bigbio/mediqa_rqe · Datasets at Hugging Face

id stringlengths 1 4	document_id stringlengths 1 4	text_1 stringlengths 15 613	text_2 stringlengths 0 214	label stringclasses 2 values
201	201	Are her symptoms (sweating, feeling of being stimulated, nervous) due to Paxil?	Are her symptoms (sweating, feeling of being stimulated, nervous) due to Paxil?	true
202	202	Are her symptoms (sweating, feeling of being stimulated, nervous) due to Paxil?	How should I treat polymenorrhea in a 14-year-old girl?	false
203	203	Does this patient with a 3-week-old fracture of the distal head of the fifth metatarsal need any treatment?	Patient with 3-week-old fracture of distal head fifth metatarsal, need any treatment?	true
204	204	Does this patient with a 3-week-old fracture of the distal head of the fifth metatarsal need any treatment?	What is the dose of Famvir?	false
205	205	This woman called about her husband who was seen in the emergency room because of confusion and dementia. Should I get a head computerized tomography (CT) now since he is improving, or wait and run the risk of missing a brain tumor?	Patient with confusion and dementia in emergency room, now better. Get head computerized tomography (CT) now or observe?	true
206	206	This woman called about her husband who was seen in the emergency room because of confusion and dementia. Should I get a head computerized tomography (CT) now since he is improving, or wait and run the risk of missing a brain tumor?	Why wasn't this patient very sick? (large empyema and Haemophilus influenza in sputum)	false
207	207	How much codeine is in Tylenol with codeine elixir?	How much codeine is in Tylenol with codeine elixir?	true
208	208	A 40 year-old woman with left chest pain, tender 4th rib, lungs clear, heart normal, psychiatric overlay, suspect intercostal neuritis. How far do you go with a workup for chest pain? Attempting to keep costs down.	Forty-year-old woman left chest pain, tender fourth rib, psychiatric overlay, how far to workup?	true
209	209	A 40 year-old woman with left chest pain, tender 4th rib, lungs clear, heart normal, psychiatric overlay, suspect intercostal neuritis. How far do you go with a workup for chest pain? Attempting to keep costs down.	How do you inject the bicipital tendon?	false
210	210	I felt an elongated mass coming off the prostate and extending laterally, feels like a tight muscle. It's thin as a pencil lead and long, not sure what it is. One question is "Who should I punt to?" I'm not even sure what the question is.	I felt an elongated mass coming off the prostate extending laterally, what is it?	true
211	211	A 9-year-old girl had been to Wacky Waters, now has clear vesicles on her hands, may be staphylococcal infection even though the vesicles are clear but I want to see what they have to say.	Nine-year-old girl was at Wacky Waters, clear vesicles on hands, what is it?	true
212	212	A 9-year-old girl had been to Wacky Waters, now has clear vesicles on her hands, may be staphylococcal infection even though the vesicles are clear but I want to see what they have to say.	What is the dose of Sporanox?	false
213	213	Can Lorabid cause headaches?	Can Lorabid cause headaches?	true
214	214	Can Lorabid cause headaches?	I wonder if this patient could have a rotator cuff thing?	false
215	215	What is the name of the ophthalmic drop that has ciprofloxacin in it?	What is the name of the ophthalmic drop that has ciprofloxacin in it?	true
216	216	What is the name of the ophthalmic drop that has ciprofloxacin in it?	How should I treat polymenorrhea in a 14-year-old girl?	false
217	217	43 year-old female has had rash for approximately 1 year, has gotten worse. "What is the cause of this rash?" He said he knew what it was but needed to know the name of it - 3rd book he looked at finally had a good picture.	Forty-three-year-old woman has had rash for approximately one year, gotten worse. What is the name of it?	true
218	218	43 year-old female has had rash for approximately 1 year, has gotten worse. "What is the cause of this rash?" He said he knew what it was but needed to know the name of it - 3rd book he looked at finally had a good picture.	What are the indications for getting a digoxin level?	false
219	219	Question asked of Dr. X by resident: Patient on birth control is having breakthrough bleeding. In her case is it best to increase the level of estrogen in her medication?	Question from resident: patient on oral contraceptive's, breakthrough bleeding. Increase estrogen?	true
220	220	Question asked of Dr. X by resident: Patient on birth control is having breakthrough bleeding. In her case is it best to increase the level of estrogen in her medication?	Patient, plate in hip, no murmur, needs subacute bacterial endocarditis prophylaxis before sees dentist?	false
221	221	What is a good source to use for teaching residents how to repair 4th degree lacerations?	What is a good source to teach residents to repair fourth-degree lacerations?	true
222	222	What is a good source to use for teaching residents how to repair 4th degree lacerations?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
223	223	A patient Dr. X saw the day before (7/30/96) said his friend told him that Plendil can react negatively if the patient is exposed to the sun. Is that true?	Does Plendil cause an adverse reaction with sun exposure?	true
224	224	Patient with chronic lymphocytic leukemia had pneumonia. Why is she still short of breath now that her pneumonia is all better? Her hemoglobin is 10 and she is sick so that's probably part of it.	Patient, chronic lymphocytic leukemia, had pneumonia. Why still short of breath now that pneumonia all better?	true
225	225	What is Dynabac (dirithromycin)? What bacteria does it cover? What are the indications for use? Should you take it with food? What is the dose?	What is Dynabac (dirithromycin)? Coverage? Indications? Take with food? Dose?	true
226	226	72-year-old woman with chronic lymphocytic leukemia, white blood count>100,000. How should I treat her?	72-year-old woman, chronic lymphocytic leukemia. How should I treat her?	true
227	227	This patient has a blue lesion on her abdomen and I'm not sure what it is, so the question is, what is it?	This patient has a blue lesion on her abdomen. What is it?	true
