id stringlengths 7 11 | question stringlengths 7 3.58k | golden_answers listlengths 1 1 | data_source stringclasses 1
value | prompt listlengths 1 1 | ability stringclasses 1
value | reward_model dict | extra_info dict | metadata null |
|---|---|---|---|---|---|---|---|---|
train_0 | A 23-year-old pregnant woman at 22 weeks gestation presents with burning upon urination. She states it started 1 day ago and has been worsening despite drinking more water and taking cranberry extract. She otherwise feels well and is followed by a doctor for her pregnancy. Her temperature is 97.7°F (36.5°C), blood pres... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Ampicillin",
"B": "Ceftriaxone",
"C": "Ciprofloxacin",
"D": "Doxycycline",
"E": "Nitrofurantoin"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 0,
"original_question": "A 23-year-old pregnant woman at 22 weeks gestation presents with burning upon urination. She states it started 1 day ago and has been worsening despite drinking more water and taking cranberry extract. She otherwise feels well and is followed by a doctor for her pregnancy. Her te... | null |
train_1 | A 3-month-old baby died suddenly at night while asleep. His mother noticed that he had died only after she awoke in the morning. No cause of death was determined based on the autopsy. Which of the following precautions could have prevented the death of the baby? | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Placing the infant in a supine position on a firm mattress while sleeping",
"B": "Routine postnatal electrocardiogram (ECG)",
"C": "Keeping the infant covered and maintaining a high room temperature",
"D": "Application of a device to maintain the slee... | {
"index": 1,
"original_question": "A 3-month-old baby died suddenly at night while asleep. His mother noticed that he had died only after she awoke in the morning. No cause of death was determined based on the autopsy. Which of the following precautions could have prevented the death of the baby? A: Placing the in... | null |
train_2 | A mother brings her 3-week-old infant to the pediatrician's office because she is concerned about his feeding habits. He was born without complications and has not had any medical problems up until this time. However, for the past 4 days, he has been fussy, is regurgitating all of his feeds, and his vomit is yellow in ... | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Abnormal migration of ventral pancreatic bud",
"B": "Complete failure of proximal duodenum to recanalize",
"C": "Error in neural crest cell migration",
"D": "Abnormal hypertrophy of the pylorus",
"E": "Failure of lateral body folds to move ventr... | {
"index": 2,
"original_question": "A mother brings her 3-week-old infant to the pediatrician's office because she is concerned about his feeding habits. He was born without complications and has not had any medical problems up until this time. However, for the past 4 days, he has been fussy, is regurgitating all o... | null |
train_3 | A pulmonary autopsy specimen from a 58-year-old woman who died of acute hypoxic respiratory failure was examined. She had recently undergone surgery for a fractured femur 3 months ago. Initial hospital course was uncomplicated, and she was discharged to a rehab facility in good health. Shortly after discharge home from... | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Thromboembolism",
"B": "Pulmonary ischemia",
"C": "Pulmonary hypertension",
"D": "Pulmonary passive congestion",
"E": "Pulmonary hemorrhage"
},
"target": [
"A"
]
},
"style": "rule"
} | {
"index": 3,
"original_question": "A pulmonary autopsy specimen from a 58-year-old woman who died of acute hypoxic respiratory failure was examined. She had recently undergone surgery for a fractured femur 3 months ago. Initial hospital course was uncomplicated, and she was discharged to a rehab facility in good h... | null |
train_4 | A 20-year-old woman presents with menorrhagia for the past several years. She says that her menses “have always been heavy”, and she has experienced easy bruising for as long as she can remember. Family history is significant for her mother, who had similar problems with bruising easily. The patient's vital signs inclu... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Factor V Leiden",
"B": "Hemophilia A",
"C": "Lupus anticoagulant",
"D": "Protein C deficiency",
"E": "Von Willebrand disease"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 4,
"original_question": "A 20-year-old woman presents with menorrhagia for the past several years. She says that her menses “have always been heavy”, and she has experienced easy bruising for as long as she can remember. Family history is significant for her mother, who had similar problems with bruising... | null |
train_5 | A 40-year-old zookeeper presents to the emergency department complaining of severe abdominal pain that radiates to her back, and nausea. The pain started 2 days ago and slowly increased until she could not tolerate it any longer. Past medical history is significant for hypertension and hypothyroidism. Additionally, she... | [
"C"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Aspirin",
"B": "Oral contraceptive pills",
"C": "Scorpion sting",
"D": "Hypothyroidism",
"E": "Obesity"
},
"target": [
"C"
]
},
"style": "rule"
} | {
"index": 5,
"original_question": "A 40-year-old zookeeper presents to the emergency department complaining of severe abdominal pain that radiates to her back, and nausea. The pain started 2 days ago and slowly increased until she could not tolerate it any longer. Past medical history is significant for hypertensi... | null |
train_6 | A 25-year-old primigravida presents to her physician for a routine prenatal visit. She is at 34 weeks gestation, as confirmed by an ultrasound examination. She has no complaints, but notes that the new shoes she bought 2 weeks ago do not fit anymore. The course of her pregnancy has been uneventful and she has been comp... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Bilirubin assessment",
"B": "Coagulation studies",
"C": "Hematocrit assessment",
