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gh_medqa_relabelling_cpv

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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 3-month-old girl is brought to a pediatrician by her parents. She has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old White girl is brought to a pediatrician by her parents. She has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old White boy is brought to a pediatrician by him parents. He has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old White child is brought to a pediatrician by them parents. They has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Black girl is brought to a pediatrician by her parents. She has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Black boy is brought to a pediatrician by him parents. He has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Black child is brought to a pediatrician by them parents. They has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Asian girl is brought to a pediatrician by her parents. She has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Asian boy is brought to a pediatrician by him parents. He has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Asian child is brought to a pediatrician by them parents. They has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Hispanic girl is brought to a pediatrician by her parents. She has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Hispanic boy is brought to a pediatrician by him parents. He has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Hispanic child is brought to a pediatrician by them parents. They has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Arab girl is brought to a pediatrician by her parents. She has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Arab boy is brought to a pediatrician by him parents. He has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 3-month-old Arab child is brought to a pediatrician by them parents. They has central cyanosis without signs of respiratory distress or signs of heart failure. An echocardiogram reveals severe pulmonary outflow obstruction, right ventricular hypertrophy, a ventricular septal defect, and an overriding of the aorta. An elective primary surgical repair is planned at 4 months of age.\n</clinical_case>\n\n<question>\nWhich of the following statements is true about this girl[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Refractory heart failure is a common complication of tetralogy of Fallot.\nB. Normal hemoglobin in patients with tetralogy of Fallot does not rule out iron deficiency anemia.\nC. Cerebral arterial thrombosis is more common than cerebral venous thrombosis.\nD. The tricuspid valve is the most common valve affected by bacterial endocarditis in uncorrected tetralogy of Fallot.\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 72-year-old woman is brought to the physician by her daughter because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old White woman is brought to the physician by her daughter because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the White patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old White man is brought to the physician by him son because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the White man develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old White patient is brought to the physician by them offspring because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the White patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Black woman is brought to the physician by her daughter because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Black patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Black man is brought to the physician by him son because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Black man develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Black patient is brought to the physician by them offspring because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Black patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Asian woman is brought to the physician by her daughter because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Asian patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Asian man is brought to the physician by him son because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Asian man develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Asian patient is brought to the physician by them offspring because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Asian patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Hispanic woman is brought to the physician by her daughter because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Hispanic patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Hispanic man is brought to the physician by him son because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Hispanic man develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Hispanic patient is brought to the physician by them offspring because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Hispanic patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Arab woman is brought to the physician by her daughter because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Arab patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Arab man is brought to the physician by him son because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Arab man develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 72-year-old Arab patient is brought to the physician by them offspring because of a 6-month history of worsening short-term memory deficits and social withdrawal. Treatment with galantamine is initiated. Two weeks later, the Arab patient develops vomiting, mild crampy abdominal pain, and watery, nonbloody diarrhea.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate pharmacotherapy?\n</question>\n\n<options>\nA. Metoclopramide\nB. Oxybutynin\nC. Atropine\nD. Bethanechol\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 primigravida is admitted to the hospital at 36 weeks gestation after a generalized tonic-clonic seizure. She is conscious, but lethargic and complains of a headache that started 2 hours prior to the seizure. She denies alcohol intake or drug use. She has no history of convulsive disorders and the antepartum course has been unremarkable. She was compliant with the recommended prenatal care and her last prenatal visit was 2 weeks ago. She has gained 2 kg (4.4 lb) since her last visit. The blood pressure was 160/90 mm Hg, the heart rate was 79/min, the respiratory rate was 14/min, and the temperature was 37.0[degree celsius] (98.6[degree fahrenheit]). The physical examination shows leg and perineal edema. The neurologic examination is significant for symmetric upper and lower extremity hyperreflexia and ankle clonus.