228	228	This patient has a blue lesion on her abdomen and I'm not sure what it is, so the question is, what is it?	Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?	false
229	229	I saw a 54-year-old woman a year ago with severe dyspnea (dying), skin like leather and she was hypothyroid (thyroid stimulating hormone 400, T4 0, T3 0). What happened to her thyroid, why did she get hypothyroid?	54-year-old female, dyspnea, skin like leather, hypothyroid, thyroid stimulating hormone 400. Why hypothyroid?	true
230	230	I saw a 54-year-old woman a year ago with severe dyspnea (dying), skin like leather and she was hypothyroid (thyroid stimulating hormone 400, T4 0, T3 0). What happened to her thyroid, why did she get hypothyroid?	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
231	231	The same patient got bullous pemphigoid but I didn't know what the rash was and I had to look it up.	Patient got bullous pemphigoid but didn't know what the rash was, had to look it up.	true
232	232	I had to look up the dose of azathioprine (Imuran) before I started her on it.	What is the dose of azathioprine (Imuran)?	true
233	233	Man with stomach ulcers. Can't take nonsteroidal anti-inflammatory drugs. Why can't I get the only thing that ever worked (Plegine)? What is it and how can I get it?	Man can't take nonsteroidal anti-inflammatory drugs. Why can't I get Plegine? What is it?	true
234	234	Man with stomach ulcers. Can't take nonsteroidal anti-inflammatory drugs. Why can't I get the only thing that ever worked (Plegine)? What is it and how can I get it?	Let's give these immunizations. That's right isn't it?	false
235	235	A woman I saw last week has an abdominal aortic aneurysm (three and a half centimeters) and diverticulitis. She comes in with abdominal pain periodically. Is the abdominal pain her diverticulitis or her abdominal aortic aneurysm?	Woman with abdominal aortic aneurysm (3 1/2 centimeters) and diverticulitis, has abdominal pain. Is it diverticuli or abdominal aortic aneurysm?	true
236	236	A woman I saw last week has an abdominal aortic aneurysm (three and a half centimeters) and diverticulitis. She comes in with abdominal pain periodically. Is the abdominal pain her diverticulitis or her abdominal aortic aneurysm?	I wonder if this patient could have a rotator cuff thing?	false
237	237	Woman with polycythemia vera, feels well except for itching, tearing herself apart. The itching is part of her disease but how do you treat it?	Woman with polycythemia vera, severe itching, how do you treat itching?	true
238	238	Woman with polycythemia vera, feels well except for itching, tearing herself apart. The itching is part of her disease but how do you treat it?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
239	239	Young woman seen last week got infectious mononucleosis at the beginning of summer and still feels bad after 6 to 8 weeks. She realizes her summer is gone and now has to go back to college. I think she's depressed. How common is depression after infectious mononucleosis?	Patient got infectious mononucleosis, still feels bad after 8 weeks. How common is depression after infectious mononucleosis?	true
240	240	Young woman seen last week got infectious mononucleosis at the beginning of summer and still feels bad after 6 to 8 weeks. She realizes her summer is gone and now has to go back to college. I think she's depressed. How common is depression after infectious mononucleosis?	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
241	241	What is the dose of Levsin drops for a 30-pound child?	What is the dose of Levsin drops for a 30-pound child?	true
242	242	Does she have osteoarthritis or rheumatoid arthritis (generalized but early stage)? He discussed and looked in textbook after patient left clinic.	Does she have osteoarthritis or rheumatoid arthritis?	true
243	243	Does she have osteoarthritis or rheumatoid arthritis (generalized but early stage)? He discussed and looked in textbook after patient left clinic.	How should I treat polymenorrhea in a 14-year-old girl?	false
244	244	Is casting adequate treatment for this 10-year-old girl with a fracture of the distal radius? X-ray showed it was slightly displaced.	Is casting adequate for this 10-year-old girl with slightly displaced fracture distal radius?	true
245	245	Is casting adequate treatment for this 10-year-old girl with a fracture of the distal radius? X-ray showed it was slightly displaced.	What antibiotic should I use for this diabetic patient's infected foot ulcer?	false
246	246	Patient had synovitis of thumb (with stenosing). He questioned in his mind how to treat. He may refer to orthopedic physician later if symptoms persist.	Patient had synovitis of thumb (with stenosing). How to treat?	true
247	247	Patient had synovitis of thumb (with stenosing). He questioned in his mind how to treat. He may refer to orthopedic physician later if symptoms persist.	What antibiotic should I use for this diabetic patient's infected foot ulcer?	false
248	248	Thirty-year-old female with psoriasis. What is the name of the drug for treatment? He says he always has trouble remembering the name of the drug.	30-year-old female, psoriasis. What is name of drug for treatment? Trouble remembering.	true
249	249	Is an upset stomach a side effect of Glucotrol? Dr. X said she hadn't seen that before.	Is upset stomach a side effect of Glucotrol? Hadn't seen that before.	true
250	250	Is an upset stomach a side effect of Glucotrol? Dr. X said she hadn't seen that before.	How should I treat polymenorrhea in a 14-year-old girl?	false
251	251	Is this male child depressed? Child's counselor thinks Ritalin is stimulating him and suggested he shouldn't be on it. Dr. X thought he looked the best he has looked while on Ritalin but took him off and started him on Prozac.	Is this male child depressed? May have attention-deficit-hyperactivity-disorder also.	true
252	252	Is this male child depressed? Child's counselor thinks Ritalin is stimulating him and suggested he shouldn't be on it. Dr. X thought he looked the best he has looked while on Ritalin but took him off and started him on Prozac.	Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery?	false
