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
401	401	Why is she fatigued? This is follow-up visit. Automated blood count abnormal but done by hand was normal. Doing thyroxine today since thyroid stimulating hormone was elevated. Patient smokes 1 1/2 packs per day. Trying to cut back.	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
402	402	Why does he have a pleural effusion? 69-year-old man came in for eye exam, but complained of trouble breathing, et cetera so eye exam postponed.	Why does he have a pleural effusion? 69-year-old man complaining of trouble breathing.	true
403	403	Why does he have a pleural effusion? 69-year-old man came in for eye exam, but complained of trouble breathing, et cetera so eye exam postponed.	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
404	404	New onset, unexpected thrombocytopenia -- What to do with it? Blood went to reference lab. I wonder if sitting in the tube in the courier's car would do that.	Unexpected thrombocytopenia -- What to do with it? Sat in courier's car awhile.	true
405	405	New onset, unexpected thrombocytopenia -- What to do with it? Blood went to reference lab. I wonder if sitting in the tube in the courier's car would do that.	How do you inject the bicipital tendon?	false
406	406	Patient with aortic valve replacement and triglycerides are over 2000. Had cerebrovascular accident (CVA) when her international normalized ratio (INR) was approximately 2.5. What should I do about the interaction between Coumadin and gemfibrozil?	What should I do about the interaction between Coumadin and gemfibrozil?	true
407	407	Patient with aortic valve replacement and triglycerides are over 2000. Had cerebrovascular accident (CVA) when her international normalized ratio (INR) was approximately 2.5. What should I do about the interaction between Coumadin and gemfibrozil?	Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery?	false
408	408	In an adult female teacher with a lapse in her Hepatitis B series, how long can you wait after the second shot before you have to start the whole series over?	Lapse in hepatitis B series, how long after second shot before you have to start over?	true
409	409	In an adult female teacher with a lapse in her Hepatitis B series, how long can you wait after the second shot before you have to start the whole series over?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
410	410	Does theophylline cause fatigue?	Does theophylline cause fatigue?	true
411	411	Does theophylline cause fatigue?	How should I treat polymenorrhea in a 14-year-old girl?	false
412	412	An adult female seen yesterday is going on a cruise and wanted to know if there was a shot for motion sickness that lasts two weeks. Is there a shot for motion sickness that lasts two weeks?	Patient going on cruise, wanted to know if there was a shot for motion sickness.	true
413	413	Where do you find articles on tinnitus? Dr. X discussed referral but feels probably no one does anything to treat it and there are many people who have it.	Where do you find articles on tinnitus?	true
414	414	Where do you find articles on tinnitus? Dr. X discussed referral but feels probably no one does anything to treat it and there are many people who have it.	Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery?	false
415	415	Which guidelines do you follow regarding frequency of flexible sigmoidoscopies? Cancer society, Medicare, health maintenance organization's (HMO's), et cetera vary with their recommendations. Dr. X feels there should be uniform guidelines.	Which guidelines do you follow regarding frequency of flexible sigmoidoscopies?	true
416	416	Which guidelines do you follow regarding frequency of flexible sigmoidoscopies? Cancer society, Medicare, health maintenance organization's (HMO's), et cetera vary with their recommendations. Dr. X feels there should be uniform guidelines.	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
417	417	72-year-old man seen this morning. Dr. X thinks he has genital herpes. The patient asked, "How long does herpes go on?"	72-year-old man with genital herpes. Patient asked, "How long does herpes go on?"	true
418	418	72-year-old man seen this morning. Dr. X thinks he has genital herpes. The patient asked, "How long does herpes go on?"	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
419	419	A less than 3-month-old male was seen earlier this week with chicken pox. The question was, "Should you treat or not?"	3-month-old male with chicken pox. Should you treat or not?	true
420	420	A less than 3-month-old male was seen earlier this week with chicken pox. The question was, "Should you treat or not?"	How do you inject the bicipital tendon?	false
421	421	Dr. X received phone call from visiting nurse that his patient who had a leg amputation a long time ago (diabetic) now has an ulceration on her good leg, won't let them in the house to do dressing changes, et cetera. What to do?	Diabetic with leg ulcer won't let visiting nurse in house to change dressing. What do you do?	true
422	422	Dr. X received phone call from visiting nurse that his patient who had a leg amputation a long time ago (diabetic) now has an ulceration on her good leg, won't let them in the house to do dressing changes, et cetera. What to do?	Are there better patient education materials on natural family planning than what I have?	false
423	423	37-year-old man with a viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?	37-year-old with viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?	true
