id stringlengths 4 6 | media images listlengths 1 1 | messages stringlengths 150 3.65k | answer stringclasses 4
values | question_type stringclasses 1
value | split_col stringclasses 1
value | source_id stringlengths 1 3 |
|---|---|---|---|---|---|---|
93_q7 | [{"role": "user", "question": "Question associated with image 16. A 40-year-old diabetic and hypertensive man presents with erythematous scaly lesions on the palms and soles ranging from 0.5 to 2 cm, asymptomatic, for the past 3 months. He has no other lesions at the current time. Given this clinical picture, which of ... | D | mcq | test | 93 | |
93_q8 | [{"role": "user", "question": "Pregunta asociada a la imagen 16. Varón de 40 años diabético e hipertenso que acude por presentar desde hace 3 meses lesiones eritematosas descamativas en las palmas y las plantas de entre 0,5 y 2 cm, asintomáticas. No tiene otras lesiones en el momento actual. ¿Ante este cuadro clínico,... | D | mcq | test | 93 | |
94_q1 | [{"role": "user", "question": "A 55-year-old man, one hour after the insertion of a stent to the LAD, complains of shortness of breath. On examination: blood pressure 80/40 mmHg, pulse 100 regular, and jugular vein distention. The ECG is in image 16. What is the most diagnostic test?", "hint": "", "options": {"A": "Rep... | B | mcq | test | 94 | |
94_q2 | [{"role": "user", "question": "בן ,55 שעה לאחר הכנסת סטנט ל- LAD, מתלונן על קוצר נשימה ובבדיקה: לחץ דם 80/40 ממ״כ, דופק 100 סדיר וגודש בוורידי הצוואר. תרשים האק״ג בתמונה .16 מה הבדיקה האבחנתית ביותר?", "hint": "", "options": {"A": "צנתור כלילי חוזר ", "B": "אקוקרדיוגרפיה", "C": "CTA של הריאות", "D": "החדרת Ganz-Swan"},... | B | mcq | test | 94 | |
94_q3 | [{"role": "user", "question": "Question associated with image 17. A 65-year-old woman consults because over the past two years she has noticed hair loss along the anterior hairline (temporal and frontal), along with complete loss of her eyebrows. On examination of the cheeks and chin, small skin-colored papules are obs... | C | mcq | test | 94 | |
94_q4 | [{"role": "user", "question": "Pregunta asociada a la imagen 17. Mujer de 65 años que consulta porque en los últimos dos años ha ido notando pérdida del cabello en la línea anterior de implantación del cuero cabelludo (temporal y frontal), junto a la pérdida completa de las cejas. En la exploración de las mejillas y el... | C | mcq | test | 94 | |
95_q1 | [{"role": "user", "question": "A 55-year-old man, smoker with hypertension. Arrives at the emergency room with severe chest pain radiating to the back. On examination, he is significantly restless, blood pressure 185/130 mmHg, pulse 95, oxygen saturation 95% in room air. ECG and chest X-ray as shown in figure 17. What ... | C | mcq | test | 95 | |
95_q2 | [{"role": "user", "question": "בן ,55 מעשן עם יתר ל\"ד. מגיע לחדר ה מיון עם כאבים עזים בחזה קורנים לגב. בבדיקה נמצא באי-שקט ניכר, ל\"ד 185/130 ממ\"כ, דופק ,95 סטורציה 95% באוויר חדר. תרשים אק ״ג וצילום החזה בתמונה .17 מה הטיפול הראשוני?", "hint": "", "options": {"A": "IV Isosorbide dinitrate", "B": "IV Phentolamine", "... | C | mcq | test | 95 | |
95_q3 | [{"role": "user", "question": "Question associated with image 18. A 66-year-old male, smoker, diagnosed with squamous cell lung carcinoma by biopsy of a 1 cm pulmonary nodule. A staging study with PET-CT is performed after the administration of 18F-FDG, with images shown in maximum intensity projection (MIP), axial cut... | B | mcq | test | 95 | |
95_q4 | [{"role": "user", "question": "Pregunta asociada a la imagen 18. Varón de 66 años, fumador, que es diagnosticado de carcinoma epidermoide de pulmón por biopsia de un nódulo pulmonar de 1 cm. Se realiza estudio de extensión con PET-TC tras la admi- nistración de 18F-FDG cuyas imágenes se muestran en proyección de inten... | B | mcq | test | 95 | |
96_q1 | [{"role": "user", "question": "40-year-old male with a background of smoking approximately 5 pack-years. What disease does the spirometry in image 18 correspond to?", "hint": "", "options": {"A": "Bronchial asthma", "B": "Chronic Obstructive Pulmonary Disease", "C": "Idiopathic pulmonary fibrosis", "D": "Pulmonary hype... | A | mcq | test | 96 | |
