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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 24-year-old Hispanic female presents to the emergency department with a chief complaint of an inability to urinate. She states that this has been one of many symptoms she has experienced lately. At times she has had trouble speaking and has noticed changes in her vision however these episodes occurred over a month ago and have resolved since then. Two days ago she experienced extreme pain in her face that was exacerbated with brushing her teeth and plucking out facial hairs. The Hispanic patient has no relevant past medical history, however, the Hispanic patient admits to being sexually abused by her boyfriend for the past year. Her current medications include ibuprofen for menstrual cramps. On physical exam it is noted that leftward gaze results in only the ipsilateral eye gazing leftward. The Hispanic patient's initial workup is started in the emergency department. Her vital signs are within normal limits and you note a pale and frightened young lady awaiting further care.\n</clinical_case>\n\n<question>\nWhich of the following is the best initial test for this patient's chief complaint?\n</question>\n\n<options>\nA. Head MRI\nB. Lumbar puncture\nC. Head CT\nD. Domestic abuse screening and exploring patient's life stressors\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 24-year-old Hispanic male presents to the emergency department with a chief complaint of an inability to urinate. He states that this has been one of many symptoms he has experienced lately. At times he has had trouble speaking and has noticed changes in him vision however these episodes occurred over a month ago and have resolved since then. Two days ago he experienced extreme pain in him face that was exacerbated with brushing him teeth and plucking out facial hairs. The Hispanic man has no relevant past medical history, however, the Hispanic man admits to being sexually abused by him boyfriend for the past year. Him current medications include ibuprofen for menstrual cramps. On physical exam it is noted that leftward gaze results in only the ipsilateral eye gazing leftward. The Hispanic man's initial workup is started in the emergency department. Him vital signs are within normal limits and you note a pale and frightened young lady awaiting further care.\n</clinical_case>\n\n<question>\nWhich of the following is the best initial test for this patient's chief complaint?\n</question>\n\n<options>\nA. Head MRI\nB. Lumbar puncture\nC. Head CT\nD. Domestic abuse screening and exploring patient's life stressors\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 24-year-old Hispanic person presents to the emergency department with a chief complaint of an inability to urinate. They states that this has been one of many symptoms they has experienced lately. At times they has had trouble speaking and has noticed changes in them vision however these episodes occurred over a month ago and have resolved since then. Two days ago they experienced extreme pain in them face that was exacerbated with brushing them teeth and plucking out facial hairs. The Hispanic patient has no relevant past medical history, however, the Hispanic patient admits to being sexually abused by them boyfriend for the past year. Them current medications include ibuprofen for menstrual cramps. On physical exam it is noted that leftward gaze results in only the ipsilateral eye gazing leftward. The Hispanic patient's initial workup is started in the emergency department. Them vital signs are within normal limits and you note a pale and frightened young lady awaiting further care.\n</clinical_case>\n\n<question>\nWhich of the following is the best initial test for this patient's chief complaint?\n</question>\n\n<options>\nA. Head MRI\nB. Lumbar puncture\nC. Head CT\nD. Domestic abuse screening and exploring patient's life stressors\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 24-year-old Arab female presents to the emergency department with a chief complaint of an inability to urinate. She states that this has been one of many symptoms she has experienced lately. At times she has had trouble speaking and has noticed changes in her vision however these episodes occurred over a month ago and have resolved since then. Two days ago she experienced extreme pain in her face that was exacerbated with brushing her teeth and plucking out facial hairs. The Arab patient has no relevant past medical history, however, the Arab patient admits to being sexually abused by her boyfriend for the past year. Her current medications include ibuprofen for menstrual cramps. On physical exam it is noted that leftward gaze results in only the ipsilateral eye gazing leftward. The Arab patient's initial workup is started in the emergency department. Her vital signs are within normal limits and you note a pale and frightened young lady awaiting further care.\n</clinical_case>\n\n<question>\nWhich of the following is the best initial test for this patient's chief complaint?\n</question>\n\n<options>\nA. Head MRI\nB. Lumbar puncture\nC. Head CT\nD. Domestic abuse screening and exploring patient's life stressors\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 24-year-old Arab male presents to the emergency department with a chief complaint of an inability to urinate. He states that this has been one of many symptoms he has experienced lately. At times he has had trouble speaking and has noticed changes in him vision however these episodes occurred over a month ago and have resolved since then. Two days ago he experienced extreme pain in him face that was exacerbated with brushing him teeth and plucking out facial hairs. The Arab man has no relevant past medical history, however, the Arab man admits to being sexually abused by him boyfriend for the past year. Him current medications include ibuprofen for menstrual cramps. On physical exam it is noted that leftward gaze results in only the ipsilateral eye gazing leftward. The Arab man's initial workup is started in the emergency department. Him vital signs are within normal limits and you note a pale and frightened young lady awaiting further care.\n</clinical_case>\n\n<question>\nWhich of the following is the best initial test for this patient's chief complaint?\n</question>\n\n<options>\nA. Head MRI\nB. Lumbar puncture\nC. Head CT\nD. Domestic abuse screening and exploring patient's life stressors\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 24-year-old Arab person presents to the emergency department with a chief complaint of an inability to urinate. They states that this has been one of many symptoms they has experienced lately. At times they has had trouble speaking and has noticed changes in them vision however these episodes occurred over a month ago and have resolved since then. Two days ago they experienced extreme pain in them face that was exacerbated with brushing them teeth and plucking out facial hairs. The Arab patient has no relevant past medical history, however, the Arab patient admits to being sexually abused by them boyfriend for the past year. Them current medications include ibuprofen for menstrual cramps. On physical exam it is noted that leftward gaze results in only the ipsilateral eye gazing leftward. The Arab patient's initial workup is started in the emergency department. Them vital signs are within normal limits and you note a pale and frightened young lady awaiting further care.