424	424	37-year-old man with a viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
425	425	The same man has a son with Gaucher's disease and he gets transfusions once a month. Is Gaucher's a form of anemia? I'd have to look it up.	Is Gaucher's disease a form of anemia? I'd have to look it up.	true
426	426	46-year-old man. What is the dose of Prevacid and how do you spell it?	What is the dose of Prevacid and how do you spell it?	true
427	427	41-year-old woman with upper respiratory infection. She's pretty good size. The question is, "Should I give 500 milligrams or 250 milligrams of Amoxicillin?" I had to give that some thought.	Good size 41-year-old with upper respiratory infection. Should I give 500 milligrams or 250 milligrams of amoxicillin?	true
428	428	41-year-old woman with upper respiratory infection. She's pretty good size. The question is, "Should I give 500 milligrams or 250 milligrams of Amoxicillin?" I had to give that some thought.	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
429	429	42-year-old woman with upper respiratory infection. Wants to know when she should go back to work. That's always a question -- when you should let someone go back.	42-year-old woman with upper respiratory infection. Wants to know when she should go back to work.	true
430	430	42-year-old woman with upper respiratory infection. Wants to know when she should go back to work. That's always a question -- when you should let someone go back.	How do you inject the bicipital tendon?	false
431	431	44-year-old woman. What is the generic name of Halcion? She was on a sleeper that began with a T. Wanted to see if she could get a refill.	What is the generic name of Halcion?	true
432	432	What's the best time to get an obstetric ultrasound for dating and also to see other things like the placenta? Some say 13 to 15 weeks. Some say to get one early and late.	What is the best time to get obstetric ultrasound for dating and to see other things?	true
433	433	What's the best time to get an obstetric ultrasound for dating and also to see other things like the placenta? Some say 13 to 15 weeks. Some say to get one early and late.	Let's give these immunizations. That's right isn't it?	false
434	434	What are the optimal number of calories for an obstetric patient? She says she eats all the time.	What are optimal number of calories for obstetric patient? Says she eats all the time.	true
435	435	What are the optimal number of calories for an obstetric patient? She says she eats all the time.	Patient with hypertension and abdominal bruit. Should I order an intravenous pyelogram?	false
436	436	What are the chances of reversing a vasectomy? He asked me and I didn't know. Specifically, does the technique of doing a vasectomy affect the chance of reversal?	What are the chances of reversing a vasectomy? He asked me and I didn't know.	true
437	437	What are the chances of reversing a vasectomy? He asked me and I didn't know. Specifically, does the technique of doing a vasectomy affect the chance of reversal?	Let's give these immunizations. That's right isn't it?	false
438	438	What is the practicality of freezing sperm before you do a vasectomy? We got some information from the University but how long can you freeze sperm and still have it be good?	What is the practicality of freezing sperm before you do a vasectomy?	true
439	439	What is the practicality of freezing sperm before you do a vasectomy? We got some information from the University but how long can you freeze sperm and still have it be good?	How should I treat polymenorrhea in a 14-year-old girl?	false
440	440	Are there any rules for when to get a chest x-ray to rule out pneumonia, like the Ottawa ankle rules? This patient has a cough and pleuritic pain, smoker, upper airway and bronchial sounds.	Are there rules when to get chest x-ray to rule out pneumonia like the Ottawa ankle rules?	true
441	441	Are there any rules for when to get a chest x-ray to rule out pneumonia, like the Ottawa ankle rules? This patient has a cough and pleuritic pain, smoker, upper airway and bronchial sounds.	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
442	442	What are the long term effects of Dilantin use?	What are the long term effects of Dilantin use?	true
443	443	What are the long term effects of Dilantin use?	How should I treat polymenorrhea in a 14-year-old girl?	false
444	444	How often should you check a Dilantin level in someone who's using it chronically? What's safe? What's wise? Not just what everybody does?	How often should you check Dilantin level in someone who's using it chronically?	true
445	445	How often should you check a Dilantin level in someone who's using it chronically? What's safe? What's wise? Not just what everybody does?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
446	446	I can feel a pounding aorta in this 58-year-old man. I'm not sure if it's normal. How often does an abdominal aortic aneurysm occur in patients under 60?	I can feel pounding aorta in this 58-year-old man. I'm not sure if it's normal.	true
447	447	I can feel a pounding aorta in this 58-year-old man. I'm not sure if it's normal. How often does an abdominal aortic aneurysm occur in patients under 60?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
448	448	In people with colds and coughs and hemoptysis, in who should you workup the hemoptysis for cancer with a cytology and/or a chest x-ray? Just smokers or who?	In patients with colds and coughs and hemoptysis, who should be worked up?	true
