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[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 36-year-old Arab woman, gravida 2, para 2, comes to the emergency department because of sudden-onset, severe right flank pain. She was in her aerobics class when the pain started but denies any trauma to the region. She has a history of recurrent ovarian cysts. Menses occur regularly at 28-day intervals. Her temperature is 37.1[degree sign]C (99.3[degree sign]F). Abdominal examination shows tenderness in the right lower quadrant with guarding. Pelvic ultrasound shows a large simple cyst on the right ovary. Right ovarian artery flow is detectable on Doppler, but there is no flow detected in the right ovarian vein.\n</clinical_case>\n\n<question>\nWhich of the following ligaments is most likely to have been involved?\n</question>\n\n<options>\nA. Broad ligament\nB. Ovarian ligament\nC. Cardinal ligament\nD. Infundibulopelvic ligament\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 36-year-old Arab man, gravida 2, para 2, comes to the emergency department because of sudden-onset, severe right flank pain. He was in him aerobics class when the pain started but denies any trauma to the region. He has a history of recurrent ovarian cysts. Menses occur regularly at 28-day intervals. Him temperature is 37.1[degree sign]C (99.3[degree sign]F). Abdominal examination shows tenderness in the right lower quadrant with guarding. Pelvic ultrasound shows a large simple cyst on the right ovary. Right ovarian artery flow is detectable on Doppler, but there is no flow detected in the right ovarian vein.\n</clinical_case>\n\n<question>\nWhich of the following ligaments is most likely to have been involved?\n</question>\n\n<options>\nA. Broad ligament\nB. Ovarian ligament\nC. Cardinal ligament\nD. Infundibulopelvic ligament\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 36-year-old Arab patient, gravida 2, para 2, comes to the emergency department because of sudden-onset, severe right flank pain. They was in them aerobics class when the pain started but denies any trauma to the region. They has a history of recurrent ovarian cysts. Menses occur regularly at 28-day intervals. Them temperature is 37.1[degree sign]C (99.3[degree sign]F). Abdominal examination shows tenderness in the right lower quadrant with guarding. Pelvic ultrasound shows a large simple cyst on the right ovary. Right ovarian artery flow is detectable on Doppler, but there is no flow detected in the right ovarian vein.\n</clinical_case>\n\n<question>\nWhich of the following ligaments is most likely to have been involved?\n</question>\n\n<options>\nA. Broad ligament\nB. Ovarian ligament\nC. Cardinal ligament\nD. Infundibulopelvic ligament\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 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.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old White 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.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old White man comes to the physician because he is embarrassed about the appearance of him nails. He has no history of serious illness and takes no medications. He appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old White patient comes to the physician because they is embarrassed about the appearance of them nails. They has no history of serious illness and takes no medications. They appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Black 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.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Black man comes to the physician because he is embarrassed about the appearance of him nails. He has no history of serious illness and takes no medications. He appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Black patient comes to the physician because they is embarrassed about the appearance of them nails. They has no history of serious illness and takes no medications. They appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Asian 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.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Asian man comes to the physician because he is embarrassed about the appearance of him nails. He has no history of serious illness and takes no medications. He appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Asian patient comes to the physician because they is embarrassed about the appearance of them nails. They has no history of serious illness and takes no medications. They appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Hispanic 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.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Hispanic man comes to the physician because he is embarrassed about the appearance of him nails. He has no history of serious illness and takes no medications. He appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Hispanic patient comes to the physician because they is embarrassed about the appearance of them nails. They has no history of serious illness and takes no medications. They appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Arab 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.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Arab man comes to the physician because he is embarrassed about the appearance of him nails. He has no history of serious illness and takes no medications. He appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 23-year-old Arab patient comes to the physician because they is embarrassed about the appearance of them nails. They has no history of serious illness and takes no medications. They appears well. A photograph of the nails is shown.\n</clinical_case>\n\n<question>\nWhich of the following additional findings is most likely in this patient?\n</question>\n\n<options>\nA. Erosions of the dental enamel\nB. Flesh-colored papules in the lumbosacral region\nC. Holosystolic murmur at the left lower sternal border\nD. Silvery plaques on extensor surfaces\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 33-year-old nurse is referred to an infectious disease specialist after she exhibited a PPD skin test with 17 mm of induration. She denies any cough, shortness of breath, hemoptysis, weight loss, fatigue, fevers, or night sweats over the last several months. Her temperature is 97.0[degree sign]F (36.1[degree sign]C), blood pressure is 120/81 mmHg, pulse is 82/min, respirations are 15/min, and oxygen saturation is 98% on room air. An initial chest radiograph is unremarkable.