Unnamed: 0 int64 0 530k | prompt stringlengths 9 962k | Dataset stringclasses 27
values | Model stringclasses 39
values | Response stringlengths 1 1.71M ⌀ | Score float64 0 1 ⌀ | Ground_Truth stringlengths 1 2.76k ⌀ | Prediction stringlengths 1 1.72M ⌀ | Prompt_Tokens int64 0 3.32M | Completion_Tokens int64 -56 68.5k | Cost float64 0 2.33 | File_Source stringclasses 676
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0 | A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chairman as the attending physician. During the case, the resident inadvertently cuts a flexor tendon. The tendon is repaired without complication. The attending tells the resident that the patient will do fine, and there is ... | medqa | GLM-Z1-9B-0414 | Okay, so I need to figure out the correct answer here. Let's start by understanding the scenario. A resident during a surgery accidentally cuts a flexor tendon, which is then repaired without complications. The attending says not to report it because it's minor and won't harm the patient, and tells the resident to leav... | 0 | B | A | 217 | 1,258 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
1 | A 67-year-old man with transitional cell carcinoma of the bladder comes to the physician because of a 2-day history of ringing sensation in his ear. He received this first course of neoadjuvant chemotherapy 1 week ago. Pure tone audiometry shows a sensorineural hearing loss of 45 dB. The expected beneficial effect of t... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 67-year-old man with transitional cell carcinoma of the bladder. He's had a 2-day history of tinnitus (ringing in the ear) after starting neoadjuvant chemotherapy a week ago. The audiometry shows sensorineural hearing loss of 45 dB. The question is about the expect... | 1 | D | D | 176 | 954 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
2 | Two weeks after undergoing an emergency cardiac catherization with stenting for unstable angina pectoris, a 61-year-old man has decreased urinary output and malaise. He has type 2 diabetes mellitus and osteoarthritis of the hips. Prior to admission, his medications were insulin and naproxen. He was also started on aspi... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 61-year-old man who had an emergency cardiac catheterization and stenting two weeks ago for unstable angina. Now he's presenting with decreased urinary output and malaise. His history includes type 2 diabetes and osteoarthritis. Before admission, he was on insulin ... | 1 | B | B | 356 | 965 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
3 | A 39-year-old woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1°C (102.3°F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examinatio... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 39-year-old woman with symptoms of sepsis: high fever, chills, left lower quadrant pain. She has a fever of 39.1°C, tachycardia, tachypnea, hypotension. There's blood around her IV line, which might be a source of infection. Pelvic exam shows mucopurulent discharge... | 0 | D | A | 350 | 2,258 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
4 | A 35-year-old man comes to the physician because of itchy, watery eyes for the past week. He has also been sneezing multiple times a day during this period. He had a similar episode 1 year ago around springtime. He has iron deficiency anemia and ankylosing spondylitis. Current medications include ferrous sulfate, artif... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 35-year-old man with itchy, watery eyes and sneezing for a week. He's had similar episodes in the past, around springtime. He has iron deficiency anemia and ankylosing spondylitis. His meds are ferrous sulfate, artificial tears, and indomethacin. He's a teacher.
F... | 1 | B | B | 249 | 684 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
5 | A 39-year-old man presents to the emergency department because of progressively worsening chest pain and nausea that started at a local bar 30 minutes prior. The pain radiates to the epigastric area. He has a 5-year history of untreated hypertension. He has smoked 1 pack of cigarettes daily for the past 5 years and sta... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 39-year-old man with chest pain and nausea. The pain started at a bar 30 minutes ago and radiates to the epigastric area. He has a history of untreated hypertension, smokes a pack a day for 5 years, and started cocaine abuse two weeks ago. He's diaphoretic and in d... | 1 | D | D | 184 | 3,107 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
6 | A 68-year-old male comes to the physician for evaluation of right flank pain. He has a history of diabetes and peripheral artery disease. His blood pressure is 160/90 mm Hg. Physical examination shows abdominal tenderness and right flank tenderness. An ultrasound shows dilation of the right ureter and renal pelvis. Whi... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 68-year-old male with right flank pain. His history includes diabetes and peripheral artery disease. Blood pressure is elevated at 160/90. On exam, he has abdominal and right flank tenderness. The ultrasound shows dilation of the right ureter and renal pelvis.
