzionalità', 'renale', 'ed', 'epatica)', 'sono', 'normali,', 'ad', 'eccezione', 'di', 'una', 'VES', 'di', '65', 'mm/h;', 'le', 'analisi', 'delle', 'urine', 'mostrano', 'microematuria', 'e', 'proteinuria', 'di', '520', 'mg/24h.'], ['Qual', 'è', 'la', 'diagnosi', 'iniziale', 'più', 'probabile?'], ['1-', 'Granulomatosi', 'eosinofila', 'con', 'poliangioite.'], ['2-', 'Poliangioite', 'microscopica.'], ['3-', 'Granulomatosi', 'con', 'poliangioite.'], ['4-', 'Poliarterite', 'nudosa.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Il', 'paziente', 'presenta', 'una', 'granulomatosi', 'con', 'poliangioite,', 'precedentemente', 'nota', 'come', 'granulomatosi', 'di', 'Wegener.'], ['Nel', 'caso', 'clinico', 'si', 'parla', 'di', ""un'affezione"", 'otorinolaringoiatrica', 'presente', 'nel', '92%', 'dei', 'pazienti.'], ['A', 'livello', 'polmonare,', 'ha', 'detto', 'di', 'aver', 'presentato', 'muco', 'con', 'alcuni', 'coaguli;', 'questo', 'tipo', 'di', 'affezione', 'è', 'presente', ""nell'85%"", 'dei', 'pazienti.'], ['Inoltre,', 'alla', 'fine', 'del', 'caso,', ""l'analisi"", 'delle', 'urine', 'ha', 'mostrato', 'una', 'glomerulonefrite,', 'presente', 'nel', '77%', 'dei', 'pazienti.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+133_168,"[['QUESTION', 'TYPE:', 'OFTALMOLOGIA'], ['CLINICAL', 'CASE:'], ['Donna', 'di', '75', 'anni', 'a', 'cui', '3', 'anni', 'fa', 'è', 'stata', 'diagnosticata', 'una', 'drusen', 'morbida', 'nel', 'fundus.'], ['Nelle', 'ultime', 'due', 'settimane', 'ha', 'riferito', 'metamorfopsia', 'e', 'una', 'significativa', 'perdita', 'visiva', ""all'occhio"", 'destro,', 'che', 'gli', 'impedisce', 'di', 'leggere.'], ['Indicare', 'la', 'diagnosi', 'più', 'probabile:'], ['1-', 'Membrana', 'epiretinica', 'maculare.'], ['2-', 'Foro', 'maculare.'], ['3-', 'Trombosi', 'della', 'vena', 'retinica', 'centrale.'], ['4-', 'Degenerazione', 'maculare', 'legata', ""all'età.""], ['5-', 'Corioretinopatia', 'sierosa', 'centrale.'], ['RISPOSTA', 'CORRETTA:', '4'], ['Delle', 'cinque', 'opzioni,', 'quattro', 'potrebbero', 'essere', 'compatibili', 'con', 'la', 'clinica', 'a', 'cui', 'si', 'fa', 'riferimento.'], ['Inizialmente', 'potevamo', 'escludere', 'la', 'corioretinopatia', 'sierosa', 'centrale', 'perché', 'per', 'definizione', 'si', 'manifesta', 'in', 'persone', 'giovani', '(fino', 'a', 'circa', '55', 'anni).'], ['La', 'chiave', 'per', 'differenziare', 'gli', 'altri', 'quattro', 'è', 'che', 'il', 'paziente', 'presentava', 'drusen', 'morbide', 'nel', 'fundus.'], ['Sebbene', 'non', 'si', 'tratti', 'di', 'una', 'diagnosi', '(la', 'domanda', 'avrebbe', 'potuto', 'essere', 'formulata', 'meglio),', 'si', 'tratta', 'di', 'un', 'risultato', 'relativo', 'alla', 'degenerazione', 'maculare', 'legata', ""all'età,"", 'o', 'degenerazione', 'maculare', 'senile.'], ['La', 'forma', 'secca', 'o', 'atrofica', 'si', 'presenta', 'con', 'una', 'perdita', 'visiva', 'lentamente', 'progressiva.'], ['La', 'forma', 'umida', 'o', 'essudativa,', 'invece,', 'produce', 'una', 'grave', 'perdita', 'visiva', 'acuta', 'o', 'rapidamente', 'progressiva', '(solitamente', 'dovuta', 'a', ""un'emorragia"", 'sottoretinica', 'accompagnata', 'da', 'metamorfopsia', '(distorsione', ""dell'immagine"", 'dovuta', 'al', 'sollevamento', 'della', 'retina).'], ['Una', 'membrana', 'epiretinica', 'ha', 'di', 'solito', 'un', 'decorso', 'più', 'lento.'], ['In', 'un', 'foro', 'maculare,', 'la', 'perdita', 'visiva', 'è', 'più', 'rilevante', '(può', 'essere', 'segnalata', 'anche', 'la', 'metamorfopsia,', 'ma', 'è', 'meno', 'probabile', 'nella', 'fase', 'acuta).'], ['Nella', 'trombosi', 'della', 'vena', 'retinica', 'centrale,', 'la', 'perdita', 'visiva', 'è', 'più', 'importante', 'e', 'di', 'solito', 'non', 'spiega', 'la', 'metamorfopsia', '(ma', 'può', 'verificarsi', 'a', 'causa', ""dell'edema"", 'maculare).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+186_67,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'paziente', 'di', '56', 'anni', 'si', 'è', 'presentata', 'per', 'un', 'dolore', 'alla', 'colonna', 'vertebrale', 'dorso-lombare', 'e', 'una', 'progressiva', 'difficoltà', 'a', 'svolgere', 'le', 'normali', 'attività.'], ['Negli', 'ultimi', '5', 'anni', 'è', 'aumentato', 'di', 'peso,', 'presenta', 'facilmente', 'ecchimosi', 'ed', 'è', 'stata', 'rilevata', ""un'elevata"", 'pressione', 'sanguigna.'], ['Esame', 'fisico:', 'obesità', 'prevalentemente', 'centrale,', 'viso', 'arrotondato,', 'aumento', 'del', 'grasso', 'sopraclaveare,', 'diminuzione', 'della', 'forza', 'muscolare', 'prossimale', 'e', 'alcune', 'striature', 'rossastre', ""sull'addome.""], ['La', 'glicemia', 'è', 'di', '136', 'mg/dL', 'e', 'lo', 'studio', 'radiologico', 'ha', 'evidenziato', 'osteoporosi', 'e', 'schiacciamento', 'vertebrale.'], ['Quale', 'le', 'sembra', ""l'interpretazione"", 'e', ""l'atteggiamento"", 'più', 'coerente?'], ['1-', 'Osteoporosi', 'post-menopausale,', 'diabete', 'mellito', 'di', 'tipo', '2', 'e', 'ipertensione', 'essenziale,', 'con', 'diminuzione', 'della', 'forza', 'dovuta', 'alla', 'polineuropatia', 'diabetica.'], ['2-', 'La', 'malattia', 'di', 'Cushing', 'deve', 'essere', 'esclusa', 'mediante', 'un', 'test', 'di', 'soppressione', 'del', 'desametasone', 'e', 'una', 'TAC', 'cranica.'], ['3-', 'Suggerisce', 'il', 'morbo', 'di', 'Cushing.'], ['Determinare', 'il', 'cortisolo', 'libero', 'urinario', 'e', ""l'ACTH"", 'basale,', 'che', 'serve', 'a', 'guidare', ""l'eziologia"", 'e', 'a', 'selezionare', 'la', 'tecnica', 'di', 'imaging', 'più', 'appropriata.'], ['4-', 'Sembra', 'un', 'Cushing.'], ['Se', ""l'ACTH"", 'basale', 'è', 'elevato,', 'può', 'essere', 'dovuto', ""all'uso"", 'di', 'corticosteroidi', 'o', 'a', 'un', 'tumore', 'surrenalico;', 'è', 'necessario', 'eseguire', 'una', 'risonanza', 'magnetica.'], ['5-', 'Probabilmente', 'ha', 'la', 'Cushing.'], ['Se', ""l'ACTH"", 'basale', 'è', 'basso,', 'è', 'probabile', 'che', 'si', 'tratti', 'di', 'un', 'microadenoma', 'ipofisario', 'e', 'che', 'sia', 'necessario', 'eseguire', 'una', 'TAC', 'cranica.'], ['RISPOSTA', 'CORRETTA:', '3'], ['Una', 'domanda', 'un', ""po'"", 'contorta', 'sulla', 'diagnosi', 'della', 'sindrome', 'di', 'Cushing,', 'ma', 'facile', 'se', 'si', 'hanno', 'chiari', 'i', 'passaggi.'], ['Siamo', 'tutti', ""d'accordo"", 'che', 'il', 'paziente', 'sembra', 'avere', 'la', 'S.', 'Cushing', '(abbiamo', 'escluso', 'la', '1).'], ['Per', 'la', 'diagnosi', 'è', 'necessario', 'misurare', 'il', 'cortisolo', 'libero', 'urinario,', 'eseguire', 'un', 'test', 'di', 'soppressione', 'con', 'desametasone', 'o', 'misurare', 'il', 'cortisolo', 'salivare', 'notturno.'], ['Se', ""l'ipercortisolismo"", 'è', 'confermato,', 'occorre', 'ricercarne', ""l'origine;"", 'la', 'misurazione', ""dell'ACTH"", 'indica', ""l'origine:"", 'soppressa', ""nell'ipercortisolismo"", 'di', 'origine', 'surrenalica', 'o', 'da', 'uso', 'prolungato', 'di', 'corticosteroidi', 'ed', 'elevata', 'o', 'normale', 'se', ""l'origine"", 'è', 'ipofisaria', 'o', 'dovuta', 'a', 'secrezione', 'ectopica', 'di', 'ACTH.'], ['(Pertanto,', '4', 'e', '5', 'sono', 'falsi).'], ['Se', ""l'ACTH"", 'è', 'basso,', 'è', 'necessario', 'eseguire', 'una', 'TAC', ""dell'addome"", 'per', 'individuare', ""l'origine.""], ['Se', ""l'ACTH"", 'è', 'normale', 'o', 'elevato,', 'è', 'necessario', 'eseguire', 'una', 'RMN', 'ipofisaria', '(gli', 'adenomi', 'ipofisari', 'responsabili', 'della', 'sindrome', 'di', 'Cushing', 'sono', 'molto', 'piccoli', 'e', 'la', 'TC', 'ipofisaria', 'è', 'meno', 'sensibile', 'della', 'RMN).'], ['È', 'molto', 'importante', 'fare', 'ordine', 'per', 'arrivare', 'a', 'una', 'diagnosi', 'corretta:', '1°:', 'confermare', ""l'ipercortisolismo"", 'o', 'la', 's.'], ['Cushing,', '2°:', 'misurare', ""l'ACTH"", 'per', 'guidare', ""l'eziologia.""], ['3°:', 'test', 'di', 'imaging', 'in', 'base', 'ai', 'livelli', 'di', 'ACTH.'], ['Pertanto,', 'la', 'risposta', '2', 'è', 'falsa', '(la', 'TC', 'addominale', 'non', 'è', 'un', 'esame', 'per', 'escludere', 'la', 'malattia', 'di', 'Cushing);', 'un', 'esame', 'di', 'diagnostica', 'per', 'immagini', 'deve', 'essere', 'eseguito', 'solo', 'dopo', 'che', 'è', 'stata', 'fatta', 'una', 'chiara', 'diagnosi', 'di', 'ipercortisolismo.'], ['Pertanto,', 'quello', 'reale', 'è', '3']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+7_208,"[['QUESTION', 'TYPE:', 'DIGESTIVO'], ['CLINICAL', 'CASE:'], ['Durante', 'una', 'colonscopia,', 'viene', 'rilevato', 'un', 'tumore', 'di', '5', 'cm', 'nel', 'colon', 'destro', 'di', 'un', 'uomo', 'di', '48', 'anni.'], ['Non', 'sono', 'state', 'riscontrate', 'altre', 'lesioni.'], ['Anche', 'la', 'nonna', 'materna', 'ha', 'sofferto', 'di', 'cancro', 'al', 'colon.'], ['Le', 'biopsie', 'sono', 'superficiali', 'e', 'mostrano', 'un', 'tumore', 'scarsamente', 'differenziato', 'con', 'abbondanti', 'cellule', 'infiammatorie', 'nello', 'stroma,', 'che', 'viene', 'diagnosticato', 'come', 'carcinoma', 'midollare.'], ['1-', 'La', 'chemioterapia', 'è', 'il', 'trattamento', 'di', 'scelta.'], ['2-', 'Poiché', 'la', 'biopsia', 'è', 'superficiale,', 'deve', 'essere', 'ripetuta', 'prima', 'di', 'procedere', 'al', 'trattamento.'], ['3-', 'La', 'prognosi', 'del', 'tumore', 'dipende', 'principalmente', 'dal', 'suo', 'alto', 'grado', 'di', 'anaplasia.'], ['4-', 'È', 'improbabile', 'che', 'questo', 'tumore', 'si', 'sia', 'sviluppato', 'su', 'un', 'precedente', 'adenoma.'], ['5-', 'Occorre', 'studiare', ""l'instabilità"", 'dei', 'microsatelliti', 'e', 'i', 'geni', 'di', 'riparazione', 'degli', 'errori', 'del', 'DNA.'], ['RISPOSTA', 'CORRETTA:', '5'], ['Domanda', 'complicata', 'su', 'un', 'adenocarcinoma', 'insolito.'], ['Per', 'escludere', 'che', '1', 'sia', 'facile', 'da', 'rimuovere,', 'il', 'cancro', 'del', 'colon', 'viene', 'trattato', 'chirurgicamente', '(con', 'un', 'trattamento', 'neoadiuvante', 'per', 'il', 'cancro', 'del', 'retto).'], ['Se', 'le', 'biopsie', 'confermano', ""l'adenocarcinoma,"", 'non', 'è', 'necessario', 'ripeterle,', 'perché', 'è', 'necessario', 'avere', 'il', 'campione', 'completo.'], ['La', 'maggior', 'parte', 'dei', 'tumori', 'del', 'colon', 'si', 'sviluppa', 'su', 'adenomi,', 'quindi', 'potremmo', 'eliminare', 'questo.'], ['Tra', 'gli', 'altri', '2,', 'è', 'importante', 'sapere', 'che', 'il', '5', 'è', 'corretto,', 'poiché', 'quasi', 'sempre', 'presentano', 'instabilità', 'microsatellitare', 'anche', 'senza', 'soddisfare', 'i', 'criteri', 'di', 'Amsterdam', 'e', 'hanno', 'una', 'prognosi', 'migliore', 'rispetto', 'agli', 'altri', 'tumori', 'del', 'colon', 'scarsamente', 'differenziati.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+152_72,"[['QUESTION', 'TYPE:', 'REUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'iperuricemico', 'che', 'assume', 'abitualmente', '100', 'mg', 'di', 'allopurinolo', 'al', 'giorno', 'arriva', 'al', 'pronto', 'soccorso', 'con', 'dolore', 'acuto', 'e', 'segni', 'infiammatori', 'al', 'ginocchio', 'destro.'], ['Si', 'esegue', ""un'artrocentesi"", 'e', 'si', 'osservano', 'cristalli', 'intracellulari', 'con', 'birifrangenza', 'negativa', 'al', 'microscopio', 'a', 'luce', 'polarizzata.'], ['Quale', 'dei', 'seguenti', 'approcci', 'terapeutici', 'è', 'il', 'più', 'appropriato', 'in', 'questo', 'caso?'], ['1-', 'Interrompere', ""l'allopurinolo"", 'e', 'iniziare', 'il', 'trattamento', 'con', 'colchicina.'], ['2-', 'Interrompere', ""l'allopurinolo"", 'e', 'iniziare', 'i', 'FANS.'], ['3-', 'Aggiungere', 'un', 'FANS', 'finché', 'la', 'crisi', 'non', 'si', 'attenua.'], ['4-', 'Aumentare', 'la', 'dose', 'di', 'allopurinolo', 'a', '300', 'mg/die.'], ['5-', 'Sostituire', ""all'allopurinolo"", 'un', 'uricosurico.'], ['RISPOSTA', 'CORRETTA:', '3'], [""Nell'artrite"", 'gottosa', 'acuta', '(confermata', 'dalla', 'presenza', 'di', 'cristalli', 'intracellulari', 'con', 'birifrangenza', 'negativa)', 'in', 'un', 'paziente', 'iperuricemico', 'precedentemente', 'trattato', 'con', 'allopurinolo,', 'è', 'necessario', 'aggiungere', 'un', 'FANS', 'fino', 'alla', 'scomparsa', 'della', 'crisi.'], ['In', 'questo', 'periodo', 'non', 'si', 'deve', 'modificare', 'il', 'trattamento', 'ipouricemizzante', 'perché', 'altera', 'la', 'catena', 'metabolica', ""dell'acido"", 'urico', 'e', 'può', 'peggiorare', 'la', 'situazione.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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+458_126,"[['QUESTION', 'TYPE:', 'OTORINOLARINGOIATRIA', 'E', 'CHIRURGIA', 'MAXILLO-FACCIALE'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '47', 'anni,', 'con', ""un'anamnesi"", 'di', 'adenoma', 'pleomorfo', 'parotideo', 'destro,', 'trattato', 'con', 'un', 'intervento', 'chirurgico', '(parotidectomia', 'extrafacciale)', '6', 'mesi', 'fa,', 'si', 'è', 'rivolto', 'alla', 'nostra', 'clinica', 'per', 'un', 'dolore', 'durante', 'la', 'masticazione', 'con', 'sudorazione', 'e', 'arrossamento', 'della', 'pelle', 'nella', 'regione', 'preauricolare.'], ['Quale', 'sarebbe', 'il', 'trattamento', 'di', 'scelta?'], ['1-', 'Parotidectomia', 'totale', 'estesa', 'per', 'sospetta', 'recidiva', 'del', 'tumore.'], ['2-', 'Pregabalin.'], ['3-', 'Iniezione', 'intradermica', 'di', 'tossina', 'botulinica.'], ['4-', 'Terapia', 'antibiotica', 'ad', 'ampio', 'spettro.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Chiedono', 'della', 'sindrome', 'auricolotemporale', 'o', 'della', 'sindrome', 'di', 'Frey.'], ['È', ""l'espressione"", 'clinica', 'di', 'una', 'neuropatia', 'vegetativa', 'causata', 'da', 'una', 'lesione', 'meccanica', 'o', 'irritativa', 'delle', 'fibre', 'vegetative', 'del', 'nervo', 'auricolotemporale', 'nella', 'sua', 'via', 'infratemporale.'], ['Nel', 'nostro', 'ambiente,', 'la', 'causa', 'più', 'frequente', 'è', 'la', 'chirurgia', 'della', 'ghiandola', 'spaccata,', 'con', 'una', 'percentuale', 'di', 'occorrenza', 'compresa', 'tra', 'il', '10', 'e', ""l'80%.""], ['Il', 'trattamento', 'conservativo', 'con', 'tossina', 'botulinica', 'offre', 'buoni', 'risultati.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+123_223,"[['QUESTION', 'TYPE:', 'MICROBIOLOGIA'], ['CLINICAL', 'CASE:'], ['Incinta,', '27', 'anni,', '30', 'settimane', 'di', 'gestazione.'], ['Ieri', 'si', 'è', 'recata', 'al', 'pronto', 'soccorso', 'dopo', 'aver', 'avvertito', 'dolore', 'nella', 'regione', 'lombare', 'sinistra', 'e', 'disuria.'], ['Nessuna', 'sensazione', 'di', 'febbre.'], ['Si', 'riferisce', 'a', 'ripetute', 'infezioni', 'del', 'tratto', 'urinario', '(UTI).'], ['Le', 'analisi', 'delle', 'urine', 'mostrano', 'Hb', '3+,', 'leucociti', '3+,', 'nitriti', '2+,', 'Sedimento:', '15-20', 'leucociti', 'per', 'campo', 'e', '5-10', 'globuli', 'rossi', 'per', 'campo.'], ['Quale', 'dei', 'seguenti', 'microrganismi', 'è', 'la', 'causa', 'più', 'frequente', 'nelle', 'donne', 'in', 'gravidanza?'], ['1-', 'Escherichia', 'coli.'], ['2-', 'Enterococcus', 'faecalis.'], ['3-', 'Streptococcus', 'agalactiae.'], ['4-', 'Proteus', 'mirabilis.'], ['5-', 'Satphylococcus', 'saprophyticus.'], ['RISPOSTA', 'CORRETTA:', '1'], ['La', 'risposta', 'corretta', 'è', 'la', 'prima.'], ['La', 'causa', 'più', 'comune', 'di', 'infezioni', 'del', 'tratto', 'urinario', 'è', ""l'Escherichia"", 'coli', 'e', 'anche', 'nelle', 'donne', 'in', 'gravidanza.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+522_165,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIA'], ['CLINICAL', 'CASE:'], ['Donna', 'di', '66', 'anni', 'a', 'cui', 'è', 'stato', 'diagnosticato', 'il', 'diabete', 'mellito', 'di', 'tipo', '2', 'tre', 'mesi', 'fa.'], ['Ha', 'un', 'IMC', 'di', '31', 'kg/m2', 'e', 'un', 'controllo', 'glicemico', 'insufficiente', 'nonostante', 'un', 'programma', 'di', 'misure', 'non', 'farmacologiche', '(dieta', 'sana,', 'esercizio', 'fisico).'], ['Quale', 'dei', 'seguenti', 'farmaci', 'ipoglicemizzanti', 'è', 'associato', ""all'aumento"", 'di', 'peso', 'e', 'dovrebbe', 'essere', 'evitato', 'in', 'questo', 'paziente?'], ['1-', 'Metformina', '(biguanide).'], ['2-', 'Pioglitazona', '(tiazolidindiona).'], ['3-', 'Canagliflozin', '(inibitore', 'del', 'cotrasportatore', '2', 'del', 'sodio-glucosio', '-', 'iSGLT2).'], ['4-', 'Liraglutide', '(agonista', 'del', 'recettore', 'GLP-1).'