449	449	In people with colds and coughs and hemoptysis, in who should you workup the hemoptysis for cancer with a cytology and/or a chest x-ray? Just smokers or who?	What antibiotic should I use for this diabetic patient's infected foot ulcer?	false
450	450	Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs? She had proteinuria in the past which we traced back to nonsteroidal anti-inflammatory drugs.	Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs?	true
451	451	Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs? She had proteinuria in the past which we traced back to nonsteroidal anti-inflammatory drugs.	What is the cause and treatment of this old man's stomatitis?	false
452	452	What is the dose of Trilisate?	What is the dose of Trilisate?	true
453	453	Do you need to do a tuberculin skin test if you want to rule out tuberculosis in a patient with hemoptysis and the patient has a negative chest x-ray?	Do you need to do a tuberculin skin test to rule out tuberculosis in a patient with hemoptysis and a negative chest x-ray?	true
454	454	Do you need to do a tuberculin skin test if you want to rule out tuberculosis in a patient with hemoptysis and the patient has a negative chest x-ray?	I wonder if this patient could have a rotator cuff thing?	false
455	455	A 60-year-old woman uses a lot of Avon Care Deeply with Cocoa Butter skin cream. She asked if she could be absorbing enough of this through her skin to cause her elevated cholesterol.	60-year-old female uses cocoa butter skin cream. Could that be absorbed, increase cholesterol?	true
456	456	A 60-year-old woman uses a lot of Avon Care Deeply with Cocoa Butter skin cream. She asked if she could be absorbing enough of this through her skin to cause her elevated cholesterol.	Why did she get Coccidiomycosis?	false
457	457	A 70-year-old woman with a total cholesterol of approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Should I worry about cholesterol in asymptomatic older patients?	70-year-old female with cholesterol approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Worry about cholesterol in asymptomatic elderly woman?	true
458	458	A 70-year-old woman with a total cholesterol of approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Should I worry about cholesterol in asymptomatic older patients?	Let's give these immunizations. That's right isn't it?	false
459	459	How do you workup galactorrhea? I think I should get at least a thyroid stimulating hormone and prolactin level.	How do you workup galactorrhea?	true
460	460	What are the Occupational Safety and Health Administration (OSHA) criteria for using liquid nitrogen (that is, protection by gloves, et cetera)?	What are Occupational Safety and Health Administration (OSHA) rules for using liquid nitrogen (that is, protection by gloves, et cetera)?	true
461	461	What is the proper treatment for gastroesophageal reflux disease (GERD)?	What is the proper treatment for GERD (gastroesophageal reflux disease)?	true
462	462	What is the proper treatment for gastroesophageal reflux disease (GERD)?	Let's give these immunizations. That's right isn't it?	false
463	463	What is the dosage of Lodine?	What is the dosage of Lodine?	true
464	464	Dr. X received consult report from neurologist at tertiary center X regarding patient's possible tendinitis but letter somewhat unclear so he telephoned this physician for an interpretation. Does she have tendinitis?	Does she have tendinitis?	true
465	465	Dr. X received consult report from neurologist at tertiary center X regarding patient's possible tendinitis but letter somewhat unclear so he telephoned this physician for an interpretation. Does she have tendinitis?	How should I treat polymenorrhea in a 14-year-old girl?	false
466	466	38-year-old man. What are the Ottawa criteria for ankle x-rays?	38-year-old man. What are the Ottawa criteria for ankle x-rays?	true
467	467	38-year-old man. What are the Ottawa criteria for ankle x-rays?	What antibiotic should I use for this diabetic patient's infected foot ulcer?	false
468	468	What are the doses of Solumedrol and Claforan for an 8-year-old female?	What are the doses of Solumedrol and Claforan for an 8-year-old female?	true
469	469	What do you do when someone has no insurance and has almost no money to buy Chemstrips?	What do you do when someone has no insurance and no money to buy Chemstrips?	true
470	470	What do you do when someone has no insurance and has almost no money to buy Chemstrips?	How should I treat polymenorrhea in a 14-year-old girl?	false
471	471	I would have had to look up mefloquine but he is staying in the city in Viet Nam so I don't need to look it up.	I would have had to look up mefloquine but he is staying in a city in Viet Nam?	true
472	472	What is causing her intermittent dysuria?	What is causing her intermittent dysuria?	true
473	473	What is causing her intermittent dysuria?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
474	474	How long should this patient be kept on Floxin? Has a history of two previous bouts of cystitis.	How long should patient stay on Floxin? Two previous bouts of cystitis.	true
475	475	How long should this patient be kept on Floxin? Has a history of two previous bouts of cystitis.	How do you use Redux? What are the indications?	false
476	476	What is the dosage of Famvir for treatment of herpes simplex?	What is the dosage of Famvir for treatment of herpes simplex?	true