\n</clinical_case>\n\n<question>\nWhich of the following is the best initial test for this patient's chief complaint?\n</question>\n\n<options>\nA. Head MRI\nB. Lumbar puncture\nC. Head CT\nD. Domestic abuse screening and exploring patient's life stressors\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 1-month-old girl is brought to the pediatrician by her parents. They are concerned that she becomes lethargic and irritated between meals. They found that feeding her often with small servings helps. She was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Her mother has one brother that occasionally requires blood transfusions. Today, her blood pressure is 55/33 mm Hg, his heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. She is slightly jaundiced. Her heart has a regular rate and rhythm and her lungs are clear to auscultation bilaterally. Her blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old White girl is brought to the pediatrician by her parents. They are concerned that she becomes lethargic and irritated between meals. They found that feeding her often with small servings helps. She was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Her mother has one brother that occasionally requires blood transfusions. Today, her blood pressure is 55/33 mm Hg, his heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. She is slightly jaundiced. Her heart has a regular rate and rhythm and her lungs are clear to auscultation bilaterally. Her blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old White boy is brought to the pediatrician by him parents. They are concerned that he becomes lethargic and irritated between meals. They found that feeding him often with small servings helps. He was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Him mother has one brother that occasionally requires blood transfusions. Today, him blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. He is slightly jaundiced. Him heart has a regular rate and rhythm and him lungs are clear to auscultation bilaterally. Him blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old White child is brought to the pediatrician by them parents. They are concerned that they becomes lethargic and irritated between meals. They found that feeding them often with small servings helps. They was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Them mother has one brother that occasionally requires blood transfusions. Today, them blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. They is slightly jaundiced. Them heart has a regular rate and rhythm and them lungs are clear to auscultation bilaterally. Them blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Black girl is brought to the pediatrician by her parents. They are concerned that she becomes lethargic and irritated between meals. They found that feeding her often with small servings helps. She was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Her mother has one brother that occasionally requires blood transfusions. Today, her blood pressure is 55/33 mm Hg, his heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. She is slightly jaundiced. Her heart has a regular rate and rhythm and her lungs are clear to auscultation bilaterally. Her blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Black boy is brought to the pediatrician by him parents. They are concerned that he becomes lethargic and irritated between meals. They found that feeding him often with small servings helps. He was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Him mother has one brother that occasionally requires blood transfusions. Today, him blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. He is slightly jaundiced. Him heart has a regular rate and rhythm and him lungs are clear to auscultation bilaterally. Him blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Black child is brought to the pediatrician by them parents. They are concerned that they becomes lethargic and irritated between meals. They found that feeding them often with small servings helps. They was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Them mother has one brother that occasionally requires blood transfusions. Today, them blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. They is slightly jaundiced. Them heart has a regular rate and rhythm and them lungs are clear to auscultation bilaterally. Them blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Asian girl is brought to the pediatrician by her parents. They are concerned that she becomes lethargic and irritated between meals. They found that feeding her often with small servings helps. She was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Her mother has one brother that occasionally requires blood transfusions. Today, her blood pressure is 55/33 mm Hg, his heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. She is slightly jaundiced. Her heart has a regular rate and rhythm and her lungs are clear to auscultation bilaterally. Her blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Asian boy is brought to the pediatrician by him parents. They are concerned that he becomes lethargic and irritated between meals. They found that feeding him often with small servings helps. He was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Him mother has one brother that occasionally requires blood transfusions. Today, him blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. He is slightly jaundiced. Him heart has a regular rate and rhythm and him lungs are clear to auscultation bilaterally. Him blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Asian child is brought to the pediatrician by them parents. They are concerned that they becomes lethargic and irritated between meals. They found that feeding them often with small servings helps. They was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Them mother has one brother that occasionally requires blood transfusions. Today, them blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. They is slightly jaundiced. Them heart has a regular rate and rhythm and them lungs are clear to auscultation bilaterally. Them blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Hispanic girl is brought to the pediatrician by her parents. They are concerned that she becomes lethargic and irritated between meals. They found that feeding her often with small servings helps. She was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Her mother has one brother that occasionally requires blood transfusions. Today, her blood pressure is 55/33 mm Hg, his heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. She is slightly jaundiced. Her heart has a regular rate and rhythm and her lungs are clear to auscultation bilaterally. Her blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Hispanic boy is brought to the pediatrician by him parents. They are concerned that he