96_q2 | [{"role": "user", "question": "בן ,40 ברקע עישון של כ 5- שנות חפיסה. לאיז ו מחלה מתאימה הספירומטריה שבתמונה 18?", "hint": "", "options": {"A": "Bronchial asthma", "B": "Chronic Obstructive Pulmonary Disease", "C": "Idiopathic pulmonary fibrosis", "D": "Pulmonary hypertension"}, "choices": []}] | A | mcq | test | 96 | |
96_q3 | [{"role": "user", "question": "A 42-year-old male. He was injured in a factory explosion and was rushed to the hospital due to severe difficulty breathing. History of current illness: Injured in an explosion at a factory and brought in by ambulance. His lower right leg was caught in the fallen equipment. He was rescued... | D | mcq | test | 96 | |
96_q4 | [{"role": "user", "question": "42 歳の男性。工場の爆発事故で受傷し、強い息苦しさのため救急車で搬入された。現病歴：工場で爆発事故が発生して受傷し、救急車で搬入された。崩落した機器に右下肢が挟まれた。受傷から1時間で救出され、病院に到着した。既往歴：生来健康であった。生活歴：喫煙は40 本/日を22 年間。飲酒は日本酒2合/日を22 年間。家族歴：父親が高血圧症で治療中である。現症：意識レベルはJCSⅡ-10。身長174 cm、体重78 kg。体温37.2 °C。心拍数136/分、整。血圧80/60 mmHg。呼吸数32/分。SpO2 94 %（リザーバー付マスク10 L/分酸素投与下）。頭髪と鼻毛は... | D | mcq | test | 96 | |
96_q5 | [{"role": "user", "question": "Question associated with image 19. A 13-year-old male is being studied for a painful tumor on the left side. A chest CT confirms a lesion on the anterior arch of the 5th left rib with a soft tissue mass and radiological signs of aggressiveness. The blood work does not show significant alt... | D | mcq | test | 96 | |
96_q6 | [{"role": "user", "question": "Pregunta asociada a la imagen 19. Varón de 13 años en estudio por tumoración dolorosa en costado izquierdo. En la TC de tórax se confirma una lesión en el arco anterior de la 5ª costilla izquierda con masa de partes blandas y datos radiológicos de agresividad. La analítica no muestra alte... | D | mcq | test | 96 | |
97_q1 | [{"role": "user", "question": "What is most likely to be found on the physical examination of a patient with the ECG tracing in image 19?", "hint": "", "options": {"A": "Giant A waves", "B": "Mid systolic click", "C": "Mid systolic murmur", "D": "Holosystolic murmur"}, "choices": []}] | C | mcq | test | 97 | |
97_q2 | [{"role": "user", "question": "מה ימצא בסבירות הגבוהה ביותר בבדיקה גופנית של חולה עם תרשים האק״ג בתמונה 19?", "hint": "", "options": {"A": "Giant A waves", "B": "Mid systolic click", "C": "Mid systolic murmur", "D": "Holosystolic murmur"}, "choices": []}] | C | mcq | test | 97 | |
97_q3 | [{"role": "user", "question": "Associated question to image 20. A 50-year-old woman with a history of breast cancer, currently disease-free, reports headache and progressively worsening visual disturbances, unresponsive to analgesic treatment. The shown MRI is performed. What is the most likely diagnosis?", "hint": "",... | B | mcq | test | 97 | |
97_q4 | [{"role": "user", "question": "Pregunta asociada a la imagen 20. Mujer de 50 años con antecedentes de cáncer de mama libre de enfermedad, que refiere cefalea y alteraciones visuales de instauración progresiva, sin respuesta al tratamiento analgésico. Se le realiza la resonancia magnética que se muestra. ¿Cuál es el dia... | B | mcq | test | 97 | |
98_q1 | [{"role": "user", "question": "62-year-old female referred for evaluation of normocytic anemia, hemoglobin 9.5 g/dL, with the rest of the blood count and iron levels normal. Chemistry tests and blood proteins are normal. Blood protein electrophoresis shows no monoclonal band. Bone marrow in the picture. What is correct... | B | mcq | test | 98 | |
98_q2 | [{"role": "user", "question": "בת ,62 מופנית לבירור אנמיה נורמוציטית, המוגלובין 9.5 גר׳/ד״ל, כששאר הספירה תקינה ומדדי ברזל תקינים. בדיקות הכימיה וחלבוני הדם תקינות. אלקטרופורזיס של חלבוני הדם ללא מקטע מונוקלונלי. מח עצם בתמונה .20 מה נכון לגבי הטיפול האפשרי בחולה?", "hint": "", "options": {"A": "טיפ ול ב- Daratumumab י... | B | mcq | test | 98 | |
98_q3 | [{"role": "user", "question": "Question associated with image 21. A 26-year-old woman has been experiencing pain in the right iliac fossa for the past 6 days. Palpation is painful in that area. The blood test shows 17,000 leukocytes, with 88% neutrophils. The abdominal CT scan is shown. Which of the following is the mo... | B | mcq | test | 98 | |
98_q4 | [{"role": "user", "question": "Pregunta asociada a la imagen 21. Mujer de 26 años que desde hace 6 días presenta dolor en fosa iliaca derecha. La palpación es dolorosa en esa zona. La analítica muestra 17.000 leucocitos, con neutrófilos 88 %. Se muestra la TC de abdomen. ¿De los siguientes cuál es el diagnóstico más pr... | B | mcq | test | 98 | |
