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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 25-year-old Asian boy is brought to the emergency room after a suicide attempt. Him mother states that he found a large empty pill bottle next to him. The Asian man is conscious and tearful. He is currently complaining of severe abdominal pain but refuses to give any other history. He has a blood pressure of 135/86, respiratory rate of 18/min, and heart rate of 86/min. On examination, him abdomen is exquisitely tender with evidence of crepitus in the epigastric region. Abdominal CT reveals a gastric perforation.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause?\n</question>\n\n<options>\nA. Hypovolemia\nB. Increased stimulation of the vagus nerve\nC. Decreased production of PGE2\nD. Buildup of a toxic metabolite due to kidney disease\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 25-year-old Asian child is brought to the emergency room after a suicide attempt. Them mother states that they found a large empty pill bottle next to them. The Asian patient is conscious and tearful. They is currently complaining of severe abdominal pain but refuses to give any other history. They has a blood pressure of 135/86, respiratory rate of 18/min, and heart rate of 86/min. On examination, them abdomen is exquisitely tender with evidence of crepitus in the epigastric region. Abdominal CT reveals a gastric perforation.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause?\n</question>\n\n<options>\nA. Hypovolemia\nB. Increased stimulation of the vagus nerve\nC. Decreased production of PGE2\nD. Buildup of a toxic metabolite due to kidney disease\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 25-year-old Hispanic girl is brought to the emergency room after a suicide attempt. Her mother states that she found a large empty pill bottle next to her. The Hispanic patient is conscious and tearful. She is currently complaining of severe abdominal pain but refuses to give any other history. She has a blood pressure of 135/86, respiratory rate of 18/min, and heart rate of 86/min. On examination, her abdomen is exquisitely tender with evidence of crepitus in the epigastric region. Abdominal CT reveals a gastric perforation.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause?\n</question>\n\n<options>\nA. Hypovolemia\nB. Increased stimulation of the vagus nerve\nC. Decreased production of PGE2\nD. Buildup of a toxic metabolite due to kidney disease\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 25-year-old Hispanic boy is brought to the emergency room after a suicide attempt. Him mother states that he found a large empty pill bottle next to him. The Hispanic man is conscious and tearful. He is currently complaining of severe abdominal pain but refuses to give any other history. He has a blood pressure of 135/86, respiratory rate of 18/min, and heart rate of 86/min. On examination, him abdomen is exquisitely tender with evidence of crepitus in the epigastric region. Abdominal CT reveals a gastric perforation.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause?\n</question>\n\n<options>\nA. Hypovolemia\nB. Increased stimulation of the vagus nerve\nC. Decreased production of PGE2\nD. Buildup of a toxic metabolite due to kidney disease\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 25-year-old Hispanic child is brought to the emergency room after a suicide attempt. Them mother states that they found a large empty pill bottle next to them. The Hispanic patient is conscious and tearful. They is currently complaining of severe abdominal pain but refuses to give any other history. They has a blood pressure of 135/86, respiratory rate of 18/min, and heart rate of 86/min. On examination, them abdomen is exquisitely tender with evidence of crepitus in the epigastric region. Abdominal CT reveals a gastric perforation.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause?\n</question>\n\n<options>\nA. Hypovolemia\nB. Increased stimulation of the vagus nerve\nC. Decreased production of PGE2\nD. Buildup of a toxic metabolite due to kidney disease\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 25-year-old Arab girl is brought to the emergency room after a suicide attempt. Her mother states that she found a large empty pill bottle next to her. The Arab patient is conscious and tearful. She is currently complaining of severe abdominal pain but refuses to give any other history. She has a blood pressure of 135/86, respiratory rate of 18/min, and heart rate of 86/min. On examination, her abdomen is exquisitely tender with evidence of crepitus in the epigastric region. Abdominal CT reveals a gastric perforation.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause?\n</question>\n\n<options>\nA. Hypovolemia\nB. Increased stimulation of the vagus nerve\nC. Decreased production of PGE2\nD. Buildup of a toxic metabolite due to kidney disease\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 25-year-old Arab boy is brought to the emergency room after a suicide attempt. Him mother states that he found a large empty pill bottle next to him. The Arab man is conscious and tearful. He is currently complaining of severe abdominal pain but refuses to give any other history. He has a blood pressure of 135/86, respiratory rate of 18/min, and heart rate of 86/min. On examination, him abdomen is exquisitely tender with evidence of crepitus in the epigastric region. Abdominal CT reveals a gastric perforation.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause?\n</question>\n\n<options>\nA. Hypovolemia\nB. Increased stimulation of the vagus nerve\nC. Decreased production of PGE2\nD. Buildup of a toxic metabolite due to kidney disease\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 25-year-old Arab child is brought to the emergency room after a suicide attempt. Them mother states that they found a large empty pill bottle next to them. The Arab patient is conscious and tearful. They is currently complaining of severe abdominal pain but refuses to give any other history. They has a blood pressure of 135/86, respiratory rate of 18/min, and heart rate of 86/min. On examination, them abdomen is exquisitely tender with evidence of crepitus in the epigastric region. Abdominal CT reveals a gastric perforation.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause?\n</question>\n\n<options>\nA. Hypovolemia\nB. Increased stimulation of the vagus nerve\nC. Decreased production of PGE2\nD. Buildup of a toxic metabolite due to kidney disease\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 3466-g (7-lb, 10-oz) female newborn is delivered at 38 weeks' gestation to a 32-year-old woman, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when she found out that she was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. She has been sober for 14 months now. Examination shows that the child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) White female newborn is delivered at 38 weeks' gestation to a 32-year-old White woman, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when she found out that she was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. She has been sober for 14 months now. Examination shows that the White child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) White male newborn is delivered at 38 weeks' gestation to a 32-year-old White man, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when he found out that he was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. He has been sober for 14 months now. Examination shows that the White child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) White person newborn is delivered at 38 weeks' gestation to a 32-year-old White patient, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when they found out that they was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. They has been sober for 14 months now. Examination shows that the White child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Black female newborn is delivered at 38 weeks' gestation to a 32-year-old Black woman, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when she found out that she was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. She has been sober for 14 months now. Examination shows that the Black child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Black male newborn is delivered at 38 weeks' gestation to a 32-year-old Black man, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when he found out that he was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. He has been sober for 14 months now. Examination shows that the Black child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Black person newborn is delivered at 38 weeks' gestation to a 32-year-old Black patient, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when they found out that they was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. They has been sober for 14 months now. Examination shows that the Black child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Asian female newborn is delivered at 38 weeks' gestation to a 32-year-old Asian woman, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when she found out that she was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. She has been sober for 14 months now. Examination shows that the Asian child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Asian male newborn is delivered at 38 weeks' gestation to a 32-year-old Asian man, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when he found out that he was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. He has been sober for 14 months now. Examination shows that the Asian child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Asian person newborn is delivered at 38 weeks' gestation to a 32-year-old Asian patient, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when they found out that they was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. They has been sober for 14 months now. Examination shows that the Asian child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Hispanic female newborn is delivered at 38 weeks' gestation to a 32-year-old Hispanic woman, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when she found out that she was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. She has been sober for 14 months now. Examination shows that the Hispanic child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Hispanic male newborn is delivered at 38 weeks' gestation to a 32-year-old Hispanic man, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when he found out that he was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. He has been sober for 14 months now. Examination shows that the Hispanic child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Hispanic person newborn is delivered at 38 weeks' gestation to a 32-year-old Hispanic patient, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when they found out that they was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. They has been sober for 14 months now. Examination shows that the Hispanic child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Arab female newborn is delivered at 38 weeks' gestation to a 32-year-old Arab woman, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when she found out that she was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. She has been sober for 14 months now. Examination shows that the Arab child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Arab male newborn is delivered at 38 weeks' gestation to a 32-year-old Arab man, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when he found out that he was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. He has been sober for 14 months now. Examination shows that the Arab child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 3466-g (7-lb, 10-oz) Arab person newborn is delivered at 38 weeks' gestation to a 32-year-old Arab patient, gravida 2, para 1. Apgar scores are 7 and 8, at 1 and 5 minutes, respectively. The mother has a history of schizophrenia and was treated with lithium until 5 weeks' gestation, when they found out that they was pregnant. The mother was treated for alcohol abuse disorder 2 years ago. They has been sober for 14 months now. Examination shows that the Arab child has micrognathia, a broad nasal bridge, a short philtrum, and small, low-set ears. Examination of the mouth shows a cleft palate. A grade 3/6 systolic ejection murmur can be heard over the left sternal border. Echocardiography shows a single overriding great vessel arising from the heart.\n</clinical_case>\n\n<question>\nFurther evaluation is most likely to show which of the following findings?\n</question>\n\n<options>\nA. Chromosome 5p deletion on FISH studies\nB. Double bubble sign on abdominal x-ray\nC. Low levels of parathyroid hormone in serum\nD. Bilateral cataracts on ocular examination\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 47-year-old woman comes to the physician for a follow-up examination. She has noticed trembling of her hands for the past 5 months. These movements are only present when she reaches to pick up an object or answer the phone. She has a history of major depressive disorder but has been off medications for the past 3 years. Her father had Parkinson's disease and died 6 months ago. She drinks a glass of wine daily. She appears anxious. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as she reaches out for an object. She consistently overshoots her target. There is no tremor present when her arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old White woman comes to the physician for a follow-up examination. She has noticed trembling of her hands for the past 5 months. These movements are only present when she reaches to pick up an object or answer the phone. She has a history of major depressive disorder but has been off medications for the past 3 years. Her father had Parkinson's disease and died 6 months ago. She drinks a glass of wine daily. She appears anxious. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as she reaches out for an object. She consistently overshoots her target. There is no tremor present when her arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old White man comes to the physician for a follow-up examination. He has noticed trembling of him hands for the past 5 months. These movements are only present when he reaches to pick up an object or answer the phone. He has a history of major depressive disorder but has been off medications for the past 3 years. Him father had Parkinson's disease and died 6 months ago. He drinks a glass of wine daily. He appears anxious. Him temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as he reaches out for an object. He consistently overshoots him target. There is no tremor present when him arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old White patient comes to the physician for a follow-up examination. They has noticed trembling of them hands for the past 5 months. These movements are only present when they reaches to pick up an object or answer the phone. They has a history of major depressive disorder but has been off medications for the past 3 years. Them father had Parkinson's disease and died 6 months ago. They drinks a glass of wine daily. They appears anxious. Them temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as they reaches out for an object. They consistently overshoots them target. There is no tremor present when them arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Black woman comes to the physician for a follow-up examination. She has noticed trembling of her hands for the past 5 months. These movements are only present when she reaches to pick up an object or answer the phone. She has a history of major depressive disorder but has been off medications for the past 3 years. Her father had Parkinson's disease and died 6 months ago. She drinks a glass of wine daily. She appears anxious. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as she reaches out for an object. She consistently overshoots her target. There is no tremor present when her arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Black man comes to the physician for a follow-up examination. He has noticed trembling of him hands for the past 5 months. These movements are only present when he reaches to pick up an object or answer the phone. He has a history of major depressive disorder but has been off medications for the past 3 years. Him father had Parkinson's disease and died 6 months ago. He drinks a glass of wine daily. He appears anxious. Him temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as he reaches out for an object. He consistently overshoots him target. There is no tremor present when him arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Black patient comes to the physician for a follow-up examination. They has noticed trembling of them hands for the past 5 months. These movements are only present when they reaches to pick up an object or answer the phone. They has a history of major depressive disorder but has been off medications for the past 3 years. Them father had Parkinson's disease and died 6 months ago. They drinks a glass of wine daily. They appears anxious. Them temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as they reaches out for an object. They consistently overshoots them target. There is no tremor present when them arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Asian woman comes to the physician for a follow-up examination. She has noticed trembling of her hands for the past 5 months. These movements are only present when she reaches to pick up an object or answer the phone. She has a history of major depressive disorder but has been off medications for the past 3 years. Her father had Parkinson's disease and died 6 months ago. She drinks a glass of wine daily. She appears anxious. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as she reaches out for an object. She consistently overshoots her target. There is no tremor present when her arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Asian man comes to the physician for a follow-up examination. He has noticed trembling of him hands for the past 5 months. These movements are only present when he reaches to pick up an object or answer the phone. He has a history of major depressive disorder but has been off medications for the past 3 years. Him father had Parkinson's disease and died 6 months ago. He drinks a glass of wine daily. He appears anxious. Him temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as he reaches out for an object. He consistently overshoots him target. There is no tremor present when him arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Asian patient comes to the physician for a follow-up examination. They has noticed trembling of them hands for the past 5 months. These movements are only present when they reaches to pick up an object or answer the phone. They has a history of major depressive disorder but has been off medications for the past 3 years. Them father had Parkinson's disease and died 6 months ago. They drinks a glass of wine daily. They appears anxious. Them temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as they reaches out for an object. They consistently overshoots them target. There is no tremor present when them arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Hispanic woman comes to the physician for a follow-up examination. She has noticed trembling of her hands for the past 5 months. These movements are only present when she reaches to pick up an object or answer the phone. She has a history of major depressive disorder but has been off medications for the past 3 years. Her father had Parkinson's disease and died 6 months ago. She drinks a glass of wine daily. She appears anxious. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as she reaches out for an object. She consistently overshoots her target. There is no tremor present when her arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Hispanic man comes to the physician for a follow-up examination. He has noticed trembling of him hands for the past 5 months. These movements are only present when he reaches to pick up an object or answer the phone. He has a history of major depressive disorder but has been off medications for the past 3 years. Him father had Parkinson's disease and died 6 months ago. He drinks a glass of wine daily. He appears anxious. Him temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as he reaches out for an object. He consistently overshoots him target. There is no tremor present when him arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Hispanic patient comes to the physician for a follow-up examination. They has noticed trembling of them hands for the past 5 months. These movements are only present when they reaches to pick up an object or answer the phone. They has a history of major depressive disorder but has been off medications for the past 3 years. Them father had Parkinson's disease and died 6 months ago. They drinks a glass of wine daily. They appears anxious. Them temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as they reaches out for an object. They consistently overshoots them target. There is no tremor present when them arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Arab woman comes to the physician for a follow-up examination. She has noticed trembling of her hands for the past 5 months. These movements are only present when she reaches to pick up an object or answer the phone. She has a history of major depressive disorder but has been off medications for the past 3 years. Her father had Parkinson's disease and died 6 months ago. She drinks a glass of wine daily. She appears anxious. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as she reaches out for an object. She consistently overshoots her target. There is no tremor present when her arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Arab man comes to the physician for a follow-up examination. He has noticed trembling of him hands for the past 5 months. These movements are only present when he reaches to pick up an object or answer the phone. He has a history of major depressive disorder but has been off medications for the past 3 years. Him father had Parkinson's disease and died 6 months ago. He drinks a glass of wine daily. He appears anxious. Him temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as he reaches out for an object. He consistently overshoots him target. There is no tremor present when him arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 47-year-old Arab patient comes to the physician for a follow-up examination. They has noticed trembling of them hands for the past 5 months. These movements are only present when they reaches to pick up an object or answer the phone. They has a history of major depressive disorder but has been off medications for the past 3 years. Them father had Parkinson's disease and died 6 months ago. They drinks a glass of wine daily. They appears anxious. Them temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 80/min, and blood pressure is 118/74 mm Hg. A low-frequency tremor is present that worsens as they reaches out for an object. They consistently overshoots them target. There is no tremor present when them arms are held outstretched. There is increased tone in the lower extremities and Babinski's sign is positive bilaterally.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely cause of this patient's symptoms?\n</question>\n\n<options>\nA. Subthalamic nucleus stroke\nB. Degenerated caudate nucleus\nC. Degenerated substantia nigra\nD. Cerebellar demyelination\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 51-year-old man presents to his primary care provider for intermittent shaking of his hands. He reports that for the last several years he has noticed this shaking when he brushes his teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. His past medical history is otherwise notable for hypertension and hyperlipidemia. His only home medication is pravastatin. The patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. His family history is significant for Parkinson disease in his father. On physical exam, his blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. He has a high frequency bilateral hand tremor elicited on finger-to-nose testing. His neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old White man presents to his primary care provider for intermittent shaking of his hands. He reports that for the last several years he has noticed this shaking when he brushes his teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. His past medical history is otherwise notable for hypertension and hyperlipidemia. His only home medication is pravastatin. The White patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. His family history is significant for Parkinson disease in his father. On physical exam, his blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. He has a high frequency bilateral hand tremor elicited on finger-to-nose testing. His neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old White woman presents to her primary care provider for intermittent shaking of her hands. She reports that for the last several years she has noticed this shaking when she brushes her teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Her past medical history is otherwise notable for hypertension and hyperlipidemia. Her only home medication is pravastatin. The White woman smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Her family history is significant for Parkinson disease in her father. On physical exam, her blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. She has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Her neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old White patient presents to their primary care provider for intermittent shaking of their hands. They reports that for the last several years they has noticed this shaking when they brushes their teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Their past medical history is otherwise notable for hypertension and hyperlipidemia. Their only home medication is pravastatin. The White patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Their family history is significant for Parkinson disease in their father. On physical exam, their blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. They has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Their neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Black man presents to his primary care provider for intermittent shaking of his hands. He reports that for the last several years he has noticed this shaking when he brushes his teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. His past medical history is otherwise notable for hypertension and hyperlipidemia. His only home medication is pravastatin. The Black patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. His family history is significant for Parkinson disease in his father. On physical