becomes lethargic and irritated between meals. They found that feeding him often with small servings helps. He was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Him mother has one brother that occasionally requires blood transfusions. Today, him blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. He is slightly jaundiced. Him heart has a regular rate and rhythm and him lungs are clear to auscultation bilaterally. Him blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Hispanic child is brought to the pediatrician by them parents. They are concerned that they becomes lethargic and irritated between meals. They found that feeding them often with small servings helps. They was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Them mother has one brother that occasionally requires blood transfusions. Today, them blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. They is slightly jaundiced. Them heart has a regular rate and rhythm and them lungs are clear to auscultation bilaterally. Them blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Arab girl is brought to the pediatrician by her parents. They are concerned that she becomes lethargic and irritated between meals. They found that feeding her often with small servings helps. She was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Her mother has one brother that occasionally requires blood transfusions. Today, her blood pressure is 55/33 mm Hg, his heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. She is slightly jaundiced. Her heart has a regular rate and rhythm and her lungs are clear to auscultation bilaterally. Her blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Arab boy is brought to the pediatrician by him parents. They are concerned that he becomes lethargic and irritated between meals. They found that feeding him often with small servings helps. He was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Him mother has one brother that occasionally requires blood transfusions. Today, him blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. He is slightly jaundiced. Him heart has a regular rate and rhythm and him lungs are clear to auscultation bilaterally. Him blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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 1-month-old Arab child is brought to the pediatrician by them parents. They are concerned that they becomes lethargic and irritated between meals. They found that feeding them often with small servings helps. They was born at 39 weeks via spontaneous vaginal delivery and is meeting all developmental milestones. Them mother has one brother that occasionally requires blood transfusions. Today, them blood pressure is 55/33 mm Hg, their heart rate is 120/min, respiratory rate is 40/min, and temperature of 37.0[degree sign]C (98.6[degree sign]F). On physical exam, the infant is irritated. They is slightly jaundiced. Them heart has a regular rate and rhythm and them lungs are clear to auscultation bilaterally. Them blood work shows normocytic anemia with elevated reticulocyte count and decreased haptoglobin. Sickle cell anemia and other hemoglobinopathies are also ruled out. A Coombs test is negative. Red blood cell osmotic fragility gap is normal. The physician determined that these findings are related to an enzyme deficiency.\n</clinical_case>\n\n<question>\nWhich of the following allosterically inhibits this enzyme?\n</question>\n\n<options>\nA. Fructose 2,6-bisphosphate\nB. Adenosine monophosphate\nC. Fructose 1,6-bisphosphate\nD. Alanine\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-month-old infant is brought to the office by his parents due to sudden nose bleeding without trauma of any kind. He has a 1-month history of multiple bruising that measures 1 cm in diameter each in the hands and feet, and tiny red spots that appeared in the upper and lower extremities without any trauma either. He has no prior bleeding history nor any relevant family history. The vital signs include: heart rate 190/min, respiratory rate 40/min, blood pressure 99/42 mm Hg, and temperature 36.6 [degree sign]C (97.9 [degree sign]F). His physical exam shows pale skin color, petechiae in the soft palate and in the upper and lower extremities as well as ecchymosis in the back of the hands and feet. The complete blood count results are as follows:\nHemoglobin 8.9 g/dL\nHematocrit 41%\nLeukocyte count 10,500/mm3\nNeutrophils 53%\nBands 2%\nEosinophils 1%\nBasophils 0%\nLymphocytes 33%\nMonocytes 2%\nPlatelet count 450,000/mm3\nThe coagulation test results are as follows:\nPartial thromboplastin time (activated) 30.0 sec\nProthrombin time 13.6 sec\nInternational normalized ratio 0.99\nFibrinogen 364.9 mg/dL\nThe blood smear shows hypochromia, poikilocytosis, and large platelets, while a platelet aggregation test with ristocetin is normal. The overall bleeding time is increased.\n</clinical_case>\n\n<question>\nWhat is the most likely cause of this patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Bernard-Soulier disease\nB. Glanzmann[right single quotation mark]s thrombasthenia\nC. Scurvy\nD. Von Willebrand disease\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-month-old infant is brought to the office by her parents due to sudden nose bleeding without trauma of any kind. She has a 1-month history of multiple bruising that measures 1 cm in diameter each in the hands and feet, and tiny red spots that appeared in the upper and lower extremities without any trauma either. She has no prior bleeding history nor any relevant family history. The vital signs include: heart rate 190/min, respiratory rate 40/min, blood pressure 99/42 mm Hg, and temperature 36.6 [degree sign]C (97.9 [degree sign]F). Her physical exam shows pale skin color, petechiae in the soft palate and in the upper and lower extremities as well as ecchymosis in the back of the hands and feet. The complete blood count results are as follows:\nHemoglobin 8.9 g/dL\nHematocrit 41%\nLeukocyte count 10,500/mm3\nNeutrophils 53%\nBands 2%\nEosinophils 1%\nBasophils 0%\nLymphocytes 33%\nMonocytes 2%\nPlatelet count 450,000/mm3\nThe coagulation test results are as follows:\nPartial thromboplastin time (activated) 30.0 sec\nProthrombin time 13.6 sec\nInternational normalized ratio 0.99\nFibrinogen 364.9 mg/dL\nThe blood smear shows hypochromia, poikilocytosis, and large platelets, while a platelet aggregation test with ristocetin is normal. The overall bleeding time is increased.