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237_144,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Après', 'un', 'accident', 'de', 'la', 'route,', 'un', 'patient', 'de', '38', 'ans', 'est', 'admis', 'en', 'réanimation', 'dans', 'le', 'coma.'], ['Après', 'plusieurs', 'jours,', ""l'état"", 'neurologique', 'du', 'patient', 'ne', ""s'est"", 'pas', 'amélioré', 'et', 'le', 'scanner', 'a', 'montré', 'des', 'lésions', 'hémorragiques', 'ponctuelles', 'dans', 'le', 'corps', 'calleux', 'et', 'la', 'jonction', 'cortico-sous-corticale.'], ['Quel', 'est', 'votre', 'diagnostic', '?'], ['1-', 'Hématome', 'sous-dural', 'aigu.'], ['2-', 'Purpura', 'trobocytopénique.'], ['3-', 'Contusion', 'hémorragique', 'cérébrale.'], ['4-', 'Lésions', 'axonales', 'diffuses', 'sévères.'], ['5-', 'Encéphalopathie', 'hypoxique', 'ischémique.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Les', 'lésions', 'axonales', 'diffuses', 'provoquent', 'une', 'détérioration', 'précoce', 'et', 'durable', 'du', 'niveau', 'de', 'conscience', '(comme', 'mentionné', 'dans', ""l'exposé"", 'du', 'cas)', 'sans', 'lésion', 'tomodensitométrique', 'sous-jacente.'], ['Parfois,', 'des', 'hémorragies', 'ponctuelles', 'au', 'niveau', 'du', 'corps', 'calleux,', 'de', 'la', 'jonction', 'cortico-sous-corticale', 'et', 'de', 'la', 'partie', 'dorsolatérale', 'du', 'tronc', 'cérébral', 'sont', 'mises', 'en', 'évidence', 'par', 'cet', 'examen', ""d'imagerie.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
620_121,,
396_136,,
253_86,"[['QUESTION', 'TYPE:', 'TUBE', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '37', 'ans', 'souffrant', ""d'une"", 'colite', 'ulcéreuse', 'étendue', 'a', 'présenté', 'une', 'poussée', 'sévère', 'et', 'a', 'été', 'mise', 'sous', 'traitement', 'de', 'prednisone', 'à', 'la', 'dose', 'de', '1', 'mg/kg.'], ['Après', 'une', 'semaine', 'de', 'traitement,', 'le', 'patient', 'ne', 'présente', 'aucune', 'amélioration.'], ['Quelle', 'est', 'la', 'prochaine', 'mesure', 'thérapeutique', 'à', 'prendre', '?'], ['1-', 'Colectomie', 'subtotale', 'en', 'urgence,', 'suivie', ""d'une"", 'prostectomie', 'et', ""d'un"", 'réservoir', 'iléoanal.'], ['2-', 'Associer', 'un', 'immunosuppresseur', 'tel', 'que', ""l'azathioprine.""], ['3-', 'Associer', 'la', 'mésalazine', 'à', 'la', 'dose', 'de', '4g', 'par', 'jour', 'par', 'voie', 'orale', 'et', 'la', 'triamcinolone', 'par', 'voie', 'rectale', '1', 'application', 'toutes', 'les', '12', 'heures.'], ['4-', 'Ciclosporine', 'intraveineuse', '2mg/kg.'], ['5-', 'Un', 'traitement', 'à', ""l'étanercept"", '(un', 'anticorps', 'anti-TNFa)', 'doit', 'être', 'envisagé.'], ['BONNE', 'RÉPONSE', ':', '4'], [""Lorsqu'une"", 'poussée', 'sévère', 'ne', 'répond', 'pas', 'aux', 'corticostéroïdes', 'iv', 'à', 'pleine', 'dose', '(1mg/kg', 'de', 'poids', 'corporel),', 'il', 'faut', 'passer', 'à', 'la', 'ciclosporine', 'ou', 'à', ""l'infliximab.""], [""L'étanercept"", ""n'est"", 'pas', 'autorisé', 'en', 'Europe', 'pour', 'les', 'maladies', 'inflammatoires', 'de', ""l'intestin"", '(pour', 'le', 'moment).']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
224_63,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE'], ['CLINICAL', 'CASE:'], ['Patient', 'de', '52', 'ans', 'souffrant', ""d'une"", 'dyspnée', ""d'effort"", 'moyenne', 'depuis', '6', 'mois.'], ['Pas', ""d'angine"", 'de', 'poitrine', 'ni', 'de', 'syncope.'], [""L'examen"", 'physique', 'et', 'les', 'tests', 'diagnostiques', 'révèlent', 'un', 'gradient', 'aortique', 'transvalvulaire', 'moyen', 'de', '55', 'mmHg', 'et', 'une', 'surface', 'calculée', 'de', '0,7', 'cm².'], ['Fraction', ""d'éjection"", 'de', '65%.'], ['Le', 'traitement', 'qui', 'devrait', 'être', 'indiqué', 'pour', 'ce', 'patient', 'est', 'le', 'suivant', ':'], ['1-', 'Diurétiques', 'et', 'contrôles', 'plus', 'fréquents', 'par', 'un', 'spécialiste.'], ['2-', 'En', 'cas', 'de', 'dyspnée', 'croissante', 'à', ""l'effort,"", 'une', 'dilatation', 'percutanée', 'de', 'la', 'valve', 'aortique', 'à', ""l'aide"", ""d'un"", 'cathéter', 'à', 'ballonnet', 'doit', 'être', 'réalisée.'], ['3-', 'Remplacement', 'de', 'la', 'valve', 'aortique', 'par', 'une', 'prothèse/bioprothèse.'], ['4-', 'Remplacement', 'de', 'la', 'valve', 'aortique', 'par', 'une', 'homogreffe.'], ['5-', 'Implantation', ""d'une"", 'valve', 'par', 'voie', 'percutanée.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Un', 'peu', 'aortique.'], ['Ils', 'me', 'donnent', 'un', 'gradient', 'qui,', 'sans', 'connaître', 'les', 'valeurs,', 'semble', 'un', 'peu', 'élevé', '(55', 'mmHg', '!)', 'et', 'la', 'zone,', 'qui', 'semble', 'minuscule', 'à', ""l'œil"", 'nu', ':', 'ce', 'sera', 'une', 'sténose', 'aortique...', 'Et', 'il', 'a', 'une', 'dyspnée.'], ['Sténose', 'aortique', 'symptomatique,', ""l'examinateur"", 'voudra-t-il', 'que', 'je', 'vous', 'envoie', 'en', 'chirurgie', '?'], ['Selon', 'les', 'guidelines,', 'il', ""s'agit"", ""d'une"", 'sténose', 'sévère', 'à', 'la', 'fois', 'en', 'termes', 'de', 'surface', '(<1', 'cm²)', 'et', 'de', 'gradient', 'moyen', '(>40', 'mmHg),', 'avec', 'une', 'fraction', ""d'éjection"", 'préservée,', 'et', 'symptomatique.'], ['Indication', 'chirurgicale.'], ['Si', 'nous', 'faisons', '1,', 'nous', 'réduisons', ""l'espérance"", 'de', 'vie,', 'car', 'nous', 'permettons', 'au', 'ventricule', 'de', ""s'effondrer.""], ['2', 'est', 'dépassé', ':', 'valvuloplastie', 'par', 'ballonnet', '?'], ['Ce', ""n'est"", 'que', 'si', 'le', 'risque', 'chirurgical', 'est', 'inabordable,', 'auquel', 'cas', 'nous', 'procéderions', 'à', 'une', 'implantation', 'TAVI', '(voir', '[1]).'], ['Mais', 'il', ""s'agit"", ""d'un"", 'homme', 'de', '52', 'ans,', 'dont', 'on', 'suppose', ""qu'il"", 'a', 'une', 'bonne', 'musculature', ""puisqu'il"", 'marche', 'à', 'cause', 'de', 'son', 'essoufflement.'], ['La', 'salle', ""d'opération.""], ['Un', 'homogreffe?'], [""C'est"", 'la', 'technique', 'de', 'Ross,', 'je', 'prends', 'le', 'pulmonaire', 'et', 'je', 'le', 'mets', 'à', 'la', 'place', 'de', ""l'aortique.""], ['Mais', 'elle', 'est', 'rare,', 'complexe', 'et', ""n'est"", 'pratiquée', ""qu'en"", 'pédiatrie.'], ['La', 'bonne', 'chose', 'à', 'faire', 'est', '3,', 'sans', 'aucun', 'doute', ':', 'remplacer', 'par', 'une', 'prothèse,', 'de', 'préférence', 'mécanique,', 'sauf', 'si', 'le', 'patient', 'présente', 'une', 'contre-indication', 'à', ""l'anticoagulation.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
430_115,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES', 'ET', 'MICROBIOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '65', 'ans,', 'ayant', 'subi', 'une', 'transplantation', 'de', 'précurseurs', 'hématopoïétiques', 'il', 'y', 'a', '30', 'jours', 'et', 'présentant', 'une', 'neutropénie', 'sévère.'], ['Il', 'a', 'commencé', 'par', 'une', 'toux', 'et', 'une', 'expectoration', 'hémoptotique,', 'ainsi', 'que', 'de', 'la', 'fièvre', 'et', 'une', 'dyspnée', 'à', ""l'effort"", 'modérée', 'qui', 'ne', 'se', 'sont', 'pas', 'améliorées', 'malgré', 'cinq', 'jours', 'de', 'traitement', 'à', ""l'amoxicilline-acide"", 'clavulanique', '(875/125', 'mg/8', 'h)', 'et', 'à', 'la', 'lévofloxacine', '(500', 'mg/12', 'h).'], ['La', 'radiographie', 'du', 'thorax', 'montre', 'de', 'multiples', 'nodules', 'pulmonaires', 'mal', 'définis,', 'dont', 'certains', 'sont', 'cavités.'], ['Lequel', 'des', 'diagnostics', 'suivants', 'est', 'le', 'plus', 'probable', '?'], ['1-', 'Embolies', 'septiques.'], ['2-', ""L'aspergillose"", 'pulmonaire', 'invasive.'], ['3-', 'La', 'pneumonie', 'à', 'Staphylococcus', 'aureus.'], ['4-', 'Candidose', 'systémique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Patient', 'au', '30ème', 'jour', 'post-transplantation', 'de', 'précurseurs', 'hématopoïétiques,', 'en', 'neutropénie', 'sévère,', 'présentant', 'une', 'toux', 'avec', 'expectoration', 'hémoptotique.'], ['Ce', 'phénomène', 'est', 'généralement', 'observé', 'en', 'cas', ""d'infection"", 'par', 'Aspergillus', 'spp.'], ['Nous', 'pouvons', 'exclure', 'une', 'infection', 'à', 'Staphylococcus', 'aureus', 'en', 'raison', 'du', 'traitement', 'précédent,', 'bien', 'que', 'nous', 'ne', 'sachions', 'pas', 'si', 'la', 'réponse', 'soulève', 'également', 'la', 'possibilité', ""d'un"", 'SARM.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
588_63,,
11_74,"[['QUESTION', 'TYPE:', 'CHIRURGIE'], ['CLINICAL', 'CASE:'], ['Dix', 'jours', 'après', 'avoir', 'pratiqué', 'une', 'hémithyroïdectomie', 'sur', 'un', 'patient', 'présentant', 'un', 'nodule', 'thyroïdien', 'de', '1,5', 'cm,', 'il', 'reçoit', 'le', 'rapport', ""d'anatomopathologie"", 'suivant', ':', '""modèle', 'folliculaire', 'très', 'cellulaire', 'sans', 'invasion', 'capsulaire', 'et', 'infiltrant', 'les', 'vaisseaux', 'sanguins', 'et', 'les', 'nerfs', 'adjacents"".'], ['Veuillez', 'cocher', 'la', 'bonne', 'réponse', ':'], ['1-', 'Comme', 'il', ""n'y"", 'a', 'pas', ""d'invasion"", 'capsulaire,', 'aucune', 'autre', 'intervention', 'chirurgicale', ""n'est"", 'nécessaire.'], ['2-', 'La', 'forme', 'folliculaire', 'est', 'une', 'indication', 'pour', 'un', 'curage', 'prophylactique', 'des', 'ganglions', 'lymphatiques', 'du', 'col', 'de', ""l'utérus.""], ['3-', 'Il', ""s'agit"", ""d'un"", 'carcinome', 'folliculaire', 'qui', 'nécessite', 'une', 'thyroïdectomie', 'complète.'], ['4-', 'Le', 'bilan', 'permet', ""d'éliminer"", 'avec', 'certitude', 'un', 'carcinome', 'papillaire', 'dans', 'le', 'reliquat', 'thyroïdien.'], ['5-', 'La', 'mesure', 'de', 'la', 'calcitonine', 'plasmatique', 'permet', 'de', 'distinguer', 'le', 'carcinome', 'papillaire', 'du', 'carcinome', 'folliculaire.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Je', 'pense', 'que', 'la', 'bonne', 'réponse', 'est', '3,', 'les', 'réponses', '2,', '4', 'et', '5', 'sont', 'clairement', 'fausses.'], ['Le', 'doute', 'se', 'pose', 'entre', 'les', 'points', '1', 'et', '2.'], [""L'affirmation"", '1', 'est', 'correcte', ':', 'en', 'cas', 'de', 'carcinome', 'folliculaire', 'sans', 'invasion', 'capsulaire,', 'une', 'thyroïdectomie', 'totale', 'peut', 'être', 'pratiquée.'], ['Mais', ""s'il"", 'existe', 'des', 'signes', 'de', 'mauvais', 'pronostic', 'et', 'la', 'possibilité', 'de', 'métastases', '-', 'comme', 'dans', 'ce', 'cas', '-', 'il', 'est', 'préférable', 'de', 'terminer', 'la', 'thyroïdectomie', 'et', ""d'effectuer"", 'un', 'contrôle', 'à', ""l'iode"", 'radioactif', 'pour', 'exclure', 'les', 'métastases', 'ou', 'les', 'traiter', 'si', 'elles', 'sont', 'présentes.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
535_121,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'noire', 'de', '27', 'ans', 'consulte', 'pour', ""l'apparition"", ""d'œdèmes"", 'des', 'membres', 'inférieurs,', 'une', 'diminution', 'de', 'la', 'diurèse,', 'de', 'la', 'fièvre', 'et', 'une', 'éruption', 'malaire', 'en', 'forme', ""d'ailes"", 'de', 'papillon', 'présente', 'depuis', '20', 'jours.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'révélé', 'une', 'créatinine', 'de', '3', 'mg/dl,', 'une', 'leucopénie,', 'une', 'hémoglobine', 'de', '10,5', 'g/dl', '(normochrome', 'normocytaire),', 'une', 'CRP', 'de', '9', 'mg/dl', 'et', 'une', 'ESR', 'de', '60', 'mm.'], ['En', 'ce', 'qui', 'concerne', 'la', 'pathologie', 'présentée', 'par', 'ce', 'patient,', 'cochez', 'la', 'bonne', 'réponse', ':'], ['1-', 'Les', 'médicaments', 'anti-Sm', 'ne', 'sont', 'pas', 'spécifiques', 'à', 'cette', 'pathologie.'], ['2-', 'Les', 'anticorps', 'anti-centromères', 'sont', 'détectés', 'dans', '90%', 'des', 'cas.'], ['3-', 'Les', 'ANA', '(anticorps', 'antinucléaires)', 'sont', 'détectés', 'dans', '50%', 'des', 'cas.'], ['4-', ""L'anti-DNA"", 'bicaténaire', 'ou', 'natif', 'est', 'corrélé', 'au', 'risque', 'de', 'néphrite.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Une', 'autre', 'question', 'sur', 'les', 'anticorps', 'du', 'LED.'], ['Cas', 'clinique', 'de', 'LED', 'avec', 'atteinte', 'rénale,', 'dans', 'lequel', 'un', 'anti-DNA', 'double', 'brin', 'positif', 'augmente', 'le', 'risque', 'de', 'néphrite.'], ['Pour', 'le', 'reste,', ""l'anti-Sm"", 'est', 'spécifique', 'du', 'LED,', ""l'ANA"", 'est', 'détecté', 'dans', 'plus', 'de', '90', '%', 'des', 'cas', 'et', ""l'anti-centromère"", 'est', 'typique', 'de', 'la', 'sclérodermie.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
452_149,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'une', 'femme', 'victime', ""d'une"", 'crise', ""d'épilepsie"", 'présentant', 'les', 'caractéristiques', 'cliniques', 'suivantes', ':', 'aura', 'épigastrique,', 'odeur', 'désagréable,', 'déconnexion', 'de', ""l'environnement,"", 'automatismes', 'moteurs', '(succion,', 'déglutition,', 'ouverture', 'et', 'fermeture', ""d'une"", 'main)', 'et', 'amnésie', 'postcritique,', 'quelle', 'est', 'votre', 'suspicion', 'diagnostique', '?'], ['1-', 'Crise', 'généralisée', 'non', 'convulsive', 'ou', 'absence', 'typique.'], ['2-', ""L'épilepsie"", 'partielle', 'continue.'], ['3-', 'Crise', 'amyotonique.'], ['4-', 'Crise', 'partielle', 'complexe', 'du', 'lobe', 'temporal.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', 'est', 'clair', 'que', 'la', 'réponse', 'est', '4,', 'avec', 'une', 'clinique', 'très', 'caractéristique', 'de', 'crises', 'temporaires.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
55_74,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Dix', 'jours', 'après', 'avoir', 'pratiqué', 'une', 'hémithyroïdectomie', 'sur', 'un', 'patient', 'présentant', 'un', 'nodule', 'thyroïdien', 'de', '1,5', 'cm,', 'elle', 'reçoit', 'du', 'pathologiste', 'le', 'rapport', 'définitif', 'suivant', ':', '""modèle', 'folliculaire', 'très', 'cellulaire', 'sans', 'invasion', 'capsulaire', 'envahissant', 'les', 'vaisseaux', 'sanguins', 'et', 'les', 'nerfs', 'adjacents"".'], ['Veuillez', 'cocher', 'la', 'bonne', 'réponse', ':'], ['1-', 'Comme', 'il', ""n'y"", 'a', 'pas', ""d'invasion"", 'capsulaire,', 'il', ""n'est"", 'pas', 'souhaitable', 'de', 'procéder', 'à', 'une', 'nouvelle', 'intervention', 'chirurgicale.'], ['2-', 'La', 'forme', 'folliculaire', 'est', 'une', 'indication', 'pour', 'un', 'curage', 'prophylactique', 'des', 'ganglions', 'lymphatiques', 'du', 'col', 'de', ""l'utérus.""], ['3-', 'Il', ""s'agit"", ""d'un"", 'carcinome', 'folliculaire', 'qui', 'nécessite', 'une', 'thyroïdectomie', 'complète.'], ['4-', 'Le', 'bilan', 'permet', ""d'éliminer"", 'avec', 'certitude', 'un', 'carcinome', 'papillaire', 'dans', 'le', 'thyroïde', 'restante.'], ['5-', 'Le', 'dosage', 'de', 'la', 'calcitonine', 'plasmatique', 'permettra', 'de', 'différencier', 'le', 'carcinome', 'papillaire', 'du', 'carcinome', 'folliculaire.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Je', 'trouve', 'que', ""c'est"", 'une', 'question', 'un', 'peu', 'plus', 'difficile', 'car', 'vous', 'devez', 'avoir', 'une', 'compréhension', 'claire', 'de', ""l'anatomie"", 'pathologique.'], ['Cependant,', 'par', 'exclusion', 'et', 'par', 'la', 'façon', 'dont', 'les', 'réponses', 'sont', 'exprimées', ':', 'Réponse', '2', ':', 'La', 'vidange', 'prophylactique', 'est', 'indiquée', 'dans', 'la', 'médullaire.'], ['Réponse', '4', ':', 'par', 'sa', 'simple', 'formulation,', 'il', 'aurait', 'dû', 'être', 'écarté.'], ['Réponse', '5', ':', 'Vous', 'savez', 'que', 'la', 'calcitonine', 'est', 'utilisée', 'dans', 'le', 'carcinome', 'médullaire', 'et', 'non', 'dans', 'le', 'carcinome', 'différencié.'], ['Les', 'réponses', '1', 'et', '3', 'sont', 'opposées,', ""l'une"", 'recommandant', ""l'achèvement"", 'de', 'la', 'thyroïdectomie', 'et', ""l'autre"", 'non.'], ['Les', 'seuls', 'pour', 'lesquels', 'une', 'thyroïdectomie', 'complète', ""n'est"", 'pas', 'recommandée', 'sont', 'les', 'microcarcinomes', 'mesurant', 'moins', 'de', '1', 'cm.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
281_33,"[['QUESTION', 'TYPE:', 'ANATOMIE', 'PATHOLOGIQUE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '67', 'ans', 'à', 'qui', ""l'on"", 'a', 'diagnostiqué', 'un', 'carcinome', 'canalaire', 'infiltrant', 'du', 'sein', 'sans', 'antécédents', 'familiaux', 'de', 'néoplasie.'], ['Quelles', 'sont', 'les', 'études', 'complémentaires', 'à', 'réaliser', 'sur', 'la', 'tumeur', 'en', 'raison', 'de', 'ses', 'implications', 'clinico-thérapeutiques', '?'], ['1-', 'Etude', 'phénotypique', 'complète', 'par', 'cytométrie', 'de', 'flux.'], ['2-', 'Etude', 'des', 'récepteurs', 'hormonaux', 'et', 'HER2.'], ['3-', 'Etude', 'des', 'récepteurs', 'hormonaux,', 'de', ""l'e-cadhérine"", 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['4-', 'Etude', 'de', 'BRCA', '1-2', 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'bonne', 'réponse', 'est', '2,', 'HER2', 'AND', 'HORMONE', 'RECEPTOR', 'STUDY,', 'car', 'des', 'récepteurs', 'HER2', 'positifs', 'impliquent', 'une', 'agressivité', 'accrue', 'de', 'la', 'tumeur,', 'mais', 'un', 'traitement', 'au', 'trastuzumab', 'et', 'des', 'récepteurs', 'hormonaux', 'positifs', 'impliquent', ""l'utilisation"", ""d'une"", 'thérapie', 'hormonale.'], ['La', 'réponse', '1', 'peut', 'être', 'exclue', 'visu', 'visu,', 'tandis', 'que', 'les', 'réponses', '3', 'et', '4', 'devraient', 'être', 'exclues', 'car,', 'comme', 'il', ""s'agit"", 'de', 'la', 'première', 'femme', 'de', 'la', 'famille', 'atteinte', ""d'un"", 'carcinome', 'mammaire,', 'une', 'étude', 'des', 'parents', 'de', 'la', 'patiente', 'ne', 'serait', 'pas', 'obligatoire.'], ['De', 'même,', 'la', 'e-cadhérine', 'est', 'importante', 'pour', 'le', 'diagnostic', 'différentiel', 'du', 'carcinome', 'lobulaire', 'du', 'sein,', 'et', 'non', 'du', 'carcinome', 'canalaire.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
310_216,"[['QUESTION', 'TYPE:', 'OPHTHALMOLOGIE'], ['CLINICAL', 'CASE:'], ['Les', 'parents', 'viennent', 'aux', 'urgences', 'avec', 'leur', 'fils', 'de', 'deux', 'ans', 'car', 'ils', 'signalent', ""qu'il"", ""s'est"", 'cogné', 'près', 'de', ""l'œil"", 'droit', 'en', 'jouant.'], ['Un', 'hématome', 'sur', 'la', 'paupière', 'droite', 'a', 'été', 'observé,', 'apparemment', 'sans', 'importance.'], ['Des', 'hémorragies', 'intrarétiniennes', 'sont', 'observées', 'dans', 'le', 'fond', ""d'œil"", 'non', 'seulement', 'dans', ""l'œil"", 'référé', 'par', 'les', 'parents,', 'mais', 'aussi', 'dans', ""l'autre"", 'œil.'], ['Il', 'est', 'frappant', 'de', 'constater', 'que', ""l'enfant"", 'semble', 'endormi', 'et', 'sans', 'tonus.'], ['Parmi', 'les', 'affirmations', 'suivantes,', 'quelles', 'sont', 'celles', 'que', 'vous', 'devez', 'prendre', 'en', 'compte', 'face', 'à', 'ce', 'tableau', 'clinique', '?'], ['1-', 'Il', ""s'agit"", ""d'une"", 'histoire', 'très', 'suggestive', ""d'abus"", ""d'enfants.""], 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49_159,,
120_192,"[['QUESTION', 'TYPE:', 'MÉDECINE', 'PRÉVENTIVE', 'ET', 'ÉPIDÉMIOLOGIE'], ['CLINICAL', 'CASE:'], ['Chirurgien', 'orthopédiste', 'de', '40', 'ans', 'dont', 'la', 'sérologie', 'de', 'routine', 'a', 'révélé', 'un', 'taux', ""d'anti-HBs"", 'de', '30', 'UI/l.'], ['Il', 'a', 'été', 'entièrement', 'vacciné', 'contre', ""l'hépatite"", 'B', 'selon', 'le', 'calendrier', 'de', 'vaccination', 'standard', 'depuis', '4', 'ans.'], ['Il', 'serait', 'souhaitable', 'de', 'le', 'faire', ':'], ['1-', 'Reprendre', 'le', 'calendrier', 'des', 'vaccinations', '(0-1-6', 'mois).'], ['2-', 'Reprendre', 'le', 'calendrier', 'des', 'vaccinations', '(0-1-2-12', 'mois).'], ['3-', 'No', 'revaccination.'], ['4-', 'Donner', 'une', 'dose', 'de', 'rappel.'], ['5-', 'Administrer', 'des', 'immunoglobulines', 'anti-hépatite', 'B', 'et', 'reprendre', 'le', 'calendrier', 'des', 'vaccinations', '(0-1-2-12', 'mois).'], ['BONNE', 'RÉPONSE', ':', '3'], ['Tant', 'que', 'les', 'taux', 'sérologiques', ""d'anti-HBs"", 'sont', 'supérieurs', 'à', '10', 'UI/l,', 'la', 'revaccination', ""n'est"", 'pas', 'nécessaire.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
304_174,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '87', 'ans', 'ayant', 'des', 'antécédents', ""d'hypertension"", 'et', 'de', 'gonarthrose.'], ['Situation', 'de', 'référence', 'avec', 'une', 'autonomie', 'fonctionnelle', 'et', 'cognitive', 'complète', 'lui', 'permettant', 'de', 'continuer', 'à', 'vivre', 'seul', 'dans', 'la', 'communauté.'], ['Il', 'est', 'régulièrement', 'traité', 'avec', 'du', 'périndopril', 'et', 'un', 'diurétique', 'thiazidique', 'pour', 'contrôler', 'sa', 'tension', 'artérielle', 'et', 'prend', 'régulièrement', 'de', ""l'ibuprofène"", '1800', 'mg/jour', 'pour', 'contrôler', 'les', 'symptômes', 'de', 'sa', 'gonarthrose.'], ['Après', 'un', 'examen', 'de', 'routine,', 'une', 'tension', 'artérielle', 'persistante', 'de', '190', 'et', 'un', 'TAD', 'de', '80', 'mmHg', 'ont', 'été', 'observés.'], ['Quelle', 'serait', 'la', 'modification', 'thérapeutique', 'la', 'plus', 'raisonnable', 'pour', 'parvenir', 'à', 'contrôler', 'la', 'pression', 'artérielle', '?'], ['1-', ""J'ajouterais"", 'un', 'inhibiteur', 'calcique'], ['2-', ""J'augmenterais"", 'la', 'dose', ""d'hydrochlorothiazide"", 'à', '25', 'mg/jour.'], ['3-', 'Je', 'passerais', 'de', ""l'ibuprofène"", 'au', 'paracétamol', 'pour', 'éviter', ""l'influence"", 'possible', 'du', 'paracétamol', 'sur', ""l'effet"", 'des', 'antihypertenseurs.'], ['4-', ""J'ajouterais"", 'un', 'alpha-bloquant', 'en', 'raison', 'de', 'la', 'forte', 'prévalence', 'du', 'syndrome', 'prostatique', 'chez', 'les', 'hommes', 'de', 'cet', 'âge.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Avant', ""d'intensifier"", 'le', 'traitement', 'antihypertenseur,', 'il', 'convient', 'de', ""s'attaquer"", 'aux', 'causes', 'potentielles.'], ['Ce', 'cas', 'est', 'celui', ""d'un"", 'patient', 'âgé', 'sous', 'traitement', 'chronique', ""d'AINS"", 'provoquant', 'une', 'hypertension', 'artérielle', 'secondaire', 'à', 'une', 'hypoperfusion', 'rénale.'], [""L'option"", 'la', 'plus', 'raisonnable', 'serait', ""d'arrêter"", ""l'ibuprofène"", 'et', 'de', 'le', 'remplacer', 'par', 'un', 'analgésique', ""d'un"", 'groupe', 'autre', 'que', 'les', 'AINS', '(paracétamol,', 'opioïdes),', 'puis', 'de', 'surveiller', ""l'évolution"", 'des', 'niveaux', 'de', 'pression', 'artérielle.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
214_228,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '19', 'ans', 'a', 'consulté', 'pour', 'une', 'douleur,', 'un', 'gonflement', 'et', 'une', 'impotence', 'fonctionnelle', 'du', 'genou', 'droit', 'depuis', '24', 'heures,', 'accompagnés', ""d'une"", 'fièvre', 'de', '38°C.'], [""L'examen"", 'physique', 'a', 'révélé', 'des', 'signes', 'inflammatoires', 'et', 'un', 'épanchement', 'articulaire', 'au', 'niveau', 'du', 'genou', 'droit.'], ['Les', 'données', 'analytiques', 'montrent', 'une', 'leucocytose', 'avec', 'neutrophilie', 'et', 'une', 'élévation', 'de', 'la', 'protéine', 'C-réactive.'], ['Un', 'diagnostic', 'syndromique', 'de', 'monoarthrite', 'aiguë', 'est', 'posé.'], ['Quel', 'est', 'le', 'diagnostic', 'étiologique', 'le', 'plus', 'probable', '?'], ['1-', 'Arthrite', 'due', 'aux', 'microcristaux.'], ['2-', ""L'arthrite"", 'réactive.'], ['3-', 'Arthrite', 'infectieuse', 'bactérienne.'], ['4-', 'Arthrite', 'infectieuse', ""d'origine"", 'mycobactérienne.'], ['5-', 'La', 'polyarthrite', 'rhumatoïde.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'monoarthrite', 'aiguë', 'associée', 'à', 'de', 'la', 'fièvre,', 'une', 'leucocytose', 'avec', 'neutrophilie', 'et', 'une', 'augmentation', 'des', 'réactifs', 'de', 'phase', 'aiguë', ""n'est"", 'pas', 'toujours', ""d'origine"", 'septique.'], ['En', ""l'absence"", ""d'informations"", 'complémentaires', '(anamnèse', 'plus', 'complète', 'de', 'la', 'maladie', 'actuelle,', 'facteurs', 'de', 'risque,', 'antécédents', 'personnels', 'et', 'familiaux,', 'symptômes', 'ou', 'signes', 'extra-articulaires,', 'etc.),', 'on', 'peut', 'dire', 'que', '1', 'et', '2', '(et', 'très', 'exceptionnellement', '5)', 'peuvent', 'également', 'débuter', 'avec', 'un', 'tableau', 'clinique', 'et', 'biologique', 'similaire.'], ['Compte', 'tenu', 'des', 'données', 'fournies', 'et', 'du', 'fait', ""qu'il"", ""s'agit"", ""d'un"", 'jeune', 'homme,', ""l'option"", 'la', 'plus', 'probable', 'serait', 'une', 'arthrite', 'infectieuse', 'bactérienne', ""(l'arthrite"", 'causée', 'par', 'des', 'mycobactéries', 'a', 'tendance', 'à', 'évoluer', 'de', 'façon', 'chronique).'], ['Et', 'surtout,', 'en', 'raison', 'de', 'ses', 'implications,', 'le', 'premier', 'à', 'être', 'toujours', 'écarté.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
249_120,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '53', 'ans', 'consulte', 'pour', 'une', 'fièvre', 'qui', 'dure', 'depuis', '15', 'jours,', 'sans', 'symptôme', 'de', 'focalité', 'infectieuse.'], ['À', ""l'examen,"", 'une', 'hépatomégalie', 'douloureuse', 'est', 'détectée', 'à', '5', 'cm', 'du', 'bord', 'costal', 'et', 'la', 'rate', 'est', 'palpée', 'à', '14', 'cm', 'du', 'bord', 'costal', 'gauche.'], [""L'hémogramme"", 'montre', 'une', 'Hb', 'de', '8,5', 'g/dl,', 'des', 'leucocytes', 'de', '630/ml', '(lymphocytes', '63%,', 'monocytes', '20%,', 'neutrophiles', '17%)', 'et', 'des', 'plaquettes', 'de', '35', '000/ml.'], ['La', 'biochimie', 'montre', 'une', 'élévation', 'modérée', 'de', 'la', 'biochimie', 'hépatique,', 'la', 'LDH', 'est', 'normale', 'et', 'une', 'hypergammaglobulinémie', 'polyclonale', '(3,5', 'g/dL)', 'est', 'observée', 'dans', 'le', 'protéinogramme.'], ['Il', 'a', 'des', 'antécédents', ""d'infection"", 'par', 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'diagnostic.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
53_146,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '31', 'ans,', 'sans', 'antécédents', 'psychiatriques,', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'en', 'signalant...', 'des', 'symptômes', ""d'anxiété)¨.""], ['Il', 'y', 'a', 'deux', 'jours,', ""j'ai"", 'vu', 'une', 'autre', 'image', 'comme', 'celle-ci', '....'], ['Il', 'y', 'a', '1', 'semaine,', 'elle', 'a', 'rompu', 'avec', 'son', 'compagnon...', 'Elle', 'a', 'exclu', 'toute', 'pathologie', 'organique....', ':'], ['1-', 'Réaction', 'de', 'stress', 'post-traumatique.'], ['2-', 'Trouble', 'de', 'la', 'personnalité', 'dépendante', '""aiguë"".'], ['3-', 'Trouble', 'dépressif.'], ['4-', 'Agoraphobie.'], ['5-', 'Crise', ""d'angoisse.""], ['BONNE', 'RÉPONSE', ':', '5'], ['Il', 'est', 'bon', ""qu'ils"", 'vous', 'parlent', 'de', 'leurs', 'antécédents', '(nous', 'avons', 'tous', 'des', 'antécédents', 'parce', 'que', 'nous', 'avons', 'tous', 'une', 'vie)', 'et', ""qu'ils"", 'excluent', 'toute', 'pathologie', 'organique.'], [""C'est"", 'fondamental.'], [""N'oublions"", 'pas', 'que', 'les', 'hypocondriaques', 'ont', 'aussi', 'un', 'corps.'], ['Nous', 'éliminons', ""d'abord"", 'le', 'trouble', 'de', 'la', 'personnalité', '""aigu""', 'le', 'plus', 'frappant.'], ['La', 'personnalité', 'nous', 'accompagne', 'tout', 'au', 'long', 'de', 'notre', 'vie.'], ['Il', ""n'y"", 'a', 'pas', 'de', 'caractéristiques', '""pointues""', 'dans', 'notre', 'personnalité.'], ['Trouble', 'dépressif', '?', 'Il', 'y', 'a', 'un', 'critère', 'de', 'temps', 'qui', ""n'est"", 'pas', 'respecté,', 'je', 'peux', 'être', 'triste,', 'mais', 'être', 'triste', ""n'est"", 'pas', 'une', 'dépression', '(1).'], [""S'il"", ""s'agissait"", ""d'une"", 'agoraphobie,', 'on', 'nous', 'aurait', 'expliqué', 'le', 'contexte,', 'une', 'réaction', 'de', 'stress', 'post-traumatique', '?'], [""C'est"", 'une', 'bonne', 'idée.'], ['Le', 'terme', 'correct', 'serait', 'syndrome', 'de', 'stress', 'post-traumatique', 'ou', 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'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O']]"
48_158,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '10', 'ans', 'est', 'amené', 'aux', 'urgences', 'car,', 'depuis', 'deux', 'heures,', 'il', 'tourne', 'involontairement', 'son', 'cou', 'vers', 'la', 'droite,', 'ce', 'qui', ""s'accompagne"", ""d'une"", 'douleur', 'cervicale', 'marquée', 'à', 'chaque', 'rotation.'], ['La', 'grand-mère', 'nous', 'dit', 'ensuite', ""qu'elle"", 'vomit', 'depuis', 'hier', 'et', ""qu'elle"", 'lui', 'a', 'donné', 'un', 'sirop', ';', 'quelle', 'serait', 'la', 'meilleure', 'approche', 'thérapeutique', '?'], ['1-', 'Injecter', 'un', 'anticholinergique', 'par', 'voie', 'intraveineuse.'], ['2-', 'Ne', 'pas', 'traiter', 'tant', ""qu'un"", 'électroencéphalogramme', ""n'a"", 'pas', 'été', 'réalisé', 'dans', 'les', 'prochains', 'jours.'], ['3-', 'Ne', 'pas', 'traiter', ""jusqu'à"", 'ce', 'que', 'les', 'résultats', 'de', 'la', 'culture', 'du', 'liquide', 'céphalo-rachidien', 'soient', 'connus', 'dans', 'les', 'prochains', 'jours.'], ['4-', 'Appeler', 'le', 'psychiatre', 'de', 'garde.'], ['5-', 'Administrer', 'un', 'antibiotique', 'par', 'voie', 'intraveineuse', 'après', 'avoir', 'effectué', 'un', 'prélèvement', 'pharyngé.'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'bonne', 'réponse', 'est', '1.'], [""L'anticholinergique"", 'peut', 'être', 'administré', 'par', 'voie', 'intraveineuse', 'et', 'également', 'par', 'voie', 'intramusculaire', 'si', 'je', 'ne', 'me', 'trompe', 'pas.'], [""L'apparition"", ""d'une"", 'dystonie', 'comme', 'effet', 'secondaire', 'est', 'fréquente', 'chez', 'les', 'enfants', 'et', 'constitue', ""l'une"", 'des', 'principales', 'raisons', 'pour', 'lesquelles', 'les', 'pédiatres', 'ne', 'prescrivent', 'pas', 'certains', 'antiémétiques', 'chez', 'les', 'enfants.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
490_106,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '65', 'ans', 'adressée', 'aux', 'urgences', 'pour', 'fièvre', 'et', 'examens', 'de', 'laboratoire', 'anormaux', ':', 'hémoglobine', '11,4', 'g/dL,', 'leucocytes', '0,86', 'x103/μL', '(neutrophiles', '41,9', '%,', 'lymphocytes', '55,8', '%),', 'plaquettes', '48,0', 'x103/μL,', 'fibrinogène', '118', 'mg/dL,', 'D-dimères', '20,2', 'μg/mL.'], ['Un', 'examen', 'de', 'la', 'moelle', 'osseuse', 'a', 'été', 'effectué', 'et', 'le', 'patient', 'a', 'été', 'diagnostiqué', 'comme', 'souffrant', ""d'une"", 'leucémie', 'aiguë', 'avec', 't(15;17)', 'dans', '60%', 'des', 'cellules.'], ['Laquelle', 'des', 'réponses', 'suivantes', 'est', 'correcte', '?'], ['1-', 'Si', 'asymptomatique,', ""l'acide"", 'transrétinoïque', '(ATRA)', 'sera', 'débuté', 'et', 'des', 'contrôles', 'en', 'hôpital', 'de', 'jour', 'seront', 'recommandés.'], ['2-', 'Commencer', 'le', 'traitement', 'avec', 'du', 'trioxyde', ""d'arsenic,"", 'de', ""l'ATRA"", 'et', 'une', 'thérapie', 'de', 'soutien.'], ['3-', 'Il', ""s'agit"", ""d'une"", 'leucémie', 'myéloblastique', 'de', 'type', 'M3,', 'une', 'chimiothérapie', 'et', 'de', ""l'héparine"", 'seront', 'donc', 'mises', 'en', 'place', 'pour', 'contrôler', 'la', 'coagulation', 'intravasculaire', 'disséminée.'], ['4-', 'Un', 'traitement', 'antibiotique', 'doit', 'être', 'mis', 'en', 'place.', 'Lorsque', 'la', 'fièvre', 'disparaît,', 'le', 'traitement', 'de', 'la', 'leucémie', 'doit', 'être', 'mis', 'en', 'place.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Il', ""s'agit"", ""d'une"", 'leucémie', 'promyélocytaire', 'certaine', 'avec', 't(15;17),', 'et', 'comme', 'vous', 'le', 'savez', 'tous,', 'le', 'traitement', 'consiste', 'en', 'un', 'mélange', 'de', 'trioxyde', ""d'arsenic"", 'et', ""d'ATRA.""], [""L'option"", '1', 'laisse', 'le', 'traitement', 'incomplet,', 'seul', ""l'ATRA"", 'est', 'présent', 'et', 'doit', 'être', 'traité', 'tant', 'que', ""l'état"", 'du', 'patient', 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416_76,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '78', 'ans', 'atteinte', 'de', 'démence', 'et', 'institutionnalisée', 'est', 'amenée', 'par', 'ses', 'soignants', 'pour', 'des', 'douleurs', 'abdominales', 'sévères', 'accompagnées', ""d'une"", 'détérioration', 'de', ""l'état"", 'général', 'et', ""d'une"", 'distension', 'abdominale.'], ['NFS', 'avec', 'leucocytose,', 'hématocrite', 'élevé,', 'insuffisance', 'rénale', 'et', 'acidose', 'métabolique.'], [""L'ECG"", 'montre', 'une', 'fibrillation', 'auriculaire.'], ['La', 'tomodensitométrie', 'abdominale', 'détecte', 'des', 'boucles', 'œdémateuses', 'de', ""l'intestin"", 'grêle,', 'avec', 'une', 'accumulation', 'intestinale', 'et', 'portale.'], ['Le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'le', 'suivant', ':'], ['1-', 'Perforation', ""d'un"", 'ulcère', 'gastrique', 'ou', 'duodénal.'], ['2-', 'Fuite', 'biliaire.'], ['3-', 'Néoplasie', 'sigmoïdienne', 'obstructive', 'avec', 'perforation.'], ['4-', 'Ischémie', 'mésentérique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", ""d'une"", 'image', 'classique', 'et', ""l'auteur"", 'de', 'la', 'question', 'a', 'pris', 'soin', 'de', 'nous', 'donner', 'suffisamment', ""d'indices"", 'pour', 'que', 'nous', 'ne', 'la', 'manquions', 'pas.'], ['La', 'lecture', 'de', 'cette', 'déclaration', 'déclenche', 'plusieurs', 'signaux', ""d'alarme"", ':', '-', 'Fibrillation', 'auriculaire', ':', 'dans', 'le', 'mir', 'et', 'à', 'la', 'porte', 'du', 'service', 'des', 'urgences,', 'toute', 'personne', 'âgée', 'présentant', 'une', 'fibrillation', 'auriculaire', 'et', 'des', 'douleurs', 'abdominales', 'est,', ""jusqu'à"", 'preuve', 'du', 'contraire,', 'atteinte', ""d'ischémie"", 'mésentérique', ""d'origine"", 'emboligène.'], ['-', 'Douleur', 'abdominale', 'aiguë,', 'SIRS,', 'insuffisance', 'rénale,', 'acidose', 'métabolique', '(ischémie', '!),', 'probablement', 'une', 'élévation', 'des', 'taux', ""d'acide"", 'lactique...'], ['-', 'CT', ':', 'la', 'présence', 'de', 'gaz', 'portal', 'est', 'également', 'très', 'révélatrice', ""d'une"", 'ischémie', 'mésentérique', 'et', 'pourrait', 'également', 'indiquer', 'une', 'pneumatose', 'intestinale.'], ['Pourquoi', 'les', 'autres', 'peintures', 'ne', 'le', 'sont-elles', 'pas', '?'], ['-', 'Ulcus', 'perforé', ':', 'on', 'nous', 'aurait', 'parlé', ""d'antécédents"", ""d'utilisation"", ""d'AINS,"", 'ou', ""d'antécédents"", 'de', 'douleurs', 'qui', ""s'améliorent"", 'avec', ""l'ingestion,"", 'de', 'pneumopéritoine', 'à', 'la', 'radiographie', 'thoracique.'], ['-', 'Iléus', 'biliaire', ':', 'il', 'y', 'a', 'des', 'antécédents', 'de', 'colique', 'biliaire', 'ou', 'de', 'douleur', 'dans', ""l'hypochondre"", 'droit,', 'ainsi', ""qu'une"", 'aérobilie', 'à', ""l'imagerie"", 'et', 'une', 'dilatation', 'des', 'petites', 'boucles', 'avec', 'image', '(ou', 'non)', 'de', 'lithiase', 'biliaire', 'dans', ""l'iléon"", 'terminal.'], ['-', 'Neo', 'de', 'sigma', ':', 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45_154,,
336_31,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '20', 'ans', 'atteinte', ""d'une"", 'tumeur', 'ovarienne', 'kystique', 'solide', 'de', '15', 'cm', 'détectée', 'par', 'échographie', 'après', 'avoir', 'présenté', 'des', 'symptômes', 'abdominaux', 'non', 'spécifiques.'], ['Dans', ""l'étude"", 'histopathologique', 'du', 'spécimen', 'correspondant,', 'des', 'dents,', 'des', 'poils,', 'des', 'zones', ""d'épithélium"", 'intestinal,', 'des', 'zones', ""d'épithélium"", 'malpighien', '(15%)', 'et', ""d'épithélium"", 'bronchique,', 'ainsi', 'que', 'des', 'éléments', 'neuroectodermiques', 'et', 'embryonnaires', 'sont', 'trouvés', 'dans', 'plusieurs', 'des', 'préparations', 'histologiques.'], ['En', 'se', 'référant', 'à', 'ce', 'cas,', 'énoncer', 'le', 'diagnostic', 'correct', ':'], ['1-', 'Tératocarcinome.'], ['2-', 'Tératome', 'immature.'], ['3-', 'Tératome', 'kystique', 'mature.'], ['4-', 'Dysgerminome.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Le', 'tératome', 'kystique', 'mature', 'est', 'une', 'tumeur', 'ovarienne', 'bénigne', 'fréquente', 'chez', 'les', 'femmes', 'adultes.'], ['Les', 'tissus', 'qui', 'composent', 'la', 'tumeur', 'sont', 'bien', 'différenciés', '(de', 'type', 'mature', 'ou', 'adulte)', ';', 'outre', 'les', 'structures', 'cutanées,', 'de', 'nombreux', 'autres', 'tissus', 'sont', 'visibles,', 'notamment', 'dans', 'un', 'épaississement', 'ou', 'un', 'éperon', 'qui', 'débouche', 'dans', 'la', 'cavité,', 'dans', 'laquelle', 'se', 'trouvent', 'souvent', 'des', 'dents,', 'du', 'cartilage', 'et', 'de', ""l'os.""]]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
609_115,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '27', 'ans,', 'sportif', 'régulier,', 'se', 'plaint', 'de', 'douleurs', 'à', 'la', 'jambe', 'droite', 'après', 'une', 'course', 'continue.'], ['Il', 'a', 'consulté', 'un', 'physiothérapeute', 'à', 'plusieurs', 'reprises', 'et', 'on', 'lui', 'a', 'diagnostiqué', 'une', 'élongation', 'du', 'mollet.'], ['Plusieurs', 'mois', 'se', 'sont', 'écoulés,', 'son', 'état', 'ne', ""s'est"", 'pas', 'amélioré', 'et', 'il', 'signale', 'de', 'fortes', 'douleurs', 'après', 'une', 'activité', 'physique,', 'qui', ""s'estompent"", 'avec', 'le', 'repos', 'dans', 'les', 'heures', 'qui', 'suivent', ""l'exercice.""], ['Quel', 'test', 'peut', 'aider', 'au', 'diagnostic', '?'], ['1-', 'Tomographie', 'par', 'émission', 'de', 'positons', 'au', '18', 'FDG.'], ['2-', 'Détermination', 'de', 'la', 'pression', 'du', 'compartiment', 'postérieur', 'immédiatement', 'après', ""l'activité.""], ['3-', ""L'échographie"", 'Doppler', 'pour', 'éliminer', 'un', 'trouble', 'circulatoire', 'du', 'membre', 'inférieur.'], ['4-', 'La', 'spectrométrie', 'par', 'résonance', 'magnétique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Le', 'syndrome', 'du', 'compartiment', 'induit', 'par', ""l'exercice"", 'est', 'une', 'affection', 'de', 'la', 'jambe', 'induite', 'par', ""l'exercice.""], ['Elle', 'se', 'caractérise', 'par', 'une', 'ischémie', 'réversible', 'des', 'muscles', ""d'un"", 'compartiment', 'musculaire.'], ['Le', 'diagnostic', 'est', 'établi', 'en', 'mesurant', 'la', 'pression', 'des', 'compartiments', 'au', 'repos,', 'pendant', ""l'exercice"", 'et', 'après', ""l'exercice"", '(réponse', '2', 'correcte).'], ['Le', 'traitement', 'consiste', 'généralement', 'en', 'une', 'fasciotomie', 'des', 'compartiments', 'affectés.'], ['Bien', 'que', ""l'IRM"", 'ne', 'soit', 'pas', 'très', 'utile', 'pour', 'établir', 'le', 'diagnostic,', 'elle', 'peut', 'contribuer', 'au', 'diagnostic', 'différentiel.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
389_235,,
201_76,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Patient', 'présentant', 'des', 'problèmes', 'de', 'compréhension', 'du', 'langage', 'parlé', 'et', 'écrit,', 'une', 'incapacité', 'à', 'nommer', 'des', 'objets', 'et', 'à', 'répéter', 'des', 'mots', 'qui', 'lui', 'sont', 'adressés,', 'un', 'discours', 'fluide', 'incompréhensible', 'avec', 'des', 'paraphasies', 'sémantiques', 'et', 'phonémiques.'], ['Il', ""s'agit"", ""d'un"", ':'], ['1-', 'Aphasie', 'globale.'], ['2-', 'Afasie', 'de', 'Wernicke.'], ['3-', 'Aphasie', 'de', 'Broca.'], ['4-', 'Aphasie', 'transcorticale', 'sensorielle.'], ['5-', 'Aphasie', 'motrice', 'transcorticale.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Les', 'transcorticales', 'ont', 'préservé', 'la', 'répétition.'], ['Le', 'syndrome', 'de', 'Broca', 'se', 'caractérise', 'par', 'une', 'compréhension', 'préservée', 'et', ""l'absence"", ""d'un"", 'discours', 'fluide.'], [""L'aphasie"", 'de', 'Wernicke', 'se', 'caractérise', 'par', 'un', 'discours', 'fluide', '(voire', 'excessif)', 'accompagné', 'de', 'paraphasies', 'et', 'de', 'problèmes', 'de', 'compréhension,', 'de', 'nomination', 'et', 'de', 'répétition.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
345_159,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '69', 'ans', ""s'est"", 'présentée', 'à', 'la', 'clinique', 'en', 'se', 'plaignant', 'de', 'saignements', 'génitaux', 'depuis', 'plusieurs', 'mois.'], ['Refuse', 'le', 'traitement', 'hormonal', 'substitutif', 'et', ""l'anticoagulation.""], ['Elle', 'présente', 'une', 'cytologie', 'cervico-vaginale', 'normale.'], [""L'examen"", 'physique', 'général', 'et', 'génital', ""n'a"", 'rien', 'révélé', ""d'intéressant.""], ['IMC', 'de', '38', 'kg/m2.'], ['Indiquez', ""l'attitude"", 'la', 'plus', 'correcte', ':'], ['1-', 'Prescrire', 'de', 'la', 'progestérone', 'cyclique.'], ['2-', 'Biopsie', 'de', ""l'endomètre.""], ['3-', 'Biopsies', 'cervicales', 'aléatoires.'], ['4-', 'Bilan', 'hormonal', 'avec', 'FSH,', 'LH', 'et', 'œstradiol.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Nous', 'présentons', 'un', 'cas', 'de', 'métrorragie', 'post-ménopausique.'], ['Dans', 'un', 'cas', 'comme', 'celui-ci,', 'il', 'faut', 'exclure', 'une', 'néoplasie', 'de', ""l'endomètre."", 'Une', 'biopsie', 'de', ""l'endomètre"", 'est', 'donc', 'indiquée,', 'soit', 'par', 'canule', 'de', 'Cornier', 'si', 'possible,', 'soit', 'par', 'hystéroscopie.'], ['Une', 'biopsie', 'du', 'col', 'de', ""l'utérus"", ""n'est"", 'pas', 'intéressante', 'dans', 'ce', 'cas', 'car', 'la', 'cytologie', 'est', 'normale', 'et', ""l'évaluation"", 'hormonale', 'ne', 'sera', 'pas', 'utile', 'pour', 'diagnostiquer', 'une', 'néoplasie', 'de', ""l'endomètre.""], ['Enfin,', 'la', 'prescription', 'de', 'progestérone', 'cyclique', ""n'est"", 'pas', 'indiquée', 'pour', 'les', 'femmes', 'ménopausées.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
166_82,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'CARDIOVASCULAIRE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '45', 'ans', 'présentant', 'une', 'hypertension', '(190/120', 'mmHg)', 'accompagnée', 'de', 'K', '2,5', 'mEq/l.'], ['Une', 'échographie', 'abdominale', 'a', 'révélé', 'une', 'sténose', 'des', 'deux', 'artères', 'rénales.'], ['Indiquer', 'les', 'traitements', 'contre-indiqués', ':'], ['1-', 'Enalapril.'], ['2-', 'Propanolol.'], ['3-', 'Amiloride.'], ['4-', 'Prazosine.'], ['5-', 'Amlodipine.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Si', 'les', 'artères', 'rénales', 'sont', 'rétrécies,', 'le', 'sang', 'a', 'du', 'mal', 'à', 'atteindre', 'les', 'reins.'], ['En', ""d'autres"", 'termes,', 'les', 'deux', 'sont', 'mal', 'perfusés', 'et', 'ne', 'peuvent', 'créer', 'le', 'gradient', 'de', 'pression', 'nécessaire', 'à', 'la', 'filtration', 'que', 'par', 'la', 'contraction', 'de', ""l'artériole"", 'efférente.'], [""L'administration"", ""d'un"", 'inhibiteur', 'de', ""l'ECA"", 'entraîne', 'le', 'relâchement', 'de', 'cette', 'artériole', 'et', 'la', 'diminution', 'du', 'taux', 'de', 'filtration', 'glomérulaire.'], ['Et', 'si', 'aucun', 'des', 'deux', 'reins', 'ne', 'filtre,', 'parce', ""qu'ils"", 'présentent', 'tous', 'deux', 'une', 'sténose', 'artérielle,', 'nous', 'avons', 'un', 'problème...']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
481_171,,
612_116,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '95', 'ans', 'vivant', 'dans', 'une', 'maison', 'de', 'retraite,', 'indépendante', 'pour', 'les', 'activités', 'de', 'base', 'de', 'la', 'vie', 'quotidienne,', 'sort', 'se', 'promener', 'dans', 'le', 'jardin.'], ['Elle', 'a', 'des', 'antécédents', ""d'hypertension,"", 'de', 'dyslipidémie,', ""d'ostéoporose"", 'et', 'de', 'troubles', 'cognitifs', 'légers.'], ['Il', 'fait', 'une', 'chute', ""lorsqu'il"", 'se', 'lève', 'la', 'nuit', 'pour', 'aller', 'aux', 'toilettes.'], ['La', 'radiographie', 'montre', 'une', 'fracture', 'sous-capitale', 'déplacée', 'de', 'la', 'hanche', 'droite.'], ['Quel', 'est', 'le', 'traitement', 'recommandé', '?'], ['1-', ""L'hémiarthroplastie"", 'de', 'la', 'hanche.'], ['2-', 'Fixation', 'du', 'clou', 'trochantérien.'], ['3-', 'Fixation', 'par', 'vis', 'canulées.'], ['4-', 'Conservateur', ':', 'la', 'vie', 'au', 'lit.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Réponse', 'correcte', '1', ':', 'Étant', 'donné', ""qu'il"", ""s'agit"", ""d'une"", 'fracture', 'déplacée', 'de', 'la', 'hanche', 'sous-capitale,', 'le', 'traitement', 'chirurgical', 'à', 'envisager', 'est', 'le', 'remplacement', 'de', ""l'articulation"", 'de', 'la', 'hanche,', 'étant', 'donné', 'que', 'la', 'blessure', 'décrite', 'présente', 'une', 'forte', 'probabilité', 'de', 'nécrose', 'de', 'la', 'tête', 'fémorale.'], ['Les', 'options', 'sont', ""l'arthroplastie"", 'totale', 'ou', 'partielle', ':', 'chez', 'les', 'patients', 'âgés,', ""l'arthroplastie"", 'partielle', 'est', 'préférable', 'car', 'il', ""s'agit"", ""d'une"", 'intervention', 'chirurgicale', 'plus', 'courte', 'et', 'moins', 'agressive', 'que', ""l'arthroplastie"", 'totale', 'de', 'la', 'hanche.'], ['Réponse', 'incorrecte', '2', ':', 'Cette', 'technique', 'serait', 'envisagée', 'pour', 'les', 'fractures', 'basicervicales', 'et', 'les', 'lésions', 'du', 'massif', 'trochantérien,', 'et', 'non', 'pour', 'les', 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585_74,"[['QUESTION', 'TYPE:', 'OBSTÉTRIQUE', 'ET', 'GYNÉCOLOGIE'], ['CLINICAL', 'CASE:'], ['Primigravida', 'de', '34', 'semaines', 'présentant', 'une', 'tension', 'artérielle', 'de', '165/95', 'et', 'des', 'céphalées', 'depuis', 'deux', 'jours.'], ['Analyses', ':', 'hémoglobine', '10,5', 'g/dL,', 'plaquettes', '98', '000/mm3,', 'AST', '356', 'UI/L', '(0-31),', 'ALT', '234', 'UI/L', '(0-31),', 'LDH', '878', 'UI/L', '(125-243).'], ['Recherche', 'en', 'laboratoire', 'de', 'la', 'présence', 'de', 'schistocytes', 'dans', 'le', 'frottis', 'de', 'sang', 'périphérique.'], ['Elle', 'a', 'reçu', 'la', 'deuxième', 'dose', 'de', 'corticostéroïdes', 'pour', 'la', 'maturation', 'du', 'fœtus', 'il', 'y', 'a', '24', 'heures.'], ['Lors', 'de', ""l'échographie"", 'obstétrique,', 'le', 'poids', 'fœtal', 'estimé', 'est', 'dans', 'le', '1er', 'percentile', 'pour', ""l'âge"", 'gestationnel', 'et', 'le', 'Doppler', 'de', ""l'artère"", 'ombilicale', 'montre', 'une', 'absence', 'de', 'flux', 'en', 'fin', 'de', 'diastole.'], ['Lequel', 'des', 'éléments', 'suivants', 'est', ""l'approche"", 'clinique', 'la', 'plus', 'appropriée', '?'], ['1-', 'Attente', 'vigilante', 'avec', 'des', 'médicaments', 'antihypertenseurs', 'et', 'du', 'sulfate', 'de', 'magnésium', ""jusqu'à"", 'ce', 'que', 'les', 'plaquettes', 'maternelles', ""s'améliorent.""], ['2-', 'Attente', 'vigilante', 'avec', 'traitement', 'antihypertenseur', 'à', 'domicile', 'et', 'contrôle', 'toutes', 'les', '48', 'heures.'], ['3-', 'La', 'fin', 'de', 'la', 'gestation,', 'lorsque', 'la', 'maturation', 'des', 'poumons', 'du', 'fœtus', 'est', 'terminée.'], ['4-', 'Interruption', 'immédiate', 'de', 'la', 'grossesse.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Ils', 'décrivent', 'le', 'syndrome', 'HELLP.'], ['À', 'ces', 'semaines', 'de', 'gestation', 'et', 'alors', 'que', 'le', 'fœtus', 'vient', 'de', 'mûrir', '(il', 'a', 'déjà', 'reçu', 'deux', 'doses', 'de', 'corticostéroïdes),', ""l'attitude"", 'à', 'adopter', 'est', 'celle', 'de', ""l'interruption"", 'immédiate', 'de', 'grossesse.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
3_37,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '76', 'ans,', 'sans', 'antécédents', 'autres', 'que', ""l'hypertension,"", 'consulte', 'pour', 'un', 'ictère', 'indolore', 'et', 'un', 'prurit', 'avec', 'anorexie.'], ['Sur', 'le', 'plan', 'analytique,', 'la', 'bilirubine', 'était', 'de', '12', 'mg/dl', '(9,5', 'direct).'], [""L'échographie"", 'montre', 'une', 'dilatation', 'biliaire', 'intrahépatique', 'et', 'extrahépatique', 'ainsi', ""qu'un"", 'nodule', 'hépatique', 'unique', 'de', 'moins', 'de', '2', 'cm', 'situé', 'en', 'périphérie', 'dans', 'la', 'partie', 'antérieure', 'du', 'lobe', 'gauche.'], ['La', 'tomodensitométrie', 'confirme', 'ces', 'résultats', 'et', 'met', 'également', 'en', 'évidence', 'la', 'présence', ""d'une"", 'masse', 'pancréatique', 'de', '3,5', 'cm.', 'Dans', 'la', 'tête', 'du', 'pancréas.'], ['La', 'ponction-aspiration', 'du', 'nodule', 'hépatique', 'est', 'concluante', 'pour', ""l'adénocarcinome.""], ['Veuillez', 'indiquer', 'la', 'meilleure', 'option', 'thérapeutique', ':'], ['1-', 'Chimio-radiothérapie', 'néoadjuvante,', 'conditionnant', ""l'option"", 'de', 'chirurgie', 'radicale', 'en', 'cas', 'de', 'réponse', 'initiale.'], ['2-', 'Drainage', 'biliaire', 'percutané', 'externe', 'à', 'visée', 'palliative', 'avec', 'conversion', 'possible', 'en', 'drainage', 'interne', 'en', 'cas', ""d'intolérance"", 'ou', 'de', 'complications.'], ['3-', 'Pontage', 'biliaire', 'chirurgical', 'palliatif', 'avec', 'ou', 'sans', 'gastrojéjunostomie', 'prophylactique', 'en', 'fonction', 'des', 'résultats', 'peropératoires.'], ['4-', 'Prothèse', 'biliaire', 'métallique', 'par', 'cholangiopancréatographie', 'rétrograde', 'endoscopique', 'avec', 'possibilité', 'de', 'chimiothérapie', 'palliative.'], ['5-', 'Duodénopancréatectomie', 'céphalique,', 'avec', 'ablation', 'percutanée', 'par', 'radiofréquence', 'ou', 'alcoolisation', 'de', 'la', 'lésion', 'hépatique.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Un', 'cas', 'qui', 'ne', 'me', 'semble', 'pas', 'si', 'simple.'], ['Il', ""s'agit"", ""d'un"", 'adénocarcinome', 'du', 'pancréas', 'avec', 'métastases,', 'le', 'traitement', 'doit', 'donc', 'être', 'palliatif,', 'ce', 'qui', 'signifie', 'que', 'les', 'options', '1', 'et', '5', 'ont', 'été', 'supprimées.'], ['En', 'principe,', 'il', ""s'agit"", ""d'une"", 'patiente', 'en', 'moyennement', 'bon', 'état', 'général,', ""l'idéal"", 'serait', 'donc', 'de', 'réaliser', 'une', 'dérivation', 'biliaire', 'permanente', 'et', 'une', 'chimiothérapie,', ""l'option"", '4', 'étant', ""l'option"", 'que', 'je', 'considère', 'comme', 'la', 'plus', 'correcte.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