\n</clinical_case>\n\n<question>\nWhich of the following laboratory findings would be most common in this patient?\n</question>\n\n<options>\nA. Hyponatremia\nB. Leukocytosis\nC. Elevated transaminases\nD. Proteinuria\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 25-year-old primigravida is admitted to the hospital at 36 weeks gestation after a generalized tonic-clonic seizure. He is conscious, but lethargic and complains of a headache that started 2 hours prior to the seizure. He denies alcohol intake or drug use. He has no history of convulsive disorders and the antepartum course has been unremarkable. He was compliant with the recommended prenatal care and him last prenatal visit was 2 weeks ago. He has gained 2 kg (4.4 lb) since him last visit. The blood pressure was 160/90 mm Hg, the heart rate was 79/min, the respiratory rate was 14/min, and the temperature was 37.0[degree celsius] (98.6[degree fahrenheit]). The physical examination shows leg and perineal edema. The neurologic examination is significant for symmetric upper and lower extremity hyperreflexia and ankle clonus.\n</clinical_case>\n\n<question>\nWhich of the following laboratory findings would be most common in this patient?\n</question>\n\n<options>\nA. Hyponatremia\nB. Leukocytosis\nC. Elevated transaminases\nD. Proteinuria\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 25-year-old primigravida is admitted to the hospital at 36 weeks gestation after a generalized tonic-clonic seizure. They is conscious, but lethargic and complains of a headache that started 2 hours prior to the seizure. They denies alcohol intake or drug use. They has no history of convulsive disorders and the antepartum course has been unremarkable. They was compliant with the recommended prenatal care and them last prenatal visit was 2 weeks ago. They has gained 2 kg (4.4 lb) since them last visit. The blood pressure was 160/90 mm Hg, the heart rate was 79/min, the respiratory rate was 14/min, and the temperature was 37.0[degree celsius] (98.6[degree fahrenheit]). The physical examination shows leg and perineal edema. The neurologic examination is significant for symmetric upper and lower extremity hyperreflexia and ankle clonus.\n</clinical_case>\n\n<question>\nWhich of the following laboratory findings would be most common in this patient?\n</question>\n\n<options>\nA. Hyponatremia\nB. Leukocytosis\nC. Elevated transaminases\nD. Proteinuria\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 26-year-old woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regularly. When the gynecologist asks her about the consumption of any other medications, she mentions that she was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Her current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old White woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regularly. When the gynecologist asks her about the consumption of any other medications, she mentions that she was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Her current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old White man presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, him gynecologist informs him that he is pregnant. He is very surprised as he has been taking oral contraceptives regularly. When the gynecologist asks him about the consumption of any other medications, he mentions that he was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Him current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old White patient presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, them gynecologist informs them that they is pregnant. They is very surprised as they has been taking oral contraceptives regularly. When the gynecologist asks them about the consumption of any other medications, they mentions that they was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Them current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Black woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regularly. When the gynecologist asks her about the consumption of any other medications, she mentions that she was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Her current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Black man presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, him gynecologist informs him that he is pregnant. He is very surprised as he has been taking oral contraceptives regularly. When the gynecologist asks him about the consumption of any other medications, he mentions that he was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Him current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Black patient presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, them gynecologist informs them that they is pregnant. They is very surprised as they has been taking oral contraceptives regularly. When the gynecologist asks them about the consumption of any other medications, they mentions that they was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Them current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Asian woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regularly. When the gynecologist asks her about the consumption of any other medications, she mentions that she was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Her current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Asian man presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, him gynecologist informs him that he is pregnant. He is very surprised as he has been taking oral contraceptives regularly. When the gynecologist asks him about the consumption of any other medications, he mentions that he was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Him current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Asian patient presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, them gynecologist informs them that they is pregnant. They is very surprised as they has been taking oral contraceptives regularly. When