Chinese	Translated English
Question	除有关节肿痛外,对类风湿关节炎诊断最有意义的表现	In addition to joint swelling and pain, the most significant manifestations for the diagnosis of rheumatoid arthritis is: A. Pain in the heel and sole of the foot B. Painless nodules under the skin at the sites of joint prominence and pressure C. Diffuse pulmonary interstitial disease D. Pleural effusion (with normal glucose content) E. Painful subcutaneous nodules in the lower leg
A 足跟足掌部位痛
B 关节隆起部与受压部皮下出现无痛性结节
C 弛慢性肺间质病变
D 胸腔积液(糖含量正常)
E 小腿痛性皮下结节
Ground Truth
Solution Explanation	类风湿关节炎最常出现的部位为腕、掌指、近端指间关节,足跟及掌部部位痛(A错)一般不见于类风湿关节炎,故非有意义的临床表现。关节外的表现为类风湿关节炎,关节隆起与受压部位常见,为无痛性皮下结节(B对),其典型的病理改变可有助于类风湿关节炎的诊断。肺累时常表现为肺间质改变,肺内可出现单个或多个结节,但非最有意义的临床表现(C错)。类风湿关节炎出现胸膜炎(P808)时表现为单侧或双侧性的少量胸腔积液,胸水呈渗出性,糖含量很低(D错)。小腿痛性皮下结节(E错)在类风湿关节炎中不会出现。	The most common sites of rheumatoid arthritis are the wrists, fingers, and proximal interphalangeal joints. Pain in the heel and sole of the foot (A false) is generally not seen in rheumatoid arthritis, so it is not the most significant clinical manifestation. Extra-articular manifestations include rheumatoid nodules, which are commonly found at joint prominences and areas under pressure. They are painless subcutaneous nodules (B true), and their typical pathological changes can help with the diagnosis of rheumatoid arthritis. Pulmonary involvement is often characterized by interstitial changes in the lungs. Single or multiple nodules may appear in the lungs, but they are not the most significant clinical manifestation (C false). When pleurisy (P808) occurs in rheumatoid arthritis, it presents as a small amount of pleural effusion on one or both sides of the chest. The pleural fluid is exudative with a very low glucose content (D false). Painful subcutaneous nodules in the lower legs (E false) do not occur in rheumatoid arthritis.
Model Generation
GPT-4	关节隆起部与受压部皮下出现无痛性结节是类风湿关节炎诊断的一个重要表现。	Painless nodules under the skin at the sites of joint prominence and pressure are an important manifestation of the diagnosis of rheumatoid arthritis.
GPT-3.5	类风湿关节炎最有意义的表现是关节隆起部与受压部皮下出现无痛性结节。这些结节通常出现在关节附近大小为米粒大小至拳头大小。这些结节称作类风湿病与类风湿关节炎的严重程度和预后相关。	The most significant manifestation of rheumatoid arthritis is the presence of painless nodules under the skin at the sites of joint prominence and pressure. These nodules typically appear near the joints and range in size from rice grain to fist size. These nodules are called rheumatoid nodules and are associated with the severity and prognosis of rheumatoid arthritis.
ChatGLM	对于类风湿关节炎的诊断,最有价值的表现是关节隆起部与受压部皮下出现无痛性结节。这种结节通常是在关节周围的皮肤上出现的,可能是由关节周围的炎症细胞产生的。其他选项中,足跟及掌部部位痛和弥漫性肺间质病变可能只是由关节周围的炎症细胞产生的。其他选项中,足跟及掌部部位痛和弥漫性肺间质病变可能只是由关节周围的炎症细胞产生的。其他选项中,足跟及掌部部位痛和弥漫性肺间质病变可能只是由关节周围的炎症细胞产生的。其他选项中,足跟及掌部部位痛和弥漫性肺间质病变可能只是由关节周围的炎症细胞产生的。其他选项中,足跟及掌部部位痛、胸腔积液(糖含量正常)和小腿痛性皮下结节虽然也是类风湿关节炎的表现之一,但它们通常不是最有价值的表现。	The most valuable manifestation for the diagnosis of rheumatoid arthritis is the presence of painless nodules under the skin at the sites of joint prominence and pressure. These nodules typically appear on the skin around the joints and may be produced by inflammatory cells surrounding the joints. While pain in the heel and sole of the foot and diffuse interstitial lung disease are other common manifestations of rheumatoid arthritis, they are not as valuable for diagnosing rheumatoid arthritis as the presence of painless nodules in the swollen and pressured areas of the joints. Pleural effusion (with normal glucose levels) and painful subcutaneous nodules in the legs are also manifestations of rheumatoid arthritis, but they are typically not the most valuable manifestations.