477	477	What is the dosage of Famvir for treatment of herpes simplex?	Let's give these immunizations. That's right isn't it?	false
478	478	Female around age 40 with vascular headache. What is the dosage of Midrin? Said he has to look this up occasionally.	Female around age 40 with vascular headache. What is the dosage of Midrin?	true
479	479	Female around age 40 with vascular headache. What is the dosage of Midrin? Said he has to look this up occasionally.	What is the dose of Famvir?	false
480	480	Should I put all diabetics on angiotensin converting enzyme (ACE) inhibitors to protect their kidneys, even if they don't have hypertension?	Should I put all diabetics on angiotensin converting enzyme inhibitors to protect the kidneys, even if no hypertension?	true
481	481	Should I put all diabetics on angiotensin converting enzyme (ACE) inhibitors to protect their kidneys, even if they don't have hypertension?	Estimated fetal weight on ultrasound in grams; what is it in pounds so I can tell mother?	false
482	482	Why is her ferritin high and why is she anemic (Hemoglobin 11.0, Ferritin high at 292, total iron binding capacity normal)?	Why is ferritin high, why is she anemic (Hemoglobin 11.0, Ferritin 292, total iron binding capacity normal)?	true
483	483	Why is her ferritin high and why is she anemic (Hemoglobin 11.0, Ferritin high at 292, total iron binding capacity normal)?	What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)	false
484	484	What is the dose of Cefzil (cefprozil) for an 18-pound girl with otitis media?	What is the dose of Cefzil (cefprozil) for an 18-pound girl with otitis media?	true
485	485	What is the drug Zyprexa? The patient brought it in with him and said his psychiatrist had put him on it (not in a prescription bottle, but a sample drug bottle).	What is Zyprexa? Patient brought it in, psychiatrist put him on it.	true
486	486	This child had some flea bites. Question is - are children more susceptible to flea bites and what preventive measures could be used?	Are children more susceptible to flea bites, are there preventive measures?	true
487	487	Dr. X knows that if a postmenopausal woman is on estrogen for only a few years, she gets a continued protective effect against osteoporosis. Is that protective effect also ongoing with only a few years of estrogen therapy in the case of heart disease?	Will only a few years of estrogen help prevent heart disease?	true
488	488	Dr. X knows that if a postmenopausal woman is on estrogen for only a few years, she gets a continued protective effect against osteoporosis. Is that protective effect also ongoing with only a few years of estrogen therapy in the case of heart disease?	What are the causes of tinnitus?	false
489	489	Patient has a prolapsed uterus and is having problems which include urinary problems. Would removal of the uterus alone resolve her urinary symptoms or would she also need a cystocele repair, et cetera?	Prolapsed uterus, urinary problems. Would hysterectomy alone resolve urinary problem?	true
490	490	Patient has a prolapsed uterus and is having problems which include urinary problems. Would removal of the uterus alone resolve her urinary symptoms or would she also need a cystocele repair, et cetera?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
491	491	There is a residential home for severely retarded adults here and he feels he would like more information on how to meet the needs of these people. Is there a group of doctors with better information on this? This was brought up because of this patient.	Would a residential home for retarded people meet the needs of this patient?	true
492	492	There is a residential home for severely retarded adults here and he feels he would like more information on how to meet the needs of these people. Is there a group of doctors with better information on this? This was brought up because of this patient.	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
493	493	Unusual presentation - patient has swelling (lymphoid tissue at base of tongue). Is this normal or should I be concerned about a tumor, et cetera?	Patient with swelling (lymphoid tissue) at base of tongue. Is this normal?	true
494	494	Unusual presentation - patient has swelling (lymphoid tissue at base of tongue). Is this normal or should I be concerned about a tumor, et cetera?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
495	495	A laboratory technician that works at the clinic is 38 weeks pregnant and had a positive group B streptococcal test. Question is do we know enough about this test to be using it in the way we do?	Obstetric patient, 38 weeks with positive Group B streptococcus test. Do we know enough to be using this test the way we do?	true
496	496	A laboratory technician that works at the clinic is 38 weeks pregnant and had a positive group B streptococcal test. Question is do we know enough about this test to be using it in the way we do?	Should patients with osteoporosis get bone densitometry, because now we have Fosamax?	false
497	497	15-year-old boy with vomiting and diarrhea. He has a gastroenteritis but is it from food poisoning or a virus?	15-year-old boy with vomiting and diarrhea. Is it from food poisoning or a virus?	true
498	498	15-year-old boy with vomiting and diarrhea. He has a gastroenteritis but is it from food poisoning or a virus?	How should I treat polymenorrhea in a 14-year-old girl?	false
499	499	What is the cause of this rash?	What is the cause of this rash?	true
500	500	What is the cause of this rash?	How do you inject the bicipital tendon?	false