"D": "Leukocyte count with differential",
"E": "24-hour urine protein"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 6,
"original_question": "A 25-year-old primigravida presents to her physician for a routine prenatal visit. She is at 34 weeks gestation, as confirmed by an ultrasound examination. She has no complaints, but notes that the new shoes she bought 2 weeks ago do not fit anymore. The course of her pregnancy h... | null |
train_7 | A 3900-g (8.6-lb) male infant is delivered at 39 weeks' gestation via spontaneous vaginal delivery. Pregnancy and delivery were uncomplicated but a prenatal ultrasound at 20 weeks showed a defect in the pleuroperitoneal membrane. Further evaluation of this patient is most likely to show which of the following findings? | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Gastric fundus in the thorax",
"B": "Pancreatic ring around the duodenum",
"C": "Small and cystic kidneys",
"D": "Hypertrophy of the gastric pylorus",
"E": "Large bowel in the inguinal canal"
},
"target": [
"A"
]
},
"style"... | {
"index": 7,
"original_question": "A 3900-g (8.6-lb) male infant is delivered at 39 weeks' gestation via spontaneous vaginal delivery. Pregnancy and delivery were uncomplicated but a prenatal ultrasound at 20 weeks showed a defect in the pleuroperitoneal membrane. Further evaluation of this patient is most likely ... | null |
train_8 | A 62-year-old woman presents for a regular check-up. She complains of lightheadedness and palpitations which occur episodically. Past medical history is significant for a myocardial infarction 6 months ago and NYHA class II chronic heart failure. She also was diagnosed with grade I arterial hypertension 4 years ago. Cu... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Atenolol",
"B": "Verapamil",
"C": "Diltiazem",
"D": "Propafenone",
"E": "Digoxin"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 8,
"original_question": "A 62-year-old woman presents for a regular check-up. She complains of lightheadedness and palpitations which occur episodically. Past medical history is significant for a myocardial infarction 6 months ago and NYHA class II chronic heart failure. She also was diagnosed with grade... | null |
train_9 | A 35-year-old male presents to his primary care physician with complaints of seasonal allergies. He has been using intranasal vasoconstrictors several times per day for several weeks. What is a likely sequela of the chronic use of topical nasal decongestants? | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Epistaxis",
"B": "Hypertension",
"C": "Permanent loss of smell",
"D": "Persistent nasal crusting",
"E": "Persistent congestion"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 9,
"original_question": "A 35-year-old male presents to his primary care physician with complaints of seasonal allergies. He has been using intranasal vasoconstrictors several times per day for several weeks. What is a likely sequela of the chronic use of topical nasal decongestants? A: Epistaxis B: Hype... | null |
train_10 | A 46-year-old woman comes to the physician because of a 2-week history of diplopia and ocular pain when reading the newspaper. She also has a 3-month history of amenorrhea, hot flashes, and increased sweating. She reports that she has been overweight all her adult life and is happy to have lost 6.8-kg (15-lb) of weight... | [
"C"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Granulomatous inflammation of the cavernous sinus",
"B": "Abnormal communication between the cavernous sinus and the internal carotid artery",
"C": "Glycosaminoglycan accumulation in the orbit",
"D": "Bacterial infection of the orbital contents",
... | {
"index": 10,
"original_question": "A 46-year-old woman comes to the physician because of a 2-week history of diplopia and ocular pain when reading the newspaper. She also has a 3-month history of amenorrhea, hot flashes, and increased sweating. She reports that she has been overweight all her adult life and is ha... | null |
train_11 | A 1-year-old boy presents to the emergency department with weakness and a change in his behavior. His parents state that they first noticed the change in his behavior this morning and it has been getting worse. They noticed the patient was initially weak in his upper body and arms, but now he won’t move his legs with a... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Antibodies against postsynaptic nicotinic cholinergic ion channels",
"B": "Autoantibodies against the presynaptic voltage-gated calcium channels",
"C": "Autoimmune demyelination of peripheral nerves",
"D": "Blockade of presynaptic acetylcholine releas... | {
"index": 11,
"original_question": "A 1-year-old boy presents to the emergency department with weakness and a change in his behavior. His parents state that they first noticed the change in his behavior this morning and it has been getting worse. They noticed the patient was initially weak in his upper body and ar... | null |
train_12 | A 9-month-old female is brought to the emergency department after experiencing a seizure. She was born at home and was normal at birth according to her parents. Since then, they have noticed that she does not appear to be achieving developmental milestones as quickly as her siblings, and often appears lethargic. Physic... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Anticipation",
"B": "Incomplete penetrance",
"C": "Multiple gene mutations",
"D": "Pleiotropy",
"E": "Variable expressivity"
},
"target": [
"D"
]
},
"style": "rule"
} | {
"index": 12,
"original_question": "A 9-month-old female is brought to the emergency department after experiencing a seizure. She was born at home and was normal at birth according to her parents. Since then, they have noticed that she does not appear to be achieving developmental milestones as quickly as her sibl... | null |
train_13 | A 23-year-old man comes to the physician for evaluation of decreased hearing, dizziness, and ringing in his right ear for the past 6 months. Physical examination shows multiple soft, yellow plaques and papules on his arms, chest, and back. There is sensorineural hearing loss and weakness of facial muscles bilaterally. ... | [
