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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 55-year-old White woman recovering from knee replacement surgery complains of breathlessness in the postoperative ward. She has been confined to bed for the past 5 days and is under observation. She felt a sudden difficulty in breathing and called for the ward nurse. She says that she is unable to take deep breaths and has a sharp pain on the right side of her chest with each inspiration. Her temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. She experiences pain in her right calf on dorsiflexion. There are no other prominent findings on physical examination. Her chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old White patient recovering from knee replacement surgery complains of breathlessness in the postoperative ward. They has been confined to bed for the past 5 days and is under observation. They felt a sudden difficulty in breathing and called for the ward nurse. They says that they is unable to take deep breaths and has a sharp pain on the right side of their chest with each inspiration. Their temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. They experiences pain in their right calf on dorsiflexion. There are no other prominent findings on physical examination. Their chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Black man recovering from knee replacement surgery complains of breathlessness in the postoperative ward. He has been confined to bed for the past 5 days and is under observation. He felt a sudden difficulty in breathing and called for the ward nurse. He says that he is unable to take deep breaths and has a sharp pain on the right side of his chest with each inspiration. His temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. He experiences pain in his right calf on dorsiflexion. There are no other prominent findings on physical examination. His chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Black woman recovering from knee replacement surgery complains of breathlessness in the postoperative ward. She has been confined to bed for the past 5 days and is under observation. She felt a sudden difficulty in breathing and called for the ward nurse. She says that she is unable to take deep breaths and has a sharp pain on the right side of her chest with each inspiration. Her temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. She experiences pain in her right calf on dorsiflexion. There are no other prominent findings on physical examination. Her chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Black patient recovering from knee replacement surgery complains of breathlessness in the postoperative ward. They has been confined to bed for the past 5 days and is under observation. They felt a sudden difficulty in breathing and called for the ward nurse. They says that they is unable to take deep breaths and has a sharp pain on the right side of their chest with each inspiration. Their temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. They experiences pain in their right calf on dorsiflexion. There are no other prominent findings on physical examination. Their chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Asian man recovering from knee replacement surgery complains of breathlessness in the postoperative ward. He has been confined to bed for the past 5 days and is under observation. He felt a sudden difficulty in breathing and called for the ward nurse. He says that he is unable to take deep breaths and has a sharp pain on the right side of his chest with each inspiration. His temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. He experiences pain in his right calf on dorsiflexion. There are no other prominent findings on physical examination. His chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Asian woman recovering from knee replacement surgery complains of breathlessness in the postoperative ward. She has been confined to bed for the past 5 days and is under observation. She felt a sudden difficulty in breathing and called for the ward nurse. She says that she is unable to take deep breaths and has a sharp pain on the right side of her chest with each inspiration. Her temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. She experiences pain in her right calf on dorsiflexion. There are no other prominent findings on physical examination. Her chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Asian patient recovering from knee replacement surgery complains of breathlessness in the postoperative ward. They has been confined to bed for the past 5 days and is under observation. They felt a sudden difficulty in breathing and called for the ward nurse. They says that they is unable to take deep breaths and has a sharp pain on the right side of their chest with each inspiration. Their temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. They experiences pain in their right calf on dorsiflexion. There are no other prominent findings on physical examination. Their chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Hispanic man recovering from knee replacement surgery complains of breathlessness in the postoperative ward. He has been confined to bed for the past 5 days and is under observation. He felt a sudden difficulty in breathing and called for the ward nurse. He says that he is unable to take deep breaths and has a sharp pain on the right side of his chest with each inspiration. His temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. He experiences pain in his right calf on dorsiflexion. There are no other prominent findings on physical examination. His chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Hispanic woman recovering from knee replacement surgery complains of breathlessness in the postoperative ward. She has been confined to bed for the past 5 days and is under observation. She felt a sudden difficulty in breathing and called for the ward nurse. She says that she is unable to take deep breaths and has a sharp pain on the right side of her chest with each inspiration. Her temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. She experiences pain in her right calf on dorsiflexion. There are no other prominent findings on physical examination. Her chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Hispanic