439_96,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '64', 'ans.'], ['Ménopause', 'à', '54', 'ans.'], ['Deux', 'grossesses', 'et', 'des', 'accouchements', 'euthyroïdiens.'], ['Il', 'ne', 'prend', 'aucun', 'médicament.'], ['Elle', ""s'est"", 'présentée', 'au', 'service', 'des', 'urgences', 'en', 'signalant', 'des', 'saignements', 'vaginaux', 'depuis', 'deux', 'jours', 'et', 'une', 'gêne', 'au', 'niveau', 'de', ""l'hypogastre.""], [""L'examen"", 'clinique', 'effectué', 'par', 'le', 'gynécologue', 'ne', 'révèle', 'aucune', 'lésion', 'au', 'niveau', 'des', 'organes', 'génitaux', 'externes,', 'du', 'vagin', 'ou', 'du', 'col', 'de', ""l'utérus.""], [""L'examen"", 'vaginal', ""n'est"", 'pas', 'concluant.'], ['Parmi', 'les', 'comportements', 'suivants,', 'lequel', 'vous', 'semble', 'le', 'plus', 'approprié', 'pour', 'une', 'première', 'approche', 'diagnostique', '?'], ['1-', 'Echographie', 'transvaginale', 'et', 'mesure', 'de', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
192_160,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Les', 'parents', ""d'un"", 'nourrisson', 'de', '5', 'mois', 'viennent', 'consulter', 'parce', 'que', 'leur', 'enfant,', 'qui', 'fréquente', 'la', 'crèche,', 'présente', 'depuis', '3', 'jours', 'une', 'infection', 'des', 'voies', 'respiratoires', 'supérieures,', 'des', 'selles', 'liquides', '4', 'fois', 'par', 'jour,', 'des', 'vomissements', 'alimentaires', 'occasionnels', 'et', 'une', 'température', 'axillaire', 'de', '38,3ºC.'], ['Il', 'est', 'nourri', 'au', 'lait', 'maternel', 'mixte.'], ['À', ""l'examen,"", 'le', 'nourrisson', 'est', 'en', 'bon', 'état', 'général,', 'bien', 'nourri', 'et', 'hydraté', 'et', 'sa', 'respiration', 'est', 'eupnéique', ';', 'son', 'poids', 'est', 'de', '4,730', 'g,', 'soit', '70', 'g', 'de', 'moins', 'que', 'la', 'semaine', 'précédente.'], [""L'abdomen"", 'est', 'mou', 'et', 'dépressible,', 'sans', 'masses', 'ni', 'mégalithes,', 'et', 'la', 'fontanelle', 'est', 'normotendue.'], ['Hormis', 'la', 'présence', ""d'une"", 'rhinorrhée', 'aqueuse,', 'le', 'reste', 'de', ""l'examen"", 'des', 'organes', 'et', 'appareils', 'est', 'normal.'], ['Parmi', 'les', 'affirmations', 'suivantes,', 'cochez', 'la', 'réponse', 'que', 'vous', 'considérez', 'comme', 'CORRECTE', ':'], ['1-', 'Il', 'faut', 'estimer', 'les', 'pertes,', 'recommander', 'un', 'jeûne', 'de', '4', 'heures', 'et', 'se', 'réhydrater', 'avec', 'une', 'solution', 'de', 'réhydratation', 'orale', 'pendant', 'cette', 'période.'], ['2-', 'Il', 'est', 'conseillé', ""d'introduire"", 'des', 'céréales', 'de', 'riz', 'pour', 'leur', 'effet', 'astringent.'], ['3-', 'Une', 'culture', 'de', 'selles', 'doit', 'être', 'effectuée', 'dès', 'que', 'possible', 'pour', 'exclure', 'une', 'origine', 'bactérienne.'], ['4-', ""L'utilisation"", ""d'un"", 'lait', 'maternisé', 'sans', 'lactose', 'doit', 'être', 'recommandée.'], ['5-', 'Il', 'est', 'conseillé', 'de', 'remplacer', 'les', 'pertes', 'après', 'chaque', 'selle', 'par', 'une', 'solution', 'de', 'réhydratation', 'orale', 'et', 'de', 'poursuivre', 'le', 'régime', 'alimentaire', 'normal.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Le', 'bébé', ""n'est"", 'pas', 'déshydraté', 'et', 'est', 'en', 'bon', 'état', 'général.'], [""L'objectif"", 'est', ""d'éviter"", 'la', 'déshydratation', 'en', 'reconstituant', 'ce', 'qui', 'a', 'été', 'perdu,', 'en', 'évitant', 'autant', 'que', 'possible', 'de', 'modifier', 'radicalement', 'les', 'habitudes', 'alimentaires.'], ['Les', 'autres', 'réponses', 'abordent', 'de', 'nombreux', '""mythes""', 'et', 'coutumes', 'entourant', 'la', 'gastro-entérite.'], ['Il', ""n'existe"", 'pas', 'non', 'plus', 'de', 'preuves', ""d'intolérance"", 'au', 'lactose', '(irritation', 'périanale,', 'selles', 'mousseuses', 'et', 'acides,', 'etc.)', 'permettant', 'de', 'recommander', 'le', 'lait', 'sans', 'lactose.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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261_100,,
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544_40,"[['QUESTION', 'TYPE:', 'ALLERGOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '16', 'ans', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'une', 'rhinoconjonctivite', 'allergique', 'due', 'à', 'une', 'sensibilisation', 'aux', 'pollens', 'de', 'graminées', 'depuis', ""l'âge"", 'de', '10', 'ans', 'et', 'dont', 'les', 'symptômes', ""n'ont"", 'pas', 'été', 'totalement', 'contrôlés', 'pendant', 'la', 'saison', 'pollinique', 'par', 'des', 'antihistaminiques', 'oraux', 'et', 'des', 'corticostéroïdes', 'nasaux', 'topiques.'], ['Quelle', 'option', 'de', 'traitement', 'étiologique', 'serait', 'indiquée', '?'], ['1-', 'Immunothérapie', 'spécifique', 'par', 'voie', 'sublinguale', 'ou', 'sous-cutanée', 'pendant', 'une', 'période', 'minimale', 'de', '3', 'ans.'], ['2-', 'Immunothérapie', 'spécifique', 'par', 'voie', 'sublinguale', 'ou', 'sous-cutanée', 'pour', 'une', 'durée', 'maximale', 'de', '1', 'an.'], ['3-', 'Omalizumab', 'par', 'voie', 'sous-cutanée', 'toutes', 'les', '4', 'semaines', 'pendant', 'une', 'durée', 'maximale', 'de', '1', 'an.'], ['4-', 'Omalizumab', 'par', 'voie', 'sous-cutanée', 'toutes', 'les', '4', 'semaines', 'pendant', 'une', 'période', 'minimale', 'de', '6', 'mois.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Actuellement,', 'le', 'seul', 'traitement', 'efficace', 'capable', 'de', 'modifier', ""l'évolution"", 'naturelle', 'de', ""l'allergie"", 'respiratoire', 'est', ""l'immunothérapie"", 'spécifique', 'à', ""l'allergène"", 'pendant', 'au', 'moins', 'trois', 'années', 'consécutives.'], ['Chez', 'ce', 'patient,', 'le', 'traitement', 'conventionnel', ""n'a"", 'pas', 'fonctionné', 'et', 'il', 'est', 'possible', 'de', 'passer', 'à', ""l'immunothérapie"", 'spécifique', 'à', ""l'allergène.""], ['Il', 'est', 'vrai', ""qu'il"", ""n'est"", 'pas', 'nécessaire', ""d'attendre"", '10', 'ans', 'pour', ""l'initier"", ""puisqu'il"", 'est', 'indiqué', 'et', 'autorisé', 'à', 'être', 'utilisé', ""s'il"", 'y', 'a', 'une', 'pertinence', 'clinique', 'chez', 'les', 'personnes', 'de', 'plus', 'de', '5', 'ans.'], [""L'omalizumab"", 'est', 'un', 'traitement', 'biologique', 'qui', 'ne', 'serait', 'indiqué', 'que', 'dans', ""l'asthme"", 'bronchique', 'modéré', 'et', 'sévère', 'secondaire', 'à', 'une', 'allergie', 'respiratoire.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
533_179,"[['QUESTION', 'TYPE:', 'ONCOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '32', 'ans', 'atteinte', ""d'un"", 'syndrome', 'de', 'néoplasie', 'endocrinienne', 'multiple', 'de', 'type', '2A', '(MEN-2A)', 'et', 'porteuse', ""d'une"", 'mutation', 'RET.'], ['Une', 'échographie', 'du', 'cou', 'identifie', 'un', 'nodule', 'hypoéchogène', 'de', '6', 'mm', 'avec', 'des', 'calcifications', 'à', ""l'intérieur.""], ['Une', 'thyroïdectomie', 'totale', 'et', 'un', 'curage', 'ganglionnaire', 'cervical', 'ont', 'été', 'décidés.'], [""L'examen"", 'macroscopique', 'a', 'révélé', 'un', 'total', 'de', 'trois', 'nodules,', 'deux', 'dans', 'le', 'lobe', 'droit', 'mesurant', '5', 'et', '6', 'mm,', 'et', 'un', 'dans', 'le', 'lobe', 'gauche', 'mesurant', '4', 'mm.'], ['Au', 'microscope,', 'les', 'trois', 'lésions', 'consistent', 'en', 'une', 'prolifération', 'uniforme', 'de', 'cellules', 'arrondies', 'disposées', 'de', 'manière', 'solide', 'et', 'accompagnées', 'de', 'calcifications', 'et', 'de', 'dépôts', 'amyloïdes.'], ['Les', 'noyaux', 'ne', 'sont', 'pas', 'clairs', 'et', 'ne', 'présentent', 'pas', ""d'indentations"", 'ou', 'de', 'pseudo-inclusions.'], ['La', 'coloration', 'immunohistochimique', 'de', 'la', 'synaptophysine', 'est', 'positive.'], ['Les', 'métastases', 'sont', 'identifiées', 'lors', 'du', 'curage', 'ganglionnaire', 'cervical.'], ['Quel', 'est', 'le', 'diagnostic', 'pathologique', 'des', 'lésions', 'identifiées', 'lors', ""d'une"", 'thyroïdectomie', 'totale', '?'], ['1-', 'Carcinome', 'multifocal', 'de', 'la', 'moelle', 'épinière.'], ['2-', 'Carcinome', 'papillaire', 'multifocal.'], ['3-', 'Carcinome', 'folliculaire.'], ['4-', 'Hyperplasie', 'des', 'cellules', 'parafolliculaires.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['RET', 'typique', 'de', 'la', 'thyroïde', 'médullaire', '(cellules', 'C,', 'calcitonine', 'élevée,', 'hérédité', 'MEN-2nd,', 'question', 'typique', 'MIR).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O']]"
80_37,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '52', 'ans', 'consulte', 'pour', 'obtenir', 'un', 'deuxième', 'avis', 'sur', 'la', 'nécessité', ""d'une"", 'biopsie', 'du', 'foie', 'pour', 'étudier', 'une', 'hypertransaminasémie', 'détectée', 'il', 'y', 'a', 'deux', 'ans', 'lors', ""d'examens"", 'de', 'routine', 'de', ""l'entreprise.""], ['Ses', 'antécédents', 'familiaux', 'comprennent', 'le', 'décès', 'de', 'son', 'père', ""d'une"", 'cirrhose', 'épatique', ""d'étiologie"", 'non', 'identifiée.'], ['Asymptomatiques', 'et', 'menant', 'une', 'vie', 'sociale', 'et', 'professionnelle', 'sans', 'restriction.'], ['Nie', 'toute', 'consommation', ""d'alcool.""], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'pigmentation', 'métallique', 'de', 'la', 'peau', 'et', 'une', 'hépatomégalie', 'minime', 'et', 'non', 'douloureuse.'], ['Le', 'reste', 'de', ""l'examen"", 'physique', 'est', 'normal,', ""l'indice"", 'de', 'masse', 'corporelle', 'est', 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'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
394_225,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Mariano', 'est', 'un', 'homme', 'de', '53', 'ans', 'qui', 'se', 'présente', 'à', 'votre', 'cabinet', 'en', 'disant', ""qu'il"", 'se', 'sent', 'très', 'mal', 'depuis', 'plusieurs', 'années.'], ['Relie', 'le', 'malaise', 'à', 'un', 'comportement', ""qu'il/elle"", 'trouve', 'absurde', 'mais', ""qu'il/elle"", 'est', 'incapable', ""d'éviter.""], ['Ce', 'comportement,', ""qu'il"", 'adopte', 'toujours', ""lorsqu'il"", 'rentre', 'du', 'travail,', 'consiste', 'à', 'tourner', 'la', 'poignée', 'de', 'la', 'porte', 'de', 'la', 'salle', 'de', 'bains', 'de', ""l'étage"", 'avant', 'de', 'faire', 'quoi', 'que', 'ce', 'soit', ""d'autre,"", 'même', 'avant', 'de', 'saluer', 'sa', 'famille.'], ['Il', 'a', 'parfois', 'essayé', 'de', 'résister,', 'mais', ""n'a"", 'réussi', ""qu'à"", ""s'angoisser"", 'et', 'à', 'retarder', 'le', 'comportement', 'de', 'quelques', 'minutes.'], ['Ce', 'comportement,', 'que', 'Mariano', 'exécute', 'de', 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229_178,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Nourrisson', 'de', '10', 'mois,', 'précédemment', 'en', 'bonne', 'santé,', 'souffrant', ""d'une"", 'gastro-entérite', 'aiguë', ""d'une"", 'durée', ""d'un"", 'jour', 'et', 'présentant', 'des', 'signes', 'de', 'déshydratation', 'légère,', 'sans', 'sang', 'ni', 'mucus', 'dans', 'les', 'selles', 'et', 'sans', 'tolérance', 'orale.'], ['Quel', 'est', 'le', 'traitement', 'initial', 'de', 'choix', 'dans', 'notre', 'contexte', '?'], ['1-', 'Réhydratation', 'intraveineuse,', 'régime', 'absolu', 'de', '8', 'heures', 'et', 'début', 'de', ""l'alimentation"", 'avec', 'un', 'régime', 'astringent.'], ['2-', 'Réhydratation', 'avec', 'une', 'solution', 'de', 'réhydratation', 'orale', 'à', 'faible', 'osmolalité', '(sodium', '60-75', 'mEq/L)', 'et', 'poursuite', 'du', 'régime', 'alimentaire', 'habituel.'], ['3-', 'Réhydratation', 'avec', 'une', 'solution', 'de', 'réhydratation', 'orale', 'à', 'faible', 'osmolalité', '(sodium', '60-75', 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198_73,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '77', 'ans,', 'ayant', 'des', 'antécédents', 'de', 'diabète', 'de', 'type', '2,', ""s'est"", 'vu', 'diagnostiquer', 'il', 'y', 'a', 'deux', 'ans', 'un', 'trouble', 'cognitif', 'léger.'], ['À', 'cette', 'époque,', 'un', 'test', 'de', 'Minimental', '(Folstein)', '28/30,', 'un', 'test', 'abrégé', 'de', 'Yesavage', '14/15,', 'une', 'NFS', 'avec', 'TSH', 'et', 'facteurs', 'de', 'maturation', 'normaux', 'ainsi', 'que', 'des', 'sérologies', 'LUES', 'et', 'VIH', 'négatives', 'et', 'une', 'imagerie', 'par', 'résonance', 'magnétique', '(IRM)', 'montrant', 'une', 'atrophie', 'corticale', 'diffuse', 'prédominant', 'dans', 'la', 'zone', 'postérieure', 'ont', 'été', 'réalisés.'], ['Le', 'patient', 'est', 'accompagné', 'de', 'son', 'épouse,', 'qui', 'signale', 'une', 'évolution', 'lente', 'et', 'progressive', 'de', 'la', 'détérioration', 'de', 'la', 'mémoire', '(par', 'exemple,', 'elle', 'a', 'parfois', 'confondu', 'les', 'doses', ""d'insuline).""], ['Pas', ""d'hallucinations"", 'ni', 'de', 'troubles', 'du', 'comportement.'], ['Le', 'Minimental', 'actuel', 'est', 'de', '24/30', 'et', 'le', 'test', 'de', 'Yesavage', 'de', '14/15.', ""L'examen"", 'physique', 'ne', 'révèle', 'aucune', 'focalité', 'neurologique,', 'aucun', 'tremblement', 'ou', 'tonus,', 'ni', 'aucun', 'trouble', 'de', 'la', 'marche.'], ['Il', 'y', 'a', 'deux', 'mois,', 'il', ""s'est"", 'rendu', 'aux', 'urgences', 'après', 'un', 'traumatisme', 'cérébral', 'léger', 'dû', 'à', 'une', 'chute', 'accidentelle', '(la', 'seule', 'en', 'deux', 'ans)', 'et', 'un', 'scanner', 'a', 'été', 'réalisé,', 'qui', ""n'a"", 'apporté', 'aucune', 'nouvelle', 'information', 'par', 'rapport', 'à', ""l'IRM"", 'précédente.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', 'chez', 'ce', 'patient', '?'], ['1-', 'La', 'démence', 'frontotemporale.'], ['2-', 'La', 'maladie', ""d'Alzheimer.""], ['3-', 'La', 'démence', 'vasculaire.'], ['4-', 'La', 'maladie', 'à', 'corps', 'de', 'Lewy.'], ['5-', 'La', 'maladie', 'de', 'Creutzfeldt-Jakob.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Ce', 'cas', 'décrit', 'la', 'maladie', ""d'Alzheimer"", 'avec', ""l'apparition"", 'insidieuse', 'de', 'troubles', 'de', 'la', 'mémoire', 'à', 'court', 'terme.'], ['Sur', 'le', 'plan', 'clinique,', 'elle', 'se', 'distingue', 'des', 'autres', 'options', 'par', ""l'absence"", 'de', 'troubles', 'du', 'comportement', '(typiques', 'de', 'la', 'démence', 'frontotemporale)', 'et', ""d'hallucinations"", '(précoces', 'dans', 'la', 'maladie', 'à', 'corps', 'de', 'Lewy).'], ['La', 'démence', 'vasculaire', 'est', 'diagnostiquée', 'sur', 'la', 'base', 'de', 'critères', 'comprenant', 'des', 'déficits', 'de', 'la', 'mémoire', 'et', 'de', 'deux', 'autres', 'domaines', 'cognitifs', 'avec', 'une', 'déficience', 'fonctionnelle', 'conséquente,', 'mais', 'la', 'maladie', 'vasculaire', 'cérébrale', 'sur', 'la', 'base', 'de', ""l'histoire,"", 'de', ""l'examen"", 'et/ou', 'des', 'tests', 'de', 'neuro-imagerie,', 'qui', 'ne', 'sont', 'pas', 'indiqués', 'dans', 'le', 'cas', 'présent.'], ['La', 'maladie', 'de', 'Creutzfeldt-Jacob', 'est', 'le', 'plus', 'souvent', 'rapidement', 'progressive', 'et', 'se', 'présente', 'généralement', 'avec', ""d'autres"", 'caractéristiques', 'cliniques,', 'un', 'examen', 'neurologique', 'anormal', 'et', 'des', 'altérations', 'à', ""l'IRM.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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351_161,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '27', 'ans', 'a', 'été', 'adressée', 'au', 'service', 'de', 'gynécologie', 'pour', 'évaluation,', 'signalant', 'une', 'dyspareunie', 'depuis', '8', 'mois,', 'ainsi', ""qu'une"", 'dyschésie', 'et', 'une', 'rectorragie', 'occasionnelle', 'coïncidant', 'avec', 'les', 'menstruations', 'depuis', '3-4', 'mois.'], ['Elle', 'souffre', 'également', 'de', 'dysménorrhée', 'depuis', 'des', 'années,', 'qui', 'est', 'bien', 'contrôlée', 'par', ""l'ibuprofène.""], ['Elle', 'essaie', 'de', 'tomber', 'enceinte', 'depuis', 'environ', '16', 'mois,', 'sans', 'succès.'], ['À', ""l'examen"", 'gynécologique,', 'seule', 'une', 'douleur', 'est', 'notée', 'à', 'la', 'pression', 'sur', 'le', 'fornix', 'vaginal', 'postérieur.'], ['Quel', 'examen', 'vous', 'permettrait', 'de', 'poser', 'un', 'diagnostic', 'de', 'certitude', 'sur', 'votre', 'pathologie', '?'], ['1-', 'Echographie', 'transvaginale.'], ['2-', 'La', 'laparoscopie', 'diagnostique.'], ['3-', 'Imagerie', 'par', 'résonance', 'magnétique.'], ['4-', 'Coloscopie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Le', 'cas', 'clinique', 'présenté', 'est', 'celui', ""d'une"", 'femme', 'en', 'âge', 'de', 'procréer', '(27', 'ans)', 'présentant', 'une', 'dyspareunie', '+', 'une', 'dysménorrhée', '+', 'une', 'infertilité,', 'ce', 'qui', 'doit', 'nous', 'faire', 'penser', 'à', 'une', 'endométriose.'], [""L'histoire"", 'clinique', 'et', ""l'échographie"", 'permettent', 'de', 'poser', 'un', 'diagnostic', 'de', 'suspicion,', 'mais', 'le', 'diagnostic', 'de', 'certitude', 'est', 'posé', 'par', ""l'observation"", 'directe', '(avec', 'ou', 'sans', 'biopsie', 'associée)', 'des', 'implants', 'ectopiques', 'de', 'tissu', 'endométrial,', 'soit', 'par', 'laparotomie,', 'soit', 'par', 'laparoscopie.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
69_124,"[['QUESTION', 'TYPE:', 'ANESTHÉSIOLOGIE,', 'SOINS', 'INTENSIFS', 'ET', 'MÉDECINE', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['La', 'fille', ""d'une"", 'femme', 'de', '82', 'ans', 'nous', 'a', 'consultés', 'parce', ""qu'elle"", 'trouvait', 'sa', 'mère', 'plus', 'confuse', 'que', ""d'habitude.""], ['Le', 'patient', 'est', 'diagnostiqué', 'comme', 'étant', 'atteint', ""d'une"", 'forme', 'modérée', 'de', 'la', 'maladie', ""d'Alzheimer.""], ['Il', 'souffre', 'également', 'de', 'fibrillation', 'auriculaire,', 'de', 'dépression', 'et', ""d'arthrose.""], ['Son', 'traitement', 'stable', 'depuis', '3', 'ans', 'comprend', 'la', 'digoxine,', ""l'acénocoumarol,"", 'la', 'fluoxétine', 'depuis', '4', 'mois', 'et', ""l'ibuprofène"", 'depuis', 'un', 'mois', 'pour', 'des', 'douleurs', 'articulaires.'], ['À', ""l'examen,"", 'sa', 'tension', 'artérielle', 'est', 'de', '130/80,', 'sa', 'fréquence', 'cardiaque', 'de', '48', 'bpm', 'et', 'sa', 'fréquence', 'respiratoire', 'de', '10', 'rpm.'], ['Laquelle', 'des', 'causes', 'suivantes', 'est', 'la', 'plus', 'probable', 'de', ""l'augmentation"", 'de', 'la', 'confusion', '?'], ['1-', ""L'évolution"", 'de', 'la', 'maladie', ""d'Alzheimer.""], ['2-', 'Aggravation', 'de', 'la', 'dépression.'], ['3-', 'Intoxication', 'à', 'la', 'digitaline.'], ['4-', 'La', 'démence', 'à', 'corps', 'de', 'Lewy.'], ['5-', 'Toxicité', 'de', ""l'ibuprofène.""], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'cause', 'la', 'plus', 'probable', 'est', 'une', 'intoxication', 'à', 'la', 'digitaline,', 'qui', 'entraînerait', 'le', 'ralentissement', 'de', 'la', 'conduction', 'observé', 'dans', 'la', 'fréquence', 'cardiaque.'], ['Probablement', 'secondaire', 'à', 'une', 'insuffisance', 'rénale', 'due', 'à', 'la', 'toxicité', 'de', ""l'ibuprofène"", '(mais', ""c'est"", 'un', 'peu', 'exagéré).']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
140_134,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'nouveau-né', 'de', '37', 'semaines', ""d'âge"", 'gestationnel,', 'dont', ""l'échographie"", 'prénatale', ""n'a"", 'révélé', 'aucune', 'pathologie,', 'présente', 'lors', 'de', ""l'examen"", 'effectué', 'en', 'salle', ""d'accouchement"", 'un', '""arrêt""', 'au', 'passage', 'de', 'la', 'sonde', 'nasogastrique.'], ['La', 'radiographie', 'thoracique', 'et', 'abdominale', 'montre', 'une', 'poche', 'oesophagienne', 'atrésique,', 'avec', 'une', 'pneumatisation', 'gastro-intestinale', 'normale.'], ['Après', 'une', 'évaluation', 'diagnostique', 'qui', 'a', 'permis', ""d'exclure"", ""d'autres"", 'anomalies,', 'et', 'compte', 'tenu', 'de', ""l'état"", 'respiratoire', 'stable', 'de', 'la', 'patiente,', 'une', 'intervention', 'chirurgicale', 'a', 'été', 'décidée.'], ['Sur', 'quoi', 'se', 'fonde', 'la', 'priorité', ""d'intervention"", 'auprès', 'de', 'ce', 'patient', '?'], ['1-', 'Incapacité', 'à', 'avaler', 'la', 'salive.'], ['2-', 'En', 'raison', 'des', 'malformations', 'cardiaques', 'fréquemment', 'associées.'], ['3-', 'En', 'raison', 'du', 'risque', 'de', 'pneumonie', ""d'aspiration.""], ['4-', 'En', 'raison', 'de', ""l'impossibilité"", ""d'une"", 'alimentation', 'entérale.'], ['5-', 'En', 'raison', 'de', 'la', 'trachéomalacie', 'associée.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', '3.'], ['Le', 'fait', ""qu'il"", 'y', 'ait', 'une', 'aération', 'intestinale', 'indique', ""l'existence"", ""d'une"", 'fistule', 'du', 'segment', 'inférieur', 'de', ""l'œsophage"", 'avec', 'la', 'trachée', 'ou', 'une', 'bronche.'], ['Dans', 'ce', 'cas,', 'les', 'complications', 'pulmonaires', 'sont', 'fréquentes', 'en', 'raison', 'du', 'passage', 'du', 'contenu', 'gastrique', 'dans', 'les', 'voies', 'respiratoires.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
475_89,"[['QUESTION', 'TYPE:', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '46', 'ans', 'souffrant', 'de', 'troubles', 'bipolaires', 'est', 'amené', 'aux', 'urgences', 'après', 'une', 'overdose', 'de', 'carbonate', 'de', 'lithium.'], [""L'examen"", 'révèle', 'des', 'tremblements', 'intenses,', 'une', 'ataxie,', 'une', 'dysarthrie,', 'une', 'myoclonie', 'et', 'des', 'fasciculations.'], ['La', 'lithémie', 'est', 'de', '4,1', 'mEq/L', '(toxicité', '>', '1,6', 'mEq/L).'], ['Parmi', 'les', 'options', 'thérapeutiques', 'suivantes,', 'laquelle', 'serait', 'la', 'plus', 'appropriée', '?'], ['1-', ""L'aminophylline"", 'associée', 'à', 'un', 'cathartique.'], ['2-', 'Le', 'charbon', 'actif.'], ['3-', ""L'hémodialyse.""], ['4-', 'Diurèse', 'forcée.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'un"", 'cas', ""d'intoxication"", 'grave', 'au', 'lithium', '(une', 'lithémie', '>', '3,5', 'mEq/L', 'met', 'en', 'jeu', 'le', 'pronostic', 'vital),', 'de', 'sorte', 'que', ""l'option"", 'thérapeutique', 'de', 'choix', 'est', 'de', 'commencer', ""l'hémodialyse"", 'de', 'toute', 'urgence.'], [""N'oubliez"", 'pas', 'que', 'le', 'charbon', 'actif', ""n'est"", 'PAS', 'indiqué', 'en', 'cas', ""d'intoxication"", 'au', 'lithium.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
85_50,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'VASCULAIRE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'ayant', 'des', 'antécédents', 'de', 'maladie', 'fébrile', 'et', 'de', 'douleur', 'thoracique', 'se', 'présente', 'à', ""l'hôpital"", 'avec', 'une', 'dyspnée', 'et', 'une', 'tachypnée.'], ['À', ""l'examen"", 'physique,', 'la', 'tension', 'artérielle', 'est', 'basse,', 'la', 'pression', 'veineuse', 'jugulaire', 'est', 'élevée,', 'le', 'sinus', 'descendant', 'est', 'profond', 'et', 'le', 'pouls', 'est', 'paradoxal.'], ['Quelle', 'pathologie', 'faut-il', 'suspecter', '?'], ['1-', 'La', 'cardiopathie', 'ischémique.'], ['2-', 'La', 'cardiomyopathie', 'dilatée.'], ['3-', 'Sténose', 'aortique', 'sévère.'], ['4-', 'Péricardite', 'constrictive.'], ['5-', 'Epanchement', 'péricardique', 'avec', 'tamponnade', 'cardiaque.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Le', 'pouls', 'paradoxal', 'est', 'une', 'chute', 'de', 'la', 'pression', 'artérielle', '>', '10', 'mmHg', 'pendant', ""l'inspiration"", ';', 'il', 'représente', 'une', 'exagération', 'du', 'phénomène', 'physiologique', 'de', 'chute', 'inspiratoire', 'de', 'la', 'pression', 'artérielle', '(normale', ""jusqu'à"", '10', 'mmHg).'], ['Dans', 'la', 'tamponnade', 'cardiaque,', ""l'inspiration,"", 'qui', 'provoque', 'une', 'augmentation', 'du', 'flux', 'sanguin', 'vers', 'les', 'cavités', 'droites,', 'augmentant', 'ainsi', 'le', 'volume', 'de', 'ces', 'dernières,', 'entraîne', 'secondairement', 'un', 'déplacement', 'du', 'septum', 'interventriculaire', 'vers', 'la', 'gauche,', 'de', 'sorte', 'que', 'moins', 'de', 'sang', 'se', 'loge', 'et', 'est', 'éjecté', 'du', 'cœur', 'gauche', 'pendant', 'la', 'systole', 'et', 'que', 'la', 'fréquence', 'du', 'pouls', 'diminue.'], ['Ce', 'déplacement', 'exagéré,', 'causé', 'par', 'la', 'pression', 'exercée', 'par', 'la', 'tamponnade', 'sur', 'la', 'paroi', 'libre', 'du', 'ventricule', 'gauche,', 'ne', 'se', 'produit', 'pas', 'dans', 'un', 'cœur', 'normal.'], ['Le', 'sinus', 'X', 'représente', ""l'effondrement"", 'systolique', 'du', 'pouls', 'veineux,', ""c'est-à-dire"", 'la', 'chute', 'de', 'pression', 'due', 'à', 'la', 'relaxation', 'auriculaire', '(également', 'due', 'en', 'partie', 'à', 'un', 'déplacement', 'vers', 'le', 'bas', 'de', 'la', 'base', 'du', 'VR', 'pendant', 'la', 'systole).'], ['Le', 'sinus', 'Y', 'représente', ""l'effondrement"", 'diastolique', 'du', 'pouls', 'veineux,', ""c'est-à-dire"", 'la', 'chute', 'de', 'pression', 'qui', 'se', 'produit', 'à', 'partir', 'du', 'moment', 'où', 'le', 'sang', 'pénètre', 'dans', 'le', 'ventricule', 'par', 'la', 'valve', 'tricuspide.'], ['En', 'cas', 'de', 'tamponnade', 'cardiaque,', 'le', 'sinus', 'X', 'profond', 'est', 'caractéristique.'], ['En', 'cas', 'de', 'péricardite', 'constrictive,', 'le', 'sinus', 'Y', 'profond.'], ['Pour', 'toutes', 'ces', 'raisons,', 'la', 'bonne', 'réponse', 'est', '5.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 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'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
527_31,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Les', 'résultats', 'des', 'gaz', 'du', 'sang', 'artériel', ""d'un"", 'patient', 'sont', 'les', 'suivants', ':', 'pH', ':', '7,40,', 'PaCO2', '60', 'mmHg', ';', 'bicarbonate', '36', 'mM/L.'], ['Quel', 'est', 'le', 'trouble', '?'], ['1-', 'Aucun,', 'le', 'pH', 'est', 'normal.'], ['2-', 'Acidose', 'respiratoire.'], ['3-', 'Acidose', 'respiratoire', 'et', 'alcalose', 'métabolique.'], ['4-', 'Alcalose', 'métabolique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Les', 'gaz', 'du', 'sang', 'peuvent', 'être', 'trompeurs', 'car', 'un', 'pH', 'normal', 'peut', 'suggérer', ""qu'il"", ""n'y"", 'a', 'pas', 'de', 'perturbation', 'de', ""l'équilibre"", 'acido-basique,', 'alors', ""qu'il"", 'masque', 'une', 'double', 'perturbation', 'dans', 'des', 'directions', 'opposées,', 'comme', 'dans', 'le', 'cas', 'présent.'], ['Le', 'patient', 'présente', 'une', 'acidose', 'respiratoire', '(PaCO2', '60', 'mmHg', ';', 'normale', ""jusqu'à"", '50)', 'et', 'une', 'alcalose', 'métabolique', 'compensatoire', '(bicarbonate', '36', 'mmol/l', ';', 'normale', ""jusqu'à"", '28).'], ['Cette', 'situation', 'est', 'typique', 'du', 'patient', 'souffrant', 'de', 'BPCO', 'et', ""d'insuffisance"", 'respiratoire', 'chronique', 'compensée.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
407_81,"[['QUESTION', 'TYPE:', 'ONCOLOGIE', '(ECTOPIQUE)'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '30', 'ans', 'se', 'présente', 'à', 'la', 'clinique', 'en', 'faisant', 'part', 'de', 'son', 'anxiété,', ""d'une"", 'perte', 'de', 'poids', ""d'environ"", '6', 'kg', 'et', ""d'un"", 'sentiment', 'de', '""nervosité""', 'au', 'cours', 'des', 'trois', 'derniers', 'mois.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'tachycardie,', 'une', 'hyperréflexie', 'et', ""l'absence"", 'de', 'goitre.'], ['Les', 'valeurs', 'de', 'TSH', 'sont', '<', '0,01', 'microU/mL,', 'la', 'T4', 'est', 'élevée', 'et', 'les', 'niveaux', 'de', 'thyroglobuline', 'sont', 'diminués.'], ['Une', 'scintigraphie', 'révèle', 'une', 'absence', 'de', 'captation', 'dans', 'la', 'région', 'thyroïdienne.'], ['Quel', 'est,', 'selon', 'vous,', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'La', 'thyrotoxicose', 'factice.'], ['2-', 'Hyperthyroïdie', 'due', 'à', 'la', 'maladie', 'de', 'Graves.'], ['3-', 'Tératome', 'ovarien', '(struma', 'ovarien).'], ['4-', 'Thyroïdite', 'subaiguë.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Les', 'patients', 'atteints', 'de', 'ce', 'trouble', 'ingèrent', 'volontairement', 'ou', 'accidentellement', 'des', 'quantités', 'excessives', ""d'hormones"", 'thyroïdiennes,', 'ce', 'qui', 'entraîne', 'une', 'hyperthyroïdie', 'en', ""l'absence"", 'de', 'goitre.'], ['Contrairement', 'à', 'toutes', 'les', 'autres', 'causes', ""d'hyperthyroïdie,"", 'la', 'thyroglobuline', 'sérique', ""n'est"", 'pas', 'élevée', 'et', 'est', 'presque', 'toujours', 'faible', 'ou', 'à', 'la', 'limite', 'inférieure', 'de', 'la', 'normale.'], ['Le', 'problème', 'fondamental', 'était', 'le', 'tératome', 'ovarien', '(struma', 'ovarien)', 'qui', 'est', 'une', 'variante', 'rare', 'de', 'tératome', 'monodermique', 'mature', 'composé', 'de', 'tissu', 'thyroïdien', 'décrit', 'au', 'début', 'du', '20e', 'siècle.'], ['Il', 'est', 'appelé', 'ainsi', 'lorsque', 'le', 'tératome', 'est', 'principalement', 'composé', 'de', 'tissu', 'thyroïdien', 'mature', '(au', 'moins', '50', '%', 'pour', 'être', 'classé', 'comme', 'struma', 'ovarii).'], ['Il', 'représente', '2,5', 'à', '5', '%', 'des', 'tératomes', 'ovariens.'], ['En', 'soi,', 'il', ""s'agit"", ""d'une"", 'tumeur', 'bénigne,', 'mais', 'dans', '5', '%', 'des', 'cas,', 'elle', 'peut', 'évoluer', 'vers', 'une', 'transformation', 'maligne', 'de', 'ses', 'éléments,', 'classiquement', 'appelée', 'struma', 'ovarii', 'malin.'], ['Le', 'tissu', 'néoplasique', 'développé', 'est', 'le', 'plus', 'souvent', 'un', 'carcinome', 'papillaire,', 'plus', 'rarement', 'un', 'carcinome', 'folliculaire.'], ['Cette', 'transformation', 'maligne', 'survient', 'principalement', 'dans', 'les', 'formes', 'classiques', 'de', 'struma,', 'mais', 'est', 'extrêmement', 'rare', 'dans', 'les', 'cas', 'de', 'tératomes', 'kystiques', 'matures.'], ['Son', 'comportement', 'est', 'similaire', 'à', 'celui', ""d'autres"", 'tumeurs', 'ovariennes', 'primaires,', 'tendant', 'à', 'métastaser', 'dans', 'la', 'cavité', 'péritonéale', 'et,', 'par', 'voie', 'hématogène,', 'dans', 'les', 'os,', 'le', 'foie', 'et', 'le', 'cerveau.'], [""L'âge"", 'moyen', 'de', 'présentation', 'du', 'carcinome', 'thyroïdien', 'sur', 'struma', 'ovarii', 'se', 'situe', 'entre', '42,9', 'et', '44', 'ans', 'et', 'entre', '21', 'et', '63', 'ans', 'pour', 'la', 'variante', 'du', 'carcinome', 'papillaire.'], ['Sur', 'le', 'plan', 'clinique,', 'la', 'forme', 'prédominante', 'de', 'présentation', 'est', 'une', 'masse', 'pelvienne', 'ou', 'des', 'douleurs', 'abdominales', '(45%),', 'moins', 'fréquemment', 'une', 'hyperthyroïdie', '(5-8%)', 'ou', 'une', 'ascite', '(17%).'], ['On', 'suppose', 'que', 'le', 'tissu', 'thyroïdien', 'ovarien', 'du', 'struma', 'est', 'autonome', 'dans', 'la', 'production', ""d'hormones"", 'thyroïdiennes,', 'ce', 'qui', 'explique', 'pourquoi', 'la', 'mesure', 'des', 'taux', 'sériques', 'de', 'thyroglobuline', 'chez', 'les', 'patients', 'atteints', 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'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 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15_126,"[['QUESTION', 'TYPE:', 'SOINS', 'PALLIATIFS'], ['CLINICAL', 'CASE:'], ['Pour', 'la', 'troisième', 'fois', 'au', 'cours', 'des', 'six', 'derniers', 'mois,', 'un', 'homme', 'de', '84', 'ans', 'atteint', 'de', 'démence', 'avancée', 'est', 'admis', 'à', ""l'hôpital"", 'pour', 'une', 'pneumonie', 'par', 'aspiration.'], ['Il', 'a', 'perdu', '9,5', 'kg', 'au', 'cours', 'des', 'dix', 'derniers', 'mois.'], ['Elle', 'souffre', ""d'une"", 'escarre', 'au', 'niveau', 'du', 'sacrum.'], ['Il', 'ne', 'communique', 'pas', 'verbalement,', 'ne', 'se', 'déplace', 'pas', 'et', 'est', 'dépendant', 'pour', 'toutes', 'les', 'activités', 'de', 'la', 'vie', 'quotidienne.'], ['Sa', 'femme', ""s'occupe"", 'de', 'lui', 'à', 'la', 'maison', 'et', 'ne', 'veut', 'pas', 'le', 'placer', 'dans', 'une', 'maison', 'de', 'repos.'], ['Une', 'étude', 'de', 'la', 'déglutition', 'indique', ""qu'il"", ""s'étouffe"", 'avec', 'tous', 'les', 'types', ""d'aliments.""], ['Le', 'médecin', 'de', ""l'hôpital"", 'propose', 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322_85,"[['QUESTION', 'TYPE:', 'UROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '22', 'ans', 'souffrant', ""d'hyposmie"", 'présente', 'une', 'absence', 'de', 'développement', 'des', 'caractères', 'sexuels', 'secondaires', 'et', 'une', 'infertilité.'], ['Volume', 'testiculaire', 'bilatéral', 'de', '4', 'ml.'], ['Sur', 'le', 'plan', 'analytique,', 'EST-I', '1,2', 'U/L', '(vn', '5-15)', ';', 'LH', '0,6', 'U/L', '(vn', '3-15)', ';', 'testostérone', '100', 'ng/dL', '(vn', '300-1200),', 'prolactine', 'normale.'], ['Indiquez', 'le', 'traitement', 'que', 'vous', 'proposerez', 'pour', 'obtenir', 'la', 'fertilité', ':'], ['1-', 'Pompe', 'à', 'perfusion', 'de', 'GnRH.'], ['2-', 'Administration', 'intramusculaire', 'mensuelle', 'de', 'triptoréline.'], ['3-', 'Administration', 'intramusculaire', 'de', 'FSH', 'et', 'LH', 'une', 'fois', 'par', 'semaine.'], ['4-', 'Traitement', 'à', 'la', 'bromocriptine.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Il', ""s'agit"", 'du', 'syndrome', 'de', 'Kallman', '(hypogonadisme', 'hypogonadotrope', '+', 'troubles', 'olfactifs).'], ['La', 'triptoréline', 'est', 'un', 'agoniste', 'de', 'la', 'GnRH', 'qui,', 'par', 'une', 'action', 'continue,', 'réduit', 'la', 'FSH', 'et', 'la', 'LH.', 'Elle', 'est', 'utilisée', 'dans', 'les', 'cancers', 'dépendant', 'des', 'hormones', 'sexuelles', 'ainsi', 'que', 'dans', 'la', 'puberté', 'précoce.'], ['La', 'bromocriptine', 'est', 'un', 'agoniste', 'dopaminergique', 'utilisé', 'dans', 'les', 'cas', ""d'hyperPRL"", '(PRL', 'normale),', 'de', 'tumeurs', 'hypophysaires...'], ['Nous', 'sommes', 'restés', 'entre', '1', 'et', '3.'], ['La', 'GnRH', 'pulsatile', 'avec', 'pompe,', 'la', 'hCG', 'ou', 'la', 'FSH+hCG', 'peuvent', 'être', 'utilisées', 'pour', 'induire', 'la', 'maturation', 'testiculaire.'], ['La', 'LH', ""n'est"", 'pas', 'utilisée', 'comme', 'traitement,', 'elle', 'serait', 'stimulée', 'par', 'la', 'GnRH', 'intermittente.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
610_116,,
391_222,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'célibataire', 'de', '26', 'ans,', 'amené', 'à', 'la', 'clinique', 'par', 'sa', 'famille', 'parce', ""qu'il"", 'refuse', 'de', 'quitter', 'son', 'domicile', 'depuis', 'trois', 'mois.'], ['La', 'raison', 'invoquée', 'par', 'le', 'patient', 'est', ""qu'il"", 'pense', 'avoir', 'une', 'mâchoire', 'asymétrique', 'et', 'un', 'visage', 'de', 'travers.'], ['Selon', 'lui,', 'cette', 'situation', 'est', 'progressive', 'et', 'il', 'semble', 'de', 'plus', 'en', 'plus', 'déformé', ""lorsqu'il"", 'se', 'regarde', 'dans', 'le', 'miroir.'], ['Il', 'a', 'honte', 'de', 'son', 'apparence,', 'ne', 'veut', 'pas', 'sortir,', 'est', 'très', 'angoissé', ""lorsqu'il"", 'voit', 'son', 'image', 'et', 'ne', 'peut', ""s'empêcher"", 'de', 'penser', 'à', 'sa', 'difformité', 'tout', 'au', 'long', 'de', 'la', 'journée.'], ['Il', 'a', 'consulté', 'plusieurs', 'chirurgiens', 'maxillo-faciaux,', 'mais', 'ceux-ci', 'lui', 'ont', 'dit', ""qu'il"", ""n'avait"", 'pas', ""d'asymétrie"", 'faciale', 'et', ""l'ont"", 'orienté', 'vers', 'un', 'psychiatre.'], ['Le', 'diagnostic', 'du', 'patient', 'est', 'le', 'suivant', ':'], ['1-', 'Trouble', 'dépressif', 'majeur', 'avec', 'délire', ""d'incongruité"", 'de', ""l'humeur.""], ['2-', 'Les', 'troubles', 'obsessionnels', 'compulsifs.'], ['3-', 'Schizophrénie', 'paranoïaque.'], ['4-', 'La', 'dysmorphie', 'corporelle.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Encore', 'une', 'question', 'simple', 'avec', 'une', 'réponse', 'immédiate,', 'qui', 'ne', 'fait', 'aucun', 'doute.'], ['Il', 'décrit', 'un', 'patient', 'qui', ""s'inquiète"", ""d'un"", 'défaut', 'physique', 'inexistant,', 'dont', ""l'inquiétude"", 'le', 'rend', 'anxieux', 'et', ""l'empêche"", 'de', 'sortir', 'de', 'chez', 'lui.'], ['En', 'tant', ""qu'interne"", 'en', 'psychiatrie,', ""j'aurais"", 'aimé', 'que', 'les', 'questions', 'du', 'MIR', 'dans', 'ma', 'spécialité', 'suscitent', 'un', 'peu', 'plus', 'de', 'réflexion', 'et', 'soient', 'plus', 'approfondies,', 'même', 'si', 'je', 'sais', 'que', 'les', 'secondes', 'que', 'vous', 'aurez', 'gagnées', 'en', 'cochant', 'directement', 'la', 'quatrième', 'question', 'sont', 'très', 'précieuses.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
324_55,"[['QUESTION', 'TYPE:', 'SOINS', 'CRITIQUES,', 'PALLIATIFS', 'ET', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '70', 'ans', 'est', 'admise', 'en', 'réanimation', 'après', 'un', 'IAM', 'antérieur', 'traité', 'par', 'angioplastie', 'coronaire', 'et', 'pose', ""d'une"", 'endoprothèse', 'sur', ""l'artère"", 'descendante', 'antérieure.'], ['4', 'jours', 'plus', 'tard,', 'il', 'a', 'soudainement', 'présenté', 'une', 'hypotension,', 'nécessitant', 'un', 'soutien', 'volumétrique', 'vigoureux,', ""l'initiation"", 'de', 'médicaments', 'vasoactifs,', ""l'intubation"", 'orotrachéale', 'et', 'la', 'mise', 'en', 'place', ""d'une"", 'ventilation', 'mécanique.'], [""L'examen"", 'physique', 'a', 'révélé', 'un', 'souffle', 'qui', ""n'était"", 'pas', 'présent', 'auparavant.'], ['La', 'suspicion', ""d'une"", 'complication', 'mécanique', 'de', ""l'infarctus"", 'a', 'conduit', 'à', 'une', 'échocardiographie', 'transthoracique', 'montrant', 'un', 'épanchement', 'péricardique.'], ['Veuillez', 'cocher', 'la', 'bonne', 'réponse', ':'], ['1-', 'La', 'mortalité', 'sous', 'traitement', 'médical', 'est', 'de', '20%.'], ['2-', 'En', 'cas', 'de', 'rupture', 'de', 'la', 'paroi', 'libre,', 'il', 'existe', 'un', 'ressaut', 'du', 'ventricule', 'droit', 'dans', 'le', 'cathétérisme', 'de', 'Swan-Ganz.'], ['3-', 'En', 'cas', 'de', 'rupture', 'de', 'la', 'paroi', 'libre,', 'il', ""n'y"", 'a', 'pas', 'de', 'frémito', 'palpable.'], ['4-', 'Les', 'complications', 'mécaniques', 'apparaissent', 'généralement', 'le', 'premier', 'jour', 'après', ""l'infarctus.""], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'mortalité', ""n'est"", 'pas', 'aussi', 'faible,', 'un', 'saut', 'oxymétrique', 'se', 'produit', 'en', 'cas', 'de', 'rupture', 'septale,', 'ainsi', ""qu'une"", 'phrémie', '(la', 'bonne', 'réponse', 'est', 'donc', '3)', 'et', 'des', 'complications', 'peuvent', 'survenir', 'dès', 'la', 'première', 'semaine.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
240_150,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '76', 'ans', 'a', 'consulté', 'pour', 'des', 'troubles', 'cognitifs,', 'une', 'lenteur', 'et', 'une', 'maladresse', 'dans', 'les', 'mouvements,', 'depuis', 'huit', 'mois.'], ['La', 'famille', 'ayant', 'signalé', 'que', 'le', 'patient', 'avait', 'des', 'hallucinations', 'visuelles,', 'son', 'médecin', 'traitant', 'lui', 'a', 'prescrit', 'de', 'faibles', 'doses', 'de', 'rispéridone,', 'ce', 'qui', 'a', 'entraîné', 'une', 'aggravation', 'significative', 'de', 'son', 'état', 'moteur.'], ['Au', 'vu', 'de', 'ces', 'données,', 'quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'La', 'maladie', ""d'Alzheimer.""], ['2-', 'La', 'démence', 'à', 'corps', 'de', 'Lewy.'], ['3-', 'La', 'démence', 'fronto-temporale.'], ['4-', 'La', 'démence', 'vasculaire.'], ['5-', 'Maladie', 'de', 'Creutzfeldt-Jakob', 'sporadique.'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'bonne', 'réponse', 'est', '2', 'car', 'elle', 'présente', 'le', 'cas', 'avec', 'les', 'symptômes', 'typiques', 'de', 'la', 'démence', 'à', 'corps', 'de', 'Lewy,', 'le', 'symptôme', 'directeur', 'étant', 'les', 'hallucinations', 'visuelles.'], ['Des', 'troubles', 'cognitifs', 'progressifs,', 'des', 'signes', 'moteurs', 'parkinsoniens', '(déduits', 'de', 'la', 'maladresse', 'des', 'mouvements)', 'et', 'une', 'hypersensibilité', 'aux', 'neuroleptiques,', 'même', 'à', 'faibles', 'doses,', 'sont', 'également', 'mentionnés.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
68_123,"[['QUESTION', 'TYPE:', 'ANESTHÉSIOLOGIE,', 'SOINS', 'INTENSIFS', 'ET', 'MÉDECINE', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '64', 'ans,', 'ayant', 'des', 'antécédents', ""d'hypertension"", 'et', 'de', 'cardiopathie', 'ischémique,', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'avec', 'une', 'douleur', 'thoracique', 'oppressante', 'alors', ""qu'il"", 'regardait', 'la', 'télévision.'], ['Lors', 'de', 'la', 'consultation', 'de', 'triage', 'aux', 'urgences,', 'un', 'T.', 'art', 'de', '155/95', 'mmHg', 'et', 'une', 'saturation', 'capillaire', 'en', 'O2', 'de', '95', '%', 'sont', 'détectés.', 'Laquelle', 'des', 'mesures', 'suivantes', 'est', 'la', 'plus', 'correcte', '?'], ['1-', 'Lui', 'dire', 'de', 'se', 'rendre', 'dans', 'la', 'salle', ""d'attente.""], ['Vous', 'serez', 'prévenu', 'pour', 'les', 'tests.'], ['2-', 'Ce', 'patient', 'doit', 'être', 'traité', 'dans', 'le', 'box', ""d'urgence"", 'vitale', '(salle', 'de', 'choc).'], ['3-', 'Nous', 'préviendrons', 'le', 'cardiologue', 'de', 'garde', 'pour', ""qu'il"", 'évalue', 'le', 'patient.'], ['4-', 'Vous', 'serez', 'orienté', 'de', 'la', 'consultation', 'de', 'triage', 'vers', ""l'unité"", 'coronaire.'], ['5-', 'Nous', 'ferons', 'un', 'ECG', 'en', 'moins', 'de', '10', 'minutes.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Si', ""l'ECG"", 'montre', 'des', 'modifications', 'ischémiques,', 'nous', 'vous', 'traiterons', 'bien', 'sûr', 'aux', 'urgences', 'et', 'préviendrons', 'le', 'cardiologue.'], ['Si', 'ce', ""n'est"", 'pas', 'le', 'cas,', 'elle', 'sera', 'traitée', 'comme', 'une', 'angine', 'et', 'observée,', 'avec', 'des', 'enzymes', 'en', 'série', 'et', 'un', 'traitement', 'dans', 'la', 'zone', ""d'observation.""]]","[['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
206_125,"[['QUESTION', 'TYPE:', 'UROLOGIE'], ['CLINICAL', 'CASE:'], ['Dans', 'le', 'cas', ""d'un"", 'homme', 'asymptomatique', 'de', '49', 'ans,', 'avec', 'des', 'antécédents', 'familiaux', ""d'un"", 'père', 'décédé', ""d'un"", 'cancer', 'de', 'la', 'prostate,', 'un', 'PSA', '(Prostate', 'Specific', 'Antigen)', 'de', '5,9', 'ng/ml,', 'avec', 'un', 'rapport', 'PSA', 'libre/PSA', 'total', 'de', '11', '%', 'et', 'un', 'toucher', 'rectal', 'montrant', 'une', 'augmentation', 'de', 'la', 'consistance', 'dans', 'le', 'lobe', 'droit', 'de', 'la', 'prostate,', 'quelle', 'est', ""l'indication"", 'clinique', 'suivante', '?'], ['1-', 'Demander', 'au', 'patient', 'de', 'subir', 'une', 'échographie', 'transrectale', 'et', 'une', 'biopsie', 'de', 'la', 'prostate.'], ['2-', 'Réaliser', 'un', 'scanner', 'abdominopelvien.'], ['3-', 'Initier', 'un', 'traitement', 'avec', 'des', 'inhibiteurs', 'de', 'la', '5-alpha', 'réductase', 'pour', 'réduire', 'de', 'moitié', 'le', 'taux', 'de', 'PSA.'], ['4-', 'Mettre', 'en', 'place', 'un', 'traitement', 'combiné', 'par', 'analogues', 'de', 'la', 'LH-RH', 'et', 'anti-androgènes.'], ['5-', 'Effectuer', 'une', 'scintigraphie', 'osseuse.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Le', 'patient', 'a', 'un', 'PSA', '>4', 'et', 'une', 'palpation', 'avec', 'une', 'consistance', 'accrue,', 'ce', 'qui', 'implique', 'la', 'nécessité', ""d'une"", 'biopsie', 'guidée', 'par', 'échographie', 'transrectale,', 'afin', 'de', 'diagnostiquer', ""s'il"", ""s'agit"", ""d'une"", 'hyperplasie', 'bénigne', 'de', 'la', 'prostate', 'ou', ""d'un"", 'cancer', 'de', 'la', 'prostate.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
570_153,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '19', 'ans,', 'sans', 'antécédents', 'particuliers,', ""s'est"", 'présenté', 'aux', 'urgences', 'car,', 'après', 'une', 'infection', 'respiratoire,', 'il', 'présentait', 'une', 'asthénie,', 'un', 'malaise', 'général,', 'une', 'oligurie', 'et', 'des', 'céphalées.'], ['Examen', 'physique', ':', 'tension', 'artérielle', '210/120', 'mmHg,', 'fond', ""d'œil"", 'avec', 'rétinopathie', 'hypertensive', 'de', 'grade', 'III.'], ['NFS', ':', 'Hb', '7,4', 'g/dl,', 'plaquettes', '85', '000/mm3,', '2-3', 'schistocytes', 'dans', 'le', 'frottis', 'de', 'sang', 'périphérique,', 'LDH', '950', 'UI/ml,', 'créatinine', 'sérique', '8,75', 'mg/dl.'], ['Système', 'urinaire', ':', 'protéinurie', '300', 'mg/dl,', 'sédiment', '15', 'globules', 'rouges', 'par', 'champ.'], ['Niveaux', 'normaux', ""d'ADAMTS-13.""], ['Au', 'vu', 'de', 'ces', 'résultats,', 'quelle', 'serait', 'votre', 'principale', 'suspicion', 'diagnostique', '?'], ['1-', 'Purpura', 'thrombocytopénique', 'thrombotique.'], ['2-', 'Le', 'syndrome', 'hémolytique', 'et', 'urémique', 'atypique.'], ['3-', 'Coagulation', 'intravasculaire', 'disséminée.'], ['4-', 'Syndrome', 'hémolytique', 'et', 'urémique', 'typique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Question', 'difficile.'], ['Le', 'patient', 'a', 'présenté', 'une', 'microangiopathie', 'thrombotique', '(MAT)', 'accompagnée', ""d'une"", 'insuffisance', 'rénale', 'aiguë.'], ['Cela', 'indique', 'un', 'SHU,', 'un', 'PTT,', 'une', 'AMM', 'induite', 'par', 'des', 'médicaments', 'ou', 'une', 'AMM', 'médiée', 'par', 'le', 'complément,', 'la', 'coagulation', 'ou', 'le', 'métabolisme.'], ['Des', 'taux', 'normaux', ""d'ADAMTS-13"", 'excluent', 'la', 'possibilité', ""d'un"", 'PTT', '(option', '1', 'incorrecte).'], [""L'absence"", 'de', 'symptômes', 'gastro-intestinaux', 'exclut', 'le', 'SHU', 'typique', 'à', 'la', 'toxine', 'de', 'Shiga', '(option', '4', 'incorrecte).'], 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506_87,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'trouble', 'obsessionnel-compulsif', '(TOC)', ""d'apparition"", 'soudaine', 'chez', 'un', 'enfant', 'de', '9', 'ans', 'présentant', 'des', 'tics', 'et', 'une', 'chorée', 'comme', 'manifestations', 'neurologiques', 'doit', 'être', 'exclu', ':'], ['1-', 'Streptococcus', 'viridans.'], ['2-', 'Le', 'streptocoque', 'alpha-hémolytique.'], ['3-', 'Le', 'streptocoque', 'bêta-hémolytique', 'du', 'groupe', 'A.'], ['4-', 'Enterococcus.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', 'existe', 'une', 'abondante', 'littérature', 'sur', 'le', 'sujet.'], ['Nous', 'ne', 'cessons', 'de', 'nous', 'étonner', 'des', 'voies', 'étranges', 'de', 'la', 'biologie', 'et', 'du', 'fait', 'que', ""l'axiome"", '""le', 'plus', 'long', 'a', 'raison""', 'se', 'vérifie', 'dans', 'ce', 'cas.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
619_121,,
161_118,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '60', 'ans', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'une', 'bronchopathie', 'chronique,', 'un', 'diabète', 'sucré,', 'une', 'hypertension', 'artérielle', 'et', 'qui', 'est', 'traitée', 'depuis', '4', 'mois', 'par', 'oméprazole,', 'metformine,', 'salbutamol,', 'bromure', ""d'ipratropium"", 'et', 'énalapril', '20', 'mg', '+', 'hydrochlorothiazide', '25', 'mg', 'se', 'présente', 'à', 'votre', 'cabinet', 'en', 'raison', ""d'une"", 'fatigue,', ""d'une"", 'diminution', 'de', ""l'appétit,"", ""d'une"", 'légère', 'dyspnée', 'et', ""d'une"", 'toux', 'occasionnelle,', 'de', 'selles', 'variables,', 'parfois', 'molles,', 'et', 'sans', 'symptômes', 'urinaires.'], ['Les', 'analyses', 'ont', 'révélé', 'des', 'globules', 'blancs', 'de', '10', '000/mm³,', 'un', 'poids', 'de', '35', '%,', 'un', 'volume', 'moyen', 'de', '80,', 'un', 'glucose', 'de', '150', 'mg/dl,', 'une', 'urée', 'de', '80', 'mg/dl,', 'une', 'créatinine', 'de', '1,6', 'mg/dl,', 'un', 'sodium', 'de', '133', 'mEq/l', 'et', 'un', 'potassium', 'de', '2,9', 'mEq/l.'], ['Quelle', 'est', 'la', 'cause', 'la', 'plus', 'probable', 'de', ""l'hypokaliémie"", '?'], ['1-', 'Insuffisance', 'rénale.'], ['2-', 'Hyponatrémie.'], ['3-', 'Déficit', 'en', 'potassium.'], ['4-', 'Antihypertenseur.'], ['5-', 'Metformine.'], ['BONNE', 'RÉPONSE', ':', '4'], ['La', 'bonne', 'réponse', 'est', ':', '4.'], ['Antihypertenseur.'], ['En', 'particulier,', ""l'hydrochlorothiazide,"", 'en', 'tant', 'que', 'thiazide,', 'est', 'principalement', 'responsable', 'de', ""l'hypokaliémie"", 'de', 'ce', 'patient.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
269_141,,
18_138,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Si', 'un', 'patient', 'signale', ""qu'il"", 'a', 'une', 'langue', 'hypertrophiée', 'depuis', 'des', 'mois,', 'sans', 'autre', 'altération', 'de', 'la', 'langue', 'provoquant', 'une', 'morsure', 'constante,', 'à', 'laquelle', 'des', 'maladies', 'suivantes', 'penseriez-vous', '?'], ['1-', 'Paralysie', 'hypoglosse.'], ['2-', 'Hyperthyroïdie.'], ['3-', 'Mastocytose.'], ['4-', ""L'amylose.""], ['5-', 'Granulome', 'facial.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Question', 'partagée', 'avec', ""l'ORL.""], [""L'amylose"", 'est', 'un', 'dépôt', 'localisé', 'ou', 'systémique', 'de', 'protéines', 'fibrillaires.'], ['Il', 'peut', 'être', 'primaire', 'ou', 'secondaire.'], ['Les', 'organes', 'les', 'plus', 'fréquemment', 'touchés', 'sont', 'les', 'reins', 'et', 'le', 'cœur.'], ['Parfois,', 'des', 'dépôts', 'amyloïdes', 'apparaissent', 'sur', 'la', 'langue,', 'ce', 'qui', 'peut', 'entraîner', 'une', 'macroglossie.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