Fir... | 1 | C | C | 174 | 696 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
7 | A 65-year-old man is brought to the emergency department 30 minutes after the onset of acute chest pain. He has hypertension and asthma. Current medications include atorvastatin, lisinopril, and an albuterol inhaler. He appears pale and diaphoretic. His pulse is 114/min and blood pressure is 130/88 mm Hg. An ECG shows ... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 65-year-old man with acute chest pain, hypertension, and asthma. He's been treated for acute coronary syndrome (ACS) with percutaneous transluminal coronary angioplasty (PTCA), which I think is another term for stent placement. Now, after discharge, they did an ech... | 1 | C | C | 258 | 923 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
8 | A 37-year-old-woman presents to her primary care physician requesting a new form of birth control. She has been utilizing oral contraceptive pills (OCPs) for the past 8 years, but asks to switch to an intrauterine device (IUD). Her vital signs are: blood pressure 118/78 mm Hg, pulse 73/min and respiratory rate 16/min. ... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the scenario is a 37-year-old woman who's been on OCPs for 8 years and wants to switch to a copper IUD. The question is asking which past medical history would make placing a copper IUD contraindicated.
First, I need to recall the contraindications for copper IUDs. From what I rem... | 1 | B | B | 212 | 648 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
9 | A 23-year-old woman comes to the physician because she is embarrassed about the appearance of her nails. She has no history of serious illness and takes no medications. She appears well. A photograph of the nails is shown. Which of the following additional findings is most likely in this patient? | medqa | GLM-Z1-9B-0414 | Okay, let's try to figure this out. The question is about a 23-year-old woman with nail issues. She's not on any meds and has no serious illness. The options are A to D, and I need to pick the most likely additional finding.
First, I remember that nail problems can be linked to various conditions. Let's think about ea... | 1 | A | A | 163 | 2,479 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
10 | A 24-year-old G2P1 woman at 39 weeks’ gestation presents to the emergency department complaining of painful contractions occurring every 10 minutes for the past 2 hours, consistent with latent labor. She says she has not experienced vaginal discharge, bleeding, or fluid leakage, and is currently taking no medications. ... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the scenario is a pregnant woman presenting with labor symptoms, and they did rapid screening tests which led to giving zidovudine during delivery. Now they're confirming her HIV diagnosis with a confirmatory test. The options are about different types of tests.
First, I need to r... | 1 | D | D | 318 | 686 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
11 | A 72-year-old man comes to the physician because of a 2-month history of fatigue and worsening abdominal pain. During this period, he also has excessive night sweats and shortness of breath on exertion. Over the past 3 months, he has had a 5.6-kg (12-lb) weight loss. He had a myocardial infarction 3 years ago. He has h... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 72-year-old man with fatigue, abdominal pain, night sweats, shortness of breath, weight loss, and a history of MI, hypertension, diabetes, and chronic bronchitis. He's a smoker. His labs show anemia (Hb 6.4), low MCV (85), which suggests microcytic anemia. Leukocyt... | 1 | D | D | 324 | 601 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
12 | A 20-year-old man comes to the physician because of worsening gait unsteadiness and bilateral hearing loss for 1 month. He has had intermittent tingling sensations on both cheeks over this time period. He has no history of serious medical illness and takes no medications. Audiometry shows bilateral sensorineural hearin... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 20-year-old man with worsening gait unsteadiness, bilateral hearing loss, and tingling on both cheeks for a month. The audiometry shows sensorineural hearing loss. Genetic testing found a mutation in a tumor suppressor gene on chromosome 22 that encodes merlin.