patient recovering from knee replacement surgery complains of breathlessness in the postoperative ward. They has been confined to bed for the past 5 days and is under observation. They felt a sudden difficulty in breathing and called for the ward nurse. They says that they is unable to take deep breaths and has a sharp pain on the right side of their chest with each inspiration. Their temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. They experiences pain in their right calf on dorsiflexion. There are no other prominent findings on physical examination. Their chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Arab man recovering from knee replacement surgery complains of breathlessness in the postoperative ward. He has been confined to bed for the past 5 days and is under observation. He felt a sudden difficulty in breathing and called for the ward nurse. He says that he is unable to take deep breaths and has a sharp pain on the right side of his chest with each inspiration. His temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. He experiences pain in his right calf on dorsiflexion. There are no other prominent findings on physical examination. His chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Arab woman recovering from knee replacement surgery complains of breathlessness in the postoperative ward. She has been confined to bed for the past 5 days and is under observation. She felt a sudden difficulty in breathing and called for the ward nurse. She says that she is unable to take deep breaths and has a sharp pain on the right side of her chest with each inspiration. Her temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. She experiences pain in her right calf on dorsiflexion. There are no other prominent findings on physical examination. Her chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 55-year-old Arab patient recovering from knee replacement surgery complains of breathlessness in the postoperative ward. They has been confined to bed for the past 5 days and is under observation. They felt a sudden difficulty in breathing and called for the ward nurse. They says that they is unable to take deep breaths and has a sharp pain on the right side of their chest with each inspiration. Their temperature is 37.5[degree sign]C (99.8[degree sign]F), the pulse is 111/min, the respirations are 31/min, and the blood pressure is 85/55 mm Hg. They experiences pain in their right calf on dorsiflexion. There are no other prominent findings on physical examination. Their chest X-ray does not show anything significant. The ECG reveals sinus tachycardia.\n</clinical_case>\n\n<question>\nWhich of the following is the best course of management at this time?\n</question>\n\n<options>\nA. Inferior vena cava filter\nB. Lower extremity doppler\nC. Ventilation-perfusion scan\nD. Subcutaneous fondaparinux\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 65-year-old female patient comes to the physician[right single quotation mark]s office for her annual check-up. The patient[right single quotation mark]s only complaint is that she feels her vision has been getting more blurry over the past year. The patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Her medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old female patient comes to the physician[right single quotation mark]s office for her annual check-up. The White patient[right single quotation mark]s only complaint is that she feels her vision has been getting more blurry over the past year. The White patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Her medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this White patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old White man comes to the physician[right single quotation mark]s office for him annual check-up. The White man[right single quotation mark]s only complaint is that he feels him vision has been getting more blurry over the past year. The White man has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Him medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this White man reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old White patient comes to the physician[right single quotation mark]s office for them annual check-up. The White patient[right single quotation mark]s only complaint is that they feels them vision has been getting more blurry over the past year. The White patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Them medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this White patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old female patient comes to the physician[right single quotation mark]s office for her annual check-up. The Black patient[right single quotation mark]s only complaint is that she feels her vision has been getting more blurry over the past year. The Black patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Her medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Black patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old Black man comes to the physician[right single quotation mark]s office for him annual check-up. The Black man[right single quotation mark]s only complaint is that he feels him vision has been getting more blurry over the past year. The Black man has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Him medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Black man reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old Black patient comes to the physician[right single quotation mark]s office for them annual check-up. The Black patient[right single quotation mark]s only complaint is that they feels them vision has been getting more blurry over the past year. The Black patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Them medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Black patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old female patient comes to the physician[right single quotation mark]s office for her annual check-up. The Asian patient[right single quotation mark]s only complaint is that she feels her vision has been getting more blurry over the past year. The Asian patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Her medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Asian patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old Asian man comes to the physician[right single quotation mark]s office for him annual check-up. The Asian man[right single quotation mark]s only complaint is that he feels him vision has been getting more blurry over the past year. The Asian man has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Him medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Asian man reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old Asian patient comes to the physician[right single quotation mark]s office for them annual check-up. The Asian patient[right single quotation mark]s only complaint is that they feels them vision has been getting more blurry over the past year. The Asian patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Them medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Asian patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old female patient comes to the physician[right single quotation mark]s office for her annual check-up. The Hispanic patient[right single quotation mark]s only complaint is that she feels her vision has been getting more blurry over the past year. The Hispanic patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Her medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Hispanic patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old Hispanic man comes to the physician[right single quotation mark]s office for him annual check-up. The Hispanic man[right single quotation mark]s only complaint is that he feels him vision has been getting more blurry over the past year. The Hispanic man has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Him medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Hispanic man reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old Hispanic patient comes to the physician[right single quotation mark]s office for them annual check-up. The Hispanic patient[right single quotation mark]s only complaint is that they feels them vision has been getting more blurry over the past year. The Hispanic patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Them medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Hispanic patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old female patient comes to the physician[right single quotation mark]s office for her annual check-up. The Arab patient[right single quotation mark]s only complaint is that she feels her vision has been getting more blurry over the past year. The Arab patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Her medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Arab patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old Arab man comes to the physician[right single quotation mark]s office for him annual check-up. The Arab man[right single quotation mark]s only complaint is that he feels him vision has been getting more blurry over the past year. The Arab man has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Him medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Arab man reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 65-year-old Arab patient comes to the physician[right single quotation mark]s office for them annual check-up. The Arab patient[right single quotation mark]s only complaint is that they feels them vision has been getting more blurry over the past year. The Arab patient has a past medical history of diabetes diagnosed 20 years ago and osteoarthritis. Them medications include metformin, glimepiride, and ibuprofen as needed for pain. Fundoscopic examination of this Arab patient reveals narrowing of retinal arteries and microaneurysms.\n</clinical_case>\n\n<question>\nThis patient[right single quotation mark]s symptoms are likely caused by tissue specific differences in expression of which of the following enzymes?\n</question>\n\n<options>\nA. Galactocerebrosidase\nB. Arylsulfatase A\nC. Sorbitol dehydrogenase\nD. Sphingomyelinase\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 39-year-old woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old White woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the White patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old White man is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Him temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the White man's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old White patient is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Them temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the White patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Black woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Black patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Black man is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Him temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Black man's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Black patient is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Them temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Black patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Asian woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Asian patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Asian man is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Him temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Asian man's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Asian patient is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Them temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Asian patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Hispanic woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Hispanic patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Hispanic man is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Him temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Hispanic man's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Hispanic patient is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Them temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Hispanic patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Arab woman is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Her temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Arab patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Arab man is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Him temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Arab man's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 39-year-old Arab patient is brought to the emergency department because of fevers, chills, and left lower quadrant pain. Them temperature is 39.1[degree sign]C (102.3[degree sign]F), pulse is 126/min, respirations are 28/min, and blood pressure is 80/50 mm Hg. There is blood oozing around the site of a peripheral intravenous line. Pelvic examination shows mucopurulent discharge from the cervical os and left adnexal tenderness. Laboratory studies show:\nPlatelet count 14,200/mm3\nFibrinogen 83 mg/mL (N = 200[en dash]430 mg/dL)\nD-dimer 965 ng/mL (N < 500 ng/mL)\nWhen phenol is applied to a sample of the Arab patient's blood at 90[degree sign]C, a phosphorylated N-acetylglucosamine dimer with 6 fatty acids attached to a polysaccharide side chain is identified.