Vicuna	A 足跟及足掌部位痛 B 足跟及受压部皮下出现无痛性结节 C 弥漫性肺间质病变 D 腹腔积液(糖含量正常) E 足跟及受压部皮下结节 答案是A 足跟及足掌部位痛这个问题的答案是A 足跟及足掌部位痛。这个问题的答案是A 足跟及足掌部位痛。这个问题的答案是A 足跟及足掌部位痛。这个问题的答案是A 足跟及足掌部位痛。这个问题的答案是A 足跟及足掌部位痛。	A. Pain in the heel and sole of the foot B. Painless nodules under the skin at the sites of joint prominence and pressure C. Diffuse pulmonary interstitial disease. D. Pleural effusion (with normal glucose content). E. Painful subcutaneous nodules in the lower leg. The answer is A, pain in the heel and sole of the foot. The answer to this question is A, pain in the heel and sole of the foot. The answer to this question is A, pain in the heel and sole of the foot. The answer to this question is A, pain in the heel and sole of the foot.
LLaMA	1.A 2.B 3.C 4.D 5.E 6.A 7.B	1.A 2.B 3.C 4.D 5.E 6.A 7.B
Alpaca	A 足跟及足掌部位痛 B 足跟及受压部皮下出现无痛性结节 C 弥漫性肺间质病变 D 腹腔积液(糖含量正常) E 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮 下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 足跟及受压部皮下结节 答案是A 药物选择性阻滞症,关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、调节性阻滞症,关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节火性结节(对类风湿关节炎,可有痛剧等表现)。	The key for diagnosing rheumatoid arthritis is the presence of painless nodules. If there is pain, it may be diagnosed as rheumatism or a similar disease. If there is rheumatoid arthritis with pain, it may be diagnosed as rheumatoid arthritis. Have a good understanding of the knowledge related to "rheumatoid arthritis."
Huotuo	类风湿关节炎的诊断要点是无痛性结节,如有痛则可诊断为类风湿关节炎,如疼痛、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎	The key for diagnosing rheumatoid arthritis is the presence of painless nodules. If there is pain, it may be diagnosed as rheumatism or a similar disease. If there is rheumatoid arthritis with pain, it may be diagnosed as rheumatoid arthritis. Have a good understanding of the knowledge related to "rheumatoid arthritis."
Huotuo-CMExam	类风湿关节炎的诊断要点是无痛性结节,如有痛则可诊断为类风湿关节炎,如疼痛、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节炎、关节火性结节(对类风湿关节炎,可有痛剧等表现)。	The key for diagnosing rheumatoid arthritis is the presence of painless nodules. If there is pain, it may be diagnosed as rheumatism or a similar disease. If there is rheumatoid arthritis with pain, it may be diagnosed as rheumatoid arthritis. Have a good understanding of the knowledge related to "rheumatoid arthritis."
ChatGLM-CMExam	类风湿关节炎最常见的临床表现为关节肿痛,但除有关节肿痛外,对类风湿关节炎诊断最有意义的表现是关节隆起部与受压部皮下出现无痛性结节(B对)。足跟及足掌部位痛(A错)可见于类风湿关节炎,但不是诊断有无痛性结节(对类风湿关节炎,可有痛剧等表现)。	The main pathological manifestation of rheumatoid arthritis is the presence of painless nodules under the skin at the sites of joint prominence and pressure (B true). The main pathological manifestation of rheumatoid arthritis is the presence of painless nodules under the skin at the sites of joint prominence and pressure (B true).
LLaMA-CMExam	类风湿关节炎的主要病理表现为类风湿关节炎的关节隆起部与受压部皮下出现无痛性结节(B对)。足跟及足掌部位痛(A错)可见于类风湿关节炎,但不是诊断有无痛性结节(对类风湿关节炎,可有痛剧等表现)。	The main pathological manifestation of rheumatoid arthritis is the presence of painless nodules under the skin at the sites of joint prominence and pressure (B true). The main pathological manifestation of Rheumatoid arthritis is the presence of painless nodules under the skin at the sites of joint prominence and pressure (B true).
Alpaca-CMExam	类风湿关节炎的临床表现:全身症状及体征:类风湿患者常有全身症状,如热病、痰热、腹痛、胸痛、肢体痛、头痛等,常伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛等,严重者可出现腹痛、胸痛、头痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、胸痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧进缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、热病、腹痛、腹痛、头痛等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、头痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退縮、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发炎等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、腹泻、腹痛、肢体痛、发热等,可伴有厌氧退缩、