Fi... | 1 | B | B | 181 | 567 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
13 | A 47-year-old executive schedules an appointment his physician for a routine medical check-up. He currently has no complaints and claims to be “as fit as a fiddle.” The physical examination findings are unremarkable, except for a mid-systolic murmur heard in the 2nd left intercostal space that radiates to the carotids ... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the scenario is a 47-year-old executive with a mid-systolic murmur that radiates to the carotids. The murmur is heard when the stethoscope is on the chest, and then the patient is told to stand up while the stethoscope remains in place. The question is about what happens with this ... | 1 | D | D | 210 | 949 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
14 | A microbiologist is studying the emergence of a virulent strain of the virus. After a detailed study of the virus and its life cycle, he proposes a theory: Initially, a host cell is co-infected with 2 viruses from the same virus family. Within the host cell, concomitant production of various genome segments from both v... | medqa | GLM-Z1-9B-0414 | Okay, let's try to figure out this question. So, the scenario is about a microbiologist studying how a new virulent strain of a virus emerges. The process described involves two viruses infecting a host cell at the same time. Their genome segments get produced together, and then a new virus particle is formed with a mi... | 1 | C | C | 209 | 1,966 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
15 | A 59-year-old overweight woman presents to the urgent care clinic with the complaint of severe abdominal pain for the past 2 hours. She also complains of a dull pain in her back with nausea and vomiting several times. Her pain has no relation with food. Her past medical history is significant for recurrent abdominal pa... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 59-year-old woman with severe abdominal pain for two hours, plus back pain, nausea, and vomiting. Her pain isn't related to food. She has a history of cholelithiasis (gallstones) and her father died of abdominal cancer at 60. The CT scan shows a calcified mass near... | 1 | B | B | 247 | 6,304 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
16 | A 7-year-old boy is brought to his pediatrician’s office for a follow-up visit. He was diagnosed with asthma when he was 3 years old and has since been on treatment for the condition. He is currently on a β-agonist inhaler because of exacerbation of his symptoms. He has observed that his symptoms are more prominent in ... | medqa | GLM-Z1-9B-0414 | Okay, let's try to figure this out. The question is about a child with asthma that's worse in spring, probably due to pollen. The experimental therapy targets a mediator that affects antibody class switching, and reducing it helps with his asthma.
First, I remember that asthma involves immune responses, especially Th2... | 1 | D | D | 283 | 587 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
17 | A 3-month-old boy is brought the emergency department by his parents after an episode of cyanosis and muscle hypotonia that resolved after 2 minutes. Diagnostic evaluation fails to discover an exact etiology of the boy's symptoms and the episode is classified as a brief resolved unexplained event (BRUE). The risk profi... | medqa | GLM-Z1-9B-0414 | Okay, let's see. The question is about a study design where they're trying to control confounding bias for BRUE in infants. The pediatrician is comparing two groups: 75 with BRUE and 75 without, matching them on age, socioeconomic background, and family history. Then she compares feeding problems and recent upper respi... | 1 | D | D | 262 | 467 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
18 | A 29-year-old man presents to the emergency department due to central chest pain over the past 3 days which is constant and unrelated to exertion. The pain is sharp, severe, increases when lying down, and improves with leaning forward. The pain also radiates to his shoulders and neck. The patient has no past medical hi... | medqa | GLM-Z1-9B-0414 | Okay, let's try to figure this out. So the patient is a 29-year-old man with central chest pain that's been going on for three days. The pain is sharp and severe, worse when lying down and better when leaning forward. It also radiates to the shoulders and neck. He's a smoker with 10 cigarettes a day for seven years and... | 1 | B | B | 277 | 1,183 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
19 | A 46-year-old man is brought to the emergency department for evaluation of altered mental status. He was found on the floor in front of his apartment. He is somnolent but responsive when aroused. His pulse is 64/min, respiratory rate is 15/min, and blood pressure is 120/75 mm Hg. On physical examination, an alcoholic s... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 46-year-old man with altered mental status. He was found on the floor, somnolent but responsive when aroused. Vital signs: pulse 64, respiratory 15, BP 120/75. Alcoholic smell, slurred speech. Neurological exam shows diminished deep tendon reflexes and ataxic gait.... | 0 | D | B | 223 | 674 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
20 | A 77-year-old woman presents to the emergency room with the complaints of fever, malaise, and night sweats. She recently observed an enlargement of her axillary lymph nodes, which she examines on a weekly basis. She has a remote history of breast cancer in her 60s that was treated with radiation and chemotherapy. She a... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question step by step. The patient is a 77-year-old woman with a history of breast cancer treated with radiation and chemo, recent非洲旅行, and a smoking history. She now has axillary lymph nodes enlarged, and the biopsy shows centroblastic and immunoblastic cells, suspicious for DLBCL (non-Hodgkin'... | 1 | C | C | 258 | 722 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
21 | A 3-month-old infant is brought to her pediatrician because she coughs and seems to have difficulty breathing while feeding. In addition, she seems to have less energy compared to other babies and appears listless throughout the day. She was born by cesarean section to a G1P1 woman with no prior medical history and had... | medqa | GLM-Z1-9B-0414 | Okay, let's try to figure this out. So, the question is about a 3-month-old infant with symptoms like coughing, difficulty breathing during feeding, less energy, and listlessness. The physical exam shows a high-pitched holosystolic murmur heard best at the lower left sternal border. The options are different abnormalit... | 0 | A | C | 221 | 1,299 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
22 | A 30-year-old African American woman comes to the physician for the evaluation of a dry cough and chest discomfort for the past 3 days. During this period, the patient has had headaches, muscle aches, joint pain, fever, and chills. Ten days ago, she was hiking with her family in Mississippi. The patient has asthma that... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question step by step. So, the patient is a 30-year-old African American woman presenting with a dry cough, chest discomfort for three days. She also has headaches, muscle aches, joint pain, fever, and chills. Ten days ago, she was hiking in Mississippi. Her medical history includes asthma treat... | 1 | C | C | 287 | 1,150 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
23 | A 62-year-old patient has been hospitalized for a week due to a stroke. One week into the hospitalization, he develops a fever and purulent cough. His vitals include: heart rate 88/min, respiratory rate 20/min, temperature 38.4°C (101.1°F), and blood pressure 110/85 mm Hg. On physical examination, he has basal crackles... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 62-year-old man who had a stroke a week ago and now presents with fever, purulent cough, crackles on the right chest, and consolidation seen on chest X-ray. The labs show leukocytosis with neutrophilia. The question is about the most likely causative organism.