exam, his blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. He has a high frequency bilateral hand tremor elicited on finger-to-nose testing. His neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Black woman presents to her primary care provider for intermittent shaking of her hands. She reports that for the last several years she has noticed this shaking when she brushes her teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Her past medical history is otherwise notable for hypertension and hyperlipidemia. Her only home medication is pravastatin. The Black woman smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Her family history is significant for Parkinson disease in her father. On physical exam, her blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. She has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Her neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Black patient presents to their primary care provider for intermittent shaking of their hands. They reports that for the last several years they has noticed this shaking when they brushes their teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Their past medical history is otherwise notable for hypertension and hyperlipidemia. Their only home medication is pravastatin. The Black patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Their family history is significant for Parkinson disease in their father. On physical exam, their blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. They has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Their neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Asian man presents to his primary care provider for intermittent shaking of his hands. He reports that for the last several years he has noticed this shaking when he brushes his teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. His past medical history is otherwise notable for hypertension and hyperlipidemia. His only home medication is pravastatin. The Asian patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. His family history is significant for Parkinson disease in his father. On physical exam, his blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. He has a high frequency bilateral hand tremor elicited on finger-to-nose testing. His neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Asian woman presents to her primary care provider for intermittent shaking of her hands. She reports that for the last several years she has noticed this shaking when she brushes her teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Her past medical history is otherwise notable for hypertension and hyperlipidemia. Her only home medication is pravastatin. The Asian woman smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Her family history is significant for Parkinson disease in her father. On physical exam, her blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. She has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Her neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Asian patient presents to their primary care provider for intermittent shaking of their hands. They reports that for the last several years they has noticed this shaking when they brushes their teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Their past medical history is otherwise notable for hypertension and hyperlipidemia. Their only home medication is pravastatin. The Asian patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Their family history is significant for Parkinson disease in their father. On physical exam, their blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. They has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Their neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Hispanic man presents to his primary care provider for intermittent shaking of his hands. He reports that for the last several years he has noticed this shaking when he brushes his teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. His past medical history is otherwise notable for hypertension and hyperlipidemia. His only home medication is pravastatin. The Hispanic patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. His family history is significant for Parkinson disease in his father. On physical exam, his blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. He has a high frequency bilateral hand tremor elicited on finger-to-nose testing. His neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Hispanic woman presents to her primary care provider for intermittent shaking of her hands. She reports that for the last several years she has noticed this shaking when she brushes her teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Her past medical history is otherwise notable for hypertension and hyperlipidemia. Her only home medication is pravastatin. The Hispanic woman smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Her family history is significant for Parkinson disease in her father. On physical exam, her blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. She has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Her neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Hispanic patient presents to their primary care provider for intermittent shaking of their hands. They reports that for the last several years they has noticed this shaking when they brushes their teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Their past medical history is otherwise notable for hypertension and hyperlipidemia. Their only home medication is pravastatin. The Hispanic patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Their family history is significant for Parkinson disease in their father. On physical exam, their blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. They has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Their neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Arab man presents to his primary care provider for intermittent shaking of his hands. He reports that for the last several years he has noticed this shaking when he brushes his teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. His past medical history is otherwise notable for hypertension and hyperlipidemia. His only home medication is pravastatin. The Arab patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. His family history is significant for Parkinson disease in his father. On physical exam, his blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. He has a high frequency bilateral hand tremor elicited on finger-to-nose testing. His neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Arab woman presents to her primary care provider for intermittent shaking of her hands. She reports that for the last several years she has noticed this shaking when she brushes her teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Her past medical history is otherwise notable for hypertension and hyperlipidemia. Her only home medication is pravastatin. The Arab woman smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Her family history is significant for Parkinson disease in her father. On physical exam, her blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. She has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Her neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 51-year-old Arab patient presents to their primary care provider for intermittent shaking of their hands. They reports that for the last several years they has noticed this shaking when they brushes their teeth and prepares a cup of coffee in the morning. The shaking then gradually improves over the course of the day. Their past medical history is otherwise notable for hypertension and hyperlipidemia. Their only home medication is pravastatin. The Arab patient smokes half a pack per day of cigarettes and drinks 2-3 beers throughout the day. Their family history is significant for Parkinson disease in their father. On physical exam, their blood pressure is 159/84, pulse is 74/min, and respirations are 12/min. They has a high frequency bilateral hand tremor elicited on finger-to-nose testing. Their neurological exam is otherwise unremarkable.\n</clinical_case>\n\n<question>\nThis patient should be started on which of the following medications?\n</question>\n\n<options>\nA. Alprazolam\nB. Trihexyphenidyl\nC. Primidone\nD. Propranolol\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 patient with a1-antitrypsin deficiency is warned by his physician that his increasing dyspnea may be worsened by his continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 White patient with a1-antitrypsin deficiency is warned by his physician that his increasing dyspnea may be worsened by his continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 White woman with a1-antitrypsin deficiency is warned by her physician that her increasing dyspnea may be worsened by her continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 White patient with a1-antitrypsin deficiency is warned by their physician that their increasing dyspnea may be worsened by their continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Black patient with a1-antitrypsin deficiency is warned by his physician that his increasing dyspnea may be worsened by his continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Black woman with a1-antitrypsin deficiency is warned by her physician that her increasing dyspnea may be worsened by her continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Black patient with a1-antitrypsin deficiency is warned by their physician that their increasing dyspnea may be worsened by their continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Asian patient with a1-antitrypsin deficiency is warned by his physician that his increasing dyspnea may be worsened by his continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Asian woman with a1-antitrypsin deficiency is warned by her physician that her increasing dyspnea may be worsened by her continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Asian patient with a1-antitrypsin deficiency is warned by their physician that their increasing dyspnea may be worsened by their continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Hispanic patient with a1-antitrypsin deficiency is warned by his physician that his increasing dyspnea may be worsened by his continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Hispanic woman with a1-antitrypsin deficiency is warned by her physician that her increasing dyspnea may be worsened by her continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Hispanic patient with a1-antitrypsin deficiency is warned by their physician that their increasing dyspnea may be worsened by their continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Arab patient with a1-antitrypsin deficiency is warned by his physician that his increasing dyspnea may be worsened by his continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Arab woman with a1-antitrypsin deficiency is warned by her physician that her increasing dyspnea may be worsened by her continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 Arab patient with a1-antitrypsin deficiency is warned by their physician that their increasing dyspnea may be worsened by their continued cigarette smoking.\n</clinical_case>\n\n<question>\nWhich of the following factors, released by both neutrophils and alveolar macrophages, is responsible for the patient's condition?\n</question>\n\n<options>\nA. Elastase\nB. Surfactant\nC. Major Basic Protein\nD. Mucus\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 29-year-old female presents to her primary care provider with an aching pain in her left leg that has progressively gotten worse over several days. She recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. She also has a history of one spontaneous abortion at 12 weeks gestation. Today, her heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, her left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old White female presents to her primary care provider with an aching pain in her left leg that has progressively gotten worse over several days. She recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. She also has a history of one spontaneous abortion at 12 weeks gestation. Today, her heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, her left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old White male presents to him primary care provider with an aching pain in him left leg that has progressively gotten worse over several days. He recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. He also has a history of one spontaneous abortion at 12 weeks gestation. Today, him heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, him left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old White person presents to them primary care provider with an aching pain in them left leg that has progressively gotten worse over several days. They recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. They also has a history of one spontaneous abortion at 12 weeks gestation. Today, them heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, them left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Black female presents to her primary care provider with an aching pain in her left leg that has progressively gotten worse over several days. She recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. She also has a history of one spontaneous abortion at 12 weeks gestation. Today, her heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, her