\n</clinical_case>\n\n<question>\nWhat is the most likely cause of this patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Bernard-Soulier disease\nB. Glanzmann[right single quotation mark]s thrombasthenia\nC. Scurvy\nD. Von Willebrand disease\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-month-old infant is brought to the office by their parents due to sudden nose bleeding without trauma of any kind. They has a 1-month history of multiple bruising that measures 1 cm in diameter each in the hands and feet, and tiny red spots that appeared in the upper and lower extremities without any trauma either. They has no prior bleeding history nor any relevant family history. The vital signs include: heart rate 190/min, respiratory rate 40/min, blood pressure 99/42 mm Hg, and temperature 36.6 [degree sign]C (97.9 [degree sign]F). Their physical exam shows pale skin color, petechiae in the soft palate and in the upper and lower extremities as well as ecchymosis in the back of the hands and feet. The complete blood count results are as follows:\nHemoglobin 8.9 g/dL\nHematocrit 41%\nLeukocyte count 10,500/mm3\nNeutrophils 53%\nBands 2%\nEosinophils 1%\nBasophils 0%\nLymphocytes 33%\nMonocytes 2%\nPlatelet count 450,000/mm3\nThe coagulation test results are as follows:\nPartial thromboplastin time (activated) 30.0 sec\nProthrombin time 13.6 sec\nInternational normalized ratio 0.99\nFibrinogen 364.9 mg/dL\nThe blood smear shows hypochromia, poikilocytosis, and large platelets, while a platelet aggregation test with ristocetin is normal. The overall bleeding time is increased.\n</clinical_case>\n\n<question>\nWhat is the most likely cause of this patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Bernard-Soulier disease\nB. Glanzmann[right single quotation mark]s thrombasthenia\nC. Scurvy\nD. Von Willebrand disease\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 student studying pharmacology is a member of a team that is conducting research related to the elimination of multiple anticoagulant medications. His duty as a member of the team is to collect serum samples of the subjects every 4 hours and send them for analysis of serum drug levels. He is also supposed to collect, document and analyze the data. For one of the subjects, he notices that the subject is eliminating 0.5 mg of the drug every 4 hours.\n</clinical_case>\n\n<question>\nWhich of the following anticoagulants did this patient most likely consume?\n</question>\n\n<options>\nA. Enoxaparin\nB. Fondaparinux\nC. Warfarin\nD. Apixaban\n</options>" }, { "role": "assistant", "content": "C" } ]

[ { "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 student studying pharmacology is a member of a team that is conducting research related to the elimination of multiple anticoagulant medications. Her duty as a member of the team is to collect serum samples of the subjects every 4 hours and send them for analysis of serum drug levels. She is also supposed to collect, document and analyze the data. For one of the subjects, she notices that the subject is eliminating 0.5 mg of the drug every 4 hours.\n</clinical_case>\n\n<question>\nWhich of the following anticoagulants did this patient most likely consume?\n</question>\n\n<options>\nA. Enoxaparin\nB. Fondaparinux\nC. Warfarin\nD. Apixaban\n</options>" }, { "role": "assistant", "content": "C" } ]

[ { "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 student studying pharmacology is a member of a team that is conducting research related to the elimination of multiple anticoagulant medications. Their duty as a member of the team is to collect serum samples of the subjects every 4 hours and send them for analysis of serum drug levels. They is also supposed to collect, document and analyze the data. For one of the subjects, they notices that the subject is eliminating 0.5 mg of the drug every 4 hours.\n</clinical_case>\n\n<question>\nWhich of the following anticoagulants did this patient most likely consume?\n</question>\n\n<options>\nA. Enoxaparin\nB. Fondaparinux\nC. Warfarin\nD. Apixaban\n</options>" }, { "role": "assistant", "content": "C" } ]

[ { "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 62-year-old man with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. He smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old White man with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. He smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old White woman with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. She smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old White patient with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. They smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Black man with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. He smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Black woman with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. She smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Black patient with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. They smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Asian man with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. He smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Asian woman with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. She smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Asian patient with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. They smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Hispanic man with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. He smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Hispanic woman with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. She smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Hispanic patient with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. They smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Arab man with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. He smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Arab woman with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. She smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 62-year-old Arab patient with a history of chronic bronchitis comes to the physician because of a 1-month history of worsening shortness of breath and cough productive of thick sputum. They smoked one pack of cigarettes daily for 20 years but quit 5 years ago. Physical examination shows an increased anteroposterior chest diameter and coarse crackles in the lower lung fields bilaterally. Treatment with a drug that directly antagonizes the effects of vagal stimulation on the airways is begun.\n</clinical_case>\n\n<question>\nWhich of the following drugs was most likely started?\n</question>\n\n<options>\nA. Tiotropium\nB. Montelukast\nC. Cromolyn\nD. Fluticasone\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 20-year-old woman in the army recruit collapses during an especially hot day at basic training. She was in her normal excellent state of health prior to this event. Two weeks ago, she had an upper respiratory infection (URI) but has since recovered. Her father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, her temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the patient appears to have altered mental status and her skin is dry, hot, and erythematous. She is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old White woman in the army recruit collapses during an especially hot day at basic training. She was in her normal excellent state of health prior to this event. Two weeks ago, she had an upper respiratory infection (URI) but has since recovered. Her father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, her temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the White patient appears to have altered mental status and her skin is dry, hot, and erythematous. She is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old White man in the