"C"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Neural tube",
"B": "Surface ectoderm",
"C": "Neural crest",
"D": "Notochord",
"E": "Mesoderm"
},
"target": [
"C"
]
},
"style": "rule"
} | {
"index": 13,
"original_question": "A 23-year-old man comes to the physician for evaluation of decreased hearing, dizziness, and ringing in his right ear for the past 6 months. Physical examination shows multiple soft, yellow plaques and papules on his arms, chest, and back. There is sensorineural hearing loss and... | null |
train_14 | A 62-year-old woman comes to the physician because of coughing and fatigue during the past 2 years. In the morning, the cough is productive of white phlegm. She becomes short of breath walking up a flight of stairs. She has hypertension and hyperlipidemia. She has recently retired from working as a nurse at a homeless ... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Chronic decrease in pulmonary compliance",
"B": "Local accumulation of kinins",
"C": "Mycobacterial invasion of pulmonary parenchyma",
"D": "Progressive obstruction of expiratory airflow",
"E": "Incremental loss of functional residual capacity \... | {
"index": 14,
"original_question": "A 62-year-old woman comes to the physician because of coughing and fatigue during the past 2 years. In the morning, the cough is productive of white phlegm. She becomes short of breath walking up a flight of stairs. She has hypertension and hyperlipidemia. She has recently retir... | null |
train_15 | A 68-year-old man presents to the emergency department with leg pain. He states that the pain started suddenly while he was walking outside. The patient has a past medical history of diabetes, hypertension, obesity, and atrial fibrillation. His temperature is 99.3°F (37.4°C), blood pressure is 152/98 mmHg, pulse is 97/... | [
"C"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "CT angiogram",
"B": "Graded exercise and aspirin",
"C": "Heparin drip",
"D": "Surgical thrombectomy",
"E": "Tissue plasminogen activator"
},
"target": [
"C"
]
},
"style": "rule"
} | {
"index": 15,
"original_question": "A 68-year-old man presents to the emergency department with leg pain. He states that the pain started suddenly while he was walking outside. The patient has a past medical history of diabetes, hypertension, obesity, and atrial fibrillation. His temperature is 99.3°F (37.4°C), bl... | null |
train_16 | A 76-year-old African American man presents to his primary care provider complaining of urinary frequency. He wakes up 3-4 times per night to urinate while he previously only had to wake up once per night. He also complains of post-void dribbling and difficulty initiating a stream of urine. He denies any difficulty mai... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Clonidine",
"B": "Hydrochlorothiazide",
"C": "Midodrine",
"D": "Oxybutynin",
"E": "Tamsulosin"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 16,
"original_question": "A 76-year-old African American man presents to his primary care provider complaining of urinary frequency. He wakes up 3-4 times per night to urinate while he previously only had to wake up once per night. He also complains of post-void dribbling and difficulty initiating a stre... | null |
train_17 | A 68-year-old man comes to the physician because of recurrent episodes of nausea and abdominal discomfort for the past 4 months. The discomfort is located in the upper abdomen and sometimes occurs after eating, especially after a big meal. He has tried to go for a walk after dinner to help with digestion, but his compl... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Esophagogastroduodenoscopy",
"B": "CT scan of the abdomen",
"C": "Hydrogen breath test",
"D": "Cardiac stress test",
"E": "Abdominal ultrasonography of the right upper quadrant"
},
"target": [
"D"
]
},
"style": "rule"
} | {
"index": 17,
"original_question": "A 68-year-old man comes to the physician because of recurrent episodes of nausea and abdominal discomfort for the past 4 months. The discomfort is located in the upper abdomen and sometimes occurs after eating, especially after a big meal. He has tried to go for a walk after din... | null |
train_18 | A 27-year-old female presents to general medical clinic for a routine checkup. She has a genetic disease marked by a mutation in a chloride transporter. She has a history of chronic bronchitis. She has a brother with a similar history of infections as well as infertility. Which of the following is most likely true rega... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "It may result in connective tissue defects",
"B": "It may result in corneal vascularization",
"C": "It may result in the triad of confusion, ophthalmoplegia, and ataxia",
"D": "It may be exacerbated by excessive ingestion of raw eggs",
"E": "It ... | {
"index": 18,
"original_question": "A 27-year-old female presents to general medical clinic for a routine checkup. She has a genetic disease marked by a mutation in a chloride transporter. She has a history of chronic bronchitis. She has a brother with a similar history of infections as well as infertility. Which ... | null |
train_19 | A previously healthy 36-year-old man comes to the physician for a yellow discoloration of his skin and dark-colored urine for 2 weeks. He does not drink any alcohol. Physical examination shows jaundice. Abdominal and neurologic examinations show no abnormalities. Serum studies show increased levels of alanine aminotran... | [
"B"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Tropheryma whipplei-specific RNA on PCR",
"B": "Bullous changes of the lung bases on chest CT",
"C": "Beading of intra- and extrahepatic bile ducts on ERCP",
"D": "Myocardial iron deposition on cardiovascular MRI",
"E": "Dark corneal ring on sli... | {
"index": 19,
"original_question": "A previously healthy 36-year-old man comes to the physician for a yellow discoloration of his skin and dark-colored urine for 2 weeks. He does not drink any alcohol. Physical examination shows jaundice. Abdominal and neurologic examinations show no abnormalities. Serum studies s... | null |