\n</clinical_case>\n\n<question>\nA blood culture is most likely to show which of the following?\"\n</question>\n\n<options>\nA. Coagulase-positive, gram-positive cocci forming mauve-colored colonies on methicillin-containing agar\nB. Encapsulated, gram-negative coccobacilli forming grey-colored colonies on charcoal blood agar\nC. Lactose-fermenting, gram-negative rods forming pink colonies on MacConkey agar\nD. Spore-forming, gram-positive bacilli forming yellow colonies on casein agar\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 70-year-old man with hyperlipidemia and hypertension returns to his cardiologist for ongoing blood pressure management. He reports feeling fine with no trouble with his medications. He exercises regularly and sleeps well without snoring or daytime somnolence. His blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, his pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old White man with hyperlipidemia and hypertension returns to his cardiologist for ongoing blood pressure management. He reports feeling fine with no trouble with his medications. He exercises regularly and sleeps well without snoring or daytime somnolence. His blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, his pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old White woman with hyperlipidemia and hypertension returns to her cardiologist for ongoing blood pressure management. She reports feeling fine with no trouble with her medications. She exercises regularly and sleeps well without snoring or daytime somnolence. Her blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, her pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old White patient with hyperlipidemia and hypertension returns to their cardiologist for ongoing blood pressure management. They reports feeling fine with no trouble with their medications. They exercises regularly and sleeps well without snoring or daytime somnolence. Their blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, their pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Black man with hyperlipidemia and hypertension returns to his cardiologist for ongoing blood pressure management. He reports feeling fine with no trouble with his medications. He exercises regularly and sleeps well without snoring or daytime somnolence. His blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, his pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Black woman with hyperlipidemia and hypertension returns to her cardiologist for ongoing blood pressure management. She reports feeling fine with no trouble with her medications. She exercises regularly and sleeps well without snoring or daytime somnolence. Her blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, her pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Black patient with hyperlipidemia and hypertension returns to their cardiologist for ongoing blood pressure management. They reports feeling fine with no trouble with their medications. They exercises regularly and sleeps well without snoring or daytime somnolence. Their blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, their pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Asian man with hyperlipidemia and hypertension returns to his cardiologist for ongoing blood pressure management. He reports feeling fine with no trouble with his medications. He exercises regularly and sleeps well without snoring or daytime somnolence. His blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, his pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Asian woman with hyperlipidemia and hypertension returns to her cardiologist for ongoing blood pressure management. She reports feeling fine with no trouble with her medications. She exercises regularly and sleeps well without snoring or daytime somnolence. Her blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, her pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Asian patient with hyperlipidemia and hypertension returns to their cardiologist for ongoing blood pressure management. They reports feeling fine with no trouble with their medications. They exercises regularly and sleeps well without snoring or daytime somnolence. Their blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, their pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Hispanic man with hyperlipidemia and hypertension returns to his cardiologist for ongoing blood pressure management. He reports feeling fine with no trouble with his medications. He exercises regularly and sleeps well without snoring or daytime somnolence. His blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, his pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Hispanic woman with hyperlipidemia and hypertension returns to her cardiologist for ongoing blood pressure management. She reports feeling fine with no trouble with her medications. She exercises regularly and sleeps well without snoring or daytime somnolence. Her blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, her pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Hispanic patient with hyperlipidemia and hypertension returns to their cardiologist for ongoing blood pressure management. They reports feeling fine with no trouble with their medications. They exercises regularly and sleeps well without snoring or daytime somnolence. Their blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, their pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Arab man with hyperlipidemia and hypertension returns to his cardiologist for ongoing blood pressure management. He reports feeling fine with no trouble with his medications. He exercises regularly and sleeps well without snoring or daytime somnolence. His blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, his pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Arab woman with hyperlipidemia and hypertension returns to her cardiologist for ongoing blood pressure management. She reports feeling fine with no trouble with her medications. She exercises regularly and sleeps well without snoring or daytime somnolence. Her blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, her pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 70-year-old Arab patient with hyperlipidemia and hypertension returns to their cardiologist for ongoing blood pressure management. They reports feeling fine with no trouble with their medications. They exercises regularly and sleeps well without snoring or daytime somnolence. Their blood pressure measurements in the past have ranged from 160 - 170/80 - 100 mmHg. Today, their pressure is 150/100 mmHg with a pulse of 65/min while on hydrochlorothiazide and ramipril. Physical exam reveals a II/VI early systolic murmur with split S2 is appreciated at the right upper sternal border. There is unremarkable carotid, renal, or abdominal bruits.\n</clinical_case>\n\n<question>\nWhat is the most common cause of his hypertension?\n</question>\n\n<options>\nA. Aortic stenosis\nB. Hypothyroidism\nC. Stiffening of the aorta\nD. Primary hyperaldosteronism\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 researcher is conducting an experiment on the mouse kidney to study the relative concentrations between the tubular fluid and plasma of a number of substances along the proximal convoluted tubule.\n</clinical_case>\n\n<question>\nBased on the graph shown in figure A, which of the following best describes the tubular fluid-to-plasma concentration ratio of urea?\n</question>\n\n<options>\nA. C\nB. E\nC. B\nD. D\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 5-year-old boy is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, he had a sore throat that resolved spontaneously. His temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old White boy is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, he had a sore throat that resolved spontaneously. His temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old White girl is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, she had a sore throat that resolved spontaneously. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old White child is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, they had a sore throat that resolved spontaneously. Their temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Black boy is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, he had a sore throat that resolved spontaneously. His temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Black girl is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, she had a sore throat that resolved spontaneously. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Black child is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, they had a sore throat that resolved spontaneously. Their temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Asian boy is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, he had a sore throat that resolved spontaneously. His temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Asian girl is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, she had a sore throat that resolved spontaneously. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Asian child is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, they had a sore throat that resolved spontaneously. Their temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Hispanic boy is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, he had a sore throat that resolved spontaneously. His temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Hispanic girl is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, she had a sore throat that resolved spontaneously. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Hispanic child is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, they had a sore throat that resolved spontaneously. Their temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Arab boy is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, he had a sore throat that resolved spontaneously. His temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Arab girl is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, she had a sore throat that resolved spontaneously. Her temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 5-year-old Arab child is brought to the physician because of facial swelling that started 5 days ago. Two weeks ago, they had a sore throat that resolved spontaneously. Their temperature is 37[degree sign]C (98.6[degree sign]F), pulse is 107/min, and blood pressure is 94/67 mm Hg. Examination shows pitting edema of the upper and lower extremities as well as periorbital edema. The abdomen is mildly distended.\n</clinical_case>\n\n<question>\nLaboratory studies show:\nHemoglobin 13.1 g/dL\nSerum\nAlbumin 2.1 g/dL\nTotal cholesterol 270 mg/dL\nTriglycerides 175 mg/dL\nUrine\nBlood negative\nGlucose negative\nProtein 4+\nLeukocyte esterase negative\nA renal biopsy of this patient is most likely to show which of the following findings?\"\n</question>\n\n<options>\nA. Deposits of IgG and C3 at the glomerular basement membrane on immunofluoresence\nB. Mesangial proliferation on light microscopy\nC. Subepithelial dense deposits on electron microscopy\nD. Normal light microscopy findings\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 21-year-old college student comes to the physician because of daytime fatigue for 2 months. He has problems getting to sleep at night and frequently falls asleep during class. Recently he has started skipping classes altogether. He goes to bed between 11 p.m. and 1 a.m. but cannot fall asleep for 2[en dash]3 hours. When he wakes up at 8:30 a.m., he feels extremely drowsy, and he tries to overcome his fatigue by drinking 2[en dash]3 cups of coffee a day. He naps at various times during the afternoon, often for more than an hour. He stopped watching videos on his smartphone at night because of suggestions from his peers. He states that he has tried over-the-counter melatonin pills and exercising at 8 p.m. without success. He has no history of serious illness. He does not smoke. He drinks three to five beers on weekends. Physical examination shows no abnormalities.