army recruit collapses during an especially hot day at basic training. He was in him normal excellent state of health prior to this event. Two weeks ago, he had an upper respiratory infection (URI) but has since recovered. Him father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, him temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the White man appears to have altered mental status and him skin is dry, hot, and erythematous. He is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old White patient in the army recruit collapses during an especially hot day at basic training. They was in them normal excellent state of health prior to this event. Two weeks ago, they had an upper respiratory infection (URI) but has since recovered. Them father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, them temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the White patient appears to have altered mental status and them skin is dry, hot, and erythematous. They is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Black woman in the army recruit collapses during an especially hot day at basic training. She was in her normal excellent state of health prior to this event. Two weeks ago, she had an upper respiratory infection (URI) but has since recovered. Her father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, her temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Black patient appears to have altered mental status and her skin is dry, hot, and erythematous. She is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Black man in the army recruit collapses during an especially hot day at basic training. He was in him normal excellent state of health prior to this event. Two weeks ago, he had an upper respiratory infection (URI) but has since recovered. Him father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, him temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Black man appears to have altered mental status and him skin is dry, hot, and erythematous. He is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Black patient in the army recruit collapses during an especially hot day at basic training. They was in them normal excellent state of health prior to this event. Two weeks ago, they had an upper respiratory infection (URI) but has since recovered. Them father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, them temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Black patient appears to have altered mental status and them skin is dry, hot, and erythematous. They is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Asian woman in the army recruit collapses during an especially hot day at basic training. She was in her normal excellent state of health prior to this event. Two weeks ago, she had an upper respiratory infection (URI) but has since recovered. Her father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, her temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Asian patient appears to have altered mental status and her skin is dry, hot, and erythematous. She is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Asian man in the army recruit collapses during an especially hot day at basic training. He was in him normal excellent state of health prior to this event. Two weeks ago, he had an upper respiratory infection (URI) but has since recovered. Him father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, him temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Asian man appears to have altered mental status and him skin is dry, hot, and erythematous. He is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Asian patient in the army recruit collapses during an especially hot day at basic training. They was in them normal excellent state of health prior to this event. Two weeks ago, they had an upper respiratory infection (URI) but has since recovered. Them father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, them temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Asian patient appears to have altered mental status and them skin is dry, hot, and erythematous. They is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Hispanic woman in the army recruit collapses during an especially hot day at basic training. She was in her normal excellent state of health prior to this event. Two weeks ago, she had an upper respiratory infection (URI) but has since recovered. Her father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, her temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Hispanic patient appears to have altered mental status and her skin is dry, hot, and erythematous. She is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Hispanic man in the army recruit collapses during an especially hot day at basic training. He was in him normal excellent state of health prior to this event. Two weeks ago, he had an upper respiratory infection (URI) but has since recovered. Him father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, him temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Hispanic man appears to have altered mental status and him skin is dry, hot, and erythematous. He is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Hispanic patient in the army recruit collapses during an especially hot day at basic training. They was in them normal excellent state of health prior to this event. Two weeks ago, they had an upper respiratory infection (URI) but has since recovered. Them father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, them temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Hispanic patient appears to have altered mental status and them skin is dry, hot, and erythematous. They is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Arab woman in the army recruit collapses during an especially hot day at basic training. She was in her normal excellent state of health prior to this event. Two weeks ago, she had an upper respiratory infection (URI) but has since recovered. Her father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, her temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Arab patient appears to have altered mental status and her skin is dry, hot, and erythematous. She is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Arab man in the army recruit collapses during an especially hot day at basic training. He was in him normal excellent state of health prior to this event. Two weeks ago, he had an upper respiratory infection (URI) but has since recovered. Him father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, him temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Arab man appears to have altered mental status and him skin is dry, hot, and erythematous. He is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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 20-year-old Arab patient in the army recruit collapses during an especially hot day at basic training. They was in them normal excellent state of health prior to this event. Two weeks ago, they had an upper respiratory infection (URI) but has since recovered. Them father has chronic kidney disease (CKD), bilateral hearing loss, and vision problems. At the hospital, them temperature is 40.3[degree sign]C (104.5[degree sign]F), blood pressure is 85/55 mm Hg, pulse is 105/min, and respiratory rate is 24/min. On physical exam, the Arab patient appears to have altered mental status and them skin is dry, hot, and erythematous. They is complaining of severe bilateral flank pain and generalized myalgia. Catheterization produces 200 mL of tea-colored urine. Urine dipstick is positive for blood, but urinalysis is negative for RBCs or WBCs.