train_20 | A 69-year-old male presents to the emergency room with back pain. He has a history of personality disorder and metastatic prostate cancer and was not a candidate for surgical resection. He began chemotherapy but discontinued due to unremitting nausea. He denies any bowel or bladder incontinence. He has never had pain l... | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "The most likely diagnosis is cauda equina syndrome and steroids should be started prior to MRI",
"B": "The most likely diagnosis is cauda equina syndrome and steroids should be started after to MRI",
"C": "The most likely diagnosis is cauda equina syndrome ... | {
"index": 20,
"original_question": "A 69-year-old male presents to the emergency room with back pain. He has a history of personality disorder and metastatic prostate cancer and was not a candidate for surgical resection. He began chemotherapy but discontinued due to unremitting nausea. He denies any bowel or blad... | null |
train_21 | An investigator is studying the function of the lateral nucleus of the hypothalamus in an experimental animal. Using a viral vector, the genes encoding chloride-conducting channelrhodopsins are injected into this nucleus. Photostimulation of the channels causes complete inhibition of action potential generation. Persis... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Hypothermia",
"B": "Hyperthermia",
"C": "Polydipsia",
"D": "Nocturnal hyperactivity",
"E": "Anorexia"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 21,
"original_question": "An investigator is studying the function of the lateral nucleus of the hypothalamus in an experimental animal. Using a viral vector, the genes encoding chloride-conducting channelrhodopsins are injected into this nucleus. Photostimulation of the channels causes complete inhibiti... | null |
train_22 | A 52-year-old woman comes to the physician because of a 6-month history of generalized fatigue, low-grade fever, and a 10-kg (22-lb) weight loss. Physical examination shows generalized pallor and splenomegaly. Her hemoglobin concentration is 7.5 g/dL and leukocyte count is 41,800/mm3. Leukocyte alkaline phosphatase act... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Overexpression of the c-KIT gene",
"B": "Cytokine-independent activation of the JAK-STAT pathway",
"C": "Loss of function of the APC gene",
"D": "Altered expression of the retinoic acid receptor gene",
"E": "Unregulated expression of the ABL1 ge... | {
"index": 22,
"original_question": "A 52-year-old woman comes to the physician because of a 6-month history of generalized fatigue, low-grade fever, and a 10-kg (22-lb) weight loss. Physical examination shows generalized pallor and splenomegaly. Her hemoglobin concentration is 7.5 g/dL and leukocyte count is 41,80... | null |
train_23 | A 42-year-old woman is in the hospital recovering from a cholecystectomy performed 3 days ago that was complicated by cholangitis. She is being treated with IV piperacillin-tazobactam. She calls the nurse to her room because she says that her heart is racing. She also demands that someone come in to clean the pile of g... | [
"C"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Acute cholangitis",
"B": "Alcoholic hallucinosis",
"C": "Delirium tremens",
"D": "Hepatic encephalopathy",
"E": "Thyroid storm"
},
"target": [
"C"
]
},
"style": "rule"
} | {
"index": 23,
"original_question": "A 42-year-old woman is in the hospital recovering from a cholecystectomy performed 3 days ago that was complicated by cholangitis. She is being treated with IV piperacillin-tazobactam. She calls the nurse to her room because she says that her heart is racing. She also demands th... | null |
train_24 | A 48-year-old woman comes to the emergency department because of a photosensitive blistering rash on her hands, forearms, and face for 3 weeks. The lesions are not itchy. She has also noticed that her urine has been dark brown in color recently. Twenty years ago, she was successfully treated for Coats disease of the re... | [
"C"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Pursue liver transplantation",
"B": "Begin oral thalidomide therapy",
"C": "Begin phlebotomy therapy",
"D": "Begin oral hydroxychloroquine therapy",
"E": "Begin subcutaneous deferoxamine therapy"
},
"target": [
"C"
]
},
"st... | {
"index": 24,
"original_question": "A 48-year-old woman comes to the emergency department because of a photosensitive blistering rash on her hands, forearms, and face for 3 weeks. The lesions are not itchy. She has also noticed that her urine has been dark brown in color recently. Twenty years ago, she was success... | null |
train_25 | A 53-year-old man comes to the emergency department because of severe right-sided flank pain for 3 hours. The pain is colicky, radiates towards his right groin, and he describes it as 8/10 in intensity. He has vomited once. He has no history of similar episodes in the past. Last year, he was treated with naproxen for s... | [
"B"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Urinary pH: 7.3",
"B": "Urinary pH: 4.7",
"C": "Hexagon shaped crystals",
"D": "Positive nitrites test",
"E": "Largely positive urinary protein"
},
"target": [
"B"
]
},
"style": "rule"
} | {
"index": 25,
"original_question": "A 53-year-old man comes to the emergency department because of severe right-sided flank pain for 3 hours. The pain is colicky, radiates towards his right groin, and he describes it as 8/10 in intensity. He has vomited once. He has no history of similar episodes in the past. Last... | null |
train_26 | A 5-year-old girl is brought to the clinic by her mother for excessive hair growth. Her mother reports that for the past 2 months she has noticed hair at the axillary and pubic areas. She denies any family history of precocious puberty and reports that her daughter has been relatively healthy with an uncomplicated birt... | [
"B"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Congenital adrenal hyperplasia",
"B": "Granulosa cell tumor",
"C": "Idiopathic precocious puberty",