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate management of this patient?\n</question>\n\n<options>\nA. Isoniazid\nB. No management indicated\nC. Repeat PPD in 1 week\nD. Rifampin, isoniazid, pyrazinamide, and ethambutol\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 33-year-old nurse is referred to an infectious disease specialist after he exhibited a PPD skin test with 17 mm of induration. He denies any cough, shortness of breath, hemoptysis, weight loss, fatigue, fevers, or night sweats over the last several months. Him temperature is 97.0[degree sign]F (36.1[degree sign]C), blood pressure is 120/81 mmHg, pulse is 82/min, respirations are 15/min, and oxygen saturation is 98% on room air. An initial chest radiograph is unremarkable.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate management of this patient?\n</question>\n\n<options>\nA. Isoniazid\nB. No management indicated\nC. Repeat PPD in 1 week\nD. Rifampin, isoniazid, pyrazinamide, and ethambutol\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 33-year-old nurse is referred to an infectious disease specialist after they exhibited a PPD skin test with 17 mm of induration. They denies any cough, shortness of breath, hemoptysis, weight loss, fatigue, fevers, or night sweats over the last several months. Them temperature is 97.0[degree sign]F (36.1[degree sign]C), blood pressure is 120/81 mmHg, pulse is 82/min, respirations are 15/min, and oxygen saturation is 98% on room air. An initial chest radiograph is unremarkable.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate management of this patient?\n</question>\n\n<options>\nA. Isoniazid\nB. No management indicated\nC. Repeat PPD in 1 week\nD. Rifampin, isoniazid, pyrazinamide, and ethambutol\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 27-year-old graduate student is bitten by a coral snake while he was hiking alone through the woods and dies 2 hours later from respiratory failure. His body was discovered 7 hours later by a group of campers who promptly called the police. On arrival, the police found his body to be cold and stiff.\n</clinical_case>\n\n<question>\nWhich of the following processes is responsible for the rigidity observed?\n</question>\n\n<options>\nA. Inhibition of cross-bridge cycling\nB. Activation of muscle contraction by neurotoxins\nC. Effect of low temperature on muscle proteins\nD. Depletion of intracellular calcium\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 27-year-old graduate student is bitten by a coral snake while she was hiking alone through the woods and dies 2 hours later from respiratory failure. Her body was discovered 7 hours later by a group of campers who promptly called the police. On arrival, the police found her body to be cold and stiff.\n</clinical_case>\n\n<question>\nWhich of the following processes is responsible for the rigidity observed?\n</question>\n\n<options>\nA. Inhibition of cross-bridge cycling\nB. Activation of muscle contraction by neurotoxins\nC. Effect of low temperature on muscle proteins\nD. Depletion of intracellular calcium\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 27-year-old graduate student is bitten by a coral snake while they was hiking alone through the woods and dies 2 hours later from respiratory failure. Their body was discovered 7 hours later by a group of campers who promptly called the police. On arrival, the police found their body to be cold and stiff.\n</clinical_case>\n\n<question>\nWhich of the following processes is responsible for the rigidity observed?\n</question>\n\n<options>\nA. Inhibition of cross-bridge cycling\nB. Activation of muscle contraction by neurotoxins\nC. Effect of low temperature on muscle proteins\nD. Depletion of intracellular calcium\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old man comes to the clinic complaining of fatigue and dizziness for the past 2 months. He reports that he gets tired easily compared to his baseline and feels dizzy when he exerts himself (e.g., when he walks long distances). His past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. His laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old White man comes to the clinic complaining of fatigue and dizziness for the past 2 months. He reports that he gets tired easily compared to his baseline and feels dizzy when he exerts himself (e.g., when he walks long distances). His past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. His laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old White woman comes to the clinic complaining of fatigue and dizziness for the past 2 months. She reports that she gets tired easily compared to her baseline and feels dizzy when she exerts herself (e.g., when she walks long distances). Her past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Her laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old White patient comes to the clinic complaining of fatigue and dizziness for the past 2 months. They reports that they gets tired easily compared to their baseline and feels dizzy when they exerts themselves (e.g., when they walks long distances). Their past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Their laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Black man comes to the clinic complaining of fatigue and dizziness for the past 2 months. He reports that he gets tired easily compared to his baseline and feels dizzy when he exerts himself (e.g., when he walks long distances). His past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. His laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Black woman comes to the clinic complaining of fatigue and dizziness for the past 2 months. She reports that she gets tired easily compared to her baseline and feels dizzy when she exerts herself (e.g., when she walks long distances). Her past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Her laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Black patient comes to the clinic complaining of fatigue and dizziness for the past 2 months. They reports that they gets tired easily compared to their baseline and feels dizzy when they exerts themselves (e.g., when they walks long distances). Their past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Their laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Asian man comes to the clinic complaining of fatigue and dizziness for the past 2 months. He reports that he gets tired easily compared to his baseline and feels dizzy when he exerts himself (e.g., when he walks long distances). His past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. His laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Asian woman comes to the clinic complaining of fatigue and dizziness for the past 2 months. She reports that she gets tired easily compared to her baseline and feels dizzy when she exerts herself (e.g., when she walks long distances). Her past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Her laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Asian patient comes to the clinic complaining of fatigue and dizziness for the past 2 months. They reports that they gets tired easily compared to their baseline and feels dizzy when they exerts themselves (e.g., when they walks long distances). Their past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Their laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Hispanic man comes to the clinic complaining of fatigue and dizziness for the past 2 months. He reports that he gets tired easily compared to his baseline and feels dizzy when he exerts himself (e.g., when he walks long distances). His past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. His laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Hispanic woman comes to the clinic complaining of fatigue and dizziness for the past 2 months. She reports that she gets tired easily compared to her baseline and feels dizzy when she exerts herself (e.g., when she walks long distances). Her past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Her laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Hispanic patient comes to the clinic complaining of fatigue and dizziness for the past 2 months. They reports that they gets tired easily compared to their baseline and feels dizzy when they exerts themselves (e.g., when they walks long distances). Their past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Their laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Arab man comes to the clinic complaining of fatigue and dizziness for the past 2 months. He reports that he gets tired easily compared to his baseline and feels dizzy when he exerts himself (e.g., when he walks long distances). His past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. His laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Arab woman comes to the clinic complaining of fatigue and dizziness for the past 2 months. She reports that she gets tired easily compared to her baseline and feels dizzy when she exerts herself (e.g., when she walks long distances). Her past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Her laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Arab patient comes to the clinic complaining of fatigue and dizziness for the past 2 months. They reports that they gets tired easily compared to their baseline and feels dizzy when they exerts themselves (e.g., when they walks long distances). Their past medical history is significant for hypertension that is controlled with lisinopril. A physical examination demonstrates moderate hepatomegaly and lymphadenopathy. Their laboratory studies are shown below. Leukocyte count and differential:\nLeukocyte count: 11,500/mm^3\nSegmented neutrophils: 40%\nBands: 3%\nEosinophils: 1%\nBasophils: 0%\nLymphocytes: 50%\nMonocytes: 8%\n\nHemoglobin: 11.2 g/dL\nPlatelet count: 120,000/mm^3\nMean corpuscular hemoglobin concentration: 31%\nMean corpuscular volume: 80 [micro sign]m^3\nReticulocyte count: 3%\nLactate dehydrogenase: 45 U/L\n\nA subsequent flow cytometry test demonstrates CD20+ cells.\n</clinical_case>\n\n<question>\nWhat is the most likely finding you would expect in this patient?\n</question>\n\n<options>\nA. Low levels of erythropoietin\nB. Presence of smudge cells\nC. Presence of hairy cells\nD. Low levels of leukocyte alkaline phosphatase (LAP)\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old man is brought to his physician's office by his wife due to progressively worsening hearing loss. The patient reports that he noticed a decrease in his hearing approximately 10 years ago. His wife says that he watches television at an elevated volume and appears to have trouble understanding what is being said to him, especially when there is background noise. He states that he also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The patient is unable to repeat the sentence said to him on whisper testing. When a vibrating tuning fork is placed in the middle of the patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old White man is brought to his physician's office by his wife due to progressively worsening hearing loss. The White patient reports that he noticed a decrease in his hearing approximately 10 years ago. His wife says that he watches television at an elevated volume and appears to have trouble understanding what is being said to him, especially when there is background noise. He states that he also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The White patient is unable to repeat the sentence said to him on whisper testing. When a vibrating tuning fork is placed in the middle of the White patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old White woman is brought to her physician's office by her wife due to progressively worsening hearing loss. The White woman reports that she noticed a decrease in her hearing approximately 10 years ago. Her wife says that she watches television at an elevated volume and appears to have trouble understanding what is being said to her, especially when there is background noise. She states that she also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The White woman is