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['Una', 'domanda', 'un', ""po'"", 'più', 'complicata', 'della', 'precedente.'], ['In', 'termini', 'di', 'peso,', 'la', 'metformina,', 'in', 'misura', 'minore,', 'gli', 'inibitori', 'del', 'SGLT-2', 'e,', 'soprattutto,', 'gli', 'agonisti', 'del', 'GLP-1', 'sono', 'stati', 'associati', 'a', 'una', 'significativa', 'riduzione', 'del', 'peso', 'nei', 'pazienti', 'con', 'DM-2', '(risposte', '1,', '3', 'e', '4', 'errate).'], ['Al', 'contrario,', 'il', 'pioglitazone,', 'come', 'indicato', 'nella', 'sua', 'etichetta,', 'può', 'causare', 'un', 'aumento', 'di', 'peso', 'dose-dipendente,', 'dovuto', 'principalmente', ""all'accumulo"", 'di', 'grasso', 'e,', 'in', 'alcuni', 'casi,', 'anche', 'alla', 'ritenzione', 'idrica.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+209_185,"[['QUESTION', 'TYPE:', 'GINECOLOGIA', 'E', 'OSTETRICIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '32', 'anni', 'chiede', 'una', 'consulenza', 'preconcezionale.'], ['La', 'paziente', 'riferisce', 'di', 'essersi', 'sottoposta', 'a', 'conizzazione', 'cervicale', 'per', 'una', 'lesione', 'intraepiteliale', 'di', 'alto', 'grado', '(H-SIL)', 'e', 'di', 'aver', 'successivamente', 'avuto', 'tre', 'aborti', 'spontanei', 'tra', 'le', '20', 'e', 'le', '22', 'settimane', 'di', 'gestazione.'], ['Non', 'ha', 'figli', 'viventi.'], ['In', 'tutte', 'e', 'tre', 'le', 'occasioni', 'si', 'è', 'presentata', 'al', 'pronto', 'soccorso', 'con', 'una', 'sensazione', 'di', 'peso', ""nell'ipogastrio,"", 'dove', 'è', 'stata', 'trovata', 'dilatata', 'di', '8', 'cm', 'e', 'con', 'membrane', 'amniotiche', 'prominenti.'], ['Non', 'ho', 'mai', 'sentito', 'contrazioni', 'prima', ""d'ora,"", 'che', 'consiglio', 'le', 'darebbe', 'per', 'la', 'prossima', 'gravidanza?'], ['1-', 'Prescriverei', 'la', 'profilassi', 'con', 'atosiban', 'orale', 'per', 'tutta', 'la', 'gravidanza.'], ['2-', 'Proporrei', 'la', 'maturazione', 'polmonare', 'con', 'corticosteroidi', 'a', 'partire', 'dalla', '19-20', 'settimana', 'di', 'gestazione.'], ['3-', 'Consiglierei', 'un', 'cerchiaggio', 'cervicale', 'a', '14', 'settimane', 'di', 'gestazione.'], ['4-', 'Le', 'consiglierei', 'di', 'non', 'tentare', 'altre', 'gravidanze', 'a', 'causa', ""dell'elevato"", 'rischio', 'di', 'recidiva.'], ['5-', 'Consiglierei', 'di', 'ricorrere', 'a', 'tecniche', 'di', 'riproduzione', 'assistita.'], ['RISPOSTA', 'CORRETTA:', '3'], ['Questo', 'è', 'un', 'tipico', 'caso', 'di', 'incompetenza', 'cervicale', '(e', 'questa', 'paziente', 'ha', 'la', 'conizzazione', 'come', 'fattore', 'di', 'rischio).'], ['Questa', 'patologia', 'consiste', 'nella', 'dilatazione', 'del', 'collo', ""dell'utero"", 'in', 'assenza', 'di', 'contrazioni,', 'che', 'richiede', 'il', 'cerchiaggio', 'per', 'evitare', ""l'aborto"", 'o', 'il', 'travaglio', 'immaturo.'], ['Idealmente,', 'il', 'cerchiaggio', 'viene', 'eseguito', 'elettivamente,', 'su', 'base', 'programmata,', 'e', 'non', 'quando', 'la', 'paziente', 'arriva', 'al', 'Pronto', 'Soccorso', 'in', 'extemis', '(cosa', 'che', 'si', 'fa', 'anche,', 'ma', 'con', 'un', 'tasso', 'di', 'successo', 'inferiore...', 'idealmente,', 'dovrebbe', 'essere', 'eseguito', 'a', 'freddo).']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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+464_155,"[['QUESTION', 'TYPE:', 'CURE', 'CRITICHE', 'ED', 'EMERGENZE'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '58', 'anni,', 'tre', 'settimane', 'dopo', 'una', 'grave', 'distorsione', 'alla', 'caviglia,', 'ha', 'presentato', 'una', 'dispnea', 'a', 'riposo', 'rapidamente', 'progressiva,', 'vertigini', 'e', 'sincope.'], [""All'arrivo"", 'in', 'ospedale', 'presenta', 'ipotensione', '(pressione', 'sistolica', '80', 'mmHg,', 'diastolica', '40', 'mmHg)', 'e', 'scarsa', 'perfusione.'], ['Viene', 'intubato', 'e', 'collegato', 'alla', 'ventilazione', 'meccanica', 'e', 'viene', 'iniziata', 'la', 'somministrazione', 'di', 'noradrenalina.'], [""L'ecocardiogramma"", 'mostra', 'segni', 'di', 'ipertensione', 'polmonare.'], [""L'angio-TC"", 'mostra', 'difetti', 'multipli', 'di', 'replezione', 'che', 'occupano', 'entrambe', 'le', 'arterie', 'polmonari', 'principali.'], ['Quale', 'dei', 'seguenti', 'trattamenti', 'sarebbe', 'associato', 'al', 'più', 'rapido', 'miglioramento', 'emodinamico', 'in', 'questo', 'caso?'], ['1-', 'Infusione', 'endovenosa', 'di', 'eparina', 'sodica.'], ['2-', 'Tromboendartectomia.'], ['3-', 'Fibrinolisi', 'sistemica', 'con', 'rt-PA', '(alteplase)', '100', 'mg', 'per', 'via', 'endovenosa.'], ['4-', 'Filtro', 'per', 'la', 'vena', 'cava', 'inferiore.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Il', 'paziente', 'ha', 'presentato', 'una', 'tromboembolia', 'polmonare', 'che,', 'oltre', 'a', 'essere', 'bilaterale,', 'ha', 'causato', 'una', 'grave', 'compromissione', 'emodinamica,', 'shock', 'e', 'ha', 'richiesto', 'la', 'ventilazione', 'meccanica.'], ['Non', 'ci', 'risulta', 'che', 'ci', 'siano', 'controindicazioni', 'alla', 'fibrinolisi,', 'quindi', 'questa', 'sarebbe', ""l'opzione"", 'più', 'appropriata', 'per', 'la', 'sua', 'rapidità', 'di', 'somministrazione', 'e', 'di', 'azione.'], [""L'eparina"", 'sodica', 'è', 'riservata', 'ai', 'casi', 'in', 'cui', 'il', 'paziente', 'è', 'stabile.'], ['La', 'tromboendarterectomia', 'potrebbe', 'essere', 'eseguita', 'in', 'emergenza', 'in', 'centri', 'selezionati', '(non', 'disponibili', 'in', 'tutti)', 'in', 'pazienti', 'in', 'cui', 'la', 'fibrinolisi', 'sistemica', 'è', 'controindicata,', 'o', 'in', 'centri', 'in', 'cui', 'vi', 'è', 'una', 'comprovata', 'esperienza', 'con', 'questa', 'tecnica', 'e', 'può', 'essere', 'eseguita', 'rapidamente.'], ['Il', 'filtro', 'della', 'vena', 'cava', 'inferiore', 'è', 'un', 'trattamento', 'indicato', 'in', 'fase', 'acuta', 'nei', 'pazienti', 'stabili,', 'quando', ""l'anticoagulazione"", 'è', 'controindicata;', 'oppure', 'a', 'posteriori,', 'come', 'profilassi,', 'in', 'questo', 'gruppo', 'di', 'pazienti.'], ['Le', 'indicazioni', 'per', 'la', 'fibrinolisi', ""nell'ultimo"", 'documento', 'di', 'consenso', 'SEPAR', 'includono', 'pazienti', 'a', 'rischio', 'intermedio', '(che', 'potrebbero', 'beneficiare', 'della', 'fibrinolisi)', 'e', 'ad', 'alto', 'rischio.'], ['Essi', 'classificano', 'il', 'rischio', 'intermedio', 'come', 'PESI', '≥', '1', 'o', 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+216_121,"[['QUESTION', 'TYPE:', 'NEFROLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '38', 'anni', 'ha', 'consultato', 'per', 'dispnea', 'ed', 'emottisi.'], ['Gli', 'esami', 'del', 'sangue', 'mostrano', 'creatinina', '7', 'mg/dl,', 'urea', '250', 'mg/dl', 'e', 'un', 'alto', 'titolo', 'di', 'positività', 'per', 'gli', 'anticorpi', 'anti-GBM', '(membrana', 'basale', 'antiglomerulare).'], ['La', 'biopsia', 'renale', 'ha', 'evidenziato', 'crescite', 'nel', '75%', 'dei', 'glomeruli', 'e', ""l'immunofluorescenza"", 'ha', 'mostrato', 'un', 'modello', 'di', 'deposizione', 'lineare', 'di', 'Ig.'], ['Quale', 'delle', 'seguenti', 'è', 'la', 'risposta', 'corretta?'], ['1-', 'Si', 'tratta', 'di', 'una', 'nefropatia', 'da', 'IgA', 'con', 'insufficienza', 'renale', 'acuta.'], ['2-', 'Sarebbe', 'indicata', 'la', 'plasmaferesi.'], ['3-', 'Si', 'tratta', 'di', 'glomerulonefrite', 'membranosa.'], ['4-', 'Il', 'micofenolato', 'mofetile', 'è', 'il', 'trattamento', 'iniziale', 'di', 'scelta.'], 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'il', 'trattamento', 'iniziale', 'è', 'con', 'corticosteroidi', 'e', 'ciclofosfamide', 'associati', 'a', 'plasmaferesi;', 'anche', ""l'opzione"", '5', 'è', 'falsa,', 'poiché', 'il', 'danno', 'non', 'è', 'dovuto', 'agli', 'immunocomplessi', 'circolanti,', 'ma', 'agli', 'anticorpi', 'depositati', 'nella', 'membrana', 'basale', 'glomerulare.'], ['Rimane', ""l'opzione"", '2:', 'come', 'già', 'detto,', 'il', 'trattamento', 'sarebbe', 'una', 'combinazione', 'di', 'corticosteroidi,', 'ciclofosfamide', 'e', 'plasmaferesi.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+384_151,"[['QUESTION', 'TYPE:', 'PEDIATRIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'viene', 'in', 'ambulatorio', 'con', 'la', 'figlia', 'di', '3', 'anni', 'perché', 'le', 'è', 'stato', 'diagnosticato', 'un', 'leggero', 'sviluppo', 'del', 'seno', 'negli', 'ultimi', '3', 'mesi,', 'senza', 'assumere', 'alcun', 'farmaco', 'e', 'senza', 'alcuna', 'anamnesi', 'rilevante.'], ['In', 'effetti,', ""l'esame"", 'fisico', 'mostra', 'uno', 'stadio', 'di', 'Tanner', 'IV,', 'senza', 'crescita', 'di', 'peli', 'pubici', 'o', 'ascellari.'], ['I', 'genitali', 'esterni', 'sono', 'normali.'], [""L'ecografia"", 'rivela', 'un', 'utero', 'piccolo', 'e', 'la', 'radiologia', 'rivela', ""un'età"", 'ossea', 'di', '3', 'anni.'], ['Quale', 'atteggiamento', 'adottare?'], ['1-', 'Controlli', 'ogni', '3-4', 'mesi,', 'poiché', 'si', 'tratta', 'di', 'una', 'condizione', 'temporanea', 'che', 'spesso', 'si', 'risolve', 'da', 'sola.'], ['2-', 'Biopsia', 'del', 'seno.'], ['3-', 'Mammografia.'], ['4-', 'Somministrazione', 'di', 'analoghi', 'del', 'GnRh.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '1'], ['Questa', 'domanda', 'è', 'troppo', 'sviluppata', 'per', 'i', 'normali', 'esami', 'complementari...', 'Sembra', 'che', 'vogliano', 'presentarci', 'una', 'pubertà', 'precoce', '(o', 'un', 'telarca', 'prematuro)', 'ma', 'non', 'forniscono', 'alcun', 'dato', 'analitico', 'e', 'i', 'dati', 'ecografici', 'sono', 'ambigui', '(si', 'dovrebbe', 'supporre', 'che', 'con', 'un', 'utero', 'piccolo', 'si', 'riferiscano', 'a', 'un', 'utero', 'prepuberale,', 'ma', 'non', 'forniscono', 'alcun', 'dato', 'sulle', 'dimensioni', 'delle', 'ovaie).'], ['Ci', 'viene', 'presentato', 'il', 'caso', 'di', 'una', 'bambina', 'di', 'tre', 'anni', 'con', 'un', 'avanzato', 'sviluppo', 'del', 'seno,', 'in', 'linea', 'di', 'massima', 'senza', 'alcuna', 'causa', 'associata', '(in', 'linea', 'di', 'massima', 'non', 'assume', 'farmaci', 'che', 'potrebbero', 'aumentare', 'il', 'livello', 'di', 'estrogeni', 'nel', 'sangue,', 'non', 'sembra', 'usare', 'creme', 'per', 'il', 'corpo', 'e', 'non', 'sembra', 'avere', ""un'assunzione"", 'significativa', 'di', 'carne', 'di', 'pollo).'], ['Se', 'seguiamo', 'lo', 'schema', 'diagnostico', 'in', 'caso', 'di', 'telarca', 'precoce', 'o', 'di', 'sospetta', 'pubertà', 'precoce,', 'vengono', 'richieste', ""l'età"", 'ossea', 'e', ""l'ecografia"", 'addominale', ""(l'EO"", 'non', 'è', 'avanzato', 'come', 'avviene', 'nella', 'pubertà', 'precoce,', 'e', 'si', 'presume', 'che', 'per', 'utero', 'piccolo', 'si', 'intenda', 'un', 'utero', 'prepuberale);', 'in', 'base', 'agli', 'esami', 'complementari', 'che', 'ci', 'vengono', 'forniti,', 'non', 'sembra', 'trattarsi', 'di', 'pubertà', 'precoce,', 'se', 'non', 'per', 'i', 'reperti', 'clinici', '(Tanner', 'IV).'], ['A', 'rigore,', 'senza', 'dati', 'ormonali', 'analitici,', 'sembra', 'che', 'si', 'possa', 'scegliere', ""l'opzione"", '1,', 'con', 'la', 'necessità', 'di', 'un', 'attento', 'monitoraggio', 'della', 'ragazza.'], ['Se', 'diamo', 'per', 'scontati', 'tutti', 'i', 'dati', 'di', 'cui', 'sopra,', 'potremmo', 'escludere', ""l'opzione"", '4,', 'che', 'sarebbe', 'il', 'trattamento', 'della', 'pubertà', 'precoce', 'centrale.'], ['Per', 'quanto', 'riguarda', ""l'opzione"", 'della', 'mammografia,', ""l'ecografia"", 'mammaria', 'è', 'utilizzata', 'in', 'pediatria', 'e', 'in', 'questo', 'caso', 'sarebbe', 'indicata', 'se', 'ci', 'venisse', 'segnalata', ""un'asimmetria"", 'del', 'seno', ""(l'opzione"", '3', 'è', 'esclusa).'], ['La', 'biopsia', 'mammaria', 'sarebbe', 'indicata', 'solo', 'in', 'presenza', 'di', 'segnali', 'di', 'allarme.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+238_145,"[['QUESTION', 'TYPE:', 'NEUROLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '40', 'anni', 'ha', 'consultato', 'per', 'circa', '20', 'episodi', 'al', 'giorno', 'di', 'intenso', 'dolore', 'perioculare', 'sinistro', 'della', 'durata', 'di', '15', 'minuti,', 'accompagnato', 'da', 'intensa', 'lacrimazione', 'e', 'rinorrea.'], [""L'esame"", 'e', 'la', 'risonanza', 'magnetica', 'sono', 'normali.'], ['Il', 'loro', 'trattamento', 'di', 'scelta', 'sarebbe:'], ['1-', 'Indometacina.'], ['2-', 'Lamotrigina.'], ['3-', 'Verapamil.'], ['4-', 'Prednisone.'], ['5-', 'Carbonato', 'di', 'litio.'], ['RISPOSTA', 'CORRETTA:', '1'], ['In', 'questa', 'domanda', 'ci', 'viene', 'presentato', 'un', 'caso', 'per', 'dedurre', 'una', 'diagnosi', 'e', 'quindi', 'indicare', 'il', 'trattamento', 'di', 'scelta.'], ['Sia', 'le', 'caratteristiche', 'del', 'caso', 'che', 'le', 'risposte', 'suggeriscono', 'che', 'si', 'tratta', 'di', 'una', 'cefalea', 'trigemino-autonomica', '(dolore', 'intenso', 'e', 'perioculare', 'con', 'lacrimazione', 'e', 'rinorrea).'], [""L'idea"", 'è', 'quella', 'di', 'fare', 'una', 'diagnosi', 'differenziale', 'innanzitutto', 'tra', 'una', 'cefalea', 'a', 'grappolo', '(il', 'cui', 'trattamento', 'comprende', 'le', 'risposte', '2,', '3,', '4', 'e', '5),', ""un'emicrania"", 'parossistica', '(il', 'cui', 'trattamento', 'di', 'scelta', 'è', ""l'indometacina"", 'della', 'risposta', '1)', 'e', 'una', 'SUNCT', '(cefalea', 'unilaterale', 'nevralgiforme', 'con', 'iniezione', 'congiuntivale', 'e', 'lacrimazione).'], ['La', 'cefalea', 'a', 'grappolo', 'prevale', 'nei', 'maschi', 'e', 'può', 'avere', 'una', 'durata', 'variabile', 'da', '15', 'a', '180', 'minuti,', 'da', 'una', 'volta', 'ogni', '2', 'giorni', 'fino', 'a', '8', 'volte', 'al', 'giorno.'], [""L'emicrania"", 'parossistica', 'predomina', 'nelle', 'donne,', 'con', 'episodi', 'di', 'dolore', 'simili', 'alla', 'cefalea', 'a', 'grappolo,', 'ma', 'di', 'durata', 'più', 'breve', '(2-30', 'minuti)', 'e', 'frequenza', 'più', 'elevata', '(5-30', 'episodi', 'al', 'giorno).'], ['Nella', 'SUNCT,', 'le', 'crisi', 'sono', 'molto', 'più', 'brevi,', 'durano', 'pochi', 'secondi', '(5-240', 'secondi)', 'e', 'sono', 'solitamente', 'refrattarie', 'al', 'trattamento.'], ['Pertanto,', 'la', 'diagnosi', 'sarebbe', 'emicrania', 'parossistica', 'e', 'il', 'trattamento', 'di', 'scelta', 'è', ""l'indometacina"", '(e', 'la', 'risposta', 'è', 'un', 'criterio', 'diagnostico).'], ['Quindi', 'la', 'risposta', 'corretta', 'è', '1', '(Indometacina).'], ['Tutti', 'i', 'dati', 'forniti', 'si', 'basano', 'sui', 'criteri', 'diagnostici', ""dell'International"", 'Headache', 'Society.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+47_157,"[['QUESTION', 'TYPE:', 'PEDIATRIA'], ['CLINICAL', 'CASE:'], ['Un', 'bambino', 'di', '6', 'anni', 'è', 'arrivato', 'in', 'clinica', 'accompagnato', 'dal', 'monitore', 'di', 'un', 'centro', 'di', 'accoglienza', 'del', 'nostro', 'quartiere', 'a', 'causa', 'di', 'un', 'tumore', 'doloroso', 'di', '3', 'cm', 'di', 'diametro', 'alla', 'palpazione', ""nell'area"", 'occipitale', 'destra', 'del', 'cuoio', 'capelluto.'], ['Presenta', 'alopecia', 'in', ""quest'area"", 'e', '3', 'linfoadenomegalie', 'di', 'consistenza', 'piuttosto', 'dura', 'nella', 'regione', 'cervicale', 'posteriore', 'destra.'], ['Quale', 'sarebbe', 'il', 'trattamento', 'più', 'appropriato?'], ['1-', 'Incisione', 'e', 'drenaggio.'], ['2-', 'Mupirocina', 'topica.'], ['3-', 'Griseofulvina', 'per', 'via', 'orale.'], ['4-', 'Cefazolina', 'intravenosa.'], ['5-', 'Chetoconazolo', 'topico.'], ['RISPOSTA', 'CORRETTA:', '3'], ['La', 'risposta', 'corretta', 'è', '3'], ['Se', 'non', 'sbaglio', 'sta', 'descrivendo', 'un', 'kerion', 'di', 'Celso', 'per', 'il', 'quale', 'il', 'trattamento', 'di', 'scelta', 'è', 'la', 'griseofulvina', 'orale.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+381_139,"[['QUESTION', 'TYPE:', 'NEUROLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '70', 'anni', 'con', 'anamnesi', 'di', 'anoressia,', 'perdita', 'di', 'peso,', 'fastidio', 'alla', 'muscolatura', 'e', 'alle', 'articolazioni', 'prossimali', 'e', 'dolore', 'alla', 'regione', 'temporo-mandibolare', 'si', 'presenta', 'al', 'pronto', 'soccorso', 'per', 'una', 'perdita', 'unilaterale', 'della', 'vista', '(movimento', 'della', 'mano),', 'di', 'insorgenza', 'improvvisa', 'e', 'non', 'dolorosa', '(difetto', 'pupillare', 'afferente).', 'Quale', 'esame', 'richiedereste', 'in', 'primo', 'luogo', 'a', 'scopo', 'diagnostico?'], ['1-', 'Puntura', 'lombare.'], ['2-', 'Proteina', 'C-Reattiva.'], ['3-', 'Angiografia', 'a', 'risonanza', 'magnetica.'], ['4-', 'Ecografia', 'carotidea.