"D": "McCune-Albright syndrome",
"E": "Sertoli-Leydig tumor"
},
"target": [
"B"
]
},
"style": "rule"
} | {
"index": 26,
"original_question": "A 5-year-old girl is brought to the clinic by her mother for excessive hair growth. Her mother reports that for the past 2 months she has noticed hair at the axillary and pubic areas. She denies any family history of precocious puberty and reports that her daughter has been rela... | null |
train_27 | A 16-year-old boy is brought to the physician by his mother because she is worried about his behavior. Yesterday, he was expelled from school for repeatedly skipping classes. Over the past 2 months, he was suspended 3 times for bullying and aggressive behavior towards his peers and teachers. Once, his neighbor found hi... | [
"B"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Suppression",
"B": "Acting out",
"C": "Projection",
"D": "Passive aggression",
"E": "Regression"
},
"target": [
"B"
]
},
"style": "rule"
} | {
"index": 27,
"original_question": "A 16-year-old boy is brought to the physician by his mother because she is worried about his behavior. Yesterday, he was expelled from school for repeatedly skipping classes. Over the past 2 months, he was suspended 3 times for bullying and aggressive behavior towards his peers ... | null |
train_28 | A 63-year-old woman presents to her primary-care doctor for a 2-month history of vision changes, specifically citing the gradual onset of double vision. Her double vision is present all the time and does not get better or worse throughout the day. She has also noticed that she has a hard time keeping her right eye open... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "CT head (non-contrast)",
"B": "Direct fundoscopy",
"C": "Intraocular pressures",
"D": "MR angiography of the head",
"E": "Temporal artery biopsy"
},
"target": [
"D"
]
},
"style": "rule"
} | {
"index": 28,
"original_question": "A 63-year-old woman presents to her primary-care doctor for a 2-month history of vision changes, specifically citing the gradual onset of double vision. Her double vision is present all the time and does not get better or worse throughout the day. She has also noticed that she h... | null |
train_29 | An investigator is studying the modification of newly formed polypeptides in plated eukaryotic cells. After the polypeptides are released from the ribosome, a chemically-tagged protein attaches covalently to lysine residues on the polypeptide chain, forming a modified polypeptide. When a barrel-shaped complex is added ... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Acylation",
"B": "Glycosylation",
"C": "Phosphorylation",
"D": "Carboxylation",
"E": "Ubiquitination"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 29,
"original_question": "An investigator is studying the modification of newly formed polypeptides in plated eukaryotic cells. After the polypeptides are released from the ribosome, a chemically-tagged protein attaches covalently to lysine residues on the polypeptide chain, forming a modified polypeptid... | null |
train_30 | A 38-year-old man presents to his physician with double vision persisting for a week. When he enters the exam room, the physician notes that the patient has a broad-based gait. The man’s wife informs the doctor that he has been an alcoholic for the last 5 years and his consumption of alcohol has increased significantly... | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Decreased α-ketoglutarate dehydrogenase activity in astrocytes",
"B": "Increased extracellular concentration of glutamate",
"C": "Increased astrocyte lactate",
"D": "Breakdown of the blood-brain barrier",
"E": "Increased fragmentation of deoxyri... | {
"index": 30,
"original_question": "A 38-year-old man presents to his physician with double vision persisting for a week. When he enters the exam room, the physician notes that the patient has a broad-based gait. The man’s wife informs the doctor that he has been an alcoholic for the last 5 years and his consumpti... | null |
train_31 | A 69-year-old man is brought by his son to the emergency department with weakness in his right arm and leg. The man insists that he is fine and blames his son for "creating panic". Four hours ago the patient was having tea with his wife when he suddenly dropped his teacup. He has had difficulty moving his right arm sin... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Abciximab",
"B": "Alteplase",
"C": "Urokinase",
"D": "Celecoxib",
"E": "Clopidogrel"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 31,
"original_question": "A 69-year-old man is brought by his son to the emergency department with weakness in his right arm and leg. The man insists that he is fine and blames his son for \"creating panic\". Four hours ago the patient was having tea with his wife when he suddenly dropped his teacup. He ... | null |
train_32 | A 70-year-old man presents to a medical clinic reporting blood in his urine and lower abdominal pain for the past few days. He is also concerned about urinary frequency and urgency. He states that he recently completed a cycle of chemotherapy for non-Hodgkin lymphoma. Which medication in the chemotherapy regimen most l... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Cytarabine",
"B": "Methotrexate",
"C": "Rituximab",
"D": "Cyclophosphamide",
"E": "Prednisone"
},
"target": [
"D"
]
},
"style": "rule"
} | {
"index": 32,
"original_question": "A 70-year-old man presents to a medical clinic reporting blood in his urine and lower abdominal pain for the past few days. He is also concerned about urinary frequency and urgency. He states that he recently completed a cycle of chemotherapy for non-Hodgkin lymphoma. Which medi... | null |
train_33 | A 27-year-old man presents to the emergency department after a dog bite. The patient was intoxicated and pulled the dog’s tail while it was eating. The dog belongs to his friend and is back at his friend’s house currently. Physical exam is notable for a dog bite on the patient’s right arm. The wound is irrigated and ex... | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Administer amoxicillin-clavulanic acid",