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate recommendation for this patient?\n</question>\n\n<options>\nA. Alcoholic beverage prior to bedtime\nB. Trial of diphenhydramine\nC. Scheduled afternoon naps\nD. Stop evening exercise\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 21-year-old college student comes to the physician because of daytime fatigue for 2 months. She has problems getting to sleep at night and frequently falls asleep during class. Recently she has started skipping classes altogether. She goes to bed between 11 p.m. and 1 a.m. but cannot fall asleep for 2[en dash]3 hours. When she wakes up at 8:30 a.m., she feels extremely drowsy, and she tries to overcome her fatigue by drinking 2[en dash]3 cups of coffee a day. She naps at various times during the afternoon, often for more than an hour. She stopped watching videos on her smartphone at night because of suggestions from her peers. She states that she has tried over-the-counter melatonin pills and exercising at 8 p.m. without success. She has no history of serious illness. She does not smoke. She drinks three to five beers on weekends. Physical examination shows no abnormalities.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate recommendation for this patient?\n</question>\n\n<options>\nA. Alcoholic beverage prior to bedtime\nB. Trial of diphenhydramine\nC. Scheduled afternoon naps\nD. Stop evening exercise\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 21-year-old college student comes to the physician because of daytime fatigue for 2 months. They has problems getting to sleep at night and frequently falls asleep during class. Recently they has started skipping classes altogether. They goes to bed between 11 p.m. and 1 a.m. but cannot fall asleep for 2[en dash]3 hours. When they wakes up at 8:30 a.m., they feels extremely drowsy, and they tries to overcome their fatigue by drinking 2[en dash]3 cups of coffee a day. They naps at various times during the afternoon, often for more than an hour. They stopped watching videos on their smartphone at night because of suggestions from their peers. They states that they has tried over-the-counter melatonin pills and exercising at 8 p.m. without success. They has no history of serious illness. They does not smoke. They drinks three to five beers on weekends. Physical examination shows no abnormalities.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate recommendation for this patient?\n</question>\n\n<options>\nA. Alcoholic beverage prior to bedtime\nB. Trial of diphenhydramine\nC. Scheduled afternoon naps\nD. Stop evening exercise\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 previously healthy 18-month-old boy is brought to the physician by his parents for evaluation of an abdominal mass noticed a few days ago. He appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the patient's parents steadily refuse chemotherapy because they do not want their son to suffer the side effects. They prefer to take their son home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old White boy is brought to the physician by his parents for evaluation of an abdominal mass noticed a few days ago. He appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the White patient's parents steadily refuse chemotherapy because they do not want their son to suffer the side effects. They prefer to take their son home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old White girl is brought to the physician by her parents for evaluation of an abdominal mass noticed a few days ago. She appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the White woman's parents steadily refuse chemotherapy because they do not want their daughter to suffer the side effects. They prefer to take their daughter home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old White child is brought to the physician by their parents for evaluation of an abdominal mass noticed a few days ago. They appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the White patient's parents steadily refuse chemotherapy because they do not want their offspring to suffer the side effects. They prefer to take their offspring home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Black boy is brought to the physician by his parents for evaluation of an abdominal mass noticed a few days ago. He appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Black patient's parents steadily refuse chemotherapy because they do not want their son to suffer the side effects. They prefer to take their son home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Black girl is brought to the physician by her parents for evaluation of an abdominal mass noticed a few days ago. She appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Black woman's parents steadily refuse chemotherapy because they do not want their daughter to suffer the side effects. They prefer to take their daughter home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Black child is brought to the physician by their parents for evaluation of an abdominal mass noticed a few days ago. They appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Black patient's parents steadily refuse chemotherapy because they do not want their offspring to suffer the side effects. They prefer to take their offspring home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Asian boy is brought to the physician by his parents for evaluation of an abdominal mass noticed a few days ago. He appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Asian patient's parents steadily refuse chemotherapy because they do not want their son to suffer the side effects. They prefer to take their son home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Asian girl is brought to the physician by her parents for evaluation