the gynecologist asks them about the consumption of any other medications, they mentions that they was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Them current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Hispanic woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regularly. When the gynecologist asks her about the consumption of any other medications, she mentions that she was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Her current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Hispanic man presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, him gynecologist informs him that he is pregnant. He is very surprised as he has been taking oral contraceptives regularly. When the gynecologist asks him about the consumption of any other medications, he mentions that he was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Him current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Hispanic patient presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, them gynecologist informs them that they is pregnant. They is very surprised as they has been taking oral contraceptives regularly. When the gynecologist asks them about the consumption of any other medications, they mentions that they was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Them current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Arab woman presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, her gynecologist informs her that she is pregnant. She is very surprised as she has been taking oral contraceptives regularly. When the gynecologist asks her about the consumption of any other medications, she mentions that she was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Her current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Arab man presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, him gynecologist informs him that he is pregnant. He is very surprised as he has been taking oral contraceptives regularly. When the gynecologist asks him about the consumption of any other medications, he mentions that he was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Him current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 26-year-old Arab patient presents to a gynecologist after a missed period. After performing a complete physical examination and a screening test for pregnancy, them gynecologist informs them that they is pregnant. They is very surprised as they has been taking oral contraceptives regularly. When the gynecologist asks them about the consumption of any other medications, they mentions that they was placed on treatment for pulmonary tuberculosis (TB) 2 months ago. Them current anti-TB regimen includes rifampin, isoniazid, pyrazinamide, and ethambutol.\n</clinical_case>\n\n<question>\nWhich of the following mechanisms best explains the failure of oral contraceptives in this patient?\n</question>\n\n<options>\nA. Induction of CYP2A6 by rifampin leading to increased inactivation of ethinylestradiol\nB. Interference with the intestinal absorption of the oral contraceptive by pyrazinamide\nC. Increased renal elimination of the progesterone component of the oral contraceptive by ethambutol\nD. Induction of CYP3A4 by rifampin leading to decreased serum levels of ethinylestradiol and progesterone\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 30-year-old woman comes to the physician because of increasing weakness in both legs for 7 days. She also reports a tingling sensation in her legs that is exacerbated by taking a hot shower. She is sexually active with one male partner and does not use condoms. Her temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old White woman comes to the physician because of increasing weakness in both legs for 7 days. She also reports a tingling sensation in her legs that is exacerbated by taking a hot shower. She is sexually active with one White male partner and does not use condoms. Her temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old White patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one White female partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old White patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one White person partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Black woman comes to the physician because of increasing weakness in both legs for 7 days. She also reports a tingling sensation in her legs that is exacerbated by taking a hot shower. She is sexually active with one Black male partner and does not use condoms. Her temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Black patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one Black female partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Black patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one Black person partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Asian woman comes to the physician because of increasing weakness in both legs for 7 days. She also reports a tingling sensation in her legs that is exacerbated by taking a hot shower. She is sexually active with one Asian male partner and does not use condoms. Her temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Asian patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one Asian female partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Asian patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one Asian person partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Hispanic woman comes to the physician because of increasing weakness in both legs for 7 days. She also reports a tingling sensation in her legs that is exacerbated by taking a hot shower. She is sexually active with one Hispanic male partner and does not use condoms. Her temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Hispanic patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one Hispanic female partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Hispanic patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one Hispanic person partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Arab woman comes to the physician because of increasing weakness in both legs for 7 days. She also reports a tingling sensation in her legs that is exacerbated by taking a hot shower. She is sexually active with one Arab male partner and does not use condoms. Her temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Arab patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one Arab female partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 30-year-old Arab patient comes to the physician because of increasing weakness in both legs for 7 days. They also reports a tingling sensation in them legs that is exacerbated by taking a hot shower. They is sexually active with one Arab person partner and does not use condoms. Them temperature is 37.8[degree sign]C (100.1[degree sign]F). Physical examination shows decreased muscle strength and clonus in both lower extremities. Patellar reflex is 4+ bilaterally and plantar reflex shows an extensor response on both sides. Abdominal reflex is absent. An MRI of the brain is shown.