"B": "Administer the rabies vaccine and rabies immunoglobulin",
"C": "Administer trimethoprim-sulfamethoxazole",
"D": "Close the wound with sutures and discharge the patient",
"E": "Discharge the patient ... | {
"index": 33,
"original_question": "A 27-year-old man presents to the emergency department after a dog bite. The patient was intoxicated and pulled the dog’s tail while it was eating. The dog belongs to his friend and is back at his friend’s house currently. Physical exam is notable for a dog bite on the patient’s... | null |
train_34 | A 19-year-old woman, accompanied by her parents, presents after a one-week history of abnormal behavior, delusions, and unusual aggression. She denies fever, seizures or illicit drug use. Family history is negative for psychiatric illnesses. She was started on risperidone and sent home with her parents. Three days late... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Dantrolene",
"B": "Intravenous hydration",
"C": "Paracetamol",
"D": "Stop risperidone",
"E": "Switch risperidone to clozapine"
},
"target": [
"D"
]
},
"style": "rule"
} | {
"index": 34,
"original_question": "A 19-year-old woman, accompanied by her parents, presents after a one-week history of abnormal behavior, delusions, and unusual aggression. She denies fever, seizures or illicit drug use. Family history is negative for psychiatric illnesses. She was started on risperidone and se... | null |
train_35 | A 35-year-old woman comes to the physician because of a 1-month history of double vision, difficulty climbing stairs, and weakness when trying to brush her hair. She reports that these symptoms are worse after she exercises and disappear after she rests for a few hours. Physical examination shows drooping of her right ... | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Myasthenia gravis",
"B": "Polymyositis",
"C": "Amyotrophic lateral sclerosis",
"D": "Guillain-Barré syndrome",
"E": "Multiple sclerosis"
},
"target": [
"A"
]
},
"style": "rule"
} | {
"index": 35,
"original_question": "A 35-year-old woman comes to the physician because of a 1-month history of double vision, difficulty climbing stairs, and weakness when trying to brush her hair. She reports that these symptoms are worse after she exercises and disappear after she rests for a few hours. Physical... | null |
train_36 | A 6-year-old male who recently immigrated to the United States from Asia is admitted to the hospital with dyspnea. Physical exam reveals a gray pseudomembrane in the patient's oropharynx along with lymphadenopathy. The patient develops myocarditis and expires on hospital day 5. Which of the following would have prevent... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Increased CD4+ T cell count",
"B": "Secretory IgA against viral proteins",
"C": "Increased IgM preventing bacterial invasion",
"D": "Circulating IgG against AB exotoxin",
"E": "Improved IgE release from mast cells"
},
"target": [
"... | {
"index": 36,
"original_question": "A 6-year-old male who recently immigrated to the United States from Asia is admitted to the hospital with dyspnea. Physical exam reveals a gray pseudomembrane in the patient's oropharynx along with lymphadenopathy. The patient develops myocarditis and expires on hospital day 5. ... | null |
train_37 | A 12-year-old boy who recently emigrated from Pakistan presents with fever, muscle pain, and weakness of the trunk, abdomen, and legs. The patient’s mother says that he has not been vaccinated. Physical examination reveals fasciculation and flaccid paralysis of the lower limbs. A CSF analysis reveals lymphocytosis with... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Basal ganglia",
"B": "Posterior horn cells of the spinal cord",
"C": "Myelin sheath of neurons",
"D": "Muscle cells",
"E": "Anterior horn of the spinal cord"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 37,
"original_question": "A 12-year-old boy who recently emigrated from Pakistan presents with fever, muscle pain, and weakness of the trunk, abdomen, and legs. The patient’s mother says that he has not been vaccinated. Physical examination reveals fasciculation and flaccid paralysis of the lower limbs. ... | null |
train_38 | A researcher is studying the properties of an enzyme that adds phosphate groups to glucose. She discovers that the enzyme is present in most body tissues and is located in the cytoplasm of the cells expressing the enzyme. She decides to mix this enzyme under subphysiologic conditions with varying levels of glucose in o... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "High X and high Y",
"B": "High X and low Y",
"C": "Low X and high Y",
"D": "Low X and infinite Y",
"E": "Low X and low Y"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 38,
"original_question": "A researcher is studying the properties of an enzyme that adds phosphate groups to glucose. She discovers that the enzyme is present in most body tissues and is located in the cytoplasm of the cells expressing the enzyme. She decides to mix this enzyme under subphysiologic condi... | null |
train_39 | A 31-year-old G2P2 female at 40 weeks gestation presents to the hospital following a rush of water that came from her vagina. She is 4 cm dilated and 80% effaced. Fetal heart tracing shows a pulse of 155/min with variable decelerations. About 12 hours after presentation, she gives birth to a 6 lb 15 oz baby boy with AP... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Spermatogonia",
"B": "Allantois",
"C": "Syncytiotrophoblast",
"D": "Sertoli cells",
"E": "Leydig cells"
},
"target": [
"D"
]
},
"style": "rule"
} | {
"index": 39,
"original_question": "A 31-year-old G2P2 female at 40 weeks gestation presents to the hospital following a rush of water that came from her vagina. She is 4 cm dilated and 80% effaced. Fetal heart tracing shows a pulse of 155/min with variable decelerations. About 12 hours after presentation, she giv... | null |