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['Ci', 'viene', 'presentato', 'un', 'caso', 'di', 'amaurosi', 'monoculare', 'con', 'profilo', 'vascolare,', 'sempre', 'in', 'una', 'donna', 'anziana', 'con', 'una', 'storia', 'di', 'perdita', 'di', 'peso', 'e', 'quelli', 'che', 'sembrano', 'essere', 'sintomi', 'di', 'claudicatio', 'mandibolare', 'e', 'polimialgia', 'reumatica,', 'quindi', 'la', 'prima', 'causa', 'da', 'considerare', 'è', ""l'arterite"", 'a', 'cellule', 'giganti', 'come', 'causa', 'della', 'NOIA,', 'quindi', 'tra', 'le', 'opzioni', 'quella', 'corretta', 'sarebbe', ""l'opzione"", '2'], ['Considereremmo', '4', 'se', 'ci', 'venisse', 'segnalata', 'una', 'NOIA', 'ma', 'con', 'caratteristiche', 'non', 'arteritiche', '(senza', 'tutta', 'la', 'sintomatologia', 'di', 'accompagnamento).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+32_64,"[['QUESTION', 'TYPE:', 'NEUROLOGIA', 'E', 'NEUROCHIRURGIA'], ['CLINICAL', 'CASE:'], ['In', 'un', 'paziente', 'con', 'diagnosi', 'di', 'epilessia', 'che', 'presenta', 'episodi', 'di', 'mancata', 'risposta', 'a', 'stimoli', 'esterni,', 'movimenti', 'irregolari', 'di', 'tutti', 'e', 'quattro', 'gli', 'arti,', 'occhi', 'chiusi,', 'pianto', 'e', 'movimenti', 'pelvici,', 'della', 'durata', 'di', 'cinque-venti', 'secondi', 'e', 'non', 'rispondenti', 'al', 'trattamento', 'con', 'farmaci', 'antiepilettici,', 'qual', 'è', 'lo', 'studio', 'complementare', 'che', 'più', 'probabilmente', 'chiarirà', 'la', 'diagnosi?'], ['1-', 'Monitoraggio', 'video-EEG', 'per', 'la', 'diagnosi', 'di', 'pseudo-crisi', '(crisi', 'psicogene).'], ['2-', 'Holter', 'ECG', 'per', 'la', 'diagnosi', 'di', 'cardiopatia', 'aritmica.'], ['3-', 'EEG', 'di', 'routine', 'per', 'la', 'diagnosi', 'del', 'tipo', 'di', 'epilessia', '(generalizzata', 'o', 'focale).'], ['4-', 'Risonanza', 'magnetica', 'cerebrale', 'per', 'individuare', 'lesioni', 'epilettogene', '(displasia', 'corticale,', 'tumore,', 'sclerosi', 'temporale', 'mediale).'], ['5-', 'Determinazione', 'della', 'glicemia', 'capillare', 'per', 'la', 'diagnosi', 'di', 'ipoglicemia.'], ['RISPOSTA', 'CORRETTA:', '1'], ['Risposta', 'corretta', '1:', 'Il', 'quadro', 'descritto', 'è', 'altamente', 'suggestivo', 'di', 'pseudocrisi', 'con', 'movimenti', 'asincroni', 'degli', 'arti,', 'movimenti', 'pelvici,', 'pianto', 'e', 'scarsa', 'risposta', 'ai', 'farmaci', 'antiepilettici.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+106_135,"[['QUESTION', 'TYPE:', 'GENETICA', 'E', 'IMMUNOLOGIA'], ['CLINICAL', 'CASE:'], ['Bambino', 'di', '2', 'anni.'], [""L'anamnesi"", 'personale', 'comprende:', '3', 'episodi', 'di', 'otite', 'media', 'acuta,', '1', 'meningite', 'meningococcica', 'e', '2', 'polmoniti', '(una', 'al', 'lobo', 'medio', 'e', 'una', 'al', 'lobo', 'superiore', 'sinistro).'], ['È', 'stato', 'ricoverato', '3', 'volte', 'per', 'porpora', 'trombocitopenica', '(in', 'tre', 'occasioni', 'gli', 'anticorpi', 'antiaggreganti', 'piastrinici', 'erano', 'negativi', 'e', 'il', 'midollo', 'osseo', 'mostrava', 'megacariociti', 'normali).'], ['Diversi', 'ragazzi', 'della', 'famiglia', 'materna', 'erano', 'morti', 'in', 'età', 'infantile', 'a', 'causa', 'di', 'malattie', 'infettive.'], [""L'esame"", 'fisico', 'ha', 'rivelato', 'lesioni', 'tipiche', 'della', 'dermatite', 'atopica.'], ['Lo', 'studio', 'immunologico', 'ha', 'mostrato', 'una', 'leggera', 'diminuzione', 'delle', 'sottopopolazioni', 'di', 'linfociti', 'T;', 'IgA', 'e', 'IgE', 'elevate;', 'IgM', 'e', 'IgG', 'ridotte', 'al', 'limite', 'inferiore', 'della', 'norma.'], ['Qual', 'è', 'la', 'diagnosi', 'più', 'probabile?'], ['1-', 'Sindrome', 'di', 'Wiskott-Aldrich.'], ['2-', 'Sindrome', 'da', 'iper', 'IgE.'], ['3-', 'Ipogammaglobulinemia', 'transitoria', ""dell'infanzia.""], ['4-', 'Immunodeficienza', 'combinata', 'grave', 'legata', ""all'X.""], ['5-', 'Immunodeficienza', 'comune', 'variabile.'], ['RISPOSTA', 'CORRETTA:', '4'], ['Per', 'rispondere', 'correttamente', 'a', 'questa', 'domanda,', 'è', 'necessario', 'notare', 'che', 'tra', 'i', 'sintomi', 'descritti', 'vi', 'sono', 'i', 'seguenti:', '-', 'Bambino', 'di', '2', 'anni.'], ['-', 'Infezioni', 'otorinolaringoiatriche.'], ['-', 'Infezioni', 'polmonari.'], ['-', 'Ricoveri', 'ospedalieri.'], ['-', 'PTI.'], ['-', 'Storia', 'familiare', 'di', 'infezioni', 'con', 'decessi', 'per', 'infezioni', 'nei', 'maschi', '(famiglia', 'materna).'], ['-', 'Dermatite', 'atopica.'], ['Tutti', 'questi', 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+425_92,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '34', 'anni', 'è', 'stata', 'ricoverata', 'per', 'uno', 'studio', 'di', 'poliuria', 'e', 'polidipsia.'], ['Nelle', 'prime', '24', 'ore', 'di', 'ricovero', 'è', 'stata', 'registrata', 'una', 'diuresi', 'di', '8,2', 'litri', 'e', 'un', 'esame', 'del', 'sangue', 'ha', 'mostrato', 'una', 'glicemia', 'di', '96', 'mg/dL,', 'una', 'natremia', 'di', '148', 'mEq/L', 'e', ""un'osmolalità"", 'plasmatica', 'di', '309', 'mOsm/kg', 'con', ""un'osmolalità"", 'urinaria', 'di', '89', 'mOsmlkg.'], ['Quale', 'test', 'diagnostico', 'deve', 'essere', 'eseguito', 'successivamente?'], ['1-', 'Test', 'di', 'infusione', 'di', 'soluzione', 'salina', 'ipertonica', 'per', 'la', 'determinazione', 'seriale', ""dell'ormone"", 'antidiuretico.'], ['2-', 'Test', 'di', 'disidratazione', '(test', 'di', 'Miller).'], ['3-', 'Somministrazione', 'di', 'desmopressina', 'con', 'monitoraggio', 'seriale', ""dell'osmolalità"", 'delle', 'urine.'], ['4-', 'Determinazione', ""dell'ormone"", 'antidiuretico', 'nel', 'plasma.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Ci', 'incontriamo', 'davanti', 'alla', 'poliuria.'], ['Inizialmente', 'abbiamo', 'escluso', 'il', 'diabete', 'mellito', '(il', 'nostro', 'paziente', 'ha', 'una', 'glicemia', 'normale', 'di', '96', 'mgr/dl).'], ['I', 'dati', 'analitici', 'suggeriscono', 'un', 'diabete', 'insipido', '(osm', 'plasmatico', 'elevato', 'con', 'osm', 'urinario', 'basso).'], ['Occorre', 'ora', 'distinguere', 'tra', 'diabete', 'insipido', 'centrale', '(mancanza', 'di', 'ADH)', 'e', 'diabete', 'insipido', 'nefrogenico', ""(l'ADH"", 'non', 'esercita', 'la', 'sua', 'azione', 'a', 'livello', 'renale).'], ['Ciò', 'si', 'ottiene', 'con', 'il', 'test', 'della', 'vasopressina', '(somministrazione', 'endovenosa', 'di', 'ADH', 'e', 'rimisurazione', ""dell'osmolarità"", 'urinaria).'], ['Pertanto,', 'la', 'risposta', 'corretta', 'è', ""l'opzione"", '3']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+8_232,"[['QUESTION', 'TYPE:', 'DIGESTIVO'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '52', 'anni', 'si', 'è', 'consultata', 'per', 'aver', 'notato', 'una', 'colorazione', 'giallastra', 'delle', 'congiuntive', 'durante', 'la', 'settimana', 'precedente.'], ['Non', 'riferisce', 'alcun', 'comportamento', 'sessuale', 'a', 'rischio', 'o', 'storia', 'epidemiologica', 'di', 'rischio', 'per', ""l'epatite"", 'virale.'], ['Non', 'consuma', 'alcolici', 'o', 'farmaci', 'epatotossici.'], ['Riferisce', 'una', 'storia', 'di', 'un', 'anno', 'di', 'prurito', 'generalizzato,', 'astenia,', 'secchezza', 'delle', 'fauci', 'e', 'assenza', 'di', 'lacrimazione', 'di', 'causa', 'non', 'identificata.'], ['Resto', ""dell'anamnesi"", 'senza', 'dati', 'patologici.'], [""L'esame"", 'fisico', 'ha', 'rivelato', 'lesioni', 'da', 'grattamento,', 'ittero', 'congiuntivale', 'ed', 'epatomegalia', 'non', 'dolorosa.'], ['Ha', 'fornito', 'gli', 'esami', 'del', 'sangue', 'eseguiti', 'nella', 'sua', 'azienda', 'con', 'i', 'seguenti', 'risultati', 'patologici:', 'Bilirubina', '3', 'mg/dl,', 'FA', '400', 'UI/', 'VSG', '40mm', '1', 'ora.'], ['Indicare', 'quale', 'sarebbe', 'la', 'raccomandazione', 'più', 'appropriata', 'per', 'stabilire', 'la', 'diagnosi', 'eziologica', 'della', 'condizione', 'del', 'paziente:'], ['1-', 'Anticorpi', 'antimitocondriali.'], ['2-', 'Studio', 'del', 'metabolismo', 'del', 'Fe.'], ['3-', 'Studio', 'del', 'metabolismo', 'del', 'rame.'], ['4-', 'Risonanza', 'magnetica', 'del', 'fegato.'], ['5-', 'Sierologia', 'del', 'virus', 'B', 'e', 'C.'], ['RISPOSTA', 'CORRETTA:', '1'], ['Cirrosi', 'biliare', 'primaria', 'immagine', 'del', 'libro,', 'del', 'tipo', 'che', 'non', 'si', 'verifica', 'nella', 'vita', 'reale.'], ['La', 'diagnosi', 'verrebbe', 'praticamente', 'fatta', 'con', ""l'AMA"", '(1).'], ['Con', '2', 'escludiamo', ""l'emocromatosi,"", 'con', '3', 'escludiamo', 'la', 'malattia', 'di', 'Wilson.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+621_60,"[['QUESTION', 'TYPE:', 'OFTALMOLOGIA', '(ECTOPICA)'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'di', '20', 'anni', 'si', 'è', 'recato', 'al', 'pronto', 'soccorso', 'dopo', 'un', 'incidente', 'in', 'bicicletta', 'con', 'trauma', 'facciale.'], ['È', 'stata', 'eseguita', 'una', 'TC', 'cranica', 'che', 'ha', 'mostrato', 'una', 'frattura', 'del', 'terzo', 'medio', 'della', 'faccia', 'con', 'interessamento', 'della', 'regione', 'orbito-malare.'], ['Una', 'delle', 'complicazioni', 'più', 'frequenti', 'di', 'questo', 'tipo', 'di', 'frattura', 'è', 'il', 'dolore:'], ['1-', 'Anchilosi', 'temporo-mandibolare.'], ['2-', 'Malocclusione', 'dentale.'], ['3-', 'Pseudoartrosi', 'naso-etmoidale.'], ['4-', 'Enoftalmo.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '4'], ['Le', 'fratture', 'della', 'faccia', 'media', 'nella', 'regione', 'orbito-malare', 'possono', 'coinvolgere', 'il', 'pavimento', 'e,', 'in', 'misura', 'minore,', 'la', 'parete', 'laterale', ""dell'orbita.""], ['Supponendo', 'quindi', 'che', 'ci', 'venga', 'chiesto', 'quale', 'sia', 'una', 'delle', 'complicanze', 'più', 'frequenti', 'del', 'pavimento', ""dell'orbita,"", 'vanno', 'sempre', 'evidenziate', 'due', 'complicanze', 'che', 'possono', 'indicare', 'un', 'trattamento', 'chirurgico,', 'anche', 'urgente:', 'la', 'diplopia,', 'dovuta', 'alla', 'dislocazione', 'del', 'muscolo', 'retto', 'inferiore', 'verso', 'il', 'seno', 'mascellare', 'sottostante', '(e', 'persino', 'al', 'suo', 'intrappolamento);', 'e', ""l'enoftalmo,"", 'che', 'può', 'portare', 'ad', 'altre', 'complicanze', 'associate', 'a', 'medio', 'e', 'lungo', 'termine,', 'come', 'la', 'pseudoptosi', 'palpebrale', 'superiore', 'dovuta', 'alla', 'perdita', 'di', 'volume', 'orbitale', '(opzione', '4', 'corretta).'], [""L'anchilosi"", 'temporo-mandibolare', 'non', 'viene', 'considerata', 'perché,', 'sebbene', 'relativamente', 'vicina', 'alla', 'cavità', 'orbitale,', 'non', 'fa', 'parte', 'del', 'complesso', 'orbito-malare', '(opzione', '1', 'scartata).'], ['Il', 'coinvolgimento', 'del', 'mascellare', 'può', 'provocare', 'una', 'malocclusione', 'dentale,', 'ma', 'di', 'solito', 'si', 'verifica', 'nelle', 'fratture', 'situate', 'più', 'in', 'basso', 'rispetto', 'alla', 'cavità', 'orbitale', '(opzione', '2', 'scartata).'], ['Le', 'fratture', 'naso-etmoidali', 'sono', 'considerate', 'fratture', 'della', 'faccia', 'media,', 'ma', 'le', 'ossa', 'del', 'naso', 'sono', 'situate', 'più', 'anteriormente', 'al', 'bordo', 'orbitale', 'mediale', 'e', 'quindi', 'al', 'di', 'fuori', ""dell'orbita"", '(opzione', '3', 'scartata).']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+365_100,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIA', 'E', 'CHIRURGIA', 'TORACICA'], ['CLINICAL', 'CASE:'], ['Un', 'agricoltore', 'di', '64', 'anni,', 'ex', 'fumatore', '(5', 'anni),', 'affetto', 'da', 'BPCO', 'e', 'artrite', 'reumatoide', 'in', 'trattamento', 'con', 'corticosteroidi.'], ['Consultazione', 'al', 'pronto', 'soccorso', 'per', 'una', 'forte', 'cefalea', 'di', '2', 'giorni', 'con', 'deviazione', ""dell'angolo"", 'della', 'bocca.'], ['Come', 'sfondo,', 'riferisce', 'che', 'dopo', 'una', 'malattia', 'simil-influenzale', 'un', 'mese', 'fa,', 'persiste', 'la', 'tosse,', ""l'espettorazione"", 'purulenta', 'e', 'occasionalmente', 'emoptotica,', 'la', 'febbre', ""l'anoressia,"", ""l'astenia"", 'e', 'la', 'perdita', 'di', 'peso.'], [""All'arrivo,"", 'febbre', 'di', '38,2ºC,', 'ascessi', 'cutanei', 'multipli', 'su', 'mani,', 'dorso', 'e', 'glutei', '(alcuni', 'con', 'tratti', 'fistolosi)', 'e', 'paralisi', 'facciale', 'centrale', 'destra,', 'infiltrati', 'apicali', 'con', 'associato', 'un', 'piccolo', 'versamento', 'pleurico', 'alla', 'radiografia', 'del', 'torace', 'e', 'leucocitosi', 'con', 'neutrofilia.'], ['Tra', 'le', 'seguenti', 'diagnosi', 'sospette', 'considererei', 'la', 'più', 'probabile:'], ['1-', 'Neoplasia', 'polmonare', 'con', 'metastasi', 'cerebrali.'], ['2-', 'Tubercolosi', 'disseminata.'], ['3-', 'Nocardiosi.'], ['4-', 'Aspergosi.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '4'], ['La', 'nocardia', 'colpisce', 'tipicamente', 'gli', 'individui', 'immunosoppressi,', 'soprattutto', 'quelli', 'con', ""un'immunità"", 'cellulo-mediata', 'compromessa', 'come', 'quella', 'prodotta', 'dagli', 'steroidi,', 'e', 'può', 'presentarsi', 'con', 'un', 'coinvolgimento', 'polmonare,', 'ascessi', 'cerebrali', 'e', 'ascessi', 'cutanei.'], ['La', 'tubercolosi', 'può', 'colpire', 'i', 'polmoni', 'e', 'il', 'cervello,', 'ma', 'non', 'gli', 'ascessi', 'cutanei.'], ['Anche', ""l'aspergillo"", 'non', 'colpisce', 'la', 'pelle.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+392_223,"[['QUESTION', 'TYPE:', 'PSICHIATRIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '68', 'anni,', 'con', 'una', 'storia', 'di', 'due', 'episodi', 'depressivi', 'maggiori', 'nella', 'sua', 'vita,', 'si', 'è', 'consultata', 'per', 'sintomi', 'di', 'tristezza,', 'depressione,', 'anedonia,', 'astenia', 'e', 'anoressia', 'compatibili', 'con', 'un', 'nuovo', 'episodio', 'depressivo.'], ['Viene', 'prescritto', 'Escitalopram', '10', 'mg', 'e', 'viene', 'valutato', '2', 'settimane', 'dopo.'], ['A', 'questa', 'visita', 'di', 'controllo', 'la', 'paziente', 'riferisce', 'di', 'sentirsi', 'molto', 'bene,', 'di', 'svegliarsi', 'presto', 'molto', 'iperattiva', 'e', 'molto', 'desiderosa', 'di', 'fare', 'le', 'cose,', 'dice', 'di', 'avere', 'molta', 'energia', 'e', 'di', 'essere', 'più', 'loquace', 'del', 'solito.'], ['Non', 'riferisce', 'di', 'essere', 'irritabile', 'ed', 'è', 'in', 'grado', 'di', 'dormire', 'per', '6', 'ore', 'consecutive.'], ['In', 'questa', 'situazione,', 'cosa', 'pensate', 'che', 'abbia', 'il', 'paziente?'], ['1-', 'Disturbo', 'bipolare', 'di', 'tipo', 'I.'], ['2-', 'Ipomania', 'indotta', 'da', 'farmaci.'], ['3-', 'Risposta', 'normale', ""all'escitalopram.""], ['4-', 'Demenza', 'frontale.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['In', 'questa', 'domanda,', 'si', 'potrebbe', 'sospettare', 'la', 'possibilità', 'di', 'una', 'svolta', 'affettiva', 'dopo', ""l'introduzione"", 'del', 'farmaco', 'antidepressivo,', 'sulla', 'base', 'di', 'quanto', 'riferito', 'dal', 'paziente,', 'ma', 'se', 'guardiamo', 'alla', 'capacità', 'del', 'paziente', 'di', 'mantenere', 'il', 'sonno,', ""c'è"", 'un', 'dato', 'chiaro', 'che', 'esclude', 'la', 'svolta', 'ipo/maniacale.'], ['Due', 'settimane', 'sono', 'un', 'periodo', 'di', 'tempo', 'troppo', 'breve', 'perché', 'il', 'farmaco', 'abbia', 'avuto', 'pieno', 'effetto', ""sull'umore,"", 'ma', 'può', 'esserci', ""un'attivazione"", 'iniziale', 'che', 'i', 'pazienti', 'a', 'volte', 'non', 'affrontano', 'molto', 'bene', '(cosa', 'che', 'non', 'sembra', 'essere', 'il', 'caso).'], ['In', 'questo', 'paziente', 'è', 'indicato', 'mantenere', 'il', 'trattamento', 'e', 'rivalutarlo', 'tra', 'non', 'più', 'di', 'un', 'mese.