\n</clinical_case>\n\n<question>\nWhich of the following is most likely responsible for her condition?\n</question>\n\n<options>\nA. Neisseria meningitides\nB. Heat stroke\nC. IgA nephropathy\nD. A mutation of the COL4A5 gene\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>\nAn academic obstetrician is conducting a retrospective cohort study that evaluates the risk of placenta accreta at all statewide medical centers. Per chart review he finds that a prior cesarian birth is associated with a statistically significant increased risk of placenta accreta. The relative risk associated with this finding is 1.23. The associated p-value is 0.03.\n</clinical_case>\n\n<question>\nWhich of the following statements is the best interpretation of the reported association in the context of the study?\n</question>\n\n<options>\nA. The 99% confidence interval includes the null hypothesis.\nB. The p-value represents the likelihood of seeing an increased risk of placenta accreta in women with prior cesarian birth, assuming the alternative hypothesis is true.\nC. The chance of bias in favor of the alternative hypothesis is 3%.\nD. The p-value represents the likelihood that the alternative hypothesis is false.\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>\nAn academic obstetrician is conducting a retrospective cohort study that evaluates the risk of placenta accreta at all statewide medical centers. Per chart review she finds that a prior cesarian birth is associated with a statistically significant increased risk of placenta accreta. The relative risk associated with this finding is 1.23. The associated p-value is 0.03.\n</clinical_case>\n\n<question>\nWhich of the following statements is the best interpretation of the reported association in the context of the study?\n</question>\n\n<options>\nA. The 99% confidence interval includes the null hypothesis.\nB. The p-value represents the likelihood of seeing an increased risk of placenta accreta in women with prior cesarian birth, assuming the alternative hypothesis is true.\nC. The chance of bias in favor of the alternative hypothesis is 3%.\nD. The p-value represents the likelihood that the alternative hypothesis is false.\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>\nAn academic obstetrician is conducting a retrospective cohort study that evaluates the risk of placenta accreta at all statewide medical centers. Per chart review they finds that a prior cesarian birth is associated with a statistically significant increased risk of placenta accreta. The relative risk associated with this finding is 1.23. The associated p-value is 0.03.\n</clinical_case>\n\n<question>\nWhich of the following statements is the best interpretation of the reported association in the context of the study?\n</question>\n\n<options>\nA. The 99% confidence interval includes the null hypothesis.\nB. The p-value represents the likelihood of seeing an increased risk of placenta accreta in women with prior cesarian birth, assuming the alternative hypothesis is true.\nC. The chance of bias in favor of the alternative hypothesis is 3%.\nD. The p-value represents the likelihood that the alternative hypothesis is false.\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 58-year-old man is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. He reports that he has a 15-year history of hypertension treated with hydrochlorothiazide. He is alert and oriented to time, place, and person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old White man is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. He reports that he has a 15-year history of hypertension treated with hydrochlorothiazide. He is alert and oriented to time, place, and White person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old White woman is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. She reports that she has a 15-year history of hypertension treated with hydrochlorothiazide. She is alert and oriented to time, place, and White person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old White patient is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. They reports that they has a 15-year history of hypertension treated with hydrochlorothiazide. They is alert and oriented to time, place, and White person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Black man is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. He reports that he has a 15-year history of hypertension treated with hydrochlorothiazide. He is alert and oriented to time, place, and Black person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Black woman is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. She reports that she has a 15-year history of hypertension treated with hydrochlorothiazide. She is alert and oriented to time, place, and Black person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Black patient is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. They reports that they has a 15-year history of hypertension treated with hydrochlorothiazide. They is alert and oriented to time, place, and Black person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Asian man is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. He reports that he has a 15-year history of hypertension treated with hydrochlorothiazide. He is alert and oriented to time, place, and Asian person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Asian woman is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. She reports that she has a 15-year history of hypertension treated with hydrochlorothiazide. She is alert and oriented to time, place, and Asian person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Asian patient is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. They reports that they has a 15-year history of hypertension treated with hydrochlorothiazide. They is alert and oriented to time, place, and Asian person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Hispanic man is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. He reports that he has a 15-year history of hypertension treated with hydrochlorothiazide. He is alert and oriented to time, place, and Hispanic person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Hispanic woman is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. She reports that she has a 15-year history of hypertension treated with hydrochlorothiazide. She is alert and oriented to time, place, and Hispanic person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Hispanic patient is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. They reports that they has a 15-year history of hypertension treated with hydrochlorothiazide. They is alert and oriented to time, place, and Hispanic person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Arab man is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. He reports that he has a 15-year history of hypertension treated with hydrochlorothiazide. He is alert and oriented to time, place, and Arab person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Arab woman is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. She reports that she has a 15-year history of hypertension treated with hydrochlorothiazide. She is alert and oriented to time, place, and Arab person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 58-year-old Arab patient is brought to the emergency department because of sudden-onset right-sided body numbness for 1 hour. They reports that they has a 15-year history of hypertension treated with hydrochlorothiazide. They is alert and oriented to time, place, and Arab person. Neurological examination shows decreased sensation to light pinprick and temperature on the right side of the face and body. Motor strength is 5/5 and deep tendon reflexes are 2+ bilaterally.