Fir... | 1 | D | D | 282 | 2,257 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
24 | A 6-year-old boy is brought to the emergency department by his mother for worsening wheezing and shortness of breath over the past day. He has not had a fever, cough, vomiting, or diarrhea. He has asthma and eczema. He uses a glucocorticoid inhaler and an albuterol inhaler but has missed his medications for the past we... | medqa | GLM-Z1-9B-0414 | Okay, let's try to figure this out. So, the scenario is a 6-year-old boy with asthma and eczema. He's been having worsening wheezing and shortness of breath for a day. He missed his meds for a week. The initial treatment was albuterol and ipratropium via nebulizer and IV methylprednisolone. After an hour, he becomes li... | 1 | A | A | 369 | 1,959 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
25 | A 5-year-old female suffers from recurrent infections by Aspergillus species, Pseudomonas species, and Staphylococcus aureus. The patient's neutrophils are examined in the laboratory and they fail to react during the nitroblue tetrazolium test. Which of the following is most likely dysfunctional in this patient? | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the patient is a 5-year-old girl with recurrent infections from Aspergillus, Pseudomonas, and Staphylococcus. The lab test mentioned is the nitroblue tetrazolium test, and her neutrophils aren't reacting. The options are about different immune functions.
First, I remember that the... | 1 | D | D | 156 | 799 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
26 | A 3-year-old boy presents to the emergency department with a ‘cough-like-a-seal bark’ and a high-pitched inspiratory noise that is audible without a stethoscope. His mother reports that his cough has worsened over the last few hours. The patient's blood pressure is 118/78 mm Hg, pulse is 90/min, respiratory rate is 35/... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the scenario is a 3-year-old boy with a cough that sounds like a seal bark and a high-pitched inspiratory noise. He's in respiratory distress, leaning forward, with retractions, stridor, and a hoarse voice. The question is about what the chest X-ray would show.
First, I need to re... | 1 | D | D | 248 | 566 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
27 | A 26-year-old woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regularly. When the gynecologist asks her about t... | medqa | GLM-Z1-9B-0414 | Okay, let's tackle this question. So, the scenario is a 26-year-old woman who's been taking oral contraceptives regularly but missed a period. She was diagnosed with pulmonary TB and started on an anti-TB regimen including rifampin, isoniazid, pyrazinamide, and ethambutol. The question is why her oral contraceptives fa... | 1 | A | A | 285 | 642 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
28 | A 4-year-old previously healthy boy presents with 4 days of intermittent vomiting and 5-6 daily loose stools. His mother noted bloody stools and decreased oral intake of food and water over the last 24 hours. He is normally in daycare; however, he has been home for the past 3 days. On physical exam his temperature is 1... | medqa | GLM-Z1-9B-0414 | Okay, let's try to figure this out. So the patient is a 4-year-old boy with vomiting, diarrhea, bloody stools, and now lower extremity weakness and tingling. The key points here are the gastrointestinal symptoms followed by neurological issues.
First, the initial presentation sounds like an acute gastroenteritis. Bloo... | 1 | D | D | 342 | 557 | 0 | medqa-test-GLM-Z1-9B-0414-20251019_064147.json |
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