250_78,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '55', 'ans,', 'père', ""d'un"", 'fils', 'atteint', 'de', 'la', 'maladie', 'cœliaque,', 'présentant', 'une', 'anémie', 'ferriprive', 'et', 'une', 'augmentation', 'récente', 'du', 'rythme', 'des', 'selles,', 'a', 'été', 'testé', 'négatif', 'pour', 'les', 'allèles', 'HLA-DQ2', 'et', 'HLA-DQ8.'], ['Quelle', 'étude', 'diagnostique', 'est', 'la', 'plus', 'appropriée', 'dans', 'ce', 'cas', '?'], ['1-', 'Détermination', 'des', 'anticorps', 'IgA', 'anti-transglutaminase.'], ['2-', 'Endoscopie', 'gastro-intestinale', 'supérieure', 'avec', 'biopsies', 'duodénales.'], ['3-', 'Test', 'au', 'D-xylose.'], ['4-', 'Évaluer', 'la', 'réponse', 'à', 'un', 'régime', 'sans', 'gluten.'], ['5-', 'Coloscopie.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Homme', ""d'âge"", 'moyen', 'souffrant', ""d'une"", 'anémie', 'ferriprive', 'et', ""d'une"", 'augmentation', 'du', 'nombre', 'de', 'selles,', 'une', 'coloscopie', 'est', 'nécessaire', 'pour', 'écarter', 'la', 'possibilité', ""d'un"", 'cancer', 'colorectal', '!!!!'], ['Si', 'le', 'test', 'HLA', 'est', 'négatif,', 'il', 'est', 'très', 'peu', 'probable', ""qu'il"", ""s'agisse"", ""d'une"", 'maladie', 'cœliaque', '(valeur', 'prédictive', 'négative', 'élevée).']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
5_44,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '66', 'ans', 'se', 'plaint', 'de', 'brûlures', ""d'estomac"", 'quotidiennes', 'depuis', 'sa', 'jeunesse,', ""qu'il"", 'traite', 'avec', 'des', 'alcalins.'], ['Une', 'endoscopie', 'du', 'tractus', 'gastro-intestinal', 'supérieur', 'a', 'révélé', 'une', 'œsophagite', 'érosive', 'légère', 'et', 'une', 'jonction', 'pavimenteuse', 'cylindrique', 'déplacée', ""d'environ"", '7', 'cm.'], ['En', 'ce', 'qui', 'concerne', 'la', 'partie', 'la', 'plus', 'proximale', 'des', 'plis', 'gastriques.'], ['Les', 'biopsies', 'de', ""l'œsophage"", 'distal', 'révèlent', 'que', ""l'épithélium"", 'pavimenteux', 'normal', 'a', 'été', 'remplacé', 'par', 'un', 'épithélium', 'cylindrique', 'de', 'type', 'intestinal', 'présentant', 'une', 'dysplasie', 'de', 'bas', 'grade', 'Quelle', 'est', ""l'option"", 'de', 'prise', 'en', 'charge', 'la', 'plus', 'appropriée', 'pour', 'ce', 'patient', '?'], ['1-', ""L'œsophagite"", 'étant', 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359_91,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['La', 'détermination', 'chez', 'une', 'femme', 'de', '70', 'ans', ""d'un"", 'hématocrite', 'de', '32', '%,', ""d'une"", 'Hb', 'de', '9,6', 'g/dL,', ""d'un"", 'MCV', 'de', '85', 'fL', '(70-99),', ""d'un"", 'Fe', 'de', '25', 'ug/dL', '(37-145)', 'et', ""d'une"", 'ferritine', 'de', '350', 'ng/mL', '(15-150)', 'est', 'très', 'évocatrice', ':'], ['1-', 'Perte', 'de', 'sang', 'récente', 'par', 'le', 'tube', 'digestif.'], ['2-', 'Malabsorption', 'intestinale.'], ['3-', 'La', 'polymyalgie', 'rhumatismale.'], ['4-', 'Talasemia', 'minor.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Polymyalgie', 'rhumatismale.'], ['Un', 'exemple', 'classique,', 'je', 'suppose,', 'que', ""l'on"", 'retrouve', 'dans', 'de', 'nombreuses', 'cliniques.'], ['Femme', 'âgée', 'présentant', 'une', 'anémie', 'normocytaire', 'et', 'un', 'schéma', 'ferrocinétique', 'clair', 'de', 'trouble', 'chronique', '(hyposidérémie', 'mais', 'hyperferritinémie).'], ['La', 'seule', 'qui', 'corresponde,', 'et', 'elle', 'est', 'excellente,', 'est', 'la', 'numéro', '3', ';', 'tout', 'ce', ""qu'ils"", 'avaient', 'à', 'faire,', ""c'était"", 'de', 'nous', 'donner', 'un', 'ESR', 'élevé.'], ['1', ':', ""s'il"", ""s'agit"", ""d'une"", 'perte', 'récente,', 'le', 'MCV', 'peut', 'rester', 'normal,', 'mais', 'la', 'ferritine', 'devrait', 'être', 'affectée,', 'et', 'certainement', 'pas', 'élevée.'], ['2', ':', 'la', 'même', 'chose.', ""S'il"", ""s'agit"", ""d'une"", 'malabsorption', 'du', 'fer,', 'la', 'ferritine', 'devrait', 'être', 'basse.'], ['Et', ""s'il"", ""s'agissait"", ""d'une"", 'malabsorption', 'de', 'la', 'B12,', 'le', 'MCV', 'serait', 'nettement', 'plus', 'élevé.'], ['Le', '4', ':', '70', 'tacos', 'et', 'VCM', 'normal.', 'Celui-ci', 'est', 'en', 'surplus.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
108_219,"[['QUESTION', 'TYPE:', 'GÉNÉTIQUE', 'ET', 'IMMUNOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'présente', 'une', 'délétion', 'partielle', 'du', 'gène', 'de', 'la', 'dystrophine', '(chromosome', 'Xp21)', 'qui', 'provoque', 'la', 'sémiologie', 'de', 'la', 'dystrophie', 'musculaire', 'de', 'Becker.'], ['Il', 'se', 'rend', 'à', 'la', 'clinique', 'génétique', 'avec', 'sa', 'femme,', 'afin', ""d'évaluer"", 'les', 'risques', 'de', 'transmission', 'de', 'la', 'maladie.'], ['Quelles', 'sont', 'les', 'informations', 'correctes', 'qui', 'seront', 'fournies', 'dans', 'le', 'cadre', 'du', 'conseil', 'génétique', '?'], ['1-', 'Selon', 'la', 'transmission', 'autosomique', 'dominante,', 'la', 'moitié', 'de', 'leur', 'descendance', 'héritera', 'de', 'la', 'maladie,', 'sans', 'distinction', 'de', 'sexe.'], ['2-', 'Leurs', 'filles', ""n'hériteront"", 'pas', 'de', 'la', 'maladie,', 'mais', 'tous', 'leurs', 'futurs', 'fils', 'seront', 'porteurs', 'et', 'pourront', 'transmettre', 'la', 'mutation', 'à', '50%.'], ['3-', 'Leurs', 'fils', ""n'hériteront"", 'pas', 'de', 'la', 'maladie,', 'mais', 'toutes', 'leurs', 'futures', 'filles', 'seront', 'porteuses', 'et', 'pourront', 'transmettre', 'la', 'mutation', 'à', '50%.'], ['4-', 'Il', ""n'y"", 'a', 'pas', 'de', 'risque', ':', ""l'hérédité"", 'de', 'la', 'maladie', 'est', 'de', 'type', 'mitochondrial,', 'jamais', 'transmise', 'par', 'les', 'hommes.'], ['5-', 'Selon', 'le', 'mode', 'de', 'transmission', 'autosomique', 'récessif,', '25', '%', 'de', 'leurs', 'enfants', 'manifesteront', 'la', 'maladie', 'dans', ""l'enfance,"", 'quel', 'que', 'soit', 'leur', 'sexe.'], ['BONNE', 'RÉPONSE', ':', '3'], [""C'est"", ""l'homme"", 'qui', 'est', 'atteint', 'de', 'la', 'maladie,', 'dont', 'on', 'nous', 'dit', ""qu'elle"", 'est', 'liée', 'au', 'chromosome', 'X.', 'Il', 'ne', 'reste', 'donc', 'que', 'deux', 'options', ':', '2', 'et', '3.'], ['2', 'ne', ""l'est"", 'pas', 'car', 'les', 'garçons', 'recevront', 'le', 'chromosome', 'Y', 'du', 'père', 'et', 'le', 'chromosome', 'X', 'de', 'la', 'mère,', 'qui', 'est', 'saine,', 'de', 'sorte', 'que', 'les', 'filles', 'peuvent', 'être', 'porteuses', 'de', 'la', 'maladie', '(option', 'correcte', '3).']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
255_94,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '65', 'ans,', 'ayant', 'des', 'antécédents', 'de', 'douleurs', 'articulaires', 'et', 'sous', 'traitement', 'anti-inflammatoire,', 'a', 'été', 'adressée', 'pour', 'anémie.'], ['Les', 'études', 'complémentaires', 'ont', 'montré', 'que', 'les', 'globules', 'rouges', 'étaient', 'au', 'nombre', 'de', '3', '164', '000,', ""l'Ht."", '32%,', 'Hb', '11g/dl,', 'MCV', '69', 'fl,', 'Leucocytes', '7800,', 'Plaquettes', '370,000,', 'CRP', '0.29', 'mg/dl,', 'Fe', '20ng/ml,', 'Ferritine', '18', 'ng/ml,', 'Glucose', '105', 'mg/dl,', 'GOT,', 'GPT,', 'GGT,', 'F', 'alcaline,', 'Bilirubine', 'totale,', 'Cholestérol,', 'Créatinine,', 'Calcium', 'et', 'Phosphore', 'normaux.'], ['Anti-transglutaminase', 'et', 'anti-gliadine', 'négatifs.'], ['Gastroscopie', ':', 'hernie', 'hiatale', 'de', '3', 'cm,', 'le', 'reste', 'sans', 'changement.'], ['Coloscopie', ':', ""jusqu'au"", 'cæcum,', 'diverticules', 'isolés', 'dans', 'le', 'sigma.'], ['Transit', 'intestinal', 'sans', 'altération.'], ['Échographie', 'de', ""l'abdomen"", 'sans', 'altération.'], ['Parmi', 'les', 'explorations', 'énumérées', 'ci-dessous,', 'laquelle', 'vous', 'semble', 'la', 'plus', 'appropriée', 'pour', 'compléter', ""l'étude"", '?'], ['1-', 'Biopsie', 'du', 'jéjunum.'], ['2-', 'Artériographie.'], ['3-', 'Capsule', 'endoscopique.'], ['4-', 'Les', 'radio-isotopes.'], ['5-', 'IRM', 'pelvienne.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'une"", 'étude', 'sur', ""l'anémie"", 'ferriprive', 'avec', 'une', 'gastroscopie', 'et', 'une', 'coloscopie', 'normales,', 'après', 'avoir', 'écarté', 'la', 'possibilité', ""d'une"", 'maladie', 'cœliaque.'], ['Nous', ""n'avons"", 'pas', 'encore', 'vu', 'le', 'jéjunum', 'et', ""l'iléon,"", 'il', 'faudra', 'donc', 'procéder', 'à', 'une', 'endoscopie', 'par', 'capsule.'], ['En', 'cas', ""d'anémie"", 'ferriprive,', 'une', 'cause', 'digestive', 'doit', 'toujours', 'être', 'exclue.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
303_111,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'atteint', 'de', 'polyarthrite', 'rhumatoïde', 'sous', 'méthotrexate,', 'prednisone', 'et', 'indométhacine', 'qui', 'présente', 'de', 'manière', 'aiguë', 'des', 'œdèmes', 'et', 'une', 'augmentation', 'de', 'la', 'créatinine', 'plasmatique', 'avec', 'un', 'sédiment', 'urinaire', 'peu', 'expressif', 'et', 'une', 'protéinurie', 'inférieure', 'à', '100', 'mg/24', 'h,', 'la', 'cause', 'la', 'plus', 'probable', 'est', 'la', 'suivante', ':'], ['1-', ""L'amylose"", 'rénale.'], ['2-', 'Glomérulonéphrite', 'secondaire', 'à', 'la', 'polyarthrite', 'rhumatoïde.'], ['3-', 'Insuffisance', 'rénale', 'due', 'aux', 'anti-inflammatoires', 'non', 'stéroïdiens.'], ['4-', 'Néphrite', 'interstitielle', 'due', 'au', 'méthotrexate.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], [""L'amylose"", 'se', 'manifeste', 'par', 'une', 'protéinurie', 'généralement', 'de', ""l'ordre"", 'de', 'la', 'néphrologie', 'et', 'a', 'une', 'évolution', 'plus', 'chronique.'], ['La', 'GMN', 'associée', 'à', 'la', 'polyarthrite', 'rhumatoïde', 'modifie', 'de', 'façon', 'caractéristique', 'le', 'sédiment,', 'et', ""l'insuffisance"", 'rénale', 'due', 'aux', 'AINS', 'est', 'plus', 'chronique,', 'avec', 'une', 'nécrose', 'papillaire.'], ['Ainsi,', 'au', 'vu', 'de', ""l'évolution"", 'et', 'des', 'altérations', 'décrites,', 'une', 'néphrite', 'interstitielle', 'due', 'au', 'méthotrexate', 'est', 'la', 'plus', 'probable,', 'qui', 'est', 'plus', 'directement', 'toxique', ""qu'allergique,"", ""d'où"", ""l'absence"", 'de', 'pyurie,', ""d'éosinophilie,"", 'de', 'fièvre', 'ou', ""d'autres"", 'signes', ""d'hypersensibilité.""]]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
539_3,,
408_190,"[['QUESTION', 'TYPE:', 'SOINS', 'PRIMAIRES'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '45', 'ans', 'à', 'qui', ""l'on"", 'a', 'diagnostiqué', 'un', 'cancer', 'du', 'sein', 'de', 'stade', 'IV', 'avec', 'de', 'multiples', 'métastases', 'osseuses', 'sous', 'traitement', 'hormonal', 'et', 'bisphosphonates', 'iv.'], ['Il', ""s'est"", 'présenté', 'à', 'la', 'clinique', 'en', 'évoquant', 'des', 'douleurs', 'osseuses', 'intenses', '(EVA=7),', 'en', 'divers', 'endroits,', 'sans', 'symptômes', 'neurologiques', 'associés,', 'et', 'des', 'exarcerbations', 'de', 'la', 'douleur', '(EVA=9)', 'plusieurs', 'fois', 'par', 'jour,', ""l'obligeant"", 'à', 'rester', 'au', 'repos.'], ['Dans', 'le', 'cadre', ""d'un"", 'traitement', 'à', 'base', ""d'ibuprofène"", '(600', 'mg', 'toutes', 'les', '8', 'heures)', 'et', 'de', 'tramadol', '(150', 'mg', 'par', 'jour),', 'quel', 'traitement', 'vous', 'paraîtrait', 'le', 'plus', 'approprié', 'pour', 'améliorer', 'la', 'douleur', 'chez', 'ce', 'patient', '?'], ['1-', 'Arrêter', ""l'ibuprofène"", 'et', 'le', 'tramadol', 'et', 'commencer', 'un', 'opioïde', 'majeur', 'comme', 'la', 'morphine', 'ou', ""l'oxycodone.""], ['2-', 'Arrêter', 'le', 'tramadol,', 'maintenir', ""l'ibuprofène"", 'et', 'commencer', 'un', 'opioïde', 'majeur', 'comme', 'la', 'morphine', 'et', ""l'oxycodone.""], ['3-', 'Arrêter', ""l'ibuprofène"", 'et', 'le', 'tramadol', 'et', 'commencer', 'un', 'opioïde', 'majeur', 'comme', 'la', 'morphine', 'ou', ""l'oxycodone"", 'et', 'commencer', 'le', 'traitement', 'de', 'la', 'douleur', 'de', 'rupture', 'avec', 'le', 'fentanyl', 'sublingual.'], ['4-', 'Arrêter', 'le', 'tramadol,', 'maintenir', ""l'ibuprofène"", 'et', 'commencer', 'un', 'opioïde', 'majeur', 'comme', 'la', 'morphine', 'et', ""l'oxycodone"", 'et', 'en', 'même', 'temps', 'traiter', 'la', 'douleur', 'intense', 'avec', 'du', 'fentanyl', 'sublingual.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['La', 'bonne', 'réponse', 'est', '4', 'car', 'si', 'le', 'patient', 'a', 'des', 'métastases', 'osseuses', 'et', 'risque', 'de', 'souffrir', 'de', 'fractures,', 'nous', 'pouvons', 'contrôler', 'la', 'douleur', 'inflammatoire', 'avec', 'de', ""l'ibuprofène"", 'et', 'cela', 'nous', 'aidera', 'également', 'à', 'utiliser', 'la', 'synergie', 'antalgique.'], ['Nous', 'devons', 'changer', 'le', 'traitement', 'pour', 'un', 'opioïde', 'majeur', 'et', 'traiter', 'vigoureusement', 'la', 'douleur', 'disruptive,', 'car', 'elle', 'est', 'presque', 'au', 'maximum', 'de', 'ce', ""qu'elle"", 'peut', 'supporter.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
29_60,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'CHIRURGIE', 'THORACIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '71', 'ans,', 'fumeur', 'de', '2', 'paquets', 'de', 'cigarettes', 'par', 'jour', 'depuis', '50', 'ans,', 'avec', 'une', 'bonne', 'qualité', 'de', 'vie', 'et', 'aucun', 'autre', 'antécédent', 'pathologique', 'intéressant,', 'qui', 'a', 'consulté', 'pour', 'une', 'toux', 'et', 'une', 'expectoration', 'hémoptotique.'], [""L'examen"", 'physique', ""n'a"", 'révélé', 'aucune', 'anomalie', 'pathologique', 'significative.'], ['Une', 'simple', 'radiographie', 'du', 'thorax', 'a', 'montré', 'une', 'masse', 'de', '4', 'x', '3,4', 'cm', 'en', 'bas', 'à', 'droite,', 'ce', 'qui', 'a', 'été', 'confirmé', 'par', 'un', 'scanner', 'thoraco-abdominal,', 'qui', 'a', 'localisé', 'la', 'lésion', 'dans', 'le', 'lobe', 'inférieur', 'et', ""n'a"", 'pas', 'trouvé', ""d'adénopathie"", 'ni', ""d'images"", 'de', 'métastases.'], ['La', 'bronchoscopie', 'a', 'révélé', 'une', 'lésion', 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10_37,"[['QUESTION', 'TYPE:', 'CHIRURGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '76', 'ans,', 'sans', 'antécédents', ""d'hypertension,"", 'consulte', 'pour', 'un', 'ictère', 'indolore', 'et', 'un', 'prurit', 'avec', 'anorexie.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'révélé', 'un', 'taux', 'de', 'bilirubine', 'de', '12', 'mg/dl', '(avec', '9,5', 'de', 'bilirubine', 'directe).'], [""L'échographie"", 'abdominale', 'montre', 'une', 'dilatation', 'des', 'voies', 'biliaires', 'intrahépatiques', 'et', 'extrahépatiques,', 'ainsi', ""qu'un"", 'nodule', 'unique', 'de', '2', 'cm', 'situé', 'en', 'périphérie', 'dans', 'la', 'partie', 'antérieure', 'du', 'lobe', 'gauche.'], ['La', 'tomodensitométrie', 'confirme', 'les', 'résultats', 'et', 'met', 'également', 'en', 'évidence', 'la', 'présence', ""d'une"", 'masse', 'de', '3,5', 'cm', 'dans', 'la', 'tête', 'du', 'pancréas.'], ['Une', 'aspiration', 'à', ""l'aiguille"", 'fine', 'confirme', 'le', 'diagnostic', ""d'adénocarcinome.""], 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284_57,,
188_230,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '57', 'ans', 'a', 'subi', 'un', 'infarctus', 'aigu', 'du', 'myocarde', 'et', 'son', 'analyse', 'de', 'sang', 'a', 'révélé', 'un', 'taux', 'de', 'cholestérol', 'de', '312', 'mg/dl,', 'un', 'taux', 'de', 'LDL', 'de', '241', 'mg/dl,', 'un', 'taux', 'de', 'HDL', 'de', '29', 'et', 'un', 'taux', 'de', 'TG', 'normal.'], ['Fumeur', '30', 'cig/jour,', 'pas', ""d'obésité,"", 'tension', 'artérielle', '145/90', 'mm', 'Hg', 'et', 'pas', 'de', 'diabète.'], ['Interrogé', 'sur', 'ses', 'antécédents', 'familiaux,', 'il', 'a', 'indiqué', ""qu'un"", 'oncle', 'du', 'côté', 'de', 'sa', 'mère', 'était', 'décédé', 'subitement', 'à', ""l'âge"", 'de', '53', 'ans.'], ['Quelle', 'est', 'la', 'réponse', 'avec', 'laquelle', 'vous', 'êtes', 'le', 'plus', ""d'accord"", '?'], ['1-', 'Traiter', 'avec', 'des', 'statines', ""jusqu'à"", 'ce', 'que', 'le', 'cholestérol', 'soit', 'normalisé', 'et', 'recommander', 'un', 'mode', 'de', 'vie', 'sain', '(régime', 'alimentaire,', 'exercice', 'physique', 'et', 'absence', 'de', 'tabagisme).'], ['2-', 'Éliminer', 'une', 'hypothyroïdie', 'ou', 'une', 'autre', 'maladie', 'systémique,', 'recommander', 'un', 'mode', 'de', 'vie', 'sain', 'et', 'traiter', 'avec', 'des', 'fibrates', 'pour', 'normaliser', 'le', 'cholestérol.'], ['3-', 'Il', ""n'est"", 'pas', 'nécessaire', ""d'exclure"", 'une', 'dyslipidémie', 'secondaire', 'car', 'elle', 'est', 'rare.', 'Un', 'bilan', 'lipidique', 'familial', 'doit', 'être', 'réalisé.'], ['4-', 'Ecarter', 'une', 'dyslipidémie', 'secondaire,', 'traiter', 'avec', 'des', 'résines', '(résincholestyramine)', 'et', 'des', 'fibrates', 'et', ""s'engager"", 'à', 'nouveau', 'dans', 'un', 'mode', 'de', 'vie', 'sain.', 'Interdire', ""l'alcool.""], ['5-', 'Éliminer', 'les', 'dyslipidémies', 'secondaires,', 'demander', 'une', 'étude', 'familiale', 'et', 'traiter', 'avec', 'des', 'statines', 'pour', 'maintenir', 'un', 'bon', 'profil', 'lipidique.', 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290_50,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE,', 'VÉNÉRÉOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '58', 'ans', 'a', 'signalé', 'des', 'lésions', 'cutanées', 'progressives', 'et', 'légèrement', 'douloureuses', 'sur', 'son', 'bras', 'gauche', 'depuis', 'trois', 'semaines.'], ['Elle', 'avait', 'débuté', 'par', 'une', 'lésion', 'érythémateuse', 'sur', 'le', 'pouce', 'gauche.'], ['Des', 'stries', 'rougeâtres', 'étaient', 'visibles', 'en', 'tant', 'que', 'lignes', 'de', 'connexion', 'entre', 'les', 'lésions.'], ['Le', 'patient', ""n'avait"", 'pas', 'de', 'fièvre', 'ni', ""d'autres"", 'symptômes', 'généraux.'], ['Il', 'travaillait', 'dans', 'son', 'jardin', 'mais', 'ne', 'se', 'souvient', ""d'aucune"", 'blessure.'], ['Le', 'diagnostic', 'étiologique', 'a', 'été', 'établi', 'par', 'la', 'culture', ""d'une"", 'biopsie', 'cutanée.'], ['Quel', 'est', ""l'agent"", 'causal', 'le', 'plus', 'probable', 'de', 'ce', 'processus', '?'], ['1-', 'Dermatophytose', 'due', 'à', 'Microsporum', 'gypseum.'], ['2-', 'Infection', 'cutanée', 'à', 'Staphylococcus', 'aureus.'], ['3-', 'Sporotrichose.'], ['4-', 'Infection', 'cutanée', 'à', 'Mycobacterium', 'marinum.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Les', 'lésions', 'présentant', 'un', 'aspect', 'sporotrichoïde', 'ou', 'lymphocutané', 'peuvent', 'correspondre', 'à', 'une', 'sporotrichose', 'ou', 'à', 'un', 'granulome', ""d'aquarium,"", 'ce', 'qui', 'permet', ""d'exclure"", 'les', 'deux', 'premiers.'], ['Le', 'fait', ""d'avoir"", 'travaillé', 'dans', 'le', 'jardin', 'est', 'plus', 'susceptible', ""d'être"", 'une', 'sporotrichose,', 'bien', 'que', 'le', 'fait', 'que', 'la', 'question', 'demande', 'l\'""agent', 'causal""', 'et', 'non', 'le', 'nom', 'de', 'la', 'maladie', 'soit', 'un', 'peu', 'trompeur,', 'de', 'sorte', 'que', 'si', 'nous', 'considérons', 'la', 'sporotrichose,', 'la', 'réponse', 'devrait', 'en', 'fait', 'être', 'Sporothrix', 'schenckii.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
305_174,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '87', 'ans', 'ayant', 'des', 'antécédents', ""d'hypertension"", 'et', 'de', 'gonarthrose.'], ['Situation', 'de', 'référence', 'avec', 'une', 'autonomie', 'fonctionnelle', 'et', 'cognitive', 'complète', 'lui', 'permettant', 'de', 'continuer', 'à', 'vivre', 'seul', 'dans', 'la', 'communauté.'], ['Il', 'est', 'régulièrement', 'traité', 'avec', 'du', 'périndopril', 'et', 'un', 'diurétique', 'thiazidique', 'pour', 'contrôler', 'sa', 'tension', 'artérielle', 'et', 'prend', 'régulièrement', 'de', ""l'ibuprofène"", '1800', 'mg/jour', 'pour', 'contrôler', 'les', 'symptômes', 'de', 'sa', 'gonarthrose.'], ['Après', 'un', 'examen', 'de', 'routine,', 'une', 'tension', 'artérielle', 'persistante', 'de', '190', 'et', 'un', 'TAD', 'de', '80', 'mmHg', 'ont', 'été', 'observés.'], ['Quelle', 'serait', 'la', 'modification', 'thérapeutique', 'la', 'plus', 'raisonnable', 'pour', 'parvenir', 'à', 'contrôler', 'la', 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104_91,,
38_232,"[['QUESTION', 'TYPE:', 'OPHTHALMOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '52', 'ans', 'consulte', 'parce', ""qu'elle"", 'a', 'remarqué', 'une', 'coloration', 'jaunâtre', 'des', 'conjonctives', 'au', 'cours', 'de', 'la', 'semaine', 'précédente.'], ['Pas', 'de', 'comportement', 'sexuel', 'à', 'risque', 'ni', ""d'antécédents"", 'épidémiologiques', 'de', 'risque', ""d'hépatite"", 'virale.'], ['Ne', 'consomme', 'pas', ""d'alcool"", 'ni', 'de', 'médicaments', 'hépatotoxiques.'], ['Il', 'rapporte', 'une', 'histoire', ""d'un"", 'an', 'de', 'prurit', 'généralisé,', ""d'asthénie,"", 'de', 'sécheresse', 'buccale', 'et', ""d'absence"", 'de', 'larmoiement', ""d'une"", 'cause', 'non', 'identifiée.'], ['Reste', 'de', ""l'anamnèse"", 'sans', 'données', 'pathologiques.'], [""L'examen"", 'physique', 'a', 'révélé', 'des', 'lésions', 'de', 'grattage,', 'un', 'ictère', 'conjonctival', 'et', 'une', 'hépatomégalie', 'non', 'douloureuse.'], ['Il', 'fournit', 'un', 'bilan', 'sanguin', 'effectué', 'dans', 'son', 'entreprise', 'avec', 'les', 'résultats', 'pathologiques', 'suivants', ':', 'bilirubine', 'totale', '3', 'mg/dl', 'phosphatase', 'alcaline', '400', 'UI', 'vitesse', 'de', 'sédimentation', '40', 'mm', 'à', 'une', 'heure.'], ['Indiquez', 'quelle', 'serait', 'la', 'recommandation', 'la', 'plus', 'appropriée', 'pour', 'établir', 'le', 'diagnostic', 'étiologique', 'de', ""l'état"", 'du', 'patient', ':'], ['1-', 'Anticorps', 'anti-mitochondriaux.'], ['2-', 'Etude', 'du', 'métabolisme', 'du', 'fer.'], ['3-', 'Etude', 'du', 'métabolisme', 'du', 'cuivre.'], ['4-', 'Imagerie', 'par', 'résonance', 'magnétique', 'du', 'foie.'], ['5-', 'Sérologie', 'des', 'virus', 'B', 'et', 'C.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Une', 'femme', ""d'âge"", 'moyen', 'présentant', 'des', 'symptômes', 'similaires', 'à', 'ceux', 'de', 'Sjögren', '(absence', 'de', 'larmoiement,', 'bouche', 'sèche),', 'avec', 'hyperbilirubinémie,', 'ictère', 'et', 'hépatomégalie,', 'suggère', 'une', 'cirrhose', 'biliaire', 'primitive.'], ['Les', 'anticorps', 'anti-mitochondriaux', '(AMA', 'IgG)', 'sont', 'utilisés', 'pour', 'diagnostiquer', 'la', 'maladie.'], ['Il', ""s'agit"", 'donc', 'de', 'la', 'réponse', '1.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
376_130,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '39', 'ans', 'qui,', 'au', 'cours', 'des', 'trois', 'derniers', 'mois,', 'a', 'eu', 'deux', 'épisodes', 'de', 'grands', 'mouvements', 'involontaires', 'de', 'saut', 'des', 'membres', 'gauches', 'qui,', 'en', 'deux', 'minutes', 'environ,', 'ont', 'entraîné', 'une', 'perte', 'de', 'conscience.'], [""L'étude"", 'neuroradiologique', 'a', 'mis', 'en', 'évidence', 'une', 'lésion', 'expansive', 'frontale', 'droite', 'évocatrice', ""d'un"", 'gliome', 'cérébral.', 'Comment', 'classeriez-vous', ""l'épilepsie"", 'de', 'ce', 'patient', '?'], ['1-', 'Symptomatique', 'généralisé.'], ['2-', 'Symptomatique', 'partiel.'], ['3-', 'Cryptogène', 'partiel.'], ['4-', 'Symptomatique', 'généralisée', 'secondaire', 'partielle.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Il', ""s'agit"", ""d'une"", 'crise', 'partielle', 'suivie', ""d'une"", 'perte', 'de', 'conscience,', 'donc', 'à', 'proprement', 'parler', ""d'une"", 'crise', 'partielle', 'complexe', 'symptomatique,', 'et', 'non', ""d'une"", 'crise', 'partielle', 'secondairement', 'généralisée', '(qui', 'se', 'produit', 'lorsque', 'les', 'mouvements', 'tonico-cloniques', ""s'étendent"", 'au', 'reste', 'des', 'membres).'], [""C'est"", 'pourquoi', ""l'option"", 'la', 'plus', 'correcte', 'serait', 'la', 'deuxième,', 'car', 'elle', 'ne', 'précise', 'pas', ""qu'il"", ""s'agit"", ""d'une"", 'crise', 'partielle', 'symptomatique', 'simple,', 'mais', 'laisse', 'ouverte', 'la', 'possibilité', ""qu'il"", ""s'agisse"", ""d'une"", 'crise', 'partielle', 'symptomatique', 'simple', 'ou', 'complexe.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
163_122,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '66', 'ans', 'ayant', 'des', 'antécédents', 'de', 'spondylarthrite', 'ankylosante', 'de', 'longue', 'date.'], ['Il', 'présente', 'une', 'protéinurie', 'de', '6', 'grammes', 'par', 'jour,', 'une', 'hypoalbuminémie', 'et', 'des', 'œdèmes.'], ['Aucune', 'hématurie', ""n'a"", 'été', 'détectée', 'dans', 'le', 'sédiment', 'urinaire.'], ['Sa', 'créatinine', 'plasmatique', 'est', 'de', '1,6', 'mg/dl', 'et', 'son', 'débit', 'de', 'filtration', 'glomérulaire', 'est', 'de', '45', 'ml/min.'], ['Glycémie', '110', 'mg/dl.'], ['Sa', 'grave', 'déformation', 'de', 'la', 'colonne', 'vertébrale', 'rend', 'difficile', 'la', 'réalisation', ""d'une"", 'biopsie', 'rénale', 'percutanée.'], ['Quelle', 'attitude', 'initiale', 'est', 'la', 'bonne', '?'], ['1-', 'Commencer', 'les', 'corticostéroïdes', 'en', 'cas', 'de', 'suspicion', 'de', 'maladie', 'glomérulaire', 'avec', 'des', 'changements', 'minimes.'], ['2-', 'Traiter', 'par', 'cyclophosphamide', 'en', 'cas', 'de', 'suspicion', 'de', 'glomérulopathie', 'membraneuse.'], ['3-', 'Biopsie', 'de', 'la', 'graisse', 'sous-cutanée.'], ['4-', 'Commencer', 'la', 'dialyse.'], ['5-', 'Effectuer', 'un', 'test', 'de', 'surcharge', 'en', 'glucose', 'pour', 'exclure', 'une', 'néphropathie', 'diabétique.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', ':', '3.'], ['Biopsie', 'de', 'la', 'graisse', 'sous-cutanée.'], ['Le', 'lupus', 'érythémateux,', 'certaines', 'vascularites,', 'la', 'maladie', 'de', 'Goodpasture', 'et', ""d'autres"", 'maladies', 'systémiques', '(dont', 'la', 'spondylarthrite', 'ankylosante)', 'affectent', 'les', 'reins', 'et', 'conditionnent', 'leur', 'pronostic.'], [""L'apparition"", ""d'anomalies"", 'urinaires', 'ou', ""d'une"", 'insuffisance', 'rénale', ""d'origine"", 'parenchymateuse', 'sont', 'des', 'indications', 'pour', 'une', 'biopsie', 'rénale,', 'même', 'avec', 'des', 'taux', 'de', 'protéinurie', 'inférieurs', 'à', 'ceux', 'acceptés', 'dans', 'les', 'néphropathies', 'primaires.'], ['Le', 'dosage', 'des', 'anticorps', 'anti-GBM', 'et', ""l'ANCAS"", 'sont', 'utiles', 'au', 'diagnostic,', 'mais', 'ne', 'remplacent', 'pas', 'la', 'biopsie', 'rénale,', 'car', 'ils', ""n'ont"", 'pas', 'de', 'valeur', 'pronostique', 'et', ""n'aident"", 'pas', 'à', 'planifier', 'le', 'traitement.'], ['Dans', 'ce', 'cas,', 'où', ""l'on"", 'nous', 'fait', 'croire', 'que', 'la', 'biopsie', 'rénale', ""n'est"", 'pas', 'possible,', 'il', 'faut', 'lier', ""l'AE"", 'à', ""l'insuffisance"", 'rénale.'], ['Dans', 'la', 'plupart', 'des', 'cas,', 'le', 'lien', 'est', 'établi', 'par', 'une', 'néphropathie', 'à', 'IgA,', 'qui', 'se', 'manifeste', 'par', 'une', 'hématurie,', 'un', 'symptôme', 'qui', ""n'existe"", 'pas', 'dans', 'ce', 'cas.'], ['Un', 'nombre', 'non', 'négligeable', 'de', 'patients', 'atteints', 'de', 'la', 'maladie', ""d'Alzheimer"", 'à', 'un', 'stade', 'avancé', 'présentent', 'une', 'amyloïdose,', 'ce', 'qui', 'correspond', 'également', 'à', 'la', 'symptomatologie', 'du', 'patient.'], ['Par', 'conséquent,', 'et', 'étant', 'donné', 'que', ""l'amylose"", 'peut', 'être', 'diagnostiquée', 'par', 'une', 'biopsie', 'de', 'la', 'graisse', 'sous-cutanée,', ""c'est"", 'la', 'réponse', '3', 'qui', 'doit', 'être', 'considérée', 'comme', 'valable.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
148_158,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '23', 'ans', ""s'est"", 'rendue', 'aux', 'urgences', 'parce', ""qu'elle"", 'était', 'très', 'nerveuse', 'après', 'une', 'dispute', 'avec', 'son', 'partenaire.'], ['Son', 'dossier', 'médical', 'fait', 'état', 'de', 'plusieurs', 'plaintes', 'similaires', 'au', 'cours', 'de', ""l'année"", 'précédente,', 'dont', 'deux', 'à', 'la', 'suite', ""d'un"", 'geste', ""d'automutilation.""], ['Les', 'conflits', 'relationnels,', 'les', 'changements', 'au', 'travail', 'et', 'les', 'conflits', 'familiaux', 'sont', 'également', 'fréquents.'], ['Elle', 'dit', 'se', 'sentir', 'incomprise', 'par', 'tout', 'le', 'monde,', 'y', 'compris', 'par', 'les', 'psychiatres', 'qui', 'la', 'traitent.'], ['Le', 'diagnostic', 'est', 'le', 'suivant', ':'], ['1-', 'Le', 'trouble', 'de', 'la', 'personnalité', 'limite.'], ['2-', 'Le', 'trouble', 'de', 'la', 'personnalité', 'histrionique.'], ['3-', 'La', 'dysthymie.'], ['4-', 'Trouble', 'dissociatif.'], ['5-', 'Le', 'trouble', 'de', 'la', 'dépersonnalisation.'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'femme', 'a', '23', 'ans', 'et', 'elle', 'est', 'furieuse.'], ['Elle', 'a', 'besoin', 'de', 'soutien', 'et', 'de', 'beaucoup', ""d'éducation"", 'émotionnelle', 'pour', 'freiner', 'son', 'impulsivité...', 'elle', 'se', 'sent', 'incomprise...', 'elle', 'a', 'peut-être', 'raison...'], ['Le', 'problème', 'est', ""qu'il"", 'ne', 'supporte', 'pas', ""d'être"", 'rejeté', 'et', ""qu'il"", ""s'automutile.""], ['Le', 'diagnostic', 'est', 'le', 'suivant', ':', '1.'], ['Les', 'points', '3,', '4', 'et', '5', 'ne', 'sont', 'même', 'pas', 'proches,', 'aucune', 'clinique', ""n'étant"", 'décrite', 'dans', 'la', 'question.'], ['Dans', 'la', 'vie', 'réelle,', ""s'il"", 'est', 'bien', 'exploré,', 'il', 'y', 'aurait', 'presque', 'certainement', 'des', 'symptômes', 'de', 'dissociation', 'et', 'de', 'dépersonnalisation,', 'ainsi', 'que', 'des', 'symptômes', 'dépressifs...', 'mais', 'un', 'symptôme', ""n'est"", 'pas', 'un', 'trouble.'], ['Pourquoi', 'pas', 'deux', '?'], ['Il', 'pourrait', 'également', 'être', 'très', 'spécifique', 'et', 'très', 'fin...', 'Ici,', 'la', 'discussion', 'est', 'ouverte.'], ['Je', 'vous', 'donnerai', 'les', 'critères', 'de', 'chacun', ""d'entre"", 'eux', 'et', 'nous', 'en', 'parlerons,...', 'mais', ""l'intention"", 'de', ""l'examinateur"", 'était', '1', 'et', 'je', 'la', 'considère', 'comme', 'bien', 'défendue.'], ['Elle', 'ne', 'peut', 'être', 'remise', 'en', 'cause.'], ['-', 'Borderline', ':', 'Un', 'modèle', 'général', ""d'instabilité"", 'dans', 'les', 'relations', 'interpersonnelles,', ""l'image"", 'de', 'soi', 'et', ""l'efficacité"", 'personnelle,', 'et', 'une', 'impulsivité', 'notable,', 'commençant', 'au', 'début', 'de', ""l'âge"", 'adulte', 'et', 'se', 'produisant', 'dans', 'une', 'variété', 'de', 'contextes,', 'comme', 'indiqué', 'par', 'cinq', '(ou', 'plus)', 'des', 'éléments', 'suivants', ':', '1.'], ['Efforts', 'frénétiques', 'pour', 'éviter', 'un', 'abandon', 'réel', 'ou', 'imaginaire.'], ['Note', ':', 'Ne', 'pas', 'inclure', 'les', 'comportements', 'suicidaires', 'ou', ""d'automutilation"", 'tels', ""qu'énumérés"", 'dans', 'le', 'critère', '5.'], ['2.'], ['Modèle', 'de', 'relations', 'interpersonnelles', 'instables', 'et', 'intenses', 'caractérisées', 'par', ""l'alternance"", ""d'extrêmes"", ""d'idéalisation"", 'et', 'de', 'dévalorisation.'], ['3.'], ['Trouble', 'de', ""l'identité"", ':', 'instabilité', 'marquée', 'et', 'persistante', 'de', ""l'image"", 'ou', 'du', 'sentiment', 'de', 'soi.'], ['Impulsivité', 'dans', 'au', 'moins', 'deux', 'domaines', 'susceptibles', 'de', 'porter', 'atteinte', 'à', ""l'intégrité"", 'physique', '(par', 'exemple,', 'dépenses,', 'sexe,', 'abus', 'de', 'substances,', 'conduite', 'dangereuse,', 'frénésie', 'alimentaire).'], ['Note', ':', 'Ne', 'pas', 'inclure', 'les', 'comportements', 'suicidaires', 'ou', ""d'automutilation"", 'tels', ""qu'énumérés"", 'dans', 'le', 'critère', '5.'], ['5.'], ['Comportement', 'suicidaire', 'récurrent,', 'tentatives', 'ou', 'menaces,', 'ou', 'comportement', ""d'automutilation.""], ['Instabilité', 'affective', 'due', 'à', 'une', 'réactivité', 'marquée', 'de', ""l'humeur"", '(par', 'exemple,', 'épisodes', 'de', 'dysphorie,', ""d'irritabilité"", 'ou', ""d'anxiété"", 'intenses,', 'durant', 'généralement', 'quelques', 'heures', 'et', 'rarement', 'quelques', 'jours).'], ['7.'], ['Sentiments', 'chroniques', 'de', 'vide.'], ['8.'], ['Colère', 'inappropriée', 'et', 'intense', 'ou', 'difficultés', 'à', 'contrôler', 'la', 'colère', '(par', 'exemple,', 'manifestations', 'fréquentes', 'de', 'colère,', 'colère', 'constante,', 'bagarres', 'physiques', 'récurrentes).'], ['9.'], ['Idée', 'paranoïaque', 'transitoire', 'liée', 'au', 'stress', 'ou', 'symptômes', 'dissociatifs', 'graves.'], ['-', 'Histrionique', ':', 'schéma', 'général', ""d'émotivité"", 'excessive', 'et', 'de', 'recherche', ""d'attention,"", 'commençant', 'au', 'début', 'de', ""l'âge"", 'adulte', 'et', 'se', 'produisant', 'dans', 'divers', 'contextes,', 'comme', 'indiqué', 'par', 'cinq', '(ou', 'plus)', 'des', 'éléments', 'suivants', ':', '1.'], ['Il', ""n'est"", 'pas', 'à', ""l'aise"", 'dans', 'les', 'situations', 'où', 'il', ""n'est"", 'pas', 'le', 'centre', ""d'attention.""], ['2.'], [""L'interaction"", 'avec', 'les', 'autres', 'est', 'souvent', 'caractérisée', 'par', 'un', 'comportement', 'sexuellement', 'séduisant', 'ou', 'provocateur.'], ['3.'], ['Montre', 'une', 'expression', 'émotionnelle', 'superficielle', 'et', 'rapidement', 'changeante.'], ['4.'], ['Il', 'utilise', 'constamment', 'son', 'apparence', 'physique', 'pour', 'attirer', ""l'attention"", 'sur', 'lui.'], ['5.'], ['Sa', 'façon', 'de', 'parler', 'est', 'excessivement', 'subjective', 'et', 'manque', 'de', 'nuances.'], ['6.'], ['Fait', 'preuve', ""d'autodramatisation,"", 'de', 'théâtralité', 'et', ""d'expression"", 'émotionnelle', 'exagérée.'], ['7.'], ['Est', 'influençable,', ""c'est-à-dire"", ""qu'il"", 'est', 'facilement', 'influencé', 'par', 'les', 'autres', 'ou', 'par', 'les', 'circonstances.'], ['8.', 'considère', 'que', 'ses', 'relations', 'sont', 'plus', 'intimes', ""qu'elles"", 'ne', 'le', 'sont', 'en', 'réalité.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
178_94,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '18', 'mois,', 'dont', 'le', 'calendrier', 'de', 'vaccination', 'était', 'complet', 'à', 'ce', 'jour,', 'a', 'consulté', 'le', 'service', 'des', 'urgences', 'pour', 'un', 'gonflement', 'du', 'genou', 'droit', 'après', 'avoir', 'joué', 'dans', 'un', 'parc,', 'sans', 'traumatisme', 'évident.'], ['Dans', ""l'anamnèse"", 'dirigée,', 'la', 'mère', 'mentionne', ""qu'un"", 'de', 'ses', 'oncles', 'a', 'eu', 'des', 'problèmes', 'similaires.'], [""L'examen"", 'échographique', 'est', 'compatible', 'avec', 'une', 'hémarthrose', 'et', ""l'analyse"", 'effectuée', 'ne', 'met', 'en', 'évidence', ""qu'un"", 'allongement', 'du', 'TCA', 'de', '52″', '(normal', '25-35″).'], ['Quelle', 'est', ""l'hypothèse"", 'diagnostique', 'la', 'plus', 'probable', '?'], ['1-', 'Syndrome', 'de', 'Marfan.'], ['2-', 'La', 'maladie', 'de', 'Von', 'Willebrand.'], ['3-', 'La', 'maladie', ""d'Ehlers-Danlos.""], ['4-', ""L'hémophilie"", 'A.'], ['5-', 'Enfermedad', 'de', 'Bemard-Soulier.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Dans', 'cette', 'question', 'aussi,', 'ils', 'ne', 'cessent', 'de', 'nous', 'donner', 'des', 'indices', 'pour', 'nous', 'mettre', 'sur', 'la', 'voie', 'du', 'bon', 'diagnostic.'], ['Reprenons', ':', 'un', 'petit', 'enfant', 'qui', 'souffre', ""d'une"", 'hémarthrose', 'sans', 'traumatisme', 'évident.'], ['Un', 'de', 'ses', 'oncles', 'avait', 'des', 'problèmes', 'similaires,', 'nous', 'soupçonnons', 'donc', 'une', 'maladie', 'héréditaire.'], ['Le', 'TCA,', 'qui', 'évalue', 'la', 'voie', 'de', 'coagulation', 'intrinsèque', '(impliquant', 'les', 'facteurs', 'V,', 'VIII,', 'IX,', 'X,', 'XI', 'et', 'XII)', 'est', 'allongé.'], ['Problème', 'de', 'coagulation', 'héréditaire.'], ['Nous', 'écartons', 'donc', 'les', 'réponses', '1,', '2', 'et', '5.'], ['Il', 'nous', 'reste', 'la', 'maladie', 'de', 'von', 'Willebrand', 'et', ""l'hémophilie"", 'A.'], ['Je', 'considère', 'que', 'la', 'bonne', 'réponse', 'est', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
100_85,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '24', 'ans', 'signalant', 'une', 'asthénie', 'progressive', 'depuis', 'au', 'moins', '6', 'mois,', 'une', 'voix', 'rauque,', 'une', 'élocution', 'lente,', 'une', 'somnolence', 'et', 'un', 'gonflement', 'des', 'mains,', 'des', 'pieds', 'et', 'du', 'visage.'], ['Examen', ':', 'pouls', 'à', '52', 'battements', 'par', 'minute,', 'visage', 'abotarada', 'et', 'peau', 'sèche', 'et', 'pâle.'], ['NFS', ':', 'anémie', 'légère,', 'cholestérol', '385', 'mg/dL', '(normale', '<220),', 'créatinine', '1,3', 'mg/dL', '(normale', ':', '0,5-1,1),', 'protéinurie', 'négative,', 'TSH', '187μIU/mL', '(normale', '0,35-5,5)', 'et', 'T4', 'libre', '0,2', 'ng/dL', '(normale', '0,85-1,86).'], ['Quelle', 'stratégie', 'vous', 'semble', 'la', 'plus', 'appropriée', '?'], ['1-', 'Réaliser', 'une', 'échographie', 'de', 'la', 'thyroïde', 'avant', 'de', 'commencer', 'le', 'traitement.'], ['2-', 'Déterminer', 'la', 'T3', 'libre', 'et', 'réaliser', 'une', 'IRM', 'hypophysaire.'], ['3-', 'Traiter', 'avec', 'de', 'la', 'L-triiodothyronine', 'et', 'une', 'statine.'], ['4-', 'Traiter', 'par', 'L-Tyroxine', 'et', 'doser', 'les', 'anticorps', 'anti-thyroïdiens.'], ['5-', 'Effectuer', 'une', 'cytologie', 'thyroïdienne', 'avant', 'le', 'traitement.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", ""d'une"", 'hypothyroïdie', 'primaire', 'sévère.'], ['Le', 'traitement', 'consiste', 'à', 'administrer', 'de', 'la', 'thyroxine.'], ['En', ""l'absence"", 'de', 'nodule,', 'ni', ""l'écho"", 'ni', 'la', 'FNA', 'ne', 'sont', 'indiqués.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
398_140,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE', 'ET', 'ORTHOPÉDIE'], ['CLINICAL', 'CASE:'], ['Vous', 'évaluez', 'un', 'patient', 'de', '66', 'ans', 'qui', 'présente', 'des', 'douleurs', 'à', ""l'aine"", 'accentuées', 'par', 'une', 'station', 'debout', 'prolongée', 'quelques', 'jours', 'par', 'mois.'], ['Une', 'radiographie', 'simple', 'des', 'hanches', 'montre', 'un', 'rétrécissement', 'de', ""l'espace"", 'articulaire', 'fémoro-acétabulaire,', 'une', 'sclérose', 'et', 'des', 'ostéophytes.'], ['Quelle', 'est', 'votre', 'attitude', '?'], ['1-', 'Je', 'diagnostique', 'une', 'coxarthrose', 'et', ""j'envoie"", 'le', 'traumatologue', 'poser', 'une', 'prothèse', 'de', 'hanche.'], ['2-', 'Initiation', ""d'un"", 'traitement', 'avec', 'des', 'opioïdes', 'faibles', 'qui', 'ont', 'démontré', 'leur', 'capacité', 'à', 'stopper', 'la', 'progression', 'de', 'la', 'maladie.'], ['3-', 'Je', 'commence', 'le', 'traitement', 'avec', 'du', 'paracétamol,', ""j'expliqué"", 'que', ""l'évolution"", 'est', 'très', 'variable', 'et', 'que', ""l'indication"", 'de', 'la', 'chirurgie', 'dépend', 'de', 'la', 'fonctionnalité', 'et', 'du', 'contrôle', 'de', 'la', 'douleur.'], ['4-', 'Compte', 'tenu', 'des', 'caractéristiques', 'radiologiques', 'décrites,', 'je', 'dois', 'réaliser', 'une', 'IRM', 'de', 'la', 'hanche', 'avant', 'de', 'prendre', 'une', 'décision', 'thérapeutique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'un"", 'patient', 'de', '66', 'ans', 'qui', 'souffre', 'de', 'douleurs', 'occasionnelles', 'certains', 'jours.'], ['Même', 'si', 'le', 'diagnostic', ""d'arthrose"", 'est', 'clair,', 'il', 'ne', 'conduit', 'pas', 'directement', 'à', 'une', 'indication', 'chirurgicale.'], ['La', 'première', 'étape', 'consiste', 'à', 'essayer', 'un', 'traitement', 'conservateur', '(nous', 'écartons', 'la', 'première', 'option).'], [""L'arthrose"", 'est', 'un', 'processus', 'dégénératif', 'que', 'les', 'opioïdes', ""n'arrêtent"", 'certainement', 'pas,', 'de', 'sorte', 'que', 'la', 'deuxième', 'option', 'est', 'exclue.'], [""L'option"", 'quatre', 'peut', 'également', 'être', 'rapidement', 'écartée', ':', 'la', 'déclaration', 'indique', 'clairement', 'le', 'diagnostic', 'et', 'le', 'traitement', 'à', 'suivre', '-', 'dans', 'ce', 'cas,', ""l'IRM"", 'ne', 'nous', 'fournira', 'aucune', 'information', 'intéressante.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
28_58,,
587_76,,
554_50,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '58', 'ans', 'se', 'présente', 'à', 'un', 'contrôle', 'programmé', 'pour', 'un', 'diabète', 'sucré', 'de', 'type', '2', 'diagnostiqué', 'il', 'y', 'a', '6', 'ans.'], ['Il', 'a', 'des', 'antécédents', 'personnels', ""d'hypertension,"", 'de', 'dyslipidémie,', 'de', 'cardiopathie', 'ischémique', 'et', 'de', 'pancréatite', ""d'origine"", 'biliaire.'], ['Son', 'traitement', 'comprend', 'du', 'lisinopril,', 'du', 'métoprolol,', 'de', 'la', 'metformine,', 'de', ""l'AAS"", 'et', 'de', ""l'atorvastatine.""], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'tension', 'artérielle', 'de', '151/93', 'mmHg', 'et', 'un', 'IMC', 'de', '27,1', 'kg/m2.'], [""L'hémoglobine"", 'glyquée', 'est', 'de', '8,3', '%.'], ['Lequel', 'des', 'traitements', 'suivants', 'est', 'le', 'plus', 'approprié', 'pour', 'ce', 'patient', '?'], ['1-', 'Empaglifozine.'], ['2-', 'Glipizide.'], ['3-', 'Acarbose.'], ['4-', 'Sitagliptine.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Patient', 'souffrant', ""d'obésité,"", ""d'hypertension"", 'et', ""d'une"", 'augmentation', 'de', ""l'HbA1C.""], ['Dans', 'des', 'études', 'récentes,', ""l'Empaglifozin,"", 'un', 'inhibiteur', 'hautement', 'sélectif', 'du', 'SGLT210,', 'réduit', 'de', 'manière', 'significative', 'la', 'tension', 'artérielle,', ""l'HbA1C"", 'et', ""l'IMC.""], ['Le', 'glipizide', 'fait', 'partie', 'du', 'groupe', 'des', 'sulfonylurées.'], ['Éviter', ""l'utilisation"", 'chez', 'les', 'patients', 'souffrant', 'de', 'maladies', 'cardiaques.'], [""L'acarbose"", 'peut', 'interagir', 'avec', 'les', 'bêta-bloquants,', 'tels', 'que', 'ceux', 'pris', 'par', 'notre', 'patient.'], ['Il', 'a', 'été', 'démontré', 'que', 'la', 'sitagliptine', 'réduit', ""l'HbA1C"", 'mais', 'pas', ""l'HTN"", 'ni', ""l'IMC.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
251_81,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '50', 'ans', ""s'est"", 'présentée', 'aux', 'urgences', 'pour', 'asthénie,', 'anorexie,', 'perte', 'de', 'poids,', 'jaunisse,', 'fièvre', 'et', 'douleurs', 'abdominales.'], ['Pas', ""d'antécédents"", 'récents', 'de', 'transfusion', 'sanguine,', 'de', 'contacts', 'sexuels', 'à', 'risque', 'ou', 'de', 'dépendance', 'aux', 'drogues', 'injectables.'], ['Consommation', 'habituelle', 'de', '60', 'grammes', ""d'alcool"", 'par', 'jour', 'au', 'cours', 'des', 'cinq', 'dernières', 'années,', 'qui', 'a', 'augmenté', 'au', 'cours', 'du', 'mois', 'précédent', 'en', 'raison', 'de', 'problèmes', 'familiaux.'], ['Température', '38,5°C,', 'tension', 'artérielle', '100/60', 'mmHg.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'désorientation', 'temporo-spatiale,', 'une', 'malnutrition,', 'un', 'astérixis,', 'un', 'ictère', 'et', 'une', 'hépatomégalie', 'douloureuse.'], ['Pas', ""d'ascite"", 'ni', 'de', 'signe', ""d'irritation"", 'péritonéale.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'révélé', 'des', 'leucocytes', 'de', '15', '000/microlitre', 'avec', '90', '%', 'de', 'polymorphonucléaires,', 'des', 'globules', 'rouges', 'de', '3', 'millions/mm3,', 'une', 'hémoglobine', 'de', '10', 'g/dl,', 'un', 'volume', 'corpusculaire', 'moyen', 'de', '115', 'fl,', 'une', 'bilirubine', 'de', '15', 'mg/dl', 'à', 'prédominance', 'directe,', 'une', 'AST', '(GOT)', 'de', '300', 'UI/L,', 'une', 'ALT', '(GPT)', 'de', '120', 'UI/L,', 'une', 'GGT', 'de', '635', 'UI/L,', 'un', 'allongement', 'du', 'temps', 'de', 'prothrombine', 'de', 'plus', 'de', '50', '%.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', 'de', ""l'état"", 'de', 'santé', 'du', 'patient', '?'], ['1-', 'Abcès', 'du', 'foie.'], ['2-', 'La', 'cholécystite', 'aiguë.'], ['3-', 'La', 'colangite', 'aiguë.'], ['4-', 'Hépatite', 'alcoolique.'], ['5-', 'Pancréatite', 'aiguë.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Un', 'patient', 'présentant', 'une', 'consommation', ""d'alcool"", 'importante', '(60g', 'et', 'une', 'femme),', 'une', 'fièvre', 'élevée,', 'une', 'encéphalopathie', 'hépatique', '(désorientation,', 'astérixis),', 'une', 'bilirubine', 'directe', 'très', 'élevée,', 'un', 'ictère,', 'une', 'hépatomégalie', 'douloureuse,', 'une', 'coagulopathie', '(temps', 'de', 'prothrombine', 'élevé)', 'et', 'une', 'légère', 'élévation', 'des', 'transaminases', '(moins', 'de', '5', 'fois', 'la', 'limite', 'supérieure', 'de', 'la', 'normale)', 'suggèrent', 'une', 'hépatite', 'alcoolique', 'aiguë.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
128_79,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'NEUROCHIRURGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'mariée', 'de', '42', 'ans,', 'mère', 'de', 'deux', 'enfants', 'en', 'âge', 'scolaire,', 'consulte', 'son', 'médecin', 'de', 'famille', 'pour', 'des', 'céphalées', 'sévères', 'qui', 'durent', 'depuis', 'environ', '7', 'jours.'], ['Bien', ""qu'il"", 'ait', 'connu', 'des', 'épisodes', 'similaires', 'pendant', 'plus', ""d'un"", 'an,', 'ceux-ci', 'se', 'sont', 'considérablement', 'aggravés', 'au', 'cours', 'des', 'deux', 'derniers', 'mois.'], ['La', 'douleur', 'est', 'comme', 'un', 'poids', 'qui', 'commence', 'dans', 'la', 'région', 'occipitale,', ""s'étend"", 'aux', 'deux', 'régions', 'temporales', 'et', 'est', 'à', 'peine', 'soulagée', 'par', 'la', 'prise', 'de', 'comprimés', 'de', '650', 'mg', 'de', 'paracétamol,', 'de', 'sorte', ""qu'elle"", 'demande', 'un', 'scanner', '(elle', 'est', 'convaincue', 'que', '""quelque', 'chose', 'ne', 'va', 'pas', 'dans', 'sa', 'tête"").'], ['Laquelle', 'des', 'causes', 'suivantes', 'est', 'la', 'plus', 'plausible', 'pour', 'votre', 'mal', 'de', 'tête', '?'], ['1-', 'La', 'migraine.'], ['2-', 'Les', 'troubles', 'vasculaires.'], ['3-', 'Artérite', 'de', ""l'artère"", 'temporale.'], ['4-', 'La', 'tension.'], ['5-', 'Oncologie.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Tout', 'comme', ""l'année"", 'dernière,', 'ils', 'ont', 'voulu', 'dépeindre', 'une', 'infirmière', 'comme', 'un', 'méchant', 'pour', 'nous', 'avoir', 'réveillés', 'pour', 'un', 'patient', 'atteint', 'de', 'myasthénie,', 'cette', 'année,', 'ils', 'nous', 'divertissent', 'en', 'nous', 'présentant', 'un', 'patient', 'qui', 'demande', 'un', 'scanner.'], ['Je', 'les', 'interprète', 'comme', 'montrant', 'une', 'patiente', 'stressée', 'par', 'ses', 'enfants', 'et', 'souffrant', 'de', 'maux', 'de', 'tête', 'occipitaux', 'récurrents', ""qu'une"", 'faible', 'dose', 'de', 'paracétamol', 'soulageait', 'auparavant', 'et', 'qui', 'ne', 'le', 'soulagent', 'plus', ""aujourd'hui.""], ['La', 'localisation', 'occipitale', 'initiale,', 'la', 'durée', ""d'évolution"", 'de', '2', 'ans', 'et', 'la', 'sensation', 'de', 'pesanteur', 'orientent', 'vers', 'la', 'réponse', '4,', 'une', 'céphalée', 'de', 'tension.'], ['La', 'migraine', 'et', 'les', 'troubles', 'vasculaires,', 'accompagnés', ""d'autres"", 'symptômes', 'neurologiques', 'ou', 'de', 'nausées,', 'de', 'photophobie,', 'etc.,', 'sont', 'rapidement', 'écartés,', 'ainsi', 'que', 'la', 'rare', 'artérite', 'temporale', 'avant', ""l'âge"", 'de', '50', 'ans.'], ['Les', 'céphalées', 'tumorales', 'sont', 'généralement', '""en', 'crescendo"",', 'et', 'non', 'récurrentes', 'comme', 'le', 'suggère', 'le', 'cas,', 'et', 'sont', 'accompagnées', ""d'autres"", 'symptômes', 'neurologiques', 'ou', ""d'une"", 'hypertension', 'intracrânienne.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
0_34,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '27', 'ans', 'examinée', 'dans', 'le', 'service', 'de', 'dermatologie', 'pour', 'des', 'épisodes', 'récurrents', ""d'aphtes"", 'buccaux.'], ['Elle', 'a', 'été', 'adressée', 'au', 'service', 'gastro-intestinal', 'pour', 'une', 'analyse', 'sanguine', 'montrant', 'une', 'Hb', 'de', '11,5', 'g/dl', 'Fe', '38', 'AST', '52', 'ALT', '64', 'Anti-transglutaminase', 'IgA', '177.'], ['Le', 'patient', 'ne', 'signale', ""qu'une"", 'gêne', 'abdominale', 'diffuse', 'occasionnelle.'], ['Aucun', 'signe', ""d'hémorragie"", 'ou', 'de', 'jaunisse.'], [""L'examen"", 'physique', 'est', 'normal.'], ['Parmi', 'les', 'tests', 'suivants,', 'lequel', 'vous', 'semble', 'le', 'plus', 'approprié', 'pour', 'le', 'diagnostic', '?'], ['1-', 'Capsule', 'endoscopique.'], ['2-', 'Coloscopie.'], ['3-', 'Sérologie', 'des', 'virus', 'de', ""l'hépatite"", 'b', 'et', 'c.'], ['4-', 'Biopsie', 'intestinale.'], ['5-', 'Echographie', 'abdominale.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Dans', 'cette', 'question,', 'ils', 'donnent', 'une', 'donnée', 'importante', ""lorsqu'il"", ""s'agit"", 'de', 'suspecter', 'un', 'diagnostic,', 'à', 'savoir', ""l'Ac."", 'antitrasglutaminase', 'qui', 'doit', 'faire', 'suspecter', 'une', 'maladie', 'cœliaque.'], ['Les', 'autres', 'symptômes', ""s'intègrent"", 'parfaitement', 'dans', 'le', 'tableau', 'et', 'bien', 'que', 'plusieurs', 'des', 'tests', 'mentionnés', 'soient', 'probablement', 'effectués,', 'la', 'réponse', 'qui', 'nous', 'donnera', 'le', 'diagnostic', 'est', 'le', '4', '(biopsie', 'intestinale).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