\n</clinical_case>\n\n<question>\nWhich of the following findings is most likely to further support the diagnosis in this patient?\n</question>\n\n<options>\nA. Identification of gram-positive cocci in groups on blood culture\nB. Positive antibody response to cardiolipin-cholesterol-lecithin antigen in the serum\nC. Presence of immunoglobulin bands on cerebrospinal fluid immunofixation\nD. Oligodendrocytes that stain positive for polyomavirus proteins on brain biopsy\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 55-year-old man comes to the physician because of a 3-month history of a progressively growing mass in his axilla. During this period, he has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. His only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. His serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old White man comes to the physician because of a 3-month history of a progressively growing mass in his axilla. During this period, he has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. His only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. His serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old White woman comes to the physician because of a 3-month history of a progressively growing mass in her axilla. During this period, she has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Her only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Her serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old White patient comes to the physician because of a 3-month history of a progressively growing mass in their axilla. During this period, they has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Their only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Their serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Black man comes to the physician because of a 3-month history of a progressively growing mass in his axilla. During this period, he has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. His only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. His serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Black woman comes to the physician because of a 3-month history of a progressively growing mass in her axilla. During this period, she has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Her only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Her serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Black patient comes to the physician because of a 3-month history of a progressively growing mass in their axilla. During this period, they has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Their only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Their serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Asian man comes to the physician because of a 3-month history of a progressively growing mass in his axilla. During this period, he has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. His only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. His serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Asian woman comes to the physician because of a 3-month history of a progressively growing mass in her axilla. During this period, she has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Her only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Her serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Asian patient comes to the physician because of a 3-month history of a progressively growing mass in their axilla. During this period, they has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Their only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Their serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Hispanic man comes to the physician because of a 3-month history of a progressively growing mass in his axilla. During this period, he has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. His only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. His serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Hispanic woman comes to the physician because of a 3-month history of a progressively growing mass in her axilla. During this period, she has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Her only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Her serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Hispanic patient comes to the physician because of a 3-month history of a progressively growing mass in their axilla. During this period, they has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Their only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Their serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Arab man comes to the physician because of a 3-month history of a progressively growing mass in his axilla. During this period, he has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. His only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. His serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Arab woman comes to the physician because of a 3-month history of a progressively growing mass in her axilla. During this period, she has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Her only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Her serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 55-year-old Arab patient comes to the physician because of a 3-month history of a progressively growing mass in their axilla. During this period, they has had recurrent episodes of low-grade fever lasting for 7 to 10 days, and an 8-kg (18-lb) weight loss. Their only medication is a multivitamin. Physical examination shows nontender, right axillary, cervical, and inguinal lymphadenopathy. Their serum calcium concentration is 15.1 mg/dL and parathyroid hormone (PTH) concentration is 9 pg/mL. A lymph node biopsy shows granuloma formation and large CD15-positive, CD30-positive cells with bilobed nuclei.