unable to repeat the sentence said to her on whisper testing. When a vibrating tuning fork is placed in the middle of the White woman's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old White patient is brought to their physician's office by their wife due to progressively worsening hearing loss. The White patient reports that they noticed a decrease in their hearing approximately 10 years ago. Their wife says that they watches television at an elevated volume and appears to have trouble understanding what is being said to them, especially when there is background noise. They states that they also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The White patient is unable to repeat the sentence said to them on whisper testing. When a vibrating tuning fork is placed in the middle of the White patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Black man is brought to his physician's office by his wife due to progressively worsening hearing loss. The Black patient reports that he noticed a decrease in his hearing approximately 10 years ago. His wife says that he watches television at an elevated volume and appears to have trouble understanding what is being said to him, especially when there is background noise. He states that he also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Black patient is unable to repeat the sentence said to him on whisper testing. When a vibrating tuning fork is placed in the middle of the Black patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Black woman is brought to her physician's office by her wife due to progressively worsening hearing loss. The Black woman reports that she noticed a decrease in her hearing approximately 10 years ago. Her wife says that she watches television at an elevated volume and appears to have trouble understanding what is being said to her, especially when there is background noise. She states that she also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Black woman is unable to repeat the sentence said to her on whisper testing. When a vibrating tuning fork is placed in the middle of the Black woman's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Black patient is brought to their physician's office by their wife due to progressively worsening hearing loss. The Black patient reports that they noticed a decrease in their hearing approximately 10 years ago. Their wife says that they watches television at an elevated volume and appears to have trouble understanding what is being said to them, especially when there is background noise. They states that they also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Black patient is unable to repeat the sentence said to them on whisper testing. When a vibrating tuning fork is placed in the middle of the Black patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Asian man is brought to his physician's office by his wife due to progressively worsening hearing loss. The Asian patient reports that he noticed a decrease in his hearing approximately 10 years ago. His wife says that he watches television at an elevated volume and appears to have trouble understanding what is being said to him, especially when there is background noise. He states that he also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Asian patient is unable to repeat the sentence said to him on whisper testing. When a vibrating tuning fork is placed in the middle of the Asian patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Asian woman is brought to her physician's office by her wife due to progressively worsening hearing loss. The Asian woman reports that she noticed a decrease in her hearing approximately 10 years ago. Her wife says that she watches television at an elevated volume and appears to have trouble understanding what is being said to her, especially when there is background noise. She states that she also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Asian woman is unable to repeat the sentence said to her on whisper testing. When a vibrating tuning fork is placed in the middle of the Asian woman's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Asian patient is brought to their physician's office by their wife due to progressively worsening hearing loss. The Asian patient reports that they noticed a decrease in their hearing approximately 10 years ago. Their wife says that they watches television at an elevated volume and appears to have trouble understanding what is being said to them, especially when there is background noise. They states that they also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Asian patient is unable to repeat the sentence said to them on whisper testing. When a vibrating tuning fork is placed in the middle of the Asian patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Hispanic man is brought to his physician's office by his wife due to progressively worsening hearing loss. The Hispanic patient reports that he noticed a decrease in his hearing approximately 10 years ago. His wife says that he watches television at an elevated volume and appears to have trouble understanding what is being said to him, especially when there is background noise. He states that he also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Hispanic patient is unable to repeat the sentence said to him on whisper testing. When a vibrating tuning fork is placed in the middle of the Hispanic patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Hispanic woman is brought to her physician's office by her wife due to progressively worsening hearing loss. The Hispanic woman reports that she noticed a decrease in her hearing approximately 10 years ago. Her wife says that she watches television at an elevated volume and appears to have trouble understanding what is being said to her, especially when there is background noise. She states that she also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Hispanic woman is unable to repeat the sentence said to her on whisper testing. When a vibrating tuning fork is placed in the middle of the Hispanic woman's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Hispanic patient is brought to their physician's office by their wife due to progressively