253	253	Why can't this woman hear? A patient treated for otitis media recently. Now she says she feels better but she can't hear. The ear is not red and it moves well with the pneumatic otoscope, Weber lateralizes to the opposite ear.	Why can't this woman hear after otitis media, now normal tympanic membrane's and move well?	true
254	254	Phone call. An elderly man lives at home with his wife. He's not eating, constipated, and has mobility problems. "Why won't she agree to let her husband go into the nursing home?"	Elderly man at home with wife, not eating. Why won't she let me put him in nursing home?	true
255	255	Phone call. An elderly man lives at home with his wife. He's not eating, constipated, and has mobility problems. "Why won't she agree to let her husband go into the nursing home?"	How should I treat polymenorrhea in a 14-year-old girl?	false
256	256	A woman with fibrocystic breast disease. Why do I have to wait to get the mammogram before I send her to have the lump needled (aspirated)?	Why do I have to get the mammogram before I send her to needle the breast mass?	true
257	257	A woman with fibrocystic breast disease. Why do I have to wait to get the mammogram before I send her to have the lump needled (aspirated)?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
258	258	The patient says she can't use inhalers because they upset her stomach. I never heard of that. Why would an inhaler upset her stomach?	Patient can't use inhaler, upsets her stomach. Can an inhaler cause upset stomach?	true
259	259	The patient says she can't use inhalers because they upset her stomach. I never heard of that. Why would an inhaler upset her stomach?	On nonstress test after every acceleration brief sharp not deep deceleration. Important?	false
260	260	What are some of the psychodynamics? This is the first time I've seen her. She's seen my colleagues but I can't get everything from the records. I'm sure there's more because her complaint is fatigue. There's more to it than just adjusting her asthma medications.	What are the psychodynamics? More here than just adjusting her asthma medications.	true
261	261	What are some of the psychodynamics? This is the first time I've seen her. She's seen my colleagues but I can't get everything from the records. I'm sure there's more because her complaint is fatigue. There's more to it than just adjusting her asthma medications.	Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?	false
262	262	Patient with balanitis. What is balanitis? What is the differential diagnosis?	Patient with balanitis. What is balanitis? What is the differential diagnosis?	true
263	263	What is this rash? It's probably Rhus. Could be cutaneous larva migrans but I don't think so.	What is this rash? It's probably Rhus. Could be cutaneous larva migrans.	true
264	264	What is this rash? It's probably Rhus. Could be cutaneous larva migrans but I don't think so.	How should I treat polymenorrhea in a 14-year-old girl?	false
265	265	46-year-old woman. One of her children said, "Mom, what's that lump in your neck?" I think she has a multinodular goiter. Thyroid stimulating hormone, free thyroxine (free T4), parathyroid hormone, calcitonin all normal. Would you skinny needle her?	46-year-old woman, thyroid nodule. Thyroid function tests normal. Would you skinny needle it?	true
266	266	46-year-old woman. One of her children said, "Mom, what's that lump in your neck?" I think she has a multinodular goiter. Thyroid stimulating hormone, free thyroxine (free T4), parathyroid hormone, calcitonin all normal. Would you skinny needle her?	How should I treat polymenorrhea in a 14-year-old girl?	false
267	267	What shots do I need to go to Egypt?	What shots do I need to go to Egypt?	true
268	268	What shots do I need to go to Egypt?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
269	269	Patient with chronic abdominal pain. I don't know what to do for it. What is the cause? He's had two negative computerized tomography (CT) scans.	Chronic abdominal pain, don't know what to do for it. What is the cause?	true
270	270	Patient with chronic abdominal pain. I don't know what to do for it. What is the cause? He's had two negative computerized tomography (CT) scans.	Is melatonin good for anything? What is the dose?	false
271	271	I need a review of taxonomy of cells of the bone marrow. They rename them (the cells) and the diseases every 10 years. I'll admit I'm confused. I'm embarrassed to talk about it.	I need to review taxonomy of cells in bone marrow. Embarrassing not to know this.	true
272	272	A patient from the nursing home (phone call) with a sore toe. History of gout. Uric acid normal. "It's hard to make a diagnosis of gout when the uric acid is normal."	Patient with sore toe, history of gout, uric acid normal. Hard to diagnose gout with normal uric acid.	true
273	273	A patient from the nursing home (phone call) with a sore toe. History of gout. Uric acid normal. "It's hard to make a diagnosis of gout when the uric acid is normal."	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
274	274	He states this is a frustration question. There is no answer. She is an exceptional patient that lives in a group home. Is having bleeding between periods, so scheduled for Papanicolaou smear. At the last visit she was having her period, so rescheduled for today and because of reluctance to have exam, was given Mellaril prior to coming into office. Again she refused to have the exam and so staff at group home will watch to see if symptoms worsen -- may have to examine under anesthesia if symptoms warrant.	Group home patient bleeding between periods, given Mellaril but refuses pelvic. Now what?	true
275	275	He states this is a frustration question. There is no answer. She is an exceptional patient that lives in a group home. Is having bleeding between periods, so scheduled for Papanicolaou smear. At the last visit she was having her period, so rescheduled for today and because of reluctance to have exam, was given Mellaril prior to coming into office. Again she refused to have the exam and so staff at group home will watch to see if symptoms worsen -- may have to examine under anesthesia if symptoms warrant.	Hospital nurse never had chicken pox, negative titers, should I give vaccine?	false