401

Why is she fatigued? This is follow-up visit. Automated blood count abnormal but done by hand was normal. Doing thyroxine today since thyroid stimulating hormone was elevated. Patient smokes 1 1/2 packs per day. Trying to cut back.

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

false

402

Why does he have a pleural effusion? 69-year-old man came in for eye exam, but complained of trouble breathing, et cetera so eye exam postponed.

Why does he have a pleural effusion? 69-year-old man complaining of trouble breathing.

true

403

Why does he have a pleural effusion? 69-year-old man came in for eye exam, but complained of trouble breathing, et cetera so eye exam postponed.

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

false

404

New onset, unexpected thrombocytopenia -- What to do with it? Blood went to reference lab. I wonder if sitting in the tube in the courier's car would do that.

Unexpected thrombocytopenia -- What to do with it? Sat in courier's car awhile.

true

405

New onset, unexpected thrombocytopenia -- What to do with it? Blood went to reference lab. I wonder if sitting in the tube in the courier's car would do that.

How do you inject the bicipital tendon?

false

406

Patient with aortic valve replacement and triglycerides are over 2000. Had cerebrovascular accident (CVA) when her international normalized ratio (INR) was approximately 2.5. What should I do about the interaction between Coumadin and gemfibrozil?

What should I do about the interaction between Coumadin and gemfibrozil?

true

407

Patient with aortic valve replacement and triglycerides are over 2000. Had cerebrovascular accident (CVA) when her international normalized ratio (INR) was approximately 2.5. What should I do about the interaction between Coumadin and gemfibrozil?

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

false

408

In an adult female teacher with a lapse in her Hepatitis B series, how long can you wait after the second shot before you have to start the whole series over?

Lapse in hepatitis B series, how long after second shot before you have to start over?

true

409

In an adult female teacher with a lapse in her Hepatitis B series, how long can you wait after the second shot before you have to start the whole series over?

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

false

410

Does theophylline cause fatigue?

true

411

Does theophylline cause fatigue?

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

false

412

An adult female seen yesterday is going on a cruise and wanted to know if there was a shot for motion sickness that lasts two weeks. Is there a shot for motion sickness that lasts two weeks?

Patient going on cruise, wanted to know if there was a shot for motion sickness.

true

413

Where do you find articles on tinnitus? Dr. X discussed referral but feels probably no one does anything to treat it and there are many people who have it.

Where do you find articles on tinnitus?

true

414

Where do you find articles on tinnitus? Dr. X discussed referral but feels probably no one does anything to treat it and there are many people who have it.

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

false

415

Which guidelines do you follow regarding frequency of flexible sigmoidoscopies? Cancer society, Medicare, health maintenance organization's (HMO's), et cetera vary with their recommendations. Dr. X feels there should be uniform guidelines.

Which guidelines do you follow regarding frequency of flexible sigmoidoscopies?

true

416

Which guidelines do you follow regarding frequency of flexible sigmoidoscopies? Cancer society, Medicare, health maintenance organization's (HMO's), et cetera vary with their recommendations. Dr. X feels there should be uniform guidelines.

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

false

417

72-year-old man seen this morning. Dr. X thinks he has genital herpes. The patient asked, "How long does herpes go on?"

72-year-old man with genital herpes. Patient asked, "How long does herpes go on?"

true

418

72-year-old man seen this morning. Dr. X thinks he has genital herpes. The patient asked, "How long does herpes go on?"

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

false

419

A less than 3-month-old male was seen earlier this week with chicken pox. The question was, "Should you treat or not?"

3-month-old male with chicken pox. Should you treat or not?

true

420

A less than 3-month-old male was seen earlier this week with chicken pox. The question was, "Should you treat or not?"

How do you inject the bicipital tendon?

false

421

Dr. X received phone call from visiting nurse that his patient who had a leg amputation a long time ago (diabetic) now has an ulceration on her good leg, won't let them in the house to do dressing changes, et cetera. What to do?