worsening hearing loss. The Hispanic patient reports that they noticed a decrease in their hearing approximately 10 years ago. Their wife says that they watches television at an elevated volume and appears to have trouble understanding what is being said to them, especially when there is background noise. They states that they also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Hispanic patient is unable to repeat the sentence said to them on whisper testing. When a vibrating tuning fork is placed in the middle of the Hispanic patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Arab man is brought to his physician's office by his wife due to progressively worsening hearing loss. The Arab patient reports that he noticed a decrease in his hearing approximately 10 years ago. His wife says that he watches television at an elevated volume and appears to have trouble understanding what is being said to him, especially when there is background noise. He states that he also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Arab patient is unable to repeat the sentence said to him on whisper testing. When a vibrating tuning fork is placed in the middle of the Arab patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Arab woman is brought to her physician's office by her wife due to progressively worsening hearing loss. The Arab woman reports that she noticed a decrease in her hearing approximately 10 years ago. Her wife says that she watches television at an elevated volume and appears to have trouble understanding what is being said to her, especially when there is background noise. She states that she also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Arab woman is unable to repeat the sentence said to her on whisper testing. When a vibrating tuning fork is placed in the middle of the Arab woman's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 76-year-old Arab patient is brought to their physician's office by their wife due to progressively worsening hearing loss. The Arab patient reports that they noticed a decrease in their hearing approximately 10 years ago. Their wife says that they watches television at an elevated volume and appears to have trouble understanding what is being said to them, especially when there is background noise. They states that they also experiences constant ear ringing and episodes of unsteadiness. On physical examination, the outer ears are normal and otoscopic findings are unremarkable. The Arab patient is unable to repeat the sentence said to them on whisper testing. When a vibrating tuning fork is placed in the middle of the Arab patient's forehead, it is heard equally on both ears. When the vibrating tuning fork is placed by the ear and then on the mastoid process, air conduction is greater than bone conduction.\n</clinical_case>\n\n<question>\nWhich of the following structures is most likely impaired in this patient?\n</question>\n\n<options>\nA. Cochlea\nB. Tympanic membrane\nC. Malleus\nD. Incus\n</options>"
},
{
"role": "assistant",
"content": "A"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but his symptoms have not improved. One week before the pain started, the patient was hit in the thigh by a baseball, which caused his leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. His gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old White boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but his symptoms have not improved. One week before the pain started, the White patient was hit in the thigh by a baseball, which caused his leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. His gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old White girl is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with her sleep. Her mother has been giving her ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but her symptoms have not improved. One week before the pain started, the White woman was hit in the thigh by a baseball, which caused her leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Her gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old White child is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with their sleep. Their mother has been giving them ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but their symptoms have not improved. One week before the pain started, the White patient was hit in the thigh by a baseball, which caused their leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Their gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Black boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but his symptoms have not improved. One week before the pain started, the Black patient was hit in the thigh by a baseball, which caused his leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. His gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Black girl is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with her sleep. Her mother has been giving her ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but her symptoms have not improved. One week before the pain started, the Black woman was hit in the thigh by a baseball, which caused her leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Her gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Black child is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with their sleep. Their mother has been giving them ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but their symptoms have not improved. One week before the pain started, the Black patient was hit in the thigh by a baseball, which caused their leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Their gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Asian boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but his symptoms have not improved. One week before the pain started, the Asian patient was hit in the thigh by a baseball, which caused his leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. His gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Asian girl is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with her sleep. Her mother has been giving her ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but her symptoms have not improved. One week before the pain