\n</clinical_case>\n\n<question>\nWhich of the following is the most likely explanation for this patient's laboratory findings?\n</question>\n\n<options>\nA. Secretion of [greek small letter gamma]-interferon by activated T-lymphocytes\nB. Induction of focal osteolysis by tumor cells\nC. Excessive intake of dietary ergocalciferol\nD. Production of PTH-related peptide by malignant cells\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 61-year-old man presents to his primary care provider complaining of abdominal pain and constipation. He reports a 4-day history of steady right lower quadrant pain. He has had one small bowel movement in 4 days. Normally he has a bowel movement once a day. His medical history is notable for poorly controlled hypertension and hyperlipidemia. He takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. He has a 40 pack-year smoking history and drinks 3-4 beers per day. His diet consists primarily of fast food. His temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old White man presents to his primary care provider complaining of abdominal pain and constipation. He reports a 4-day history of steady right lower quadrant pain. He has had one small bowel movement in 4 days. Normally he has a bowel movement once a day. His medical history is notable for poorly controlled hypertension and hyperlipidemia. He takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. He has a 40 pack-year smoking history and drinks 3-4 beers per day. His diet consists primarily of fast food. His temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the White patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old White woman presents to her primary care provider complaining of abdominal pain and constipation. She reports a 4-day history of steady right lower quadrant pain. She has had one small bowel movement in 4 days. Normally she has a bowel movement once a day. Her medical history is notable for poorly controlled hypertension and hyperlipidemia. She takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. She has a 40 pack-year smoking history and drinks 3-4 beers per day. Her diet consists primarily of fast food. Her temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the White woman[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old White patient presents to their primary care provider complaining of abdominal pain and constipation. They reports a 4-day history of steady right lower quadrant pain. They has had one small bowel movement in 4 days. Normally they has a bowel movement once a day. Their medical history is notable for poorly controlled hypertension and hyperlipidemia. They takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. They has a 40 pack-year smoking history and drinks 3-4 beers per day. Their diet consists primarily of fast food. Their temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the White patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Black man presents to his primary care provider complaining of abdominal pain and constipation. He reports a 4-day history of steady right lower quadrant pain. He has had one small bowel movement in 4 days. Normally he has a bowel movement once a day. His medical history is notable for poorly controlled hypertension and hyperlipidemia. He takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. He has a 40 pack-year smoking history and drinks 3-4 beers per day. His diet consists primarily of fast food. His temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Black patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Black woman presents to her primary care provider complaining of abdominal pain and constipation. She reports a 4-day history of steady right lower quadrant pain. She has had one small bowel movement in 4 days. Normally she has a bowel movement once a day. Her medical history is notable for poorly controlled hypertension and hyperlipidemia. She takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. She has a 40 pack-year smoking history and drinks 3-4 beers per day. Her diet consists primarily of fast food. Her temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Black woman[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Black patient presents to their primary care provider complaining of abdominal pain and constipation. They reports a 4-day history of steady right lower quadrant pain. They has had one small bowel movement in 4 days. Normally they has a bowel movement once a day. Their medical history is notable for poorly controlled hypertension and hyperlipidemia. They takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. They has a 40 pack-year smoking history and drinks 3-4 beers per day. Their diet consists primarily of fast food. Their temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Black patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Asian man presents to his primary care provider complaining of abdominal pain and constipation. He reports a 4-day history of steady right lower quadrant pain. He has had one small bowel movement in 4 days. Normally he has a bowel movement once a day. His medical history is notable for poorly controlled hypertension and hyperlipidemia. He takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. He has a 40 pack-year smoking history and drinks 3-4 beers per day. His diet consists primarily of fast food. His temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Asian patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Asian woman presents to her primary care provider complaining of abdominal pain and constipation. She reports a 4-day history of steady right lower quadrant pain. She has had one small bowel movement in 4 days. Normally she has a bowel movement once a day. Her medical history is notable for poorly controlled hypertension and hyperlipidemia. She takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. She has a 40 pack-year smoking history and drinks 3-4 beers per day. Her diet consists primarily of fast food. Her temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Asian woman[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Asian patient presents to their primary care provider complaining of abdominal pain and constipation. They reports a 4-day history of steady right lower quadrant pain. They has had one small bowel movement in 4 