left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Black male presents to him primary care provider with an aching pain in him left leg that has progressively gotten worse over several days. He recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. He also has a history of one spontaneous abortion at 12 weeks gestation. Today, him heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, him left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Black person presents to them primary care provider with an aching pain in them left leg that has progressively gotten worse over several days. They recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. They also has a history of one spontaneous abortion at 12 weeks gestation. Today, them heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, them left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Asian female presents to her primary care provider with an aching pain in her left leg that has progressively gotten worse over several days. She recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. She also has a history of one spontaneous abortion at 12 weeks gestation. Today, her heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, her left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Asian male presents to him primary care provider with an aching pain in him left leg that has progressively gotten worse over several days. He recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. He also has a history of one spontaneous abortion at 12 weeks gestation. Today, him heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, him left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Asian person presents to them primary care provider with an aching pain in them left leg that has progressively gotten worse over several days. They recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. They also has a history of one spontaneous abortion at 12 weeks gestation. Today, them heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, them left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Hispanic female presents to her primary care provider with an aching pain in her left leg that has progressively gotten worse over several days. She recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. She also has a history of one spontaneous abortion at 12 weeks gestation. Today, her heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, her left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Hispanic male presents to him primary care provider with an aching pain in him left leg that has progressively gotten worse over several days. He recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. He also has a history of one spontaneous abortion at 12 weeks gestation. Today, him heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, him left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Hispanic person presents to them primary care provider with an aching pain in them left leg that has progressively gotten worse over several days. They recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. They also has a history of one spontaneous abortion at 12 weeks gestation. Today, them heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, them left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Arab female presents to her primary care provider with an aching pain in her left leg that has progressively gotten worse over several days. She recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. She also has a history of one spontaneous abortion at 12 weeks gestation. Today, her heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, her left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Arab male presents to him primary care provider with an aching pain in him left leg that has progressively gotten worse over several days. He recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. He also has a history of one spontaneous abortion at 12 weeks gestation. Today, him heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, him left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 29-year-old Arab person presents to them primary care provider with an aching pain in them left leg that has progressively gotten worse over several days. They recently had an unfortunate sporting incident resulting in large bruises along both legs and lower thighs. An X-ray after the event was negative for fracture. Past medical history is positive for systemic lupus erythematosus. They also has a history of one spontaneous abortion at 12 weeks gestation. Today, them heart rate is 90/min, respiratory rate is 17/min, blood pressure is 119/80 mm Hg, and temperature is 37.0[degree sign]C (98.6[degree sign]F). On physical examination, them left leg appears pink and slightly swollen. Homan[right single quotation mark]s sign is positive. A Doppler ultrasound reveals a thrombus in the left popliteal vein.\n</clinical_case>\n\n<question>\nHer lab results are as follows:\nPlatelets 250,000/mm3\nProthrombin Time 14 sec\nPartial Thromboplastin Time 90 sec\nMixing study (PTT) 89 sec\nWhat is the most likely cause of the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Antibodies directed against endothelial cells\nB. Antibodies directed against phospholipids\nC. Vitamin K deficiency\nD. Antibodies directed against platelet glycoprotein IIb/IIIa\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 25-year-old female with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old White female with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old White male with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old White person with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old Black female with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old Black male with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old Black person with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old Asian female with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old Asian male with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old Asian person with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old Hispanic female with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\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 25-year-old Hispanic male with Hodgkin's lymphoma presents with a several day history of edema. Lab studies show:\n\nSerum Na+: 140 mmol/L\nSerum K+: 3.5 mmol/L\nSerum albumin: 1.9 g/dL\nTotal serum bilirubin: 1.0 mg/dL\nSerum creatinine: 1.2 mg/dL\n\nUrinalysis shows 4+ proteinuria and fatty casts.\n</clinical_case>\n\n<question>\nWhat is the most likely diagnosis?\n</question>\n\n<options>\nA. Amyloidosis\nB. Minimal change disease\nC. Membranous nephropathy\nD. Focal segmental glomerulosclerosis\n</options>" }, { "role": "assistant", "content": "B" } ]