\n</clinical_case>\n\n<question>\nPerfusion of which of the following structures of the brain is most likely impaired in this patient?\n</question>\n\n<options>\nA. Posterior limb of the internal capsule\nB. Ventral thalamus\nC. Lateral medulla\nD. Basal pons\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 69-year-old right-handed man comes to the physician for a routine health maintenance examination. On questioning, he has had some difficulty speaking for 3 months. During a conversation, he often has difficulty repeating what his interlocutor has said. He has hypertension and takes hydrochlorothiazide. His vital signs are within normal limits. The patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] he replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed White man comes to the physician for a routine health maintenance examination. On questioning, he has had some difficulty speaking for 3 months. During a conversation, he often has difficulty repeating what his interlocutor has said. He has hypertension and takes hydrochlorothiazide. His vital signs are within normal limits. The White patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] he replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed White woman comes to the physician for a routine health maintenance examination. On questioning, she has had some difficulty speaking for 3 months. During a conversation, she often has difficulty repeating what her interlocutor has said. She has hypertension and takes hydrochlorothiazide. Her vital signs are within normal limits. The White woman speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] she replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed White patient comes to the physician for a routine health maintenance examination. On questioning, they has had some difficulty speaking for 3 months. During a conversation, they often has difficulty repeating what their interlocutor has said. They has hypertension and takes hydrochlorothiazide. Their vital signs are within normal limits. The White patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] they replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Black man comes to the physician for a routine health maintenance examination. On questioning, he has had some difficulty speaking for 3 months. During a conversation, he often has difficulty repeating what his interlocutor has said. He has hypertension and takes hydrochlorothiazide. His vital signs are within normal limits. The Black patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] he replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Black woman comes to the physician for a routine health maintenance examination. On questioning, she has had some difficulty speaking for 3 months. During a conversation, she often has difficulty repeating what her interlocutor has said. She has hypertension and takes hydrochlorothiazide. Her vital signs are within normal limits. The Black woman speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] she replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Black patient comes to the physician for a routine health maintenance examination. On questioning, they has had some difficulty speaking for 3 months. During a conversation, they often has difficulty repeating what their interlocutor has said. They has hypertension and takes hydrochlorothiazide. Their vital signs are within normal limits. The Black patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] they replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Asian man comes to the physician for a routine health maintenance examination. On questioning, he has had some difficulty speaking for 3 months. During a conversation, he often has difficulty repeating what his interlocutor has said. He has hypertension and takes hydrochlorothiazide. His vital signs are within normal limits. The Asian patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] he replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Asian woman comes to the physician for a routine health maintenance examination. On questioning, she has had some difficulty speaking for 3 months. During a conversation, she often has difficulty repeating what her interlocutor has said. She has hypertension and takes hydrochlorothiazide. Her vital signs are within normal limits. The Asian woman speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] she replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Asian patient comes to the physician for a routine health maintenance examination. On questioning, they has had some difficulty speaking for 3 months. During a conversation, they often has difficulty repeating what their interlocutor has said. They has hypertension and takes hydrochlorothiazide. Their vital signs are within normal limits. The Asian patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] they replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Hispanic man comes to the physician for a routine health maintenance examination. On questioning, he has had some difficulty speaking for 3 months. During a conversation, he often has difficulty repeating what his interlocutor has said. He has hypertension and takes hydrochlorothiazide. His vital signs are within normal limits. The Hispanic patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] he replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Hispanic woman comes to the physician for a routine health maintenance examination. On questioning, she has had some difficulty speaking for 3 months. During a conversation, she often has difficulty repeating what her interlocutor has said. She has hypertension and takes hydrochlorothiazide. Her vital signs are within normal limits. The Hispanic woman speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] she replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Hispanic patient comes to the physician for a routine health maintenance examination. On questioning, they has had some difficulty speaking for 3 months. During a conversation, they often has difficulty repeating what their interlocutor has said. They has