256_162,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '80', 'ans', 'consulte', 'pour', 'une', 'augmentation', 'progressive', 'de', 'la', 'circonférence', 'abdominale', 'au', 'cours', 'du', 'dernier', 'mois.'], ['Au', 'cours', 'des', '4', 'à', '5', 'derniers', 'mois,', 'il', 'a', 'noté', 'une', 'asthénie,', 'une', 'anorexie', 'et', 'une', 'perte', 'de', 'poids', 'non', 'spécifiée.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'ascite', 'de', 'tension', 'et', 'un', 'œdème', 'malléolaire,', 'sans', 'autre', 'signe', 'pertinent.'], ['Une', 'échographie', 'et', 'un', 'scanner', 'de', ""l'abdomen"", 'ont', 'montré', 'la', 'présence', ""d'une"", 'ascite', 'de', 'densité', 'homogène,', 'sans', 'implants', 'péritonéaux', 'ni', 'masses', 'abdominales', 'ou', 'pelviennes.'], ['Le', 'foie,', 'le', 'pancréas,', 'les', 'glandes', 'surrénales,', 'la', 'rate', 'et', 'les', 'reins', 'ne', 'présentent', 'aucune', 'anomalie', 'significative.'], ['La', 'paracentèse', 'est', 'effectuée', 'à', ""l'aide"", ""d'une"", 'aiguille', 'épaisse,', 'ce', 'qui', 'permet', ""d'obtenir"", 'difficilement', 'un', 'liquide', 'jaunâtre,', 'dense', 'et', 'gélatineux.'], ['Quelle', 'est', ""l'étiologie"", 'la', 'plus', 'probable', '?'], ['1-', 'Décompensation', 'hydropique', 'secondaire', 'à', 'une', 'cirrhose', 'du', 'foie.'], ['2-', 'Ascite', 'chyleuse', 'due', 'à', 'un', 'lymphome', 'non', 'hodgkinien.'], ['3-', 'La', 'tuberculose', 'péritonéale.'], ['4-', 'Métastases', 'péritonéales', ""d'adénocarcinome.""], ['5-', 'Ascite', 'secondaire', 'à', 'une', 'péricardite', 'constrictive.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Les', 'caractéristiques', 'du', 'liquide', 'décrit', 'sont', 'laiteuses,', ""c'est-à-dire"", 'un', 'liquide', 'ascitique', 'chyleux.'], ['Compte', 'tenu', 'de', ""l'âge"", 'du', 'patient', 'et', 'du', 'syndrome', 'constitutionnel', 'décrit,', 'il', 'est', 'très', 'probable', ""qu'il"", ""s'agisse"", ""d'un"", 'lymphome', 'non', 'hodgkinien', 'et', 'non', ""d'une"", 'tuberculose,', 'qui', 'se', 'manifeste', 'également', 'par', 'un', 'liquide', 'ascitique', 'chyleux,', ""puisqu'aucun"", 'symptôme', 'infectieux', ""n'est"", 'mentionné.'], ['Les', 'autres', 'entités', 'proposées', 'ne', 'présentent', 'pas', 'de', 'liquide', 'ascitique', 'chyleux.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
604_113,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '35', 'ans,', 'facteur,', 'sans', 'antécédents,', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'des', 'douleurs', 'cervicales', 'aiguës', 'depuis', '24', 'heures,', 'sans', 'antécédents', 'traumatiques,', 'irradiant', 'dans', 'le', 'bras', 'gauche', ""jusqu'à"", 'la', 'main', 'et', 'accompagnées', ""d'une"", 'paresthésie', 'au', 'niveau', 'du', 'bord', 'radial', 'de', ""l'avant-bras.""], ['Il', ""n'y"", 'a', 'pas', 'de', 'perte', 'objective', 'de', 'force,', 'la', 'mobilité', 'du', 'cou', 'est', 'préservée', 'bien', ""qu'elle"", 'soit', 'douloureuse', 'et', 'il', 'y', 'a', 'contracture', 'de', 'la', 'musculature', 'paravertébrale.'], ['La', 'première', 'attitude', 'sera', ':'], ['1-', 'Traitement', 'conservateur', 'par', 'anti-inflammatoires', 'non', 'stéroïdiens,', 'chaleur', 'locale', 'et', 'repos', 'relatif.'], ['2-', 'Appel', 'urgent', 'au', 'neurochirurgien', 'pour', 'une', 'évaluation', 'chirurgicale.'], ['3-', 'Demande', 'préférentielle', 'pour', ""l'IRM"", 'et', ""l'électromyogramme.""], ['4-', ""L'orientation"", 'préférentielle', 'vers', 'les', 'consultations', 'externes', 'de', 'traumatologie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Douleur', 'cervicale', 'sans', 'signe', 'avant-coureur.'], ['Traitement', 'conservateur', 'avec', 'un', 'taux', 'de', 'réussite', 'de', '75', 'à', '90', '%.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
362_96,,
410_195,"[['QUESTION', 'TYPE:', 'SOINS', 'PRIMAIRES'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '75', 'ans', 'est', 'admis', 'à', ""l'hôpital"", 'parce', ""qu'il"", 'refuse', 'de', 'manger', 'et', 'a', 'perdu', '30', '%', 'de', 'son', 'poids.'], ['Il', 'a', 'des', 'antécédents', 'de', 'sclérose', 'en', 'plaques', 'qui', 'se', 'sont', 'aggravés', 'au', 'cours', 'des', 'derniers', 'mois.'], ['Son', 'seul', 'parent,', 'sa', 'sœur,', 'est', 'décédé', 'il', 'y', 'a', 'trois', 'mois', 'et', 'son', 'état', ""s'est"", 'détérioré', 'depuis.'], ['Il', 'est', 'devenu', 'incontinent,', 'a', 'cessé', 'de', ""s'alimenter"", 'et', 'de', 'participer', 'aux', 'événements', 'sociaux.'], ['Impression', 'de', 'dépression', 'psychotique.'], ['Physiquement', 'capable', 'de', 'manger.'], ['Des', 'médicaments', 'psychotropes', 'sont', 'mis', 'en', 'place', 'et', 'interrompus', 'en', 'raison', ""d'effets"", 'indésirables.'], ['Si', 'leur', 'état', 'nutritionnel', ""s'améliore,"", 'il', 'est', 'possible', 'de', 'reprendre', 'leurs', 'médicaments.'], ['Il', 'refuse', 'les', 'fluides', 'intraveineux,', 'puis', 'les', 'accepte,', 'mais', ""l'intraveineuse"", 'est', 'mise', 'en', 'place', 'quelques', 'heures', 'plus', 'tard.'], ['Une', 'autre', 'solution', 'consiste', 'à', 'pratiquer', 'une', 'gastrostomie', 'endoscopique', 'percutanée', '(GEP)', 'et', 'à', 'renvoyer', 'le', 'patient', 'à', 'son', 'domicile.'], ['Laquelle', 'des', 'mesures', 'suivantes', 'est', 'la', 'plus', 'appropriée', 'pour', 'ce', 'patient', '?'], ['1-', 'Demander', 'au', 'comité', ""d'éthique"", 'de', ""l'hôpital"", ""d'aider"", 'à', 'déterminer', 'la', 'décision', 'qui', 'est', 'dans', 'le', 'meilleur', 'intérêt', 'du', 'patient.'], ['2-', 'Évaluer', 'si', 'la', 'résidence', 'acceptera', 'le', 'patient', 'si', 'la', 'PEG', ""n'est"", 'pas', 'effectuée.'], ['3-', 'Demander', 'une', 'décision', 'de', 'justice', 'pour', 'exécuter', 'le', 'PEG'], ['4-', ""L'inscription"", 'du', 'patient', 'en', 'soins', 'palliatifs', 'terminaux'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'bonne', 'réponse', 'est', '1,', 'car', 'le', 'patient', 'est', 'dans', 'une', 'situation', 'de', 'dépression', 'psychotique', 'et', ""n'est"", 'pas', 'en', 'mesure', 'de', 'décider', 'de', 'sa', 'vie', 'et', 'il', 'ne', 'semble', 'pas', 'que', 'le', 'patient', 'ait', 'rempli', 'ses', 'dernières', 'volontés,', 'la', 'chose', 'la', 'plus', 'appropriée', 'à', 'faire', 'est', 'de', 'présenter', 'le', 'cas', 'au', 'comité', ""d'éthique"", 'du', 'centre', 'afin', ""qu'il"", 'prenne', 'une', 'décision', 'sur', 'la', 'question', 'conformément', 'à', 'la', 'loi.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
361_94,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '51', 'ans', 'admis', 'aux', 'urgences', 'pour', 'une', 'anémie', 'macrocytaire', '(Hb', '6,3', 'g/dL,', 'MCV', '120', 'fL).'], ['Des', 'études', 'ont', 'écarté', ""l'hypothèse"", ""d'une"", 'origine', 'carentielle.'], ['Les', 'réticulocytes', 'sont', 'au', 'nombre', 'de', '24', '000/microL.'], [""L'étude"", 'de', 'la', 'moelle', 'osseuse', 'est', 'compatible', 'avec', 'un', 'syndrome', 'myélodysplasique', '(SMD).'], ['La', 'cytogénétique', 'révèle', 'une', 'délétion', '5q.'], ['Quelle', 'affirmation', 'est', 'correcte', 'en', 'ce', 'qui', 'concerne', 'ce', 'patient', '?'], ['1-', 'Cette', 'délétion', '(5q-)', 'est', 'une', 'maladie', 'de', 'bon', 'pronostic', 'qui', 'bénéficie', ""d'un"", 'traitement', 'spécifique', '(lénalidomide).'], ['2-', 'Chez', 'ce', 'patient,', 'il', 'serait', 'souhaitable', 'de', 'réaliser', 'un', 'typage', 'HLA', 'afin', ""d'organiser"", 'une', 'greffe', 'allogénique.'], ['3-', 'Il', ""s'agit"", ""d'un"", 'patient', 'avec', 'un', 'indice', 'pronostique', 'international', '(IPSS)', 'élevé.'], ['4-', 'Le', 'traitement', 'dans', 'ce', 'cas', 'serait', 'uniquement', 'des', 'transfusions.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Il', ""s'agit"", ""d'un"", 'jeune', 'patient', 'sans', 'comorbidité,', 'qui', 'est', 'donc', 'candidat', 'à', 'un', 'traitement', 'à', 'visée', 'curative,', 'de', 'sorte', 'que', ""l'option"", '4', 'est', 'exclue.'], [""L'option"", '3', ""n'est"", 'pas', 'correcte', 'non', 'plus', 'car', 'nous', 'ne', 'pouvons', 'pas', 'connaître', ""l'IPSS"", 'du', 'patient', 'car', 'nous', 'ne', 'connaissons', 'pas', 'le', 'nombre', 'de', 'blastes', 'et', 'le', 'nombre', 'de', 'leucocytes', 'et', 'de', 'plaquettes', 'pour', 'calculer', 'le', 'risque.'], [""L'option"", '2', 'est', 'également', 'incorrecte', 'car', ""l'indication"", ""d'une"", 'greffe', 'de', 'moelle', 'osseuse', 'dans', 'le', 'cas', ""d'un"", 'SMD', 'concerne', 'les', 'patients', 'dont', ""l'IPSS"", 'est', 'élevé', 'ou', 'intermédiaire-2,', 'et', 'dans', 'ce', 'cas,', 'nous', 'ne', 'connaissons', 'pas', 'le', 'risque,', 'la', 'seule', 'chose', 'que', 'nous', 'savons', 'à', 'propos', 'du', 'risque', 'est', 'la', 'cytogénétique', 'qui', 'est', 'de', 'bon', 'pronostic,', 'ce', 'qui', 'nous', 'donnerait', '0', 'point.'], ['La', 'bonne', 'réponse', 'est', 'donc', '1,', 'car', 'il', 'est', 'vrai', ""qu'elle"", 'présente', 'une', 'cytogénétique', 'favorable', '(5q-)', 'et', ""qu'elle"", 'bénéficie', ""d'un"", 'traitement', 'spécifique,', 'le', 'lénalidomide,', 'qui', 'est', 'également', 'utilisé', 'dans', ""d'autres"", 'pathologies', 'telles', 'que', 'le', 'myélome', 'multiple.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 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141_135,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Garçon', 'de', '2', 'ans,', 'ses', 'antécédents', 'personnels', 'comprennent', ':', '3', 'épisodes', ""d'otite"", 'moyenne', 'aiguë,', '1', 'méningite', 'à', 'méningocoques', 'et', '2', 'pneumonies', '(une', 'du', 'lobe', 'moyen', 'et', 'une', 'du', 'lobe', 'supérieur', 'gauche).'], ['Il', 'a', 'été', 'admis', 'trois', 'fois', 'pour', 'un', 'purpura', 'thrombocytopénique', '(à', 'trois', 'reprises,', 'les', 'anticorps', 'antiplaquettaires', 'étaient', 'négatifs', 'et', 'la', 'moelle', 'osseuse', 'montrait', 'des', 'mégacaryocytes', 'normaux).'], ['Plusieurs', 'garçons', 'de', 'la', 'famille', 'maternelle', 'sont', 'morts', 'en', 'bas', 'âge', 'à', 'cause', 'de', 'maladies', 'infectieuses.'], [""L'examen"", 'a', 'révélé', 'des', 'lésions', 'typiques', 'de', 'la', 'dermatite', 'atopique.'], [""L'étude"", 'immunologique', 'a', 'montré', 'une', 'légère', 'diminution', 'des', 'sous-populations', 'de', 'lymphocytes', 'T,', 'une', 'élévation', 'des', 'IgA', 'et', 'des', 'IgE,', 'une', 'diminution', 'des', 'IgM', 'et', 'des', 'IgG', 'à', 'la', 'limite', 'inférieure', 'de', 'la', 'normale.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Syndrome', 'de', 'Wiskott-Aldrich.'], ['2-', 'Syndrome', ""d'hyperIgE.""], ['3-', 'Hypogammaglobulinémie', 'transitoire', 'du', 'nourrisson.'], ['4-', 'Déficit', 'immunitaire', 'combiné', 'sévère', 'associé', 'à', ""l'X.""], ['5-', 'Déficit', 'immunitaire', 'commun', 'variable.'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'bonne', 'réponse', 'est', '1.'], ['Le', 'syndrome', 'de', 'Wiskott-Aldrich', 'associe', 'un', 'déficit', 'immunitaire,', 'une', 'thrombopénie', 'et', 'une', 'dermatite', 'atopique', 'à', ""l'étude"", 'immunologique', 'décrite', 'dans', 'la', 'déclaration.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
317_139,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '70', 'ans', 'ayant', 'des', 'antécédents', ""d'anorexie,"", 'de', 'perte', 'de', 'poids,', 'de', 'gêne', 'dans', 'la', 'musculature', 'et', 'les', 'articulations', 'proximales', 'et', 'de', 'douleur', 'dans', 'la', 'région', 'temporo-mandibulaire', ""s'est"", 'présentée', 'aux', 'urgences', 'pour', 'une', 'perte', 'de', 'vision', 'unilatérale', '(mouvement', 'de', 'la', 'main),', ""d'apparition"", 'soudaine', 'et', 'indolore', '(anomalie', 'pupillaire', 'afférente).'], ['Quel', 'test', 'demanderiez-vous', 'en', 'premier', 'lieu', 'à', 'des', 'fins', 'de', 'diagnostic', '?'], ['1-', 'Ponction', 'lombaire.'], ['2-', 'Protéine', 'C-Réactive.'], ['3-', 'Angiographie', 'par', 'résonance', 'magnétique.'], ['4-', 'Echographie', 'carotidienne.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Il', ""s'agit"", 'probablement', ""d'une"", 'artérite', 'temporale,', 'le', 'tableau', 'clinique', 'et', 'une', 'numération', 'formule', 'sanguine', 'avec', 'augmentation', 'des', 'réactifs', 'suffisent', 'à', 'confirmer', 'la', 'suspicion.'], ['Ensuite,', 'un', 'examen', 'oculaire', 'doit', 'être', 'effectué', 'pour', 'écarter', 'la', 'possibilité', ""d'une"", 'AIN,', 'un', 'traitement', 'urgent', 'doit', 'être', 'mis', 'en', 'place', '(en', 'cas', ""d'AIN,"", '3', 'bolus', 'de', 'méthylprednisolone', '1', 'g,', 'sinon,', 'prednisone', 'mg/kg)', 'et', 'une', 'biopsie', 'doit', 'être', 'effectuée.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
550_129,,
110_152,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Patiente', 'âgée', 'de', '76', 'ans,', 'parité', '3-0-3-1,', 'ménopause', 'à', '52', 'ans.'], ['Elle', 'déclare', 'souffrir', 'depuis', 'au', 'moins', '4', 'à', '5', 'ans', 'de', 'démangeaisons', 'vulvaires', ""d'intensité"", 'variable,', 'traitées', 'tantôt', 'par', 'automédication,', 'tantôt', 'sur', 'les', 'conseils', 'de', 'son', 'médecin', 'généraliste,', 'avec', 'des', 'préparations', 'topiques', '(crèmes', 'et', 'lavages).'], ['Les', 'démangeaisons', 'sont', 'apparues', 'de', 'manière', 'intermittente,', 'mais', 'depuis', 'trois', 'ou', 'quatre', 'mois,', 'elle', 'a', 'également', 'remarqué', 'une', 'petite', 'grosseur', 'sur', 'le', 'grand', 'labium', 'gauche', 'de', 'la', 'vulve,', 'qui', 'fuit', 'de', 'manière', 'séro-hématique', ""lorsqu'on"", 'la', 'frotte', 'depuis', 'plusieurs', 'jours,', 'et', 'elle', 'a', 'donc', 'consulté', 'un', 'gynécologue.'], ['À', ""l'interrogatoire,"", 'il', 'signale', 'une', 'dysurie', 'occasionnelle', 'et', 'son', 'état', 'général', 'est', 'bon.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', 'chez', 'ce', 'patient', '?'], ['1-', ""L'herpès"", 'génital.'], ['2-', 'La', 'maladie', 'de', 'Paget', 'de', 'la', 'vulve.'], ['3-', 'La', 'caroncule', 'urétrale.'], ['4-', 'Granulome', 'chronique', 'de', 'la', 'vulve.'], ['5-', 'Carcinome', 'épidermoïde', 'de', 'la', 'vulve.'], ['BONNE', 'RÉPONSE', ':', '5'], ['La', 'bonne', 'réponse', 'est', '5.'], ['Le', 'carcinome', 'vulvaire', 'se', 'caractérise', 'par', 'un', 'prurit', 'vulvaire', 'chronique', 'résistant', 'à', 'de', 'multiples', 'traitements,', ""l'apparition"", ""d'une"", 'tumeur', 'ou', ""d'une"", 'ulcération,', 'une', 'dysurie', 'et', 'un', 'besoin', 'urgent', ""d'uriner,"", 'ainsi', 'que', 'des', 'douleurs', 'et', 'des', 'saignements', 'tardifs.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
419_77,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '80', 'ans', ""s'est"", 'présentée', 'aux', 'urgences', 'avec', 'des', 'douleurs', 'abdominales', 'débutant', 'dans', ""l'épigastre"", 'et', 'irradiant', 'ensuite', 'vers', 'la', 'fosse', 'iliaque', 'gauche.'], ['Il', 'était', 'accompagné', ""d'une"", 'fièvre', 'de', '37,5ºC.', 'Un', 'scanner', 'abdominal', 'a', 'été', 'réalisé,', 'montrant', 'une', 'inflammation', 'des', 'parois', 'du', 'sigma', 'et', 'un', 'abcès', 'mésentérique', 'de', '2', 'cm.'], ['Le', 'traitement', 'de', 'choix', 'est', 'le', 'suivant', ':'], ['1-', 'Admission', 'dans', 'le', 'service', 'avec', 'régime', 'absolu', 'et', 'traitement', 'antibiotique', 'à', 'large', 'spectre.'], ['2-', 'Décharge', 'de', 'la', 'colostomie.'], ['3-', 'Drainage', 'par', 'chirurgie', 'laparoscopique.'], ['4-', 'Chirurgie', 'urgente', 'avec', 'sigmoïdectomie', 'et', 'anastomose', 'colorectale.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Dans', 'cette', 'question,', 'nous', 'sommes', 'en', 'présence', ""d'un"", 'tableau', 'clinique', 'dont', 'les', 'manifestations', 'sont', 'compatibles', 'avec', 'une', 'diverticulite', 'aiguë,', 'question', 'qui', 'a', 'été', 'posée', 'à', 'de', 'nombreuses', 'reprises', 'dans', 'le', 'passé.'], ['Un', 'cas', 'de', 'diverticulite', 'aiguë', 'compliquée', 'par', 'un', 'petit', 'abcès', 'mésentérique', '(<', '2-3', 'cm)', 'est', 'présenté.'], ['Les', 'abcès', 'doivent', 'être', 'drainés', 'par', 'ponction', 'percutanée', 'guidée', 'par', 'scanner,', 'car', ""l'approche"", 'intra-abdominale', 'peut', 'répandre', 'le', 'contenu', 'dans', 'la', 'cavité', 'abdominale.'], ['Cependant,', 'les', 'petits', 'abcès', 'avec', 'divertciulite', 'de', 'grade', 'I', 'de', 'Hinchey,', 'chez', 'les', 'patients', 'sans', 'détérioration', 'majeure', 'de', ""l'état"", 'général', 'comme', 'dans', 'le', 'cas', 'proposé,', 'peuvent', 'être', 'pris', 'en', 'charge', 'par', 'un', 'traitement', 'conservateur', 'avec', 'une', 'thérapie', 'antiobiotique', 'intraveineuse', 'et', 'un', 'régime', 'alimentaire', 'absolu,', 'par', 'conséquent', ""l'option"", 'correcte', 'est', '1.'], [""L'approche"", 'chirurgicale', 'urgente', 'doit', 'être', 'réservée', 'aux', 'cas', 'présentant', 'une', 'péritonite', '(grade', 'III,', 'IV)', 'par', 'résection', 'du', 'segment', 'affecté', 'et', 'anastomose', 'primaire', 'chez', 'les', 'patients', 'stables', 'ou', 'par', 'une', 'procédure', 'de', 'Hartamn', 'comprenant', 'une', 'résection', 'avec', 'colostomie', 'terminale', 'et', 'fermeture', 'du', 'moignon', 'rectal', 'distal', 'avec', 'anastomose', 'dans', 'un', 'second', 'temps', 'chirurgical.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
37_227,"[['QUESTION', 'TYPE:', 'OPHTHALMOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '78', 'ans', 'consulte', 'pour', 'une', 'perte', 'de', 'vision', 'aiguë', 'de', ""l'œil"", 'gauche.'], ['Au', 'cours', 'des', 'trois', 'dernières', 'semaines,', 'il', 'a', 'présenté', 'de', 'la', 'fièvre,', 'des', 'douleurs', 'dans', 'les', 'épaules,', 'le', 'cou', 'et', 'les', 'hanches', 'et', 'des', 'maux', 'de', 'tête', 'modérés.'], [""L'examen"", 'du', 'fond', ""d'œil"", 'révèle', 'une', 'papille', 'optique', 'pâle', 'et', 'oedémateuse.'], ['La', 'mobilisation', 'des', 'épaules', 'et', 'des', 'hanches', 'provoque', 'des', 'douleurs.'], ['Aucune', 'altération', ""n'est"", 'observée', 'à', 'la', 'palpation', 'des', 'artères', 'temporales.'], ['Données', 'de', 'laboratoire', ':', 'hémoglobine', '9,7', 'g/dL,', 'ferritine', '450', 'ng/mL,', 'vitesse', 'de', 'sédimentation', 'des', 'érythrocytes', '115', 'mm/h.'], ['Quelle', 'est', ""l'action"", 'immédiate', 'la', 'plus', 'appropriée', 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532_67,,
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428_61,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES', 'ET', 'MICROBIOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '62', 'ans', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'de', ""l'hôpital"", 'avec', 'une', 'fièvre', 'de', '38,3″C', 'et', 'des', 'frissons.'], ['Il', 'est', 'tachycarde', 'et', 'tachypnéique.'], ['Analyse', 'de', 'sang', ':', 'leucocytose', 'avec', 'déplacement', 'vers', 'la', 'gauche.'], ['La', 'tension', 'artérielle', 'est', 'de', '90/60', 'mmHg.'], ['Aucun', 'souffle', ""n'est"", 'perçu', 'à', ""l'auscultation"", 'cardiaque', 'et', 'la', 'radiographie', 'du', 'thorax', 'exclut', 'la', 'possibilité', ""d'une"", 'pneumonie.'], ['Comme', 'antécédents,', 'il', 'mentionne', 'des', 'infections', 'urinaires', 'répétées.'], ['Il', 'y', 'a', 'une', 'semaine,', 'son', 'médecin', 'généraliste', 'lui', 'a', 'prescrit', 'du', 'céfuroxime,', ""qu'elle"", 'prend', 'actuellement.'], ['Deux', 'hémocultures', 'ont', 'été', 'réalisées', 'et', ""l'urine"", 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393_224,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Une', 'patiente', 'se', 'présente', 'avec', 'une', 'longue', 'histoire', 'de', 'symptômes', 'physiques', 'multiples', ':', 'perte', 'de', 'mémoire,', 'maux', 'de', 'tête,', 'vertiges,', 'vomissements,', 'douleurs', 'génitales,', 'douleurs', 'dans', 'les', 'membres,', 'distension', 'abdominale', 'et', 'irrégularités', 'menstruelles.'], ['Les', 'différents', 'examens', 'médicaux', 'ont', 'permis', ""d'exclure"", 'toute', 'maladie.'], ['Parmi', 'les', 'affections', 'suivantes,', 'quelles', 'sont', 'celles', 'dont', 'vous', 'êtes', 'le', 'plus', 'susceptible', 'de', 'souffrir', '?'], ['1-', 'Le', 'trouble', 'conversif.'], ['2-', 'Le', 'trouble', 'hypocondriaque.'], ['3-', 'Le', 'trouble', 'de', 'la', 'somatisation.'], ['4-', 'Le', 'trouble', 'dissociatif.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Selon', 'la', 'CIM-10,', 'les', 'critères', 'de', 'diagnostic', 'du', 'trouble', 'de', 'la', 'somatisation', '(F45.0)', 'sont', 'les', 'suivants', ':', 'A.'], ['Antécédents', 'de', 'symptômes', 'physiques', 'multiples,', 'débutant', 'avant', ""l'âge"", 'de', '30', 'ans,', 'persistant', 'pendant', 'plusieurs', 'années', 'et', 'nécessitant', 'une', 'prise', 'en', 'charge', 'médicale', 'ou', 'entraînant', 'une', 'altération', 'significative', 'de', 'la', 'vie', 'sociale,', 'professionnelle', 'ou', ""d'autres"", 'domaines', 'importants', 'de', ""l'activité"", 'de', ""l'individu.""], ['B.'], ['Tous', 'les', 'critères', 'suivants', 'doivent', 'être', 'remplis', 'et', 'chaque', 'symptôme', 'peut', 'se', 'manifester', 'à', ""n'importe"", 'quel', 'moment', 'de', 'la', 'perturbation', ':', '1.'], ['Quatre', 'symptômes', 'douloureux', ':', 'antécédents', 'de', 'douleurs', 'liées', 'à', 'au', 'moins', 'quatre', 'régions', 'du', 'corps', 'ou', 'quatre', 'fonctions', '(par', 'exemple,', 'tête,', 'abdomen,', 'dos,', 'articulations,', 'extrémités,', 'poitrine,', 'rectum', ';', 'pendant', 'les', 'règles,', 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'de', 'conversion', 'tels', 'que', 'troubles', 'de', 'la', 'coordination', 'psychomotrice', 'ou', 'de', ""l'équilibre,"", 'faiblesse', 'musculaire', 'localisée', 'ou', 'paralysie,', 'difficultés', 'à', 'avaler,', 'boule', 'dans', 'la', 'gorge,', 'aphonie,', 'rétention', 'urinaire,', 'hallucinations,', 'perte', 'des', 'sensations', 'tactiles', 'et', 'douloureuses,', 'diplopie,', 'cécité,', 'surdité,', 'crises', ""d'épilepsie"", ';', 'symptômes', 'dissociatifs', 'tels', 'que', ""l'amnésie"", ';', 'ou', 'perte', 'de', 'conscience', 'autre', 'que', ""l'évanouissement).""], ['C.'], [""L'une"", 'ou', ""l'autre"", 'des', 'deux', 'caractéristiques', 'suivantes', ':', '1.'], ['Après', 'un', 'examen', 'approprié,', 'aucun', 'des', 'symptômes', 'du', 'critère', 'B', 'ne', 'peut', 'être', 'expliqué', 'par', 'la', 'présence', ""d'une"", 'maladie', 'connue', 'ou', 'par', 'les', 'effets', 'directs', ""d'une"", 'substance', '(par', 'exemple,', 'des', 'drogues', 'ou', 'des', 'médicaments).'], ['2.'], 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
589_63,,
350_160,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '45', 'ans,', 'mère', 'de', 'trois', 'enfants,', 'participe', 'à', 'une', 'consultation', 'de', 'diagnostic', 'précoce.'], ['La', 'cytologie', 'cervicovaginale', 'est', 'compatible', 'avec', 'une', 'lésion', 'intraépithéliale', 'malpighienne', 'de', 'haut', 'grade.'], ['Lequel', 'des', 'éléments', 'suivants', 'choisiriez-vous', '?'], ['1-', 'Répéter', 'la', 'cytologie', 'dans', 'un', 'mois.'], ['2-', 'Colposcopie', 'avec', 'biopsie', 'éventuelle.'], ['3-', 'Hystérectomie', 'avec', 'salpingectomie', 'bilatérale', 'et', 'conservation', 'ovarienne.'], ['4-', 'Le', 'curetage', 'fractionné.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Colposcopie', 'avec', 'une', 'biopsie', 'éventuelle.'], ['H-SIL', '(lésion', 'malpighienne', 'intra-épithéliale', 'de', 'haut', 'grade)*', ':', 'comprend', 'les', 'changements', 'évocateurs', 'de', 'CIN2', 'et', 'CIN3/CIS.'], ['Le', 'diagnostic', 'cytologique', 'doit', 'être', 'confirmé', 'par', 'une', 'biopsie,', 'ce', 'qui', 'nécessite', 'une', 'biopsie', 'ciblée', 'par', 'colposcopie.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
25_116,"[['QUESTION', 'TYPE:', 'INFECTIEUX'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '40', 'ans', 'est', 'admise', 'aux', 'urgences', 'pour', 'une', 'fièvre', 'de', '38', '°C', 'et', 'une', 'douleur', 'lombaire', 'droite.'], [""L'analyse"", 'sanguine', 'a', 'montré', '25', '000', 'leucocytes/mm3', 'avec', 'une', 'déviation', 'à', 'gauche', 'et', ""l'échographie"", 'abdominale', 'a', 'révélé', 'une', 'lithiase', 'coralliforme.'], ['Quel', 'micro-organisme', ""s'attend-on"", 'à', 'trouver', '?'], ['1-', 'Escherichia', 'coli.'], ['2-', 'Enterococcus', 'faecalis.'], ['3-', 'Salmonella', 'typhi.'], ['4-', 'Candida', 'albicans.'], ['5-', 'Proteus', 'mirabilis.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Question', ""d'épidémiologie"", 'partagée', 'avec', 'URO.'], ['La', 'lithiase', 'coralliforme', 'est', 'associée', 'à', 'des', 'germes', 'fendeurs', ""d'urée"", ':', 'Proteus', 'en', 'premier', 'lieu,', 'Pseudomonas,', 'Klebsiella', 'et', 'certains', 'staphylocoques.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
103_89,,
22_112,"[['QUESTION', 'TYPE:', 'INFECTIEUX'], ['CLINICAL', 'CASE:'], ['Un', 'patient', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'avec', 'une', 'fièvre', 'sans', 'source', 'de', 'fièvre', 'de', '24', 'h', ""d'évolution,"", 'une', 'hypothyroïdie', 'et', 'une', 'impression', 'de', 'gravité.'], ['Il', 'a', 'subi', 'une', 'splénectomie', 'il', 'y', 'a', 'deux', 'ans', 'pour', 'la', 'stadification', 'de', 'la', 'maladie', 'de', 'Hosgkin.'], ['Quel', 'est', 'le', 'micro-organisme', 'le', 'plus', 'souvent', 'impliqué', '?'], ['1-', 'Streptococcus', 'pneumoniae.'], ['2-', 'Pseudomonas', 'aeruginosa.'], ['3-', 'Salmonella', 'no', 'typhi.'], ['4-', 'Pneumocystis', 'jirovecii.'], ['5-', 'Streptococcus', 'viridans.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Un', 'autre', 'sur', ""l'épidémiologie.""], ['Chez', 'les', 'patients', 'splénectomisés,', 'le', 'risque', 'de', 'contracter', 'des', 'infections', 'graves', 'par', 'des', 'germes', 'encapsulés', 'est', 'accru,', 'le', 'pneumocoque', 'étant', 'là', 'encore', 'le', 'plus', 'fréquent.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
488_105,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Patient', 'de', '67', 'ans', 'qui,', 'au', 'cours', 'des', 'six', 'derniers', 'mois,', 'a', 'présenté', 'une', 'lymphocytose', 'progressive', 'lors', 'de', 'deux', 'analyses', 'de', 'routine.'], ['Chez', 'ces', 'derniers,', 'hémoglobine', '15,4', 'g/dl', ';', 'leucocytes', '18,5', 'x103/μL', 'avec', '82', '%', 'de', 'lymphocytes', 'matures', 'exprimant', 'les', 'antigènes', 'CD5/CD19/CD23', 'par', 'cytométrie', 'de', 'flux', 'et', 'plaquettes', '240', 'x103/μL.'], ['Quelle', 'attitude', 'pensez-vous', 'être', 'la', 'bonne', '?'], ['1-', 'Etude', 'des', 'mutations', 'TP53', 'pour', 'établir', 'le', 'pronostic.'], ['2-', 'Aspiration/biopsie', 'osseuse', 'pour', 'confirmer', 'le', 'diagnostic.'], ['3-', 'PET/CT', 'pour', 'établir', ""l'approche"", 'thérapeutique.'], ['4-', 'Nouveau', 'contrôle', 'clinique', 'et', 'analytique', 'dans', 'les', '6', 'mois.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], [""C'est"", 'une', 'question', 'qui,', 'à', 'mon', 'avis,', 'peut', 'être', 'compliquée', 'pour', 'un', 'candidat', 'MIR.'], ['On', 'nous', 'parle', ""d'une"", 'leucocytose', 'aux', 'dépens', 'des', 'lymphocytes', 'avec', 'un', 'phénotype', 'B-CLL.'], ['Il', 'ne', 'semble', 'pas', 'y', 'avoir', ""d'autres"", 'données', 'alarmantes.'], ['Aucune', 'donnée', 'clinique', ""n'est"", 'fournie', '(nous', 'supposons', 'donc', 'que', 'le', 'patient', 'est', 'asymptomatique).'], ['Pas', 'de', 'cytopénie...'], ['Conclusion', ':', 'SUIVI.'], ['La', 'principale', 'hésitation', 'quant', 'à', 'la', 'réponse', 'devrait', 'concerner', ""l'option"", '1.'], ['Pourquoi', 'est-ce', 'que', 'je', 'pense', 'que', ""c'est"", 'mal', '?'], ['Parce', 'que', 'la', 'mutation', 'TP53,', 'bien', ""qu'elle"", 'établisse', 'le', 'pronostic,', ""n'est"", 'pas', 'indiquée', 'au', 'moment', 'du', 'diagnostic,', 'mais', 'au', 'moment', 'de', ""l'initiation"", 'du', 'traitement', '(première', 'ligne', 'et', 'avant', 'les', 'lignes', 'successives', 'si', 'nécessaire).'], ['Cette', 'question', 'peut', 'être', 'très', 'délicate', 'dans', 'la', 'mesure', 'où', 'le', 'pourcentage', 'que', 'vous', 'nous', 'donnez', 'ne', 'se', 'réfère', 'pas', 'directement', 'aux', 'lymphocytes', 'clonaux,', 'il', 'pourrait', 'donc', ""s'agir"", ""d'une"", 'lymphocytose', 'B', 'monoclonale.'], ['Mais', 'cela', 'va', 'trop', 'loin.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 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111_153,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '59', 'ans', 'a', 'consulté', 'pour', 'un', 'écoulement', 'hémorragique', 'unilatéral,', 'spontané', 'et', 'non', 'artificiel', 'du', 'mamelon', 'droit,', 'sans', 'nodularité', 'palpable.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Compte', 'tenu', 'de', 'la', 'nature', 'hématologique', 'de', 'la', 'sécrétion,', 'le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'celui', ""d'un"", 'carcinome', 'canalaire', 'infiltrant.'], ['2-', 'Papillome', 'intraductal.'], ['3-', 'Maladie', 'de', 'Paget', 'du', 'mamelon.'], ['4-', 'Hyperprolactinémie', 'tumorale.'], ['5-', 'La', 'mammographie', 'indiquera', 'le', 'diagnostic.'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'bonne', 'réponse', 'est', '2.'], ['En', 'présence', ""d'une"", 'télorrhée', 'hémorragique', 'unilatérale', 'et', 'non', 'artificielle,', 'la', 'cause', 'la', 'plus', 'fréquente', 'est', 'le', 'papillome', 'intraductal', '(50', '%),', 'suivi', 'de', ""l'ectasie"", 'canalaire', 'et', 'du', 'carcinome.'], [""Lorsqu'ils"", 'sont', 'associés', 'à', 'une', 'masse', 'palpable,', '60', '%', ""d'entre"", 'eux', 'correspondent', 'à', 'un', 'carcinome.'], ['La', 'maladie', 'de', 'Paget', 'est', 'de', 'type', 'eczémateux.'], ['En', 'cas', ""d'hyperprolactinémie,"", 'la', 'télorrhée', 'est', 'bilatérale', 'et', 'plurifactorielle.'], ['La', 'mammographie', 'ne', 'permet', 'souvent', 'pas', 'de', 'détecter', 'les', 'papillomes,', ""l'échographie"", 'et', 'la', 'galactographie', 'étant', 'plus', 'utiles.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
119_119,"[['QUESTION', 'TYPE:', 'INFECTOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'jeune', 'femme', 'de', '17', 'ans', ""s'est"", 'présentée', 'aux', 'urgences', 'avec', 'une', 'forte', 'fièvre,', 'des', 'douleurs', 'pharyngées', 'et', 'une', 'lymphadénopathie', 'cervicale.'], ['Une', 'pharyngite', 'aiguë', 'avait', 'déjà', 'été', 'diagnostiquée', 'et', 'traitée', 'à', ""l'amoxicilline."", 'Elle', 'a', 'ensuite', 'présenté', 'une', 'éruption', 'cutanée', 'maculaire', 'généralisée.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'montré', 'une', 'légère', 'leucocytose', 'avec', 'lymphocytose', 'et', 'présence', 'de', 'lymphocytes', 'activés,', 'une', 'légère', 'thrombopénie', 'et', 'une', 'légère', 'augmentation', 'des', 'transaminases.'], ['Quel', 'serait', 'le', 'diagnostic', 'le', 'plus', 'probable', 'de', 'ce', 'tableau', 'clinique', '?'], ['1-', ""C'est"", 'un', 'cas', 'typique', 'de', 'la', 'mononucléose', 'infectieuse.'], ['2-', ""L'infection"", 'par', 'le', 'virus', 'de', 'la', 'varicelle', 'et', 'du', 'zona.'], ['3-', 'Toxoplasmose', 'aiguë.'], ['4-', 'La', 'maladie', 'de', 'Lyme.'], ['5-', 'Infection', 'par', 'le', 'virus', 'de', ""l'herpès"", '8.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Il', ""s'agit"", 'certainement', ""d'un"", 'cas', 'typique', '(EBV,', 'CMV,', 'VH6,', 'Toxoplasma),', 'que', 'vous', 'ne', 'verrez', 'pas', 'aussi', 'clairement', 'à', 'la', 'porte', 'de', 'la', 'salle', ""d'urgence"", 'lorsque', 'vous', 'êtes', 'de', 'garde.'], ['Attention', 'au', 'mauvais', 'sang', 'dans', 'la', 'réponse', '3,', 'car', 'la', 'toxoplasmose', 'aiguë', 'peut', 'se', 'comporter', 'de', 'la', 'sorte', 'et', 'provoquer', 'une', 'éruption', 'maculaire,', 'bien', 'que', ""l'éruption"", 'de', 'cette', 'jeune', 'fille', 'soit', 'liée', 'à', 'la', 'prise', ""d'amoxicilline.""], ['Par', 'ailleurs,', ""j'ajouterais"", 'que', 'si,', 'au', 'lieu', ""d'une"", 'jeune', 'fille', 'de', '17', 'ans,', 'il', ""s'agissait"", ""d'un"", 'jeune', 'homme', 'ou', ""d'une"", 'jeune', 'fille', 'ayant', 'des', 'relations', 'sexuelles', 'à', 'risque,', 'il', 'ne', 'faut', 'pas', 'oublier', 'que', 'la', 'primo-infection', 'par', 'le', 'VIH', 'peut', 'être', 'à', ""l'origine"", 'du', 'syndrome', 'de', 'la', 'mononucléose.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
562_183,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '45', 'ans,', 'sans', 'antécédents,', 'consulte', 'pour', 'une', 'dyspnée', 'qui', 'dure', 'depuis', 'environ', '4', 'jours.'], [""L'examen"", 'montre', 'une', 'tachycardie', 'rythmique,', 'pas', 'de', 'souffle', 'et', ""l'auscultation"", 'pulmonaire', 'est', 'normale.'], ['Les', 'gaz', 'du', 'sang', 'artériel', 'montrent', 'une', 'pO2', 'de', '70', 'mmHg', 'et', 'une', 'pCO2', 'de', '32', 'mmHg.'], ['La', 'numération', 'sanguine', 'et', 'les', 'fonctions', 'rénales', 'et', 'hépatiques', 'sont', 'normales.'], ['Temps', 'de', 'Quick', '90', '%,', 'temps', 'de', 'céphaline', 'activé', '(TCA)', 'rapport', 'de', '2', 'par', 'rapport', 'au', 'contrôle', '(N', '<1,2).'], ['Parmi', 'les', 'diagnostics', 'suivants,', 'lequel', 'est', 'le', 'plus', 'probable', '?'], ['1-', 'Le', 'syndrome', 'des', 'antiphospholipides.'], ['2-', 'Facteur', 'V', 'de', 'Leiden.'], ['3-', ""L'hémophilie.""], ['4-', 'Péricardite', 'aiguë.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Cette', 'question', 'porte', 'sur', 'une', 'femme', 'de', '45', 'ans', 'à', 'qui', ""l'on"", 'a', 'diagnostiqué', 'une', 'thromboembolie', 'pulmonaire', '(TEP).'], ['Avec', 'ce', 'diagnostic,', 'les', 'options', '3', 'et', '4', 'sont', 'directement', 'exclues', '(de', 'plus,', 'il', ""s'agit"", ""d'une"", 'femme,', 'donc', 'nous', ""n'aurions"", 'pas', 'à', 'penser', 'à', ""l'hémophilie).""], ['Par', 'conséquent,', 'ils', 'veulent', 'que', 'vous', 'sachiez', 'que', 'vous', 'êtes', 'atteint', 'de', 'lupus', 'et', 'que', 'vous', 'fassiez', 'le', 'lien', 'direct', 'avec', 'le', 'syndrome', 'des', 'antiphospholipides', '(SAP).'], [""L'anomalie"", 'de', 'Leiden', ""n'altère"", 'pas', 'la', 'coagulation,', 'elle', 'est', 'donc', 'également', 'exclue.'], ['Cependant,', 'bien', ""qu'il"", 'ne', ""s'agisse"", 'pas', ""d'une"", 'réponse', 'possible,', 'la', 'positivité', 'du', 'lupus', 'peut', 'être', 'liée', 'à', 'un', 'large', 'éventail', 'de', 'situations', 'cliniques,', 'de', 'syndromes', 'et', 'de', 'pathologies.'], ['Supposer', ""qu'une"", 'PTE', '+', 'un', 'lupus', 'est', 'une', 'PBS', 'me', 'semble', 'un', 'peu', 'tiré', 'par', 'les', 'cheveux,', 'mais', ""c'est"", 'le', 'plus', 'probable', 'au', 'vu', 'des', 'données', 'fournies.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
514_97,"[['QUESTION', 'TYPE:', 'SOINS', 'CRITIQUES', 'ET', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Après', 'un', 'accident', 'de', 'la', 'route,', 'vous', 'vous', 'occupez', ""d'une"", 'personne', 'blessée.'], ['Le', 'patient', 'ouvre', 'les', 'yeux', 'à', ""l'appel,"", 'mais', 'ne', 'prononce', 'que', 'des', 'mots', 'inappropriés.'], ['A', ""l'examen"", 'moteur,', 'la', 'douleur', 'est', 'localisée', 'dans', 'les', 'membres', 'droits,', 'mais', ""s'étend"", 'à', 'la', 'stimulation', 'des', 'membres', 'gauches.'], ['Comment', 'décririez-vous', 'votre', 'situation', 'selon', ""l'échelle"", 'de', 'coma', 'de', 'Glasgow', '?'], ['1-', 'E3V2M4.'], ['2-', 'E3V3M5.'], ['3-', 'E2V3M4.'], ['4-', 'E2V4M5.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'première', 'chose', 'à', 'savoir', 'lorsque', ""l'on"", 'applique', ""l'échelle"", 'de', 'coma', 'de', 'Glasgow', 'à', 'un', 'patient', 'est', ""qu'il"", 'faut', 'toujours', 'prendre', 'la', 'meilleure', 'valeur', 'dans', 'chaque', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
101_86,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '55', 'ans', 'consulte', 'pour', 'fatigue', 'et', 'polyurie', 'depuis', 'deux', 'ans.'], ['Les', 'analyses', 'révèlent', 'une', 'hypercalcémie,', 'une', 'augmentation', 'de', 'la', 'PTH', 'et', 'des', 'marqueurs', 'de', 'renouvellement', 'osseux.'], [""L'étude"", 'radiographique', 'montre', 'une', 'résorption', 'sous-périostée', 'et', 'une', 'ostéoporose.'], ['La', 'scintigraphie', 'au', 'sestamibi', 'révèle', 'un', 'adénome', 'parathyroïdien.'], ['La', 'parathyroïdectomie', 'est', 'réalisée', 'par', 'une', 'chirurgie', 'mini-invasive.'], ['En', 'postopératoire,', 'le', 'patient', 'présente', 'une', 'hypocalcémie', 'sévère', 'et', 'une', 'tétanie,', 'avec', 'des', 'taux', 'de', 'PTH', 'inférieurs', 'à', '5', 'ng/l.'], ['La', 'patiente', 'répond', 'bien', 'au', 'traitement', 'initial', 'par', 'calcium', 'intraveineux,', 'puis', 'par', 'calcium', 'et', 'vitamine', 'D', 'par', 'voie', 'orale.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Hypoparathyroïdie', 'chirurgicale', 'permanente.'], ['2-', 'Transfusion', 'de', 'sang', 'citraté.'], ['3-', 'Insuffisance', 'en', 'vitamine', 'D.'], ['4-', 'Le', 'syndrome', 'de', ""l'os"", 'affamé.'], ['5-', 'Ostéomalacie.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Question', 'de', 'très', 'haute', 'difficulté,', 'je', 'ne', ""m'inquiéterais"", 'pas', ""d'échouer.""], ['Il', 'est', 'facile', 'de', 'la', 'confondre', 'avec', 'la', 'réponse', 'de', ""l'hypoparathyroïdie.""], [""L'hypoparathyroïdie"", 'permanente', 'post-chirurgicale', 'après', 'parathyroïdectomie', ""d'un"", 'adénome', 'par', 'chirurgie', 'mini-invasive', 'est', 'rare.'], [""N'oubliez"", 'pas', 'non', 'plus', 'que', 'pour', 'être', 'permanente,', 'elle', 'doit', 'durer', '6', 'mois', 'après', ""l'intervention."", ""J'écris"", 'un', 'bref', 'résumé', 'du', 'syndrome', 'de', ""l'os"", 'affamé', 'que', ""j'ai"", 'trouvé', 'dans', 'un', 'cas', 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'entraînant', 'une', 'déminéralisation', 'de', 'la', 'matrice', 'osseuse', 'et', 'libérant', 'du', 'calcium', 'dans', 'la', 'circulation', 'sanguine.'], ['Après', 'la', 'parathyroïdectomie,', 'les', 'taux', 'sériques', 'de', 'PTH', 'chutent', 'de', 'façon', 'spectaculaire,', 'la', 'résorption', 'osseuse', 'induite', 'par', 'la', 'PTH', 'cesse', 'donc,', 'tandis', 'que', ""l'activité"", 'ostéoblastique', 'se', 'poursuit,', 'entraînant', 'une', 'absorption', 'accrue', 'de', 'calcium,', 'de', 'phosphate', 'et', 'de', 'magnésium', 'par', ""l'os,"", 'ce', 'qui', 'provoque', 'la', 'SHH', '(3)"".']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O']]"
230_179,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '4', 'ans', ""s'est"", 'présenté', 'au', 'centre', 'de', 'santé', '5', 'minutes', 'plus', 'tôt', 'avec', 'un', 'œdème', 'de', 'Quincke', 'au', 'visage,', 'une', 'conjonctivite,', 'une', 'congestion', 'nasale', 'et', 'un', 'enrouement,', 'coïncidant', 'avec', ""l'ingestion"", ""d'une"", 'cuillerée', 'de', 'yaourt', ""qu'on"", 'lui', 'avait', 'donnée', 'par', 'erreur', 'à', ""l'école.""], ['Parmi', 'les', 'antécédents,', 'il', 'est', 'diagnostiqué', 'une', 'allergie', 'aux', 'protéines', 'de', 'lait', 'de', 'vache.'], [""L'examen"", 'a', 'révélé', 'une', 'légère', 'hypotension,', 'une', 'fréquence', 'cardiaque', 'de', '110', 'bpm,', 'une', 'saturation', 'en', 'O2', 'de', '93', '%,', 'une', 'pâleur', 'et', 'une', 'légère', 'transpiration,', 'avec', 'une', 'respiration', 'sifflante', 'dispersée.'], ['Quel', 'est', 'le', 'premier', 'traitement', 'de', 'choix', '?'], ['1-', 'Provoquer', 'des', 'vomissements.'], ['2-', 'Adrénaline', '1/1000', 'sous-cutanée.'], ['3-', 'Adrénaline', '1/1000', 'intramusculaire.'], ['4-', 'Méthylprednisolone', 'intramusculaire.'], ['5-', 'Salbutamol', 'en', 'nébulisation.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'un"", 'cas', ""d'anaphylaxie,"", 'la', 'première', 'mesure', 'consiste', 'donc', 'à', 'administrer', 'de', ""l'adrénaline"", '1/1000', 'par', 'voie', 'intramusculaire', '(0,01mg/kg).', 'Ensuite,', 'des', 'corticostéroïdes', 'systémiques', 'tels', 'que', 'la', 'méthylprednisolone', 'seront', 'administrés,', 'ce', 'qui', 'prendra', 'quelques', 'heures', 'avant', ""d'agir.""], [""L'adrénaline"", ""d'abord,"", 'parce', ""qu'elle"", 'agit', 'plus', 'rapidement,', 'puis', 'le', 'reste.'], ['(Très', 'similaire', 'à', 'la', 'question', 'de', ""l'année"", 'dernière,', 'mais', 'au', 'lieu', 'du', 'yaourt,', 'il', ""s'agissait"", 'de', ""l'omelette).""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
479_164,"[['QUESTION', 'TYPE:', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '72', 'ans', 'présentant', 'une', 'fièvre', 'de', '38,7°C', 'depuis', '48', 'heures,', 'une', 'toux,', 'une', 'expectoration', 'purulente', 'et', 'une', 'dyspnée.'], ['Signes', 'vitaux', ':', 'TA', '85/60', 'mmHg,', 'fréquence', 'cardiaque', '100', 'bpm,', 'fréquence', 'respiratoire', '35', 'rpm,', 'SatO2', '80%.'], ['Il', 'y', 'avait', 'une', 'confusion', 'et', 'des', 'crépitants', 'dans', 'le', 'champ', 'pulmonaire', 'inférieur', 'gauche.'], ['La', 'radiographie', 'thoracique', 'confirme', 'une', 'pneumonie', 'de', 'la', 'lingula', 'et', 'du', 'lobe', 'inférieur', 'gauche.'], ['Quel', 'serait', 'le', 'lieu', 'de', 'soins', 'approprié', '?'], ['1-', 'Traitement', 'ambulatoire', 'à', 'domicile.'], ['2-', 'Admission', 'dans', 'une', 'unité', ""d'observation"", ""d'urgence.""], ['3-', 'Admission', 'à', ""l'hôpital"", 'dans', 'le', 'service.'], ['4-', 'Admission', 'à', ""l'unité"", 'de', 'soins', 'intensifs.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['En', 'appliquant', ""l'échelle"", 'de', 'gravité', 'CURB-65', ""(l'une"", 'des', 'plus', 'couramment', 'utilisées', 'aux', 'urgences', 'pour', 'stratifier', 'la', 'gravité', 'de', 'la', 'pneumonie,', 'bien', 'que', 'dans', 'ce', 'cas,', 'en', 'appliquant', 'simplement', 'le', 'bon', 'sens,', 'le', 'patient', 'devrait', 'être', 'admis', 'en', 'USI),', 'nous', 'aurions', 'un', 'score', ""d'au"", 'moins', '4', 'points', '(il', 'nous', 'manquerait', 'les', 'données', 'relatives', 'à', ""l'urée"", 'sérique),', 'ce', 'qui', 'nous', 'donne', 'des', 'critères', 'de', 'gravité.'], ['En', ""l'absence"", 'de', 'tout', 'critère', 'contre-indiquant', ""l'admission"", 'à', ""l'USI,"", ""l'admission"", 'dans', ""l'unité"", 'serait', 'indiquée.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
515_101,"[['QUESTION', 'TYPE:', 'SOINS', 'CRITIQUES', 'ET', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Un', 'jeune', 'homme', 'de', '15', 'ans', 'a', 'été', 'admis', 'après', 'avoir', 'été', 'renversé', 'sur', 'la', 'voie', 'publique,', 'ce', 'qui', 'lui', 'a', 'valu', ""d'être"", 'éjecté.'], ['Admis', 'conscient', 'et', 'orienté,', 'avec', 'une', 'douleur', 'intense', 'dans', ""l'hémithorax"", 'gauche', 'et', 'une', 'dyspnée.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'tension', 'artérielle', 'de', '90/60', 'mmHg,', 'une', 'fréquence', 'cardiaque', 'de', '130', 'bpm,', 'une', 'saturation', 'basale', 'en', 'oxygène', 'de', '90', '%', 'et', 'une', 'fréquence', 'respiratoire', 'de', '35', 'rpm.'], [""L'hémithorax"", 'gauche', 'présente', 'une', 'hypophonie', 'complète', 'et', 'une', 'matité', 'à', 'la', 'percussion.'], ['La', 'radiographie', 'du', 'thorax', 'montre', 'de', 'multiples', 'fractures', 'des', 'côtes', 'gauches', 'et', 'un', 'épanchement', 'pleural', 'massif', 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'charge', 'initiale', 'des', 'traumatismes', 'thoraciques', 'graves', ':', '1', '(la', 'ventilation', 'non', 'invasive', ""n'est"", 'pas', 'indiquée', 'car', 'elle', 'ne', 'sécurise', 'pas', 'les', 'voies', 'aériennes)', 'et', '3', ""(l'observation"", 'dans', 'ces', 'cas,', 'en', 'attendant', 'une', 'aggravation,', 'ne', 'conduit', ""qu'à"", 'une', 'augmentation', 'de', 'la', 'morbidité', 'et', 'de', 'la', 'mortalité).'], ['Entre', 'les', 'options', '2', 'et', '4,', 'il', 'pourrait', 'y', 'avoir', 'une', 'controverse', 'entre', 'la', 'littérature', 'et', 'la', 'pratique', 'clinique', 'courante,', 'dans', 'laquelle', 'nous', 'devons', 'généralement', 'trouver', 'un', 'équilibre', 'délicat', 'entre', 'la', 'stabilité', 'clinique', 'du', 'patient', '(et', 'la', 'mesure', 'dans', 'laquelle', 'nous', 'pouvons', '""compenser""', 'cette', 'stabilité', 'avec', 'nos', 'thérapies', 'de', 'maintien', 'en', 'vie)', 'et', 'les', 'actions', 'qui', 'aboutissent', 'à', 'une', 'meilleure', 'prise', 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234_105,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '72', 'ans', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'une', 'fracture', 'pathologique', 'du', 'fémur', 'gauche.'], ['Après', ""l'opération,"", 'un', 'bilan', 'diagnostique', 'est', 'effectué', 'pour', 'déterminer', 'la', 'pathologie', 'sous-jacente', 'avec', 'les', 'résultats', 'suivants', ':', 'hémoglobine', '9,5', 'g/dl,', 'protéines', 'totales', '11', 'g/dl,', '(VN', ':', '6-8', 'g/dl),', 'albumine', 'sérique', '2', 'g/dl,', '(VN', '3,5-5,0', 'g/dl),', 'bêta', '2', 'microglobuline', '6', 'mg/l', '(VN', '1,1-2,4', 'mg/l),', 'créatinine', 'sérique', '1,8', 'mg/dl', '(VN', ':', '0,1-1,4', 'mg/dl).'], ['Indiquer', 'les', 'tests', 'diagnostiques', 'qui', 'seraient', 'nécessaires', 'pour', 'confirmer', 'le', 'diagnostic', 'le', 'plus', 'probable', ':'], ['1-', 'Série', 'osseuse', 'radiologique', 'et', 'aspiration', 'de', 'la', 'moelle', 'osseuse.'], ['2-', 'Electrophorèse', 'du', 'sérum', 'et', 'de', ""l'urine"", 'et', 'tests', 'de', 'la', 'fonction', 'rénale.'], ['3-', 'Aspiration', 'de', 'la', 'moelle', 'osseuse', 'et', 'concentration', 'de', 'calcium', 'sérique.'], ['4-', 'Aspiration', 'de', 'la', 'moelle', 'osseuse', 'et', 'électrophorèse', 'du', 'sérum', 'et', 'de', ""l'urine.""], ['5-', 'Biopsie', 'de', 'la', 'fracture', 'pathologique', 'et', 'série', 'osseuse', 'radiologique.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', 'va', 'avoir', 'un', 'myélome.'], ['Pour', 'le', 'diagnostic,', 'un', 'prélèvement', '(moelle', 'osseuse)', 'et', 'une', 'électrophorèse', 'permettent', 'de', 'déterminer', 'le', 'type', 'de', 'pic', 'monoclonal.'], ['Ensuite,', 'pour', ""l'extension,"", 'la', 'valeur', 'pronostique', 'et', 'les', 'décisions', 'de', 'traitement,', 'le', 'reste,', 'mais', 'une', 'fois', 'diagnostiqué.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
174_52,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '67', 'ans', 'consulte', 'pour', 'une', 'dyspnée', ""d'effort"", 'modérée', 'apparue', 'progressivement', 'au', 'cours', 'des', 'dernières', 'années.'], ['Il', 'a', 'une', 'expectoration', 'blanchâtre', 'quotidienne', 'et', 'parfois', 'des', 'bruits', 'respiratoires,', 'surtout', 'en', 'hiver', 'lors', ""d'infections"", 'respiratoires.'], ['Il', 'fume', 'environ', '20', 'cigarettes', 'par', 'jour', 'depuis', '45', 'ans.'], ['À', ""l'examen,"", 'il', 'était', 'eupnéique,', 'de', 'couleur', 'normale,', 'avec', 'une', 'saturation', 'en', 'oxygène', 'de', '94', '%,', 'et', 'présentait', 'un', 'murmure', 'vésiculaire', 'généralisé', 'à', ""l'auscultation"", 'thoracique,', 'les', 'seules', 'constatations', 'intéressantes.'], ['La', 'radiographie', 'du', 'thorax', 'montre', 'une', 'silhouette', 'cardiaque', 'allongée,', 'avec', 'des', 'signes', ""d'hyperinflation"", 'ou', 'de', 'piégeage', 'de', ""l'air"", 'pulmonaire,', 'sans', 'autre', 'anomalie.'], ['Une', 'spirométrie', 'a', 'été', 'effectuée', 'avec', 'les', 'résultats', 'suivants', ':', 'CVF', '84%,', 'VEMS', '58%,', 'VEMS/CVF', '61%,', 'inchangés', 'après', 'bronchodilatateur.'], ['Parmi', 'ceux', 'énumérés,', 'indiquez', 'le', 'traitement', 'le', 'plus', 'approprié', 'pour', 'ce', 'patient', ':'], ['1-', 'Corticostéroïde', 'inhalé', 'quotidien.'], ['2-', 'Oxygénothérapie', 'à', 'domicile', 'avec', 'une', 'source', ""d'oxygène"", 'portable', 'pour', 'la', 'déambulation.'], ['3-', 'Antagoniste', 'oral', 'des', 'leucotriènes.'], ['4-', 'Corticostéroïde', 'oral', 'pendant', 'trois', 'mois.'], ['5-', 'Tiotropium', 'inhalé.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Chez', 'un', 'patient', 'souffrant', ""d'une"", 'BPCO', 'peu', 'symptomatique', 'qui', 'pourrait', 'probablement', 'être', 'classé', 'dans', 'la', 'catégorie', 'GOLD', '2,', 'le', 'traitement', 'initial', 'peut', 'consister', 'en', 'un', 'tiotropium', 'inhalé', 'ou', 'un', 'bêta-2', 'à', 'longue', 'durée', ""d'action.""], ['Il', ""n'y"", 'a', 'donc', 'aucun', 'doute', 'sur', 'la', 'bonne', 'réponse.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
143_141,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'enfant', 'de', '7', 'mois', 'présentant', 'de', 'la', 'fièvre', 'et', 'de', ""l'irritabilité,"", 'une', 'fontanelle', 'bombée', 'et', 'une', 'étude', 'du', 'liquide', 'céphalo-rachidien', 'avec', '110', 'cellules/mm3', '(75', '%', 'de', 'lymphocytes),', '120', 'mg/dl', 'de', 'protéines', 'et', '28', 'mg/dl', 'de', 'glucose', '(glycémie', 'sérique', 'de', '89', 'mg/dl),', 'quelle', 'est', 'la', 'suspicion', 'diagnostique', 'la', 'plus', 'raisonnable', '?'], ['1-', 'Méningite', 'virale.'], ['2-', 'Méningite', 'bactérienne.'], ['3-', 'Méningite', 'tuberculeuse.'], ['4-', 'Le', 'syndrome', 'de', 'la', 'mononucléose.'], ['5-', 'Síndrome', 'de', 'Guillain-Barré.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', '3.'], ['Définit', 'un', 'liquide', 'céphalo-rachidien', 'typique', 'de', 'la', 'tuberculose.'], ['Dans', 'la', 'pratique', 'clinique,', 'les', 'choses', 'ne', 'sont', 'pas', 'toujours', 'aussi', 'simples......']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