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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+301_232,"[['QUESTION', 'TYPE:', 'MALATTIE', 'INFETTIVE'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '24', 'anni', 'si', 'è', 'consultata', 'dopo', 'aver', 'notato', 'delle', 'linfoadenopatie', 'inguinali.'], [""L'interrogatorio"", 'non', 'ha', 'rivelato', 'la', 'presenza', 'di', 'alcun', 'disagio', 'locale', 'o', 'di', 'dati', 'suggestivi', 'di', ""un'infezione"", 'a', 'trasmissione', 'sessuale.'], [""L'esame"", 'ha', 'rivelato', 'due', 'linfonodi,', 'uno', 'in', 'ciascun', 'inguine,', 'di', '1', 'cm', 'di', 'diametro,', 'morbidi,', 'mobili,', 'non', 'dolenti.'], ['Non', 'sono', 'visibili', 'lesioni', 'cutanee', 'sugli', 'arti', 'inferiori,', ""sull'ano"", 'o', 'sul', 'perineo.'], ['Quali', 'prove', 'ritenete', 'essenziali?'], ['1-', 'Sierologia', 'per', 'la', 'sifilide,', 'in', 'quanto', 'si', 'tratta', 'molto', 'probabilmente', 'di', ""un'infezione"", 'da', 'Treponema', 'pallidum.'], ['2-', 'Una', 'visita', 'ginecologica', 'per', 'escludere', 'il', 'cancro', 'alle', 'ovaie.'], ['3-', 'Dalle', 'caratteristiche', 'cliniche', 'sembra', 'che', 'i', 'linfonodi', 'siano', 'normali', 'e', 'non', 'è', 'necessario', 'effettuare', 'ulteriori', 'indagini.'], ['4-', 'È', 'necessario', 'eseguire', 'un', 'test', 'di', 'Paul-Bunnell', 'per', 'escludere', 'la', 'mononucleosi', 'infettiva.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], [""Nell'adulto"", 'sano,', 'possono', 'essere', 'presenti', 'linfonodi', 'inguinali', 'palpabili', 'di', 'dimensioni', 'fino', 'a', '2', 'centimetri', 'e', 'possono', 'essere', 'considerati', 'normali.'], ['Un', 'ulteriore', 'studio', 'di', 'questi', 'linfonodi', 'normali', 'non', 'è', 'giustificato.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+23_113,"[['QUESTION', 'TYPE:', 'INFETTIVO'], ['CLINICAL', 'CASE:'], ['Donna', 'di', '71', 'anni', 'con', 'storia', 'di', 'artrite', 'reumatoide', 'in', 'trattamento', 'con', 'sulfasalazina,', 'prednisone', 'ed', 'etanercept.'], ['Si', 'è', 'recato', 'al', 'pronto', 'soccorso', 'per', '72', 'ore', 'con', 'sintomi', 'clinici', 'compatibili', 'con', ""l'herpes"", 'zoster', 'facciale', 'che', 'interessava', 'il', 'lato', 'destro', 'del', 'viso,', 'il', 'padiglione,', 'la', 'fronte', 'e', 'la', 'chemosi', 'congiuntivale.'], ['Quale', 'sarebbe', 'il', 'trattamento', 'appropriato?'], ['1-', 'Trattamento', 'sintomatico', 'del', 'solo', 'dolore.'], ['2-', 'Trattamento', 'topico', 'con', 'aciclovir.'], ['3-', 'Trattamento', 'ambulatoriale', 'con', 'aciclovir,', 'valaciclovir', 'o', 'famciclovir', 'orale.'], ['4-', 'Ricovero', 'in', 'ospedale', 'e', 'trattamento', 'con', 'aciclovir', 'o', 'famciclovir', 'iv.'], ['5-', 'Ig', 'parenterali', 'e', 'vaccinazioni.'], ['RISPOSTA', 'CORRETTA:', '4'], ['Credo', 'che', 'questa', 'domanda', 'non', 'sia', 'chiaramente', 'presente', 'nel', 'programma', 'di', 'Malattie', 'Infettive,', 'e', 'potrebbe', 'sovrapporsi', 'a', 'OFT', 'e', 'DERMA,', 'ma', 'a', 'quanto', 'ho', 'capito,', 'in', 'un', 'paziente', 'immunocompromesso', 'e', 'con', 'dati', 'di', 'coinvolgimento', 'oculare,', 'sarebbe', 'indicato', 'il', 'ricovero', 'per', 'il', 'trattamento', 'endovenoso', 'a', 'causa', ""dell'elevato"", 'rischio', 'di', 'possibili', 'complicanze.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+564_126,"[['QUESTION', 'TYPE:', 'NEFROLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '58', 'anni', 'con', 'una', 'storia', 'di', 'ipertensione', 'di', '6', 'anni', 'si', 'è', 'consultato', 'per', 'lo', 'scarso', 'controllo', 'della', 'pressione', 'arteriosa', 'nonostante', 'il', 'trattamento', 'con', 'un', 'inibitore', ""dell'enzima"", 'di', 'conversione', ""dell'angiotensina,"", 'un', 'diuretico', 'e', 'un', 'calcio', 'antagonista.'], ['Al', 'momento', 'della', 'consultazione', 'ha', 'presentato', 'una', 'pressione', 'arteriosa', 'di', '149/100', 'mmHg.'], ['Emocromo:', 'creatinina', '1,2', 'mg/dl,', 'potassio', '2,2', 'mEq/l', 'e', 'alcalosi', 'metabolica', 'compensata;', 'resto', 'dello', 'studio', 'biochimico,', 'emocromo,', 'coagulazione', 'e', 'sedimento', 'urinario', 'normali.'], ['Selezionare', 'la', 'dichiarazione', 'corretta:'], ['1-', ""L'origine"", ""dell'ipertensione"", 'in', 'questo', 'caso', 'è', ""un'eccessiva"", 'secrezione', 'di', 'aldosterone', 'causata', 'da', ""un'iperfunzione"", 'autonoma', 'della', 'midollare', 'surrenale.'], ['2-', 'Nella', 'maggior', 'parte', 'dei', 'casi', 'il', 'substrato', 'anatomico', 'è', ""l'iperplasia"", 'bilaterale', 'della', 'corteccia', 'surrenale.'], ['3-', 'La', 'TC', 'fa', 'parte', 'del', 'work-up', 'diagnostico', 'in', 'caso', 'di', 'conferma', 'biochimica.'], ['4-', 'Lo', 'spironolattone', 'è', 'controindicato', 'nella', 'gestione', 'di', 'questa', 'patologia.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Ci', 'viene', 'presentato', 'un', 'paziente', 'con', 'ipertensione', 'arteriosa', 'resistente,', 'che', 'ipotizza', 'un', 'iperaldosteronismo', 'primario', 'dovuto', 'a', ""un'alcalosi"", 'metabolica', 'ipokaliemica.'], ['Quando', 'la', 'diagnosi', 'è', 'confermata', 'biochimicamente,', ""l'esame"", 'successivo', 'da', 'eseguire', 'è', 'una', 'TC', 'per', 'determinare', 'il', 'sottotipo', 'ed', 'escludere', 'la', 'presenza', 'di', 'un', 'carcinoma', 'surrenalico', '(opzione', '3', 'corretta).'], ['Pertanto,', 'è', 'necessario', 'attendere', ""l'esame"", 'di', 'imaging', 'per', 'confermare', ""l'eziologia"", '(opzione', '1', 'errata).'], ['La', 'causa', 'più', 'comune', 'è', ""l'adenoma"", 'produttore', 'di', 'aldosterone', '(opzione', '2', 'non', 'corretta).'], ['Lo', 'spironolattone', 'è', 'il', 'trattamento', 'medico', 'di', 'scelta', '(opzione', '4', 'non', 'corretta).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+292_213,"[['QUESTION', 'TYPE:', 'DERMATOLOGIA,', 'VENEREOLOGIA', 'E', 'CHIRURGIA', 'PLASTICA'], ['CLINICAL', 'CASE:'], ['Gustavo', 'si', 'è', 'presentato', 'al', 'pronto', 'soccorso', 'con', 'lesioni', 'cutanee', 'e', 'malessere', 'generale', 'di', 'diversi', 'giorni.'], ['Presenta', 'lesioni', 'psoriasiformi', 'sul', 'tronco', 'con', 'coinvolgimento', 'dei', 'palmi', 'delle', 'mani', 'e', 'delle', 'piante', 'dei', 'piedi.'], ['Presenta', 'inoltre', 'una', 'tumefazione', 'articolare', 'asimmetrica', 'e', 'non', 'suppurativa', 'e', 'arrossamenti', 'oculari', 'bilaterali', 'ed', 'erosioni', 'sul', 'glande', 'del', 'pene.'], ['Nella', 'successiva', 'anamnesi', 'Gustavo', 'riconosce', 'un', 'contatto', 'sessuale', 'a', 'rischio', 'avvenuto', '20', 'giorni', 'prima.'], ['Qual', 'è', 'la', 'sua', 'diagnosi?'], ['1-', 'Infezione', 'da', 'HIV.'], ['2-', 'Sifilide', 'secondaria.'], ['3-', 'Sindrome', 'di', 'Reiter.'], ['4-', 'Eritema', 'multiforme.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Descrive', 'una', 'sindrome', 'di', 'Reiter', 'da', 'manuale:', 'cheratoderma', 'palmo-plantare,', 'artrite', 'e', 'manifestazioni', 'oculari,', 'insieme', 'a', 'una', 'probabile', 'uretrite', 'clamidiale,', 'forse', 'asintomatica', '(non', 'si', 'spiega', ""l'essudato"", 'uretrale).'], ['Naturalmente,', 'il', 'paziente', 'può', 'anche', 'avere', ""un'infezione"", 'da', 'HIV', 'o', 'persino', 'una', 'sifilide', 'secondaria', '(oltre', 'a', 'quella', 'di', 'Reiter).']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+477_128,"[['QUESTION', 'TYPE:', 'CURA', 'CRITICA'], ['CLINICAL', 'CASE:'], ['Uomo', 'di', '35', 'anni,', 'ricoverato', 'per', 'un', 'grave', 'trauma', 'toracico', 'con', 'fratture', 'costali', 'multiple.'], ['Dopo', 'aver', 'risposto', 'positivamente', 'al', 'trattamento', 'con', 'analgesici', 'e', 'ossigeno,', 'ha', 'iniziato', 'a', 'sviluppare', 'una', 'grave', 'ipossiemia.'], ['Qual', 'è', 'la', 'causa', 'più', 'probabile', 'di', 'questo', 'deterioramento?'], ['1-', 'Instabilità', 'della', 'parete', 'toracica', 'dovuta', 'a', 'fratture', 'multiple.'], ['2-', 'Infezione', 'respiratoria', 'da', 'aspirazione.'], ['3-', 'Alterazione', 'degli', 'scambi', 'gassosi', 'dovuta', 'a', 'contusione', 'polmonare.'], ['4-', 'Ipovolemia', 'post-traumatica.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['La', 'contusione', 'polmonare', 'è', 'la', 'lesione', 'più', 'grave', 'e', 'quella', 'con', 'la', 'prognosi', 'peggiore', 'nei', 'traumi', 'toracici.'], ['È', 'anche', 'la', 'lesione', 'che', 'causa', 'più', 'precocemente', ""l'ipossiemia.""], ['Contrariamente', 'a', 'quanto', 'si', 'potrebbe', 'pensare,', 'un', 'torace', 'instabile', 'dovuto', 'a', 'fratture', 'costali', 'multiple', '(volet', 'costale)', 'causerebbe', 'una', 'progressiva', 'ipoventilazione', 'con', 'atelettasia', 'del', 'parenchima', 'polmonare,', 'che', 'progredisce', 'da', 'un', 'lato', 'verso', ""l'ipercapnia"", 'e', ""l'acidosi"", 'respiratoria,', 'e', ""dall'altro"", 'verso', 'una', 'successiva', 'ipossiemia', 'dovuta', ""all'infezione"", 'associata', ""all'atelettasia.""], ['Anche', ""l'infezione"", 'respiratoria', 'per', 'aspirazione', 'si', 'verifica', 'più', 'tardi', 'e', 'non', 'compare', 'in', 'tutti', 'i', 'casi', 'di', 'trauma', 'toracico', 'grave,', 'solo', 'se', ""c'è"", 'stata', 'una', 'diminuzione', 'del', 'livello', 'di', 'coscienza', '(TBI', 'associato,', 'intubazione', 'incontrollata', 'con', 'broncoaspirazione...).'], [""L'ipovolemia"", 'post-traumatica', '(in', 'questo', 'caso,', 'essendo', 'presenti', 'fratture', 'costali', 'multiple,', 'potrebbe', 'essere', 'dovuta', ""all'emotorace)"", 'si', 'verificherebbe', 'prima', 'e', 'sarebbe', 'associata', 'per', 'prima', ""all'instabilità"", 'emodinamica.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+572_195,"[['QUESTION', 'TYPE:', 'NEFROLOGIA'], ['CLINICAL', 'CASE:'], ['Donna', 'di', '66', 'anni', 'con', 'diabete', 'mellito', 'di', 'tipo', '2'], ['La', 'sua', 'funzione', 'renale', 'è', 'stata', 'valutata', 'come', 'G3a/A1.'], ['A', 'quali', 'valori', 'corrisponde', 'questo', 'stadio,', 'il', 'più', 'frequente', 'nei', 'pazienti', 'con', 'nefropatia', 'diabetica?'], ['1-', 'Velocità', 'di', 'filtrazione', 'glomerulare', '45-59', 'ml/min/1,73', 'm²', 'e', 'albuminuria', '<30', 'mg/ml.'], ['2-', 'Velocità', 'di', 'filtrazione', 'glomerulare', '30-44', 'ml/min/1,73', 'm²', 'e', 'albuminuria', '<30', 'mg/ml.'], ['3-', 'Filtraggio', 'glomerulare', '45-59', 'ml/min/1,73', 'm²', 'e', 'albuminuria', '30-300', 'mg/ml.'], ['4-', 'Velocità', 'di', 'filtrazione', 'glomerulare', '15-29', 'ml/min/1,73', 'm²', 'e', 'albuminuria', '<30', 'mg/ml.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '1'], ['Domanda', 'facile.'], ['Lo', 'stadio', 'G3a', 'corrisponde', 'a', 'una', 'velocità', 'di', 'filtrazione', 'compresa', 'tra', '45-59', 'ml/min.'], ['Lo', 'stadio', 'A1', 'corrisponde', 'a', ""un'albuminuria"", 'inferiore', 'a', '30', 'mg/ml.'], ['Pertanto', ""l'opzione"", 'corretta', 'è', 'la', '1']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+180_232,"[['QUESTION', 'TYPE:', 'EMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'di', '29', 'anni', 'si', 'presenta', 'al', 'vostro', 'studio', 'con', 'una', 'diagnosi', 'di', 'grave', 'aplasia', 'midollare.'], ['Qual', 'è', 'il', 'trattamento', 'di', 'scelta?'], ['1-', 'Trasfusioni', 'periodiche', 'e', 'antibiotici.'], ['2-', 'Androgeni', 'e', 'trasfusioni', 'di', 'piastrine.'], ['3-', 'Trapianto', 'di', 'midollo', 'osseo', 'allogenico', 'se', 'fratello', 'HLA-identico.'], ['4-', 'Trapianto', 'autologo', 'di', 'midollo', 'osseo', 'per', 'evitare', 'il', 'rigetto.'], ['5-', 'Ciclosporina', 'A', 'e', 'globulina', 'antitimocita.'], ['RISPOSTA', 'CORRETTA:', '3'], ['Trasferire', 'questo', 'paziente', 'e', 'riempirlo', 'di', 'antibiotici', 'significa', 'dargli', 'il', 'pane', 'per', 'oggi', 'e', 'la', 'fame', 'per', 'domani.'], ['Vogliamo', 'qualcosa', 'di', 'più', 'duraturo.'], ['Neanche', 'gli', 'androgeni', 'e', 'le', 'trasfusioni', 'di', 'piastrine', 'risolvono', 'il', 'problema.'], ['Rimangono', 'le', 'altre', 'tre', 'opzioni.'], ['Un', 'trapianto', 'autologo', 'non', 'è', 'ragionevole,', 'poiché', 'il', 'midollo', 'osseo', 'di', 'un', 'paziente', 'con', 'aplasia', 'midollare', 'è', 'inferiore', 'al', '25%,', 'quindi', 'è', 'possibile', 'ottenerne', 'poco.'], ['Pertanto,', 'siamo', 'propensi', 'al', 'trapianto', 'di', 'midollo', 'osseo', 'allogenico', 'se', 'si', 'dispone', 'di', 'un', 'fratello', 'HLA-identico,', 'poiché', 'questo', 'è', 'il', 'trattamento', 'di', 'scelta', 'secondo', 'il', 'protocollo', 'della', 'Società', 'Spagnola', 'di', 'Ematologia', 'ed', 'Emoterapia', 'per', 'i', 'pazienti', 'di', 'età', 'inferiore', 'ai', '40', 'anni', 'con', 'grave', 'aplasia', 'midollare.'], ['Risposta', 'corretta:', '3']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim']]"
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+368_121,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIA', 'E', 'CHIRURGIA', 'TORACICA'], ['CLINICAL', 'CASE:'], ['Durante', 'il', 'servizio', 'di', 'guardia', 'al', 'Pronto', 'Soccorso', 'del', 'vostro', 'ospedale,', 'dovete', 'assistere', 'un', 'paziente', 'di', '64', 'anni', 'con', 'insufficienza', 'respiratoria', 'acuta.'], ['Le', 'sue', 'condizioni', 'cliniche', 'sono', 'critiche,', 'con', 'bassa', 'saturazione', 'di', 'ossigeno', 'e', 'instabilità', 'emodinamica.'], ['Una', 'radiografia', 'del', 'torace', 'urgente', 'ha', 'mostrato', ""un'atelettasia"", 'di', '2/3', 'del', 'polmone', 'destro.'], ['Intubazione', 'orotracheale', 'e', 'ventilazione', 'assistita', 'con', 'Fi02', 'pari', 'a', '1,0.'], ['La', 'successiva', 'analisi', 'dei', 'gas', 'ematici', 'arteriosi', 'ha', 'mostrato', 'i', 'seguenti', 'valori:', 'pH', '7,23;', 'Pa02', '60', 'mmHg', 'e', 'PaC02', '30', 'mmHg.'], ['Qual', 'è', 'la', 'causa', ""dell'ipossiemia?""], ['1-', 'Cortocircuito.'], ['2-', 'Ipoventilazione.'], ['3-', 'Bassa', 'pressione', 'inspirata', '2'], ['4-', 'Malattie', 'neuromuscolari.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '1'], ['La', 'FiO2', 'di', '1', 'e', ""l'iperventilazione"", 'con', 'ventilazione', 'meccanica,', 'dimostrata', 'da', 'una', 'bassa', 'PCO2,', 'non', 'riescono', 'a', 'innalzare', 'sufficientemente', 'la', 'PO2,', 'a', 'causa', 'di', 'un', 'disturbo', 'V/Q,', 'con', 'probabile', 'shunt', ""nell'area"", ""dell'atelettasia"", 'polmonare,', 'probabilmente', 'acuta,', 'poiché', 'il', 'polmone', 'non', 'è', 'stato', 'in', 'grado', 'di', 'creare', 'meccanismi', 'compensatori', 'per', 'limitare', 'la', 'perfusione', 'nelle', 'aree', 'scarsamente', 'ventilate.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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+154_75,"[['QUESTION', 'TYPE:', 'REUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'paziente', 'di', '42', 'anni', 'riferisce', 'dolore', 'con', 'caratteristiche', 'infiammatorie', 'e', 'gonfiore', 'a', 'entrambi', 'i', 'polsi,', 'alla', 'seconda', 'e', 'terza', 'articolazione', 'metacarpo-falangea', 'e', 'interfalangea', 'prossimale', 'bilateralmente', 'e', 'alla', 'caviglia', 'sinistra', 'da', '4', 'mesi,', 'accompagnato', 'da', 'rigidità', 'mattutina', 'di', 'oltre', ""un'ora.""], ['La', 'radiografia', 'delle', 'mani', 'mostra', ""un'erosione"", 'del', 'processo', 'stiloideo', ""dell'ulna"", 'in', 'corrispondenza', 'del', 'carpo', 'destro.'], ['Le', 'analisi', 'del', 'sangue', 'hanno', 'mostrato', 'Hb:', '10', 'g/dL', 'con', 'VES', 'di', '45', 'mm', 'nella', 'prima', 'ora,', 'CRP', '16', 'mg/L,', 'fattore', 'reumatoide', '160', 'UI/ML.'], ['Dopo', '6', 'mesi', 'di', 'trattamento', 'con', 'indometacina', 'e', 'metotrexato,', 'il', 'paziente', 'persiste', 'con', 'dolore', 'e', 'gonfiore', 'di', 'entrambi', 'i', 'carpali,', 'rigidità', 'mattutina', 'della', 'durata', 'di', '30', 'minuti', 'e', 'un', 'esame', 'del', 'sangue', 'che', 'mostra', 'una', 'VES', 'di', '30', 'mm', 'nella', 'prima', 'ora', 'e', 'una', 'CRP', 'di', '9', 'mg/dL.'], ['Per', 'quanto', 'riguarda', ""l'atteggiamento"", 'da', 'assumere,', 'quale', 'dei', 'seguenti', 'è', 'vero:'], ['1-', 'Interrompere', 'il', 'trattamento', 'per', 'mancanza', 'di', 'risposta', 'e', 'iniziare', 'il', 'prednisone', 'ad', 'alte', 'dosi', 'solo', 'per', 'il', 'controllo', 'dei', 'sintomi.'], ['2-', 'Mantenere', ""l'approccio"", 'terapeutico', 'adottato,', 'dato', 'che', 'siamo', 'in', 'trattamento', 'da', 'soli', '6', 'mesi', 'e', 'dovremmo', 'aspettare', 'almeno', '9', 'mesi', 'per', 'valutare', 'la', 'risposta', 'terapeutica.'], ['3-', 'Se', 'non', 'vi', 'sono', 'controindicazioni', 'mediche,', 'considerare', ""l'aggiunta"", 'di', 'un', 'anti-TNF', 'alfa', 'al', 'trattamento.'], ['4-', 'Iniziare', 'un', 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'reumatologo.'], ['Se', ""l'obiettivo"", 'è', 'raggiungere', 'la', 'remissione', 'della', 'malattia', 'il', 'prima', 'possibile,', 'può', 'essere', 'opportuno', 'considerare', ""l'aggiunta"", 'di', 'un', 'anti-TNF', 'alfa...']