Diabetic with leg ulcer won't let visiting nurse in house to change dressing. What do you do?

true

422

Dr. X received phone call from visiting nurse that his patient who had a leg amputation a long time ago (diabetic) now has an ulceration on her good leg, won't let them in the house to do dressing changes, et cetera. What to do?

Are there better patient education materials on natural family planning than what I have?

false

423

37-year-old man with a viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?

37-year-old with viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?

true

424

37-year-old man with a viral upper respiratory infection. Is it okay to give the influenza shot to someone with an upper respiratory infection?

Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?

false

425

The same man has a son with Gaucher's disease and he gets transfusions once a month. Is Gaucher's a form of anemia? I'd have to look it up.

Is Gaucher's disease a form of anemia? I'd have to look it up.

true

426

46-year-old man. What is the dose of Prevacid and how do you spell it?

What is the dose of Prevacid and how do you spell it?

true

427

41-year-old woman with upper respiratory infection. She's pretty good size. The question is, "Should I give 500 milligrams or 250 milligrams of Amoxicillin?" I had to give that some thought.

Good size 41-year-old with upper respiratory infection. Should I give 500 milligrams or 250 milligrams of amoxicillin?

true

428

41-year-old woman with upper respiratory infection. She's pretty good size. The question is, "Should I give 500 milligrams or 250 milligrams of Amoxicillin?" I had to give that some thought.

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

false

429

42-year-old woman with upper respiratory infection. Wants to know when she should go back to work. That's always a question -- when you should let someone go back.

42-year-old woman with upper respiratory infection. Wants to know when she should go back to work.

true

430

42-year-old woman with upper respiratory infection. Wants to know when she should go back to work. That's always a question -- when you should let someone go back.

How do you inject the bicipital tendon?

false

431

44-year-old woman. What is the generic name of Halcion? She was on a sleeper that began with a T. Wanted to see if she could get a refill.

What is the generic name of Halcion?

true

432

What's the best time to get an obstetric ultrasound for dating and also to see other things like the placenta? Some say 13 to 15 weeks. Some say to get one early and late.

What is the best time to get obstetric ultrasound for dating and to see other things?

true

433

What's the best time to get an obstetric ultrasound for dating and also to see other things like the placenta? Some say 13 to 15 weeks. Some say to get one early and late.

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

false

434

What are the optimal number of calories for an obstetric patient? She says she eats all the time.

What are optimal number of calories for obstetric patient? Says she eats all the time.

true

435

What are the optimal number of calories for an obstetric patient? She says she eats all the time.

Patient with hypertension and abdominal bruit. Should I order an intravenous pyelogram?

false

436

What are the chances of reversing a vasectomy? He asked me and I didn't know. Specifically, does the technique of doing a vasectomy affect the chance of reversal?

What are the chances of reversing a vasectomy? He asked me and I didn't know.

true

437

What are the chances of reversing a vasectomy? He asked me and I didn't know. Specifically, does the technique of doing a vasectomy affect the chance of reversal?

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

false

438

What is the practicality of freezing sperm before you do a vasectomy? We got some information from the University but how long can you freeze sperm and still have it be good?

What is the practicality of freezing sperm before you do a vasectomy?

true

439

What is the practicality of freezing sperm before you do a vasectomy? We got some information from the University but how long can you freeze sperm and still have it be good?

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

false

440

Are there any rules for when to get a chest x-ray to rule out pneumonia, like the Ottawa ankle rules? This patient has a cough and pleuritic pain, smoker, upper airway and bronchial sounds.

Are there rules when to get chest x-ray to rule out pneumonia like the Ottawa ankle rules?

true

441

Are there any rules for when to get a chest x-ray to rule out pneumonia, like the Ottawa ankle rules? This patient has a cough and pleuritic pain, smoker, upper airway and bronchial sounds.

Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?

false

442

What are the long term effects of Dilantin use?

true

443

What are the long term effects of Dilantin use?

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

false

444

How often should you check a Dilantin level in someone who's using it chronically? What's safe? What's wise? Not just what everybody does?

How often should you check Dilantin level in someone who's using it chronically?

true

445

How often should you check a Dilantin level in someone who's using it chronically? What's safe? What's wise? Not just what everybody does?

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

false

446

I can feel a pounding aorta in this 58-year-old man. I'm not sure if it's normal. How often does an abdominal aortic aneurysm occur in patients under 60?