276	276	Seen this morning for breast and pelvic exam. Had carcinoid tumor removed this spring. Question is what urine exam should be done to follow up a carcinoid tumor?	Patient had carcinoid removed. What urine test should be done to follow up?	true
277	277	Seen this morning for breast and pelvic exam. Had carcinoid tumor removed this spring. Question is what urine exam should be done to follow up a carcinoid tumor?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
278	278	Saw patient last week. 43-year-old obese male with growths (skin tags) on inside of thighs -- has had for some years but have become more uncomfortable. Dr. X removed a couple of them. What is the best way to remove these fibroepithelial skin tags?	43-year-old obese male, skin tags inside thighs. What is best way to remove them?	true
279	279	Saw patient last week. 43-year-old obese male with growths (skin tags) on inside of thighs -- has had for some years but have become more uncomfortable. Dr. X removed a couple of them. What is the best way to remove these fibroepithelial skin tags?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
280	280	What is causing the chronic itching?	What is causing the chronic itching?	true
281	281	What is causing the chronic itching?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
282	282	Interesting case he discussed with Dr. Y, his associate. 14-year-old girl had physical exam last Thursday and Dr. X noted node on left clavicle area. On x-ray it looks to him like a large cervical rib. Dr. Y agreed but they haven't had radiologist report. They are both awaiting the radiologists report. "Is this a cervical rib?" Dr. Y said she agreed it was a cervical rib but they are waiting the radiologist's report.	14-year-old girl, nodule palpated on left clavicle. On x-ray, is this a cervical rib?	true
283	283	Saw this patient earlier. I overheard his telephone conversation with hospital pharmacist (I believe patient is in hospital). Question he had was whether they make a one gram pill of Glucophage.	Does Glucophage come in a one-gram tablet?	true
284	284	Saw this patient earlier. I overheard his telephone conversation with hospital pharmacist (I believe patient is in hospital). Question he had was whether they make a one gram pill of Glucophage.	Let's give these immunizations. That's right isn't it?	false
285	285	Another phone conversation with hospital pharmacist regarding providing enough dosage of typhoid capsules for Dr. X and his wife for out of country trip.	How many typhoid vaccine pills do I need to take for my trip to middle east?	true
286	286	Another phone conversation with hospital pharmacist regarding providing enough dosage of typhoid capsules for Dr. X and his wife for out of country trip.	How should I treat polymenorrhea in a 14-year-old girl?	false
287	287	What should I do with this man who complained of left neck fullness and now has a possible thrombosis on magnetic resonance imaging (MRI)?	What to do with this man, complaining of left neck fullness, possible thrombosis on magnetic resonance imaging (MRI)?	true
288	288	What should I do with this man who complained of left neck fullness and now has a possible thrombosis on magnetic resonance imaging (MRI)?	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
289	289	What should I do with this man who has had a negative extensive workup for palpitations and chest pain?	What to do with this man, negative extensive workup for palpitations and chest pain?	true
290	290	What should I do with this man who has had a negative extensive workup for palpitations and chest pain?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
291	291	This guy is dizzy when he's active but no other symptoms. What gives a doctor more uncertainty than dizziness and fatigue? How often is an etiology found?	Patient dizzy when active. What gives a doctor more uncertainty than dizziness?	true
292	292	This guy is dizzy when he's active but no other symptoms. What gives a doctor more uncertainty than dizziness and fatigue? How often is an etiology found?	Should we do a head CT (computerized tomography) with contrast tomorrow (Saturday) or MRI (magnetic resonance imaging) Monday?	false
293	293	The podiatrist doesn't know what he's got on his foot either. It's either a wart or a corn. It's a hyperkeratotic lesion with scaling and desquamation around it.	Podiatrist doesn't know either. It's either a wart or a corn.	true
294	294	The podiatrist doesn't know what he's got on his foot either. It's either a wart or a corn. It's a hyperkeratotic lesion with scaling and desquamation around it.	Why did she get Coccidiomycosis?	false
295	295	What is the dose of Famvir? I thought it was 500 milligrams three times a day but a recent New England Journal of Medicine article says 750 milligrams.	What is the dose of Famvir? I thought 500 milligrams three times a day but New England Journal of Medicine article says 750 milligrams.	true
296	296	What is the dose of Famvir? I thought it was 500 milligrams three times a day but a recent New England Journal of Medicine article says 750 milligrams.	How should I treat polymenorrhea in a 14-year-old girl?	false
297	297	How could the mother of this 4 1/2-year-old drift along for so long without getting any immunizations?	How could mother of 4 1/2-year-old drift so long without getting any immunizations?	true
298	298	How could the mother of this 4 1/2-year-old drift along for so long without getting any immunizations?	How should I treat polymenorrhea in a 14-year-old girl?	false
299	299	15-year-old with an influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. We had a recent death on the football field here (anomalous coronary artery). This patient is a football hero and the original question was whether to let him play. I did.	15-year-old, influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. Should he play football?	true
300	300	15-year-old with an influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. We had a recent death on the football field here (anomalous coronary artery). This patient is a football hero and the original question was whether to let him play. I did.	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false