9_36,"[['QUESTION', 'TYPE:', 'CHIRURGIE'], ['CLINICAL', 'CASE:'], ['Une', 'cholécystite', 'calcaire', 'aiguë', 'a', 'été', 'diagnostiquée', 'chez', 'un', 'patient', 'de', '87', 'ans', 'ayant', 'des', 'antécédents', 'de', 'bronchite', 'chronique', 'et', ""d'insuffisance"", 'cardiaque.'], ['Après', 'quatre', 'jours', 'de', 'traitement', 'par', 'régime', 'absolu,', 'thérapie', 'sérique', 'et', 'pipéracilline/tazobactam,', 'le', 'patient', 'continue', 'à', 'avoir', 'de', 'la', 'fièvre,', 'des', 'douleurs', 'abdominales', 'persistantes', 'et', 'une', 'leucocytose.'], [""L'approche"", 'la', 'plus', 'appropriée', 'à', 'ce', 'moment-là', 'serait', ':'], ['1-', 'Traitement', 'chirurgical', '(cholécystectomie', 'urgente).'], ['2-', 'Drainage', 'biliaire', 'par', 'cholécystostomie', 'percutanée.'], ['3-', 'Remplacement', 'de', 'la', 'pipéracilline/tazobactam', 'par', 'métronidazole+cefotaxime.'], ['4-', 'Remplacer', 'pipéracilline/tazobactam', 'par', 'amikacine+clindamycine.'], ['5-', 'Ajouter', 'de', 'la', 'gentamicine.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Je', 'pense', 'que', 'la', 'bonne', 'réponse', 'est', '2', 'bien', 'que', 'le', 'traitement', 'de', 'la', 'cholécystite', 'aiguë', 'soit', 'la', 'cholécystectomie,', 'pour', 'cela', 'il', 'faut', 'que', 'le', 'patient', 'soit', 'un', 'candidat', 'à', 'la', 'chirurgie,', 'dans', 'ce', 'cas', 'il', ""s'agit"", ""d'un"", 'patient', 'âgé,', 'avec', 'des', 'maladies', 'antérieures', 'qui', 'augmentent', 'le', 'risque', 'chirurgical', 'et', 'qui', 'serait', 'un', 'ASA', 'IV', 'pour', 'une', 'intervention', 'urgente.'], ['Dans', 'ces', 'cas,', 'la', 'cholécystostomie', 'peut', 'guérir', 'la', 'cholécystite', ';', 'après', 'la', 'guérison,', 'la', 'chirurgie', 'programmée', 'peut', 'être', 'évaluée', 'en', 'fonction', 'de', 'la', 'situation', 'du', 'patient.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
601_112,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '61', 'ans,', 'administrative,', 'avec', 'des', 'antécédents', 'de', 'surpoids,', ""d'hypertension,"", 'de', 'dyslipidémie', 'et', 'de', 'syndrome', 'métabolique,', 'consulte', 'pour', 'des', 'douleurs', 'dans', 'les', 'deux', 'fesses,', 'la', 'région', 'trochantérienne', 'gauche,', 'la', 'face', 'latérale', 'de', 'la', 'cuisse', 'gauche', ""jusqu'au"", 'genou', 'et', 'la', 'jambe', 'gauche', ""jusqu'au"", 'tiers', 'moyen.'], ['La', 'douleur', 'survient', 'lorsque', 'le', 'membre', 'inférieur', 'est', 'soulevé', 'avec', 'le', 'genou', 'en', 'extension,', 'mais', 'elle', 'est', 'soulagée', 'par', 'la', 'flexion', 'du', 'genou.'], ['Quelle', 'est', 'la', 'première', 'suspicion', 'clinique', '?'], ['1-', 'Arthrite', 'goutteuse', 'de', 'la', 'hanche', 'gauche.'], ['2-', 'Arthrose', 'coxo-fémorale', 'gauche.'], ['3-', 'Lombalgie', 'irradiée', '/', 'lombosciatique.'], ['4-', 'Claudication', 'due', 'à', 'une', 'sténose', 'canalaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Signe', 'de', 'Lasegue', 'positif,', 'réapparition', 'des', 'symptômes', 'lors', 'de', 'la', 'manœuvre', ""d'extension"", 'du', 'membre', 'atteint,', 'compatible', 'avec', 'une', 'atteinte', 'des', 'racines', 'nerveuses', 'au', 'niveau', 'de', 'la', 'colonne', 'lombo-sacrée.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
202_44,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Patient', 'atteint', 'de', 'pancréatite', 'aiguë.'], ['La', 'tomographie', 'axiale', 'informatisée', '(TAO)', 'réalisée', '72', 'heures', 'après', ""l'admission"", 'a', 'montré', 'une', 'nécrose', 'de', '50', '%', 'du', 'pancréas.'], ['Au', 'cours', 'de', 'la', 'troisième', 'semaine', ""d'admission,"", 'le', 'patient', 'commence', 'à', 'présenter', 'une', 'forte', 'fièvre', 'et', 'une', 'leucocytose.'], ['Une', 'radiographie', 'pulmonaire', 'urgente', 'et', 'un', 'sédiment', 'urinaire', 'ont', 'été', 'demandés,', 'tous', 'deux', 'normaux.'], ['Indiquer', 'la', 'prochaine', 'étape', 'à', 'suivre', ':'], ['1-', 'Ponction', 'à', ""l'aiguille"", 'fine', 'de', 'la', 'nécrose', 'pancréatique', 'guidée', 'par', ""l'échographie"", 'ou', 'la', 'tomodensitométrie.'], ['2-', 'Aspiration', 'broncho-alvéolaire,', 'culture', ""d'urine"", 'et', 'hémocultures.'], ['3-', 'Imagerie', 'par', 'résonance', 'magnétique', 'nucléaire', 'abdominale.'], ['4-', 'Cholécystectomie', 'urgente.'], ['5-', 'Echoendoscopie', 'avec', 'ponction', 'de', 'la', 'nécrose.'], ['BONNE', 'RÉPONSE', ':', '1'], ['bien', 'que', 'les', 'dernières', 'recommandations', 'sur', 'la', 'prise', 'en', 'charge', 'de', 'la', 'pancréatite', 'aiguë', 'sévère', 'déconseillent', 'la', 'FNA', 'en', 'raison', 'du', 'risque', ""d'infection"", 'par', 'nécrose', 'stérile.'], ['La', 'prise', 'en', 'charge', 'actuelle', 'est', 'basée', 'sur', 'un', 'traitement', 'par', 'étapes.'], ['Dans', 'la', 'situation', 'décrite', 'dans', 'la', 'question,', 'le', 'traitement', 'actuel', 'consiste', 'à', 'commencer', 'les', 'antibiotiques', 'et', 'à', 'évaluer', 'la', 'réponse.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
259_97,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '54', 'ans', 'qui', 'se', 'rend', 'à', 'un', 'check-up', 'dans', 'son', 'entreprise.'], ['Un', 'indice', 'de', 'masse', 'corporelle', 'de', '32,8', 'kg/m2', 'et', 'une', 'glycémie', 'à', 'jeun', 'de', '138', 'mg/l', 'ont', 'été', 'détectés.'], ['Un', 'mois', 'plus', 'tard,', 'la', 'glycémie', 'était', 'de', '13', 'mg/dl.'], ['Quelle', 'recommandation', 'de', 'traitement', 'feriez-vous', 'en', 'premier', '?'], ['1-', 'Administrer', 'la', 'metformine.'], ['2-', 'Prescrire', 'une', 'sulfonylurée.'], ['3-', 'Les', 'changements', 'de', 'comportement.', 'Alimentation', 'et', 'exercice', 'physique.'], ['4-', 'Insuline', 'avant', 'chaque', 'repas.'], ['5-', 'Prendre', ""l'acarbose"", 'le', 'soir,', 'avant', 'de', 'se', 'coucher.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Changements', 'de', 'comportement', ':', 'régime', 'alimentaire', 'et', 'exercice', 'physique.'], [""C'est"", 'la', 'première', 'chose', 'que', 'nous', 'faisons', ""lorsqu'on"", 'nous', 'diagnostique', 'un', 'diabète', 'de', 'type', '2.'], ['Une', 'belle', 'question', 'pour', 'nous', 'rappeler', ""qu'avant"", 'tout', 'médicament,', 'il', 'faut', 'insister', 'sur', 'le', 'changement', 'de', 'nos', 'habitudes.'], ['Nous', 'prescrivons', 'alors', 'de', 'la', 'metformine.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
204_220,"[['QUESTION', 'TYPE:', 'GÉNÉTIQUE', 'ET', 'IMMUNOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '43', 'ans', 'consulte', 'pour', 'un', 'syndrome', 'diarrhéique,', 'avec', 'des', 'antécédents', 'de', 'pneumonie', 'à', ""l'âge"", 'adulte.'], ['Lequel', 'des', 'examens', 'immunologiques', 'suivants', 'doit-on', 'demander', '?'], ['1-', 'Comptage', 'des', 'immunoglobulines', 'sériques', 'et', 'test', 'de', 'la', 'capacité', 'de', 'production', ""d'anticorps.""], ['2-', 'Test', 'de', 'phagocytose', 'des', 'neutrophiles', 'et', 'de', 'métabolisme', 'oxydatif.'], ['3-', 'Test', ""d'apoptose"", '(mort', 'cellulaire', 'programmée)', 'sur', 'les', 'lymphocytes', 'circulants', 'du', 'patient.'], ['4-', 'Etude', 'du', 'répertoire', 'et', 'de', 'la', 'clonalité', 'des', 'lymphocytes', 'T', '(alpha/beta).'], ['5-', 'Chez', 'ce', 'patient,', 'il', 'ne', 'serait', 'pas', 'approprié', 'de', 'demander', 'une', 'étude', 'immunologique.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Plus', 'de', 'deux', 'pneumonies', 'lobaires', 'imposent', ""d'écarter"", 'la', 'possibilité', ""d'un"", 'déficit', 'immunitaire.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
4_40,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'homme', ""s'est"", 'soudainement', 'présenté', 'avec', 'une', 'asthénie', 'et', 'un', 'ictère,', 'et', 'des', 'transaminases', 'supérieures', 'à', '2000', 'UI/L', 'ont', 'été', 'détectées.'], ['Les', 'marqueurs', 'sérologiques', 'présentent', 'les', 'caractéristiques', 'suivantes', ':', 'IgM', 'anti-VHA', 'négatifs,', 'HBsAg', 'négatifs,', 'IgM', 'anti-HBc', 'positifs,', 'anti-VHC', 'négatifs.'], ['Quel', 'est', 'le', 'diagnostic', '?'], ['1-', 'Hépatite', 'B', 'chronique.'], ['2-', 'Hépatite', 'aiguë', 'non', 'virale.'], ['3-', 'Hépatite', 'B', 'aiguë.'], ['4-', 'Surinfection', 'du', 'virus', 'D', '(delta).'], ['5-', 'Hépatites', 'aiguës', 'A', 'et', 'B.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'un"", 'exemple', 'intéressant', ""d'un"", 'sujet', 'qui', 'doit', 'être', 'étudié', 'en', 'général.'], [""D'après"", 'le', 'mode', 'de', 'présentation,', 'il', ""s'agit"", 'clairement', ""d'une"", 'hépatite', 'aiguë,', 'ce', 'qui', 'permet', ""d'écarter"", 'la', 'possibilité', ""d'une"", 'hépatite', '1.'], ['Des', 'IgM', 'VHA', 'négatifs', 'excluent', '5', 'et', 'un', 'Ag', 'HBs', 'négatif', 'exclut', '4', '(pour', 'avoir', 'le', 'virus', 'delta,', 'il', 'faut', ""l'antigène"", 'B', 'de', 'surface).'], ['En', 'présence', ""d'IgM"", 'anti-HBc,', 'on', 'parle', ""d'hépatite"", 'B', 'aiguë', '(3),', 'car', 'il', 'existe', 'une', 'fenêtre', 'de', 'négativation', 'de', ""l'antigène.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
372_127,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE', 'ET', 'CHIRURGIE', 'THORACIQUE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '55', 'ans', 'consultant', 'pour', 'une', 'dysphonie.'], ['Dans', ""l'anamnèse,"", 'elle', 'a', 'déclaré', 'être', 'asthénique', 'depuis', 'un', 'mois', 'et', 'avoir', 'perdu', 'du', 'poids', 'de', 'façon', 'non', 'quantifiée.'], ['La', 'radiographie', 'thoracique', 'montre', 'une', 'densité', 'accrue', 'dans', 'le', 'lobe', 'supérieur', 'gauche', 'et', 'une', 'occupation', 'de', 'la', 'fenêtre', 'aorto-pulmonaire.'], ['La', 'bronchoscopie', 'a', 'révélé', 'une', 'paralysie', 'de', 'la', 'corde', 'vocale', 'gauche,', 'sans', 'image', 'endoscopique', 'suggérant', 'une', 'néoplasie.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Néoplasie', 'pulmonaire.'], ['2-', 'La', 'sarcoïdose.'], ['3-', 'La', 'silicose.'], ['4-', 'La', 'tuberculose.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'cause', 'la', 'plus', 'fréquente', 'de', 'paralysie', 'du', 'nerf', 'récurrent', 'est', 'le', 'carcinome', 'broncho-pulmonaire.'], ['Ce', ""n'est"", 'pas', 'parce', ""qu'il"", ""n'est"", 'pas', 'accessible', 'à', 'la', 'vision', 'endoscopique', ""qu'il"", 'ne', ""l'est"", 'pas.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
377_131,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'patiente', 'de', '65', 'ans', 'a', 'présenté', 'une', 'apraxie', 'de', 'la', 'parole', 'deux', 'ans', 'auparavant', 'et', 'a', 'développé', 'un', 'parkinsonisme', 'rigide-akinétique', 'prédominant', 'dans', ""l'hémicorps"", 'droit', 'avec', 'des', 'myoclonies', 'superposées', 'et', 'un', 'phénomène', 'de', 'main', 'étrangère', 'ou', 'de', 'membre', 'étranger.', 'Quel', 'est', 'le', 'diagnostic', 'que', 'vous', 'considérez', 'comme', 'le', 'plus', 'probable', '?'], ['1-', 'La', 'maladie', 'de', 'Parkinson.'], ['2-', 'Dégénérescence', 'corticobasale.'], ['3-', 'La', 'maladie', ""d'Alzheimer.""], ['4-', 'La', 'maladie', 'de', 'Huntington.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Décrite', 'comme', 'un', 'phénomène', 'apraxique', 'suivi', ""d'un"", 'parkinsonisme', 'rigide-acinétique', 'asymétrique', 'et', ""d'une"", 'myoclonie,', 'elle', 'est', 'typique', 'de', 'la', 'dégénérescence', 'corticobasale.'], ['La', 'maladie', 'de', 'Parkinson', 'ne', 'peut', 'pas', ""l'être"", 'car', 'elle', 'ne', 'présente', 'pas', ""d'apraxie"", 'comme', 'caractéristique', 'initiale,', 'la', 'maladie', ""d'Alzheimer"", 'ne', 'présente', 'pas', 'de', 'parkinsonisme', 'asymétrique', 'et', 'la', 'maladie', 'de', 'Huntington', 'typique', 'ne', 'se', 'rencontre', 'pas', 'chez', 'les', 'personnes', 'âgées', 'et', ""lorsqu'elle"", 'apparaît', 'à', 'un', 'âge', 'avancé,', 'elle', 'se', 'comporte', 'comme', 'une', 'chorée.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
145_143,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'enfant', ""d'un"", 'mois,', 'exclusivement', 'nourri', 'au', 'sein,', 'consulte', 'parce', ""qu'il"", 'va', 'à', 'la', 'selle', 'tous', 'les', '5', 'ou', '6', 'jours', 'avec', 'des', 'efforts', 'mais', 'avec', 'une', 'consistance', 'molle,', 'quelle', 'doit', 'être', 'notre', 'attitude', '?'], ['1-', 'Mettre', 'en', 'place', 'un', 'traitement', 'laxatif.'], ['2-', 'Compléter', ""l'allaitement"", 'par', 'du', 'lait', 'maternisé', 'anti-constipation.'], ['3-', 'Commencer', 'une', 'stimulation', 'rectale', 'quotidienne.'], ['4-', 'Il', 'est', 'considéré', 'comme', 'un', 'rythme', 'intestinal', 'normal.'], ['5-', 'Adressé', 'au', 'service', 'de', 'gastro-entérologie', 'pédiatrique', 'pour', 'éliminer', 'un', 'mégacôlon', 'aganglionnaire.'], ['BONNE', 'RÉPONSE', ':', '4'], ['La', 'bonne', 'réponse', 'est', '4.'], ['La', 'normalité', 'de', 'la', 'production', 'de', 'selles', 'chez', 'les', 'jeunes', 'nourrissons', 'est', 'très', 'large.'], ['Pour', 'suspecter', 'un', 'mégacôlon', 'aganglionnaire,', 'on', 'observe', 'généralement', 'un', 'retard', 'dans', ""l'évacuation"", 'du', 'méconium', 'et', 'souvent', ""d'autres"", 'symptômes', 'associés', 'tels', ""qu'une"", 'distension', 'abdominale,', 'une', 'difficulté', 'à', 'prendre', 'du', 'poids,', 'etc.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
567_150,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '47', 'ans', 'consulte', 'pour', 'un', 'syndrome', 'mictionnel.'], ['On', 'lui', 'diagnostique', 'une', 'infection', 'urinaire', 'non', 'compliquée', 'et', 'on', 'le', 'traite', 'avec', 'de', 'la', 'ciprofloxacine', 'pendant', '5', 'jours.'], ['Une', 'semaine', 'plus', 'tard,', 'il', 'consulte', 'à', 'nouveau', 'pour', 'un', 'malaise', 'général,', 'des', 'arthralgies', 'et', ""l'apparition"", ""d'une"", 'éruption', 'cutanée.'], [""L'analyse"", 'de', 'sang', 'a', 'révélé', 'un', 'taux', 'de', 'filtration', 'glomérulaire', 'de', '45', 'ml/min', '(CKD-EPI),', 'alors', ""qu'il"", 'y', 'a', 'six', 'mois,', 'il', 'était', 'de', '100', 'ml/min.'], ['Les', 'leucocytes', 'sont', 'identifiés', 'dans', 'le', 'sédiment', 'et', 'sont', 'négatifs', 'pour', 'les', 'nitrites.'], ['Parmi', 'les', 'éléments', 'suivants,', 'quelle', 'est', 'la', 'cause', 'la', 'plus', 'probable', 'de', 'votre', 'insuffisance', 'rénale', '?'], ['1-', 'Glomérulonéphrite', 'post-infectieuse.'], ['2-', 'Néphrotoxicité', 'de', 'la', 'ciprofloxacine.'], ['3-', 'Pyélonéphrite', 'aiguë.'], ['4-', 'Néphrite', 'interstitielle', 'aiguë.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Un', 'malaise', 'général,', 'des', 'arthralgies,', 'une', 'éruption', 'cutanée,', 'une', 'insuffisance', 'rénale', 'aiguë', 'et', 'un', 'sédiment', 'actif', 'avec', 'une', 'leucocyturie', 'stérile', 'à', 'la', 'suite', 'de', 'la', 'prise', ""d'un"", 'médicament', 'sont', 'très', 'évocateurs', ""d'une"", 'néphrite', 'intestinale', 'aiguë', '(option', '4', 'correcte).'], ['Parmi', 'les', 'médicaments,', 'les', 'antibiotiques', 'sont', 'la', 'cause', 'la', 'plus', 'fréquente,', 'la', 'ciprofloxacine', 'étant', ""l'une"", 'des', 'plus', 'courantes.'], ['La', 'néphrotoxicité', 'directe', 'est', 'très', 'rare', 'et', 'se', 'caractérise', 'par', 'une', 'cristallisation', 'dans', 'les', 'tubules', 'rénaux', '(option', '2', 'incorrecte).'], ['La', 'glomérulonéphrite', 'post-infectieuse', 'est', 'plus', 'fréquente', 'chez', 'les', 'enfants', 'et', 'les', 'adultes', 'de', 'plus', 'de', '60', 'ans', 'et', 'se', 'manifeste', 'généralement', 'par', 'une', 'hématurie', 'à', 'la', 'suite', ""d'infections"", 'streptococciques', '(option', '1', 'incorrecte).'], ['La', 'pyélonéphrite', 'aiguë', 'se', 'serait', 'manifestée', 'par', 'une', 'forte', 'fièvre', 'et', 'une', 'douleur', 'dans', 'la', 'fosse', 'rénale', '(option', '3', 'incorrecte).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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268_140,"[['QUESTION', 'TYPE:', 'PULMONOLOGIE'], ['CLINICAL', 'CASE:'], ['Patient', 'de', '50', 'ans', 'présentant', 'un', 'épanchement', 'pleural', 'avec', 'les', 'caractéristiques', 'suivantes', ':', 'aspect', 'pailleux,', 'pH', '7,3,', 'rapport', 'protéines', 'pleurales/sérum', '0,8,', 'rapport', 'LDH', 'pleural/sérum', '0,9,', 'Gram', 'et', 'Ziehl', 'négatifs,', 'lipides', 'totaux,', 'cholestérol', 'et', 'triglycérides', 'normaux,', 'cellules', 'mésothéliales', '<5%,', 'lymphocytose', 'intense', 'sans', 'atypie,', 'ADA', '64', 'U/l.'], ['Quel', 'diagnostic', 'suggérez-vous', '?'], ['1-', 'Empyème', 'pleural.'], ['2-', 'Epanchement', 'pleural', 'dû', 'à', 'une', 'insuffisance', 'cardiaque', '(transsudat).'], ['3-', 'Le', 'mésothéliome', 'pleural.'], ['4-', ""L'épanchement"", 'pleural', 'tuberculeux.'], ['5-', 'Épanchement', 'secondaire', 'à', 'un', 'infarctus', 'pulmonaire.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", ""d'un"", 'exsudat', 'lymphocytaire', 'dont', 'les', 'principaux', 'diagnostics', 'sont', 'la', 'tumeur', 'et', 'la', 'pleurite', 'tuberculeuse.'], ['Ils', 'ne', 'donnent', 'pas', 'la', 'valeur', 'du', 'glucose,', 'qui', 'devrait', 'être', 'basse,', 'mais', 'la', 'cytologie', 'montre', ""l'absence"", 'de', 'cellules', 'malignes,', 'de', 'sorte', 'que', 'nous', 'nous', 'retrouvons', 'avec', 'une', 'pleurite', 'tuberculeuse.'], [""D'autres"", 'diagnostics', 'possibles,', 'tels', 'que', 'le', 'lymphome,', 'ne', 'sont', 'pas', 'mentionnés', 'dans', 'les', 'réponses.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
465_116,"[['QUESTION', 'TYPE:', 'BIOSTATIQUE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'sujet', 'de', 'plus', 'de', '65', 'ans,', 'un', 'test', 'à', 'la', 'tuberculine', 'a', 'révélé', 'une', 'induration', 'de', '3', 'mm.'], [""L'induration"", 'lors', ""d'un"", 'second', 'test,', 'effectué', '10', 'jours', 'plus', 'tard,', 'est', 'de', '13', 'mm.'], ['Veuillez', 'cocher', 'la', 'bonne', 'réponse', ':'], ['1-', 'La', 'première', 'réaction', 'est', 'un', 'faux', 'positif.'], ['2-', 'La', 'deuxième', 'réaction', 'est', 'un', 'vrai', 'positif.'], ['3-', 'La', 'première', 'réaction', 'est', 'un', 'vrai', 'négatif.'], ['4-', 'La', 'deuxième', 'réaction', 'est', 'un', 'faux', 'positif.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Voyons', 'voir,', 'si', 'ce', 'sujet', 'ne', 'faisait', 'partie', ""d'aucun"", 'groupe', 'à', 'risque,', 'le', 'positif', 'est', 'dans', 'les', '15', 'mm,', 'donc', 'les', 'deux', 'tests', 'sont', 'négatifs,', 'et', 'comme', 'il', ""n'y"", 'a', ""qu'une"", 'seule', 'réponse', 'pour', 'les', 'négatifs,', ""c'est"", 'celle-là.'], ['Mais', 'il', 'pourrait', ""s'agir"", 'dans', 'les', 'deux', 'cas', 'de', 'faux', 'négatifs.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
340_33,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '67', 'ans', 'à', 'qui', ""l'on"", 'a', 'diagnostiqué', 'un', 'carcinome', 'canalaire', 'infiltrant', 'du', 'sein', 'sans', 'antécédents', 'familiaux', 'de', 'néoplasie.'], ['Quelles', 'sont', 'les', 'études', 'complémentaires', 'à', 'réaliser', 'sur', 'la', 'tumeur', 'en', 'raison', 'de', 'ses', 'implications', 'clinico-thérapeutiques', '?'], ['1-', 'Etude', 'phénotypique', 'complète', 'par', 'cytométrie', 'de', 'flux.'], ['2-', 'Etude', 'des', 'récepteurs', 'hormonaux', 'et', 'HER2.'], ['3-', 'Etude', 'des', 'récepteurs', 'hormonaux,', 'de', ""l'e-cadhérine"", 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['4-', 'Etude', 'de', 'BRCA', '1-2', 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'réponse', 'est', '2,', 'étude', 'des', 'récepteurs', 'hormonaux', 'et', 'HER2.'], ['Cela', 'est', 'dû', 'au', 'fait', ""qu'il"", ""n'y"", 'a', 'pas', 'lieu', ""d'étudier"", 'les', 'parents', 'du', 'premier', 'degré,', 'car', 'il', 'ne', 'semble', 'pas', ""s'agir"", ""d'un"", 'cancer', 'du', 'sein', 'héréditaire', ""puisqu'il"", ""n'y"", 'a', 'pas', ""d'antécédents"", 'familiaux', 'de', 'néoplasie.'], ['En', 'revanche,', 'il', ""n'y"", 'a', 'pas', ""d'indication"", 'pour', 'le', 'test', 'BRCA', '1-2.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
561_180,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '26', 'ans,', 'diagnostiquée', 'avec', 'un', 'lupus', 'érythémateux', 'disséminé,', 'sous', 'traitement', 'à', ""l'hydroxychloroquine,"", 'consulte', 'pour', 'une', 'sensation', 'de', 'faiblesse', 'généralisée', 'qui', ""s'est"", 'progressivement', 'développée', 'au', 'cours', 'des', '15', 'derniers', 'jours.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'pâleur', 'cutanée', 'et', 'les', 'analyses', 'sanguines', 'ont', 'révélé', 'une', 'Hb', 'de', '7,4', 'g/dL,', 'une', 'Hcto', 'de', '31', '%', 'et', 'une', 'MCV', 'de', '108.'], ['Laquelle', 'des', 'déterminations', 'suivantes', 'sera', 'la', 'plus', 'utile', 'pour', 'décider', ""d'une"", 'action', '?'], ['1-', 'Haptoglobine.'], ['2-', 'Test', 'de', 'Coombs.'], ['3-', 'Vitamine', 'B12.'], ['4-', 'Anticorps', 'antinucléaires.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Elle', 'nous', 'parle', ""d'un"", 'patient', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'un', 'lupus', 'et', 'une', 'anémie', 'macrocytaire.'], ['En', 'fin', 'de', 'compte,', 'toutes', 'les', 'données', 'sont', 'généralement', 'fournies', 'pour', 'une', 'raison.'], [""L'apparition"", 'du', 'tableau', 'semble', 'relativement', 'rapide', 'et', 'il', 'est', 'également', 'associé', 'à', 'une', 'maladie', 'auto-immune,', 'de', 'sorte', ""qu'il"", 'semble', 'que', ""l'on"", 'veuille', ""l'associer"", 'à', 'une', 'anémie', 'hémolytique', 'auto-immune.'], ['Un', 'faible', 'taux', ""d'haptoglobine"", 'indiquerait', ""qu'il"", ""s'agit"", ""d'une"", 'maladie', 'hémolytique,', 'tandis', 'que', 'le', 'test', 'de', 'Coombs', 'indiquerait', ""qu'il"", ""s'agit"", ""d'une"", 'maladie', 'auto-immune.'], ['Vitamine', 'B12,', 'le', 'MCV', 'serait', 'probablement', 'supérieur', 'à', '108', 'et', ""l'apparition"", 'du', 'tableau', 'clinique', 'serait', 'plus', 'lente.'], [""L'ANA"", 'ne', 'nous', 'apprendrait', 'rien', 'sur', ""l'anémie,"", ""puisqu'elle"", 'a', 'déjà', 'été', 'diagnostiquée.'], ['La', 'réponse', '2', 'est', 'donc', 'correcte.'], ['Il', 'convient', 'de', 'noter', 'que', 'les', 'anémies', 'hémolytiques', 'auto-immunes', 'sont', 'généralement', 'légèrement', 'macrocytaires', 'en', 'raison', 'de', 'la', 'réticulocytose.'], [""N'oubliez"", 'pas', 'de', 'demander', 'des', 'réticulocytes.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O']]"
451_175,"[['QUESTION', 'TYPE:', 'NEUROSURGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '36', 'ans,', 'sans', 'antécédents', 'médicaux', 'pertinents,', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'une', 'douleur', 'soudaine', 'et', 'intense', 'à', 'la', 'face', 'postérieure', 'du', 'membre', 'inférieur', 'droit,', 'qui', 'descendait', ""jusqu'au"", 'pied.'], ['À', ""l'examen,"", 'il', 'a', 'présenté', ':', 'Lasège', 'droit', 'positif', 'à', '10º,', 'diminution', 'de', 'la', 'force', 'de', 'flexion', 'plantaire', 'du', 'pied', 'droit,', 'hypoesthésie', 'du', 'bord', 'externe', 'du', 'pied', 'droit', 'et', 'absence', 'de', 'réflexe', ""d'Achille"", 'droit.'], ['Une', 'simple', 'radiographie', 'de', 'la', 'colonne', 'lombaire', 'ne', 'montre', 'pas', ""d'altérations"", 'significatives.'], ['Lequel', 'des', 'diagnostics', 'suivants', 'est', 'le', 'plus', 'probable', '?'], ['1-', 'Hernie', 'discale', 'L1/L2.'], ['2-', 'Le', 'syndrome', 'de', 'la', 'cauda', 'equina.'], ['3-', 'Hernie', 'discale', 'L4/L5.'], ['4-', 'Hernie', 'discale', 'L5/S1.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Sciatique', 'aiguë', 'probablement', 'due', 'à', 'une', 'extrusion', 'discale.'], ['La', 'distribution', 'sensorielle,', 'la', 'parésie', 'pour', 'la', 'flexion', 'plantaire', '(pointe', 'du', 'pied)', 'et', ""l'absence"", 'de', 'réflexe', ""d'Achille"", 'sont', 'typiques', ""d'une"", 'atteinte', 'de', 'la', 'racine', 'S1,', 'qui', 'est', 'typiquement', 'affectée', 'par', 'une', 'hernie', 'discale', 'L5/S1', '(postéro-latérale).'], ['Une', 'hernie', 'L1/L2', '(postéro-latérale)', 'affecterait', 'la', 'racine', 'L2,', 'une', 'hernie', 'L4/L5', 'affecterait', 'L5', 'et', 'la', 'cauda', 'equina', 'impliquerait', 'une', 'symptomatologie', 'plus', 'importante', ""qu'une"", 'simple', 'atteinte', 'de', 'S1.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
399_141,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE', 'ET', 'ORTHOPÉDIE'], ['CLINICAL', 'CASE:'], ['Garçon', 'de', '20', 'ans,', 'qui', 'a', 'consulté', 'pour', 'des', 'douleurs', 'lombo-sacrées', 'avec', 'un', 'rythme', 'inflammatoire', 'de', '4', 'mois', ""d'évolution.""], ['Également', 'thalgie', 'bilatérale', 'et', 'raideur', 'matinale', 'pendant', '1', 'heure.'], ['Au', 'cours', 'des', 'deux', 'derniers', 'mois,', 'apparition', 'de', 'diarrhées', 'avec', 'perte', 'de', 'poids', 'de', '4', 'kg.'], ['Quelle', 'est', ""l'approche"", 'diagnostique', 'la', 'plus', 'appropriée', '?'], ['1-', 'Compte', 'tenu', 'de', ""l'âge"", 'du', 'patient,', 'il', 'est', 'probable', ""qu'il"", 'souffre', ""d'une"", 'lombalgie', 'non', 'spécifique', 'et', ""d'une"", 'tendinite', 'aux', 'pieds.', 'Si', 'la', 'diarrhée', 'persiste,', 'un', 'bilan', 'digestif', 'doit', 'être', 'réalisé.'], ['2-', 'Je', 'ferais', 'une', 'étude', 'digestive', 'pour', 'éliminer', 'une', 'pathologie', 'tumorale.', 'La', 'douleur', 'lombaire', 'peut', 'être', 'due', 'à', 'une', 'pathologie', 'viscérale.'], ['3-', 'Le', 'tableau', 'clinique', 'est', 'très', 'évocateur', ""d'une"", 'spondylarthrite.', 'Une', 'maladie', 'inflammatoire', 'de', ""l'intestin"", 'doit', 'être', 'exclue.'], ['4-', 'Je', 'demanderais', 'une', 'IRM', 'lombaire', 'pour', 'éliminer', 'une', 'hernie', 'discale', 'et', 'si', 'la', 'diarrhée', 'persiste,', 'une', 'étude', 'digestive.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Le', 'patient', 'présente', 'les', 'caractéristiques', 'cliniques', ""d'une"", 'spondylarthropathie,', 'qui', 'est', 'souvent', 'associée', 'à', 'une', 'maladie', 'inflammatoire', 'de', ""l'intestin,"", 'comme', 'le', 'suggère', 'ce', 'cas.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
12_92,"[['QUESTION', 'TYPE:', 'CHIRURGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '30', 'ans', 'tombe', ""d'une"", 'hauteur', 'de', '2', 'mètres', 'sur', 'ses', 'pieds.'], ['Arrivé', 'au', 'service', 'des', 'urgences', 'sur', 'un', 'brancard,', 'il', 'est', 'conscient', 'et', 'orienté,', 'avec', 'un', 'cathétérisme', 'vésical', 'et', 'des', 'urines', 'claires.'], ['Il', 'présente', 'un', 'gonflement', 'du', 'talon', 'gauche', 'et', 'de', 'légers', 'picotements', 'dans', 'la', 'partie', 'antérieure', 'de', 'la', 'cuisse', 'gauche', 'et', 'du', 'scrotum,', 'ainsi', ""qu'une"", 'dysesthésie', 'dans', 'les', 'deux', 'pieds.'], ['Le', 'patient', 'fait', 'ses', 'adieux', 'au', 'brancardier', 'en', 'lui', 'serrant', 'la', 'main', 'et', 'en', 'lui', 'tapotant', 'simultanément', ""l'épaule.""], ['La', 'rotation', 'des', 'membres', 'inférieurs', 'sur', 'le', 'brancard', 'par', 'les', 'chevilles', 'est', 'indolore', 'et', 'la', 'compression', 'du', 'bassin', 'est', 'asymptomatique.'], ['Suivant', ':'], ['1-', 'Le', 'patient', 'doit', 'être', 'installé', 'sur', 'le', 'brancard', 'afin', ""d'explorer"", 'le', 'rachis', 'cervical.'], ['2-', 'Orienter', 'vers', 'la', 'radiologie', 'pour', ""l'étude"", 'des', 'membres', 'inférieurs', '(pieds,', 'fémurs,', 'bassin).'], ['3-', 'Nous', 'palperons', ""l'abdomen"", 'et', 'rouler', 'en', 'bloc', 'pour', 'palper', 'la', 'colonne', 'thoraco-lombaire.'], ['4-', 'Nous', 'mettons', 'en', 'place', 'un', 'collier', 'cervical', 'et', 'vous', 'adressons', 'à', 'la', 'radiologie', 'pour', 'un', 'examen', 'des', 'membres', 'inférieurs', 'et', 'du', 'rachis', 'cervical.'], ['5-', 'Nous', 'demanderons', 'une', 'échographie', 'abdominale.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Je', 'pense', 'que', 'la', 'bonne', 'réponse', 'est', '3.'], ['Le', 'mécanisme', 'de', 'la', 'blessure', '(chute', 'du', 'pied),', 'la', 'fracture', 'du', 'calcanéum', 'et', 'les', 'symptômes', 'neurologiques', 'du', 'patient', 'suggèrent', 'une', 'lésion', 'de', 'la', 'moelle', 'épinière', 'inférieure', 'due', 'à', 'une', 'fracture', 'de', 'la', 'colonne', 'lombaire.'], ['La', 'blessure', ""n'est"", 'pas', 'haute', 'parce', ""qu'"", 'il', 'bouge', 'les', 'bras.'], ['Il', 'ne', 'semble', 'pas', 'non', 'plus', ""s'agir"", ""d'une"", 'lésion', 'pelvienne', 'en', 'raison', 'de', ""l'absence"", 'de', 'douleur', 'à', 'la', 'mobilisation', 'ou', 'à', 'la', 'palpation.'], ['En', 'cas', 'de', 'suspicion', 'de', 'lésion', 'pelvienne', 'lors', 'de', ""l'évaluation"", 'primaire', 'de', 'toutes', 'les', 'victimes', 'de', 'polytraumatismes', '(ATLS),', 'il', 'convient', 'de', 'procéder', 'à', 'une', 'exploration', 'de', 'la', 'colonne', 'vertébrale', 'par', 'une', 'rotation', 'en', 'bloc', 'afin', ""d'éviter"", ""d'aggraver"", 'les', 'lésions.'], ['La', 'palpation', 'abdominale', 'fait', 'également', 'partie', 'de', ""l'évaluation"", 'initiale.'], [""L'échographie"", 'abdominale', 'peut', 'être', 'indiquée', 'chez', 'les', 'patients', 'hémodynamiquement', 'instables', 'si', ""l'on"", 'soupçonne', 'des', 'lésions', 'abdominales,', 'mais', 'dans', 'tous', 'les', 'cas,', 'elle', 'est', 'effectuée', 'après', ""l'évaluation"", 'initiale.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
605_113,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '35', 'ans,', 'facteur,', 'sans', 'antécédents,', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'des', 'douleurs', 'cervicales', 'aiguës', 'depuis', '24', 'heures,', 'sans', 'antécédents', 'traumatiques,', 'irradiant', 'dans', 'le', 'bras', 'gauche', ""jusqu'à"", 'la', 'main', 'et', 'accompagnées', ""d'une"", 'paresthésie', 'au', 'niveau', 'du', 'bord', 'radial', 'de', ""l'avant-bras.""], ['Il', ""n'y"", 'a', 'pas', 'de', 'perte', 'objective', 'de', 'force,', 'la', 'mobilité', 'du', 'cou', 'est', 'préservée', 'bien', ""qu'elle"", 'soit', 'douloureuse', 'et', 'il', 'y', 'a', 'contracture', 'de', 'la', 'musculature', 'paravertébrale.'], ['La', 'première', 'attitude', 'sera', ':'], ['1-', 'Traitement', 'conservateur', 'par', 'anti-inflammatoires', 'non', 'stéroïdiens,', 'chaleur', 'locale', 'et', 'repos', 'relatif.'], ['2-', 'Appel', 'urgent', 'au', 'neurochirurgien', 'pour', 'une', 'évaluation', 'chirurgicale.'], ['3-', 'Demande', 'préférentielle', 'pour', ""l'IRM"", 'et', ""l'électromyogramme.""], ['4-', ""L'orientation"", 'préférentielle', 'vers', 'les', 'consultations', 'externes', 'de', 'traumatologie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Ce', 'cas', 'décrit', 'une', 'cervicobrachialgie', 'ne', 'présentant', 'aucun', 'signe', ""d'alerte"", 'à', ""l'heure"", 'actuelle,', 'le', 'traitement', 'le', 'plus', 'indiqué', 'à', 'ce', 'stade', 'serait', 'donc', 'conservateur,', 'à', 'base', ""d'AINS,"", 'de', 'chaleur', 'locale', 'et', 'de', 'repos.'], ['Il', 'ne', ""s'agit"", 'pas', ""d'un"", 'cas', 'urgent,', 'la', 'réponse', '2', ""n'est"", 'donc', 'pas', 'valable.'], [""L'IRM"", 'et', ""l'électromyogramme"", 'sont', 'des', 'options', 'valables', 'pour', ""l'étude"", 'étiologique', 'de', ""l'affection,"", 'mais', 'il', 'convient', 'de', 'noter', ""qu'il"", 'faut', ""d'abord"", 'procéder', 'à', 'une', 'prise', 'en', 'charge', 'correcte', 'de', 'la', 'douleur,', 'de', 'sorte', 'que,', ""puisqu'il"", ""s'agit"", 'de', 'la', 'première', 'attitude,', ""l'option"", '1', 'serait', 'plus', 'valable.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
443_102,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '64', 'ans,', 'sans', 'comorbidités', 'pertinentes,', 'opérée', ""d'un"", 'cancer', 'du', 'sein', 'droit', 'par', 'lumpectomie', 'élargie', 'et', 'biopsie', 'sélective', 'du', 'ganglion', 'lymphatique', 'sentinelle,', 'avec', 'le', 'résultat', 'anatomopathologique', 'suivant', ':', 'carcinome', 'canalaire', 'infiltrant', 'peu', 'différencié', '(grade', '3),', 'taille', '2,2', 'cm', '(pT2),', 'récepteurs', ""d'œstrogènes"", 'et', 'de', 'progestérone', 'positifs,', 'Ki67', '25', '%,', 'HER2', 'négatif.'], ['Il', 'y', 'a', 'une', 'atteinte', 'macroscopique', 'du', 'ganglion', 'lymphatique', 'sentinelle,', 'sans', 'atteinte', 'des', 'autres', 'ganglions', 'axillaires', 'isolés', '(pN1).'], ['Quel', 'traitement', 'systémique', 'adjuvant', 'vous', 'semble', 'le', 'plus', 'approprié', 'pour', 'cette', 'patiente', '?'], ['1-', 'Hormonothérapie', 'adjuvante', 'incluant', 'des', 'inhibiteurs', 'de', ""l'aromatase.""], ['2-', 'Chimiothérapie', 'adjuvante,', 'de', 'préférence', 'avec', 'des', 'anthracyclines', 'et', 'des', 'taxanes,', 'suivie', ""d'une"", 'hormonothérapie.'], ['3-', 'Chimiothérapie', 'adjuvante', 'en', 'association', 'avec', ""l'anticorps"", 'monoclonal', 'trastuzumab,', 'suivie', ""d'une"", 'hormonothérapie.'], ['4-', 'Chimiothérapie', 'adjuvante,', 'de', 'préférence', 'avec', 'des', 'anthracyclines', 'et', 'des', 'taxanes.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Il', ""s'agit"", ""d'une"", 'tumeur', 'luminale', 'B.', 'Selon', 'le', 'SEGO,', 'cette', 'patiente', 'est', 'candidate', 'à', 'un', 'traitement', 'par', 'chimiothérapie', 'en', 'raison', 'de', 'son', 'grade', 'histologique', 'élevé', 'et', 'de', 'la', 'forte', 'prolifération', 'de', 'la', 'tumeur.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
197_71,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Garçon', 'de', '10', 'ans', 'présentant', 'de', 'brefs', 'épisodes', 'de', 'distraction', '(<', '1', 'minute)', 'au', 'cours', 'desquels', 'il', 'ne', 'répond', 'pas', 'aux', 'appels', 'et', 'cligne', 'des', 'yeux.'], ['Un', 'EEG', 'montre', 'des', 'décharges', 'de', 'pointes-ondes', 'à', '3', 'cycles', 'par', 'seconde.'], ['Le', 'traitement', 'électif', 'de', 'première', 'intention', 'serait', 'avec', ':'], ['1-', 'Valproate.'], ['2-', 'Carbamacepina.'], ['3-', 'Phénytoïne.'], ['4-', 'Gabapentina.'], ['5-', 'Clonazepam.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Les', 'absences', 'se', 'présentent', 'comme', 'de', 'brefs', 'épisodes', 'de', 'perte', 'de', 'conscience', 'brutale', 'sans', 'altération', 'du', 'contrôle', 'postural', ';', 'elles', 'durent', 'typiquement', 'quelques', 'secondes', 'et', 'peuvent', 'être', 'répétées', 'plusieurs', 'fois', 'par', 'jour,', 'sont', 'généralement', 'accompagnées', 'de', 'petits', 'signes', 'moteurs', 'bilatéraux', '(clignement', 'des', 'yeux,', 'mastication)', 'et', 'la', 'conscience', 'est', 'récupérée', 'tout', 'aussi', 'brutalement,', 'sans', 'confusion', 'ultérieure', 'ni', 'souvenir', 'de', ""l'épisode"", '(MIR', '03-04,', '248', ';', 'MIR', '97-98,', '51).'], [""L'âge"", ""d'apparition"", 'se', 'situe', 'généralement', 'entre', '4', 'ans', 'et', 'le', 'début', 'de', ""l'adolescence,"", 'étant', 'la', 'cause', 'la', 'plus', 'fréquente', 'de', 'crises', ""d'épilepsie"", 'dans', 'cette', 'tranche', ""d'âge.""], ['Les', 'résultats', 'de', ""l'EEG"", 'sont', 'typiquement', 'des', 'décharges', 'généralisées', 'et', 'symétriques', 'de', 'pointes-ondes', 'à', '3', 'Hz', '(MIR', '99-00F,', '67)', 'coïncidant', 'avec', 'les', 'crises,', 'bien', ""qu'il"", 'y', 'ait', 'plus', 'de', 'périodes', ""d'activité"", 'anormale', 'dans', ""l'EEG"", 'interictal', ""qu'il"", ""n'y"", 'en', 'a', 'de', 'cliniquement', 'visibles.'], ['Les', 'médicaments', 'les', 'plus', 'appropriés', 'pour', 'le', 'traitement', 'des', 'absences', 'sont', 'le', 'Valproate', 'et', ""l'Ethosuximide"", '(Manuel', 'CTO).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
478_134,"[['QUESTION', 'TYPE:', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '35', 'ans,', 'transporté', 'aux', 'urgences', 'après', 'un', 'accident', 'de', 'la', 'route.'], ['Lors', 'de', 'son', 'admission,', 'il', 'avait', 'un', 'score', 'de', 'Glasgow', 'de', '15,', 'une', 'tension', 'artérielle', 'de', '140/90', 'mmHg,', 'une', 'fréquence', 'respiratoire', 'de', '35', 'rpm', 'et', 'une', 'fréquence', 'cardiaque', 'de', '110', 'bpm,', 'avec', 'une', 'saturation', 'en', 'oxygène', 'de', 'base', 'de', '91%.'], ['A', ""l'examen,"", 'on', 'note', 'une', 'hypophonie', 'thoracique', 'droite', 'et', 'un', 'tympanisme', 'à', 'la', 'percussion,', 'quel', 'est', 'le', 'diagnostic', 'présumé', '?'], [':'], ['1-', 'La', 'tamponnade', 'cardiaque', 'traumatique.'], ['2-', 'Pneumothorax', 'droit', 'sous', 'tension.'], ['3-', 'Hémothorax', 'massif', 'droit.'], ['4-', 'Contusion', 'pulmonaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Une', 'question', 'simple', 'et', 'classique', 'que', 'vous', 'pouvez', 'également', 'appliquer', 'à', 'votre', 'pratique', 'clinique', 'quotidienne.'], ['Hypophonie', 'dans', 'un', 'hémithorax', '+', 'tympanisme', '=', 'pneumothorax.'], ['Si', 'la', 'percussion', 'est', 'sourde', ':', 'hémothorax.'], ['Dans', 'les', 'deux', 'cas,', 'en', 'cas', ""d'hémithorax"", 'hypophonique', 'chez', 'un', 'polytraumatisé', 'sévère', 'et', 'instable', ':', 'drainage', 'thoracique', '(de', 'préférence', 'de', 'gros', 'calibre', ""s'il"", 'est', 'placé', 'en', 'milieu', 'hospitalier,', 'car', 'si', 'la', 'lésion', 'prédominante', 'est', 'le', 'pneumothorax,', 'il', 'peut', 'y', 'avoir', 'une', 'composante', 'hémothorax', 'qui,', 'si', 'un', 'drain', 'fin', 'est', 'placé,', 'pourrait', 'obstruer', 'le', 'drainage).']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O'], ['O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
97_171,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE,', 'VÉNÉRÉOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE:'], ['Patient', 'présentant', 'depuis', '2', 'semaines', 'une', 'éruption', 'prurigineuse', 'constituée', 'de', 'multiples', 'papules', 'érythémateuses-violacées', 'polygonales', 'à', 'surface', 'aplatie,', 'localisées', 'préférentiellement', 'sur', 'la', 'face', 'antérieure', 'des', 'poignets,', 'la', 'zone', 'prétibiale', 'et', 'la', 'zone', 'lombaire.'], ['Il', 'présente', 'également', 'des', 'lésions', 'réticulées', 'blanchâtres', 'sur', 'la', 'muqueuse', 'jugale,'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Pityriasis', 'versicolor.'], ['2-', 'Mycosis', 'fongoïde.'], ['3-', 'Psoriasis', 'en', 'gouttes.'], ['4-', 'Pityriasis', 'rosea', 'de', 'Gibert.'], ['5-', 'Lichen', 'plan.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Il', ""s'agit"", 'sans', 'aucun', 'doute', 'des', 'lésions', 'typiques', '(sur', 'la', 'peau', 'et', 'la', 'muqueuse', 'buccale)', 'du', 'lichen', 'plan', '(5).']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
426_94,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '73', 'ans...', 'a', 'avalé', 'une', 'dysphagie', 'neurologique', 'complète,', 'secondaire', 'à', 'un', 'accident', 'vasculaire', 'cérébral', 'cardioembolique', 'dans', 'le', 'territoire', 'de', ""l'artère"", 'cérébrale', 'moyenne', 'gauche.'], ['besoin', ""d'un"", 'soutien', 'nutritionnel', 'à', 'long', 'terme.'], ['Parmi', 'les', 'modalité', 'de', 'traitement', 'suivantes,', 'laquelle', 'vous', 'semble', 'la', 'plus', 'appropriée', 'dans', 'ce', 'cas', '?'], ['1-', 'Nutrition', 'entérale', 'par', 'sonde', 'nasogastrique.'], ['2-', 'Nutrition', 'entérale', 'par', 'sonde', 'nasoduodénale.'], ['3-', 'Nutrition', 'entérale', 'par', 'gastrostomie.'], ['4-', 'Nutrition', 'entérale', 'par', 'jéjunostomie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'nutrition', 'entérale', 'est', 'une', 'technique', 'de', 'soutien', 'nutritionnel', 'qui', 'consiste', 'à', 'administrer', 'des', 'nutriments', 'directement', 'dans', 'le', 'tractus', 'gastro-intestinal', 'par', ""l'intermédiaire"", ""d'une"", 'sonde.'], ['Le', 'choix', 'de', 'la', 'voie', ""d'administration"", 'de', 'la', 'formule', 'dépend', 'de', ""l'état"", 'nutritionnel,', 'de', ""l'âge"", 'du', 'patient', 'et', 'de', 'la', 'maladie', 'sous-jacente.'], ['Si', 'la', 'nutrition', 'entérale', 'est', 'considérée', 'comme', 'étant', 'de', 'courte', 'durée,', 'la', 'voie', 'de', 'choix', 'est', 'la', 'sonde', 'nasogastrique', 'ou', 'nasoduodénale-nasojéjunale...', 'Si', 'une', 'nutrition', 'prolongée', 'est', 'prévue,', 'la', 'voie', 'de', 'choix', 'est', 'la', 'gastrostomie', '(option', '3),', 'la', 'jéjunostomie', 'étant', 'réservée', 'aux', 'cas', 'où', 'il', ""n'est"", 'pas', 'possible', ""d'utiliser"", 'la', 'voie', 'gastrique.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
262_58,"[['QUESTION', 'TYPE:', 'PHARMACOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '70', 'ans,', 'ayant', 'des', 'antécédents', ""d'hypertension"", 'et', ""d'insuffisance"", 'cardiaque', 'modérée,', 'a', 'présenté', 'une', 'toux', 'sèche', 'persistante', 'qui', 'a', 'commencé', 'par', 'une', 'sensation', 'de', 'grattement', 'dans', 'la', 'gorge.'], ['Quel', 'est', 'le', 'médicament', 'soupçonné', ""d'être"", 'à', ""l'origine"", 'de', ""l'altération"", 'clinique', 'et', 'biologique', 'du', 'patient', '?'], ['1-', 'Hydrochlorothiazide.'], ['2-', 'Bisoprolol.'], ['3-', 'Furosemide.'], ['4-', 'Enalapril.'], ['5-Hydralazine.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", ""d'effets"", 'indésirables', 'typiques', 'des', 'inhibiteurs', 'de', ""l'ECA"", ';', 'dans', 'le', 'cas', 'de', 'la', 'toux,', 'elle', 'est', 'généralement', 'sèche', 'et', 'irritative', 'et', 'survient', 'chez', ""jusqu'à"", '3', '%', 'des', 'patients.'], ['Une', 'hyperkaliémie', 'peut', 'également', 'survenir', 'dans', '1', '%', 'des', 'cas.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
346_159,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '69', 'ans', ""s'est"", 'présentée', 'à', 'la', 'clinique', 'en', 'se', 'plaignant', 'de', 'saignements', 'génitaux', 'depuis', 'plusieurs', 'mois.'], ['Refuse', 'le', 'traitement', 'hormonal', 'substitutif', 'et', ""l'anticoagulation.""], ['Elle', 'présente', 'une', 'cytologie', 'cervico-vaginale', 'normale.'], [""L'examen"", 'physique', 'général', 'et', 'génital', ""n'a"", 'rien', 'révélé', ""d'intéressant.""], ['IMC', 'de', '38', 'kg/m2.'], ['Indiquez', ""l'attitude"", 'la', 'plus', 'correcte', ':'], ['1-', 'Prescrire', 'de', 'la', 'progestérone', 'cyclique.'], ['2-', 'Biopsie', 'de', ""l'endomètre.""], ['3-', 'Biopsies', 'cervicales', 'aléatoires.'], ['4-', 'Bilan', 'hormonal', 'avec', 'FSH,', 'LH', 'et', 'œstradiol.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'bonne', 'réponse', 'est', '2.'], ['Il', ""s'agit"", ""d'un"", 'cas', 'de', 'métrorragie', 'post-ménopausique,', 'le', 'plus', 'souvent', 'causée', ""d'abord"", 'par', 'une', 'atrophie', 'génitale', 'et', 'ensuite', 'par', 'un', 'cancer', 'de', ""l'endomètre.""], ['Les', 'données', ""qu'ils"", 'nous', 'fournissent', 'sur', ""l'obésité"", 'devraient', 'nous', 'amener', 'à', 'suspecter', 'un', 'cancer', 'de', ""l'endomètre,"", 'puisque', 'la', 'graisse', 'périphérique', 'est', 'convertie', 'en', 'œstrogènes,', 'et', 'que', 'ces', 'œstrogènes', 'provoquent', 'la', 'prolifération', 'de', ""l'endomètre.""], [""D'autre"", 'part,', 'il', 'fournit', 'une', 'cytologie', 'normale,', 'ce', 'qui', 'exclut', ""l'option"", '3.'], [""L'évaluation"", 'hormonale', ""n'est"", 'pas', 'opportune,', 'car', 'nous', 'comprenons', 'que', 'la', 'patiente', 'est', 'ménopausée.'], ['Nous', 'ne', 'devons', 'pas', 'prescrire', 'de', 'traitement', 'sans', 'avoir', ""d'abord"", 'écarté', 'les', 'causes', 'organiques.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
170_89,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'CARDIOVASCULAIRE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '62', 'ans', 'avec', 'une', 'bioprothèse', 'péricardique', 'en', 'position', 'mitrale', 'depuis', 'deux', 'ans.'], ['Admission', 'en', 'urgence', 'pour', 'syndrome', 'coronarien', 'aigu.'], ['Deux', 'jours', 'plus', 'tard,', 'après', 'une', 'évolution', 'favorable,', 'il', 'a', 'soudainement', 'développé', 'une', 'insuffisance', 'cardiaque', 'avec', 'œdème', 'pulmonaire', 'aigu.'], ['Veuillez', 'indiquer', 'laquelle', 'des', 'options', 'suivantes', 'est', ""l'option"", 'diagnostique', 'dans', 'ce', 'cas', ':'], ['1-', 'Insuffisance', 'mitrale', 'aiguë', 'post-infarctus.'], ['2-', 'Anévrisme', 'du', 'ventricule', 'gauche.'], ['3-', 'Déficience', 'septale', 'ventriculaire', 'aiguë.'], ['4-', 'La', 'communication', 'interauriculaire', 'post-infarctus.'], ['5-', 'Dysfonctionnement', 'de', 'la', 'bioprothèse', 'dû', 'à', 'une', 'probable', 'endocardite', 'aiguë.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'valve', 'est', 'biologique', 'et', 'les', 'voiles', 'ne', 'sont', 'généralement', 'pas', 'cousus', 'aux', 'muscles', 'papillaires,', 'nous', 'ne', 'nous', 'soucions', 'donc', 'pas', 'de', 'ce', 'qui', 'leur', 'arrive.'], ['Un', 'anévrisme', 'ventriculaire', 'déprime', 'la', 'FEVG,', 'mais', ""n'entraîne"", 'pas', 'soudainement', 'une', 'MAP.'], ['En', 'revanche,', 'une', 'CIV', 'augmente', 'fortement', 'le', 'flux', 'vers', 'le', 'lit', 'pulmonaire,', 'provoquant', 'un', 'œdème', 'pulmonaire,', 'et', 'constitue', 'également', ""l'une"", 'des', 'complications', 'les', 'plus', 'courantes', 'de', ""l'IAM.""], ['Les', 'TSA', 'ischémiques...', 'Je', 'ne', 'nie', 'pas', ""qu'ils"", 'existent,', 'mais', 'ils', 'ne', 'figurent', 'même', 'pas', 'dans', 'les', 'lignes', 'directrices.'], ['Et', ""l'endocardite"", 'ne', 'nécessiterait', 'pas', 'autant', 'de', 'sacoches.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
40_136,"[['QUESTION', 'TYPE:', 'OTO-RHINO-LARYNGOLOGIE', 'ET', 'CHIRURGIE', 'MAXILLO-FACIALE'], ['CLINICAL', 'CASE:'], ['Un', 'fumeur', 'et', 'grand', 'buveur', 'de', '64', 'ans', 'a', 'signalé', 'une', 'lymphadénopathie', 'jugulodigastrique', 'droite', 'indolore', 'qui', ""s'est"", 'développée', 'progressivement', 'au', 'cours', 'des', 'deux', 'derniers', 'mois', 'et', 'dont', ""l'aspiration"", 'à', ""l'aiguille"", 'fine', 'a', 'révélé', 'la', 'présence', ""d'un"", 'carcinome', 'épidermoïde.'], ['Lequel', 'des', 'éléments', 'suivants', 'est', 'le', 'siège', 'le', 'plus', 'probable', 'de', 'la', 'tumeur', 'primaire', '?'], ['1-', 'Cuir', 'chevelu.'], ['2-', 'Parotide.'], ['3-', 'Poumon.'], ['4-', ""L'œsophage.""], ['5-', 'Laringe.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Vous', 'êtes', 'au', 'milieu', 'du', 'bloc', 'ENT.'], ['Vous', 'avez', 'déjà', 'réussi', 'les', 'blocs', 'Pneumologie', 'et', 'Digestif.'], ['La', 'dermatologie', ""n'est"", 'pas', 'encore', 'connue,', 'mais', 'un', 'dermatologue', '(réponse', '1)', 'ne', 'poserait', 'pas', 'cette', 'question.'], ['Il', 'nous', 'reste', 'donc', 'la', 'parotide', 'et', 'le', 'larynx', ';', 'mais', 'le', 'carcinome', 'épidermoïde', 'de', 'la', 'parotide', 'est', 'rare', ';', 'je', 'noterais', '5', 'et', 'resterais', 'calme.'], ['Peut-être', 'parce', 'que', 'toutes', 'les', 'adénopathies', 'à', 'ce', 'niveau', 'que', ""j'ai"", 'vues', 'ont', 'fini', 'par', 'correspondre', 'à', 'des', 'carcinomes', 'des', 'voies', 'aérodigestives', 'supérieures.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
126_59,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE', 'ET', 'CHIRURGIE', 'THORACIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '65', 'ans,', 'employé', 'de', 'bureau', 'à', 'la', 'retraite', 'et', 'fumeur', ""d'un"", 'paquet', 'de', 'cigarettes', 'par', 'jour,', 'présente', 'une', 'toux', 'persistante,', 'généralement', 'sèche,', 'et', 'une', 'dyspnée', 'progressive', 'depuis', '2', 'ans,', 'qui', 'est', 'actuellement', 'de', 'grade', '2.'], ['Le', 'patient', 'nie', ""l'existence"", ""d'autres"", 'symptômes.'], [""L'examen"", 'physique', 'ne', 'révèle', 'aucune', 'donnée', 'pertinente.'], [""L'attitude"", 'à', 'suivre', 'serait', 'la', 'suivante', ':'], ['1-', 'Commencer', 'le', 'traitement', 'avec', 'des', 'bronchodilatateurs', 'inhalés.'], ['2-', 'Radiographie', 'pulmonaire', 'et', 'spirométrie', 'avec', 'test', 'au', 'bronchodilatateur.'], ['3-', 'Prescrire', 'des', 'corticostéroïdes', 'oraux.'], ['4-', 'Réaliser', 'un', 'scanner', 'thoracique.'], ['5-', 'Effectuer', 'les', 'gaz', 'du', 'sang', 'artériel', 'de', 'référence.'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'bonne', 'réponse', 'est', '2', '(Effectuer', 'une', 'radiographie', 'pulmonaire', 'et', 'une', 'spirométrie', 'avec', 'test', 'au', 'bronchodilatateur).'], ['Il', ""s'agit"", 'probablement', ""d'une"", 'BPCO,', 'mais', 'cela', 'doit', 'être', 'confirmé', 'et', 'la', 'gravité', 'de', ""l'obstruction"", 'doit', 'être', 'évaluée', 'par', 'spirométrie', 'avant', 'de', 'commencer', 'le', 'traitement.'], ['Il', ""s'agit"", ""d'un"", 'patient', 'présentant', 'un', 'risque', 'de', 'cancer', 'du', 'poumon.', 'Une', 'radiographie', 'pulmonaire', 'doit', 'donc', 'être', 'effectuée', 'pour', 'exclure', 'ce', 'risque', 'ou', ""d'autres"", 'pathologies', 'qui', 'justifieraient', 'les', 'symptômes,', 'bien', ""qu'ils"", 'soient', 'probablement', 'dus', 'à', ""l'apparition"", 'de', 'la', 'BPCO.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