I can feel pounding aorta in this 58-year-old man. I'm not sure if it's normal.

true

447

I can feel a pounding aorta in this 58-year-old man. I'm not sure if it's normal. How often does an abdominal aortic aneurysm occur in patients under 60?

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

false

448

In people with colds and coughs and hemoptysis, in who should you workup the hemoptysis for cancer with a cytology and/or a chest x-ray? Just smokers or who?

In patients with colds and coughs and hemoptysis, who should be worked up?

true

449

In people with colds and coughs and hemoptysis, in who should you workup the hemoptysis for cancer with a cytology and/or a chest x-ray? Just smokers or who?

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

false

450

Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs? She had proteinuria in the past which we traced back to nonsteroidal anti-inflammatory drugs.

Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs?

true

451

Do salicylates cause the same concern about proteinuria as nonsteroidal anti-inflammatory drugs? She had proteinuria in the past which we traced back to nonsteroidal anti-inflammatory drugs.

What is the cause and treatment of this old man's stomatitis?

false

452

What is the dose of Trilisate?

true

453

Do you need to do a tuberculin skin test if you want to rule out tuberculosis in a patient with hemoptysis and the patient has a negative chest x-ray?

Do you need to do a tuberculin skin test to rule out tuberculosis in a patient with hemoptysis and a negative chest x-ray?

true

454

Do you need to do a tuberculin skin test if you want to rule out tuberculosis in a patient with hemoptysis and the patient has a negative chest x-ray?

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

false

455

A 60-year-old woman uses a lot of Avon Care Deeply with Cocoa Butter skin cream. She asked if she could be absorbing enough of this through her skin to cause her elevated cholesterol.

60-year-old female uses cocoa butter skin cream. Could that be absorbed, increase cholesterol?

true

456

A 60-year-old woman uses a lot of Avon Care Deeply with Cocoa Butter skin cream. She asked if she could be absorbing enough of this through her skin to cause her elevated cholesterol.

Why did she get Coccidiomycosis?

false

457

A 70-year-old woman with a total cholesterol of approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Should I worry about cholesterol in asymptomatic older patients?

70-year-old female with cholesterol approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Worry about cholesterol in asymptomatic elderly woman?

true

458

A 70-year-old woman with a total cholesterol of approximately 230, low-density lipoprotein (LDL-cholesterol) approximately 180. Should I worry about cholesterol in asymptomatic older patients?

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

false

459

How do you workup galactorrhea? I think I should get at least a thyroid stimulating hormone and prolactin level.

How do you workup galactorrhea?

true

460

What are the Occupational Safety and Health Administration (OSHA) criteria for using liquid nitrogen (that is, protection by gloves, et cetera)?

What are Occupational Safety and Health Administration (OSHA) rules for using liquid nitrogen (that is, protection by gloves, et cetera)?

true

461

What is the proper treatment for gastroesophageal reflux disease (GERD)?

What is the proper treatment for GERD (gastroesophageal reflux disease)?

true

462

What is the proper treatment for gastroesophageal reflux disease (GERD)?

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

false

463

What is the dosage of Lodine?

true

464

Dr. X received consult report from neurologist at tertiary center X regarding patient's possible tendinitis but letter somewhat unclear so he telephoned this physician for an interpretation. Does she have tendinitis?

Does she have tendinitis?

true

465

Dr. X received consult report from neurologist at tertiary center X regarding patient's possible tendinitis but letter somewhat unclear so he telephoned this physician for an interpretation. Does she have tendinitis?

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

false

466

38-year-old man. What are the Ottawa criteria for ankle x-rays?

true

467

38-year-old man. What are the Ottawa criteria for ankle x-rays?

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

false

468

What are the doses of Solumedrol and Claforan for an 8-year-old female?

true

469

What do you do when someone has no insurance and has almost no money to buy Chemstrips?

What do you do when someone has no insurance and no money to buy Chemstrips?

true

470

What do you do when someone has no insurance and has almost no money to buy Chemstrips?

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

false

471

I would have had to look up mefloquine but he is staying in the city in Viet Nam so I don't need to look it up.

I would have had to look up mefloquine but he is staying in a city in Viet Nam?

true

472

What is causing her intermittent dysuria?

true

473

What is causing her intermittent dysuria?

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

false

474

How long should this patient be kept on Floxin? Has a history of two previous bouts of cystitis.

How long should patient stay on Floxin? Two previous bouts of cystitis.

true

475

How long should this patient be kept on Floxin? Has a history of two previous bouts of cystitis.