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 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'difficile', 'il', 'crossmatching.'], ['Quale', 'sarebbe', 'il', 'suo', 'sospetto', 'e', 'il', 'trattamento', 'più', 'appropriato?'], ['1-', 'Aplasia', 'del', 'midollo', 'osseo', 'e', 'immunoterapia', 'con', 'timoglobulina', 'e', 'ciclosporina.'], ['2-', 'Sferocitosi', 'ereditaria', 'e', 'splenectomia.'], ['3-', 'Anemia', 'emolitica', 'autoimmune', 'associata', 'a', 'infezioni', 'respiratorie', 'e', 'corticoidi.'], ['4-', 'Anemia', 'perniciosa', 'e', 'iniezioni', 'regolari', 'di', 'vitamina', 'B12.'], ['5-', 'Leucemia', 'acuta', 'e', 'chemioterapia.'], ['RISPOSTA', 'CORRETTA:', '3'], ['Una', 'lunga', 'dichiarazione', 'piena', 'di', 'dati', 'piuttosto', 'confusi.'], ['Possiamo', 'affrontare', 'la', 'questione', 'in', 'due', 'modi:', 'esaminando', 'i', 'dati', 'principali', 'e', 'andando', 'direttamente', 'alla', 'diagnosi', 'che', 'stiamo', 'considerando,', 'oppure', 'scartandone', 'uno', 'per', 'uno.'], ['Coluria,', 'LDH,', 'presenza', 'di', 'panagglutinina', 'e', 'lo', 'studio', 'dello', 'striscio', 'di', 'sangue', 'periferico', 'profumano', 'di', 'anemia', 'emolitica.'], ['La', 'risposta', '1', 'non', 'può', 'essere', 'perché', ""un'aplasia"", 'del', 'midollo', 'osseo', 'non', 'spiega', 'la', 'coluria,', ""l'LDH"", 'elevato,', 'né', 'lo', 'studio', 'degli', 'anticorpi', 'irregolari', 'è', 'positivo', 'per', 'la', 'panagglutinina;', ""un'aplasia"", 'è', ""un'insufficienza"", 'del', 'midollo', 'osseo', 'caratterizzata', 'da', 'una', 'scomparsa', 'totale', 'o', 'parziale', 'dei', 'progenitori', 'emopoietici.'], ['Inoltre,', 'non', 'si', 'osserva', 'alcuna', 'pancitopenia,', 'che', 'sarebbe', 'più', 'probabilmente', 'indice', 'di', 'questa', 'patologia.'], ['Anche', 'la', 'risposta', '2', 'non', 'è', 'possibile,', 'poiché', 'la', 'sferocitosi', 'non', 'giustifica', 'la', 'presenza', 'di', 'panagglutinina.'], ['La', 'risposta', '3', 'è', 'quella', 'che', 'ritengo', 'corretta:', ""un'anemia"", 'emolitica', 'autoimmune', 'giustificherebbe', 'i', 'dati', 'forniti:', 'LDH', 'e', 'bilirubinemia', 'elevate', 'a', 'causa', 'della', 'distruzione', 'dei', 'globuli', 'rossi,', 'policromatofilia,', 'sferocitosi', 'e', 'anisocitosi', 'perché', 'il', 'midollo', 'sta', 'lavorando', 'duramente', 'per', 'cercare', 'di', 'compensare', ""l'anemia,"", 'che', 'è', 'rigenerativa.'], ['Anche', 'lo', 'studio', 'di', 'anticorpi', 'irregolari', 'e', 'la', 'presenza', 'di', 'panagglutinina', 'supportano', 'questa', 'risposta,', 'poiché', 'il', 'legame', 'di', 'un', 'anticorpo', 'con', ""l'emocita"", 'ne', 'promuove', 'la', 'lisi', 'e', 'la', 'distruzione.'], ['La', 'bambina', 'ha', 'tosse', 'e', 'febbre,', 'compatibili', 'con', ""un'infezione"", 'respiratoria.'], ['Il', 'trattamento', 'iniziale', 'è', 'costituito', 'da', 'corticosteroidi.'], ['Ciò', 'è', 'confermato', 'da', 'Sans', 'Sabrafens', 'nel', 'suo', 'libro', 'Ematologia', 'clinica', '[1].'], ['La', 'risposta', '4', 'suscita', 'notevoli', 'dubbi;', 'non', 'è', 'possibile', 'perché', ""un'anemia"", 'perniciosa', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+75_65,"[['QUESTION', 'TYPE:', 'ANESTESIOLOGIA,', 'CURE', 'CRITICHE', 'ED', 'EMERGENZE'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'ricoverato', 'per', 'pancreatite', 'acuta', 'inizia', 'con', 'tachipnea,', 'tachicardia,', 'sudorazione', 'e', 'cianosi', 'progressiva.'], ['La', 'PaO2', 'è', 'di', '55', 'mm', 'Hg', '(rapporto', 'PaO2/FiO2<200).'], ['La', 'CXR', 'mostra', 'infiltrati', 'alveolari', 'polmonari', 'bilaterali.'], ['La', 'pressione', 'di', 'cuneo', 'capillare', 'polmonare', 'è', 'normale.'], [""L'ossigenoterapia"", 'non', 'migliora', 'la', 'situazione.'], ['Qual', 'è', 'la', 'diagnosi', 'più', 'probabile:'], ['1-', 'Polmonite', 'nosocomiale.'], ['2-', 'Insufficienza', 'cardiaca.'], ['3-', 'Linfangite', 'carcinomatosa.'], ['4-', 'Tromboembolia', 'polmonare.'], ['5-', 'Distress', 'respiratorio.'], ['RISPOSTA', 'CORRETTA:', '5'], ['Domanda', 'a', 'risposta', 'diretta.'], ['La', 'domanda', 'racconta', 'la', 'storia', 'di', 'un', 'paziente', 'con', 'pancreatite', 'acuta', 'che', 'sta', 'sviluppando', ""un'insufficienza"", 'respiratoria', 'acuta.'], ['La', 'dichiarazione', 'elenca', 'i', 'criteri', 'per', ""l'ARDS"", '(sindrome', 'da', 'distress', 'respiratorio', 'acuto):', 'PaO2/fiO2', '<', '200', '+', 'infiltrati', 'polmonari', 'bilaterali', '+', 'PCP<18.'], ['Quindi', 'la', 'diagnosi', 'è', 'di', 'distress', 'respiratorio', 'e', 'la', 'risposta', 'corretta', 'è', ""l'opzione"", '5']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+191_125,"[['QUESTION', 'TYPE:', 'PEDIATRIA'], ['CLINICAL', 'CASE:'], ['Un', 'neonato', 'di', '13', 'mesi', 'si', 'è', 'presentato', 'al', 'pronto', 'soccorso', 'con', 'febbre', 'fino', 'a', '39ºC', 'in', '48', 'ore', 'di', 'evoluzione', 'senza', 'altri', 'sintomi', 'associati.'], [""L'esame"", 'degli', 'organi', 'e', 'degli', 'apparati', 'non', 'ha', 'dato', 'risultati', 'significativi,', 'evidenziando', 'buone', 'condizioni', 'generali.'], ['Stavate', 'per', 'dimetterlo', 'a', 'casa,', 'ma', 'il', 'medico', 'pediatra', 'di', 'turno', 'chiede', 'un', 'esame', 'sistematico', 'delle', 'urine', 'e', ""un'urinocoltura"", 'tramite', 'cateterismo.'], ['Le', 'urine', 'mostrano', 'leucocituria', '++,', 'ematuria', '++', 'e', 'nitriti', '++', 'e', 'le', 'urine', 'presentano', 'bacilli', 'Gram-negativi.'], [""Nell'esame"", 'del', 'sangue', 'non', ""c'è"", 'leucocitosi', 'e', 'la', 'proteina', 'C-reattiva', 'è', 'di', '50', 'mg/l.'], ['Il', 'medico', 'curante', 'vi', 'dice', 'che', 'il', 'bambino', 'non', 'deve', 'essere', 'ricoverato', 'e', 'di', 'prescrivere', 'un', 'antibiotico', 'orale.'], ['Indicare', 'il', 'trattamento', 'antibiotico', 'empirico', 'meno', 'appropriato', 'in', 'questo', 'caso:'], ['1-', 'Amoxicilina.'], ['2-', 'Acido', 'amoxicillina-clavulanico.'], ['3-', 'Cefuroxima-axetil.'], ['4-', 'Cotrimoxazolo.'], ['5-', 'Cefixime.'], ['RISPOSTA', 'CORRETTA:', '1'], ['Tutti', 'gli', 'altri', 'farmaci', 'sono', 'una', 'buona', 'scelta', 'nelle', 'UTI', 'da', 'bacilli', 'grandi', 'negativi', '(molto', 'probabilmente', 'E.', 'coli).'], ['La', 'presenza', 'di', 'leucociti', '+', 'nitriti', 'nelle', 'urine', 'è', 'altamente', 'suggestiva', 'di', 'UTI.'], ['Se', ""l'esame"", 'di', 'Gram', 'delle', 'urine', 'rileva', 'batteri', 'G,', 'è', 'probabile', 'che', 'si', 'tratti', 'di', ""un'infezione"", 'da', 'Escherichia', 'coli.'], ['Molti', 'E', 'coli', 'sono', 'resistenti', ""all'amoxicillina.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+323_150,"[['QUESTION', 'TYPE:', 'UROLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'bambino', 'di', '12', 'mesi', 'che,', 'agli', 'esami', 'sanitari', 'effettuati', 'dalla', 'nascita,', 'presenta', 'un', 'testicolo', 'destro', 'nel', 'canale', 'inguinale', 'che', 'non', 'può', 'essere', 'disceso', 'nello', 'scroto.'], ['Selezionare', 'la', 'risposta', 'corretta:'], ['1-', 'La', 'diagnosi', 'più', 'probabile', 'è', 'quella', 'di', 'testicolo', 'retrattile.'], ['2-', 'Per', 'la', 'discesa', 'spontanea', 'bisogna', 'aspettare', 'i', 'due', 'anni', 'di', 'età.'], ['3-', 'La', 'gonadotropina', 'corionica', 'umana', 'è', 'il', 'trattamento', 'di', 'prima', 'scelta.'], ['4-', ""L'indicazione"", 'per', ""l'orchidopessi"", 'non', 'deve', 'essere', 'differita.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '4'], ['Si', 'tratta', 'di', 'criptorchidismo.'], ['Deve', 'essere', 'trattata', 'prima', 'dei', '2', 'anni', 'di', 'età', 'e', 'il', 'trattamento', 'ormonale', 'è', 'attualmente', 'in', 'disuso.'], ['Il', 'trattamento', 'di', 'prima', 'scelta', 'è', ""l'orchidopessi.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+311_217,"[['QUESTION', 'TYPE:', 'OFTALMOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '84', 'anni', 'ha', 'presentato', 'una', 'perdita', 'della', 'vista', ""nell'occhio"", 'sinistro', 'di', '4', 'giorni,', 'accompagnata', 'da', 'metamorfopsia.'], ['La', 'macula', 'presenta', 'abbondanti', 'essudati', 'duri,', 'due', 'piccole', 'emorragie', 'profonde', 'e', 'un', 'distacco', 'retinico', 'neurosensoriale', 'localizzato.'], [""L'occhio"", 'controlaterale', 'presenta', 'abbondanti', 'drusen', 'morbide.'], ['Quale', 'delle', 'seguenti', 'diagnosi', 'ritiene', 'più', 'probabile?'], ['1-', 'Distacco', 'acuto', 'del', 'vitreo', 'posteriore.'], ['2-', 'Degenerazione', 'maculare', 'legata', ""all'età"", '(AMD)', 'essudativa.'], ['3-', 'Ostruzione', ""dell'arteria"", 'retinica', 'centrale.'], ['4-', 'Neuropatia', 'ottica', 'ischemica', 'anteriore', 'non', 'arteritica.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['Nessuna', 'delle', 'altre', 'tre', 'opzioni', 'presenta', 'un', 'quadro', 'clinico', 'di', 'questo', 'tipo', '(la', 'VDPD', 'è', 'di', 'solito', 'asintomatica,', 'la', 'CRVO', 'produce', 'una', 'perdita', 'improvvisa', 'e', 'totale', 'o', 'quasi', 'totale', 'della', 'vista', 'con', 'la', 'tipica', 'macchia', 'rosso', 'ciliegia', 'nel', 'fondo,', 'e', ""l'AINO"", 'sia', 'arteritica', 'che', 'non', 'arteritica', 'produrrebbe', 'un', 'edema', 'papillare', 'di', 'solito', 'con', 'emorragie', 'peripapillari', 'ma', 'non', 'maculari,', 'e', 'nessuna', 'di', 'queste', '3', 'opzioni', 'è', 'associata', 'a', 'drusen', ""nell'occhio"", 'controlaterale).'], [""L'AMD"", 'nella', 'sua', 'forma', 'essudativa', 'presenta', 'sia', 'questa', 'presentazione', 'clinica', '(perdita', 'della', 'vista', 'e', 'metamorfopsia)', 'sia', 'il', 'caratteristico', 'fondo', 'descritto', 'nella', 'domanda,', 'e', 'la', 'drusen', 'è', 'solitamente', 'visibile', ""nell'occhio"", 'controlaterale.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+137_164,"[['QUESTION', 'TYPE:', 'OTORINOLARINGOIATRIA', 'E', 'CHIRURGIA', 'MAXILLO-FACCIALE'], ['CLINICAL', 'CASE:'], ['Di', 'fronte', 'a', 'un', 'trauma', 'diretto', 'al', 'lato', 'destro', 'del', 'volto,', 'in', 'seguito', 'al', 'quale', 'il', 'paziente', 'presenta', 'un', 'ematoma', 'palpebrale', 'unilaterale,', 'diplopia', 'nello', 'sguardo', 'verticale', 'e', 'difficoltà', 'ad', 'aprire', 'la', 'bocca,', 'quale', 'delle', 'seguenti', 'affermazioni', 'è', 'vera?'], ['1-', 'Molto', 'probabilmente', 'si', 'tratta', 'di', 'una', 'frattura', 'della', 'faccia', 'media', 'di', 'tipo', 'Lefort', 'I.'], ['2-', 'Si', 'tratta', 'probabilmente', 'di', 'una', 'frattura', 'orbitomalare', 'unilaterale.'], ['La', 'diagnosi', 'dovrebbe', 'essere', 'verificata', 'con', 'una', 'TC', '(tomografia', 'assiale', 'computerizzata).'], ['3-', 'È', 'una', 'frattura', 'della', 'base', 'del', 'cranio', 'a', 'livello', 'del', 'forame', 'carotideo.'], ['4-', 'La', 'diagnosi', 'probabile', 'è', 'di', 'frattura', 'con', 'dislocazione', 'del', 'condilo', 'mandibolare.'], ['5-', 'Una', 'frattura', 'mandibolare', 'è', 'probabilmente', 'associata', 'a', 'una', 'frattura', 'della', 'faccia', 'media', 'di', 'tipo', 'Lefort', 'I.'], ['RISPOSTA', 'CORRETTA:', '2'], ['La', 'diplopia', 'nello', 'sguardo', 'verticale', 'è', 'altamente', 'suggestiva', 'di', 'un', 'interessamento', 'delle', 'pareti', 'ossee', ""dell'orbita.""], ['La', 'frattura', 'di', 'Lefort', 'di', 'tipo', 'I', 'non', 'interessa', 'il', 'contenuto', 'orbitale.'], ['Conoscendo', 'queste', 'informazioni,', ""l'unica"", 'risposta', 'corretta', 'è', '2'], ['Se', 'ci', 'fossero', 'dubbi', 'sul', 'fatto', 'che', 'la', 'frattura', 'di', 'tipo', 'I', 'di', 'Lefort', 'abbia', 'o', 'meno', 'influenzato', ""l'orbita,"", 'basta', 'guardare', 'le', 'risposte.'], ['Chiunque', 'abbia', 'posto', 'la', 'domanda', 'voleva', 'assicurarsi', 'che', ""l'unica"", 'risposta', 'valida', 'fosse', 'la', 'numero', '2,', 'quindi', 'ha', 'aggiunto', 'la', 'frase', 'ma', 'per', 'sicurezza', 'la', 'controlliamo', 'con', 'una', 'TAC.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+309_215,"[['QUESTION', 'TYPE:', 'OFTALMOLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '47', 'anni', 'affetto', 'da', 'miopia,', 'operato', 'di', 'cataratta', '2', 'anni', 'fa,', 'si', 'è', 'presentato', 'al', 'pronto', 'soccorso', 'lamentando', 'una', 'profonda', 'e', 'indolore', 'perdita', 'della', 'vista', ""nell'occhio"", 'destro.'], ['Quale', 'delle', 'seguenti', 'diagnosi', 'può', 'causare', 'questa', 'sintomatologia?'], ['1-', 'Esoftalmite', 'post-chirurgica.'], ['2-', 'Distacco', 'della', 'retina.'], ['3-', 'Degenerazione', 'maculare', 'legata', ""all'età,"", 'forma', 'umida.'], ['4-', 'Distacco', 'posteriore', 'del', 'vitreo.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['Questa', 'domanda', 'potrebbe', 'essere', 'controversa.'], [""L'opzione"", '1', 'è', 'completamente', 'esclusa', 'perché', ""l'endoftalmite"", 'si', 'presenta', 'tipicamente', 'con', 'molto', 'dolore.'], ['Anche', ""l'opzione"", '3', 'di', 'una', 'forma', 'umida', 'di', 'degenerazione', 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+279_32,"[['QUESTION', 'TYPE:', 'ANATOMIA', 'PATOLOGICA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '59', 'anni', 'ha', 'presentato', 'una', 'diarrea', 'acquosa', 'cronica', 'di', '4', 'mesi.'], [""All'endoscopia,"", 'la', 'mucosa', 'non', 'presentava', 'caratteristiche', 'rilevanti.'], ['In', 'particolare,', 'non', 'sono', 'state', 'osservate', 'ulcere', 'o', 'aree', 'friabili.'], ['È', 'stata', 'eseguita', 'una', 'biopsia', 'del', 'colon', 'trasverso.'], [""L'istopatologia"", 'ha', 'rivelato', ""un'area"", 'ispessita', 'sotto', ""l'epitelio"", 'di', 'rivestimento', 'superficiale,', 'più', 'evidente', 'con', 'la', 'tecnica', 'della', 'tricromia', 'di', 'Masson,', 'che', 'comporta', 'atrofia', 'e', 'denudazione', 'epiteliale.'], ['È', 'stato', 'inoltre', 'riscontrato', 'un', 'chiaro', 'aumento', 'della', 'densità', 'dei', 'linfociti', 'intraepiteliali.'], ['La', 'diagnosi', 'della', 'lesione', 'intestinale', 'è?'], ['1-', 'Colite', 'ulcerosa', 'cronica.'], ['2-', 'Colite', 'pseudomembranosa.'], ['3-', 'Colite', 'collagena.'], ['4-', 'Malattia', 'di', 'Crohn', 'fibrosa.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['In', 'questo', 'caso,', 'la', 'presenza', 'di', 'un', 'ispessimento', 'dello', 'strato', 'di', 'collagene', 'subepiteliale,', 'più', 'evidente', 'con', 'la', 'tricromia', 'di', 'Masson', '(una', 'speciale', 'colorazione', 'che', 'permette', 'di', 'differenziare', 'le', 'fibre', 'di', 'collagene),', 'è', 'patognomonica', 'di', 'colite', 'collagenosa.'], [""L'atrofia"", 'e', 'la', 'denudazione', 'epiteliale', 'sono', 'caratteristiche', 'di', 'questa', 'malattia,', 'che', 'di', 'solito', 'non', 'causa', 'alterazioni', 'macroscopiche', 'della', 'mucosa.'], [""Un'aumentata"", 'densità', 'di', 'linfociti', 'intraepiteliali', 'e', ""l'assenza"", 'di', 'alterazioni', 'architettoniche', 'delle', 'cripte', '(caratteristiche', 'della', 'colite', 'ulcerosa', 'e', 'della', 'malattia', 'di', 'Crohn)', 'supportano', 'questa', 'diagnosi.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