568_151,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '22', 'ans', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'avec', 'des', 'urines', '""presque', 'noires""', 'depuis', '12', 'heures.'], ['Elle', ""n'a"", 'pas', ""d'antécédents"", ""d'intérêt"", 'et', 'ne', 'prend', 'pas', 'de', 'médicaments.'], ['Il', 'souffre', ""d'un"", 'catarrhe', 'des', 'voies', 'respiratoires', 'supérieures', 'depuis', '4-5', 'jours', 'et', 'prend', 'du', 'paracétamol.'], ['Examen', ':', 'température', '37,3', 'ºC,', 'TA', '150/95,', 'FC', '85', 'bpm,', 'léger', 'érythème', 'pharyngé,', 'reste', 'normal.'], ['Dans', 'les', 'tests', 'analytiques,', 'il', 'se', 'distingue', ':', 'Hb', '12,8', 'g/dl,', 'Hcto', '39', '%,', 'leucocytes', '10', '500/mm3', 'avec', 'formule', 'normale,', 'plaquettes', '250', '000/mm3,', 'coagulation', 'normale,', 'urée', '25', 'mg/dl,', 'créatinine', '0,8', 'mg/dl,', 'ions', 'normaux,', 'foie,', 'lipides,', 'albumine', 'et', 'protéines', 'totales.'], ['Etude', ""d'auto-immunité"", 'normale', 'et', 'sérologie', 'virale', 'négative.'], ['Urines', 'de', '24', 'h', 'avec', 'protéinurie', 'de', '0,75', 'g/24', 'h,', 'sédiment', 'avec', '10', 'érythrocytes', 'par', 'champ', '(90', '%', 'dysmorphiques),', 'pas', 'de', 'leucocyturie.'], ['Échographie', 'rénale', 'normale.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', 'selon', 'vous', '?'], ['1-', 'Néphropathie', 'avec', 'changements', 'minimes.'], ['2-', 'Glomérulonéphrite', 'post-infectieuse.'], ['3-', 'Néphropathie', 'à', 'IgA.'], ['4-', 'Néphrite', 'interstitielle', 'aiguë.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Un', 'tableau', ""d'hématurie"", 'macroscopique', 'et', 'de', 'protéinurie', 'légère', 'avec', 'des', 'taux', 'de', 'créatinine', 'normaux,', 'accompagné', 'de', 'symptômes', 'catarrhaux', 'des', 'voies', 'supérieures,', 'est', 'très', 'évocateur', ""d'une"", 'néphropathie', 'à', 'IgA', '(option', '3', 'correcte).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim']]"
286_60,,
228_75,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'souffrant', ""d'insuffisance"", 'cardiaque', 'et', 'présentant', 'une', 'ascite', 'disproportionnée', 'par', 'rapport', 'à', ""l'œdème"", 'périphérique,', ""l'étiologie"", 'la', 'plus', 'probable', 'est', 'la', 'suivante', ':'], ['1-', 'Sténose', 'aortique', 'sévère.'], ['2-', 'Cardiomyopathie', 'dilatée', 'avec', 'dysfonctionnement', 'ventriculaire', 'gauche', 'important.'], ['3-', ""L'hypertension"", 'pulmonaire', 'primaire.'], ['4-', 'La', 'cardiomyopathie', 'hypertrophique', 'obstructive.'], ['5-', 'Péricardite', 'constrictive.'], ['BONNE', 'RÉPONSE', ':', '5'], ['On', 'nous', 'annonce', 'une', 'défaillance', 'du', 'côté', 'droit,', 'avec', 'œdème', 'et', 'ascite.'], ['Nous', 'avons', 'donc', 'écarté', ""l'hypothèse"", ""d'une"", 'insuffisance', 'cardiaque', 'gauche', ':', 'EAo,', 'dilaté', 'avec', 'DSVI', 'et', 'un', 'MHO.'], ['Sur', 'les', 'deux', 'qui', 'restent,', 'dans', 'la', 'péricardite', 'constrictive,', 'nous', 'avons', 'une', 'augmentation', 'des', 'pressions', 'de', 'remplissage', 'dans', 'les', 'cavités', 'droites,', 'ce', 'qui', 'entraîne', 'une', 'augmentation', 'de', 'la', 'pression', 'rétrograde', 'avec', 'congestion', 'hépatique,', 'ascite,', 'œdème,', 'etc.'], ['En', 'revanche,', 'dans', ""l'hypertension"", 'pulmonaire,', 'la', 'valve', 'tricuspide', 'est', 'chargée', '(a', 'priori)', 'de', '""contenir""', 'cette', 'surpression.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
217_122,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['On', 'diagnostique', 'chez', 'un', 'homme', 'de', '54', 'ans', 'une', 'tumeur', 'rénale', 'gauche', 'évoquant', 'un', 'carcinome', 'à', 'cellules', 'rénales.'], [""L'examen"", 'analytique', 'préopératoire', 'a', 'révélé', 'des', 'taux', 'élevés', 'de', 'GPT,', 'de', 'phosphatase', 'alcaline', 'et', ""d'alpha-2-globuline,"", 'ainsi', ""qu'un"", 'allongement', 'du', 'temps', 'de', 'prothrombine.'], ['Le', 'foie', 'est', 'élargi', 'de', 'façon', 'diffuse,', 'mais', 'ne', 'présente', 'pas', ""d'anomalies"", ""d'infiltration"", 'hépatique.'], ['La', 'justification', 'la', 'plus', 'probable', 'de', 'ces', 'résultats', 'est', 'la', 'suivante', ':'], ['1-', 'Métastases', 'hépatiques.'], ['2-', 'Thrombose', 'tumorale', 'intrahépatique.'], ['3-', 'Hépatite', 'aguda.'], ['4-', 'Présence', 'de', 'substances', 'hépatotoxiques', 'produites', 'par', 'la', 'tumeur.'], ['5-', 'Hémochromatose.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Une', 'question', 'très', 'simple', 'dans', 'laquelle', 'on', 'nous', 'présente', 'un', 'patient', 'atteint', 'du', 'syndrome', 'de', 'Stauffer,', 'un', 'syndrome', 'paranéoplasique', 'consistant', 'en', 'un', 'dysfonctionnement', 'hépatique', 'secondaire', 'à', 'des', 'produits', 'toxiques', 'sécrétés', 'par', 'une', 'série', 'de', 'tumeurs', '(la', 'plus', 'fréquente', 'étant', 'le', 'carcinome', 'à', 'cellules', 'rénales,', 'comme', 'dans', 'ce', 'cas).'], ['Comme', 'dans', 'ce', 'cas,', 'la', 'cholestase', '(phosphatase', 'alcaline', 'élevée),', 'la', 'mobilisation', 'des', 'enzymes', 'hépatiques', 'et', ""l'allongement"", 'du', 'temps', 'de', 'prothrombine', 'indiquent', 'un', 'dysfonctionnement', 'du', 'foie.'], ['Les', 'métastases', 'sont', 'exclues', '(il', ""n'y"", 'a', 'pas', 'de', 'défauts', ""d'infiltration"", 'hépatique),', 'la', 'thrombose', 'tumorale', 'intrahépatique', '(elle', 'donnerait', 'une', 'autre', 'symptomatologie', 'et', 'celle-ci', 'serait', 'plus', 'aiguë),', 'et', ""l'hépatite"", 'aiguë', 'et', ""l'hémochromatose"", '(pas', 'dans', 'le', 'contexte', 'et', 'pas', 'ce', 'que', ""l'auteur"", 'de', 'la', 'question', 'veut', 'que', ""l'on"", 'pense).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
142_138,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Fille', 'de', '12', 'ans,', 'enfant', 'unique', 'de', 'parents', 'sains', 'et', 'non', 'consanguins.'], ['Pas', ""d'antécédents"", 'personnels', 'ou', 'familiaux', 'intéressants.'], ['Lors', 'de', ""l'examen"", 'clinique', 'pour', 'commencer', 'une', 'activité', 'sportive,', 'vous', 'trouvez', 'une', 'discrète', 'hépatomégalie', 'de', 'consistance', 'normale,', 'vous', 'demandez', 'donc', 'une', 'analyse', 'de', 'sang,', 'qui', 'met', 'en', 'évidence', 'un', 'ASAT', 'de', '80', 'U/l,', 'un', 'ALAT', 'de', '105', 'U/l,', 'un', 'protéinogramme', 'électrophorétique', 'avec', 'toutes', 'les', 'fractions', 'protéiques', 'dans', 'la', 'plage', 'normale', 'et', 'une', 'sérologie', 'négative', 'pour', 'les', 'virus', 'hépatotropes.'], ['Quels', 'sont', 'les', 'éléments', 'à', 'exclure', 'et', 'quels', 'sont', 'les', 'tests', 'à', 'effectuer', 'à', 'cette', 'fin', '?'], ['1-', 'Déficit', 'en', 'alpha', '1', 'antitrypsine.', 'Tomodensitométrie', 'thoracique', 'pour', 'confirmer', ""l'emphysème.""], ['2-', 'Mucoviscidose.', 'Détermination', 'du', 'chlore', 'dans', 'la', 'sueur.'], ['3-', 'Hépatite', 'auto-immune.', 'Biopsie', 'du', 'foie.'], ['4-', 'Glycogénose', 'de', 'type', 'VI', '(déficit', 'en', 'phosphorylase).', 'Biopsie', 'musculaire.'], ['5-', 'Maladie', 'de', 'Wilson.', 'Déterminer', 'la', 'céruloplasmine', 'et', 'le', 'cuivre', 'dans', 'le', 'sang', 'et', ""l'urine.""], ['BONNE', 'RÉPONSE', ':', '5'], ['En', 'effet,', 'la', 'cause', 'la', 'plus', 'fréquente,', 'du', 'moins', 'chez', 'les', 'enfants,', 'est', 'une', 'élévation', 'transitoire', 'dans', 'le', 'cadre', 'de', 'maladies', 'virales', '(le', 'plus', 'souvent', 'le', 'cytomégalovirus', 'et', 'le', 'virus', ""d'Epstein-Barr).""], [""L'élévation"", 'minime', 'des', 'enzymes', 'hépatiques', 'et', 'le', 'fait', ""qu'il"", 'ait', 'un', 'profil', 'protéique', 'normal', 'vont', 'à', ""l'encontre"", ""d'une...""], ['Si', 'je', 'devais', 'choisir,', 'je', 'choisirais', 'la', 'réponse', '5,', 'qui', 'me', 'semble', 'la', 'moins', 'agressive,', 'et', 'si', 'je', 'devais', 'faire', 'un', 'test', 'analytique,', ""j'ajouterais"", 'le', 'dosage', 'de', ""l'alpha-1-antitrypsine"", '(sans', 'scanner)', 'et', 'des', 'marqueurs', 'de', 'la', 'maladie', 'cœliaque,', 'car', 'la', 'maladie', 'cœliaque', 'peut', 'aussi', 'être', 'associée', 'à', 'une', 'certaine', 'hypertransaminémie.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 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267_139,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'atteint', ""d'une"", 'cirrhose', 'du', 'foie', 'et', ""d'ascite,"", 'qui', 'développe', 'un', 'épanchement', 'pleural', 'avec', 'les', 'résultats', 'suivants', 'dans', 'le', 'liquide', 'pleural', ':', 'LDH', '45', 'U/L', '(sérum', '220', 'U/L),', 'rapport', 'protéines', 'pleurales/sérum', '0,3', 'et', 'rapport', 'LDH', 'plèvre/sérum', '0,2.'], ['Quelle', 'serait', ""l'attitude"", 'à', 'adopter', '?'], ['1-', ""L'étude"", 'du', 'liquide', 'à', 'la', 'numération', 'cellulaire,', 'au', 'glucose,', 'au', 'pH,', 'à', ""l'ADA,"", 'au', 'cholestérol', 'et', 'à', 'la', 'culture', 'doit', 'être', 'étendue.', 'ADA,', 'cholestérol', 'et', 'culture.'], ['2-', 'Biopsie', 'pleurale', 'à', ""l'aveugle.""], ['3-', 'Vidéothoracoscopie', 'diagnostique.'], ['4-', 'Antibiothérapie', 'empirique', 'en', 'cas', 'de', 'suspicion', ""d'épanchement"", 'parapneumonique.'], ['5-', 'Poursuivre', 'le', 'traitement', 'de', 'sa', 'maladie', 'hépatique.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Ils', 'décrivent', 'des', 'paramètres', 'de', 'liquide', 'pleural', 'de', 'transsudat,', 'donc', 'si', 'le', 'patient', ""n'est"", 'pas', 'en', 'insuffisance', 'cardiaque,', 'il', ""s'agit"", ""d'une"", 'décompensation', 'hydropique.'], ['Aucune', 'autre', 'étude', ""n'est"", 'nécessaire.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O']]"
99_84,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'diabétique', 'de', '60', 'ans', 'consulte', 'pour', 'la', 'première', 'fois', 'au', 'sujet', 'du', 'traitement', 'de', 'sa', 'maladie.'], ['Parmi', 'les', 'objectifs', 'suivants,', 'lesquels', 'lui', 'recommanderiez-vous', ""d'atteindre"", 'en', 'premier', 'lieu', '?'], ['1-', 'Maintenir', 'la', 'tension', 'artérielle', 'en', 'dessous', 'de', '110/70', 'mmHg.'], ['2-', 'Arrêter', 'de', 'fumer.'], ['3-', 'Maintenir', 'un', 'indice', 'de', 'masse', 'corporelle', '(IMC)', 'inférieur', 'à', '21.'], ['4-', 'Effectuer', 'une', 'mesure', 'quotidienne', 'de', 'la', 'glycémie', 'capillaire', 'basale.'], ['5-', 'Éviter', 'les', 'graisses', 'animales', 'dans', ""l'alimentation.""], ['BONNE', 'RÉPONSE', ':', '2'], ['Les', 'autres', 'ne', 'sont', 'pas', 'des', 'indications.'], ['La', 'tension', 'cible', 'est', '<', '130/85', 'mmHg.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
380_135,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Au', 'cours', ""d'un"", 'match', 'de', 'tennis,', 'un', 'patient', 'de', '25', 'ans', 'ressent', 'une', 'forte', 'douleur', 'au', 'niveau', 'du', 'cou', 'et', 'de', ""l'œil"", 'gauche.'], ['Le', 'lendemain', 'matin,', 'elle', ""s'est"", 'réveillée', 'avec', 'une', 'sensation', ""d'instabilité"", 'de', 'la', 'démarche', 'et', 'présentait', 'une', 'ptose', 'palpébrale', 'de', ""l'œil"", 'gauche', 'et', 'une', 'anisocorie,', 'la', 'pupille', 'gauche', 'étant', 'plus', 'petite', 'que', 'la', 'droite.'], ['Le', 'patient', 'conserve', 'une', 'bonne', 'acuité', 'visuelle.'], ['Où', 'situeriez-vous', 'le', 'plus', 'probablement', 'la', 'lésion', '?'], ['1-', 'Nerf', 'crânien', 'III.'], ['2-', 'Le', 'chiasme', 'optique.'], ['3-', 'Ganglion', 'cervical', 'supérieur.'], ['4-', 'Ampoule', 'de', 'Rachid.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Le', 'tableau', 'qui', 'nous', 'est', 'présenté', 'est', 'celui', ""d'un"", 'syndrome', 'de', 'Horner', '(myosis', 'avec', 'ptosis)', 'donc', 'les', 'possibilités', 'sont', 'réduites', 'aux', 'options', '3', 'ou', '4,', 'mais', 'on', 'précise', 'que', 'le', 'patient', 'présente', 'une', 'instabilité', 'de', 'la', 'marche,', 'ce', 'qui', ""n'est"", 'pas', 'justifié', 'par', 'un', 'syndrome', 'de', 'Horner', 'dû', 'à', 'une', 'dissection', 'carotidienne', 'affectant', 'le', 'ganglion', 'cervical', 'supérieur,', 'ce', 'que', ""l'on"", 'veut', 'nous', 'faire', 'croire', 'en', 'parlant', 'de', 'douleur', 'au', 'cou', 'et', 'à', ""l'œil.""], ['Si', 'le', 'patient', 'souffre', 'réellement', ""d'ataxie,"", 'la', 'seule', 'localisation', 'possible', 'serait', 'le', 'bulbe', 'rachidien.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
341_33,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '67', 'ans', 'à', 'qui', ""l'on"", 'a', 'diagnostiqué', 'un', 'carcinome', 'canalaire', 'infiltrant', 'du', 'sein', 'sans', 'antécédents', 'familiaux', 'de', 'néoplasie.'], ['Quelles', 'sont', 'les', 'études', 'complémentaires', 'à', 'réaliser', 'sur', 'la', 'tumeur', 'en', 'raison', 'de', 'ses', 'implications', 'clinico-thérapeutiques', '?'], ['1-', 'Etude', 'phénotypique', 'complète', 'par', 'cytométrie', 'de', 'flux.'], ['2-', 'Etude', 'des', 'récepteurs', 'hormonaux', 'et', 'HER2.'], ['3-', 'Etude', 'des', 'récepteurs', 'hormonaux,', 'de', ""l'e-cadhérine"", 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['4-', 'Etude', 'de', 'BRCA', '1-2', 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Étude', 'des', 'récepteurs', 'hormonaux', 'et', 'de', 'HER2.'], ['Pour', 'le', 'type', 'de', 'traitement', 'ainsi', 'que', 'pour', ""l'étude"", 'du', 'facteur', 'pronostique', 'et', 'du', 'traitement', 'adjuvant,', 'il', 'est', 'nécessaire', 'de', 'connaître', 'les', 'différents', 'récepteurs', 'hormonaux', '(œstrogènes', 'et', 'progestérone)', 'ainsi', 'que', 'le', 'HER2-neu.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
308_215,"[['QUESTION', 'TYPE:', 'OPHTHALMOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'myope', 'de', '47', 'ans,', 'opéré', 'de', 'la', 'cataracte', 'il', 'y', 'a', 'deux', 'ans,', ""s'est"", 'présenté', 'aux', 'urgences', 'en', 'se', 'plaignant', ""d'une"", 'perte', 'de', 'vision', 'profonde', 'et', 'indolore', 'de', ""l'œil"", 'droit.'], ['Parmi', 'les', 'diagnostics', 'suivants,', 'lequel', 'peut', 'être', 'à', ""l'origine"", 'de', 'cette', 'symptomatologie', '?'], ['1-', 'Endophtalmie', 'post-chirurgicale.'], ['2-', 'Décollement', 'de', 'la', 'rétine.'], ['3-', 'Dégénérescence', 'maculaire', 'liée', 'à', ""l'âge,"", 'forme', 'humide.'], ['4-', 'Décollement', 'du', 'vitré', 'postérieur.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Il', 'parle', ""d'un"", 'patient', 'qui', 'a', 'subi', 'une', 'opération', 'de', 'la', 'cataracte', 'il', 'y', 'a', 'deux', 'ans', 'et', 'qui', 'a', 'subi', 'une', 'perte', 'profonde', 'et', 'indolore', 'de', ""l'acuité"", 'visuelle.'], [""L'endophtalmie"", 'post-chirurgicale', 'est', 'plus', 'souvent', 'associée', 'aux', 'patients', 'dans', 'la', 'période', 'postopératoire', 'immédiate,', 'elle', 'est', 'également', 'très', 'douloureuse', 'et', ""s'accompagne"", ""d'une"", 'baisse', 'progressive', 'et', 'rapide', 'de', ""l'acuité"", 'visuelle,', 'elle', ""n'est"", 'donc', 'pas', 'correcte.'], ['Le', 'décollement', 'de', 'la', 'rétine', 'est', 'cohérent', 'avec', 'le', 'cas', 'clinique', 'car', 'le', 'patient', 'est', 'myope,', 'ce', 'qui', 'le', 'prédispose', 'particulièrement', 'au', 'décollement', 'de', 'la', 'rétine.'], ['La', 'DMLA', 'survient', 'généralement', 'chez', 'les', 'patients', 'âgés', 'et', 'la', 'baisse', 'de', 'la', 'vision', 'est', 'progressive.'], ['Dans', 'le', 'cas', 'de', 'la', 'PVD,', 'il', 'peut', 'y', 'avoir', 'ou', 'non', 'une', 'légère', 'baisse', 'de', ""l'acuité"", 'visuelle', 'et', 'le', 'patient', 'signale', 'généralement', 'une', 'gêne', 'ou', 'une', 'douleur', 'au', 'début', 'du', 'tableau', 'clinique.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
519_176,,
63_200,"[['QUESTION', 'TYPE:', 'ANATOMIE'], ['CLINICAL', 'CASE:'], ['Un', 'maçon', 'de', '31', 'ans', 'se', 'présente', 'aux', 'urgences', 'pour', 'une', 'ténosynovite', 'causée', 'par', 'une', 'plaie', 'pénétrante.'], [""L'examen"", 'révèle', 'que', 'la', 'bourse', 'cubitale', 'est', 'infectée', 'et', ""qu'une"", 'nécrose', 'tendineuse', ""s'ensuit.""], ['Quel', 'tendon', 'sera', 'touché', '?'], ['1-', 'Tendon', 'du', 'flexor', 'carpi', 'ulnaris.'], ['2-', 'Tendon', 'de', ""l'abducteur"", 'pollicis', 'longus.'], ['3-', 'Tendon', 'du', 'flexor', 'digitorum', 'profundus.'], ['4-', 'Tendon', 'du', 'flexor', 'carpi', 'radialis.'], ['5-', 'Tendon', 'du', 'grand', 'palmier.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Le', 'flexor', 'carpi', 'radialis', 'et', ""l'abductor"", 'pollicis', 'longus', 'sont', 'anatomiquement', 'éloignés', 'du', 'cubital.'], ['Le', 'palmaire', 'long', 'est', 'médial,', 'tout', 'comme', 'le', 'flexor', 'digitorum', 'profundus.'], ['Le', 'tendon', 'qui', 'longe', 'le', 'nerf', 'cubital', 'et', ""s'insère"", 'dans', 'le', 'pisiforme', 'est', 'le', 'flexor', 'carpi', 'ulnaris,', ""d'où"", 'la', 'réponse', '1.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim']]"
30_61,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'CHIRURGIE', 'THORACIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'chez', 'qui', 'on', 'avait', 'précédemment', 'diagnostiqué', 'une', 'BPCO', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'depuis', '3', 'jours', 'avec', 'une', 'augmentation', 'de', 'sa', 'dyspnée', 'habituelle', ""jusqu'au"", 'repos,', 'une', 'toux', 'avec', 'expectoration', 'blanchâtre', 'et', 'une', 'somnolence', 'marquée.'], ['Après', 'un', 'traitement', 'à', ""l'oxygène"", 'à', 'faible', 'concentration,', 'aux', 'bronchodilatateurs', 'et', 'aux', 'coticoïdes,', 'une', 'seconde', 'analyse', 'des', 'gaz', 'du', 'sang', 'artériel', 'a', 'été', 'réalisée', 'avec', 'une', 'fraction', ""d'oxygène"", 'inspiratoire', 'de', '28', '%', 'montrant', 'un', 'pH', 'de', '7,32,', 'une', 'pO2', 'de', '61', 'mmHg,', 'une', 'pCO2', 'de', '58', 'mmHg,', 'une', 'HCO3-', 'de', '29', 'mmol/l.'], ['Quelle', 'serait', 'votre', 'interprétation', 'des', 'gaz', 'du', 'sang', 'artériel', 'et', 'quel', 'traitement', 'utiliseriez-vous', '?'], ['1-', 'Il', 'augmenterait', 'le', 'débit', ""d'oxygène"", 'car', 'il', 'souffre', ""d'acidose"", 'respiratoire', 'aiguë', 'et', ""d'hypoxémie.""], ['2-', 'Je', 'mettrais', 'en', 'place', 'une', 'ventilation', 'mécanique', 'non', 'invasive', 'car', 'il', 'présente', 'une', 'insuffisance', 'respiratoire', 'aiguë', 'hypercapnique', 'avec', 'une', 'acidose', 'respiratoire', 'modérée.'], ['3-', ""J'ajouterais"", 'du', 'bicarbonate', 'de', 'sodium', 'pour', 'corriger', ""l'acidose"", 'métabolique', 'aiguë.'], ['4-', 'Le', 'patient', 'ne', 'présente', 'pas', ""d'insuffisance"", 'respiratoire', 'et', 'continue', 'donc', 'le', 'même', 'traitement', 'pharmacologique.'], ['5-', ""J'ajouterais"", ""l'aminophylline"", 'intraveineuse', 'comme', 'stimulant', 'respiratoire,', 'car', 'je', 'constate', 'une', 'hypoxémie', 'et', 'une', 'hypercapnie.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Je', 'parierai', 'sur', 'une', 'réponse,', 'mais', 'en', 'fonction', 'des', 'données', 'qui', 'ne', 'nous', 'sont', 'pas', 'fournies,', 'trois', 'réponses', 'pourraient', 'être', 'valables.'], ['Le', 'piège', 'est', ""qu'ils"", 'nous', 'donnent', 'le', 'tableau', 'clinique', 'initial', 'SANS', 'GASOMÉTRIE', 'et', ""qu'ils"", 'nous', 'donnent', 'ensuite', 'les', 'gaz', 'du', 'sang', 'SANS', 'CLINIQUE,', 'il', ""n'y"", 'a', 'donc', 'aucun', 'moyen', 'de', 'savoir', 'comment', 'le', 'patient', 'a', 'évolué', 'avec', 'notre', 'traitement', 'et', 'il', 'est', 'impossible', 'de', 'savoir', 'ce', ""qu'il"", 'faut', 'faire.'], ['Si', 'le', 'patient', 'est', 'arrivé', 'avec', 'une', 'valeur', 'de', 'gaz', 'sanguin', 'de', 'pH', '7,05', 'et', ""qu'il"", 'présente', ""aujourd'hui"", 'la', 'valeur', 'qui', 'nous', 'a', 'été', 'donnée,', ""c'est"", 'une', 'bonne', 'chose', '(bien', 'que', 'nous', 'ne', 'soyons', 'pas', 'informés', 'de', ""l'intervalle"", 'de', 'temps', 'entre', ""l'une"", 'et', ""l'autre"", 'chose)', 'et,', 'dans', 'ce', 'cas,', 'il', 'peut', 'être', 'intéressant', 'de', 'poursuivre', 'le', 'même', 'traitement.'], ['Si', 'rien', ""n'a"", 'changé,', 'que', 'le', 'tableau', 'clinique', 'est', 'le', 'même', 'et', 'que', 'les', 'gaz', 'du', 'sang', 'étaient', 'similaires', 'au', 'début,', 'il', 'faut', 'faire', 'quelque', 'chose', '(cela', 'dépend', 'aussi', 'de', ""l'état"", 'de', 'base', 'du', 'patient,', 'dont', 'on', 'ne', 'nous', 'parle', 'pas', 'non', 'plus).'], ['Si', 'nous', 'devions', 'décider', 'de', 'faire', 'quelque', 'chose,', 'à', ""l'heure"", 'actuelle,', 'nous', 'pourrions', 'décider', ""d'utiliser"", 'la', 'ventilation', 'plutôt', 'que', 'la', 'théophylline,', 'bien', ""qu'avec"", 'une', 'altération', '""si', 'faible""', 'du', 'pH', '(et', 'encore', 'plus', 'si', 'nous', 'pensons', ""qu'il"", ""s'agit"", ""d'un"", 'patient', 'chronique', 'qui', 'peut', 'avoir', 'un', 'niveau', 'de', 'gaz', 'sanguin', 'de', 'base', 'similaire', 'à', 'celui', 'qui', 'nous', 'est', 'présenté),', 'cela', 'peut', 'sembler', '""exagéré"".'], ['Nous', ""n'avons"", 'rien', '""contre""', 'la', 'théophylline', '(aucune', 'contre-indication', 'ne', 'nous', 'est', 'signalée),', 'mais', 'il', 'est', 'rare', ""aujourd'hui"", ""d'y"", 'avoir', 'recours.'], ['1', ':', 'Faux.', 'Il', ""s'agit"", ""d'un"", 'patient', '""rétentif""', 'et', ""l'augmentation"", 'du', 'débit', ""d'O2"", 'risque', 'fort', ""d'accroître"", ""l'hypercapnie"", 'et', 'donc', ""l'acidose.""], ['2', ':', 'Nous', 'garderons', 'cette', 'réponse', 'comme', 'correcte.'], ['3', ':', 'Il', 'ne', ""s'agit"", 'pas', ""d'une"", 'acidose', 'métabolique,', 'le', 'bicarbonate', ""n'est"", 'pas', 'diminué,', 'au', 'contraire,', 'il', 'est', 'légèrement', 'augmenté', 'pour', 'tenter', 'de', 'compenser', ""l'acidose"", 'respiratoire.'], ['4', ':', ""N'atteint"", 'pas', ""l'insuffisance"", 'respiratoire', 'par', 'définition', '(pO2', '60),', 'mais', 'présente', 'une', 'hypercapnie', 'et', 'une', 'légère', 'acidose.'], ['Si', 'nous', 'connaissions', 'la', 'première', 'mesure', 'des', 'gaz', 'du', 'sang', 'et', 'que', 'la', 'situation', 'était', 'bien', 'pire', ""(c'est-à-dire"", ""qu'elle"", 'évoluait', 'très', 'bien),', 'il', 'serait', 'possible', 'de', 'continuer', 'à', 'prendre', 'le', 'même', 'médicament,', 'mais', 'il', ""n'y"", 'en', 'a', 'pas', '!'], ['5', ':', 'A', ""l'heure"", 'actuelle,', 'et', 'comme', 'nous', ""l'avons"", 'déjà', 'mentionné,', 'étant', 'donné', ""qu'il"", ""n'y"", 'a', 'pas', 'de', 'contre-indication', 'formelle,', 'il', ""n'est"", 'pas', 'utilisé', 'habituellement.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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226_71,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '82', 'ans,', 'hypertendue,', 'sous', 'aténolol,', 'hydrochlorothiazide', 'et', 'digoxine.'], ['Il', 'a', 'été', 'admis', 'aux', 'urgences', 'pour', 'une', 'fibrillation', 'auriculaire', 'et', 'a', 'reçu', 'du', 'vérapamil', 'IV.'], [""L'ECG"", 'montre', 'un', 'bloc', 'auriculo-ventriculaire', 'complet.'], ['Quelle', 'est', 'la', 'cause', 'la', 'plus', 'probable', 'de', 'cette', 'situation', 'clinique', '?'], ['1-', 'Intoxication', 'digitalique', 'due', 'à', 'une', 'interaction', 'pharmacocinétique', 'avec', 'le', 'vérapamil.'], ['2-', 'Hypokaliémie', 'due', 'à', ""l'administration"", 'de', 'thiazide', 'et', 'de', 'digoxine.'], ['3-', 'Interaction', 'pharmacodynamique', 'entre', 'les', 'bêta-bloquants,', 'la', 'digoxine', 'et', 'le', 'vérapamil.'], ['4-', 'Effet', 'hypotenseur', 'des', 'diurétiques', 'thiazidiques.'], ['5-', 'Arythmie', 'cardiaque', 'due', 'au', 'vérapamil.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', 'prend', 'déjà', 'deux', 'inhibiteurs', 'du', 'nœud', 'AV', 'et', 'vous', 'en', 'ajoutez', 'un', 'troisième,', 'et', 'vous', 'vous', 'étonnez', ""qu'il"", 'obtienne', 'un', 'bloc', 'AV', 'complet', 'après', 'avoir', 'utilisé', 'des', 'médicaments', 'de', 'familles', 'différentes', 'mais', 'ayant', 'le', 'même', 'effet', '(pharmacodynamique)', '?'], ['Trois.'], ['Et', ""n'oubliez"", 'pas', 'que', 'les', 'drogues', 'sont', 'comme', 'les', 'boissons', 'lorsque', 'vous', 'allez', 'dans', 'un', 'bar', ':', 'ne', 'les', 'mélangez', 'pas', '!']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
565_148,,
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'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
277_226,"[['QUESTION', 'TYPE:', 'TUBE', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Dans', 'le', 'cadre', ""d'un"", 'programme', 'de', 'dépistage', 'du', 'cancer', 'du', 'côlon,', 'un', 'patient', 'de', '52', 'ans', 'subit', 'une', 'coloscopie.'], [""L'ensemble"", 'du', 'côlon', 'semble', 'normal,', 'à', ""l'exception"", ""d'un"", 'polype', 'pédiculé', 'de', '2', 'cm', 'dans', 'le', 'sigma,', 'qui', 'est', 'retiré', 'à', ""l'aide"", ""d'une"", 'anse', 'diathermique.'], ['Le', 'résultat', 'anatomopathologique', 'indique', 'un', 'carcinome', 'in', 'situ', 'limité', 'à', 'la', 'tête', 'du', 'polype.'], ['Le', 'scanner', 'thoraco-abdominal', 'est', 'normal.'], ['Indiquez', 'quelle', 'serait', 'la', 'bonne', 'marche', 'à', 'suivre.'], ['1-', 'Résection', 'segmentaire', 'du', 'côlon', 'atteint.'], ['2-', 'Surveillance', 'endoscopique', 'périodique.'], ['3-', 'Résection', 'locale', 'de', 'la', 'base', 'du', 'polype.'], ['4-', 'Sigmoïdectomie', 'et', 'lymphadénectomie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Le', 'carcinome', 'in', 'situ', 'est', 'délimité', 'par', 'la', 'membrane', 'basale,', ""c'est-à-dire"", ""qu'il"", ""n'est"", 'pas', 'encore', 'invasif,', 'et', 'le', 'traitement', 'consiste', 'donc', 'en', 'une', 'polypectomie,', 'ce', 'qui', 'a', 'déjà', 'été', 'fait.'], ['Un', 'suivi', 'endoscopique', 'ultérieur', '(avec', 'biopsies)', 'doit', 'être', 'effectué', 'à', 'un', 'intervalle', 'de', '3', 'à', '6', 'mois', 'en', 'fonction', 'des', 'antécédents', 'du', 'patient,', 'de', 'son', 'âge', 'et', 'des', 'pathologies', 'concomitantes.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
155_83,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '62', 'ans', 'ayant', 'des', 'antécédents', ""d'hypertension"", 'traitée', 'au', 'captopril,', ""d'ulcère"", 'duodénal', 'et', ""d'urolithiase"", 'à', ""l'acide"", 'urique.'], ['Consultation', 'pour', 'une', 'crise', 'typique', 'de', 'podagre', 'similaire', 'à', 'celles', 'présentées', 'au', 'cours', 'des', 'deux', 'dernières', 'années.'], ['À', ""l'examen,"", 'des', 'tophi', 'sont', 'observés', 'dans', 'les', 'deux', 'pavillons', 'de', ""l'oreille.""], ['Les', 'analyses', 'révèlent', 'un', 'taux', ""d'acide"", 'urique', 'de', '10,1', 'mg/dl', 'et', 'un', 'taux', 'de', 'créatine', 'de', '1,5', 'mg/dl.'], ['Veuillez', 'indiquer', 'laquelle', 'des', 'affirmations', 'suivantes', 'est', 'FAUSSE', 'en', 'ce', 'qui', 'concerne', 'votre', 'traitement', 'éventuel', 'par', ""l'allopurinol.""], ['1-', 'Il', 'est', 'utilisé', 'comme', 'second', 'choix', 'lorsque', 'les', 'uricosuriques', 'ont', 'échoué.'], ['2-', 'Leur', 'utilisation', 'à', 'long', 'terme', 'est', 'pratiquement', 'obligatoire', 'car', 'il', 'y', 'a', 'des', 'tophi.'], ['3-', 'Son', 'introduction', 'doit', 'être', 'retardée', ""jusqu'à"", 'ce', 'que', 'la', 'crise', 'en', 'cours', 'ait', 'été', 'résolue', 'par', 'des', 'anti-inflammatoires', 'ou', 'de', 'la', 'colchine.'], ['4-', 'Il', 'doit', 'être', 'introduit', 'progressivement', ""jusqu'à"", 'une', 'dose', 'permettant', ""d'obtenir"", 'une', 'uricémie', 'inférieure', 'à', '6', 'mg/dL.'], ['5-', 'Dans', 'les', 'premiers', 'mois', 'du', 'traitement,', 'il', 'est', 'conseillé', ""d'associer"", 'de', 'faibles', 'doses', 'de', 'colchicine', 'pour', 'prévenir', 'de', 'nouvelles', 'crises.'], ['BONNE', 'RÉPONSE', ':', '1'], [""L'allopurinol"", 'est', 'toujours', 'le', 'traitement', 'de', 'choix,', 'en', 'particulier', 'dans', 'le', 'cas', 'de', 'la', 'goutte', 'tophacée.'], ['De', 'plus,', 'dans', 'ce', 'cas,', 'les', 'uricosuriques', 'pourraient', 'aggraver', ""l'urolithiase"", 'en', 'augmentant', ""l'uricosurie"", '(désolé', 'pour', 'la', 'redondance...).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O']]"
373_86,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], [""L'ophtalmologie"", 'nous', 'a', 'adressé', 'un', 'homme', 'de', '31', 'ans', 'qui', 'nous', 'a', 'consultés', 'pour', 'une', 'perte', 'de', 'vision', 'et', 'des', 'céphalées', 'progressives.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'hémianopsie', 'temporale', 'et', ""l'IRM"", 'de', ""l'hypophyse"", 'a', 'montré', 'une', 'tournure', 'de', '35', 'x', '30', 'x', '20', 'mm', 'comprimant', 'le', 'chiasma', 'et', 'le', 'sinus', 'caverneux.'], ['Les', 'résultats', 'de', ""l'étude"", 'fonctionnelle', 'sont', 'les', 'suivants', ':', 'cortisol', '14', 'microg/dL,', 'TSH', '1,4', 'microU/ml,', 'T4L', '1,2', 'ng/dL,', 'prolactine', '480', 'microg/L', '(vn', '<', '15),', 'testostérone', '160', 'ng/dL', '(vn', '300-1200),', 'FSH', '1,2', 'U/I.,', '(vn', '5-15)', 'et', 'LH', '2', 'U/L', '(vn', '3-15).'], ['Quelle', 'est', ""l'approche"", 'thérapeutique', 'initiale', '?'], ['1-', 'Agonistes', 'dopaminergiques.'], ['2-', 'Chirurgie', 'transsphénoïdale.'], ['3-', 'Radiothérapie', 'externe', 'ou', 'radiochirurgie.'], ['4-', 'Traitement', 'de', ""l'hypogonadisme"", 'hypogonadotrope', 'par', 'la', 'testostérone.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Selon', 'la', 'description,', 'il', ""s'agit"", ""d'un"", 'macroprolactinome', 'car', 'il', ""s'agit"", ""d'une"", 'tumeur', 'hypophysaire', 'de', 'plus', ""d'un"", 'centimètre', 'qui', 'sécrète', 'de', 'la', 'prolactine', 'et', 'qui', 'présente', 'une', 'insuffisance', 'des', 'autres', 'hormones', 'hypophysaires.'], ['Les', 'agonistes', 'dopaminergiques', 'constituent', 'le', 'traitement', 'de', 'premier', 'choix,', 'mais', 'lorsque', 'le', 'champ', 'visuel', 'est', 'atteint,', 'la', 'chirurgie', 'peut', 'être', 'envisagée.'], ['Dans', 'ce', 'cas,', 'le', 'sinus', 'caverneux', 'est', 'soumis', 'à', 'la', 'pression', 'de', 'la', 'masse,', 'ce', 'qui', 'augmente', 'le', 'risque', 'chirurgical.'], ['Par', 'conséquent,', 'dans', 'ce', 'cas', 'particulier,', ""l'option"", 'chirurgicale', 'semble', 'plus', 'risquée.'], ['Compte', 'tenu', 'de', 'ces', 'éléments', 'et', 'du', 'fait', ""qu'il"", ""s'agit"", ""d'une"", 'tumeur', 'qui', 'produit', 'des', 'niveaux', 'élevés', 'de', 'prolactine,', 'ce', 'qui', 'indique', ""qu'elle"", 'est', 'susceptible', 'de', 'répondre', 'à', 'un', 'blocage', 'pharmacologique,', ""l'option"", 'la', 'plus', 'appropriée', 'serait', ""l'option"", '1,', 'le', 'traitement', 'avec', 'des', 'agonistes', 'dopaminergiques.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
523_124,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Une', 'infection', 'par', 'le', 'VIH', 'a', 'été', 'diagnostiquée', 'il', 'y', 'a', 'trois', 'mois', 'chez', 'un', 'patient', 'de', '45', 'ans,', 'avec', 'des', 'CD4', 'de', '45', 'lymphocytes/µl', 'et', 'une', 'charge', 'virale', 'VIH-1', 'de', '500', '000', 'copies/ml.'], ['À', 'cette', 'époque,', 'son', 'test', 'de', 'Mantoux', 'était', 'négatif.'], ['Il', 'a', 'commencé', 'un', 'traitement', 'avec', 'un', 'inhibiteur', 'de', ""l'intégrase"", 'et', 'deux', 'inhibiteurs', 'de', 'la', 'transcriptase', 'inverse.', 'Au', 'bout', ""d'un"", 'mois,', 'il', 'avait', '25', '000', 'copies', 'et', 'ses', 'CD4', 'étaient', 'remontés', 'à', '80/µL.'], ['Il', 'a', 'consulté', 'pour', 'des', 'antécédents', 'de', 'lymphadénopathie', 'cervicale', 'et', 'de', 'fièvre', 'depuis', 'deux', 'semaines.'], ['La', 'ponction', ""d'une"", 'des', 'adénopathies', 'a', 'montré', 'des', 'bacilles', 'acido-alcoolo-résistants', 'isolés', 'et', 'des', 'granulomes', 'épithélioïdes', ':'], ['1-', 'Il', ""s'agit"", ""d'une"", 'tuberculose', 'ganglionnaire', 'liée', 'à', 'une', 'récupération', 'immunitaire', 'incomplète.'], ['2-', ""L'échec"", 'du', 'traitement', 'et', ""l'infection"", 'opportuniste.'], ['3-', 'Il', ""s'agit"", ""d'une"", 'infection', 'opportuniste', 'démasquée', 'dans', 'le', 'contexte', 'de', 'la', 'reconstitution', 'immunitaire.'], ['4-', 'Un', 'test', 'de', 'Mantoux', 'négatif', 'exclut', 'la', 'tuberculose.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'un"", 'patient', 'infecté', 'par', 'le', 'VIH', 'en', 'situation', ""d'immunodépression"", 'sévère', '(<50', 'CD4+)', 'et', 'de', 'charge', 'virale', 'très', 'élevée,', 'qui', 'a', 'suivi', ""l'évolution"", 'attendue', 'du', 'point', 'de', 'vue', 'immunovirologique', 'après', 'le', 'début', 'du', 'traitement', '(après', '12', 'semaines,', 'la', 'charge', 'virale', 'a', 'ostensiblement', 'diminué', '-', 'la', 'réponse', '2', 'ne', 'serait', 'pas', 'correcte,', 'rappelons', ""qu'il"", 'est', 'souhaitable', ""qu'elle"", 'devienne', 'négative', '24', 'semaines', 'après', 'le', 'début', 'du', 'traitement,', 'bien', 'que', 'chez', 'les', 'patients', 'ayant', 'des', 'CV', 'plus', 'élevées', 'comme', 'les', 'nôtres,', 'cela', 'puisse', 'prendre', 'plus', 'de', 'temps', '-', 'et', 'le', 'nombre', 'de', 'CD4+', 'a', 'commencé', 'à', 'augmenter).'], ['Un', 'test', 'de', 'Mantoux', 'négatif', ""n'exclut"", 'pas', 'la', 'tuberculose', '(réponse', 'incorrecte', '4),', 'car', 'il', 'peut', 'donner', 'de', 'faux', 'négatifs', 'chez', 'les', 'patients', 'souffrant', ""d'immunosuppression"", 'sévère.'], ['Le', 'diagnostic', 'de', 'tuberculose', 'ganglionnaire', 'est', 'immédiat', 'dès', 'la', 'détection', 'de', '""bacilles', 'acido-alcoolo-résistants', 'isolés', 'et', 'de', 'granulomes', 'épithélioïdes""', 'dans', 'la', 'ponction', 'de', ""l'un"", 'des', 'ganglions', 'lymphatiques.', 'Toutefois,', 'compte', 'tenu', 'du', 'profil', 'du', 'patient,', 'ce', 'processus', 'aura', 'été', 'cliniquement', 'démasqué', 'au', 'cours', 'de', 'la', 'reconstitution', 'immunologique', 'et', ""l'infection"", ""n'est"", 'pas', 'la', 'conséquence', ""d'une"", 'récupération', 'immunologique', 'incomplète', '(réponse', 'correcte', 'numéro', '3).']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
417_76,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '78', 'ans', 'atteinte', 'de', 'démence', 'et', 'institutionnalisée', 'est', 'amenée', 'par', 'ses', 'soignants', 'pour', 'des', 'douleurs', 'abdominales', 'sévères', 'accompagnées', ""d'une"", 'détérioration', 'de', ""l'état"", 'général', 'et', ""d'une"", 'distension', 'abdominale.'], ['NFS', 'avec', 'leucocytose,', 'hématocrite', 'élevé,', 'insuffisance', 'rénale', 'et', 'acidose', 'métabolique.'], [""L'ECG"", 'montre', 'une', 'fibrillation', 'auriculaire.'], ['La', 'tomodensitométrie', 'abdominale', 'détecte', 'des', 'boucles', 'œdémateuses', 'de', ""l'intestin"", 'grêle,', 'avec', 'une', 'accumulation', 'intestinale', 'et', 'portale.'], ['Le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'le', 'suivant', ':'], ['1-', 'Perforation', ""d'un"", 'ulcère', 'gastrique', 'ou', 'duodénal.'], ['2-', 'Fuite', 'biliaire.'], ['3-', 'Néoplasie', 'sigmoïdienne', 'obstructive', 'avec', 'perforation.'], ['4-', 'Ischémie', 'mésentérique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Cas', 'typique', ""d'ischémie"", 'mésentérique', 'aiguë,', 'qui', 'doit', 'être', 'suspectée', 'chez', 'les', 'patients', 'âgés', 'présentant', 'des', 'douleurs', 'abdominales', 'et', 'des', 'ballonnements', ""d'apparition"", 'soudaine,', 'des', 'diarrhées', 'ou', 'des', 'vomissements', 'et', 'qui', 'présentent', 'des', 'facteurs', 'de', 'risque', 'cardiovasculaire,', 'en', 'particulier', 'une', 'cardiopathie', 'emboligène.'], ['Dans', 'ce', 'cas,', 'les', 'données', 'biochimiques', 'caractéristiques', '(leucocytose,', 'acidose', 'métabolique', 'due', 'à', ""l'acide"", 'lactique,', 'hémoconcentration', 'due', 'à', 'la', 'perte', 'de', 'liquide', 'dans', 'le', 'troisième', 'espace,', 'etc.)', 'et', 'les', 'examens', ""d'imagerie"", '(dilatation', 'des', 'anses,', 'pneumatose,', 'gaz', 'au', 'niveau', 'portal,', 'etc.)', 'sont', 'évocateurs', ""d'une"", 'ischémie', 'mésentérique.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
403_135,"[['QUESTION', 'TYPE:', 'OPHTALMOLOGIE', '(ECTOPIQUE)'], ['CLINICAL', 'CASE:'], ['Au', 'cours', ""d'un"", 'match', 'de', 'tennis,', 'un', 'patient', 'de', '25', 'ans', 'ressent', 'une', 'forte', 'douleur', 'au', 'niveau', 'du', 'cou', 'et', 'de', ""l'œil"", 'gauche.'], ['Le', 'lendemain', 'matin,', 'il', ""s'est"", 'réveillé', 'avec', 'une', 'sensation', ""d'instabilité"", 'de', 'la', 'démarche', 'et', 'présentait', 'un', 'ptosis', 'de', ""l'œil"", 'gauche', 'et', 'une', 'anisocorie,', 'la', 'pupille', 'gauche', 'étant', 'plus', 'petite', 'que', 'la', 'droite.'], ['Le', 'patient', 'conserve', 'une', 'bonne', 'acuité', 'visuelle.'], ['Où', 'situeriez-vous', 'le', 'plus', 'probablement', 'la', 'lésion', '?'], ['1-', 'Nerf', 'crânien', 'III.'], ['2-', 'Le', 'chiasme', 'optique.'], ['3-', 'Ganglion', 'cervical', 'supérieur.'], ['4-', 'La', 'colonne', 'vertebrale.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Le', 'syndrome', 'de', 'Claude-Bernard-Horner', 'est', 'une', 'vieille', 'connaissance', 'de', ""l'examen"", 'MIR.'], ['Nous', 'ne', 'le', 'voyons', 'pas', 'tous', 'les', 'jours', 'dans', 'la', 'pratique', 'clinique,', 'mais', 'il', 'apparaît', 'dans', 'de', 'nombreux', 'tests.'], ['La', 'ptose', 'de', 'la', 'paupière', 'supérieure', 'et', 'le', 'myosis', 'de', ""l'œil"", 'sont', 'caractéristiques.'], ['Ce', 'phénomène', 'est', 'dû', 'à', 'un', 'déficit', 'de', ""l'innervation"", 'sympathique', 'du', 'territoire', 'orbital.'], ['Le', 'système', 'nerveux', 'sympathique', 'innerve', 'le', 'muscle', 'de', 'Müller,', 'qui', 'est', 'un', 'muscle', 'accessoire', 'du', 'releveur', 'de', 'la', 'paupière', 'supérieure.'], ['Si', 'le', 'muscle', 'de', 'Müller', 'cesse', 'de', 'fonctionner,', 'la', 'paupière', ""s'abaisse"", 'légèrement.'], ['Il', 'innerve', 'également', 'le', 'muscle', 'dilatateur', 'de', ""l'iris.""], ['Par', 'conséquent,', 'le', 'muscle', 'sphincter,', 'son', 'antagoniste,', 'ne', ""s'oppose"", 'pas', 'et', ""l'équilibre"", 'de', 'la', 'pupille', 'se', 'déplace', 'vers', 'le', 'myosis.'], ['Il', 'explique', 'un', 'ptosis', 'et', 'un', 'myosis', 'de', ""l'œil"", 'gauche,', 'nous', 'soupçonnons', 'donc', 'un', 'syndrome', 'de', 'Horner', 'dans', 'cet', 'œil.'], ['Ils', 'décrivent', 'également', 'ce', 'qui', 'a', 'pu', 'se', 'produire', ':', 'après', 'un', 'éventuel', 'mouvement', 'brusque', 'lors', ""d'une"", 'partie', 'de', 'tennis,', 'il', 'ressent', 'une', 'douleur', 'dans', 'le', 'cou', 'et', 'un', 'Horner.'], ['Il', 'faut', 'suspecter', 'un', 'anévrisme', 'carotidien', 'disséquant,', 'qui', 'est', ""l'une"", 'des', 'causes', 'les', 'plus', 'connues', '(et', 'les', 'plus', 'graves)', 'du', 'syndrome', 'de', 'Horner', 'acquis.'], ['Le', 'ganglion', 'cervical', 'supérieur', 'est', 'un', 'ganglion', 'du', 'système', 'nerveux', 'sympathique', 'situé', 'dans', 'la', 'gaine', 'de', ""l'artère"", 'carotide,', 'et', ""c'est"", 'à', 'ce', 'niveau', ""qu'il"", 'a', 'été', 'touché.'], ['Nous', 'pouvons', 'également', 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42_150,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', ""d'un"", 'an', 'et', 'demi', ""s'est"", 'présenté', 'aux', 'urgences', 'avec', 'des', 'douleurs', 'abdominales', 'et', 'une', 'jaunisse.'], ['À', ""l'examen,"", 'une', 'masse', 'abdominale', 'est', 'palpée.'], ['Une', 'échographie', 'a', 'révélé', 'la', 'présence', ""d'un"", 'kyste', 'de', 'la', 'voie', 'biliaire', 'commune.'], ['Quelle', 'approche', 'thérapeutique', 'adopter', '?'], ['1-', 'Une', 'ponction', 'percutanée', 'pour', 'lavage', 'péritonéal', 'sera', 'réalisée', 'pour', 'vérifier', 'que', 'le', 'kyste', 'contient', 'de', 'la', 'bile', 'afin', 'de', 'laisser', 'un', 'drainage', 'pour', 'améliorer', 'la', 'douleur', 'abdominale.'], ['2-', 'Une', 'laparotomie', 'exploratrice', 'est', 'indiquée', 'et', 'la', 'totalité', 'de', 'la', 'voie', 'biliaire', 'est', 'radicalement', 'réséquée', 'et', 'remplacée', 'par', 'une', 'anse', 'intestinale.'], ['3-', 'Une', 'laparotomie', 'est', 'indiquée', 'pour', 'drainer', 'le', 'kyste', 'et', 'lorsque', 'la', 'dilatation', 'se', 'résorbe,', 'le', 'drain', 'est', 'retiré.'], ['4-', 'Une', 'scintigraphie', 'par', 'cholangio-résonance', 'sera', 'réalisée', 'pour', 'délimiter', 'le', 'kyste', 'et', 'une', 'laparotomie', 'sera', 'indiquée', 'pour', 'la', 'résection', 'du', 'kyste', 'et', ""l'anastomose"", 'des', 'voies', 'biliaires.'], ['5-', 'Une', 'étude', 'scintigraphique', 'HIDA', 'est', 'nécessaire', 'pour', 'délimiter', 'le', 'kyste', 'et', 'pouvoir', 'effectuer', 'un', 'drainage', 'percutané', 'en', 'toute', 'sécurité.'], ['BONNE', 'RÉPONSE', ':', '4'], ['La', 'bonne', 'réponse', 'est', '4.'], ['Le', 'kyste', 'du', 'canal', 'cholédoque', 'est', 'une', 'pathologie', 'congénitale', 'qui', 'se', 'manifeste', 'cliniquement', 'au-delà', 'de', 'la', 'période', 'néonatale.'], ['Une', 'image', 'de', 'qualité', 'qui', 'délimite', 'la', 'lésion', 'est', 'suffisante', 'pour', 'décider', 'de', ""l'approche"", 'chirurgicale.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
445_233,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '45', 'ans.'], ['Deux', 'grossesses', 'antérieures', 'avec', 'des', 'accouchements', 'normaux', '(G2PN2).'], ['Saignements', 'menstruels', 'abondants', 'pendant', 'environ', 'un', 'an.'], [""L'échographie"", 'montre', 'un', 'myome', 'sous-séreux', 'de', '2', 'cm', 'stable', 'depuis', 'plusieurs', 'années.'], ['Une', 'biopsie', 'de', ""l'endomètre"", 'a', 'été', 'effectuée', 'et', ""s'est"", 'révélée', 'normale.'], ['La', 'patiente', 'a', 'un', 'taux', ""d'hémoglobine"", 'de', '10', 'g/dl', 'malgré', 'une', 'ferrothérapie', 'orale', 'et', 'le', 'volume', 'du', 'flux', 'menstruel', ""n'a"", 'pas', 'diminué', 'malgré', 'un', 'traitement', 'à', ""l'acide"", 'tranexamique', 'et', 'à', ""l'acide"", 'méfénamique.'], ['Lequel', 'des', 'traitements', 'suivants', 'est', 'le', 'traitement', 'de', 'premier', 'choix', 'pour', 'ce', 'patient', '?'], ['1-', 'Hystérectomie', 'totale', 'conservant', 'les', 'appendices.'], ['2-', 'Contraceptifs', 'oraux', 'combinés.'], ['3-', 'Ablation', 'de', ""l'endomètre.""], ['4-', 'DIU', 'le', 'lévonorgestrel.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Selon', 'la', 'SEGO,', 'chez', 'les', 'femmes', 'périménopausées', 'ayant', 'des', 'saignements', 'menstruels', 'abondants', 'et/ou', 'prolongés', 'qui', 'ont', 'besoin', ""d'une"", 'contraception,', 'le', 'DIU', 'au', 'lévonorgestrel', '(également', 'appelé', 'DIU', 'MIRENA)', 'est', 'le', 'premier', 'choix.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
511_152,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '79', 'ans,', 'hypertendue', 'et', 'traitée', 'à', ""l'olmésartan,"", 'consulte', 'pour', 'une', 'diarrhée', 'aqueuse', 'avec', '4', 'à', '6', 'selles', 'par', 'jour', 'depuis', 'deux', 'mois.'], ['Il', 'y', 'a', 'trois', 'mois,', 'elle', 'a', 'été', 'traitée', 'par', 'des', 'anti-inflammatoires', 'non', 'stéroïdiens', 'pendant', 'trois', 'semaines', 'pour', 'une', 'lombosciatique.'], ['Une', 'gastroscopie', 'et', 'une', 'coloscopie', 'ont', 'été', 'effectuées,', 'toutes', 'deux', 'sans', 'altération', 'macroscopique.'], ['Les', 'biopsies', 'duodénales', 'étaient', 'normales,', 'tandis', 'que', 'les', 'biopsies', 'du', 'côlon', 'montraient', 'un', 'infiltrat', 'inflammatoire', 'chronique', 'de', 'la', 'lamina', 'propria', 'avec', 'une', 'bande', 'irrégulière', 'de', 'collagène', 'immédiatement', 'sous', ""l'épithélium"", 'de', 'surface', 'de', 'la', 'muqueuse', ""d'une"", 'épaisseur', 'supérieure', 'à', '10', 'mm', 'et', 'un', 'nombre', 'de', 'lymphocytes', 'intraépithéliaux', '>20', 'pour', '100', 'cellules', 'épithéliales.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Colite', 'microscopique.'], ['2-', 'Entéropathie', 'due', 'aux', 'AINS.'], ['3-', 'Entéropathie', 'associée', 'à', ""l'olmésartan.""], ['4-', 'Le', 'syndrome', 'du', 'côlon', 'irritable.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Les', 'critères', 'diagnostiques', 'de', 'la', 'colite', 'microscopique', 'sont', 'les', 'suivants', ':', 'a)', 'diarrhée', 'chronique', 'ou', 'intermittente', 'non', 'sanglante', 'et', 'aqueuse', 'b)', 'muqueuse', 'colique', 'évaluée', 'par', 'coloscopie', 'comme', 'étant', 'macroscopiquement', 'normale', 'ou', 'proche', 'de', 'la', 'normale', 'c)', 'résultats', 'histopathologiques', 'caractéristiques.'], ['Dans', 'notre', 'cas,', 'le', 'patient', 'présentait', 'des', 'signes', 'compatibles', 'avec', 'une', 'colite', 'collagénique', '(bande', 'de', 'collagène', 'sous-jacente', 'à', ""l'épithélium"", 'supérieure', 'à', '10', 'microns)', 'et', 'une', 'colite', 'lymphocytaire', '(plus', 'de', '20', 'lymphocytes', 'intra-épithéliaux).'], ['Le', 'traitement', 'de', 'cette', 'pathologie', 'repose', 'sur', 'des', 'corticostéroïdes', 'topiques', 'à', 'faible', 'biodisponibilité', 'orale', '(principalement', 'le', 'budésonide).'], [""L'entéropathie"", 'à', ""l'olmésartan"", 'présente', 'un', 'tableau', 'similaire', 'à', 'celui', 'de', 'la', 'maladie', 'cœliaque', 'et', 'se', 'caractérise', 'par', 'une', 'biopsie', 'duodénale', 'avec', 'atrophie', 'villositaire,', 'inflammation', 'de', 'la', 'muqueuse', 'avec', 'augmentation', 'des', 'lymphocytes', 'intraépithéliaux', 'et', 'cryptite.'], ['Dans', 'ce', 'cas,', 'une', 'biopsie', 'duodénale', 'normale', 'est', 'décrite,', 'mais', 'il', 'serait', 'intéressant', 'de', 'conserver', 'le', 'concept', 'pour', 'les', 'examens', 'futurs.']]","[['O', 'O', 'O'], ['O', 'O'], 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33_65,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'NEUROCHIRURGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '64', 'ans,', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'une', 'myasthénie', 'grave', 'il', 'y', 'a', 'un', 'an,', 'sous', 'traitement', 'de', 'stéroïdes', 'à', 'faible', 'dose', '(3', 'mg/jour', 'de', 'deflazacort)', 'et', ""d'anticholinestérasiques,"", 'asymptomatique', 'depuis', '6', 'mois,', 'consulte', 'pour', 'de', 'légères', 'difficultés', 'de', 'déglutition', 'et', 'une', 'diplopie', 'nocturne', 'depuis', 'quelques', 'jours.'], ['Il', 'a', 'été', 'admis', 'à', ""l'hôpital"", 'pour', 'une', 'suspicion', 'de', 'crise', 'myasthénique', 'et', 'un', 'traitement', 'a', 'été', 'mis', 'en', 'place.'], ['Le', 'lendemain,', 'le', 'patient', 'a', 'appelé', 'à', '3', 'heures', 'du', 'matin', 'parce', ""qu'il"", 'faisait', 'un', 'bruit', 'étrange', 'en', 'inspirant,', 'comme', 'un', 'doux', 'ronflement,', ""qu'il"", 'dormait', 'profondément', 'et', ""qu'il"", 'était', 'très', 'en', 'sueur,', 'mais', ""qu'il"", 'ne', 'semblait', 'pas', 'fatigué.'], ['Quelle', 'est', ""l'attitude"", 'la', 'plus', 'correcte', '?'], ['1-', 'Rassurer', ""l'infirmière"", 'et', 'la', 'famille', 'sur', 'le', 'fait', 'que', 'le', 'patient', 'est', 'un', 'ronfleur', 'habituel', 'et', ""qu'il"", 'dort', 'paisiblement.', 'Le', 'patient', 'doit', 'être', 'placé', 'en', 'décubitus', 'latéral.'], ['2-', 'Prévenir', 'les', 'soins', 'intensifs', 'en', 'cas', 'de', 'suspicion', ""d'insuffisance"", 'respiratoire', 'aiguë,', 'afin', ""d'évaluer"", 'la', 'possibilité', ""d'une"", 'intubation', 'orotrachéale', 'et', ""d'une"", 'ventilation', 'assistée.'], ['3-', 'Effectuer', 'une', 'étude', 'polysomnographique', 'pour', 'éliminer', ""l'apnée"", 'du', 'sommeil.'], ['4-', 'Diminuer', 'la', 'dose', 'de', 'stéroïdes', ';', 'si', 'vous', 'avez', 'une', 'myopathie', 'stéroïdienne,', 'elle', ""s'améliorera.""], ['5-', 'Demander', 'un', 'scanner', 'thoracique', 'pour', 'éliminer', 'un', 'thymome', 'compressif', 'sur', 'la', 'trachée', 'associé', 'à', 'une', 'myasthénie.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Il', ""s'agit"", ""d'un"", 'patient', 'atteint', 'de', 'myasthénie', 'décompensée', 'avec', 'des', 'symptômes', 'bulbaires', '(dysphagie)', 'et', 'donc', 'un', 'risque', ""d'atteinte"", 'des', 'muscles', 'respiratoires.'], ['Les', 'symptômes', 'respiratoires', 'correspondent', 'à', 'un', 'épuisement', 'des', 'muscles,', ""d'abord"", 'inspiratoires', 'puis', 'accessoires', '(le', 'patient', ""n'apparaît"", 'pas', 'fatigué', 'ou', 'tachypnéique', 'car', 'les', 'muscles', 'sont', 'épuisés),', 'évoluant', 'vers', 'un', 'coma', 'carbonique.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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129_81,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'NEUROCHIRURGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '78', 'ans', 'a', 'consulté', 'pour', 'une', 'année', 'de', 'détérioration', 'cognitive', 'progressive', 'avec', 'des', 'problèmes', 'de', 'mémoire', 'et', ""d'orientation.""], ['Sa', 'famille', 'signale', 'des', 'hallucinations', 'visuelles', 'récurrentes,', 'des', 'chutes', 'occasionnelles', 'et', 'un', 'ralentissement', 'moteur', 'frappant.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Démence', 'vasculaire', 'multi-infarctus.'], ['2-', 'Démence', 'de', 'type', 'Alzheimer.'], ['3-', 'Démence', 'à', 'corps', 'de', 'Lewy', 'diffus.'], ['4-', 'Démence', 'frontotemporale.'], ['5-', 'Hydrocéphalie', 'à', 'pression', 'normale.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'démence', 'avec', 'hallucinations', 'visuelles', 'précoces', '(au', 'cours', 'des', 'deux', 'premières', 'années)', 'est', 'très', 'évocatrice', 'des', 'corps', 'de', 'Lewy', 'et', 'constitue', 'le', 'symptôme', 'directeur', 'dans', 'ces', 'questions.'], ['Si', ""l'on"", 'ajoute', 'à', 'cela', 'les', 'chutes', 'et', 'le', 'ralentissement', 'moteur', 'évoquant', 'le', 'parkinsonisme,', 'la', 'question', 'devient', 'plus', 'facile.'], ['Par', 'conséquent,', 'le', 'numéro', '3', 'est', 'correct.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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89_57,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'VASCULAIRE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '64', 'ans', 'qui', 'consulte', 'pour', 'une', 'douleur', 'au', 'mollet', 'droit', 'lors', 'de', 'la', 'montée', 'de', 'collines', 'et', ""d'escaliers"", 'et', 'lors', ""d'une"", 'marche', 'prolongée', 'sur', 'terrain', 'plat.'], ['Il', 'signale', 'que', 'la', 'douleur', 'devient', 'si', 'intense', 'à', ""l'effort"", ""qu'il"", 'est', 'obligé', 'de', 'se', 'lever,', 'ce', 'qui', 'fait', 'disparaître', 'la', 'douleur', 'en', 'quelques', 'minutes.'], ['En', 'ce', 'qui', 'concerne', 'les', 'antécédents', 'personnels,', 'le', 'patient', 'est', 'un', 'fumeur', 'de', '20', 'cigarettes', 'par', 'jour,', 'diabétique', 'sous', 'metformine', 'et', 'hypertendu.'], ['À', ""l'examen,"", 'la', 'perfusion', 'périphérique', 'du', 'pied', 'droit', 'est', 'bonne,', 'mais', 'le', 'pouls', 'pédieux', 'est', 'diminué.'], ['Parmi', 'les', 'examens', 'complémentaires', 'suivants,', 'lesquels', 'devriez-vous', 'demander', 'en', 'premier', 'lieu', 'pour', 'diagnostiquer', 'et', 'évaluer', 'la', 'gravité', 'de', 'la', 'maladie', 'de', 'ce', 'patient', '?'], ['1-', 'Artériographie', 'des', 'membres', 'inférieurs.'], ['2-', 'Index', 'de', 'pression', 'systolique', '(indice', 'tibio-brachial).'], ['3-', 'Tomographie', 'axiale', 'informatisée', 'avec', 'reconstruction', 'vasculaire', 'des', 'membres', 'inférieurs.'], ['4-', 'Épreuve', ""d'effort"", 'sur', 'tapis', 'roulant.'], ['5-', 'Imagerie', 'par', 'résonance', 'magnétique.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Bien', 'que', 'le', 'diagnostic', 'de', 'la', 'maladie', 'artérielle', 'périphérique', 'soit', 'avant', 'tout', 'clinique', '(dans', 'le', 'cas', 'de', 'ce', 'patient,', 'le', 'tableau', 'est', 'très', 'typique),', 'nous', 'pouvons', 'évaluer', 'objectivement', 'la', 'gravité', 'de', 'la', 'maladie', 'à', ""l'aide"", 'de', 'techniques', 'sans', 'prélèvement', 'de', 'sang.'], ['Le', 'plus', 'important', 'est', ""l'indice"", 'cheville-brachiale.'], ['La', 'réponse', '2', 'est', 'donc', 'correcte.'], ['Les', 'techniques', ""d'imagerie"", '(artériographie,', 'angioCT', 'ou', 'angioMRI)', 'sont', 'utilisées', ""lorsqu'une"", 'réparation', 'chirurgicale', 'de', ""l'occlusion"", 'artérielle', 'est', 'envisagée.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