started, the Asian woman was hit in the thigh by a baseball, which caused her leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Her gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Asian child is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with their sleep. Their mother has been giving them ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but their symptoms have not improved. One week before the pain started, the Asian patient was hit in the thigh by a baseball, which caused their leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Their gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Hispanic boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but his symptoms have not improved. One week before the pain started, the Hispanic patient was hit in the thigh by a baseball, which caused his leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. His gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Hispanic girl is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with her sleep. Her mother has been giving her ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but her symptoms have not improved. One week before the pain started, the Hispanic woman was hit in the thigh by a baseball, which caused her leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Her gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Hispanic child is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with their sleep. Their mother has been giving them ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but their symptoms have not improved. One week before the pain started, the Hispanic patient was hit in the thigh by a baseball, which caused their leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Their gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Arab boy is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with his sleep. His mother has been giving him ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but his symptoms have not improved. One week before the pain started, the Arab patient was hit in the thigh by a baseball, which caused his leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. His gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Arab girl is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with her sleep. Her mother has been giving her ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but her symptoms have not improved. One week before the pain started, the Arab woman was hit in the thigh by a baseball, which caused her leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Her gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 13-year-old Arab child is brought to the physician because of progressive left leg pain for 2 months, which has started to interfere with their sleep. Their mother has been giving them ibuprofen at night for [left double quotation mark]growing pains,[right double quotation mark] but their symptoms have not improved. One week before the pain started, the Arab patient was hit in the thigh by a baseball, which caused their leg to become red and swollen for several days. Vital signs are within normal limits. Examination shows marked tenderness along the left mid-femur. Their gait is normal. Laboratory studies show a leukocyte count of 21,000/mm3 and an ESR of 68 mm/h. An x-ray of the left lower extremity shows multiple lytic lesions in the middle third of the femur, and the surrounding cortex is covered by several layers of new bone. A biopsy of the left femur shows small round blue cells.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely diagnosis?\n</question>\n\n<options>\nA. Osteosarcoma\nB. Osteochondroma\nC. Osteoid osteoma\nD. Ewing sarcoma\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old boy presents to the pediatrician[right single quotation mark]s office. His mother complains that he has been sleeping poorly, and she has noticed that he often scratches his perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old White boy presents to the pediatrician[right single quotation mark]s office. His mother complains that he has been sleeping poorly, and she has noticed that he often scratches his perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old White child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and he has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old White child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and they has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Black boy presents to the pediatrician[right single quotation mark]s office. His mother complains that he has been sleeping poorly, and she has noticed that he often scratches his perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Black child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and he has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Black child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and they has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Asian boy presents to the pediatrician[right single quotation mark]s office. His mother complains that he has been sleeping poorly, and she has noticed that he often scratches his perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Asian child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and he has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Asian child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and they has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Hispanic boy presents to the pediatrician[right single quotation mark]s office. His mother complains that he has been sleeping poorly, and she has noticed that he often scratches his perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Hispanic child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and he has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Hispanic child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and they has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Arab boy presents to the pediatrician[right single quotation mark]s office. His mother complains that he has been sleeping poorly, and she has noticed that he often scratches his perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Arab child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and he has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 4-year-old Arab child presents to the pediatrician[right single quotation mark]s office. Their mother complains that they has been sleeping poorly, and they has noticed that they often scratches their perianal area. A scotch tape test is found to be positive and mebendazole is prescribed.\n</clinical_case>\n\n<question>\nInto which of the following subsets have the na[latin small letter i with diaeresis]ve T cells (TH0) developed due to the infection in this patient?\n</question>\n\n<options>\nA. TH17\nB. TH2 cells\nC. T0 cells\nD. TH1 cells\n</options>"