99_q1 | [{"role": "user", "question": "What can be found in the ECG chart that characterizes the echocardiographic finding in image 21?", "hint": "", "options": {"A": "Electrical alternans", "B": "Deep S waves in leads V1-V4", "C": "Signs of LVH", "D": "ST elevation in the inferior wall"}, "choices": []}] | A | mcq | test | 99 | |
99_q2 | [{"role": "user", "question": "מה יכול להימצא בתרשים האק״ג, שמאפיין את הממצא האקוקרדיוגרפי בתמונה 21? ", "hint": "", "options": {"A": "Electrical alternans", "B": "גלי S עמוקים ב- 1-4V", "C": " סימני LVH", "D": "עלית מקטעי ST בקיר תחתון"}, "choices": []}] | A | mcq | test | 99 | |
99_q3 | [{"role": "user", "question": "Associated question to image 22. A 75-year-old male with intermittent abdominal pain, dyspepsia, and weight loss. A contrast-enhanced abdominal CT scan is performed, from which an image is shown. In addition to the incidental observation of a left renal cyst, which of the following findin... | D | mcq | test | 99 | |
99_q4 | [{"role": "user", "question": "Pregunta asociada a la imagen 22. Varón de 75 años con dolor abdominal intermitente, dispepsia y pérdida de peso. Se realiza TC abdominal con contraste de la que se muestra una imagen. Además de la observación casual de un quiste renal izquierdo ¿cuál de los siguientes hallazgo se encuent... | D | mcq | test | 99 | |
9_q1 | [{"role": "user", "question": "A male patient, 55 years old, smoker 60 packs/year, with a chronic cough for more than 10 years, reports that about three months ago he observed the presence of blood in the secretion eliminated by coughing. She also reports loss of around 15% of her usual weight in the same period, anore... | B | mcq | test | 9 | |
9_q2 | [{"role": "user", "question": "Um paciente do sexo masculino, 55 anos de idade, tabagista 60 maços/ano, com tosse crônica há mais de 10 anos, relata que há cerca de três meses observou a presença de sangue na secreção eliminada com a tosse. Refere ainda perda de cerca de 15% do peso habitual nesse mesmo período, anorex... | B | mcq | test | 9 | |
9_q3 | [{"role": "user", "question": "A 65 -year-old male with a history of mitral valve replacement is currently hospitalized due to endocarditis and growth of Streptococcus anginosus in the blood. Despite treatment with Penicillin according to appropriate sensitivity and MIC, he still has a fever after several days. The ECG... | B | mcq | test | 9 | |
9_q4 | [{"role": "user", "question": "בן ,65 ברקע החלפת מסתם מיטראלי, מאושפז כעת בשל אנדוקרדיטיס וצמיחה של Streptococcus anginosus בדם. למרות טיפול ב- Penicillin לפי רגישות ו-MIC מתאימים, עדיין חום לאחר מספר ימים. האק\"ג מוצג בתמונה .10 מה יש לעשות כעת?", "hint": "", "options": {"A": "להמשיך טיפול במינון גבוה יותר של Penicill... | B | mcq | test | 9 | |
9_q5 | [{"role": "user", "question": "A 72-year-old female. Although the patient was examined for thrombocytopenia at a medical institution near her home, she was admitted to the hospital due to the appearance of psychiatric symptoms. When she visited a medical institution near her home with cold-like symptoms, her platelet c... | C | mcq | test | 9 | |
9_q6 | [{"role": "user", "question": "72 歳の女性。血小板減少の精査を自宅近くの医療機関で行っていたが、精神症状が出現したため入院となった。感冒様症状で自宅近くの医療機関を受診したとこ ろ血小板 5.6 万と減少を認めた。翌日からつじつまの合わない言動が出現したため 入 院 と な っ た。意 識 レ ベ ル は JCS I-2。体 温 37.9 °C。脈 拍 76/分、整。血 圧 156/96 mmHg。眼瞼結膜は貧血様で、眼球結膜に軽度黄染を認める。胸骨右縁第2肋間を最強点とする Levine 2/6 の収縮期駆出性雑音を聴取する。呼吸音に異常 を認めない。腹部の診察で異常を認めない。尿所見:蛋白2+、... | C | mcq | test | 9 | |
9_q7 | [{"role": "user", "question": "Question related to image no. 9: A 39-year-old woman consults for genital bleeding for the past 24 hours. Her last period was 7 weeks ago. She has no pain, although she has had persistent nausea and vomiting for the past 4 days. The gynecological examination shows scant bleeding from the ... | C | mcq | test | 9 | |
9_q8 | [{"role": "user", "question": "Pregunta vinculada a la imagen nº9 Mujer de 39 años que consulta por hemorragia genital desde hace 24 horas. Su última regla fue hace 7 semanas. No tiene dolor, aunque presenta náuseas y vómitos persistentes desde hace 4 días. La exploración ginecológica muestra sangrado escaso procedente... | C | mcq | test | 9 |
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