201

Are her symptoms (sweating, feeling of being stimulated, nervous) due to Paxil?

true

202

Are her symptoms (sweating, feeling of being stimulated, nervous) due to Paxil?

How should I treat polymenorrhea in a 14-year-old girl?

false

203

Does this patient with a 3-week-old fracture of the distal head of the fifth metatarsal need any treatment?

Patient with 3-week-old fracture of distal head fifth metatarsal, need any treatment?

true

204

Does this patient with a 3-week-old fracture of the distal head of the fifth metatarsal need any treatment?

What is the dose of Famvir?

false

205

This woman called about her husband who was seen in the emergency room because of confusion and dementia. Should I get a head computerized tomography (CT) now since he is improving, or wait and run the risk of missing a brain tumor?

Patient with confusion and dementia in emergency room, now better. Get head computerized tomography (CT) now or observe?

true

206

This woman called about her husband who was seen in the emergency room because of confusion and dementia. Should I get a head computerized tomography (CT) now since he is improving, or wait and run the risk of missing a brain tumor?

Why wasn't this patient very sick? (large empyema and Haemophilus influenza in sputum)

false

207

How much codeine is in Tylenol with codeine elixir?

true

208

A 40 year-old woman with left chest pain, tender 4th rib, lungs clear, heart normal, psychiatric overlay, suspect intercostal neuritis. How far do you go with a workup for chest pain? Attempting to keep costs down.

Forty-year-old woman left chest pain, tender fourth rib, psychiatric overlay, how far to workup?

true

209

A 40 year-old woman with left chest pain, tender 4th rib, lungs clear, heart normal, psychiatric overlay, suspect intercostal neuritis. How far do you go with a workup for chest pain? Attempting to keep costs down.

How do you inject the bicipital tendon?

false

210

I felt an elongated mass coming off the prostate and extending laterally, feels like a tight muscle. It's thin as a pencil lead and long, not sure what it is. One question is "Who should I punt to?" I'm not even sure what the question is.

I felt an elongated mass coming off the prostate extending laterally, what is it?

true

211

A 9-year-old girl had been to Wacky Waters, now has clear vesicles on her hands, may be staphylococcal infection even though the vesicles are clear but I want to see what they have to say.

Nine-year-old girl was at Wacky Waters, clear vesicles on hands, what is it?

true

212

A 9-year-old girl had been to Wacky Waters, now has clear vesicles on her hands, may be staphylococcal infection even though the vesicles are clear but I want to see what they have to say.

What is the dose of Sporanox?

false

213

Can Lorabid cause headaches?

true

214

Can Lorabid cause headaches?

I wonder if this patient could have a rotator cuff thing?

false

215

What is the name of the ophthalmic drop that has ciprofloxacin in it?

true

216

What is the name of the ophthalmic drop that has ciprofloxacin in it?

How should I treat polymenorrhea in a 14-year-old girl?

false

217

43 year-old female has had rash for approximately 1 year, has gotten worse. "What is the cause of this rash?" He said he knew what it was but needed to know the name of it - 3rd book he looked at finally had a good picture.

Forty-three-year-old woman has had rash for approximately one year, gotten worse. What is the name of it?

true

218

43 year-old female has had rash for approximately 1 year, has gotten worse. "What is the cause of this rash?" He said he knew what it was but needed to know the name of it - 3rd book he looked at finally had a good picture.

What are the indications for getting a digoxin level?

false

219

Question asked of Dr. X by resident: Patient on birth control is having breakthrough bleeding. In her case is it best to increase the level of estrogen in her medication?

Question from resident: patient on oral contraceptive's, breakthrough bleeding. Increase estrogen?

true

220

Question asked of Dr. X by resident: Patient on birth control is having breakthrough bleeding. In her case is it best to increase the level of estrogen in her medication?

Patient, plate in hip, no murmur, needs subacute bacterial endocarditis prophylaxis before sees dentist?

false

221

What is a good source to use for teaching residents how to repair 4th degree lacerations?

What is a good source to teach residents to repair fourth-degree lacerations?

true

222

What is a good source to use for teaching residents how to repair 4th degree lacerations?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

223

A patient Dr. X saw the day before (7/30/96) said his friend told him that Plendil can react negatively if the patient is exposed to the sun. Is that true?

Does Plendil cause an adverse reaction with sun exposure?

true

224

Patient with chronic lymphocytic leukemia had pneumonia. Why is she still short of breath now that her pneumonia is all better? Her hemoglobin is 10 and she is sick so that's probably part of it.

Patient, chronic lymphocytic leukemia, had pneumonia. Why still short of breath now that pneumonia all better?

true

225

What is Dynabac (dirithromycin)? What bacteria does it cover? What are the indications for use? Should you take it with food? What is the dose?

What is Dynabac (dirithromycin)? Coverage? Indications? Take with food? Dose?

true

226

72-year-old woman with chronic lymphocytic leukemia, white blood count>100,000. How should I treat her?