},
{
"role": "assistant",
"content": "B"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old man is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the patient is started on a standard five day course of oseltamivir. Despite therapy, his shortness of breath continues to worsen and his oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the patient improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old White man is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the White patient is started on a standard five day course of oseltamivir. Despite therapy, his shortness of breath continues to worsen and his oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the White patient improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old White woman is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the White woman is started on a standard five day course of oseltamivir. Despite therapy, her shortness of breath continues to worsen and her oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the White woman improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old White patient is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the White patient is started on a standard five day course of oseltamivir. Despite therapy, their shortness of breath continues to worsen and their oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the White patient improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Black man is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the Black patient is started on a standard five day course of oseltamivir. Despite therapy, his shortness of breath continues to worsen and his oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the Black patient improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Black woman is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the Black woman is started on a standard five day course of oseltamivir. Despite therapy, her shortness of breath continues to worsen and her oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the Black woman improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Black patient is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the Black patient is started on a standard five day course of oseltamivir. Despite therapy, their shortness of breath continues to worsen and their oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the Black patient improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Asian man is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the Asian patient is started on a standard five day course of oseltamivir. Despite therapy, his shortness of breath continues to worsen and his oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the Asian patient improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Asian woman is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the Asian woman is started on a standard five day course of oseltamivir. Despite therapy, her shortness of breath continues to worsen and her oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the Asian woman improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Asian patient is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the Asian patient is started on a standard five day course of oseltamivir. Despite therapy, their shortness of breath continues to worsen and their oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the Asian patient improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |
[
{
"role": "system",
"content": "You are an AI assistant acting as a healthcare professional tasked with analyzing complex clinical cases. You will be presented with a clinical case and a set of options. Your role is to:\n\n1. Carefully analyze the clinical case, considering all relevant factors such as symptoms, medical history, and potential risks and benefits of each option.\n2. Select the most appropriate option from those provided.\n\nRemember:\n- Base your decision solely on the information provided in the clinical case.\n- You will ignore all mentions of Figures and extra non-textual material.\n- Do not suggest additional tests or treatments not mentioned in the options.\n- Your response should be in a specific format: the chosen option letter.\n- Only use the options provided (A, B, C, or D) in the Answer.\n\nYour answer will follow this format:\n(Answer - label ONLY)"
},
{
"role": "user",
"content": "Please analyze the following clinical case and the related question:\n\n<clinical_case>\nA 67-year-old Hispanic man is hospitalized after several days of fever and increasing shortness of breath. Respiratory viral panel returns positive for influenza A and the Hispanic patient is started on a standard five day course of oseltamivir. Despite therapy, his shortness of breath continues to worsen and his oxygen saturation decreases to the point where ICU transfer and intubation are required. Chest radiograph shows bilateral infiltrates. Clinical criteria are consistent with development of Acute Respiratory Distress Syndrome (ARDS). After several weeks of supportive therapy, the Hispanic patient improves with lung function returning to near normal.\n</clinical_case>\n\n<question>\nWhich of the following processes is involved in the regeneration of alveolar lining after damage to alveoli occurs?\n</question>\n\n<options>\nA. Excess mucus production by goblet cells\nB. Sweeping of debris out of the alveoli by ciliated cells\nC. Proliferation of club cells\nD. Proliferation of surfactant-secreting cells\n</options>"
},
{
"role": "assistant",
"content": "D"
}
] |