train_40 | A 43-year-old woman presents to the emergency department complaining of palpitations, dry cough, and shortness of breath for 1 week. She immigrated to the United States from Korea at the age of 20. She says that her heart is racing and she has never felt these symptoms before. Her cough is dry and is associated with sh... | [
"B"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "A bacterium that induces partial lysis of red cells with hydrogen peroxide",
"B": "A bacterium that induces complete lysis of the red cells of a blood agar plate with an oxygen-sensitive cytotoxin",
"C": "A bacterium that induces heme degradation of the red... | {
"index": 40,
"original_question": "A 43-year-old woman presents to the emergency department complaining of palpitations, dry cough, and shortness of breath for 1 week. She immigrated to the United States from Korea at the age of 20. She says that her heart is racing and she has never felt these symptoms before. H... | null |
train_41 | A male neonate is being examined by a pediatrician. His mother informs the doctor that she had a mild fever with rash, muscle pain, and swollen and tender lymph nodes during the second month of gestation. The boy was born at 39 weeks gestation via spontaneous vaginal delivery with no prenatal care. On physical examinat... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Atrial septal defect",
"B": "Ventricular septal defect",
"C": "Tetralogy of Fallot",
"D": "Patent ductus arteriosus",
"E": "Double outlet right ventricle"
},
"target": [
"D"
]
},
"style": "rule"
} | {
"index": 41,
"original_question": "A male neonate is being examined by a pediatrician. His mother informs the doctor that she had a mild fever with rash, muscle pain, and swollen and tender lymph nodes during the second month of gestation. The boy was born at 39 weeks gestation via spontaneous vaginal delivery wi... | null |
train_42 | A 4-year-old boy is brought to the emergency department by his parents. He is lethargic and confused and has a severe headache, vomiting, and a high-grade fever since earlier that day. His mother reports that the child was doing well until 2 days ago when he developed a fever and green nasal discharge. The patient has ... | [
"C"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Production of IL-2 by Th1 cells",
"B": "Activation of TCRs by MHC-II",
"C": "Formation of C5-9 complex",
"D": "Cleavage of C2 component of complement into C2a and C2b",
"E": "Oxidative burst in macrophages"
},
"target": [
"C"
]... | {
"index": 42,
"original_question": "A 4-year-old boy is brought to the emergency department by his parents. He is lethargic and confused and has a severe headache, vomiting, and a high-grade fever since earlier that day. His mother reports that the child was doing well until 2 days ago when he developed a fever an... | null |
train_43 | A 66-year-old woman with chronic obstructive pulmonary disease is brought to the emergency department because of fever, body aches, malaise, and a dry cough. She has smoked one pack of cigarettes daily for 30 years but quit smoking 1 year ago. She lives with her daughter and her granddaughter, who attends daycare. Her ... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Inhibition of nucleoside reverse transcriptase",
"B": "Inhibition of DNA polymerase",
"C": "Inhibition of proton translocation",
"D": "Inhibition of neuraminidase",
"E": "Inhibition of protease"
},
"target": [
"D"
]
},
"sty... | {
"index": 43,
"original_question": "A 66-year-old woman with chronic obstructive pulmonary disease is brought to the emergency department because of fever, body aches, malaise, and a dry cough. She has smoked one pack of cigarettes daily for 30 years but quit smoking 1 year ago. She lives with her daughter and her... | null |
train_44 | A 38-year-old woman undergoes hemithyroidectomy for treatment of localized, well-differentiated papillary thyroid carcinoma. The lesion is removed with clear margins. However, during the surgery, a structure lying directly adjacent to the superior thyroid artery at the upper pole of the thyroid lobe is damaged. This pa... | [
"A"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Voice pitch limitation",
"B": "Ineffective cough",
"C": "Weakness of shoulder shrug",
"D": "Difficulty swallowing",
"E": "Shortness of breath"
},
"target": [
"A"
]
},
"style": "rule"
} | {
"index": 44,
"original_question": "A 38-year-old woman undergoes hemithyroidectomy for treatment of localized, well-differentiated papillary thyroid carcinoma. The lesion is removed with clear margins. However, during the surgery, a structure lying directly adjacent to the superior thyroid artery at the upper pol... | null |
train_45 | A 27-year-old man presents to the emergency room with persistent fever, nausea, and vomiting for the past 3 days. While waiting to be seen, he quickly becomes disoriented and agitated. Upon examination, he has visible signs of difficulty breathing with copious oral secretions and generalized muscle twitching. The patie... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Contaminated beef",
"B": "Epiglottic cyst",
"C": "Influenza vaccination",
"D": "Mosquito bite",
"E": "Spelunking"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 45,
"original_question": "A 27-year-old man presents to the emergency room with persistent fever, nausea, and vomiting for the past 3 days. While waiting to be seen, he quickly becomes disoriented and agitated. Upon examination, he has visible signs of difficulty breathing with copious oral secretions an... | null |
train_46 | A 21-year-old man presents to the emergency department after sustaining a stab wound to the neck at a local farmer's market. The patient is otherwise healthy and is complaining of pain. The patient is able to offer the history himself. His temperature is 97.6°F (36.4°C), blood pressure is 120/84 mmHg, pulse is 90/min, ... | [
"B"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Arteriography",
"B": "CT angiogram",
"C": "Intubation",
"D": "Observation and blood pressure monitoring",
"E": "Surgical exploration"
},
"target": [
"B"
]
},
"style": "rule"
} | {
"index": 46,