hypertension and takes hydrochlorothiazide. Their vital signs are within normal limits. The Hispanic patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] they replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Arab man comes to the physician for a routine health maintenance examination. On questioning, he has had some difficulty speaking for 3 months. During a conversation, he often has difficulty repeating what his interlocutor has said. He has hypertension and takes hydrochlorothiazide. His vital signs are within normal limits. The Arab patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] he replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Arab woman comes to the physician for a routine health maintenance examination. On questioning, she has had some difficulty speaking for 3 months. During a conversation, she often has difficulty repeating what her interlocutor has said. She has hypertension and takes hydrochlorothiazide. Her vital signs are within normal limits. The Arab woman speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] she replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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 69-year-old right-handed Arab patient comes to the physician for a routine health maintenance examination. On questioning, they has had some difficulty speaking for 3 months. During a conversation, they often has difficulty repeating what their interlocutor has said. They has hypertension and takes hydrochlorothiazide. Their vital signs are within normal limits. The Arab patient speaks fluently in full sentences and demonstrates normal comprehension. When asked to say the word [left double quotation mark]kindergarten,[right double quotation mark] they replies with, [left double quotation mark]Sintelmarvin[horizontal ellipsis] no, that's wrong[horizontal ellipsis]kinterflargin, no that isn't it either...kantolargen...no?\n</clinical_case>\n\n<question>\nHow about, kindergarten?[right double quotation mark] The most likely cause of the patient's symptoms is occlusion of a branch of which of the following arteries?\n</question>\n\n<options>\nA. Left penetrating\nB. Left middle cerebral\nC. Left posterior inferior cerebellar\nD. Right vertebral\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>\nThe ribosome is an essential organelle that plays an important role in the synthesis of new proteins. The location of the ribosome within the cell can vary and provides a clue to the function of the particular cell.\n</clinical_case>\n\n<question>\nWhat ribosome location is essential for protein-secreting cells?\n</question>\n\n<options>\nA. Cytosol\nB. Smooth endoplasmic reticulum\nC. Rough endoplasmic reticulum\nD. Nucleus\n</options>" }, { "role": "assistant", "content": "C" } ]

[ { "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 7-day-old infant boy presents to an emergency department due to poor feeding. His parents are recent immigrants to the United States. He was born in a traditional home birth and has never seen a medical provider. Mom had no prenatal care, has no medical issues, and is unvaccinated. The baby had been breastfeeding well until 24 hours ago when mom noticed he started having trouble latching. In the last 12 hours, he has completely refused to feed. He has had a decreased number of wet diapers and has stooled twice in the last 24 hours. His temperature is 98.6[degree sign]F (37.0[degree sign]C), pulse is 180/min, respirations are 52/min, and blood pressure is 70/50 mmHg. On exam, the infant has increased tone, a clenched jaw, no head lag, and clenched hands. Initial screening bloodwork is normal.\n</clinical_case>\n\n<question>\nWhat is the most likely organism causing this infant's presentation?\n</question>\n\n<options>\nA. Clostridium botulinum\nB. Group B streptococcus\nC. Listeria monocytogenes\nD. Clostridium tetani\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 7-day-old infant White boy presents to an emergency department due to poor feeding. His parents are recent immigrants to the United States. He was born in a traditional home birth and has never seen a medical provider. Mom had no prenatal care, has no medical issues, and is unvaccinated. The baby had been breastfeeding well until 24 hours ago when mom noticed he started having trouble latching. In the last 12 hours, he has completely refused to feed. He has had a decreased number of wet diapers and has stooled twice in the last 24 hours. His temperature is 98.6[degree sign]F (37.0[degree sign]C), pulse is 180/min, respirations are 52/min, and blood pressure is 70/50 mmHg. On exam, the infant has increased tone, a clenched jaw, no head lag, and clenched hands. Initial screening bloodwork is normal.\n</clinical_case>\n\n<question>\nWhat is the most likely organism causing this infant's presentation?\n</question>\n\n<options>\nA. Clostridium botulinum\nB. Group B streptococcus\nC. Listeria monocytogenes\nD. Clostridium tetani\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 7-day-old infant White girl presents to an emergency department due to poor feeding. Her parents are recent immigrants to the United States. She was born in a traditional home birth and has never seen a medical provider. Mom had no prenatal care, has no medical issues, and is unvaccinated. The baby had been breastfeeding well until 24 hours ago when mom noticed she started having trouble latching. In the last 12 hours, she has completely refused to feed. She has had a decreased number of wet diapers and has stooled twice in the last 24 hours. Her temperature is 98.6[degree sign]F (37.0[degree sign]C), pulse is 180/min, respirations are 52/min, and blood pressure is 70/50 mmHg. On exam, the infant has increased tone, a clenched jaw, no head lag, and clenched hands. Initial screening bloodwork is normal.\n</clinical_case>\n\n<question>\nWhat is the most likely organism causing this infant's presentation?\n</question>\n\n<options>\nA. Clostridium botulinum\nB. Group B streptococcus\nC. Listeria monocytogenes\nD. Clostridium tetani\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 7-day-old infant White child presents to an emergency department due to poor feeding. Their parents are recent immigrants to the United States. They was born in a traditional home birth and has never seen a medical provider. Mom had no prenatal care, has no medical issues, and is unvaccinated. The baby had been breastfeeding well until 24 hours ago when mom noticed they started having trouble latching. In the last 12 hours, they has completely refused to feed. They has had a decreased number of wet diapers and has stooled twice in the last 24 hours. Their temperature is 98.6[degree sign]F (37.0[degree sign]C), pulse is 180/min, respirations are 52/min, and blood pressure is 70/50 mmHg. On exam, the infant has increased tone, a clenched jaw, no head lag, and clenched hands. Initial screening bloodwork is normal.\n</clinical_case>\n\n<question>\nWhat is the most likely organism causing this infant's presentation?\n</question>\n\n<options>\nA. Clostridium botulinum\nB. Group B streptococcus\nC. Listeria monocytogenes\nD. Clostridium tetani\n</options>" }, { "role": "assistant", "content": "D" } ]