+437_118,"[['QUESTION', 'TYPE:', 'EPIDEMIOLOGIA', 'E', 'MEDICINA', 'PREVENTIVA'], ['CLINICAL', 'CASE:'], ['Luis', 'è', 'un', 'giovane', 'di', '25', 'anni', 'che', 'è', 'stato', 'sottoposto', 'a', 'splenectomia', 'dopo', 'un', 'incidente', 'in', 'bicicletta', '1', 'anno', 'fa.'], ['Un', 'cane', 'lo', 'ha', 'morso', '24', 'ore', 'fa', 'e', 'gli', 'ha', 'provocato', 'una', 'piccola', 'ferita', 'sulla', 'mano', 'destra.'], ['Si', 'reca', 'al', 'centro', 'sanitario', '(situato', 'a', '3', 'ore', ""dall'ospedale"", 'più', 'vicino)', 'per', 'una', 'febbre', 'di', '39°C,', 'dolore', 'alla', 'ferita', 'e', 'malessere', 'generale.'], [""All'esame"", 'la', 'pressione', 'arteriosa', 'è', 'di', '100/60', 'mm', 'Hg,', 'la', 'frequenza', 'cardiaca', 'è', 'di', '110', 'battiti', 'al', 'minuto,', 'la', 'ferita', 'presenta', 'un', 'leggero', 'gonfiore', 'senza', 'pus.'], ['Quale', 'delle', 'seguenti', 'azioni', 'è', 'più', 'appropriata', 'in', 'questo', 'momento?'], ['1-', 'Inviare', ""all'ospedale"", 'per', 'la', 'vaccinazione', 'antirabbica', 'e', 'antitetanica', 'e', 'tenere', 'sotto', 'osservazione.'], ['2-', 'Pulire', 'la', 'ferita', 'e', 'somministrare', 'ganunaglobulina', 'aspecifica', 'per', 'via', 'intramuscolare.'], ['3-', 'Somministrare', '400', 'mg', 'di', 'moxifloxacina', 'per', 'via', 'orale', 'e', 'inviare', 'in', 'ospedale.'], ['4-', 'Somministrare', 'clindamicina', '600', 'mg', 'per', 'via', 'orale', 'ogni', '8', 'ore', 'e', 'tenere', 'sotto', 'osservazione.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Poiché', 'un', 'paziente', 'splenectomizzato', 'è', 'considerato', 'un', 'paziente', 'speciale,', 'deve', 'ricevere', 'un', 'trattamento', 'antibiotico', 'il', 'prima', 'possibile', 'anche', 'se', 'la', 'ferita', 'non', 'sembra', 'infetta.'], ['Dovete', 'assicurarvi', 'che', 'il', 'cane', 'sia', 'vostro', '(dovreste', 'chiedere', 'se', ""l'animale"", 'è', 'correttamente', 'vaccinato)', 'e', 'che', 'il', 'paziente', 'sia', 'correttamente', 'vaccinato', '(5', 'dosi', 'di', 'tetano,', 'non', 'sarebbe', 'necessario', 'il', 'tetano);', 'fare', 'una', 'notifica', 'di', 'Animal', 'Assault,', 'per', ""l'osservazione"", ""dell'animale"", 'e', 'prendere', 'provvedimenti', 'se', 'questo', 'è', 'necessario.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+112_154,"[['QUESTION', 'TYPE:', 'GINECOLOGIA', 'E', 'OSTETRICIA'], ['CLINICAL', 'CASE:'], ['Paziente', 'di', '67', 'anni', 'con', 'anamnesi', 'di', 'menopausa', 'a', '55', 'anni,', '3', 'gravidanze', 'con', '3', 'parti', 'eutanasici,', 'diabete', 'di', 'tipo', '2', 'con', '6', 'anni', 'di', 'evoluzione,', 'trattamento', 'con', 'nifedipone', 'per', ""l'ipertensione.""], ['Consultazione', 'a', 'causa', 'di', 'una', 'metrorragia', 'intermittente', 'di', '2', 'mesi.'], [""L'esame"", 'ginecologico', 'ha', 'rivelato', 'genitali', 'esterni', 'senza', 'lesioni,', 'cervice', 'atrofica,', 'utero', 'e', 'annessi', 'normali', 'alla', 'palpazione', 'e', 'uno', 'studio', 'citologico', 'normale', 'della', 'cervice.'], [""L'ecografia"", 'transvaginale', 'ha', 'mostrato', 'un', 'endometrio', 'iperecogeno', 'di', '7', 'mm.'], ['Quale', 'dei', 'seguenti', 'esami', 'è', 'il', 'più', 'appropriato', 'e', 'il', 'più', 'sensibile', 'per', 'stabilire', 'una', 'diagnosi?'], ['1-', 'Conizzazione', 'della', 'cervice.'], ['2-', 'Citologia', 'endometriale.'], ['3-', 'Isteroscopia', 'e', 'biopsia', 'endometriale.'], ['4-', 'Risonanza', 'magnetica', 'del', 'bacino.'], ['5-', 'Esame', 'in', 'anestesia', 'del', 'tratto', 'genitale', 'e', 'biopsia', 'della', 'cervice', 'e', ""dell'endometrio.""], ['RISPOSTA', 'CORRETTA:', '3'], ['La', 'risposta', 'corretta', 'è', '3'], ['Lo', 'studio', 'che', 'ci', 'fornisce', 'il', 'maggior', 'numero', 'di', 'informazioni', 'sulla', 'patologia', 'endometriale', 'è', ""l'isteroscopia,"", 'che', 'ci', 'permette', 'di', 'eseguire', 'una', 'biopsia', 'endometriale', 'mirata.'], ['La', 'citologia', 'endometriale', 'viene', 'eseguita', 'in', 'cieco', 'e', 'presenta', 'un', 'elevato', 'numero', 'di', 'falsi', 'negativi.'], ['La', 'risonanza', 'magnetica', 'ci', 'aiuterà', 'a', 'stadiare', 'il', 'cancro', ""dell'endometrio.""]]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+374_101,"[['QUESTION', 'TYPE:', 'NEUROLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '52', 'anni', 'si', 'è', 'presentato', 'al', 'pronto', 'soccorso', 'con', 'cefalea', 'e', 'febbre', '(37,8°C)', 'da', '2', 'giorni.'], ['Nelle', 'ultime', 'ore', 'ha', 'anche', 'associato', 'difficoltà', 'di', 'nomina', 'e', 'di', 'comprensione.'], [""L'esame"", 'non', 'ha', 'evidenziato', 'un', 'torcicollo,', 'la', 'caratteristica', 'più', 'evidente', 'è', 'la', 'presenza', 'di', ""un'afasia"", 'mista;', ""l'esame"", 'del', 'fundus', 'è', 'risultato', 'normale.'], ['La', 'TC', 'cranica', 'mostra', 'una', 'debole', 'ipodensità', 'del', 'lobo', 'temporale', 'sinistro', 'senza', 'effetto', 'massa', 'e', 'senza', 'captazione', 'di', 'contrasto.'], ['Quale', 'delle', 'seguenti', 'affermazioni', 'è', 'corretta?'], ['1-', 'La', 'meningite', 'batterica', 'è', 'la', 'prima', 'impressione', 'diagnostica', 'e', 'il', 'trattamento', 'con', 'cefalosporine', 'di', 'terza', 'generazione', 'deve', 'essere', 'iniziato', 'il', 'prima', 'possibile.'], ['2-', 'È', 'molto', 'probabile', 'che', 'il', 'liquor', 'di', 'questo', 'paziente', 'mostri', 'una', 'pleocitosi', 'a', 'prevalenza', 'linfocitaria', 'con', 'glicorrea', 'normale.'], ['3-', 'Sospetteremmo', ""un'encefalite"", 'limbica.'], ['4-', 'Si', 'tratta', 'di', 'un', 'ascesso', 'cerebrale', 'in', 'fase', 'iniziale.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['Il', 'quadro', 'descritto', 'è', 'tipico', 'della', 'meningoencefalite', 'virale,', 'più', 'specificamente', 'della', 'VHZ,', 'con', 'un', 'significativo', 'tropismo', 'attraverso', 'il', 'lobo', 'temporale,', 'che', 'causa', 'febbre', 'e', 'in', 'molti', 'casi', 'afasia,', 'per', 'cui', ""l'opzione"", 'corretta', 'sarebbe', 'la', '2,', 'in', 'quanto', 'il', 'liquido', 'cerebrospinale', 'mostra', 'normalmente', 'una', 'moderata', 'pleocitosi', 'linfocitaria,', 'con', 'normale', 'glicorrea.'], ['Le', 'altre', 'non', 'sono', 'corrette', 'perché:', 'la', 'prima', 'perché', 'non', 'si', 'tratta', 'di', 'una', 'meningite', 'batterica', 'che', 'si', 'presenterebbe', 'con', 'più', 'febbre,', 'la', 'terza', 'perché', ""l'encefalite"", 'limbica', 'si', 'presenta', 'normalmente', 'afona', 'con', 'alterazioni', 'comportamentali', 'e', ""l'ultima"", 'perché', ""l'immagine"", 'descritta', 'non', 'è', 'un', 'ascesso,', 'ben', 'delimitato.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+116_101,"[['QUESTION', 'TYPE:', 'EMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '25', 'anni', 'desidera', 'una', 'gravidanza', 'e', 'vuole', 'sapere', 'quale', 'trattamento', 'deve', 'seguire', 'durante', ""l'eventuale"", 'gravidanza,', 'essendo', 'portatrice', 'eterozigote', 'del', 'fattore', 'V', 'Leiden.'], ['Non', 'ha', 'mai', 'avuto', 'fenomeni', 'trombotici.'], ['La', 'determinazione', 'di', 'questo', 'fattore', 'è', 'stata', 'effettuata', 'come', 'studio', 'familiare', 'in', 'seguito', 'a', 'un', 'episodio', 'di', 'embolia', 'polmonare', 'in', 'un', 'fratello.'], ['Quale', 'trattamento', 'consigliare?'], ['1-', 'Dato', 'che', 'la', 'gravidanza', 'è', 'uno', 'stato', 'protrombotico,', 'esiste', 'un', 'rischio', 'elevato', 'di', 'tromboembolismo', 'venoso,', 'per', 'cui', 'la', 'gravidanza', 'dovrebbe', 'essere', 'sconsigliata.'], ['2-', 'Il', 'trattamento', 'con', 'eparina', 'a', 'basso', 'peso', 'molecolare', 'a', 'dosi', 'profilattiche', 'deve', 'essere', 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+164_123,"[['QUESTION', 'TYPE:', 'NEFROLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'di', '80', 'anni', 'con', ""un'anamnesi"", 'di', 'ipertensione', 'e', 'in', 'trattamento', 'con', 'enalapril', 'e', 'spironolattone', 'arriva', 'in', 'ospedale', 'con', 'astenia', 'e', 'grave', 'debolezza', 'muscolare.'], ['La', 'pressione', 'arteriosa', 'è', 'di', '110/70', 'mmHg.'], [""L'ECG"", 'mostra', 'onde', 'T', 'innalzate', 'e', 'spigolose,', 'extrasistoli', 'ventricolari', 'e', 'QT', 'corto.'], ['Qual', 'è', 'la', 'diagnosi', 'più', 'probabile?'], ['1-', 'Ipercalcemia.'], ['2-', 'Iperkaliemia.'], ['3-', 'Ipomagnesiemia.'], ['4-', 'Ipocalcemia.'], ['5-', 'Hipernatremia.'], ['RISPOSTA', 'CORRETTA:', '2'], ['La', 'risposta', 'corretta', 'è:', '2'], ['Iperkaliemia.'], ['Lo', 'spironolattone,', 'in', 'quanto', 'diuretico', 'risparmiatore', 'di', 'potassio,', 'inibisce', ""l'azione"", ""dell'aldosterone"", 'a', 'livello', 'renale', 'ed', 'è', 'responsabile', 'di', 'una', 'diminuzione', ""dell'escrezione"", 'di', 'potassio.'], [""L'ipercaliemia"", 'causa', 'disturbi', 'della', 'ripolarizzazione', 'con', 'conseguente', 'sviluppo', 'di', 'una', 'T', 'ampia,', 'simmetrica', 'e', 'a', 'base', 'stretta,', 'visibile', 'nelle', 'derivazioni', 'precordiali.'], ['Lo', 'spazio', 'QT', 'accorciato.'], ['Queste', 'anomalie', 'compaiono', 'con', 'una', 'kaliemia', 'di', 'circa', '5,5-6', 'mmol/l.'], ['Al', 'di', 'sopra', 'di', '6,5', 'mmol/l,', 'le', 'alterazioni', 'elettrocardiografiche', 'sono', 'costanti', 'e', 'sono', 'dominate', 'da', 'disturbi', 'della', 'conduzione', '(con', 'possibilità', 'di', 'extrasistoli', 'ventricolari).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+208_183,"[['QUESTION', 'TYPE:', 'GINECOLOGIA', 'E', 'OSTETRICIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '40', 'settimane', 'in', 'travaglio', 'con', 'dilatazione', 'di', '6', 'cm.'], ['Presentava', 'un', 'pattern', 'fetale', 'decelerativo', 'nelle', 'registrazioni', 'cardiotocografiche,', 'per', 'cui', 'si', 'è', 'deciso', 'di', 'eseguire', 'uno', 'striscio', 'di', 'sangue', 'fetale', 'per', 'valutare', 'il', 'benessere', 'del', 'feto.', 'Risultato', '7.22.'], ['Il', 'comportamento', 'corretto', 'è:'], ['1-', 'Grave', 'acidosi.', 'Parto', 'cesareo', 'urgente.'], ['2-', 'Valore', 'prepatologico', 'ripetuto', 'al', 'microtomo', '15-20', 'minuti.'], ['3-', 'Acidosi', 'moderata.', 'Ripetere', 'il', 'microtomo', 'tra', '1-2', 'ore.'], ['4-', 'Valore', 'nei', 'limiti', 'della', 'norma,', 'lasciare', ""l'evoluzione"", 'naturale', 'della', 'nascita.'], ['5-', 'Ripetere', ""l'operazione"", 'in', 'caso', 'di', 'possibile', 'errore', ""nell'ottenimento"", 'della', 'ripresa.'], ['RISPOSTA', 'CORRETTA:', '2'], ['-', 'pH', 'inferiore', 'a', '7,20', 'Valore', 'patologico.'], ['Indicazione', 'per', ""l'estrazione"", 'del', 'feto', 'per', 'la', 'via', 'più', 'rapida,', 'in', 'questo', 'caso', 'il', 'parto', 'cesareo.'], ['-', 'pH', 'tra', '7,20-7,25', 'Valore', 'pre-patologico.'], ['Ripetere', 'il', 'microtomo', 'in', '15-20', 'minuti.'], ['-', 'pH', 'superiore', 'a', '7,25', '.'], ['Valore', 'entro', 'i', 'limiti', 'della', 'normalità.', 'Osservazione.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+232_103,"[['QUESTION', 'TYPE:', 'EMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'ragazza', 'di', '19', 'anni', 'senza', 'anamnesi', 'di', 'rilievo,', 'ad', 'eccezione', 'di', 'un', 'caso', 'di', 'influenza', 'autolimitata', 'di', '3', 'settimane', 'prima,', 'si', 'è', 'presentata', 'al', 'pronto', 'soccorso', 'con', 'petecchie', 'ed', 'ecchimosi', 'a', 'insorgenza', 'spontanea.'], [""All'esame"", 'fisico', 'il', 'paziente', 'era', 'in', 'buone', 'condizioni', 'generali,', 'astemio,', 'normoteso', 'e', 'orientato', 'nel', 'tempo', 'e', 'nello', 'spazio.'], ['Petecchie', 'sparse', 'nel', 'LES', 'e', ""nell'addome"", 'e', 'piccole', 'ecchimosi', 'nelle', 'aree', 'di', 'decubito.'], ['Non', 'è', 'palpabile', 'alcuna', 'linfoadenopatia', 'o', 'splenomegalia.'], ['Gli', 'esami', 'di', 'laboratorio', 'hanno', 'mostrato', 'i', 'seguenti', 'risultati:', 'Hb', '12,6', 'g/dL,', 'leucociti', '5.500/mm3,', 'piastrine', '7000/mm3.'], ['Lo', 'striscio', 'di', 'sangue', 'periferico', 'ha', 'mostrato', 'una', 'normale', 'morfologia', 'degli', 'eritrociti,', 'una', 'normale', 'conta', 'differenziale', 'dei', 'leucociti', 'e', 'la', 'conta', 'planetaria', 'era', 'coerente', 'con', 'il', 'dato', ""dell'autoanalisi,"", 'senza', 'che', 'si', 'osservassero', 'aggregati', 'piastrinici.'], ['Biochimica', 'e', 'proteinogramma,', 'beta', '2', 'microglobulina', 'e', 'LDH', 'normali.'], ['Quale', 'dei', 'seguenti', 'ritiene', 'sia', 'il', 'trattamento', 'iniziale', 'più', 'appropriato?'], ['1-', 'Trasfusione', 'di', 'piastrine.'], ['2-', 'Rituximab', 'settimanale.'], ['3-', 'Ciclofosfamide', 'in', 'impulsi', 'di', '4', 'giorni', 'ogni', '21', 'giorni.'], ['4-', 'Plasmaferesi', 'giornaliera.'], ['5-', 'Prednisone', 'a', '1', 'mg/die', 'per', '2-3', 'settimane.'], ['RISPOSTA', 'CORRETTA:', '1'], ['Porpora', 'trombocitopenica', 'idiopatica,', 'ma', 'con', 'piastrine', 'molto', 'basse,', 'che', 'devono', 'essere', 'reintegrate.'], ['La', 'dose', 'di', 'steroidi', 'proposta', 'è', 'troppo', 'bassa.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'B-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+64_210,"[['QUESTION', 'TYPE:', 'ANATOMIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '42', 'anni', 'con', 'cancro', 'al', 'seno', 'presenta', 'metastasi', 'a', 'livello', 'dei', 'foramina', 'intervertebrali', 'tra', 'la', 'quarta', 'e', 'la', 'quinta', 'vertebra', 'cervicale', 'e', 'tra', 'la', 'quarta', 'e', 'la', 'quinta', 'vertebra', 'toracica.'], ['Quali', 'nervi', 'spinali', 'saranno', 'lesi?'], ['1-', 'Quarto', 'nervo', 'cervicale', 'e', 'quarto', 'nervo', 'toracico.'], ['2-', 'Quinto', 'nervo', 'cervicale', 'e', 'quinto', 'nervo', 'toracico.'], ['3-', 'Quarto', 'nervo', 'cervicale', 'e', 'quinto', 'nervo', 'toracico.'], ['4-', 'Quinto', 'nervo', 'cervicale', 'e', 'quarto', 'nervo', 'toracico.'], ['5-', 'Terzo', 'nervo', 'cervicale', 'e', 'quarto', 'nervo', 'toracico.'], ['RISPOSTA', 'CORRETTA:', '4'], ['Il', 'segreto', 'di', 'questa', 'domanda', 'sta', 'nel', 'fatto', 'che', 'ci', 'sono', '8', 'radici', 'cervicali', 'per', '7', 'vertebre,', 'quindi', 'la', 'radice', 'C1', 'si', 'trova', 'al', 'di', 'sopra', ""dell'atlante,"", 'e', 'così', 'via', 'fino', 'alla', 'C8', 'che', 'si', 'trova', 'tra', 'la', 'C7', 'e', 'la', 'T1.'], ['Le', 'radici', 'toraciche', 'escono', 'rispettivamente', 'sotto', 'le', 'vertebre', 'con', 'la', 'stessa', 'numerazione', '(nervo', 'T1', 'sotto', 'T1,', 'T2', 'sotto', 'T2,', 'ecc.).'], ['Pertanto,', 'tra', 'C4', 'e', 'C5', 'esce', 'il', '5°', 'nervo', 'cervicale', 'e', 'tra', 'T4', 'e', 'T5', 'esce', 'il', '4°', 'nervo', 'toracico.'], ['La', 'risposta', 'corretta', 'è', '4']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+280_32,"[['QUESTION', 'TYPE:', 'ANATOMIA', 'PATOLOGICA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '59', 'anni', 'ha', 'presentato', 'una', 'diarrea', 'acquosa', 'cronica', 'di', '4', 'mesi.'], [""All'endoscopia,"", 'la', 'mucosa', 'non', 'presentava', 'caratteristiche', 'rilevanti.'], ['In', 'particolare,', 'non', 'sono', 'state', 'osservate', 'ulcere', 'o', 'aree', 'friabili.'], ['È', 'stata', 'eseguita', 'una', 'biopsia', 'del', 'colon', 'trasverso.'], [""L'istopatologia"", 'ha', 'rivelato', ""un'area"", 'ispessita', 'sotto', ""l'epitelio"", 'di', 'rivestimento', 'superficiale,', 'più', 'evidente', 'con', 'la', 'tecnica', 'della', 'tricromia', 'di', 'Masson,', 'che', 'comporta', 'atrofia', 'e', 'denudazione', 'epiteliale.'], ['È', 'stato', 'inoltre', 'riscontrato', 'un', 'chiaro', 'aumento', 'della', 'densità', 'dei', 'linfociti', 'intraepiteliali.'], ['La', 'diagnosi', 'della', 'lesione', 'intestinale', 'è?'], ['1-', 'Colite', 'ulcerosa', 'cronica.'], ['2-', 'Colite', 'pseudomembranosa.'], ['3-', 'Colite', 'collagena.'], ['4-', 'Malattia', 'di', 'Crohn', 'fibrosa.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Tutto', 'ciò', 'che', 'ci', 'viene', 'detto', 'in', 'questo', 'caso', 'è', 'tipico', 'della', 'COLITE', 'COLANGALE.'], ['In', 'linea', 'di', 'massima,', 'i', 'risultati', 'clinici', 'ed', 'endoscopici', 'possono', 'lasciarci', 'un', ""po'"", 'come', ""all'inizio,"", 'ma', ""l'istologia"", 'è', 'poco', 'più', 'che', 'la', 'definizione', 'di', 'questa', 'patologia.'], ['Il', 'criterio', 'specifico', 'per', 'la', 'diagnosi', 'di', 'colite', 'collagena', 'è', 'la', 'presenza', 'aggiuntiva', 'di', 'una', 'banda', 'irregolare', 'di', 'collagene', 'appena', 'sotto', ""l'epitelio"", 'superficiale', 'della', 'mucosa', 'del', 'colon', 'in', 'continuità', 'con', 'la', 'membrana', 'basale,', 'visibile', 'con', 'la', 'colorazione', 'tricromica', '(colora', 'le', 'fibre', 'di', 'collagene', 'di', 'tipo', 'I),', 'che', 'intrappola', 'i', 'capillari', 'superficiali', 'producendo', 'lesioni', ""nell'epitelio"", 'superficiale.'], ['Inoltre,', 'è', 'accompagnata', 'da', 'un', 'infiltrato', 'infiammatorio', 'cronico', 'nella', 'lamina', 'propria,', 'composto', 'principalmente', 'da', 'linfociti,', 'plasmacellule', 'ed', 'eosinofili.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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+257_95,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIA'], ['CLINICAL', 'CASE:'], ['In', 'una', 'paziente', 'di', '30', 'anni', 'viene', 'riscontrato', 'un', 'livello', 'di', 'calcio', 'di', '11', 'mg/dl', '(normale', 'meno', 'di', '10,5', 'mg/dl)', 'durante', 'un', 'esame', 'aziendale', 'di', 'routine.'], ['La', 'determinazione', 'del', 'PTH', 'era', 'di', '45', 'pg/ml', '(VN', '10-55', 'pg/ml).'], [""L'anamnesi"", 'è', 'irrilevante,', 'tranne', 'per', 'il', 'fatto', 'che', 'alla', 'madre', 'e', 'al', 'nonno', 'paterno', 'è', 'stato', 'diagnosticato', 'un', 'iperparatiroidismo', 'e', 'sono', 'stati', 'sottoposti', 'a', 'intervento', 'chirurgico,', 'pur', 'rimanendo', 'ipercalcemici.'], ['Quale', 'test', 'è', 'più', 'utile', 'per', 'confermare', 'la', 'diagnosi?'], ['1-', '25-OH', 'D.'], ['2-', '1,25-OH', '2D.'], ['3-', 'Rapporto', 'calcio/creatinina', 'nelle', 'urine.'], ['4-', 'Riassorbimento', 'tubulare', 'del', 'fosfato.'], ['5-', 'PTHrP.'], ['RISPOSTA', 'CORRETTA:', '3'], ['Cociente', 'calcio/creatinina', 'orina.'], ['Si', 'tratta', 'di', 'ipercalcemia', 'ipocalciurica', 'familiare', 'o', 'ipercalcemia', 'familiare', 'benigna.'], ['Disturbo', 'autosomico', 'dominante.'], ['Asintomatico.'], ['Non', 'curabile', 'dopo', 'il', 'trattamento', 'chirurgico;', 'dovuta', 'alla', 'mutazione', 'del', 'recettore', 'sensibile', 'al', 'calcio.'], ['Si', 'tratta', 'di', 'una', 'domanda', 'difficile,', 'in', 'quanto', 'è', 'necessario', 'conoscere', 'i', 'dati', 'relativi', 'a', 'una', 'malattia', 'che', 'di', 'solito', 'non', 'viene', 'richiesta', 'nel', 'MIR.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