72-year-old woman, chronic lymphocytic leukemia. How should I treat her?

true

227

This patient has a blue lesion on her abdomen and I'm not sure what it is, so the question is, what is it?

This patient has a blue lesion on her abdomen. What is it?

true

228

This patient has a blue lesion on her abdomen and I'm not sure what it is, so the question is, what is it?

Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?

false

229

I saw a 54-year-old woman a year ago with severe dyspnea (dying), skin like leather and she was hypothyroid (thyroid stimulating hormone 400, T4 0, T3 0). What happened to her thyroid, why did she get hypothyroid?

54-year-old female, dyspnea, skin like leather, hypothyroid, thyroid stimulating hormone 400. Why hypothyroid?

true

230

I saw a 54-year-old woman a year ago with severe dyspnea (dying), skin like leather and she was hypothyroid (thyroid stimulating hormone 400, T4 0, T3 0). What happened to her thyroid, why did she get hypothyroid?

Boys' father has Marfan's Syndrome. Do these boys need further evaluation?

false

231

The same patient got bullous pemphigoid but I didn't know what the rash was and I had to look it up.

Patient got bullous pemphigoid but didn't know what the rash was, had to look it up.

true

232

I had to look up the dose of azathioprine (Imuran) before I started her on it.

What is the dose of azathioprine (Imuran)?

true

233

Man with stomach ulcers. Can't take nonsteroidal anti-inflammatory drugs. Why can't I get the only thing that ever worked (Plegine)? What is it and how can I get it?

Man can't take nonsteroidal anti-inflammatory drugs. Why can't I get Plegine? What is it?

true

234

Man with stomach ulcers. Can't take nonsteroidal anti-inflammatory drugs. Why can't I get the only thing that ever worked (Plegine)? What is it and how can I get it?

Let's give these immunizations. That's right isn't it?

false

235

A woman I saw last week has an abdominal aortic aneurysm (three and a half centimeters) and diverticulitis. She comes in with abdominal pain periodically. Is the abdominal pain her diverticulitis or her abdominal aortic aneurysm?

Woman with abdominal aortic aneurysm (3 1/2 centimeters) and diverticulitis, has abdominal pain. Is it diverticuli or abdominal aortic aneurysm?

true

236

A woman I saw last week has an abdominal aortic aneurysm (three and a half centimeters) and diverticulitis. She comes in with abdominal pain periodically. Is the abdominal pain her diverticulitis or her abdominal aortic aneurysm?

I wonder if this patient could have a rotator cuff thing?

false

237

Woman with polycythemia vera, feels well except for itching, tearing herself apart. The itching is part of her disease but how do you treat it?

Woman with polycythemia vera, severe itching, how do you treat itching?

true

238

Woman with polycythemia vera, feels well except for itching, tearing herself apart. The itching is part of her disease but how do you treat it?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

239

Young woman seen last week got infectious mononucleosis at the beginning of summer and still feels bad after 6 to 8 weeks. She realizes her summer is gone and now has to go back to college. I think she's depressed. How common is depression after infectious mononucleosis?

Patient got infectious mononucleosis, still feels bad after 8 weeks. How common is depression after infectious mononucleosis?

true

240

Young woman seen last week got infectious mononucleosis at the beginning of summer and still feels bad after 6 to 8 weeks. She realizes her summer is gone and now has to go back to college. I think she's depressed. How common is depression after infectious mononucleosis?

Boys' father has Marfan's Syndrome. Do these boys need further evaluation?

false

241

What is the dose of Levsin drops for a 30-pound child?

true

242

Does she have osteoarthritis or rheumatoid arthritis (generalized but early stage)? He discussed and looked in textbook after patient left clinic.

Does she have osteoarthritis or rheumatoid arthritis?

true

243

Does she have osteoarthritis or rheumatoid arthritis (generalized but early stage)? He discussed and looked in textbook after patient left clinic.

How should I treat polymenorrhea in a 14-year-old girl?

false

244

Is casting adequate treatment for this 10-year-old girl with a fracture of the distal radius? X-ray showed it was slightly displaced.

Is casting adequate for this 10-year-old girl with slightly displaced fracture distal radius?

true

245

Is casting adequate treatment for this 10-year-old girl with a fracture of the distal radius? X-ray showed it was slightly displaced.

What antibiotic should I use for this diabetic patient's infected foot ulcer?

false

246

Patient had synovitis of thumb (with stenosing). He questioned in his mind how to treat. He may refer to orthopedic physician later if symptoms persist.

Patient had synovitis of thumb (with stenosing). How to treat?

true

247

Patient had synovitis of thumb (with stenosing). He questioned in his mind how to treat. He may refer to orthopedic physician later if symptoms persist.

What antibiotic should I use for this diabetic patient's infected foot ulcer?

false

248

Thirty-year-old female with psoriasis. What is the name of the drug for treatment? He says he always has trouble remembering the name of the drug.

30-year-old female, psoriasis. What is name of drug for treatment? Trouble remembering.

true

249

Is an upset stomach a side effect of Glucotrol? Dr. X said she hadn't seen that before.

Is upset stomach a side effect of Glucotrol? Hadn't seen that before.

true

250

Is an upset stomach a side effect of Glucotrol? Dr. X said she hadn't seen that before.