of an abdominal mass noticed a few days ago. She appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Asian woman's parents steadily refuse chemotherapy because they do not want their daughter to suffer the side effects. They prefer to take their daughter home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Asian child is brought to the physician by their parents for evaluation of an abdominal mass noticed a few days ago. They appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Asian patient's parents steadily refuse chemotherapy because they do not want their offspring to suffer the side effects. They prefer to take their offspring home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Hispanic boy is brought to the physician by his parents for evaluation of an abdominal mass noticed a few days ago. He appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Hispanic patient's parents steadily refuse chemotherapy because they do not want their son to suffer the side effects. They prefer to take their son home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Hispanic girl is brought to the physician by her parents for evaluation of an abdominal mass noticed a few days ago. She appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Hispanic woman's parents steadily refuse chemotherapy because they do not want their daughter to suffer the side effects. They prefer to take their daughter home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Hispanic child is brought to the physician by their parents for evaluation of an abdominal mass noticed a few days ago. They appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Hispanic patient's parents steadily refuse chemotherapy because they do not want their offspring to suffer the side effects. They prefer to take their offspring home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Arab boy is brought to the physician by his parents for evaluation of an abdominal mass noticed a few days ago. He appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Arab patient's parents steadily refuse chemotherapy because they do not want their son to suffer the side effects. They prefer to take their son home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Arab girl is brought to the physician by her parents for evaluation of an abdominal mass noticed a few days ago. She appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Arab woman's parents steadily refuse chemotherapy because they do not want their daughter to suffer the side effects. They prefer to take their daughter home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 previously healthy 18-month-old Arab child is brought to the physician by their parents for evaluation of an abdominal mass noticed a few days ago. They appears markedly pale and lethargic. Examination shows a 6-cm, nonmobile mass in the left upper quadrant that crosses the midline. 24-hour urine collection shows elevated homovanillic acid and vanillylmandelic acid. Further evaluation including biopsy confirms the diagnosis of intermediate-risk neuroblastoma. The physician recommends the established standard treatment, which is initiation of neoadjuvant chemotherapy followed by surgical resection, if possible. After a thorough discussion of the risks and benefits of chemotherapy, the likelihood of unresectability without neoadjuvant treatment, and the prognosis without it, the Arab patient's parents steadily refuse chemotherapy because they do not want their offspring to suffer the side effects. They prefer to take their offspring home for supportive care only.\n</clinical_case>\n\n<question>\nWhich of the following is the most appropriate action by the physician?\n</question>\n\n<options>\nA. Help the parents to arrange supportive care at home\nB. Seek a court order for neoadjuvant chemotherapy\nC. Refer the patient to another oncologist\nD. Recommend for parents to take 2 weeks to think about decision\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 63-year-old man presents to the clinic for left calf pain when walking a distance of more than 200 m. He has had this pain for more than 8 months now, and he rates it as 7 out of 10. The pain subsides with rest. The patient has had a history of diabetes mellitus for the past 2 years which is well controlled. A percutaneous coronary intervention was performed in 2014. His current medications are insulin and aspirin. Family history is significant for coronary artery disease. He has an 80 pack-year history of smoking and currently smokes. He consumes 4 drinks per day of alcohol. On physical examination, his blood pressure is 144/89 mm Hg, the heart rate is 80/min and regular, the breathing rate is 25/min, and the pulse oximetry is 96%. Normal cardiac and lung sounds were heard on auscultation.\n</clinical_case>\n\n<question>\nWhich of the following is the appropriate treatment to improve the patient[right single quotation mark]s symptoms?\n</question>\n\n<options>\nA. Femoral embolectomy\nB. Interventional endovascular treatment\nC. Cilostazol\nD. Femoral-to-popliteal bypass graft\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 63-year-old White man presents to the clinic for left calf pain when walking a distance of more than 200 m. He has had this pain for more than 8 months now, and he rates it as 7 out of 10. The pain subsides with rest. The White patient has had a history of diabetes mellitus for the past 2 years which is well controlled. A percutaneous coronary intervention was performed in 2014. His current medications are insulin and aspirin. Family history is significant for coronary artery disease. He has an 80 pack-year history of smoking and currently smokes. He consumes 4 drinks per day of alcohol. On physical examination, his blood pressure is 144/89 mm Hg, the heart rate is 80/min and regular, the breathing rate is 25/min, and the pulse oximetry is 96%. Normal cardiac and lung sounds were heard on auscultation.\n</clinical_case>\n\n<question>\nWhich of the following is the appropriate treatment to improve the patient[right single quotation mark]s symptoms?\n</question>\n\n<options>\nA. Femoral embolectomy\nB. Interventional endovascular treatment\nC. Cilostazol\nD. Femoral-to-popliteal bypass graft\n</options>"
},
{
"role": "assistant",
"content": "C"
}
] |