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+318_140,"[['QUESTION', 'TYPE:', 'REUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Lei', 'valuta', 'un', 'paziente', 'di', '66', 'anni', 'con', 'un', 'dolore', ""all'inguine"", 'accentuato', 'dalla', 'prolungata', 'posizione', 'eretta', 'per', 'alcuni', 'giorni', 'al', 'mese.'], ['Una', 'radiografia', 'semplice', ""dell'anca"", 'mostra', 'un', 'restringimento', 'dello', 'spazio', 'articolare', 'femoro-acetabolare,', 'sclerosi', 'e', 'osteofiti', 'Qual', 'è', 'il', 'suo', 'atteggiamento?'], ['1-', 'Diagnostico', 'una', 'coxartrosi', 'e', 'invio', 'al', 'traumatologo', 'a', 'montare', 'una', 'protesi', ""d'anca.""], ['2-', 'Inizio', 'del', 'trattamento', 'con', 'oppioidi', 'deboli', 'che', 'hanno', 'dimostrato', 'di', 'arrestare', 'la', 'progressione', 'della', 'malattia.'], ['3-', 'Ho', 'iniziato', 'il', 'trattamento', 'con', 'paracetamolo,', 'ho', 'spiegato', 'che', ""l'evoluzione"", 'è', 'molto', 'variabile', 'e', ""l'indicazione"", ""all'intervento"", 'dipende', 'dalla', 'funzionalità', 'e', 'dal', 'controllo', 'del', 'dolore.'], ['4-', 'A', 'causa', 'delle', 'caratteristiche', 'radiologiche', 'descritte,', 'ho', 'bisogno', 'di', 'una', 'risonanza', 'magnetica', ""dell'anca"", 'prima', 'di', 'prendere', 'una', 'decisione', 'terapeutica.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Si', 'tratta', 'di', 'una', 'coxartrosi.'], ['I', 'criteri', 'chirurgici', 'dipendono', 'dalla', 'sintomatologia', 'del', 'paziente', 'e', 'dal', 'fallimento', 'del', 'trattamento', 'medico.'], ['Nessun', 'farmaco', 'rallenta', 'o', 'modifica', 'il', 'decorso', 'della', 'malattia.'], ['Non', ""c'è"", 'bisogno', 'di', 'una', 'risonanza', 'magnetica,', 'non', 'aggiunge', 'nulla.'], ['Il', 'trattamento', 'è', 'medico', 'e', 'sequenziale,', 'a', 'partire', 'dalla', 'prima', 'fase', 'analgesica', ""dell'OMS.""]]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+147_157,"[['QUESTION', 'TYPE:', 'PSICHIATRIA'], ['CLINICAL', 'CASE:'], ['Una', 'studentessa', 'universitaria', 'di', '19', 'anni', 'si', 'presenta', 'in', 'ambulatorio', 'accompagnata', 'dai', 'genitori', 'e', 'riferisce', 'di', 'essersi', 'sentita', 'progressivamente', 'più', 'astenica', 'negli', 'ultimi', 'due', 'mesi,', 'con', 'perdita', 'di', 'appetito', 'e', 'di', 'peso', 'e', 'maggiore', 'difficoltà', 'a', 'concentrarsi', 'sugli', 'studi.'], [""L'anamnesi"", 'evidenzia', 'anche', 'che', 'ha', 'perso', 'interesse', 'a', 'uscire', 'con', 'gli', 'amici,', 'ha', 'idee', 'di', 'morte', 'senza', 'ideazioni', 'autolesionistiche', 'e', 'cognizioni', 'pessimistiche', 'sul', 'futuro.'], ['Il', 'loro', 'peso', 'è', 'pari', 'al', '90%', 'di', 'quello', 'considerato', 'ideale', 'per', 'età', 'e', 'sesso.'], ['Nessuna', 'fobia', 'del', 'peso', 'o', 'distorsione', ""dell'immagine"", 'corporea.'], ['La', 'diagnosi', 'più', 'appropriata', 'è:'], ['1-', 'Anoressia', 'nervosa.'], ['2-', 'Disturbo', ""d'ansia.""], ['3-', 'Disturbo', 'borderline', 'di', 'personalità.'], ['4-', 'Distimia.'], ['5-', 'Disturbo', 'depressivo', 'maggiore.'], ['RISPOSTA', 'CORRETTA:', '5'], ['Appena', 'sentiamo', 'la', 'parola', 'peso,', 'ci', 'orientiamo', 'verso', ""l'anoressia"", 'nervosa,', 'ma', ""l'anoressia"", 'nervosa', 'ha', 'tre', 'caratteristiche:', 'una', 'significativa', 'perdita', 'di', 'peso', 'autoindotta,', 'una', 'distorsione', ""dell'immagine"", 'corporea', 'e', ""l'amenorrea.""], ['Quindi', 'ne', 'rimuoviamo', '1'], ['Si', 'perde', 'peso', 'quando', 'si', 'è', 'tristi,', 'si', 'è', 'preoccupati,', 'ecc...', 'Il', '3', 'non', 'ha', 'senso', 'nella', 'MIR', 'a', 'causa', 'della', 'clinica', '-', 'nella', 'realtà', 'la', 'storia', 'è', 'diversa', 'e', 'in', 'psichiatria', 'tutto', 'è', 'evoluzione', '-.'], ['4', 'deve', 'soddisfare', 'criteri', 'temporali', 'che', 'qui', 'non', 'sono', 'soddisfatti.'], ['Quindi', 'siamo', 'tra', 'i', '2', 'e', 'i', '5'], ['Depressione', 'o', 'ansia?'], ['Non', 'ci', 'sono', 'segni', 'clinici', 'di', 'ansia', 'e', 'soddisfa', 'anche', 'i', 'criteri', 'per', 'la', 'depressione.'], ['Alla', 'povera', 'ragazza', 'è', 'stata', 'diagnosticata', 'la', 'depressione.'], ['La', 'risposta', 'è', '5', ""(un'altra"", 'possibilità', 'è', 'che', 'stesse', 'studiando', 'il', 'MIR).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+530_167,"[['QUESTION', 'TYPE:', 'NEFROLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'con', 'nota', 'malattia', 'renale', 'cronica', 'avanzata', '(CKD', 'G4,', 'eGFR', '20', 'ml/min),', 'che', 'arriva', 'al', 'pronto', 'soccorso', 'per', 'debolezza', 'generale', 'e', 'viene', 'trovato', 'con', 'una', 'grave', 'iperkaliemia', '(K', '7', 'mEq/l)', 'con', 'alterazioni', 'elettrocardiografiche.'], ['Quale', 'sarebbe', 'il', 'primo', 'passo', 'da', 'compiere?'], ['1-', 'Somministrazione', 'di', 'resine', 'a', 'scambio', 'cationico.'], ['2-', 'Posizionamento', 'di', 'un', 'catetere', 'per', 'avviare', 'la', 'dialisi.'], ['3-', 'Somministrazione', 'di', 'calcio', 'gluconato', 'per', 'via', 'endovenosa.'], ['4-', 'Somministrazione', 'di', 'furosemide', 'orale.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Descriviamo', 'il', 'caso', 'di', 'un', 'paziente', 'con', ""un'emergenza"", 'iperkaliemica', '(potassio', '>6,5', 'mmol/l', 'con', 'alterazioni', 'ECG).'], ['Il', 'primo', 'passo', 'è', 'la', 'somministrazione', 'di', 'calcio', 'gluconato', 'per', 'via', 'endovenosa', 'per', 'contrastare', 'la', 'tossicità', 'cardiaca', ""dell'iperkaliemia"", '(opzione', '3', 'corretta),', 'dandoci', 'più', 'tempo', 'per', 'iniziare', 'i', 'trattamenti', 'ipokaliemici', '(inizialmente', 'glucosio', 'salino', 'con', 'insulina,', 'salbutamolo,', 'furosemide,', 'e', 'valutando', 'la', 'dialisi', 'se', 'non', ""c'è"", 'una', 'buona', 'risposta).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+494_157,"[['QUESTION', 'TYPE:', 'EMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '26', 'anni', 'ha', 'consultato', 'per', 'una', 'sensazione', 'di', 'debolezza', 'generalizzata', 'che', 'si', 'è', 'sviluppata', 'progressivamente', 'nel', 'corso', 'di', 'tre', 'settimane,', 'diventando', 'particolarmente', 'intensa', 'negli', 'ultimi', 'due', 'giorni.'], ['Da', 'un', 'paio', ""d'anni"", 'riferisce', 'episodi', 'di', 'dolore', 'articolare', 'alle', 'mani', 'che', 'hanno', 'richiesto', ""l'uso"", 'di', 'farmaci', 'antinfiammatori,', 'nonché', 'la', 'comparsa', 'di', 'alcune', 'lesioni', 'eritematose', 'di', 'causa', 'non', 'chiara', 'nella', 'zona', 'del', 'décolleté,', 'soprattutto', 'in', 'estate.'], [""L'esame"", 'fisico', 'ha', 'rivelato', 'solo', 'un', 'pallore', 'della', 'pelle', 'e', 'delle', 'mucose', 'e', 'una', 'frequenza', 'cardiaca', 'di', '100', 'bpm.'], [""L'emogramma"", 'evidenzia:', 'Hb', '6', 'gr/dL,', 'Hto', '27', '%,', 'MCV', '105', 'fL,', '3.42', 'leucociti/mm3', '(2300', 'neutrofili/mm3,', '800', 'linfociti/mm3,', '250', 'monociti/mm3,', '50', 'eosinofili/mm3,', '20', 'basofili/mm3),', 'piastrine', '170.000/mm3.'], ['Biochimica:', 'AST', '30', 'UI/L,', 'ALT', '35', 'UI/L,', 'GGT', '59', 'UI/L,', 'fosfatasi', 'alcalina', '105', 'UI/L,', 'LDH', '490', 'UI/L,', 'urea', '20', 'mg/dL,', 'creatinina', '0,8', 'mg/dL.'], ['Sulla', 'base', 'delle', 'informazioni', 'disponibili,', 'si', 'prega', 'di', 'indicare', 'quali', 'dei', 'seguenti', 'parametri', 'analitici', 'aggiuntivi', 'sarebbe', 'necessario', 'conoscere', 'per', 'prendere', 'la', 'decisione', 'immediata', 'più', 'appropriata:'], ['1-', 'Vitamina', 'B12.'], ['2-', 'Anticorpi', 'antinucleari.'], ['3-', 'Test', 'di', 'Coombs', 'diretto.'], ['4-', 'Anticorpi', 'anti-DNA.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Discutono', 'il', 'caso', 'di', 'una', 'giovane', 'donna', 'con', 'sintomi', 'di', 'una', 'malattia', 'sistemica', 'di', 'probabile', 'origine', 'autoimmune', '(lupus)', 'che', 'presenta', 'anemia', 'macrocitica;', 'le', 'opzioni', '2', 'e', '4', 'sono', 'opzioni', 'per', 'identificare', 'la', 'malattia', 'autoimmune,', 'ma', 'quello', 'che', 'ci', 'chiedono', 'è', 'cosa', 'fare', 'per', 'trattare', ""l'anemia,"", 'quindi', 'dovremmo', 'sospettare', 'che', ""l'anemia"", 'sia', 'secondaria', 'alla', 'malattia', 'autoimmune', 'e', 'quindi', 'richiedere', 'un', 'test', 'di', 'Coombs', 'diretto,', 'poiché', 'se', 'è', 'positivo', 'il', 'paziente', 'non', 'sarà', 'trasfuso,', 'a', 'meno', 'che', 'non', 'sia', 'estremamente', 'grave,', 'e', 'la', 'causa', 'primaria', 'dovrebbe', 'essere', 'trattata.'], ['Si', 'parla', 'anche', 'di', 'insorgenza', 'rapida,', 'che', 'nel', 'caso', 'della', 'vitamina', 'B12', 'è', 'più', 'progressiva.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+117_112,"[['QUESTION', 'TYPE:', 'INFETTOLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'di', '64', 'anni', 'si', 'consulta', 'per', 'febbre,', 'tosse,', 'dispnea', 'e', 'dolore', 'pleuritico', 'destro', 'di', '1', 'settimana.'], ['La', 'radiografia', 'del', 'torace', 'mostra', 'un', 'versamento', 'pleurico', 'destro', 'localizzato', 'che', 'occupa', 'due', 'terzi', ""dell'emitorace.""], ['Durante', 'la', 'toracentesi,', 'è', 'stato', 'estratto', 'un', 'fluido', 'giallastro', 'e', ""l'analisi"", 'ha', 'mostrato:', 'leucociti', '15.000/uL,', '92%', 'neutrofili,', 'glucosio', '30', 'mg/dl,', 'pH', '7,', 'lattato', 'deidrogenasi', '3500', 'U/L,', 'adenosina', 'deaminasi', '45', 'U/L', 'e', 'assenza', 'di', 'germi', 'nella', 'colorazione', 'GRAM.'], ['Qual', 'è', 'la', 'prossima', 'azione', 'più', 'appropriata', 'per', 'questo', 'paziente?'], ['1-', 'Terapia', 'antibiotica', 'per', 'via', 'endovenosa.'], ['2-', 'Terapia', 'antibiotica', 'per', 'via', 'endovenosa', 'e', 'ripetizione', 'della', 'toracentesi', 'diagnostica', 'entro', '24', 'ore.'], ['3-', 'Terapia', 'antibiotica', 'per', 'via', 'endovenosa', 'e', 'ripetizione', 'della', 'toracentesi', 'diagnostica', 'in', 'assenza', 'di', 'miglioramento', 'entro', '48', 'ore.'], ['4-', 'Terapia', 'antibiotica', 'per', 'via', 'endovenosa', 'e', 'toracentesi', 'evacuativa', '(terapeutica)', 'se', 'vengono', 'isolati', 'germi', 'nella', 'coltura', 'del', 'liquido', 'pleurico.'], ['5-', 'Terapia', 'antibiotica', 'endovenosa', 'e', 'posizionamento', 'di', 'un', 'tubo', 'toracico', 'o', 'di', 'un', 'catetere', 'per', 'drenare', 'tutto', 'il', 'liquido', 'pleurico.'], ['RISPOSTA', 'CORRETTA:', '5'], ['Anche', 'in', 'questa', 'domanda', 'non', 'dovrebbero', 'esserci', 'molti', 'dubbi', '(tra', ""l'altro,"", 'credo', 'che', 'sia', 'più', 'una', 'domanda', 'da', 'pneumologo', 'che', 'da', 'me,', 'ma', 'vabbè,', 'con', 'questa', 'febbre', 'il', 'mio', 'amico', 'Emilienko', 'si', 'è', 'smarrito),', 'visto', 'che', 'il', 'quadro', 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+27_203,"[['QUESTION', 'TYPE:', 'INFETTIVO'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'di', '52', 'anni', 'viene', 'ricoverato', 'in', 'ospedale', 'con', 'una', 'grave', 'polmonite.'], ['Con', 'un', 'trattamento', 'antibiotico', 'appropriato,', 'i', 'sintomi', 'respiratori', 'migliorano.'], ['Dopo', '4', 'giorni', 'di', 'degenza,', 'la', 'sua', 'evoluzione', 'è', 'stata', 'complicata', 'dalla', 'comparsa', 'di', 'un', 'grave', 'processo', 'diarroico.'], ['Qual', 'è', 'il', 'microrganismo', 'più', 'frequentemente', 'responsabile', 'di', 'questa', 'condizione?'], ['1-', 'Salmonella', 'enterica.'], ['2-', 'Lo', 'stesso', 'batterio', 'che', 'causa', 'la', 'polmonite,', 'che', 'è', 'diventato', 'resistente', ""all'antibiotico.""], ['3-', 'Campylobacter', 'jejuni.'], ['4-', 'Clostridium', 'difficile.'], ['5-', 'Yersinia', 'enterocolitica.'], ['RISPOSTA', 'CORRETTA:', '4'], ['In', 'questo', 'caso,', 'visto', 'il', 'trattamento', 'antibiotico', 'somministrato', 'e', 'la', 'gravità', 'della', 'diarrea,', 'sembra', 'che', 'si', 'tratti', 'di', ""un'infezione"", 'da', 'Clostridium.'], [""L'opzione"", '2', 'è', 'poco', 'credibile,', 'infatti,', 'per', 'quanto', 'i', 'pazienti', 'con', 'CAP', 'possano', 'avere', 'diarrea', 'associata,', 'è', 'improbabile', 'che', 'un', 'batterio', 'sia', 'sensibile', 'a', 'un', 'antibiotico', ""all'inizio"", 'del', 'quadro', 'e', 'smetta', 'di', 'esserlo', 'dopo', '3', 'giorni.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
+471_139,"[['QUESTION', 'TYPE:', 'CHIRURGIA', 'ORTOPEDICA', 'E', 'TRAUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Bambino', 'di', '7', 'anni', 'portato', 'al', 'pronto', 'soccorso', 'dopo', 'essere', 'caduto', 'da', ""un'altalena"", 'sulla', 'mano', 'destra.'], ['Nessun', 'precedente', 'di', 'interesse.'], ['Presenta', 'una', 'deformità', 'a', 'forchetta', 'del', 'polso', 'e', 'impotenza', 'funzionale,', 'con', 'una', 'situazione', 'neurovascolare', 'distale', 'normale.'], ['Quale', 'lesione', 'si', 'aspetta', 'di', 'trovare', 'nella', 'radiografia', 'urgente', 'che', 'sta', 'richiedendo?'], ['1-', 'Frattura', 'di', 'Monteggia', '-', 'lussazione.'], ['2-', 'Frattura', 'della', 'testa', 'radiale.'], ['3-', 'Epifisiolisi', 'del', 'radio', 'distale.'], ['4-', 'Frattura', 'a', 'stelo', 'verde', ""dell'ulna.""], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Con', 'la', 'deformità', 'e', 'il', 'dolore', 'nel', 'radio', 'distale,', 'ci', 'aspettiamo', 'una', 'frattura', 'a', 'quel', 'livello,', 'quindi', 'segniamo', '3'], ['Tuttavia,', 'ritengo', 'che', 'sia', 'contestabile', 'in', 'quanto', 'potrebbe', 'anche', 'avere', 'una', 'concomitante', 'frattura', 'del', 'peduncolo', 'verde', 'ulnare,', 'anche', 'se', 'la', 'lesione', 'principale', 'è', 'al', 'radio.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+327_81,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '30', 'anni', 'si', 'presenta', 'in', 'ambulatorio', 'riferendo', 'ansia,', 'perdita', 'di', 'peso', 'di', 'circa', '6', 'kg', 'e', 'una', 'sensazione', 'di', 'nervosismo', 'negli', 'ultimi', 'tre', 'mesi.'], [""L'esame"", 'fisico', 'ha', 'rivelato', 'tachicardia,', 'iperreflessia', 'e', 'assenza', 'di', 'gozzo.'], ['I', 'valori', 'di', 'TSH', 'sono', '<', '0,01', 'microU/mL,', 'il', 'T4', 'è', 'elevato', 'e', 'i', 'livelli', 'di', 'tireoglobulina', 'sono', 'diminuiti.'], ['La', 'scintigrafia', 'rileva', ""un'assenza"", 'di', 'captazione', 'nella', 'regione', 'tiroidea.'], ['Quale', 'ritiene', 'sia', 'la', 'diagnosi', 'più', 'probabile?'], ['1-', 'Tireotossicosi', 'fittizia.'], ['2-', 'Ipertiroidismo', 'dovuto', 'alla', 'malattia', 'di', 'Graves.'], ['3-', 'Teratoma', 'ovarico', '(struma', 'ovarico).'], ['4-', 'Tiroidite', 'subacuta.