How should I treat polymenorrhea in a 14-year-old girl?

false

251

Is this male child depressed? Child's counselor thinks Ritalin is stimulating him and suggested he shouldn't be on it. Dr. X thought he looked the best he has looked while on Ritalin but took him off and started him on Prozac.

Is this male child depressed? May have attention-deficit-hyperactivity-disorder also.

true

252

Is this male child depressed? Child's counselor thinks Ritalin is stimulating him and suggested he shouldn't be on it. Dr. X thought he looked the best he has looked while on Ritalin but took him off and started him on Prozac.

Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery?

false

253

Why can't this woman hear? A patient treated for otitis media recently. Now she says she feels better but she can't hear. The ear is not red and it moves well with the pneumatic otoscope, Weber lateralizes to the opposite ear.

Why can't this woman hear after otitis media, now normal tympanic membrane's and move well?

true

254

Phone call. An elderly man lives at home with his wife. He's not eating, constipated, and has mobility problems. "Why won't she agree to let her husband go into the nursing home?"

Elderly man at home with wife, not eating. Why won't she let me put him in nursing home?

true

255

Phone call. An elderly man lives at home with his wife. He's not eating, constipated, and has mobility problems. "Why won't she agree to let her husband go into the nursing home?"

How should I treat polymenorrhea in a 14-year-old girl?

false

256

A woman with fibrocystic breast disease. Why do I have to wait to get the mammogram before I send her to have the lump needled (aspirated)?

Why do I have to get the mammogram before I send her to needle the breast mass?

true

257

A woman with fibrocystic breast disease. Why do I have to wait to get the mammogram before I send her to have the lump needled (aspirated)?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

258

The patient says she can't use inhalers because they upset her stomach. I never heard of that. Why would an inhaler upset her stomach?

Patient can't use inhaler, upsets her stomach. Can an inhaler cause upset stomach?

true

259

The patient says she can't use inhalers because they upset her stomach. I never heard of that. Why would an inhaler upset her stomach?

On nonstress test after every acceleration brief sharp not deep deceleration. Important?

false

260

What are some of the psychodynamics? This is the first time I've seen her. She's seen my colleagues but I can't get everything from the records. I'm sure there's more because her complaint is fatigue. There's more to it than just adjusting her asthma medications.

What are the psychodynamics? More here than just adjusting her asthma medications.

true

261

What are some of the psychodynamics? This is the first time I've seen her. She's seen my colleagues but I can't get everything from the records. I'm sure there's more because her complaint is fatigue. There's more to it than just adjusting her asthma medications.

Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?

false

262

Patient with balanitis. What is balanitis? What is the differential diagnosis?

true

263

What is this rash? It's probably Rhus. Could be cutaneous larva migrans but I don't think so.

What is this rash? It's probably Rhus. Could be cutaneous larva migrans.

true

264

What is this rash? It's probably Rhus. Could be cutaneous larva migrans but I don't think so.

How should I treat polymenorrhea in a 14-year-old girl?

false

265

46-year-old woman. One of her children said, "Mom, what's that lump in your neck?" I think she has a multinodular goiter. Thyroid stimulating hormone, free thyroxine (free T4), parathyroid hormone, calcitonin all normal. Would you skinny needle her?

46-year-old woman, thyroid nodule. Thyroid function tests normal. Would you skinny needle it?

true

266

46-year-old woman. One of her children said, "Mom, what's that lump in your neck?" I think she has a multinodular goiter. Thyroid stimulating hormone, free thyroxine (free T4), parathyroid hormone, calcitonin all normal. Would you skinny needle her?

How should I treat polymenorrhea in a 14-year-old girl?

false

267

What shots do I need to go to Egypt?

true

268

What shots do I need to go to Egypt?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

269

Patient with chronic abdominal pain. I don't know what to do for it. What is the cause? He's had two negative computerized tomography (CT) scans.

Chronic abdominal pain, don't know what to do for it. What is the cause?

true

270

Patient with chronic abdominal pain. I don't know what to do for it. What is the cause? He's had two negative computerized tomography (CT) scans.

Is melatonin good for anything? What is the dose?

false

271

I need a review of taxonomy of cells of the bone marrow. They rename them (the cells) and the diseases every 10 years. I'll admit I'm confused. I'm embarrassed to talk about it.

I need to review taxonomy of cells in bone marrow. Embarrassing not to know this.

true

272

A patient from the nursing home (phone call) with a sore toe. History of gout. Uric acid normal. "It's hard to make a diagnosis of gout when the uric acid is normal."

Patient with sore toe, history of gout, uric acid normal. Hard to diagnose gout with normal uric acid.

true

273

A patient from the nursing home (phone call) with a sore toe. History of gout. Uric acid normal. "It's hard to make a diagnosis of gout when the uric acid is normal."

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

274

He states this is a frustration question. There is no answer. She is an exceptional patient that lives in a group home. Is having bleeding between periods, so scheduled for Papanicolaou smear. At the last visit she was having her period, so rescheduled for today and because of reluctance to have exam, was given Mellaril prior to coming into office. Again she refused to have the exam and so staff at group home will watch to see if symptoms worsen -- may have to examine under anesthesia if symptoms warrant.

Group home patient bleeding between periods, given Mellaril but refuses pelvic. Now what?

true

275

He states this is a frustration question. There is no answer. She is an exceptional patient that lives in a group home. Is having bleeding between periods, so scheduled for Papanicolaou smear. At the last visit she was having her period, so rescheduled for today and because of reluctance to have exam, was given Mellaril prior to coming into office. Again she refused to have the exam and so staff at group home will watch to see if symptoms worsen -- may have to examine under anesthesia if symptoms warrant.