586_75,"[['QUESTION', 'TYPE:', 'OBSTÉTRIQUE', 'ET', 'GYNÉCOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '30', 'ans', 'demandant', 'une', 'méthode', 'contraceptive.'], ['Elle', 'a', 'subi', 'une', 'césarienne', ""d'urgence"", 'il', 'y', 'a', '7', 'mois', 'et', 'a', 'donné', 'naissance', 'à', 'une', 'petite', 'fille', 'de', '3', '550', 'grammes.'], ['Elle', 'allaite', 'exclusivement.'], ['Veuillez', 'cocher', ""l'affirmation"", 'correcte', ':'], ['1-', 'Expliquez-lui', 'que', 'si', 'elle', 'est', 'en', 'aménorrhée,', 'elle', ""n'a"", 'pas', 'besoin', ""d'une"", 'autre', 'méthode', 'contraceptive', 'car', ""l'allaitement"", 'suffit', 'comme', 'méthode', 'contraceptive.'], ['2-', 'Il', ""l'informe"", 'que', 'le', 'stérilet', 'au', 'lévonogestrel', 'est', 'contre-indiqué', 'car', 'elle', 'a', 'subi', 'une', 'césarienne', 'il', 'y', 'a', 'moins', ""d'un"", 'an.'], ['3-', 'Elle', 'explique', ""qu'elle"", 'pourrait', 'utiliser', 'une', 'méthode', 'hormonale', 'gestagène', 'seule.'], ['4-', 'Il', 'vous', 'propose', 'une', 'contraception', 'hormonale', 'combinée.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Compte', 'tenu', 'de', 'sa', 'situation', 'et', 'du', 'fait', ""qu'elle"", 'est', 'exclusivement', 'allaitée,', 'la', 'meilleure', 'chose', 'à', 'faire', 'serait', 'de', 'lui', 'prescrire', 'uniquement', 'des', 'gestagènes.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
461_148,"[['QUESTION', 'TYPE:', 'OPHTALMOLOGIE', '(ECTOPIQUE)'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '59', 'ans', 'ayant', 'récemment', 'eu', 'des', 'crises', ""d'épilepsie"", ""s'est"", 'présentée', 'au', 'service', 'des', 'urgences.'], [""L'examen"", 'a', 'révélé', 'des', 'signes', 'pyramidaux', 'gauches', 'et', 'un', 'œdème', 'papillaire.'], ['Une', 'IRM', 'du', 'cerveau', 'a', 'montré', 'une', 'masse', 'hémisphérique', 'droite', 'avec', 'œdème,', 'une', 'déviation', 'de', 'la', 'ligne', 'médiane', 'et', 'des', 'signes', 'de', 'hernie', 'tentorielle.'], ['signale', ""qu'il"", 'souffre', 'depuis', 'une', 'semaine', ""d'un"", 'mal', 'de', 'tête', 'dont', ""l'intensité"", 'augmente.'], ['Laquelle', 'des', 'caractéristiques', 'suivantes', 'associées', 'aux', 'céphalées', 'semble', 'la', 'plus', 'probable', 'pour', 'ce', 'patient', '?'], ['1-', 'La', 'domination', 'des', 'matins.'], ['2-', 'Il', 'ne', 'change', 'pas', 'avec', ""l'effort.""], ['3-', 'Photophobie.'], ['4-', 'Sonophobie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Il', ""s'agit"", ""d'un"", 'mal', 'de', 'tête', 'dans', 'le', 'contexte', ""d'un"", 'œdème', 'papillaire.'], ['Dans', 'ce', 'cas,', ""l'œdème"", 'papillaire', 'est', 'dû', 'à', 'une', 'augmentation', 'de', 'la', 'pression', 'intracrânienne', 'causée', 'par', 'une', 'tumeur.'], ['Les', 'céphalées', 'dues', 'à', 'une', 'augmentation', 'de', 'la', 'pression', 'intracrânienne', 'sont', 'positionnelles', '(elles', 'augmentent', 'avec', 'les', 'manœuvres', 'de', 'Valsalva', 'et', 'le', 'fait', 'de', 'se', 'pencher', 'en', 'avant),', ""l'option"", '2', ""n'est"", 'donc', 'pas', 'correcte.'], [""C'est"", 'aussi', 'principalement', 'le', 'matin', '(option', '1', 'correcte)', 'car', 'le', 'matin,', 'la', 'pression', 'intracrânienne', 'augmente', 'naturellement.'], ['Les', 'maux', 'de', 'tête', 'de', 'type', 'migraineux', 'peuvent', 'être', 'associés', 'à', 'une', 'photophobie', 'ou', 'à', 'une', 'sonophobie', '(réponses', '3', 'et', '4).'], ['Mais', 'ce', 'mal', 'de', 'tête', ""n'est"", 'pas', 'une', 'migraine.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
547_125,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '23', 'ans,', 'atteint', 'du', 'syndrome', 'de', 'Wolff-Parkinson-White,', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'des', 'palpitations.'], [""L'ECG"", 'montre', 'une', 'tachycardie', 'irrégulière', 'à', 'QRS', 'large', 'avec', 'une', 'fréquence', 'cardiaque', 'de', '205', 'bpm,', 'compatible', 'avec', 'une', 'fibrillation', 'auriculaire', 'préexcitée.'], ['Parmi', 'les', 'médicaments', 'suivants,', 'lequel', 'vous', 'semble', 'approprié', 'pour', 'arrêter', 'la', 'tachycardie', '?'], ['1-', 'Verapamil.'], ['2-', 'Digoxine.'], ['3-', 'Adénosine.'], ['4-', 'Procaïnamide.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Procaïnamide.'], ['Le', 'traitement', 'de', 'choix', 'du', 'syndrome', 'de', 'Wolff-Parkinson-White', 'est', 'la', 'cardioversion', 'par', 'courant', 'continu.'], ['Les', 'médicaments', 'ralentissant', 'la', 'fréquence', 'cardiaque,', 'couramment', 'utilisés', 'dans', 'la', 'fibrillation', 'auriculaire,', 'ne', 'sont', 'pas', 'efficaces,', 'et', 'la', 'digoxine', 'et', 'les', 'inhibiteurs', 'calciques', 'non', 'dihydropyrides', '(par', 'exemple,', 'le', 'vérapamil,', 'le', 'diltiazem)', 'sont', 'contre-indiqués', 'car', 'ils', 'peuvent', 'augmenter', 'la', 'fréquence', 'ventriculaire', 'et', 'provoquer', 'une', 'fibrillation', 'ventriculaire.'], ['Si', 'la', 'cardioversion', ""n'est"", 'pas', 'possible,', 'il', 'convient', ""d'utiliser"", 'des', 'médicaments', 'qui', 'prolongent', 'la', 'période', 'réfractaire', 'de', 'la', 'connexion', 'accessoire.'], ['La', 'procaïnamide', 'ou', ""l'amiodarone"", 'IV', 'sont', 'préférées,', 'mais', 'tout', 'médicament', 'antiarythmique', 'de', 'classe', 'Ia,', 'Ic', 'ou', 'III', 'peut', 'être', 'utilisé.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
193_161,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'nourrisson', 'de', '3', 'mois,', 'toutes', 'les', 'manifestations', 'cliniques', 'suivantes', 'permettent', ""d'exclure"", 'la', 'mucoviscidose', 'SAUF', ':'], ['1-', 'Retard', 'dans', ""l'évacuation"", 'du', 'méconium.'], ['2-', 'Goût', 'salé', 'de', 'la', 'peau.'], ['3-', 'Isolement', 'des', 'sécrétions', 'de', 'Pseudomonas', 'aeruginosa.'], ['4-', 'Détérioration/rétention', 'de', 'la', 'courbe', 'de', 'poids.'], ['5-', 'Déshydratation', 'hypernatrémique.'], ['BONNE', 'RÉPONSE', ':', '5'], ['La', 'déshydratation', 'peut', 'être', 'due', 'à', 'une', 'diarrhée', ""d'autres"", 'origines.'], [""J'ai"", 'des', 'doutes', 'sur', 'la', 'réponse', '3', 'car', 'elle', 'ne', 'précise', 'pas', 'quelles', 'sont', 'les', 'sécrétions', 'impliquées.'], ['Il', 'faut', 'comprendre', 'que', 'la', 'croissance', 'de', 'Pseudomona', 'aeruginosa', 'se', 'fait', 'dans', 'les', 'cultures', 'de', 'sécrétions', 'bronchiques.'], ['Parce', ""qu'il"", 'est', 'clair', 'que', ""l'indication"", ""d'effectuer"", 'un', 'dosage', 'du', 'chlore', 'sudoral', '(pour', 'exclure', 'la', 'PCP)', 'est', 'une', 'déshydratation', 'HYPONATREMIQUE', 'et', 'non', 'une', 'déshydratation', 'hypernatREMIQUE', 'comme', ""l'indique"", 'la', 'réponse.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
431_116,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES', 'ET', 'MICROBIOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '38', 'ans', ""s'est"", 'présenté', 'aux', 'urgences', 'avec', 'une', 'fièvre', 'supérieure', 'à', '39', 'ºC', 'et', 'une', 'détérioration', 'de', ""l'état"", 'de', 'conscience', 'après', 'un', 'voyage', 'en', 'Guinée', 'équatoriale', 'sans', 'prophylaxie', 'antipaludique.'], ['Dans', ""l'analyse"", 'analytique', ':', 'créatinine', '3,4', 'mg/dL,', 'AST', '764', 'UlL,', 'ALT', '678', 'UlL.'], ['Le', 'laboratoire', 'signale', 'la', 'visualisation', 'de', 'Plasmodium', 'falciparum', 'dans', 'le', 'sang', 'avec', 'un', 'taux', 'de', 'parasitémie', 'de', '6', '%.'], ['Quel', 'traitement', 'préconiseriez-vous', 'à', 'ce', 'stade', '?'], ['1-', 'Méfloquine', 'par', 'voie', 'orale.'], ['2-', 'Artésunate', 'par', 'voie', 'intraveineuse.'], ['3-', 'Doxycycline', 'par', 'voie', 'orale.'], ['4-', 'Sulfate', 'de', 'quinine', 'par', 'voie', 'orale.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Dans', 'les', 'cas', 'graves', ""d'infection"", 'à', 'Plasmodium,', 'le', 'plus', 'grand', 'risque', 'de', 'mortalité', 'survient', 'dans', 'les', '24', 'heures', 'suivant', 'la', 'présentation', 'clinique', 'et', 'le', 'traitement', 'doit', 'être', 'mis', 'en', 'place', 'immédiatement.'], ['Le', 'traitement', 'par', 'artésunate', 'par', 'voie', 'parentérale', 'ou', 'intramusculaire', 'est', 'plus', 'indiqué', 'en', 'cas', ""d'infection"", 'sévère', 'à', 'Plasmodium', 'chez', 'les', 'adultes,', 'les', 'enfants', 'et', 'les', 'femmes', 'enceintes.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
569_152,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '24', 'ans', 'présentant', 'une', 'microhématurie', 'dysmorphique,', 'une', 'protéinurie', 'de', '3', 'g/24', 'h,', 'un', 'DFGe', '(CKD-EPI)', 'de', '85', 'ml/min', 'et', 'une', 'perte', 'auditive', 'neurosensorielle.'], ['Elle', 'signale', 'que', 'sa', 'grand-mère', 'maternelle', 'a', 'dû', 'être', 'dialysée', 'à', ""l'âge"", 'de', '70', 'ans', 'et', 'que', 'sa', 'mère', 'et', 'sa', 'sœur', 'cadette', 'présentent', 'toutes', 'deux', 'une', 'microhématurie', 'isolée.'], ['Parmi', 'les', 'maladies', 'suivantes,', 'laquelle', 'est', 'la', 'plus', 'probable', '?'], ['1-', 'Le', 'syndrome', ""d'Alport.""], ['2-', 'Néphropathie', 'à', 'IgA.'], ['3-', 'La', 'maladie', 'de', 'Fabry.'], ['4-', 'Polykystose', 'rénale', 'autosomique', 'dominante.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Cas', ""d'école,"", 'peu', 'de', 'choses', 'à', 'ajouter.'], ['Microhématurie,', 'protéinurie', 'et', 'perte', 'auditive', 'neurosensorielle', 'chez', 'un', 'jeune', 'homme', 'ayant', 'des', 'antécédents', 'familiaux', 'de', 'femmes', 'atteintes', ""d'hématurie"", '=', 'syndrome', ""d'Alport.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim']]"
501_76,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Garçon', 'de', '5', 'ans', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'une', 'insuffisance', 'rénale', 'chronique.'], ['Il', ""s'est"", 'rendu', 'aux', 'urgences', 'pour', 'des', 'vomissements,', 'un', 'malaise', 'général', 'et', 'des', 'palpitations.'], ['Un', 'électrocardiogramme', 'avec', 'des', 'ondes', 'T', 'élevées', 'et', 'des', 'analyses', 'de', 'sang', 'avec', 'des', 'taux', 'de', 'potassium', 'de', '5,9', 'mEq/L', 'ont', 'été', 'effectués.'], [""L'administration"", 'immédiate', 'de', 'gluconate', 'de', 'calcium', 'est', 'décidée.'], ['Quel', 'est', ""l'objectif"", 'de', 'ce', 'traitement', '?'], ['1-', 'Favoriser', 'le', 'passage', 'du', 'potassium', 'de', ""l'espace"", 'plasmatique', 'à', ""l'espace"", 'intracellulaire.'], ['2-', 'Chélater', 'le', 'potassium', 'circulant', 'pour', 'favoriser', 'son', 'élimination', 'hépatique.'], ['3-', 'Chélater', 'le', 'potassium', 'circulant', 'pour', 'favoriser', 'son', 'élimination', 'rénale.'], ['4-', 'Antagoniser', ""l'action"", 'du', 'potassium', 'sur', 'la', 'membrane', 'cellulaire', 'du', 'myocarde.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Le', 'gluconate', 'de', 'calcium', ""n'a"", 'aucun', 'effet', 'sur', 'les', 'niveaux', 'de', 'potassium', 'dans', 'le', 'sang', '(les', 'options', '1,', '2', 'et', '3', 'sont', 'donc', 'exclues).'], ['Sa', 'fonction', 'est', 'de', 'diminuer', ""l'excitabilité"", 'des', 'myocytes', 'cardiaques', 'afin', 'de', 'réduire', 'la', 'probabilité', 'de', 'développer', 'des', 'troubles', 'du', 'rythme', 'cardiaque.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
242_111,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '50', 'ans,', 'bronchitique', 'chronique,', 'admis', 'pour', 'une', 'pneumonie', 'avec', 'une', 'hémoculture', 'positive', 'pour', 'Streptococcus', 'pneumoniae,', 'avec', 'une', 'CMI', 'de', 'pénicilline', 'de', '0,0125', 'mg/l.'], ['Un', 'traitement', 'à', 'base', 'de', 'pénicilline', '2', 'millions', 'toutes', 'les', '4', 'heures', 'est', 'mis', 'en', 'place.'], ['Le', 'cinquième', 'jour,', 'il', 'a', 'toujours', '38°C', 'de', 'fièvre.'], ['Laquelle', 'des', 'décisions', 'suivantes', 'vous', 'semble', 'correcte', '?'], ['1-', 'Je', 'changerais', 'le', 'traitement', 'pour', 'la', 'ceftriaxone', 'en', 'raison', 'de', 'sa', 'plus', 'grande', 'efficacité.'], ['2-', ""J'ajouterais"", 'une', 'quinolone', 'au', 'traitement.'], ['3-', 'Je', 'passerais', 'à', ""l'amoxicilline/acide"", 'clavulanique.'], ['4-', ""J'exclurais"", 'la', 'présence', ""d'un"", 'empyème', 'pleural.'], ['5-', 'Je', 'poursuivrais', 'le', 'même', 'traitement,', 'en', 'supposant', ""qu'il"", ""s'agit"", 'simplement', ""d'un"", 'problème', 'de', 'temps.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Le', 'patient', 'était', 'un', 'homme', 'souffrant', ""d'une"", 'pneumonie', 'avec', 'un', 'germe', 'isolé', 'dans', ""l'hémoculture"", 'et', ""l'antibiogramme.""], ['Selon', 'les', 'données', 'fournies,', 'il', ""s'agissait"", ""d'un"", 'pneumocoque', 'sensible', 'à', 'la', 'pénicilline', '(CMI<0,125).', 'Un', 'traitement', 'a', 'donc', 'été', 'mis', 'en', 'place', 'avec', 'de', 'la', 'pénicilline', 'à', 'fortes', 'doses', 'toutes', 'les', '4', 'heures,', 'malgré', 'la', 'persistance', 'de', 'la', 'fièvre.'], ['Si', ""l'on"", 'analyse', 'attentivement', 'le', 'cas,', 'le', 'traitement', 'devrait', 'être', 'efficace', 'puisque', 'le', 'germe', 'est', 'pleinement', 'sensible', 'au', 'médicament', 'et', 'que', 'le', 'dosage', 'est', 'adéquat', '(il', 'faut', 'donc', 'maintenir', 'en', 'permanence', 'des', 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528_134,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '53', 'ans', 'ayant', 'des', 'antécédents', 'personnels', ""d'obésité"", 'et', 'de', 'migraine.'], ['Sa', 'tension', 'artérielle', 'a', 'été', 'prise', 'à', 'plusieurs', 'reprises', 'au', 'cabinet', 'du', 'médecin', 'et', 'de', ""l'infirmière"", 'et', 'est', 'restée', 'inférieure', 'à', '140/90', 'mmHg.'], ['Cependant,', 'un', 'appareil', 'de', 'mesure', 'de', 'la', 'tension', 'artérielle', 'homologué', 'a', 'été', 'acheté', 'et', 'il', 'a', 'été', 'formé', 'pour', ""l'utiliser"", 'correctement.'], ['Il', 'présente', 'des', 'mesures', 'de', 'tension', 'artérielle', 'prises', 'à', 'domicile', 'pendant', 'plusieurs', 'semaines', 'et', 'dont', 'les', 'valeurs', 'sont', 'supérieures', 'à', '140/90', 'mmHg.'], ['Veuillez', 'cocher', 'la', 'bonne', 'réponse', ':'], ['1-', ""L'hypertension"", 'artérielle', 'secondaire.'], ['2-', 'Vous', 'avez', 'une', 'hypertension', 'artérielle', 'masquée.'], ['3-', 'Hypertension', 'clinique', 'isolée.'], ['4-', 'Vous', 'avez', 'une', 'hypertension', 'artérielle', 'réfractaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Le', 'patient', 'décrit', 'correspond', 'à', 'la', 'définition', 'de', ""l'HTN"", 'masquée,', 'avec', 'des', 'chiffres', 'normaux', 'en', 'consultation', 'et', 'des', 'chiffres', 'élevés', 'à', ""l'AMPA"", 'ou', 'à', ""l'ABPM"", '(option', '2', 'correcte).'], ['Il', 'ne', ""s'agit"", 'pas', ""d'un"", 'TCNA', 'secondaire', 'car', 'aucune', 'étude', ""n'a"", 'été', 'réalisée', 'pour', 'le', 'confirmer', '(option', '1', 'incorrecte).'], ['Il', 'ne', ""s'agit"", 'pas', ""d'une"", 'HTA', 'isolée', 'car', 'les', 'chiffres', 'élevés', 'se', 'maintiennent', 'pendant', 'plusieurs', 'semaines', '(option', '3', 'incorrecte).'], ['Il', 'ne', ""s'agit"", 'pas', ""d'une"", 'HTN', 'réfractaire', 'car', 'elle', ""n'a"", 'pas', 'encore', 'été', 'traitée', '(option', '4', 'incorrecte).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim']]"
583_70,"[['QUESTION', 'TYPE:', 'OBSTÉTRIQUE', 'ET', 'GYNÉCOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '43', 'ans', 'porteuse', ""d'un"", 'dispositif', 'intra-utérin', 'au', 'lévonorgestrel', 'consulte', 'pour', 'un', 'manque', 'de', 'repos', 'nocturne', 'avec', 'apparition', 'de', 'chaleur', 'et', 'de', 'palpitations.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'montré', 'une', 'T4', 'libre', 'de', '10,5', 'pmol/L', '(9-19),', 'une', 'thyrotropine', 'de', '2,1', 'mUI/L', '(0,30-5,00),', 'une', 'FSH', 'de', '95,6', 'UI/L', '(1,38-16,7),', 'une', 'LH', 'de', '21', 'UI/L', '(2,4-9,3),', 'un', 'œstradiol', 'de', '<', '0,07', 'nmol/L', '(0,07-1,14).'], ['Quel', 'est', 'le', 'traitement', 'le', 'plus', 'approprié', '?'], ['1-', 'Benzodiazépine.'], ['2-', 'Les', 'œstrogènes', 'vaginaux.'], ['3-', 'Oestrogènes', 'et', 'progestatifs', 'oraux', 'en', 'régime', 'continu.'], ['4-', 'Œstrogènes', 'transdermiques', 'en', 'régime', 'continu.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Le', 'profil', 'hormonal', 'est', 'celui', 'de', 'la', 'ménopause', '(FSH', '>20', ';', 'œstradiol', '<5)', 'et', 'la', 'patiente', 'présente', 'des', 'symptômes', 'vasomoteurs', 'systémiques.'], ['Les', 'œstrogènes', 'systémiques', 'seraient', 'donc', 'plus', 'appropriés.'], ['Pour', 'compenser,', 'elle', 'dispose', 'déjà', ""d'un"", 'progestatif', '(DIU', 'au', 'lévonorgestrel)', 'localement', 'dans', ""l'utérus.""]]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
195_163,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '15', 'mois', 'a', 'été', 'amené', 'en', 'urgence', 'au', 'centre', 'de', 'santé.', 'Après', 'avoir', 'mangé', 'une', 'bouchée', ""d'omelette"", 'pendant', 'le', 'dîner,', 'il', 'a', 'soudainement', 'présenté', 'des', 'rougeurs', 'faciales,', 'principalement', 'péribuccales,', 'des', 'lésions', 'hémorragiques', 'sur', 'le', 'tronc', 'et', 'les', 'extrémités,', 'ainsi', ""qu'une"", 'toux.'], ['A', ""l'arrivée"", 'au', 'centre,', 'le', 'patient', 'était', 'conscient', 'et,', 'en', 'plus', 'de', 'ce', 'qui', 'a', 'été', 'décrit', 'ci-dessus,', 'les', 'éléments', 'suivants', 'ont', 'été', 'observés', ':', 'oppression', 'suprasternale,', 'rhinorrhée', 'aqueuse', 'abondante,', 'hypoventilation', 'bilatérale', 'sans', 'respiration', 'sifflante', 'et', 'remplissage', 'capillaire', 'inférieur', 'à', '2', 'secondes.'], ['Parmi', 'les', 'affirmations', 'suivantes,', 'cochez', 'la', 'réponse', 'qui', 'convient', ':'], ['1-', 'La', 'première', 'priorité', 'est', 'de', 'canaliser', 'une', 'voie', 'veineuse.'], ['2-', 'La', 'méthylprednisolone', 'intramusculaire', 'est', 'le', 'traitement', 'de', 'choix.'], ['3-', 'Il', ""s'agit"", ""d'un"", 'cas', ""d'urticaire"", 'associé', 'à', ""l'asthme,"", 'qui', 'doit', 'être', 'traité', 'par', 'des', 'antihistaminiques', 'et', 'des', 'bronchodilatateurs', 'inhalés.'], ['4-', 'Il', 'faut', 'conseiller', 'aux', 'parents', 'de', 'transférer', ""l'enfant"", 'au', 'service', 'des', 'urgences', ""d'un"", 'hôpital.'], ['5-', ""L'adrénaline"", 'intramusculaire', 'doit', 'être', 'administrée', 'sans', 'délai.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Il', 'décrit', 'une', 'anaphylaxie', 'à', ""l'œuf,"", 'un', 'état', 'qui', 'met', 'la', 'vie', 'en', 'danger.'], ['Le', 'traitement', 'de', 'choix', 'est', ""l'adrénaline"", 'intramusculaire,', 'et', 'de', 'manière', 'efficace,', 'sans', 'perdre', 'trop', 'de', 'temps.'], ['La', 'première', 'chose', 'est', ""l'adrénaline"", 'INTRAMUSCULAIRE', 'MAINTENANT', '!'], ['La', 'voie', 'veineuse,', 'les', 'corticoïdes,', 'les', 'antihistaminiques,', 'etc.', 'viendront', 'plus', 'tard.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
84_49,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'VASCULAIRE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '75', 'ans,', 'hypertendu', 'et', 'dyslipidémique', 'avec', 'des', 'antécédents', ""d'insuffisance"", 'cardiaque', 'due', 'à', 'un', 'dysfonctionnement', 'systolique', 'du', 'ventricule', 'gauche', '(FE', '<', '30', '%).'], ['Elle', ""s'est"", 'présentée', 'à', 'notre', 'clinique', 'en', 'raison', ""d'une"", 'aggravation', 'de', 'sa', 'dyspnée', 'habituelle', 'au', 'cours', 'des', 'dernières', 'semaines.'], ['Sa', 'tension', 'artérielle', 'systolique', 'est', 'de', '160/95', 'mmHg', 'et', 'sa', 'fréquence', 'cardiaque', 'de', '65', 'bpm.'], [""L'examen"", 'physique', ""n'a"", 'révélé', 'aucun', 'crépitement', 'et', 'une', 'pression', 'veineuse', 'jugulaire', 'normale.'], ['Il', 'fournit', 'une', 'détermination', 'de', 'la', 'créatinine', 'qui', 'est', 'de', '3,7', 'mg/dL', 'avec', 'des', 'ions', 'dans', 'la', 'normale.'], ['Parmi', 'les', 'médicaments', 'suivants,', 'lequel', 'est', 'le', 'plus', 'à', 'même', ""d'améliorer"", 'le', 'pronostic', 'de', 'votre', 'insuffisance', 'cardiaque', '?'], ['1-', 'Enalapril.'], ['2-', 'Losartan.'], ['3-', 'Spironolactone.'], ['4-', 'Bisoprolol.'], ['5-', 'Eplerenone.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Chez', 'un', 'patient', 'souffrant', 'des', 'facteurs', 'de', 'risque', 'cardiovasculaire', 'multiples', 'avec', 'insuffisance', 'cardiaque', 'et', 'rénale', 'concomitante', '(probablement', ""d'étiologie"", 'multiple', ':', 'hypoperfusion', 'rénale,', 'artériosclérose...),', 'nous', 'devons', 'être', 'très', 'prudents', 'lors', 'de', ""l'utilisation"", 'de', 'diurétiques', 'et', ""d'inhibiteurs"", 'de', ""l'ECA/ARA-II,"", 'car', 'nous', 'pouvons', 'aggraver', 'la', 'fonction', 'rénale', 'et/ou', 'augmenter', 'les', 'taux', 'de', 'potassium', '(parmi', 'les', 'diurétiques,', 'la', 'spironolactone', 'et', ""l'éplérénone"", 'sont', '""épargnant', 'le', 'potassium"").'], ['Par', 'conséquent,', 'dans', 'ce', 'cas,', 'nous', 'utiliserons', 'le', 'bisoprolol.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
427_95,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '45', 'ans', ""s'est"", 'présentée', 'aux', 'urgences', 'avec', 'des', 'symptômes', 'de', 'confusion', 'accompagnés', 'de', 'dysphonie.'], ['À', ""l'examen,"", 'elle', 'présentait', 'une', 'masse', 'palpable', 'au', 'niveau', 'du', 'cou', 'et', 'une', 'analyse', 'de', 'sang', 'a', 'révélé', 'un', 'taux', 'de', 'calcium', 'plasmatique', 'de', '15', 'mg/dl', '(normal', ""jusqu'à"", '10,2', 'mg/dl).'], ['Au', 'vu', 'de', 'ces', 'résultats,', 'lequel', 'des', 'diagnostics', 'suivants', 'doit', 'être', 'suspecté', '?'], ['1-', 'Carcinome', 'de', 'la', 'parathyroïde.'], ['2-', 'Le', 'carcinome', 'médullaire', 'de', 'la', 'thyroïde.'], ['3-', 'MEN', 'type', 'I.'], ['4-', 'Adénome', 'parathyroïdien.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Masse', 'palpable', 'au', 'niveau', 'du', 'cou', ':', 'suspecter', 'une', 'pathologie', 'thyroïdienne/parathyroïdienne.'], ['Ils', 'nous', 'informent', ""qu'il"", 'est', 'associé', 'à', 'une', 'hypercalcémie,', 'ce', 'qui', 'exclut', ""l'option"", ""d'un"", 'cancer', 'médullaire', 'de', 'la', 'thyroïde', '(il', ""n'affecte"", 'pas', 'le', 'niveau', 'de', 'la', 'calcémie).'], ['Pour', 'penser', 'à', 'une', 'MEN', 'de', 'type', 'I,', 'il', 'faut', 'associer', ""d'autres"", 'pathologies', '(tumeurs', 'hypophysaires,', 'pancréatiques', 'ou', 'duodénales).'], ['La', 'présence', ""d'une"", 'calcémie', 'supérieure', 'à', '13mgr/dl,', 'associée', 'à', 'une', 'dysphonie,', 'oriente', 'vers', 'une', 'tumeur', 'maligne', '(calcémie', 'plus', 'élevée', 'et', 'infiltration),', 'et', 'nous', 'optons', 'donc', 'pour', ""l'option"", '1.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
462_151,"[['QUESTION', 'TYPE:', 'OPHTALMOLOGIE', '(ECTOPIQUE)'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '13', 'ans', 'présente', 'des', 'céphalées', 'subaiguës', 'et', 'une', 'diplopie.'], [""L'examen"", 'neurologique', 'a', 'révélé', 'une', 'paralysie', 'du', 'regard', 'vertical', 'et', ""l'IRM"", 'a', 'mis', 'en', 'évidence', 'une', 'lésion', 'prenant', 'le', 'contraste', 'dans', 'la', 'région', 'pinéale', 'et', 'obstruant', ""l'aqueduc"", 'silvien.'], ['Le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'le', 'suivant', ':'], ['1-', 'Glioblastome.'], ['2-', 'Le', 'médulloblastome.'], ['3-', 'Tumeur', 'des', 'cellules', 'germinales.'], ['4-', 'Méningiome.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'diplopie', 'est', 'généralement', 'causée', 'par', 'un', 'strabisme', 'aigu', 'ou', 'secondaire.'], ['La', 'paralysie', 'du', 'regard', 'vertical', 'est', 'due', 'à', 'une', 'lésion', 'du', 'mésencéphale.'], ['Dans', 'ce', 'cas,', ""l'IRM"", 'situe', 'déjà', ""l'origine"", 'des', 'symptômes', 'dans', 'la', 'glande', 'pinéale.'], ['La', 'tumeur', 'la', 'plus', 'fréquente', 'dans', 'cette', 'région', 'est', 'la', 'tumeur', 'germinale', '(réponse', '3).']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
557_168,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '58', 'ans,', 'obèse,', 'asymptomatique,', 'buveur', 'modéré,', 'présentant', 'une', 'première', 'glycémie', 'de', 'référence', 'de', '153', 'mg/j', 'avec', 'une', 'glycosurie', 'négative.'], ['Au', 'cours', 'des', 'semaines', 'suivantes,', 'il', 'a', 'eu', 'deux', 'autres', 'glycémies', 'basales', 'de', '118', 'et', '136', 'mg/dl.'], ['Laquelle', 'des', 'approches', 'suivantes', 'est', 'la', 'plus', 'appropriée', 'pour', 'confirmer', 'le', 'diagnostic', 'de', 'diabète', 'sucré', '?'], ['1-', 'Réaliser', 'une', 'courbe', 'de', 'glycémie', 'avec', '75', 'g', 'de', 'glucose.'], ['2-', 'Répond', 'déjà', 'aux', 'critères', 'de', 'diagnostic', 'du', 'diabète', 'sucré.'], ['3-', 'Demander', 'un', 'dosage', 'de', ""l'insulinémie"", 'basale', 'ou', 'du', 'peptide', 'C.'], ['4-', 'Demander', 'un', 'dosage', 'de', ""l'hémoglobine"", 'glycosylée.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Critères', 'de', 'diagnostic', 'du', 'diabète', 'selon', 'ISPAD', '2018', '*Symptômes', 'classiques', 'du', 'diabète', 'avec', 'une', 'glycémie', '>', '200mgr/dl', 'ou', ':', '*', 'Glycémie', 'à', 'jeun', '≥', '126mgr/dl', '(à', 'jeun', 'au', 'moins', '8h)', 'ou', '*', 'Glycémie', 'à', '2h', 'SOG', '≥', '200mgr/dl', '(à', '2', 'reprises)', 'ou', '*', 'HbA1C', '≥', '6,5%.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
35_68,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'NEUROCHIRURGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '56', 'ans,', 'sans', 'antécédents', 'personnels', 'ou', 'familiaux,', 'est', 'examiné', 'parce', ""qu'il"", 'a', 'des', 'difficultés', 'à', 'marcher', 'sur', 'sa', 'jambe', 'droite', 'depuis', 'six', 'mois.'], ['Aucun', 'autre', 'symptôme', ""n'a"", 'été', 'signalé.'], [""L'examen"", 'montre', 'une', 'faiblesse', 'de', '4/5', 'pour', 'la', 'dorsiflexion', 'et', ""l'éversion"", 'du', 'pied', 'et', 'de', '4/5', 'pour', 'la', 'flexion', 'et', ""l'inversion"", 'du', 'pied,', 'avec', 'une', 'augmentation', 'des', 'réflexes', 'musculaires', 'et', 'de', 'Babinski,', 'le', 'reste', 'étant', 'normal.'], ['Le', 'diagnostic', 'syndromique', 'serait', 'le', 'suivant', ':'], ['1-', 'Mononeuropathie', 'du', 'nerf', 'péronier', 'commun', 'droit.'], ['2-', 'Atteinte', 'focale', 'du', 'premier', 'motoneurone', 'et', 'atteinte', 'probable', 'du', 'second', 'motoneurone.'], ['3-', 'Atteinte', 'hémimédullaire', 'droite', '(Brown-Séquard).'], ['4-', 'Mononeuropathie', 'multiple', 'avec', 'atteinte', 'du', 'nerf', 'péronier', 'commun', 'et', 'du', 'nerf', 'tibial', 'postérieur', 'droit.'], ['5-', 'Plexopathie', 'lombaire', 'droite.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Mauvaise', 'réponse', '1', ':', 'elle', ""n'explique"", 'pas', 'le', 'pyramidalisme.'], ['Réponse', 'correcte', '2', ':', 'réponse', 'non', 'spécifique,', 'mais', 'probablement', 'correcte.'], ['Réponse', 'incorrecte', '3', ':', 'Nous', 'manquerions', 'de', 'données', 'pour', 'penser', 'à', 'un', 'syndrome', 'hémimédullaire', 'de', 'Brown', 'Sequard.'], ['Cela', 'expliquerait', 'le', 'pyramidalisme,', 'mais', 'les', 'données', 'suggestives', 'de', 'cette', 'condition,', 'telles', 'que', ""l'hypoesthésie"", 'controlatérale,', 'seraient', 'absentes.'], ['Mauvaise', 'réponse', '4', ':', 'elle', 'pourrait', 'expliquer', 'les', 'difficultés', 'de', 'dorsiflexion', 'et', 'de', 'flexion', 'plantaire', 'du', 'pied,', 'mais', 'pas', 'le', 'pyramidalisme.'], ['Mauvaise', 'réponse', '5', ':', 'de', 'la', 'même', 'manière', 'que', 'ci-dessus,', 'elle', 'pourrait', 'expliquer', 'une', 'partie', 'du', 'tableau', 'clinique,', 'mais', 'pas', 'le', 'pyramidalisme.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
271_170,"[['QUESTION', 'TYPE:', 'ANESTHÉSIOLOGIE', 'ET', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '80', 'ans', 'se', 'présente', 'à', 'votre', 'cabinet', 'pour', 'une', 'évaluation', 'en', 'vue', ""d'une"", 'cholécystectomie', 'laparoscopique', 'programmée.'], ['Il', 'a', 'des', 'antécédents', ""d'hypertension"", 'artérielle', 'et', 'est', 'sous', 'traitement', 'depuis', '10', 'ans.'], ['Il', 'nie', 'toute', 'maladie', 'cardiaque', 'ou', 'pulmonaire.'], ['Pas', 'de', 'douleur', 'thoracique.'], ['Il', 'mène', 'une', 'vie', 'active', 'et', 'se', 'rend', 'chaque', 'jour', 'à', 'la', 'salle', 'de', 'sport', 'où', 'il', 'alterne', 'entre', 'la', 'natation', 'et', 'la', 'marche', 'sur', 'le', 'tapis', 'roulant', 'pendant', 'au', 'moins', 'une', 'heure.'], ['Traitement', 'habituel', ':', 'nébivolol', '5', 'mg', 'toutes', 'les', '24', 'heures', 'et', 'hydrochlorothiazide', '12,5', 'mg', 'par', 'jour.'], ['Examen', 'physique', ':', 'poids', '73', 'kg', ';', 'taille', 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'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
306_207,"[['QUESTION', 'TYPE:', 'OPHTHALMOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '34', 'ans', 'jouant', 'au', 'tennis', 'est', 'frappé', 'par', 'la', 'balle', 'au', 'niveau', 'de', ""l'orbite"", 'gauche.'], ['À', ""l'examen,"", 'le', 'patient', 'présentait', 'un', 'large', 'hématome', 'palpébral,', 'une', 'hyposphagmie,', 'une', 'diplopie', 'au', 'niveau', 'de', 'la', 'vision', 'supérieure', 'avec', 'une', 'limitation', 'de', 'la', 'version', 'supérieure', 'du', 'globe', 'oculaire.'], ['Que', 'soupçonnez-vous', '?'], ['1-', 'Fracture', 'de', 'la', 'paroi', 'inférieure', 'du', 'plancher', 'de', ""l'orbite"", 'avec', 'coincement', 'du', 'muscle', 'droit', 'inférieur.'], ['2-', 'Fracture', 'de', ""l'arcade"", 'zygomatique.'], ['3-', 'Fracture', 'de', 'la', 'paroi', 'supérieure', 'de', ""l'orbite"", 'avec', 'pincement', 'du', 'muscle', 'droit', 'supérieur.'], ['4-', 'Fracture', 'dentoalvéolaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Dans', 'la', 'déclaration,', 'ils', 'décrivent', 'une', 'diplopie', 'de', 'la', 'vision', 'supérieure', 'avec', 'une', 'limitation', 'de', ""l'extension"", 'du', 'globe', 'oculaire', 'supérieur.'], ['La', 'fonction', 'mécanique', 'du', 'droit', 'inférieur', 'gauche', 'étant', 'compromise,', 'elle', 'ne', 'permettrait', 'pas', 'de', 'compléter', 'le', 'mouvement', 'supraductionnel,', 'générant', 'une', 'diplopie', 'verticale.', 'Ceci,', 'associé', 'à', ""l'histoire"", 'traumatique,', 'nous', 'amène', 'à', 'suspecter', 'une', 'fracture', 'du', 'plancher', 'orbitaire', 'avec', 'piégeage', 'musculaire', 'du', 'droit', 'inférieur.'], ['La', 'fracture', 'du', 'toit', 'est', 'beaucoup', 'moins', 'fréquente', 'et', 'le', 'piégeage', 'du', 'muscle', 'droit', 'supérieur', 'entraînerait', 'une', 'limitation', 'de', ""l'infraduction.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
328_83,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '49', 'ans', 'consulte', 'pour', 'une', 'polyurie', 'et', 'une', 'polydipsie', 'sévères', 'et', 'une', 'perte', 'de', 'poids', 'involontaire', 'de', '10', 'kg.', 'On', 'lui', 'diagnostique', 'un', 'diabète', 'sucré', 'en', 'raison', ""d'une"", 'glycémie', 'plasmatique', 'de', '322', 'mg/dL', 'et', ""d'une"", 'hémoglobine', 'glycosylée', 'de', '9,8', '%.'], ['Votre', 'médecin', 'vous', 'donne', 'des', 'recommandations', 'diététiques,', ""l'intérêt"", 'de', 'faire', 'de', ""l'exercice"", 'physique,', 'et', 'initie', 'un', 'traitement', 'par', 'metformine', '850', 'mg/12', 'heures', 'et', 'glimépiride', '6', 'mg/jour.'], ['Au', 'cours', 'des', 'semaines', 'suivantes,', 'les', 'contrôles', 'glycémiques', 'sont', 'progressivement', 'réduits.'], ['Après', '4', 'mois,', 'la', 'glycémie', 'est', 'de', '94', 'mg/dL', 'et', ""l'HbA1c"", 'de', '5,9', '%.'], ['Le', 'patient', 'se', 'plaint', ""d'épisodes"", 'fréquents', 'de', 'vertiges,', 'de', 'douleurs', 'épigastriques,', 'de', 'vision', 'floue,', 'de', 'transpiration', 'et', 'de', 'tremblements,', 'qui', ""s'améliorent"", 'avec', 'la', 'nourriture', 'et', 'surviennent', 'principalement', 'en', 'fin', 'de', 'matinée', 'et', 'en', 'fin', ""d'après-midi.""], ['Quelle', 'modification', 'proposeriez-vous', 'dans', 'votre', 'traitement', '?'], ['1-', 'Revoir', 'la', 'répartition', 'des', 'glucides', 'dans', 'votre', 'alimentation.'], ['2-', 'Arrêter', 'la', 'metformine.'], ['3-', 'Suspendre', 'la', 'sulfonylurée.'], ['4-', 'Remplacer', 'la', 'metformine', 'par', 'un', 'inhibiteur', 'de', 'la', 'DPP4.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Interrompre', 'la', 'sulfonylurée', 'en', 'raison', 'du', 'risque', ""d'hypoglycémie.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
223_62,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'diabétique', 'de', '60', 'ans', 'présentant', 'un', 'angor', 'stable', 'secondaire', 'à', 'une', 'cardiopathie', 'ischémique', 'due', 'à', 'une', 'obstruction', 'subtotale', 'du', 'tiers', 'moyen', 'de', ""l'artère"", 'coronaire', 'descendante', 'antérieure,', 'quel', 'traitement', 'proposeriez-vous', '?'], ['1-', 'Médecin', 'avec', 'vasodilatateurs', 'et', 'bêta-bloquants', 'pour', 'prévenir', ""l'angine"", 'de', 'poitrine.'], ['2-', 'Expectorant', 'avec', 'repos', 'rigoureux,', 'car', 'la', 'diminution', 'de', 'la', 'demande', 'en', 'oxygène', 'myocardique', 'devrait', 'réduire', ""l'angine.""], ['3-', 'Chirurgicale', 'pour', 'revasculariser', 'le', 'myocarde', 'ischémique', 'en', 'contournant', ""l'artère"", 'mammaire', 'gauche', 'distale', 'de', 'la', 'lésion', 'dans', ""l'artère"", 'coronaire', 'malade.'], ['4-', 'Dilatation', 'de', 'la', 'lésion', 'coronarienne', 'par', 'cathétérisme', 'thérapeutique.'], ['5-', 'Cathétérisme', 'thérapeutique', 'pour', 'dilater', 'la', 'lésion', 'de', ""l'artère"", 'malade', 'et', 'implantation', ""d'un"", 'stent', 'dans', 'la', 'zone', 'dilatée.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Angine', 'stable', 'chez', 'les', 'diabétiques', ':', 'cette', 'question', 'est', 'un', 'clin', ""d'œil"", 'à', ""l'étude"", 'BARI-2D', '(NEJM', '2009),', 'qui', 'a', 'montré', 'que', 'la', 'prise', 'en', 'charge', 'médicale', ""n'était"", 'pas', 'inférieure', 'à', 'la', 'revascularisation', '(en', 'fait,', 'les', 'nouvelles', 'lignes', 'directrices', 'reflètent', 'la', 'tendance', 'selon', 'laquelle', 'toutes', 'les', 'sténoses', 'coronaires', 'ne', 'devraient', 'pas', 'être', 'systématiquement', 'ouvertes).'], ['La', 'réponse', '1', 'va', 'dans', 'le', 'même', 'sens,', 'bien', ""qu'il"", 'me', 'manque', 'les', 'statines,', 'les', 'inhibiteurs', 'de', ""l'ECA"", 'et', 'les', 'antiplaquettaires,', 'et', 'que', ""j'aie"", 'un', 'surplus', 'de', 'vasodilatateurs', '(les', 'nitrates', 'sont', 'de', 'classe', 'IIb,', 'si', 'ma', 'mémoire', 'est', 'bonne).'], ['2', 'est', 'absurde', ':', ""s'asseoir"", 'pour', 'ne', 'pas', 'faire', ""d'angine"", 'de', 'poitrine', '?'], [""C'est"", 'comme', 'si', ""l'on"", 'coupait', 'la', 'forêt', 'pour', 'prévenir', 'les', 'incendies.'], ['Les', 'points', '3', 'à', '5', 'concernent', 'la', 'revascularisation', ':', 'étant', 'donné', ""qu'il"", ""s'agit"", ""d'un"", 'vaisseau', 'unique', 'et', 'non', ""d'une"", 'LAD', 'proximale,', 'la', 'revascularisation', 'devrait', 'être', 'percutanée,', 'ce', 'qui', 'nous', 'amène', 'à', 'écarter', 'le', 'point', '3.'], ['Entre', '4', 'et', '5,', 'le', 'cinquième', 'est', 'plus', 'complet', ':', 'non', 'seulement', 'la', 'dilatation,', 'mais', 'aussi', 'la', 'pose', ""d'un"", 'stent.'], ['Le', 'doute', 'se', 'situe', 'donc', 'entre', '1', 'et', '5.'], ['En', 'appliquant', 'les', 'règles', 'générales', 'de', 'réponse', 'du', 'MIR,', 'si', 'deux', 'options', 'sont', 'similaires', 'à', ""l'exception"", ""d'un"", 'détail,', 'la', 'bonne', 'est', ""l'une"", ""d'entre"", 'elles,', 'et', 'nous', 'noterions', 'donc', '5', '(et', ""c'est"", 'ce', 'qui', 'serait', 'fait', 'dans', ""n'importe"", 'quel', 'hôpital', 'de', 'nos', 'jours', ':', 'une', 'artère', 'suboccluse', 'est', 'dilatée', 'directement).'], [""D'autre"", 'part,', 'et', 'bien', 'que', 'le', 'point', '1', 'soit', 'incomplet,', 'je', 'suppose', 'que', ""l'auteur"", 'a', 'voulu', 'être', 'malin', 'et', 'montrer', ""qu'il"", 'a', 'lu', 'les', 'derniers', 'articles.'], ['Conclusion', ':', 'je', 'mettrais', '5...', 'mais', 'je', 'ne', 'serais', 'pas', 'surpris', 'si', ""c'était"", '1.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 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96_170,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE,', 'VÉNÉRÉOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '60', 'ans', 'a', 'signalé', 'il', 'y', 'a', '10', 'jours', ""l'apparition"", 'de', 'lésions', 'vésiculeuses', 'sur', 'le', 'dos', 'des', 'mains', 'après', 'une', 'exposition', 'au', 'soleil.'], [""L'affection"", ""s'accompagne"", ""d'une"", 'fragilité', 'cutanée.'], [""L'histopathologie"", 'montre', 'une', 'vésicule', 'sous-épidermique', 'avec', 'des', 'dépôts', 'de', 'PAS+', 'à', ""l'intérieur"", 'et', 'autour', 'des', 'vaisseaux', 'dermiques', 'superficiels.'], ['Le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'le', 'suivant'], ['1-', 'Pemphigus', 'bénin', 'familial.'], ['2-', 'Pemphigoïde.'], ['3-', 'Porphyrie', 'cutanée', 'tardive.'], ['4-', 'Pemphigus', 'vulgaire.'], ['5-', 'Syndrome', 'de', 'la', 'peau', 'brûlée.'], ['RÉPONSE', 'CORRECTE', ':', '3'], ['La', 'porphyrie', 'cutanée', 'tardive', '(PCT)', 'est', 'la', 'porphyrie', 'la', 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77_31,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '17', 'ans', 'atteint', ""d'une"", 'maladie', 'de', 'Crohn', 'avec', 'atteinte', 'colique', 'depuis', '2', 'ans', ""d'évolution,"", 'sous', 'traitement', ""d'entretien"", 'par', 'azathioprine,', 'consulte', 'pour', ""l'apparition"", 'depuis', '5', 'jours', 'de', 'nodules', 'sous-cutanés', 'rouge', 'violacé,', 'chauds,', 'douloureux,', 'bilatéraux', 'dans', 'la', 'région', 'prétibiale,', 'associés', 'à', 'une', 'augmentation', 'du', 'nombre', 'de', 'selles', 'et', 'à', 'des', 'douleurs', 'abdominales.'], [""L'attitude"", 'la', 'plus', 'appropriée', 'dans', 'ce', 'cas', 'est', 'la', 'suivante', ':'], ['1-', 'Recommander', 'un', 'repos', 'relatif', 'et', 'des', 'compresses', 'chaudes', 'sur', 'les', 'deux', 'jambes', 'et', 'ajouter', 'un', 'traitement', 'antidépresseur.'], ['2-', 'Faire', 'des', 'biopsies', 'de', 'la', 'peau', 'à', ""l'écart"", 'des', 'zones', 'lésées', 'et', 'prescrire', ""d'emblée"", 'des', 'analgésiques', 'opioïdes.'], ['3-', 'Faire', 'des', 'biopsies', 'de', 'la', 'peau', 'à', ""l'écart"", 'des', 'zones', 'lésées', 'et', 'prescrire', ""d'emblée"", 'des', 'analgésiques', 'opioïdes.'], ['4-', 'Suspecter', 'une', 'ischémie', 'bilatérale', 'des', 'membres', 'inférieurs', ""d'origine"", 'médicamenteuse.'], ['5-', 'Ajustement', 'du', 'traitement', 'de', 'la', 'maladie.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Il', 'semble', 'que', 'le', 'patient', 'présente', 'des', 'lésions', ""d'érythème"", 'noueux', 'associées', 'à', 'une', 'poussée', 'de', 'sa', 'maladie,', 'ce', 'qui', 'est', 'fréquent.'], ['Le', 'traitement', 'et', 'le', 'contrôle', 'de', 'la', 'maladie', 'améliorent', 'généralement', 'les', 'lésions', 'cutanées.'], ['Les', 'lésions', 'ne', 'doivent', 'pas', 'être', 'biopsiées.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
440_97,,
203_47,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '55', 'ans,', 'opérée', 'de', ""l'appendicite"", 'il', 'y', 'a', '24', 'ans,', 'est', 'venue', 'à', ""l'hôpital"", 'car,', 'bien', ""qu'elle"", 'se', 'portât', 'bien', 'auparavant,', 'elle', 'avait', 'commencé', 'à', 'vomir', 'de', 'façon', 'répétée', 'après', 'le', 'petit', 'déjeuner,', 'il', 'y', 'a', '12', 'heures,', 'en', 'même', 'temps', ""qu'une"", 'distension', 'abdominale.'], ['Il', 'a', 'eu', 'des', 'selles', 'diarrhéiques', 'quelques', 'heures', 'après', ""l'apparition"", 'des', 'symptômes.'], [""L'examen"", 'a', 'révélé', 'une', 'distension', 'abdominale,', 'un', 'tympanisme', 'et', 'une', 'augmentation', 'des', 'bruits', 'intestinaux,', 'mais', 'pas', ""d'irritation"", 'péritonéale.'], [""L'analyse"", 'de', 'sang', ""n'a"", 'révélé', 'aucune', 'anomalie.'], ['La', 'radiographie', 'abdominale', 'montre', 'une', 'dilatation', 'des', 'anses', 'de', ""l'intestin"", 'grêle,', 'mais', 'aucun', 'gaz', ""n'est"", 'visible', 'dans', ""l'ampoule"", 'rectale.'], ['En', 'ce', 'qui', 'concerne', 'ce', 'cas,', 'il', 'est', 'vrai', 'que', ':'], ['1-', 'Il', ""s'agit"", ""d'un"", 'cas', ""d'occlusion"", 'intestinale', 'due', 'à', 'une', 'obstruction', 'de', 'la', 'bride', 'nécessitant', 'une', 'laparotomie', ""d'urgence.""], ['2-', 'Il', 'est', 'très', 'probable', 'que', 'nous', 'ayons', 'affaire', 'à', 'un', 'cas', ""d'obstruction"", 'au', 'niveau', 'du', 'gros', 'intestin.'], ['3-', 'Le', 'fait', 'que', 'le', 'patient', 'ait', 'eu', 'des', 'selles', 'diarrhéiques', 'permet', ""d'exclure"", 'le', 'diagnostic', ""d'occlusion"", 'intestinale.', ""D'autres"", 'examens', ""d'imagerie"", 'sont', 'nécessaires', 'pour', 'assurer', 'le', 'diagnostic.'], ['4-', 'Une', 'coloscopie', 'décompressive', 'doit', 'être', 'indiquée.'], ['5-', 'La', 'prise', 'en', 'charge', 'initiale', 'doit', 'être', 'conservatrice,', 'avec', 'un', 'traitement', 'au', 'sérum,', 'une', 'aspiration', 'nasogastrique', 'et', 'une', 'surveillance', 'clinique,', 'analytique', 'et', 'radiographique', 'régulière.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Il', ""s'agit"", 'de', 'la', 'description', 'typique', ""d'un"", 'tableau', ""d'obstruction"", 'intestinale', 'par', 'des', 'ponts', 'ou', 'des', 'adhérences', 'dus', 'à', 'une', 'intervention', 'chirurgicale', 'antérieure.'], ['La', 'bonne', 'réponse', 'est', '5', 'et', 'non', '1', 'car', 'la', 'plupart', 'de', 'ces', 'situations', 'se', 'résolvent', 'spontanément', 'avec', 'un', 'traitement', 'conservateur.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