"original_question": "A 21-year-old man presents to the emergency department after sustaining a stab wound to the neck at a local farmer's market. The patient is otherwise healthy and is complaining of pain. The patient is able to offer the history himself. His temperature is 97.6°F (36.4°C), blood p... | null |
train_47 | A 13-year-old girl presents to a medical office for the evaluation of a lump on the front of her neck. The patient denies pain, but states that the mass bothers her because “it moves when I swallow”. The physical examination reveals a midline neck mass that is above the hyoid bone but below the level of the mandible. T... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Persistent thyroid tissue at the tongue base",
"B": "Deletion of the 22q11 gene",
"C": "Thyroid hyperplasia due to iodine deficiency",
"D": "Cyst formation in a persistent thyroglossal duct",
"E": "Lymph node enlargement"
},
"target": [
... | {
"index": 47,
"original_question": "A 13-year-old girl presents to a medical office for the evaluation of a lump on the front of her neck. The patient denies pain, but states that the mass bothers her because “it moves when I swallow”. The physical examination reveals a midline neck mass that is above the hyoid bo... | null |
train_48 | A 35-year-old woman with a history of Crohn disease presents for a follow-up appointment. She says that lately, she has started to notice difficulty walking. She says that some of her friends have joked that she appears to be walking as if she was drunk. Past medical history is significant for Crohn disease diagnosed 2... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Sporadic Creutzfeldt-Jakob disease (sCJD)",
"B": "Variant Creutzfeldt-Jakob disease (vCJD)",
"C": "Subacute sclerosing panencephalitis (SSPE)",
"D": "Progressive multifocal encephalopathy (PML)",
"E": "West Nile encephalitis"
},
"target"... | {
"index": 48,
"original_question": "A 35-year-old woman with a history of Crohn disease presents for a follow-up appointment. She says that lately, she has started to notice difficulty walking. She says that some of her friends have joked that she appears to be walking as if she was drunk. Past medical history is ... | null |
train_49 | A 23-year-old G1 at 10 weeks gestation based on her last menstrual period is brought to the emergency department by her husband due to sudden vaginal bleeding. She says that she has mild lower abdominal cramps and is feeling dizzy and weak. Her blood pressure is 100/60 mm Hg, the pulse is 100/min, and the respiration r... | [
"D"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Sexually transmitted disease (STD)",
"B": "Rh immunization",
"C": "Antiphospholipid syndrome",
"D": "Chromosomal abnormalities",
"E": "Trauma"
},
"target": [
"D"
]
},
"style": "rule"
} | {
"index": 49,
"original_question": "A 23-year-old G1 at 10 weeks gestation based on her last menstrual period is brought to the emergency department by her husband due to sudden vaginal bleeding. She says that she has mild lower abdominal cramps and is feeling dizzy and weak. Her blood pressure is 100/60 mm Hg, th... | null |
train_50 | An 8-month-old boy is brought to a medical office by his mother. The mother states that the boy has been very fussy and has not been feeding recently. The mother thinks the baby has been gaining weight despite not feeding well. The boy was delivered vaginally at 39 weeks gestation without complications. On physical exa... | [
"E"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Meckel diverticulum",
"B": "DiGeorge syndrome",
"C": "Pyloric stenosis",
"D": "Duodenal atresia",
"E": "Hirschsprung disease"
},
"target": [
"E"
]
},
"style": "rule"
} | {
"index": 50,
"original_question": "An 8-month-old boy is brought to a medical office by his mother. The mother states that the boy has been very fussy and has not been feeding recently. The mother thinks the baby has been gaining weight despite not feeding well. The boy was delivered vaginally at 39 weeks gestati... | null |
train_51 | A 60-year-old man seeks evaluation at a medical office due to leg pain while walking. He says the pain starts in his buttocks and extends to his thighs and down to his calves. Previously, the pain resolved with rest, but the pain now persists in his feet, even during rest. His past medical history is significant for di... | [
"B"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Decreased permeability of endothelium",
"B": "Narrowing and calcification of vessels",
"C": "Peripheral emboli formation",
"D": "Thrombus formation",
"E": "Weakening of vessel wall"
},
"target": [
"B"
]
},
"style": "rule"
} | {
"index": 51,
"original_question": "A 60-year-old man seeks evaluation at a medical office due to leg pain while walking. He says the pain starts in his buttocks and extends to his thighs and down to his calves. Previously, the pain resolved with rest, but the pain now persists in his feet, even during rest. His p... | null |
train_52 | A 52-year-old man presents to the emergency department with chest pain radiating to his left jaw and arm. He states that he had experienced similar symptoms when playing basketball. The medical history is significant for diabetes mellitus, hypertension, and GERD, for which he takes metformin, hydrochlorothiazide, and p... | [
"C"
] | alphamed19k | [
{
"content": "Answer the given medical multiple choice question. You must conduct reasoning inside <think> and </think> first every time you get new information. For this medical question, you MUST search for information about EACH option before making your final decision. You can call a search engine by <searc... | medical-reasoning | {
"ground_truth": {
"options": {
"A": "Digoxin",
"B": "Pantoprazole",
"C": "Lisinopril",
"D": "Atorvastatin",
"E": "Nitroglycerin"
},
"target": [
"C"
]
},
"style": "rule"
} | {
"index": 52,
"original_question": "A 52-year-old man presents to the emergency department with chest pain radiating to his left jaw and arm. He states that he had experienced similar symptoms when playing basketball. The medical history is significant for diabetes mellitus, hypertension, and GERD, for which he ta... | null |
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