How do you use Redux? What are the indications?

false

476

What is the dosage of Famvir for treatment of herpes simplex?

true

477

What is the dosage of Famvir for treatment of herpes simplex?

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

false

478

Female around age 40 with vascular headache. What is the dosage of Midrin? Said he has to look this up occasionally.

Female around age 40 with vascular headache. What is the dosage of Midrin?

true

479

Female around age 40 with vascular headache. What is the dosage of Midrin? Said he has to look this up occasionally.

What is the dose of Famvir?

false

480

Should I put all diabetics on angiotensin converting enzyme (ACE) inhibitors to protect their kidneys, even if they don't have hypertension?

Should I put all diabetics on angiotensin converting enzyme inhibitors to protect the kidneys, even if no hypertension?

true

481

Should I put all diabetics on angiotensin converting enzyme (ACE) inhibitors to protect their kidneys, even if they don't have hypertension?

Estimated fetal weight on ultrasound in grams; what is it in pounds so I can tell mother?

false

482

Why is her ferritin high and why is she anemic (Hemoglobin 11.0, Ferritin high at 292, total iron binding capacity normal)?

Why is ferritin high, why is she anemic (Hemoglobin 11.0, Ferritin 292, total iron binding capacity normal)?

true

483

Why is her ferritin high and why is she anemic (Hemoglobin 11.0, Ferritin high at 292, total iron binding capacity normal)?

What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)

false

484

What is the dose of Cefzil (cefprozil) for an 18-pound girl with otitis media?

true

485

What is the drug Zyprexa? The patient brought it in with him and said his psychiatrist had put him on it (not in a prescription bottle, but a sample drug bottle).

What is Zyprexa? Patient brought it in, psychiatrist put him on it.

true

486

This child had some flea bites. Question is - are children more susceptible to flea bites and what preventive measures could be used?

Are children more susceptible to flea bites, are there preventive measures?

true

487

Dr. X knows that if a postmenopausal woman is on estrogen for only a few years, she gets a continued protective effect against osteoporosis. Is that protective effect also ongoing with only a few years of estrogen therapy in the case of heart disease?

Will only a few years of estrogen help prevent heart disease?

true

488

Dr. X knows that if a postmenopausal woman is on estrogen for only a few years, she gets a continued protective effect against osteoporosis. Is that protective effect also ongoing with only a few years of estrogen therapy in the case of heart disease?

What are the causes of tinnitus?

false

489

Patient has a prolapsed uterus and is having problems which include urinary problems. Would removal of the uterus alone resolve her urinary symptoms or would she also need a cystocele repair, et cetera?

Prolapsed uterus, urinary problems. Would hysterectomy alone resolve urinary problem?

true

490

Patient has a prolapsed uterus and is having problems which include urinary problems. Would removal of the uterus alone resolve her urinary symptoms or would she also need a cystocele repair, et cetera?

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

false

491

There is a residential home for severely retarded adults here and he feels he would like more information on how to meet the needs of these people. Is there a group of doctors with better information on this? This was brought up because of this patient.

Would a residential home for retarded people meet the needs of this patient?

true

492

There is a residential home for severely retarded adults here and he feels he would like more information on how to meet the needs of these people. Is there a group of doctors with better information on this? This was brought up because of this patient.

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

false

493

Unusual presentation - patient has swelling (lymphoid tissue at base of tongue). Is this normal or should I be concerned about a tumor, et cetera?

Patient with swelling (lymphoid tissue) at base of tongue. Is this normal?

true

494

Unusual presentation - patient has swelling (lymphoid tissue at base of tongue). Is this normal or should I be concerned about a tumor, et cetera?

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

false

495

A laboratory technician that works at the clinic is 38 weeks pregnant and had a positive group B streptococcal test. Question is do we know enough about this test to be using it in the way we do?

Obstetric patient, 38 weeks with positive Group B streptococcus test. Do we know enough to be using this test the way we do?

true

496

A laboratory technician that works at the clinic is 38 weeks pregnant and had a positive group B streptococcal test. Question is do we know enough about this test to be using it in the way we do?

Should patients with osteoporosis get bone densitometry, because now we have Fosamax?

false

497

15-year-old boy with vomiting and diarrhea. He has a gastroenteritis but is it from food poisoning or a virus?

15-year-old boy with vomiting and diarrhea. Is it from food poisoning or a virus?

true

498

15-year-old boy with vomiting and diarrhea. He has a gastroenteritis but is it from food poisoning or a virus?

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

false

499

What is the cause of this rash?

true

500

What is the cause of this rash?

How do you inject the bicipital tendon?

false