Hospital nurse never had chicken pox, negative titers, should I give vaccine?

false

276

Seen this morning for breast and pelvic exam. Had carcinoid tumor removed this spring. Question is what urine exam should be done to follow up a carcinoid tumor?

Patient had carcinoid removed. What urine test should be done to follow up?

true

277

Seen this morning for breast and pelvic exam. Had carcinoid tumor removed this spring. Question is what urine exam should be done to follow up a carcinoid tumor?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

278

Saw patient last week. 43-year-old obese male with growths (skin tags) on inside of thighs -- has had for some years but have become more uncomfortable. Dr. X removed a couple of them. What is the best way to remove these fibroepithelial skin tags?

43-year-old obese male, skin tags inside thighs. What is best way to remove them?

true

279

Saw patient last week. 43-year-old obese male with growths (skin tags) on inside of thighs -- has had for some years but have become more uncomfortable. Dr. X removed a couple of them. What is the best way to remove these fibroepithelial skin tags?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

280

What is causing the chronic itching?

true

281

What is causing the chronic itching?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

282

Interesting case he discussed with Dr. Y, his associate. 14-year-old girl had physical exam last Thursday and Dr. X noted node on left clavicle area. On x-ray it looks to him like a large cervical rib. Dr. Y agreed but they haven't had radiologist report. They are both awaiting the radiologists report. "Is this a cervical rib?" Dr. Y said she agreed it was a cervical rib but they are waiting the radiologist's report.

14-year-old girl, nodule palpated on left clavicle. On x-ray, is this a cervical rib?

true

283

Saw this patient earlier. I overheard his telephone conversation with hospital pharmacist (I believe patient is in hospital). Question he had was whether they make a one gram pill of Glucophage.

Does Glucophage come in a one-gram tablet?

true

284

Saw this patient earlier. I overheard his telephone conversation with hospital pharmacist (I believe patient is in hospital). Question he had was whether they make a one gram pill of Glucophage.

Let's give these immunizations. That's right isn't it?

false

285

Another phone conversation with hospital pharmacist regarding providing enough dosage of typhoid capsules for Dr. X and his wife for out of country trip.

How many typhoid vaccine pills do I need to take for my trip to middle east?

true

286

Another phone conversation with hospital pharmacist regarding providing enough dosage of typhoid capsules for Dr. X and his wife for out of country trip.

How should I treat polymenorrhea in a 14-year-old girl?

false

287

What should I do with this man who complained of left neck fullness and now has a possible thrombosis on magnetic resonance imaging (MRI)?

What to do with this man, complaining of left neck fullness, possible thrombosis on magnetic resonance imaging (MRI)?

true

288

What should I do with this man who complained of left neck fullness and now has a possible thrombosis on magnetic resonance imaging (MRI)?

Boys' father has Marfan's Syndrome. Do these boys need further evaluation?

false

289

What should I do with this man who has had a negative extensive workup for palpitations and chest pain?

What to do with this man, negative extensive workup for palpitations and chest pain?

true

290

What should I do with this man who has had a negative extensive workup for palpitations and chest pain?

Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?

false

291

This guy is dizzy when he's active but no other symptoms. What gives a doctor more uncertainty than dizziness and fatigue? How often is an etiology found?

Patient dizzy when active. What gives a doctor more uncertainty than dizziness?

true

292

This guy is dizzy when he's active but no other symptoms. What gives a doctor more uncertainty than dizziness and fatigue? How often is an etiology found?

Should we do a head CT (computerized tomography) with contrast tomorrow (Saturday) or MRI (magnetic resonance imaging) Monday?

false

293

The podiatrist doesn't know what he's got on his foot either. It's either a wart or a corn. It's a hyperkeratotic lesion with scaling and desquamation around it.

Podiatrist doesn't know either. It's either a wart or a corn.

true

294

The podiatrist doesn't know what he's got on his foot either. It's either a wart or a corn. It's a hyperkeratotic lesion with scaling and desquamation around it.

Why did she get Coccidiomycosis?

false

295

What is the dose of Famvir? I thought it was 500 milligrams three times a day but a recent New England Journal of Medicine article says 750 milligrams.

What is the dose of Famvir? I thought 500 milligrams three times a day but New England Journal of Medicine article says 750 milligrams.

true

296

What is the dose of Famvir? I thought it was 500 milligrams three times a day but a recent New England Journal of Medicine article says 750 milligrams.

How should I treat polymenorrhea in a 14-year-old girl?

false

297

How could the mother of this 4 1/2-year-old drift along for so long without getting any immunizations?

How could mother of 4 1/2-year-old drift so long without getting any immunizations?

true

298

How could the mother of this 4 1/2-year-old drift along for so long without getting any immunizations?

How should I treat polymenorrhea in a 14-year-old girl?

false

299

15-year-old with an influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. We had a recent death on the football field here (anomalous coronary artery). This patient is a football hero and the original question was whether to let him play. I did.

15-year-old, influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. Should he play football?

true

300

15-year-old with an influenza-like illness, increased lactate dehydrogenase (LDH) and bilirubin. We had a recent death on the football field here (anomalous coronary artery). This patient is a football hero and the original question was whether to let him play. I did.

Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?

false