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '1'], ['Risposta', 'errata', '2:', 'La', 'malattia', 'di', 'Graves', 'è', 'caratterizzata', 'da', 'ipertiroidismo', 'e', 'da', 'uno', 'o', 'più', 'dei', 'seguenti', 'fattori:', 'gozzo,', 'esoftalmo', 'e', 'mixedema', 'pretibiale.'], ['Risposta', 'errata', '4:', 'Il', 'sintomo', 'più', 'evidente', 'della', 'tiroidite', 'subacuta', 'è', 'il', 'dolore', 'al', 'collo.'], ['Talvolta', 'il', 'dolore', 'può', 'estendersi', 'alla', 'mascella', 'o', 'alle', 'orecchie.'], [""L'ingrossamento"", 'doloroso', 'della', 'tiroide', 'può', 'durare', 'settimane', 'o', 'mesi.'], ['E', 'di', 'solito', 'hanno', 'bassi', 'livelli', 'sierici', 'di', 'ormone', 'stimolante', 'la', 'tiroide', '(TSH).'], ['Elevato', 'livello', 'di', 'T4', 'libero', 'nel', 'siero.'], ['Elevato', 'livello', 'di', 'tireoglobulina', 'nel', 'siero.'], ['Risposta', 'errata', '4:', 'Tumore', 'molto', 'raro.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+450_154,"[['QUESTION', 'TYPE:', 'NEUROCHIRURGIA'], ['CLINICAL', 'CASE:'], ['Un', 'uomo', 'presenta', ""all'esame"", 'neurologico', 'un', 'deficit', 'sensoriale', 'termoalgesico', 'alla', 'gamba', 'sinistra', 'associato', 'a', 'una', 'perdita', 'della', 'sensibilità', 'vibratoria', 'e', 'posizionale', 'alla', 'gamba', 'destra.'], ['Allo', 'stesso', 'tempo,', 'ha', 'presentato', 'goffaggine', 'e', 'perdita', 'di', 'forza', 'distale', 'nella', 'gamba', 'destra', 'e', 'un', 'riflesso', 'cutaneo', 'plantare', 'destro', 'in', 'estensione.'], ['Quale', 'delle', 'seguenti', 'affermazioni', 'è', 'corretta?'], ['1-', 'È', 'una', 'sindrome', 'centromediale', 'di', 'tipo', 'siringomielico.'], ['2-', 'È', 'una', 'sindrome', 'emimedullare.'], ['3-', 'È', 'un', 'modello', 'di', 'lesione', 'midollare', 'trasversale.'], ['4-', 'Si', 'tratta', 'di', 'un', 'modello', 'di', 'lesione', 'bulbare', 'laterale.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['Descrivono', 'un', 'tipico', 'quadro', 'di', 'emisezione', 'o', 'Brown-Sequard.'], ['Coinvolgimento', 'motorio', 'e', 'cordale', 'posteriore', 'omolaterale', 'con', 'coinvolgimento', 'controlaterale', 'del', 'dolore', 'e', 'della', 'temperatura.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+265_137,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIA'], ['CLINICAL', 'CASE:'], ['Uomo', 'di', '65', 'anni', 'con', 'anamnesi', 'di', 'neoplasia', 'pancreatica', 'in', 'corso', 'di', 'chemioterapia.'], ['Quale', 'test', 'diagnostico', 'è', 'più', 'conveniente', 'per', 'confermare', 'il', 'sospetto', 'diagnostico?'], ['1-', 'D-dimero.'], ['2-', 'Risonanza', 'magnetica.'], ['3-', 'Flebografia.'], ['4-', 'Ecografia', 'Doppler', 'venosa.'], ['5-', 'TC', 'elicoidale.'], ['RISPOSTA', 'CORRETTA:', '4'], [""L'ecografia"", 'Doppler', 'è', ""l'esame"", 'più', 'accurato', 'e', 'consente', 'un', 'successivo', 'monitoraggio', 'non', 'invasivo', 'della', 'progressione', 'della', 'malattia.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+189_71,"[['QUESTION', 'TYPE:', 'PEDIATRIA'], ['CLINICAL', 'CASE:'], ['Bambino', 'di', '10', 'anni', 'con', 'brevi', 'episodi', 'di', 'distrazione', '(<', '1', 'minuto)', 'in', 'cui', 'non', 'risponde', 'ai', 'richiami', 'e', 'sbatte', 'le', 'palpebre.'], ['Un', 'EEG', 'mostra', 'scariche', 'di', 'onde', 'spike', 'a', '3', 'cicli', 'al', 'secondo.'], ['Il', 'trattamento', 'elettivo', 'di', 'prima', 'linea', 'sarebbe', 'con:'], ['1-', 'Valproato.'], ['2-', 'Carbamacepina.'], ['3-', 'Fenitoina.'], ['4-', 'Gabapentina.'], ['5-', 'Clonazepam.'], ['RISPOSTA', 'CORRETTA:', '1'], ['Le', 'crisi', 'descritte', 'e', ""l'EEG"", 'corrispondono', 'alle', 'tipiche', 'crisi', 'di', 'assenza', 'e', 'il', 'trattamento', 'iniziale', 'di', 'scelta', 'è', ""l'acido"", 'valproico.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+508_148,"[['QUESTION', 'TYPE:', 'DIGESTIVO'], ['CLINICAL', 'CASE:'], ['Donna', 'di', '72', 'anni', 'senza', 'precedenti', 'di', 'interesse.'], ['Dopo', 'una', 'colica', 'renale', 'complicata,', 'una', 'lesione', 'cistica', 'di', '2', 'cm', 'nella', 'coda', 'del', 'pancreas,', 'insieme', 'a', 'lesioni', 'cistiche', 'renali', 'multiple', 'bilaterali,', 'è', 'stata', 'riscontrata', 'casualmente', 'alla', 'TC', 'addominale.'], [""L'ecografia"", 'endoscopica', 'mostra', 'una', 'lesione', 'policistica', 'costituita', 'da', 'vescicole', 'multiple', 'con', 'calcificazione', 'centrale', 'nella', 'coda', 'del', 'pancreas,', 'senza', 'connessione', 'con', 'il', 'dotto', 'di', 'Wirsung.'], [""L'analisi"", 'del', 'liquido', 'è', 'compatibile', 'con', 'un', 'cistoadenoma', 'sieroso.'], ['Tra', 'i', 'seguenti,', 'qual', 'è', ""l'approccio"", 'più', 'corretto', 'per', 'la', 'gestione', 'di', 'questo', 'paziente?'], ['1-', 'Resezione', 'chirurgica', '(pancreatectomia', 'corporocaudale).'], ['2-', 'Puntura', 'endoscopica', 'guidata', 'da', 'ultrasuoni', 'ed', 'etanolizzazione', 'della', 'puntura.'], ['3-', 'Follow-up', 'della', 'lesione', 'mediante', 'risonanza', 'magnetica.'], ['4-', 'Trapianto', 'di', 'rene-pancreas.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Il', 'cistoadenoma', 'sieroso', 'del', 'pancreas', 'è', ""un'entità"", 'benigna,', 'spesso', 'policistica', '(chiamata', 'anche', 'adenoma', 'microcistico),', 'costituita', 'da', 'cellule', 'che', 'producono', 'collagene', '(non', 'mucinose).'], ['Di', 'solito', 'è', 'asintomatica', 'e', 'viene', 'scoperta', 'come', 'reperto', 'incidentale.'], ['Data', 'la', 'sua', 'natura', 'benigna,', ""l'intervento"", 'chirurgico', 'non', 'è', 'raccomandato', 'ed', 'è', 'riservato', 'solo', 'ai', 'pazienti', 'sintomatici', 'o', 'a', 'quelli', 'in', 'cui', 'la', 'natura', 'della', 'lesione', 'è', 'dubbia', 'dopo', 'uno', 'studio', 'completo', 'con', 'TC,', 'RM', 'ed', 'ecoendoscopia', 'con', 'biopsia.'], ['Spesso', 'è', 'sporadica,', 'ma', 'può', 'essere', 'associata', 'alla', 'sindrome', 'di', 'Von-Hippel-Lindau.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+151_70,"[['QUESTION', 'TYPE:', 'REUMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'paziente', 'di', '25', 'anni', 'con', ""un'anamnesi"", 'di', 'rash', 'cutaneo', 'dopo', ""l'esposizione"", 'al', 'sole', 'e', 'occasionale', 'poliartrite', 'alle', 'articolazioni', 'delle', 'mani,', 'controllata', 'con', 'farmaci', 'antinfiammatori', 'non', 'steroidei,', 'ha', 'presentato', 'malessere', 'generale,', 'progressiva', 'sensazione', 'di', 'debolezza', 'generalizzata', 'e', 'pallore', 'negli', 'ultimi', '15', 'giorni.'], ['Le', 'analisi', 'del', 'sangue', 'hanno', 'mostrato', 'emoglobina', '7', 'g/dL,', 'MCV', '108', 'mm/h,', '150', 'piastrine/mm3,', '3000', 'leucociti/mm3,', 'LDH', 'elevato,', 'aptoglobina', 'non', 'rilevabile.'], ['Se', 'viene', 'scelto', 'un', 'solo', 'test', 'diagnostico,', 'indicare', 'quale', 'dei', 'seguenti', 'test', 'deve', 'essere', 'eseguito', 'per', 'primo:'], ['1-', 'Test', 'di', 'Coombs', 'diretto.'], ['2-', 'Anticorpi', 'antinucleari', '(ANA).'], ['3-', 'Vitamina', 'B12.'], ['4-', 'Ferritina.'], ['5-', 'Acido', 'folico.'], ['RISPOSTA', 'CORRETTA:', '1'], ['Il', 'quadro', 'clinico', 'e', 'biologico', 'di', 'questo', 'paziente', 'fa', 'sospettare', ""un'anemia"", 'emolitica', 'nel', 'contesto', 'del', 'lupus', 'eritematoso', 'sistemico.'], ['Se', 'si', 'deve', 'scegliere', 'un', 'solo', 'test', 'diagnostico,', 'e', 'questo', 'dovrebbe', 'essere', 'il', 'primo,', 'siamo', 'interessati', 'a', 'confermare', 'la', 'presenza', 'di', 'anemia', 'emolitica', 'autoimmune', 'con', 'il', 'test', 'di', 'Coombs', 'diretto', 'per', 'iniziare', 'il', 'trattamento.'], ['Il', 'resto', 'dei', 'test', 'può', 'aspettare...']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+404_139,"[['QUESTION', 'TYPE:', 'OFTALMOLOGIA', '(ECTOPICA)'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '70', 'anni', 'con', 'anamnesi', 'di', 'anoressia,', 'perdita', 'di', 'peso,', 'fastidio', 'alla', 'muscolatura', 'e', 'alle', 'articolazioni', 'prossimali', 'e', 'dolore', 'nella', 'regione', 'temporo-mandibolare', 'si', 'è', 'recata', 'al', 'pronto', 'soccorso', 'per', 'una', 'perdita', 'unilaterale', 'della', 'vista', '(movimento', 'della', 'mano),', 'di', 'insorgenza', 'improvvisa', 'e', 'indolore', '(difetto', 'pupillare', 'afferente).'], ['Quale', 'test', 'richiedereste', 'per', 'primo', 'a', 'scopo', 'diagnostico?'], ['1-', 'Puntura', 'lombare.'], ['2-', 'Proteina', 'C-reattiva.'], ['3-', 'Angiografia', 'a', 'risonanza', 'magnetica.'], ['4-', 'Ecografia', 'carotidea.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '2'], ['La', 'paziente', 'è', 'una', 'donna', 'con', 'una', 'perdita', 'improvvisa,', 'indolore', 'e', 'grave', '(riesce', 'a', 'vedere', 'solo', 'il', 'movimento', 'delle', 'mani)', 'della', 'vista', 'in', 'un', 'occhio.'], [""L'esame"", 'oculistico', 'non', 'fornisce', 'molte', 'informazioni,', 'ma', 'solo', 'la', 'presenza', 'di', 'un', 'difetto', 'pupillare', 'afferente.'], ['Per', 'diagnosticare', 'il', 'problema', 'dobbiamo', 'basarci', 'sui', 'sintomi', 'sistemici.'], ['La', 'paziente', 'è', 'una', 'donna', 'anziana', 'con', 'i', 'sintomi', 'tipici', 'della', 'polimialgia', 'reumatica,', 'e', 'il', 'dolore', 'nella', 'regione', 'temporo-mandibolare', 'è', 'molto', 'suggestivo.'], ['Si', 'tratta', 'di', 'arterite', 'a', 'cellule', 'giganti', 'o', 'arterite', 'temporale.'], ['La', 'manifestazione', 'oculare', 'più', 'comune', 'è', 'la', 'neuropatia', 'ottica', 'ischemica', 'anteriore.'], ['Nel', 'fundus', 'si', 'noterebbe', 'probabilmente', 'un', 'edema', 'papillare', 'di', ""quell'occhio,"", 'con', 'un', 'colore', 'bianco-gesso.'], ['Molto', 'caratteristico', 'di', 'queste', 'gravi', 'neuropatie', 'ottiche', 'ischemiche', 'è', 'il', 'difetto', 'pupillare', 'afferente.'], ['In', 'caso', 'di', 'sospetto', 'di', 'arterite', 'a', 'cellule', 'giganti,', 'tre', 'marcatori', 'analitici', 'sono', 'caratteristicamente', 'elevati:', 'CRP,', 'VES', 'e', 'conta', 'piastrinica.'], ['Chiederemo', 'innanzitutto', 'uno', 'di', 'questi', 'parametri', 'e', 'lo', 'tratteremo,', 'spesso', 'senza', 'attendere', 'la', 'conferma', 'della', 'biopsia.'], ['Pertanto,', ""l'opzione"", '2', 'è', 'quella', 'corretta.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+215_106,"[['QUESTION', 'TYPE:', 'NEFROLOGIA'], ['CLINICAL', 'CASE:'], ['Un', 'paziente', 'di', '68', 'anni', 'si', 'è', 'presentato', 'per', 'edema', 'e', 'astenia.'], ['Gli', 'esami', 'del', 'sangue', 'hanno', 'mostrato', 'una', 'creatinina', 'di', '5', 'mg/dl,', ""un'emoglobina"", 'di', '10', 'g/dl', 'e', 'una', 'marcata', 'ipogammaglobulinemia', 'nel', 'siero', 'a', 'scapito', 'di', 'IgG,', 'IgA', 'e', 'IgM.'], [""L'analisi"", 'delle', 'urine', 'rivela', 'la', 'presenza', 'di', 'catene', 'leggere', 'kappa.'], ['Qual', 'è', 'il', 'suo', 'sospetto', 'diagnostico?'], ['1-', 'Malattia', 'da', 'deposito', 'di', 'catene', 'leggere', 'Kappa.'], ['2-', 'Sindrome', 'nefrosica.'], ['3-', 'Amiloidosi.'], ['4-', 'Mieloma', 'IgA', 'con', 'proteinuria', 'di', 'Bence-Jones.'], ['5-', 'Mieloma', 'a', 'catena', 'leggera.'], ['RISPOSTA', 'CORRETTA:', '1'], ['Questa', 'domanda', 'è', 'di', 'tipo', 'misto', 'emato-nefro.'], ['È', 'complicato,', 'quindi', 'escludiamo', 'le', 'opzioni', 'una', 'per', 'una.'], [""L'opzione"", '2,', 'sindrome', 'nefrosica,', 'oltre', 'a', 'essere', 'ampia', 'e', 'aspecifica,', 'non', 'sarebbe', 'valutabile,', 'poiché', 'non', 'ci', 'viene', 'fornita', 'la', 'quantificazione', 'delle', 'proteine', 'nelle', 'urine', '(ci', 'viene', 'detto', 'solo', 'che', ""l'analisi"", 'delle', 'urine', 'rivela', 'la', 'presenza', 'di', 'catene', 'leggere', 'kappa,', 'non', 'la', 'quantità).'], [""L'opzione"", '3', 'sarebbe', 'improbabile;', ""nell'amiloidosi,"", 'le', 'catene', 'leggere', 'che', 'si', 'depositano', 'di', 'solito', 'sono', 'di', 'tipo', 'lambda.'], ['Anche', ""l'opzione"", '4', 'sembra', 'improbabile,', 'poiché', 'nel', 'mieloma', 'IgA', 'ci', 'si', 'aspetterebbe', 'un', 'picco', 'monoclonale', 'di', 'IgA,', 'che', 'in', 'questo', 'caso', 'non', 'compare.'], ['Il', 'dubbio', 'che', 'mi', 'sorge', 'è', 'tra', '1', 'e', '5;', 'opterei', 'per', ""l'1,"", 'perché', 'questa', 'entità', 'soddisfa', 'le', 'caratteristiche', 'descritte', '(assenza', 'di', 'picco', 'monoclonale', 'nella', 'maggior', 'parte', 'dei', 'casi,', 'insufficienza', 'renale', 'acuta', 'e', 'presenza', 'di', 'catene', 'kappa', 'nelle', 'urine),', 'essendo', 'il', 'mieloma', 'a', 'catene', 'leggere', ""un'entità"", 'un', ""po'"", 'più', 'ampia,', 'ma', ""l'opzione"", '5', 'potrebbe', 'comunque', 'essere', 'considerata', 'valida.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+264_135,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'donna', 'di', '24', 'anni', 'viene', 'trovata', 'distesa', 'in', 'strada', 'dai', 'passanti.'], [""All'arrivo"", ""dell'équipe"", 'di', 'emergenza', 'è', 'stata', 'trovata', 'con', 'una', 'saturazione', 'di', 'ossigeno', ""dell'88%"", 'respirando', 'aria', 'ambiente', 'e,', ""all'esame,"", 'con', 'le', 'pupille', 'a', 'punta.'], ['È', 'stata', 'trasferita', 'al', 'pronto', 'soccorso', ""dell'ospedale"", 'più', 'vicino,', 'dove', ""l'emogasanalisi"", 'arteriosa', 'al', 'basale', 'ha', 'mostrato:', 'pH', '7,25,', 'PaC02', '60', 'mmHg,', 'Pa02', '58', 'mmHg,', 'bicarbonato', '26', 'mEq/1', 'ed', 'eccesso', 'di', 'basi', 'di', '-1'], ['Il', 'sodio', 'nel', 'sangue', 'è', 'pari', 'a', '137', 'mEq/1', 'e', 'il', 'cloruro', 'a', '100', 'mEq/1:'], ['1-', 'Insufficienza', 'respiratoria', 'parziale.'], ['2-', 'Acidosi', 'metabolica.'], ['3-', 'Acidosi', 'respiratoria', 'pura.'], ['4-', 'Alcalosi', 'respiratoria', 'dovuta', 'alla', 'mancanza', 'di', 'cloro.'], ['5-', 'I', 'gas', 'ematici', 'possono', 'essere', 'prelevati', 'solo', 'dal', 'sangue', 'venoso.'], ['RISPOSTA', 'CORRETTA:', '3'], [""L'acidosi"", 'con', 'PCO2', 'elevata,', 'ipossiemia', 'e', 'bicarbonato', 'normale', 'suggerisce', ""un'acidosi"", 'respiratoria', 'acuta', 'di', 'rapida', 'insorgenza', 'probabilmente', 'dovuta', 'a', 'intossicazione', 'da', 'farmaci.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+594_80,"[['QUESTION', 'TYPE:', 'PEDIATRIA'], ['CLINICAL', 'CASE:'], ['Un', 'neonato', 'di', '2', 'mesi', 'con', 'un', 'raffreddore', 'delle', 'vie', 'respiratorie', 'superiori', 'della', 'durata', 'di', '3', 'giorni,', 'inizia', 'con', 'una', 'moderata', 'distress', 'respiratoria', 'e', ""un'auscultazione"", 'polmonare', 'con', 'sibili', 'espiratori.'], ['La', 'saturazione', 'di', 'ossigeno', 'è', ""dell'89%.""], ['Il', 'virus', 'respiratorio', 'sinciziale', 'viene', 'isolato', ""nell'essudato"", 'nasofaringeo.'], ['Quale', 'dei', 'seguenti', 'trattamenti', 'ritiene', 'più', 'appropriato', 'per', 'questa', 'condizione?'], ['1-', 'Rivabirina', 'orale.'], ['2-', 'Salbutamolo', 'nebulizzato.'], ['3-', 'Ossigeno', 'supplementare.'], ['4-', 'Corticosteroidi', 'per', 'via', 'endovenosa.'], ['5-', 'nan'], ['RISPOSTA', 'CORRETTA:', '3'], ['Viene', 'presentato', 'un', 'caso', 'di', 'bronchiolite', 'positiva', ""all'RSV.""], ['Secondo', 'le', 'attuali', 'raccomandazioni,', 'è', 'necessario', 'iniziare', ""l'ossigenoterapia"", 'supplementare.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+236_108,"[['QUESTION', 'TYPE:', 'EMATOLOGIA'], ['CLINICAL', 'CASE:'], ['Una', 'paziente', 'di', '67', 'anni', 'in', 'trattamento', 'con', 'ticlopidina', 'si', 'è', 'presentata', 'al', 'pronto', 'soccorso', 'con', 'cefalea,', 'astenia', 'e', 'petecchie', 'agli', 'arti', 'inferiori.'], [""L'esame"", 'del', 'sangue', 'ha', 'mostrato', 'emoglobina', '8,2', 'g/dl,', 'MCV', '100', 'fl,', 'piastrine', '25000/ul', 'e', 'leucociti', '7500/ul', 'con', 'formula', 'normale.'], ['La', 'conta', 'dei', 'reticolociti', 'è', 'elevata', 'e', 'lo', 'striscio', 'di', 'sangue', 'mostra', 'numerosi', 'schistociti.'], ['Gli', 'studi', 'di', 'coagulazione', '(APTT,', 'PT', 'e', 'fibrinogeno)', 'sono', 'normali.'], ['La', 'biochimica', 'ha', 'mostrato', 'LDH', '2700', 'UI/l', 'e', 'bilirubina', '2,6', 'mg/dl.'], ['Qual', 'è', 'la', 'diagnosi', 'più', 'probabile?'], ['1-', 'Porpora', 'trombocitopenica', 'autoimmune.'], ['2-', 'Porpora', 'trombotica', 'trombocitopenica.'], ['3-', 'Aplasia', 'del', 'midollo', 'spinale.'], ['4-', 'Trombopenia', 'indotta', 'da', 'farmaci.'], ['5-', 'Coagulazione', 'intravascolare', 'disseminata.'], ['RISPOSTA', 'CORRETTA:', '2'], ['Tipico', 'della', 'ticlopidina.'], ['Non', 'solo', 'trombocitopenia,', 'ma', 'anche', 'cefalea,', 'schistociti,', 'LDH', 'e', 'bilirubina', 'elevati.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"