Dataset Card for ReDis-QA

Dataset Summary

ReDis-QA dataset contains 1360 multi-choice questions focusing on rare disease diagnosis. It consists of 11%, 33%, 13%, 15%, 18% of the questions corresponding to the symptoms, causes, affects, related-disorders, diagnosis of rare diseases, respectively. The remaining 9% of the questions pertain to other properties of the diseases.

ReDis-QA dataset widely covers 205 types of rare diseases, where the most frequent disease features over 100 questions.

Belows are examples of each property.

Property	Example
Symptom	Question: About Achalasia Cardia: 1. Dysphagia is a presenting symptom 2. The cause is the absence of Auerbach's plexus 3. Esophagec-tomy is the treatment 4. Motility improving agents are used in treatment 5. Barium swallow shows irregular filling defects in lower esophagus Choices: (A) 1,2,3 False & 4,5 True (B) 1,2,4 True & 3,5 False (C) 2,3,4 True & 1,5 False (D) 1,3,5 True & 2,4 False Golden Answer: B
Causes	Question: A mother brings her 1-year-old daughter to the physician. She says that for the last 2 days her daughter has been fussy and crying more than usual. She also refuses formula. The patient has a fever of 39.4degC (102.9degF). Meningitis is suspected, and a lumbar puncture is performed. Analysis of the cerebrospinal fluid shows an opening pressure of 98 mm H2O, a leukocyte count of 1256/mm3, a protein level of 210 mg/dL, and a glucose level of 31 mg/dL. The mother says that the patient has received no immunizations. Which of the following organisms is most likely responsible for this patient's illness? Choices: (A) Clostridium botulinum (B) Haemophilus influenza (C) Neisseria meningitides (D) Streptococcus pneumonia Golden Answer: B
Affects	Question: 23 years old female comes to OG, because she thinks pregnant. She missed her last two cycles and she feels different. Urine pregnancy test was positive. On USG, the pregnancy was confirmed to be 12 weeks. She is very concerned because she received Measles Mumps Rubella vaccine 4 months ago and she was told to wait for 3 months to conceive. The pregnancy is desired. The most appropriate step is Choices: (A) Vaccine risk is minimal, not itself a reason to terminate the pregnancy. (B) Vaccine risk is nil, termination is completely inappropriate. (C) Vaccine risk is high, termination should be strongly considered. (D) Vaccine risk is high, termination is mandated. Golden Answer: A
Related-disorders	Question: A 35-year-old female presented to the medicine OPD with paresthesias and weakness of B/L lower limbs with a band like sensation of tightness around the torso along with painful loss of vision in both eyes along with diplopia and periorbital pain.} There is a history of similar attacks in the past with period of normalcy in between O/E, Ataxia- present Papillitis (on fundus examination) Facial myokymia Bladder incontinence and constipation CSF studies revealed mononuclear cell pleocytosis along with increased IgG. Which of the following are the oral drugs approved for the above condition: 1. Fingolimod 2. Natalizumab 3. Teriflunomide 4. Glatiramer acetate Choices: (A) Only 1 (B) Both 1 and 3 (C) 1,2 and 3 (D) All of the above Golden Answer: A
Diagnosis	Question: A 29-year-old man is seen in the office after returning from a hiking trip in Colorado. He complains of feeling unwell and reports symptoms of fever, myalgia, headache, and nausea. Two days ago, he noticed a rash on his wrists and ankles that has now spread to his body. He recalls having had numerous insect bites during his trip. On examination, his blood pressure is 90/60 mmHg, pulse 100/min, and respira- tions 20/min. There are multiple 1-5 mm macules on his body and some of them have a hemorrhagic center consistent with a petechia. His neck is supple and fundi are normal. The heart sounds are normal, lungs clear, and legs are edematous. Cranial nerve, motor, and sensory examination is normal. A clinical diagnosis of Rocky Mountain Spotted Fever (RMSF) is made and he is started on appropriate therapy. Which of the following is the most common type of central nervous system (CNS) presentation in this condition? Choices: (A) Hemiplegia (B) Cranial nerve abnormalities (C) Paraplegia (D) Encephalitis Golden Answer: D

Loading Dataset

Simply follow the instructions to test your models on the ReDis-QA dataset:

import datasets
eval_dataset = datasets.load_dataset(f"guan-wang/ReDis-QA")
for data_idx, data_instance in enumerate(eval_dataset):
    print(data_idx, data_instance["input"])

Benchmark Results of LLMs

Benchmark results of Llama-2-7B-chat, Mistral-7B-instruct-v0.2, Phi-3-7B-instruct, Gemmma-1.1-7B-it, and Qwen-2-7B-Instruct. More details refers to our benchmark repository ReDis-QA-Bench.

Citation Information

If you find this dataset useful to your project, we appreciate you citing this work:

@article{wang2024assessing,
  title={Assessing and Enhancing Large Language Models in Rare Disease Question-answering},
  author={Wang, Guanchu and Ran, Junhao and Tang, Ruixiang and Chang, Chia-Yuan and Chuang, Yu-Neng and Liu, Zirui and Braverman, Vladimir and Liu, Zhandong and Hu, Xia},
  journal={arXiv preprint arXiv:2408.08422},
  year={2024}
}