days. Normally they has a bowel movement once a day. Their medical history is notable for poorly controlled hypertension and hyperlipidemia. They takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. They has a 40 pack-year smoking history and drinks 3-4 beers per day. Their diet consists primarily of fast food. Their temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Asian patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Hispanic man presents to his primary care provider complaining of abdominal pain and constipation. He reports a 4-day history of steady right lower quadrant pain. He has had one small bowel movement in 4 days. Normally he has a bowel movement once a day. His medical history is notable for poorly controlled hypertension and hyperlipidemia. He takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. He has a 40 pack-year smoking history and drinks 3-4 beers per day. His diet consists primarily of fast food. His temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Hispanic patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Hispanic woman presents to her primary care provider complaining of abdominal pain and constipation. She reports a 4-day history of steady right lower quadrant pain. She has had one small bowel movement in 4 days. Normally she has a bowel movement once a day. Her medical history is notable for poorly controlled hypertension and hyperlipidemia. She takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. She has a 40 pack-year smoking history and drinks 3-4 beers per day. Her diet consists primarily of fast food. Her temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Hispanic woman[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Hispanic patient presents to their primary care provider complaining of abdominal pain and constipation. They reports a 4-day history of steady right lower quadrant pain. They has had one small bowel movement in 4 days. Normally they has a bowel movement once a day. Their medical history is notable for poorly controlled hypertension and hyperlipidemia. They takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. They has a 40 pack-year smoking history and drinks 3-4 beers per day. Their diet consists primarily of fast food. Their temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Hispanic patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Arab man presents to his primary care provider complaining of abdominal pain and constipation. He reports a 4-day history of steady right lower quadrant pain. He has had one small bowel movement in 4 days. Normally he has a bowel movement once a day. His medical history is notable for poorly controlled hypertension and hyperlipidemia. He takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. He has a 40 pack-year smoking history and drinks 3-4 beers per day. His diet consists primarily of fast food. His temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Arab patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Arab woman presents to her primary care provider complaining of abdominal pain and constipation. She reports a 4-day history of steady right lower quadrant pain. She has had one small bowel movement in 4 days. Normally she has a bowel movement once a day. Her medical history is notable for poorly controlled hypertension and hyperlipidemia. She takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. She has a 40 pack-year smoking history and drinks 3-4 beers per day. Her diet consists primarily of fast food. Her temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Arab woman[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 61-year-old Arab patient presents to their primary care provider complaining of abdominal pain and constipation. They reports a 4-day history of steady right lower quadrant pain. They has had one small bowel movement in 4 days. Normally they has a bowel movement once a day. Their medical history is notable for poorly controlled hypertension and hyperlipidemia. They takes enalapril, hydrochlorothiazide, aspirin, and atorvastatin. They has a 40 pack-year smoking history and drinks 3-4 beers per day. Their diet consists primarily of fast food. Their temperature is 101.8[degree sign]F (38.8[degree sign]C), blood pressure is 160/95 mmHg, pulse is 90/min, and respirations are 16/min. A review of the Arab patient[right single quotation mark]s medical record reveals colonoscopy results from 1 year ago. Relevant findings included multiple small, pedunculated polyps which were removed, multiple colonic mucosal outpouchings, and no other masses.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s condition is most strongly associated with which of the following disorders?\n</question>\n\n<options>\nA. Alpha-1-antitrypsin deficiency\nB. Autosomal recessive polycystic kidney disorder\nC. Goodpasture syndrome\nD. Ehlers-Danlos syndrome\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 32-year-old man arrives to his primary care physician to discuss his fear of flying. The patient reports that he has had a fear of flying since being a teenager. He went on a family vacation 15 years ago, and during the flight there was turbulence and a [left double quotation mark]rough landing[right double quotation mark]. Since then he has avoided flying. He did not go to his cousin[right single quotation mark]s wedding because it was out of the country. He also was unable to visit his grandmother for her 80th birthday. The last time his job asked him to meet a client out of state, he drove 18 hours instead of flying. Two years ago he promised his fianc[latin small letter e with acute] they could fly to Florida. Upon arrival at the airport, he began to feel dizzy, lightheaded, and refused to go through security. During the clinic visit, the patient appears anxious and distressed. He recognizes that his fear is irrational. He is upset that it is affecting his relationship with his wife. Additionally, his current job may soon require employees in his sales position to fly to meet potential clients. He is embarrassed to have a conversation with his manager about his fear of flying.\n</clinical_case>\n\n<question>\nWhich of the following is the best therapy for the patient[right single quotation mark]s condition?\n</question>\n\n<options>\nA. Cognitive behavioral therapy\nB. Psychodynamic psychotherapy\nC. Fluoxetine\nD. Alprazolam\n</options>" }, { "role": "assistant", "content": "A" } ]