158_133,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE', 'ET', 'ORTHOPÉDIE'], ['CLINICAL', 'CASE:'], ['Garçon', 'obèse', 'de', '12', 'ans', '(87', 'kg).'], ['Il', 'se', 'plaint', 'de', 'douleurs', 'mécaniques', 'à', 'la', 'cuisse', 'et', 'au', 'genou', 'droits', 'depuis', '4', 'mois.'], [""L'examen"", 'clinique', 'a', 'révélé', 'une', 'différence', 'de', 'longueur', 'des', 'membres', 'inférieurs', 'de', '1', 'cm', 'et', 'une', 'attitude', 'du', 'membre', 'inférieur', 'droit', 'en', 'rotation', 'externe', 'avec', 'perte', 'de', 'la', 'rotation', 'interne.'], ['Nous', 'devrions', 'soupçonner', 'sa', 'présence', ':'], ['1-', 'Arthrite', 'chronique', 'juvénile.'], ['2-', 'Epiphysiolyse', 'de', 'la', 'coiffe', 'du', 'fémur.'], ['3-', 'Fracture', 'du', 'col', 'du', 'fémur', 'due', 'à', 'une', 'surcharge.'], ['4-', 'La', 'maladie', 'de', 'Perthes.'], ['5-', 'Séquelles', 'de', 'la', 'dysplasie', 'développementale', 'de', 'la', 'hanche.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Nous', 'présentons', 'un', 'adolescent', 'en', 'surpoids', 'qui', 'souffre', 'de', 'douleurs', 'à', 'la', 'cuisse', 'et', 'au', 'genou,', ""d'un"", 'décalage', 'de', 'longueur', 'de', '1', 'cm', 'et', ""d'une"", 'rotation', 'externe', 'du', 'membre.'], ['Cette', 'image', 'devrait', 'automatiquement', 'nous', 'faire', 'marquer', 'epiphysiolysis', 'capitis', 'femoris', '(épiphysiolyse', 'fémorale', 'proximale,', 'le', 'fait', 'de', 'le', 'lire', 'en', 'latin', 'nomina', 'est', 'un', 'peu', 'un', 'malentendu', 'mais', 'il', 'ne', 'doit', 'pas', 'nous', 'induire', 'en', 'erreur).'], ['Il', 'faut', 'penser', 'à', 'celle-ci', 'car', 'elle', 'est', 'la', 'plus', 'fréquente', 'et', 'la', 'plus', 'possible', '(réponse', '2', 'correcte).'], ['Les', 'autres', 'options', 'ne', 'sont', 'pas', 'impossibles,', 'mais', 'elles', 'sont', 'moins', 'fréquentes', 'et', 'ne', 'seraient', 'pas', 'considérées', 'comme', 'telles', 'si', ""l'on"", 'voulait', 'que', 'nous', 'choisissions', 'une', 'autre', 'option.'], [""S'il"", ""s'agissait"", 'de', 'séquelles', 'de', 'la', 'dysplasie', 'de', 'la', 'hanche,', 'elles', 'ne', 'se', 'manifesteraient', 'pas', 'à', '4', 'mois', 'et', ""l'âge"", ""d'apparition"", 'serait', 'plus', 'précoce.'], ['Les', 'complications', 'de', 'la', 'dysplasie', 'sont', 'les', 'luxations', 'et', 'subluxations', 'qui', 'peuvent', 'nécessiter', 'une', 'intervention', 'chirurgicale', 'et', 'la', 'nécrose', 'avasculaire', 'de', 'la', 'tête', '(fausse', 'réponse', '5).'], ['La', 'maladie', 'de', 'Perthes', 'se', 'manifeste', 'chez', 'les', 'jeunes', 'enfants', '(4-9', 'ans)', 'par', 'des', 'épisodes', 'de', 'boiterie', 'et', 'de', 'douleur', 'à', 'la', 'hanche', 'et', 'au', 'genou', '(fausse', 'réponse', '4).'], ['Chez', 'un', 'enfant,', 'la', 'fracture', 'la', 'plus', 'typique', 'se', 'situe', 'au', 'niveau', 'de', 'la', 'physe', 'et', 'non', 'du', 'col', 'du', 'fémur,', 'ce', 'qui', 'permet', ""d'exclure"", '3.'], ['Pour', 'que', 'nous', 'envisagions', 'cette', 'option,', 'il', 'aurait', 'fallu', 'que', ""l'on"", 'nous', 'présente', 'un', 'kyste', 'osseux,', 'quelque', 'chose', 'qui', 'justifie', 'une', 'faiblesse', 'dans', 'la', 'région', 'du', 'col', 'du', 'fémur.'], [""L'arthrite"", 'chronique', 'juvénile', 'est', 'une', 'option', 'rhumatismale', 'entourée', ""d'options"", 'traumatiques.'], ['Il', ""n'est"", 'pas', 'fait', 'mention', 'de', 'facteurs', 'rhumatologiques', 'dans', 'une', 'analyse', 'de', 'sang,', 'ni', ""d'un"", 'tableau', 'polyarticulaire.'], ['On', 'pourrait', 'peut-être', 'penser', 'à', 'celle-ci', 'parce', ""qu'elle"", 'fait', 'référence', 'à', 'une', 'douleur', 'au', 'genou', 'droit,', 'mais', 'le', 'tableau', 'qui', 'nous', 'est', 'présenté', 'se', 'limite', 'au', 'membre', 'inférieur', 'droit', 'et', 'il', ""n'est"", 'pas', 'fait', 'mention', ""d'autres"", 'articulations,', 'de', 'fièvre', 'ou', ""d'autres"", 'symptômes', 'systémiques', 'qui', ""l'accompagnent,"", 'de', 'sorte', ""qu'il"", 'ne', ""s'agit"", 'pas', ""d'une"", 'option', 'à', 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46_155,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Garçon', ""d'un"", 'an', 'dont', 'la', 'mère', 'vient', ""d'être"", 'diagnostiquée', 'avec', 'une', 'tuberculose', 'pulmonaire', 'bacillifère,', 'après', 'avoir', 'commencé', 'le', 'traitement', 'adéquat.'], [""L'enfant"", 'est', 'asymptomatique,', ""l'examen"", 'est', 'normal,', 'le', 'test', 'tuberculinique', '(TP)', 'est', 'négatif', 'et', 'la', 'radiographie', 'pulmonaire', 'est', 'normale.'], ['Quelle', 'doit', 'être', ""l'attitude"", 'de', ""l'enfant"", '?'], ['1-', 'Ne', 'le', 'séparer', 'de', 'la', 'mère', 'que', ""jusqu'à"", 'la', 'fin', 'de', 'son', 'traitement', '(au', 'moins', '6', 'mois).'], ['2-', 'Effectuer', 'une', 'tomodensitométrie', 'à', 'haute', 'résolution', 'du', 'poumon', 'et,', 'si', 'elle', 'est', 'normale,', 'répéter', 'la', 'PT', 'à', '8-12', 'semaines.'], ['3-', 'Chimioprophylaxie', 'à', ""l'isoniazide"", '(INH)', ""jusqu'à"", 'ce', 'que', 'le', 'frottis', 'de', 'la', 'mère', 'soit', 'négatif.'], ['4-', 'Chimioprophylaxie', 'par', 'INH', 'pendant', '6-9', 'mois.', 'Nouveau', 'TP', 'et', 'radiographie', 'pulmonaire', 'à', 'la', 'fin', 'du', 'traitement', 'pour', 'décider', 'de', 'la', 'poursuite', 'ou', 'non', 'du', 'traitement.'], ['5-', 'Chimioprophylaxie', 'par', 'INH,', '8-12', 'semaines.', 'Répéter', 'le', 'TP.', 'Si', 'négatif,', 'arrêter', 'le', 'traitement.', 'Si', 'le', 'résultat', 'est', 'positif,', 'effectuer', 'une', 'radiographie', 'du', 'thorax', 'pour', 'déterminer', ""s'il"", 'y', 'a', 'ou', 'non', 'une', 'maladie.'], ['BONNE', 'RÉPONSE', ':', '5'], ['La', 'bonne', 'réponse', 'est', '5.'], ['La', 'mère', 'doit', 'être', 'isolée', 'pendant', 'les', '2', 'à', '4', 'premières', 'semaines', 'du', 'traitement,', 'après', 'quoi', 'elle', 'ne', 'devrait', 'plus', 'être', 'contagieuse.'], ['Si', 'le', 'résultat', ""d'un"", 'nouveau', 'test', 'de', 'dépistage', 'est', 'toujours', 'négatif,', ""l'enfant"", 'ne', 'doit', 'pas', 'être', 'testé', 'à', 'nouveau.'], ['En', 'cas', 'de', 'résultat', 'positif,', 'répéter', 'la', 'radiographie', '(ou', 'la', 'tomodensitométrie', 'pulmonaire', 'chez', 'les', 'jeunes', 'enfants).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
593_146,,
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424_91,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '27', 'ans', 'consulte', 'pour', 'une', 'aménorrhée', 'secondaire', 'qui', 'dure', 'depuis', 'un', 'an.'], ['Pas', ""d'antécédents"", 'iatrogènes.'], ['Sur', 'le', 'plan', 'analytique,', 'la', 'concentration', ""d'œstradiol"", 'est', 'inférieure', 'à', 'la', 'normale', 'et', 'la', 'valeur', 'de', 'la', 'prolactine', 'est', 'de', '12', 'ng/mL.'], ['Indiquez,', 'parmi', 'les', 'examens', 'suivants,', 'ceux', 'que', 'vous', 'demanderiez', 'dans', 'un', 'premier', 'temps', 'pour', 'tenter', ""d'identifier"", ""l'origine"", 'du', 'trouble', ':'], ['1-', 'IRM', 'hypothalamohypophysaire.'], ['2-', 'Caryotype.'], ['3-', 'FSH', 'basale.'], ['4-', 'Stimulation', 'de', 'la', 'gonadotrophine', 'chorionique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Jeune', 'femme', 'souffrant', ""d'aménorrhée"", 'secondaire,', 'sans', 'antécédents', 'particuliers.'], ['Les', 'valeurs', 'de', 'prolactine', 'sont', 'normales', '(des', 'valeurs', 'supérieures', 'à', '20', 'ngr/ml', 'sont', 'considérées', 'comme', 'une', 'hyperprolectinémie),', 'ce', 'qui', 'exclut', ""l'hyperprolactinémie"", 'comme', 'cause', 'de', ""l'aménorrhée.""], ['On', 'nous', 'dit', 'que', 'le', 'taux', ""d'œstrogènes"", 'est', 'bas.'], ['Dans', 'ce', 'cas,', 'il', 'faut', 'suspecter', 'une', 'insuffisance', 'ovarienne', 'précoce.'], ['Pour', 'le', 'diagnostic,', 'nous', 'demanderons', 'une', 'FSH', 'basale', '(en', 'cas', ""d'insuffisance"", 'ovarienne', 'prématurée,', 'elle', 'sera', 'élevée).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
169_87,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'CARDIOVASCULAIRE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '70', 'ans,', 'hypertendue', 'et', 'diabétique,', 'qui', 'a', 'travaillé', 'toute', 'sa', 'vie', 'comme', 'vendeuse.'], ['Consultation', 'pour', 'une', 'lésion', 'de', 'la', 'malléole', 'interne', 'de', 'la', 'jambe', 'droite', 'avec', 'une', 'douleur', 'intense', 'tout', 'au', 'long', 'de', 'la', 'journée', 'qui', ""s'aggrave"", 'la', 'nuit.'], [""L'examen"", 'a', 'révélé', 'des', 'varices', 'non', 'compliquées', 'dans', 'les', 'deux', 'extrémités', 'et', 'des', 'pouls', 'fémoraux', 'et', 'poplités', 'normaux', 'avec', 'absence', 'de', 'pouls', 'distaux.'], ['Quel', 'dépistage', 'devrions-nous', 'effectuer', 'en', 'premier', 'lieu', '?'], ['1-', 'Echographie', 'Doppler', 'veineuse', 'des', 'membres', 'inférieurs.'], ['2-', 'Angiorésonance', 'des', 'membres', 'inférieurs.'], ['3-', 'Artériographie.'], ['4-', 'Indice', 'brachial', 'de', 'la', 'cheville.'], ['5-', 'AngioTC.'], ['BONNE', 'RÉPONSE', ':', '4'], ['En', 'tout', 'cas,', 'en', 'tant', 'que', 'médecin', 'de', 'famille,', 'je', 'commence', 'généralement', 'par', 'les', 'tests', 'les', 'moins', 'invasifs', 'et', 'les', 'plus', 'rentables,', 'et', 'dans', 'le', 'cas', 'décrit,', 'un', 'problème', ""d'ischémie"", 'des', 'membres', 'inférieurs,', 'il', ""s'agit"", 'de', ""l'indice"", 'cheville-brachiale.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
95_170,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE,', 'VÉNÉRÉOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '60', 'ans', 'a', 'signalé', 'il', 'y', 'a', '10', 'jours', ""l'apparition"", 'de', 'lésions', 'vésiculeuses', 'sur', 'le', 'dos', 'des', 'mains', 'après', 'une', 'exposition', 'au', 'soleil.'], [""L'affection"", ""s'accompagne"", ""d'une"", 'fragilité', 'cutanée.'], [""L'histopathologie"", 'montre', 'une', 'vésicule', 'sous-épidermique', 'avec', 'des', 'dépôts', 'de', 'PAS+', 'dans', 'et', 'autour', 'des', 'vaisseaux', 'dermiques', 'superficiels.'], ['Le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'le', 'suivant'], ['1-', 'Pemphigus', 'bénin', 'familial.'], ['2-', 'Pemphigoïde.'], ['3-', 'Porphyrie', 'cutanée', 'tardive.'], ['4-', 'Pemphigus', 'vulgaire.'], ['5-', 'Syndrome', 'de', 'la', 'peau', 'brûlée.'], ['RÉPONSE', 'CORRECTE', ':', '3'], ['Le', 'fait', 'que', 'le', 'tableau', 'soit', 'photo-induit,', ""l'histologie"", 'et', ""l'âge"", 'rendent', 'le', 'diagnostic', 'de', 'PCT', 'plus', 'probable', '(3).'], ['Les', 'autres', 'ne', 'sont', 'pas', 'compatibles', 'avec', 'le', 'tableau', 'clinique', 'et', ""l'histologie.""]]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
537_1,,
363_97,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Patient', 'de', '35', 'ans', 'qui,', 'en', 'raison', ""d'une"", 'hématémèse', 'due', 'à', 'un', 'ulcère,', 'a', 'reçu', 'une', 'transfusion', 'de', 'deux', 'concentrés', 'de', 'globules', 'rouges.'], ['Dans', 'les', '5', 'à', '10', 'minutes', 'qui', 'suivent', 'le', 'début', 'de', 'la', 'transfusion,', 'la', 'fièvre,', 'les', 'frissons,', ""l'hypotension"", 'et', 'la', 'douleur', 'dans', 'la', 'région', 'lombaire', 'apparaissent.'], ['Quel', 'serait', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Contamination', 'bactérienne', 'du', 'sang.'], ['2-', 'Réaction', 'fébrile', 'secondaire', 'à', 'une', 'transfusion.'], ['3-', 'Réaction', 'fébrile', 'due', 'à', 'la', 'contamination', 'des', 'globules', 'rouges', 'par', 'le', 'plasma.'], ['4-', 'Réaction', 'transfusionnelle', 'hémolytique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Les', 'réactions', 'transfusionnelles', 'hémolytiques', 'aiguës', 'peuvent', 'survenir', 'en', 'quelques', 'minutes.'], ['Cliniquement,', 'elles', 'se', 'caractérisent', 'par', 'des', 'frissons,', 'de', 'la', 'fièvre,', 'de', ""l'urticaire,"", 'de', 'la', 'tachycardie,', 'des', 'nausées', 'et', 'des', 'vomissements,', 'des', 'douleurs', 'dorsales,', 'des', 'hémorragies', 'dues', 'à', 'la', 'coagulation', 'intravasculaire', 'disséminée', '(CIVD).', '.....'], ['On', 'nous', 'parle', ""d'un"", 'patient', 'qui,', 'quelques', 'minutes', 'après', 'avoir', 'commencé', 'une', 'transfusion,', 'a', 'présenté', 'un', 'état', 'aigu', 'et', 'très', 'grave', '(avec', 'choc).'], ['Une', 'situation', 'aussi', 'grave', 'et', 'aiguë', 'ne', 'peut', 'être', 'envisagée', 'que', 'dans', 'le', 'cadre', 'de', ""l'option"", '4.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
339_33,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '67', 'ans', 'à', 'qui', ""l'on"", 'a', 'diagnostiqué', 'un', 'carcinome', 'canalaire', 'infiltrant', 'du', 'sein', 'sans', 'antécédents', 'familiaux', 'de', 'néoplasie.'], ['Quelles', 'sont', 'les', 'études', 'complémentaires', 'à', 'réaliser', 'sur', 'la', 'tumeur', 'en', 'raison', 'de', 'ses', 'implications', 'clinico-thérapeutiques', '?'], ['1-', 'Etude', 'phénotypique', 'complète', 'par', 'cytométrie', 'de', 'flux.'], ['2-', 'Etude', 'des', 'récepteurs', 'hormonaux', 'et', 'HER2.'], ['3-', 'Etude', 'des', 'récepteurs', 'hormonaux,', 'de', ""l'e-cadhérine"", 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['4-', 'Etude', 'de', 'BRCA', '1-2', 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Tous', 'les', 'carcinomes', 'mammaires', 'doivent', 'être', 'accompagnés', ""d'une"", 'étude', 'des', 'récepteurs', 'hormonaux', 'et', 'de', 'HER-2', 'pour', 'les', 'implications', 'pronostiques', 'de', 'la', 'tumeur,', 'ainsi', 'que', 'pour', ""l'adéquation"", 'de', 'son', 'traitement,', 'car', 'en', 'fonction', 'du', 'résultat,', 'certains', 'médicaments', 'seront', 'appliqués', 'ou', ""d'autres.""], [""L'étude"", 'des', 'parents', 'et', 'du', 'gène', 'BCRA', ""n'est"", 'pas', 'indiquée', 'car', 'elle', ""n'a"", 'pas', ""d'antécédents"", 'familiaux', 'de', 'néoplasie.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
144_142,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Une', 'jeune', 'fille', 'de', '13', 'ans', 'nous', 'consulte', 'pour', 'amaigrissement,', 'asthénie,', 'aménorrhée', 'secondaire', 'et', 'constipation.'], [""L'examen"", 'a', 'révélé', 'une', 'température', 'de', '35ºC,', 'un', 'poids', 'inférieur', 'au', '3e', 'percentile,', 'une', 'bradycardie', 'et', 'une', 'hypotension', 'orthostatique.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'révélé', 'une', 'anémie', 'avec', 'une', 'légère', 'leucopénie,', 'un', 'taux', 'de', 'cholestérol', 'de', '230', 'mg/dl', 'et,', 'à', ""l'électrocardiogramme,"", 'une', 'onde', 'T', 'aplatie', 'avec', 'une', 'élévation', 'du', 'segment', 'ST', 'et', 'un', 'allongement', 'de', ""l'intervalle"", 'QTc.'], ['Quel', 'processus', 'suspecteriez-vous', 'et', 'que', 'feriez-vous', 'ensuite', '?'], ['1-', 'Suspecter', 'une', 'anorexie', 'mentale', 'et', ""s'informer"", 'sur', 'sa', 'consommation,', 'son', 'image', 'corporelle,', 'etc.'], ['2-', 'Suspecter', 'une', 'hypothyroïdie', 'et', 'demander', 'une', 'TSH', 'et', 'des', 'hormones', 'thyroïdiennes.'], ['3-', 'Suspecter', 'une', 'cardiomyopathie', 'et', 'demanderais', 'un', 'échocardiogramme.'], ['4-', 'Je', 'suspecterais', 'une', 'maladie', 'cœliaque', 'et', 'demanderais', 'des', 'anticorps', 'IgA', 'anti-transglutaminase.'], ['5-', 'Suspecter', 'un', 'panhypopituitarisme', 'et', 'demanderais', 'un', 'scanner', 'crânien.'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'bonne', 'réponse', 'est', '1.'], ['Les', 'symptômes', 'et', 'les', 'signes', 'décrits', 'sont', 'les', 'résultats', 'biologiques', 'associés', 'à', ""l'anorexie"", 'mentale.'], ['Les', 'perturbations', 'de', ""l'ECG"", 'résultent', 'de', 'troubles', 'électrolytiques.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
356_166,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'enceinte', 'de', '10', 'semaines', 'se', 'présente', 'au', 'service', 'des', 'urgences', 'avec', 'une', 'tension', 'artérielle', 'de', '160/105', 'mmHg.'], ['Bon', 'état', 'général,', 'seulement', 'un', 'léger', 'mal', 'de', 'tête,', ""d'où"", 'la', 'prise', 'de', 'la', 'tension', 'artérielle.'], ['Après', '4', 'heures', 'de', 'repos,', 'sa', 'tension', 'artérielle', 'était', 'de', '150/95', 'mmHg.'], [""L'hémogramme"", 'était', 'normal', 'et', 'la', 'protéinurie', 'négative.'], ['De', 'quel', 'type', ""d'hypertension"", 'souffrez-vous', '?'], ['1-', 'Pré-éclampsie', 'modérée.'], ['2-', ""L'hypertension"", 'induite', 'par', 'la', 'grossesse.'], ['3-', ""L'hypertension"", 'chronique.'], ['4-', ""L'éclampsie.""], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], [""L'hypertension"", 'chronique.'], [""L'hypertension"", 'est', 'une', 'hypertension', 'détectée', 'avant', 'la', 'grossesse', 'ou', 'avant', 'la', '20e', 'semaine', 'de', 'grossesse', 'et/ou', 'qui', 'persiste', ""jusqu'à"", '12', 'semaines', 'après', ""l'accouchement.""]]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
495_64,"[['QUESTION', 'TYPE:', 'ONCOLOGIE', 'MÉDICALE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '65', 'ans,', 'sans', 'comorbidité,', 'a', 'subi', 'une', 'chirurgie', 'conservatrice', 'du', 'sein', 'gauche', 'avec', 'biopsie', 'sélective', 'du', 'ganglion', 'lymphatique', 'sentinelle.'], [""L'anatomie"", 'pathologique', 'de', ""l'échantillon"", 'montre', 'un', 'carcinome', 'canalaire', 'infiltrant', 'de', 'grade', 'III', 'de', '11', 'mm,', 'deux', 'ganglions', 'sentinelles', 'négatifs,', 'récepteurs', ""d'œstrogènes"", ':', '0', '%,', 'récepteurs', 'de', 'progestérone', ':', '0', '%,', 'Ki', '67', ':', '70', '%,', 'HER2', ':', 'négatif.'], [""L'étude"", ""d'extension"", 'est', 'négative.'], ['Le', 'traitement', 'adjuvant', 'serait', ':'], ['1-', 'Chimiothérapie', 'à', 'base', ""d'anthracyclines"", 'et', 'de', 'taxanes,', 'radiothérapie', 'et', 'trastuzumab.'], ['2-', 'Chimiothérapie', 'à', 'base', ""d'anthracyclines"", 'et', 'de', 'taxanes,', 'radiothérapie', 'et', 'tamoxifène.'], ['3-', 'Chimiothérapie', 'à', 'base', ""d'anthracyclines"", 'et', 'de', 'taxanes,', 'et', 'radiothérapie.'], ['4-', 'Chimiothérapie', 'à', 'base', ""d'anthracyclines"", 'et', 'de', 'taxanes,', 'radiothérapie', 'et', 'inhibiteurs', 'de', ""l'aromatase,"", 'étant', 'donné', ""qu'elle"", 'est', 'ménopausée.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Question', 'typique,', 'la', 'chirurgie', 'conservatrice', 'fait', 'appel', 'à', 'la', 'radiologie,', ""c'est"", 'certain.'], ['Il', ""s'agit"", ""d'un"", 'cancer', 'de', 'haut', 'grade,', 'sans', 'récepteurs', 'hormonaux', 'ni', 'her2', '(le', 'redoutable', 'triple', 'négatif).'], [""J'étais"", 'là', 'quand', 'il', ""n'y"", 'avait', 'pas', 'de', 'taxanes', 'ou', ""d'herceptine"", 'et', ""j'ai"", 'participé', 'aux', 'essais', 'qui', 'ont', 'montré', 'que', 'de', 'plus', 'en', 'plus', 'de', 'personnes', 'sont', 'guéries,', 'malheureusement', 'pas', 'encore', 'toutes.'], [""C'est"", 'pourquoi,', 'de', 'nos', 'jours,', 'les', 'anthracyclines', '(pas', 'de', 'maladie', 'cardiaque)', 'et', 'les', 'taxanes', 'sont', 'utilisés', 'avant', 'la', 'RT.'], ['Ma', 'spécialité', 'est', 'la', 'beauté,', 'et', 'elle', 'le', 'deviendra', 'encore', 'plus', 'dans', 'les', 'années', 'à', 'venir.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
355_166,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'enceinte', 'de', '10', 'semaines', 'se', 'présente', 'au', 'service', 'des', 'urgences', 'avec', 'une', 'tension', 'artérielle', 'de', '160/105', 'mmHg.'], ['Bon', 'état', 'général,', 'seulement', 'un', 'léger', 'mal', 'de', 'tête,', ""d'où"", 'la', 'prise', 'de', 'la', 'tension', 'artérielle.'], ['Après', '4', 'heures', 'de', 'repos,', 'sa', 'tension', 'artérielle', 'était', 'de', '150/95', 'mmHg.'], [""L'hémogramme"", 'était', 'normal', 'et', 'la', 'protéinurie', 'négative.'], ['De', 'quel', 'type', ""d'hypertension"", 'souffrez-vous', '?'], ['1-', 'Pré-éclampsie', 'modérée.'], ['2-', ""L'hypertension"", 'induite', 'par', 'la', 'grossesse.'], ['3-', ""L'hypertension"", 'chronique.'], ['4-', ""L'éclampsie.""], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', '3.'], ['Dans', 'son', 'protocole', 'de', '2006', 'intitulé', '""Hypertensive', 'disorders', 'of', 'pregnancy"",', 'la', 'SEGO', 'fait', 'référence', 'à', ""l'hypertension"", 'chronique,', 'même', 'si', 'elle', 'est', 'diagnostiquée', 'pendant', 'la', 'grossesse.'], ['En', 'effet,', 'elle', 'a', 'été', 'diagnostiquée', 'à', '10', 'semaines', 'de', 'gestation.'], ['Au-delà', 'de', '20', 'semaines', 'de', 'gestation,', 'on', 'parle', 'déjà', 'de', 'pré-éclampsie', '(si', 'HTA', '+', 'protéinurie', 'ou', 'indice', 'de', 'pulsatilité', 'de', ""l'artère"", 'utérine', 'supérieur', 'au', '95e', 'percentile),', ""d'hypertension"", 'gravidique', '(seulement', 'HTA)', 'ou', ""d'éclampsie"", '(une', 'forme', 'de', 'pré-éclampsie', 'sévère).']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
94_31,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE,', 'VÉNÉRÉOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '17', 'ans', 'atteint', ""d'une"", 'maladie', 'de', 'Crohn', 'avec', 'atteinte', 'colique', 'de', '2', 'ans', ""d'évolution,"", 'sous', 'traitement', ""d'entretien"", 'par', 'azathioprine,', 'consulte', 'pour', ""l'apparition"", 'depuis', '5', 'jours', 'de', 'nodules', 'sous-cutanés', 'rouge', 'violacé,', 'chauds,', 'douloureux,', 'bilatéraux', 'dans', 'la', 'région', 'prétibiale,', 'associés', 'à', 'une', 'augmentation', 'du', 'nombre', 'de', 'selles', 'et', 'à', 'des', 'douleurs', 'abdominales.'], [""L'attitude"", 'la', 'plus', 'appropriée', 'dans', 'ce', 'cas', 'est', 'la', 'suivante', ':'], ['1-', 'Recommander', 'un', 'repos', 'relatif', 'et', 'des', 'compresses', 'chaudes', 'sur', 'les', 'deux', 'jambes', 'et', 'ajouter', 'un', 'traitement', 'antidépresseur.'], ['2-', 'Faire', 'des', 'biopsies', 'de', 'la', 'peau', 'à', ""l'écart"", 'des', 'zones', 'lésées', 'et', 'prescrire', ""d'emblée"", 'des', 'analgésiques', 'opioïdes.'], ['3-', 'Suspecter', ""l'existence"", ""d'une"", 'lésion', 'tumorale', 'intestinale', 'maligne', 'comme', 'facteur', 'déclenchant', 'du', 'processus', 'cutané.'], ['4-', 'Suspecter', 'une', 'ischémie', 'bilatérale', 'des', 'membres', 'inférieurs', ""d'origine"", 'médicamenteuse.'], ['5-', 'Ajustement', 'du', 'traitement', 'des', 'maladies', 'intestinales.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Il', ""s'agit"", 'vraisemblablement', ""d'un"", 'érythème', 'noueux.'], ['Environ', '10', '%', 'des', 'cas', ""d'érythème"", 'noueux', 'sont', 'associés', 'à', 'une', 'maladie', 'inflammatoire', 'de', ""l'intestin,"", ""qu'il"", ""s'agisse"", 'de', 'la', 'colite', 'ulcéreuse', 'ou', 'de', 'la', 'maladie', 'de', 'Crohn.'], ['Comme', 'nous', ""l'avons"", 'mentionné,', 'dans', 'la', 'plupart', 'des', 'cas,', ""l'érythème"", 'noueux', 'est', 'spontanément', 'résolutif.'], [""Lorsqu'il"", 'est', 'associé', 'à', 'une', 'maladie', 'inflammatoire', 'de', ""l'intestin,"", ""l'érythème"", 'noueux', 'disparaît', 'généralement', 'avec', 'le', 'traitement', 'de', 'la', 'poussée', 'intestinale', 'et', 'réapparaît', 'avec', 'les', 'récidives', 'de', 'la', 'maladie.'], ['Les', 'mesures', 'locales', 'comprennent', ""l'élévation"", 'des', 'jambes', 'et', 'le', 'repos', 'au', 'lit.'], ['Dans', 'les', 'cas', 'particulièrement', 'graves,', ""l'administration"", 'orale', ""d'iodure"", 'de', 'potassium', ""s'est"", 'avérée', 'utile.'], ['Bien', 'que', ""l'aspirine"", 'et', ""d'autres"", 'AINS', 'soient', 'efficaces', 'contre', ""l'érythème"", 'noueux,', 'leur', 'utilisation', 'chez', 'les', 'patients', 'atteints', ""d'une"", 'maladie', 'inflammatoire', 'de', ""l'intestin"", 'doit', 'être', 'limitée', 'car', 'ils', 'peuvent', 'aggraver', ""l'état"", 'de', ""l'intestin."", 'Les', 'antidépresseurs', ""n'ont"", 'pas', 'été', 'rapportés', 'comme', 'étant', 'utiles', 'dans', 'cette', 'pathologie,', 'la', 'réponse', 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39_134,"[['QUESTION', 'TYPE:', 'OTO-RHINO-LARYNGOLOGIE', 'ET', 'CHIRURGIE', 'MAXILLO-FACIALE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '60', 'ans,', 'diagnostiquée', 'avec', 'un', 'cancer', 'du', 'sein', 'traité', 'par', 'chirurgie', 'et', 'radiothérapie', 'il', 'y', 'a', '10', 'ans.'], ['Il', 'présente', 'actuellement', 'des', 'métastases', 'dans', 'la', 'colonne', 'vertébrale', 'dorsale', 'et', ""l'articulation"", 'sacro-iliaque', 'et', 'est', 'traité', 'par', 'acide', 'zolédronique', 'i.v.', 'sur', 'une', 'base', 'mensuelle', 'depuis', 'deux', 'ans.'], ['Elle', ""s'est"", 'présentée', 'à', 'la', 'clinique', 'avec', 'une', 'exposition', 'osseuse', 'spontanée', ""d'environ"", '2', 'cm', 'au', 'niveau', 'de', ""l'os"", 'mandibulaire.'], ['Il', ""n'y"", 'a', 'pas', 'de', 'signes', ""d'infection"", 'aiguë', 'et', 'la', 'gencive', 'autour', 'de', ""l'exposition"", 'osseuse', 'est', 'strictement', 'normale.'], ['Le', 'scanner', 'de', 'la', 'mandibule', 'montre', 'une', 'zone', 'de', 'sclérose', 'osseuse.'], ['Quel', 'serait', 'votre', 'diagnostic', '?'], ['1-', 'Abcès', 'odontogène.'], ['2-', 'Ostéonécrose', 'due', 'aux', 'bisphosphonates.'], ['3-', 'Ostéoradionécrose.'], ['4-', 'Racine', 'dentaire', 'incluse.'], ['5-', 'Métastases', 'du', 'carcinome', 'mammaire.'], ['BONNE', 'RÉPONSE', ':', '2'], [""J'ai"", 'trouvé', 'cette', 'question', 'difficile,', 'alors', 'excluons-la.'], ['1', 'ne', 'peut', 'pas', ""l'être,"", 'car', 'il', 'y', 'aurait', 'des', 'signes', 'infectieux.'], ['2', 'est', 'possible', 'car', 'les', 'bisphosphonates', 'provoquent', 'une', 'nécrose', 'de', 'la', 'mâchoire.'], ['Le', 'chiffre', '3', 'me', 'semble', 'peu', 'probable', 'car', 'la', 'radiothérapie', 'reçue', 'par', 'la', 'patiente', 'aurait', 'été', 'dirigée', 'vers', 'le', 'sein', 'et', 'non', 'vers', 'la', 'mâchoire.'], [""J'écarte"", 'le', '4,', 'il', 'ne', ""s'agit"", 'pas', ""d'une"", 'image', 'de', 'racine', 'dentaire', 'incluse.'], ['5', 'est', 'possible', ';', 'après', 'tout,', 'le', 'patient', 'a', 'déjà', 'des', 'métastases', 'osseuses.'], ['Alors,', ""j'hésite"", 'entre', 'deux,', '2', 'et', '5,', 'lequel', 'choisir', '?'], ['Je', 'ne', 'sais', 'pas', 'ce', 'que', 'signifie', 'une', 'sclérose', 'osseuse', 'sur', 'un', 'scanner,', 'mais', 'une', 'métastase', 'osseuse', 'serait', 'plus', 'destructrice', ""qu'une"", 'sclérose.'], [""D'autre"", 'part,', 'en', 'utilisant', 'la', 'psychologie', 'inversée,', ""qu'est-ce"", 'que', 'la', 'personne', 'qui', ""m'a"", 'posé', 'la', 'question', 'voulait', 'que', 'je', 'sache', '?'], ['Les', 'bisphosphonates', 'peuvent-ils', 'provoquer', 'une', 'nécrose', 'de', 'la', 'mâchoire', '?'], ['Ou', ""qu'une"", 'femme', 'ayant', 'plusieurs', 'métastases', 'osseuses', 'puisse', 'également', 'avoir', 'une', 'métastase', 'dans', 'la', 'mâchoire', '?'], ['Ce', 'dernier', 'point', 'me', 'semble', 'trop', 'simple', 'et', 'me', 'ferait', 'pencher', 'davantage', 'vers', 'le', 'point', '2,', 'mais', 'il', ""n'est"", 'pas', 'clair', 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252_83,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Quelle', 'maladie', 'devrions-nous', 'suspecter', 'chez', 'un', 'jeune', 'patient', 'qui', 'rapporte', 'des', 'antécédents', 'fréquents', 'de', 'dysphagie', 'aux', 'solides', 'et', 'aux', 'liquides', 'avec', 'des', 'impactions', 'alimentaires', 'répétées,', 'sans', 'symptômes', 'de', 'brûlures', ""d'estomac"", 'et', 'chez', 'qui', ""l'endoscopie"", 'buccale', 'montre', 'de', 'multiples', 'anneaux', 'œsophagiens', 'concentriques', 'avec', 'une', 'muqueuse', 'normale', '(aspect', 'trachéalisé)', '?'], ['1-', 'Oesophagite', 'herpétique.'], ['2-', 'Oesophagite', 'à', 'éosinophiles.'], ['3-', 'Oesophagite', 'candidosique.'], ['4-', 'Oesophagite', 'à', 'cytomégalovirus.'], ['5-', 'Adénocarcinome', 'de', ""l'œsophage.""], ['BONNE', 'RÉPONSE', ':', '2'], [""L'aspect"", 'endoscopique', 'de', ""l'œsophage"", 'trachéalisé', 'est', 'très', 'typique', 'de', ""l'œsophagite"", 'à', 'éosinophiles,', 'qui', 'se', 'manifeste', 'par', 'une', 'dysphagie', 'et', 'des', 'impactions', 'alimentaires', 'répétées.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
57_77,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'une', 'femme', 'obèse', 'de', '42', 'ans,', 'les', 'taux', 'de', 'cortisol', 'sont', 'mesurés', 'dans', 'le', 'sang,', ""l'urine"", 'et', 'la', 'salive', 'et', 'sont', 'élevés', 'dans', 'tous', 'les', 'tests.'], ['Après', 'avoir', 'effectué', 'le', 'test', 'de', 'suppression', 'nocturne', 'à', 'la', 'dexaméthasone,', 'le', 'taux', 'de', 'cortisol', 'sanguin', 'reste', 'élevé,', 'on', 'suspecte', 'donc', 'un', 'syndrome', 'de', 'Cushing', 'indépendant', 'de', ""l'ACTH,"", 'quel', 'test', 'supplémentaire', 'demanderiez-vous', 'pour', 'confirmer', 'le', 'diagnostic', 'à', 'ce', 'moment-là', '?'], ['1-', 'Un', 'cathétérisme', 'du', 'sinus', 'pétrosal.'], ['2-', 'Une', 'gammagraphie', 'à', 'la', 'somatostatine', 'marquée', '(Octreoscan).'], ['3-', 'Un', 'scan', 'avec', 'Sesta-MIBI.'], ['4-', 'Une', 'échographie', 'abdominale.'], ['5-', 'Une', 'tomodensitométrie', 'des', 'surrénales.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Quoi', ""qu'il"", 'en', 'soit,', 'je', 'pense', 'que', 'le', 'cas', 'clinique', 'est', 'mal', 'formulé,', 'car', ""l'ACTH"", 'devrait', 'être', 'mesurée', 'avant', 'le', 'scanner', 'et,', 'une', 'fois', ""l'ACTH"", 'supprimée,', 'le', 'scanner', 'devrait', 'être', 'effectué.'], ['Mais', 'puisque', 'la', 'question', 'est', '""que', 'feriez-vous', 'pour', 'confirmer', 'le', 'diagnostic', 'présumé', ""d'un"", 'syndrome', 'de', 'Cushing', 'indépendant', 'de', 'l\'ACTH"",', 'la', 'réponse', 'est', 'le', 'scanner.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
595_88,,
98_171,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE,', 'VÉNÉRÉOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE:'], ['Le', 'patient', 'présente', 'depuis', '2', 'semaines', 'une', 'éruption', 'prurigineuse', 'constituée', 'de', 'multiples', 'papules', 'érythémato-violacées', 'polygonales', 'à', 'surface', 'aplatie,', 'localisées', 'préférentiellement', 'sur', 'la', 'face', 'antérieure', 'des', 'poignets,', 'la', 'zone', 'prétibiale', 'et', 'la', 'zone', 'lombaire.'], ['Il', 'présente', 'également', 'des', 'lésions', 'réticulées', 'blanchâtres', 'sur', 'la', 'muqueuse', 'jugale,'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Pityriasis', 'versicolor.'], ['2-', 'Mycosis', 'fongoïde.'], ['3-', 'Psoriasis', 'en', 'gouttes.'], ['4-', 'Pityriasis', 'rosea', 'de', 'Gibert.'], ['5-', 'Lichen', 'plan.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Le', 'lichen', 'plan', 'est', 'une', 'dermatose', 'très', 'fréquente', ""d'étiologie"", 'inconnue', 'caractérisée', 'par', ""l'apparition"", 'de', 'papules', 'prurigineuses,', 'violacées,', 'polygonales', 'à', 'surface', 'brillante,', 'localisées', 'préférentiellement', 'sur', 'les', 'zones', 'distales', 'des', 'extrémités.'], ['Ces', 'papules', 'présentent', 'une', 'distribution', 'symétrique', 'et', 'sont', 'préférentiellement', 'situées', 'sur', 'la', 'face', 'antérieure', 'des', 'poignets', '(figure', '1)', 'et', 'des', 'chevilles.'], [""L'atteinte"", 'de', 'la', 'muqueuse', 'buccale', 'est', 'très', 'fréquente,', 'environ', '75', '%', 'des', 'patients', 'atteints', 'de', 'lichen', 'plan', 'présentant', 'une', 'réticulose', 'blanchâtre', 'asymptomatique', 'affectant', 'la', 'muqueuse', 'jugale', 'ou', 'linguale.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
118_117,"[['QUESTION', 'TYPE:', 'INFECTOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'asymptomatique', 'de', '14', 'ans,', 'dont', 'le', 'père', 'vient', ""d'être"", 'diagnostiqué', 'avec', 'une', 'tuberculose', 'pulmonaire,', 'subit', 'un', 'test', 'de', 'Mantoux', 'dont', 'le', 'résultat', 'est', 'négatif.'], ['Quelle', 'est', 'la', 'bonne', 'attitude', '?'], ['1-', 'Rassurez-le', 'en', 'lui', 'disant', ""qu'il"", ""n'est"", 'pas', 'en', 'danger.'], ['2-', 'Réaliser', 'une', 'radiographie', 'pulmonaire.'], ['3-', 'Commencer', 'une', 'chimioprophylaxie', 'et', 'répéter', 'le', 'test', 'cutané', 'après', '3', 'mois.'], ['4-', 'Répéter', 'le', 'test', 'cutané', 'après', 'un', 'mois.'], ['5-', 'Une', 'étude', 'des', 'expectorations', 'doit', 'être', 'réalisée', 'avant', 'de', 'commencer', 'la', 'chimioprophylaxie', 'à', ""l'Isoniazide"", 'pendant', '1', 'an.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Chez', 'les', 'jeunes', 'contacts,', 'la', 'chimioprophylaxie', 'doit', 'être', 'entamée', 'même', 'si', 'le', 'test', 'de', 'Mantoux', 'est', 'négatif', 'et', 'répétée', 'après', '2', 'ou', '3', 'mois', 'pour', 'décider', 'de', 'poursuivre', 'le', 'traitement', ""jusqu'à"", '6', 'mois', ""(s'il"", 'se', 'révèle', 'positif)', 'ou', 'de', ""l'arrêter.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
388_233,,
421_78,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '52', 'ans', 'a', 'été', 'adressé', 'au', 'service', 'gastro-intestinal', 'pour', 'hématochézie,', 'ténesme', 'et', 'diminution', 'du', 'diamètre', 'des', 'selles.'], ['Une', 'série', 'de', 'tests', 'a', 'été', 'effectuée', 'et', 'un', 'diagnostic', ""d'adénocarcinome"", 'du', 'sigma', 'sans', 'métastase', 'à', 'distance', 'a', 'été', 'posé.'], ['La', 'patiente', 'a', 'subi', 'une', 'intervention', 'chirurgicale', 'et', 'a', 'été', 'adressée', 'au', 'service', ""d'oncologie"", 'médicale', 'pour', 'évaluer', 'un', 'traitement', 'complémentaire', 'de', 'chimiothérapie.'], ['Lequel', 'des', 'éléments', 'suivants', 'est', 'un', 'facteur', 'de', 'mauvais', 'pronostic', 'après', 'une', 'résection', 'chirurgicale', 'et', 'doit', 'être', 'pris', 'en', 'compte', 'lors', 'de', 'la', 'planification', ""d'un"", 'traitement', 'par', 'chimiothérapie', '?'], ['1-', 'La', 'présence', ""d'une"", 'anémie', 'au', 'moment', 'du', 'diagnostic.'], ['2-', ""L'existence"", ""d'antécédents"", 'familiaux', 'de', 'cancer', 'colorectal.'], ['3-', 'La', 'taille', 'de', 'la', 'lésion', 'primaire', 'et', 'la', 'différenciation', 'histologique.'], ['4-', 'Perforation', 'ou', 'adhérence', 'de', 'la', 'tumeur', 'aux', 'organes', 'adjacents.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Cette', 'fois-ci,', 'nous', 'sommes', 'interrogés', 'sur', 'les', 'facteurs', 'qui', 'influencent', 'le', 'plus', 'le', 'choix', ""d'une"", 'chimiothérapie', 'adjuvante', 'pour', 'le', 'cancer', 'colorectal.'], ['Pour', 'ce', 'faire,', 'nous', 'devons', 'connaître', 'les', 'facteurs', 'de', 'mauvais', 'pronostic', 'de', 'cette', 'pathologie,', 'notamment', ""l'obstruction"", 'ou', 'la', 'perforation', 'intestinale', 'due', 'à', 'la', 'lésion,', ""l'invasion"", 'des', 'organes', 'adjacents,', ""l'élévation"", 'des', 'marqueurs', 'tumoraux', 'tels', 'que', ""l'ACE"", 'et', ""l'histologie"", 'du', 'néoplasme.'], ['Parmi', 'eux,', 'on', 'accorde', 'moins', ""d'importance"", 'à', 'la', 'taille', 'de', 'la', 'lésion', ""qu'à"", 'son', 'degré', ""d'invasion"", 'de', 'la', 'paroi', 'intestinale', 'ou', ""d'autres"", 'structures', 'adjacentes,', 'un', 'critère', 'qui', 'devrait', 'être', 'pris', 'en', 'compte', 'pour', 'la', 'stadification', 'selon', 'la', 'classification', 'TNM', 'ou', 'Astler-Coller,', 'qui', 'guide', ""l'indication"", ""d'un"", 'traitement', 'adjuvant', 'après', ""l'approche"", 'chirurgicale.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
500_45,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Une', 'jeune', 'fille', 'de', '15', 'ans', 'avec', 'un', 'retard', 'de', 'la', 'ménarche', 'et', 'une', 'petite', 'taille.'], ['Pas', 'de', 'déficience', 'intellectuelle.'], ['Lequel', 'des', 'tests', 'génétiques', 'suivants', 'serait', 'systématiquement', 'utilisé', 'pour', 'le', 'diagnostic', 'de', 'ce', 'patient', '?'], ['1-', 'Le', 'séquençage', 'massif', '(NGS).'], ['2-', 'FISH.'], ['3-', 'Les', 'microréseaux', ""d'ADN"", 'et/ou', ""d'ARN.""], ['4-', 'Caryotype.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Chez', 'une', 'femme', 'présentant', 'un', 'retard', 'de', 'puberté', 'et', 'une', 'petite', 'taille,', 'il', 'faut', 'toujours', 'penser', 'au', 'syndrome', 'de', 'Turner,', 'dont', 'le', 'diagnostic', 'est', 'établi', 'par', 'caryotypage', '(45X0),', 'et', ""l'exclure.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
611_116,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '95', 'ans', 'vivant', 'dans', 'une', 'maison', 'de', 'retraite,', 'indépendante', 'pour', 'les', 'activités', 'de', 'base', 'de', 'la', 'vie', 'quotidienne,', 'sort', 'se', 'promener', 'dans', 'le', 'jardin.'], ['Elle', 'a', 'des', 'antécédents', ""d'hypertension,"", 'de', 'dyslipidémie,', ""d'ostéoporose"", 'et', 'de', 'troubles', 'cognitifs', 'légers.'], ['Il', 'fait', 'une', 'chute', ""lorsqu'il"", 'se', 'lève', 'la', 'nuit', 'pour', 'aller', 'aux', 'toilettes.'], ['La', 'radiographie', 'montre', 'une', 'fracture', 'sous-capitale', 'déplacée', 'de', 'la', 'hanche', 'droite.'], ['Quel', 'est', 'le', 'traitement', 'recommandé', '?'], ['1-', ""L'hémiarthroplastie"", 'de', 'la', 'hanche.'], ['2-', 'Fixation', 'du', 'clou', 'trochantérien.'], ['3-', 'Fixation', 'par', 'vis', 'canulées.'], ['4-', 'Conservateur', ':', 'la', 'vie', 'au', 'lit.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['On', 'nous', 'rapporte', 'le', 'cas', ""d'une"", 'patiente', 'de', '95', 'ans', 'présentant', 'une', 'fracture', 'intracapsulaire', '(sous-capitale)', 'déplacée', 'de', 'la', 'hanche.'], ['Dans', 'ce', 'cas,', 'les', 'options', 'chirurgicales', 'peuvent', 'être', ""l'utilisation"", 'de', 'vis', 'canulées', 'ou', ""l'arthroplastie"", 'de', 'la', 'hanche.'], ['Les', 'vis', 'perforées', 'sont', 'réservées', 'aux', 'cas', 'de', 'fractures', 'non', 'déplacées', '(Mauvaise', 'réponse', '2)', 'et', ""l'option"", 'la', 'plus', 'indiquée', 'serait', ""l'arthroplastie,"", 'dans', 'ce', 'cas', ""l'hémiarthroplastie"", '(Bonne', 'réponse', '1).'], ['Les', 'broches', 'trochantériennes', 'sont', 'réservées', 'aux', 'fractures', 'extracapsulaires', '(Mauvaise', 'réponse', '2)', 'et', 'le', 'traitement', 'conservateur', ""n'est"", 'envisagé', 'que', 'chez', 'les', 'patients', 'présentant', 'une', 'très', 'faible', 'demande', 'fonctionnelle', 'ou', 'une', 'contre-indication', 'chirurgicale', '(Mauvaise', 'réponse', '4).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim']]"
542_38,"[['QUESTION', 'TYPE:', 'ALLERGOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '25', 'ans', 'ayant', 'des', 'antécédents', ""d'asthme"", 'bronchique', 'allergique', 'dû', 'à', 'une', 'sensibilisation', 'aux', 'pollens', 'de', 'graminées', 'et', 'à', 'une', 'dermatite', 'atopique.'], ['Elle', 'a', 'soudainement', 'développé', 'une', 'hypotension,', 'une', 'tachycardie,', 'une', 'urticaire', 'et', 'un', 'bronchospasme', 'après', 'avoir', 'mangé', 'des', 'cacahuètes', 'et', 'a', 'été', 'emmenée', 'au', 'service', 'des', 'urgences.'], ['Quel', 'serait', ""l'ordre"", 'des', 'médicaments', 'à', 'administrer', 'et', 'quels', 'tests', 'de', 'laboratoire', 'pourraient', 'être', 'demandés', 'pour', 'une', 'évaluation', 'plus', 'approfondie', '?'], ['1-', 'Adrénaline', 'intramusculaire,', 'suivie', ""d'un"", 'bronchodilatateur', 'inhalé', 'de', 'type', 'SABA', 'et', 'de', 'dexchlorphéniramine', 'intramusculaire.', 'Demander', 'ensuite', 'le', 'dosage', 'de', 'la', 'tryptase', 'sérique.'], ['2-', 'Un', 'bronchodilatateur', 'inhalé', 'de', 'type', 'SABA,', 'suivi', 'de', 'dexchlorphéniramine', 'intramusculaire', 'et', ""d'adrénaline"", 'intramusculaire.', 'Puis', 'demande', 'de', 'tryptase', 'sérique.'], ['3-', 'Dexchlorphéniramine', 'intramusculaire,', 'suivi', ""d'un"", 'bronchodilatateur', 'inhalé', 'de', 'type', 'SABA', 'et', ""d'adrénaline"", 'intramusculaire.', 'Puis', 'demande', 'de', 'protéine', 'cationique', ""d'éosinophiles.""], ['4-', 'Adrénaline', 'intramusculaire,', 'suivie', ""d'un"", 'bronchodilatateur', 'inhalé', 'de', 'type', 'SABA', 'et', 'de', 'la', 'dexchlorphéniramine', 'intramusculaire.', 'Puis', 'demande', 'de', 'protéine', 'cationique', ""d'éosinophiles.""], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Le', 'patient', 'souffre', ""d'un"", 'choc', 'anaphylactique', 'consécutif', 'à', ""l'ingestion"", 'de', 'cacahuètes.'], ['Le', 'traitement', 'de', 'premier', 'choix', 'de', ""l'anaphylaxie"", 'et', 'du', 'choc', 'anaphylactique', 'est', ""l'adrénaline"", 'intramusculaire', '1mg/ml', '(dose', 'de', '0,01', 'mg/kg,', 'chez', 'les', 'adultes', '0,5', 'mg', 'au', 'maximum).'], ['Suivi', ""d'un"", 'traitement', 'symptomatique', 'pour', 'stabiliser', 'les', 'voies', 'respiratoires', 'avec', '100', '%', ""d'O2"", 'à', 'haut', 'débit,', 'assurer', 'un', 'accès', 'veineux', 'de', 'gros', 'calibre,', 'un', 'remplacement', 'des', 'fluides', 'et', 'une', 'surveillance', 'continue', '(HR,', 'BP,', 'SatO2', ',', 'diurèse).'], ['Un', 'bronchodilatateur', 'inhalé', 'tel', 'que', 'le', 'SABA,', 'la', 'dexchlorphéniramine', 'intramusculaire', 'ou', 'des', 'corticostéroïdes', 'tels', 'que', ""l'hydrocortisone"", 'IV', 'ou', 'la', 'méthylprednisolone', 'IV', 'peuvent', 'être', 'administrés', 'comme', 'traitement', 'adjuvant.'], [""L'adrénaline"", 'peut', 'être', 'répétée', 'aux', 'mêmes', 'doses', 'toutes', 'les', '5', 'minutes,', '3', 'fois', 'au', 'maximum,', 'et', 'si', 'après', '15', 'minutes', 'il', ""n'y"", 'a', 'pas', 'de', 'réponse,', 'une', 'perfusion', ""d'adrénaline"", 'IV', 'doit', 'être', 'mise', 'en', 'place,', 'envisager', 'le', 'Glucagon', '(en', 'cas', 'de', 'traitement', 'par', 'bêta-bloquants),', ""l'Atropine"", '(en', 'cas', 'de', 'bradycardie', 'prolongée)', 'ou', 'les', 'Vasopresseurs', '(en', 'cas', ""d'hypotension"", 'réfractaire).'], ['Le', 'marqueur', 'de', 'laboratoire', 'à', 'prescrire', 'en', 'cas', 'de', 'suspicion', ""d'anaphylaxie"", 'est', 'la', 'tryptase', 'sérique', 'dans', 'la', 'première', 'heure', 'pour', 'une', 'mesure', 'de', 'référence', 'et', 'une', 'autre', 'après', '4', 'à', '6', 'heures', 'pour', 'observer', 'sa', 'courbe', ""d'élévation.""], ['Il', 'ne', ""s'agit"", 'pas', ""d'un"", 'marqueur', ""d'urgence"", 'mais', 'il', 'est', 'très', 'utile', 'pour', 'les', 'études', 'allergologiques', 'futures.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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79_36,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Laquelle', 'des', 'données', 'cliniques', 'suivantes,', 'relevées', 'lors', 'de', ""l'anamnèse"", ""d'un"", 'patient', 'présentant', 'une', 'diarrhée', 'de', 'plus', 'de', '4', 'semaines', ""d'évolution,"", 'peut', 'être', 'retrouvée', 'chez', 'des', 'personnes', 'ne', 'présentant', 'pas', 'de', 'pathologie', 'organique', ':'], ['1-', 'Perte', 'de', 'poids', 'avec', 'ou', 'sans', 'rectorragie.'], ['2-', 'Persistance', 'de', 'la', 'diarrhée', 'pendant', 'la', 'nuit.'], ['3-', 'Début', 'des', 'symptômes', 'après', ""l'âge"", 'de', '50', 'ans.'], ['4-', 'Présence', 'de', 'dermatite', 'et/ou', ""d'arthrite"", 'lors', 'de', ""l'examen.""], ['5-', 'Expulsion', 'de', 'mucus', 'dans', 'plus', 'de', '25%', 'des', 'défécations.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Bien', 'que', 'les', 'mucosités', 'aient', 'tendance', 'à', 'être', 'un', 'peu', 'plus', 'effrayantes', 'dans', 'la', 'salle', 'de', 'consultation,', 'elles', 'entrent', 'dans', 'les', 'critères', 'de', 'Rome', 'II', 'pour', 'le', 'diagnostic', 'du', 'syndrome', 'de', ""l'intestin"", 'irritable.'], ['Tous', 'les', 'autres', 'sont', 'des', 'signes', 'typiques', ""d'organicité,"", 'bien', 'que', 'je', 'pense', 'que', 'la', 'question', 'est', 'mal', 'formulée,', 'car', 'toutes', 'ces', 'données', '(en', 'particulier', ""l'âge)"", 'peuvent', 'être', 'trouvées', 'chez', 'des', 'patients', 'qui,', 'en', 'fin', 'de', 'compte,', ""n'ont"", 'rien,', 'ce', 'qui', 'se', 'passe,', ""c'est"", 'que', 'dans', 'ces', 'cas,', 'il', 'faut', 'toujours', 'rechercher', ""l'organicité.""]]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
524_54,"[['QUESTION', 'TYPE:', 'STATISTIQUES'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '86', 'ans', 'présentant', 'une', 'fibrillation', 'auriculaire', 'non', 'valvulaire.'], ['Le', 'score', 'CHADS2', 'est', 'de', '3', 'points.'], ['Dans', 'la', 'littérature,', 'des', 'patients', 'similaires', 'sous', 'warfarine', 'ont', 'un', 'risque', ""d'accident"", 'vasculaire', 'cérébral', 'de', '2,2', '%', 'contre', '5,2', '%', 'chez', 'les', 'patients', 'sans', 'warfarine.'], ['Quel', 'serait', 'le', 'nombre', 'nécessaire', 'à', 'traiter', '(NNT)', 'pour', 'prévenir', 'les', 'accidents', 'vasculaires', 'cérébraux', 'emboliques', 'grâce', 'à', 'un', 'traitement', 'anticoagulant', '?'], ['1-', '3.'], ['2-', '19,2.'], ['3-', '33,3.'], ['4-', '49,5.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['En', 'moyenne,', 'le', 'traitement', 'de', '100', 'patients', 'comme', 'cette', 'femme', 'par', 'la', 'warfarine', 'réduit', 'le', 'nombre', ""d'accidents"", 'vasculaires', 'cérébraux', 'de', '3', '(de', '5,2', 'non', 'traités', 'à', '3,2', 'traités).'], ['Par', 'conséquent,', 'le', 'fait', 'de', 'traiter', '33,3', 'patients', 'comme', 'cette', 'femme', 'avec', 'de', 'la', 'warfarine', 'réduit', 'le', 'nombre', ""d'accidents"", 'vasculaires', 'cérébraux', 'de', '1', ':', 'le', 'NNT', 'est', 'de', '33,3.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
319_141,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Garçon', 'de', '20', 'ans,', 'qui', 'a', 'consulté', 'pour', 'des', 'douleurs', 'lombo-sacrées', 'avec', 'un', 'rythme', 'inflammatoire', 'de', '4', 'mois', ""d'évolution.""], ['Également', 'thalgie', 'bilatérale', 'et', 'raideur', 'matinale', 'pendant', '1', 'heure.'], ['Au', 'cours', 'des', 'deux', 'derniers', 'mois,', 'apparition', 'de', 'diarrhées', 'avec', 'perte', 'de', 'poids', 'de', '4', 'kg.'], ['Quelle', 'est', ""l'approche"", 'diagnostique', 'la', 'plus', 'appropriée', '?'], ['1-', 'Compte', 'tenu', 'de', ""l'âge"", 'du', 'patient,', 'il', 'est', 'très', 'probable', ""qu'il"", 'souffre', 'de', 'lombalgies', 'non', 'spécifiques', 'et', 'de', 'tendinites', 'aux', 'pieds.', 'Si', 'la', 'diarrhée', 'persiste,', 'je', 'ferai', 'un', 'bilan', 'digestif.'], ['2-', 'Je', 'ferais', 'une', 'étude', 'digestive', 'pour', 'éliminer', 'une', 'pathologie', 'tumorale.', 'La', 'douleur', 'lombaire', 'peut', 'être', 'due', 'à', 'une', 'pathologie', 'viscérale.'], ['3-', 'Le', 'tableau', 'clinique', 'est', 'très', 'évocateur', ""d'une"", 'spondylarthrite.', 'Une', 'maladie', 'inflammatoire', 'de', ""l'intestin"", 'doit', 'être', 'exclue.'], ['4-', 'Je', 'demanderais', 'une', 'IRM', 'lombaire', 'pour', 'éliminer', 'une', 'hernie', 'discale', 'et', 'si', 'la', 'diarrhée', 'persiste,', 'une', 'étude', 'digestive.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Le', 'tableau', 'clinique', 'est', 'typique', 'de', 'la', 'spondylarthrite', 'et,', 'avec', 'les', 'symptômes', 'digestifs,', 'il', 'est', 'probablement', 'associé', 'à', 'une', 'maladie', 'inflammatoire', 'de', ""l'intestin.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
400_147,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE', 'ET', 'ORTHOPÉDIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '13', 'ans', 'présente', 'des', 'douleurs', 'dorsales', 'depuis', 'plusieurs', 'mois,', 'uniquement', 'en', 'se', 'levant', 'et', 'en', 'marchant.', 'Quel', 'diagnostic', 'faut-il', 'envisager', '?'], ['1-', 'La', 'maladie', 'de', 'Scheuermann.'], ['2-', 'Scoliose', 'thoracique.'], ['3-', 'Tumeur', 'maligne', 'du', 'corps', 'vertébral.'], ['4-', 'Il', ""s'agit"", ""d'une"", 'surcharge', 'mécanique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['La', 'douleur', 'est', 'de', 'nature', 'mécanique', 'et', 'la', 'cause', 'la', 'plus', 'fréquente', 'des', 'douleurs', 'dorsales', 'mécaniques', 'chez', 'les', 'adolescents', 'est', 'la', 'surcharge', 'mécanique.'], ['La', 'déclaration', 'ne', 'contient', 'aucune', 'donnée', 'suggérant', ""l'une"", 'ou', ""l'autre"", 'des', 'autres', 'étiologies.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
196_164,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '4', 'ans', 'consulte', 'pour', ""l'apparition,"", 'depuis', 'trois', 'jours,', 'de', 'lésions', 'cutanées', 'sur', 'les', 'jambes', 'et', 'les', 'fesses.'], ['Ses', 'parents', 'ont', 'indiqué', 'que', 'son', 'pédiatre', 'avait', 'diagnostiqué', 'une', 'infection', 'des', 'voies', 'respiratoires', 'supérieures', 'dix', 'jours', 'plus', 'tôt.'], ['Au', 'cours', 'des', '12', 'dernières', 'heures,', 'il', 'a', 'ressenti', 'de', 'fortes', 'douleurs', 'abdominales', 'de', 'type', 'colique', 'et', 'a', 'émis', 'deux', 'selles', 'diarrhéiques.'], ['Afébrile.'], ['Pas', 'de', 'perte', 'de', 'poids.'], ['À', ""l'examen,"", 'elle', 'présentait', 'de', 'nombreuses', 'pétéchies', 'et', 'des', 'lésions', 'purpuriques', 'palpables,', 'principalement', 'sur', 'les', 'fesses', 'et', 'les', 'membres', 'inférieurs.'], ['Bon', 'état', 'général,', 'bien', ""qu'il"", 'souffre', 'de', 'fortes', 'douleurs', 'abdominales,'], ['La', 'palpation', 'abdominale', 'est', 'difficile', 'à', 'évaluer', 'en', 'raison', 'de', 'la', 'douleur', 'diffuse.'], ['Pas', 'de', 'viscéro-mégalie.'], ['Aucun', 'autre', 'résultat', 'intéressant', ""n'a"", 'été', 'constaté', 'à', ""l'examen.""], ['Lequel', 'des', 'éléments', 'suivants', ""n'étaye"", 'PAS', 'vos', 'soupçons', 'en', 'matière', 'de', 'diagnostic', '?'], ['1-', 'Arthrite', 'du', 'genou', 'et', 'de', 'la', 'cheville.'], ['2-', 'Hématurie.'], ['3-', 'Plaquetopénie.'], ['4-', 'Sang', 'occulte', 'fécal.'], ['5-', 'Œdème', 'du', 'scrotum.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', 'décrit', 'un', 'purpura', 'de', 'Schönlein-Henoch,', 'qui', 'est', 'un', 'phénomène', 'vasculaire,', 'de', 'sorte', 'que', 'les', 'lésions', 'ne', 'sont', 'pas', 'dues', 'à', 'une', 'plaquettopénie.'], [""L'œdème"", 'scrotal', '(parfois', 'même', 'la', 'torsion', 'de', 'la', 'capside', 'de', 'Morgani', 'du', 'testicule)', ""n'est"", 'pas', 'exceptionnel', 'chez', 'les', 'hommes', 'atteints', 'du', 'syndrome', 'de', 'Schönlein-Henoch.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
509_150,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '83', 'ans', 'a', 'consulté', 'pour', 'des', 'douleurs', 'abdominales', 'récurrentes', 'dans', 'la', 'fosse', 'iliaque', 'gauche,', 'accompagnées', 'de', 'diarrhées', 'allant', ""jusqu'à"", '6', 'selles', 'par', 'jour', 'sans', 'produits', 'pathologiques,', ""d'une"", 'durée', 'de', '10', 'à', '15', 'jours.'], ['Pas', 'de', 'fièvre', 'ni', 'de', 'malaise', 'général.'], ['Un', 'test', 'sanguin', 'récent', ""n'a"", 'pas', 'révélé', 'de', 'leucocytose', 'et', 'un', 'test', 'de', 'recherche', 'de', 'sang', 'occulte', 'dans', 'les', 'selles', ""s'est"", 'révélé', 'négatif.'], [""L'examen"", 'a', 'révélé', 'une', 'légère', 'douleur', 'à', 'la', 'palpation', 'de', 'la', 'fosse', 'iliaque', 'gauche', 'sans', 'irritation', 'péritonéale.'], ['Il', 'a', 'subi', 'une', 'coloscopie', 'il', 'y', 'a', 'trois', 'ans,', 'qui', 'a', 'révélé', 'des', 'diverticules', 'dans', 'tout', 'le', 'côlon,', 'plus', 'nombreux', 'dans', 'le', 'côlon', 'gauche,', 'sans', 'autres', 'lésions', 'associées.'], ['Laquelle', 'des', 'attitudes', 'suivantes', 'serait', 'la', 'meilleure', 'à', 'adopter', '?'], ['1-', 'Traitement', 'antibiotique', 'empirique.'], ['2-', 'Demander', 'une', 'coloscopie', 'préférentielle.'], ['3-', 'Demander', 'une', 'échographie', 'abdominale', 'en', 'urgence.'], ['4-', 'Référer', 'à', 'la', 'chirurgie', 'pour', 'évaluer', 'la', 'sigmoïdectomie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Ils', 'se', 'réfèrent', 'à', 'un', 'concept', 'relativement', 'nouveau', 'qui', 'est', 'apparu', 'assez', 'récemment', 'et', 'qui', ""n'est"", 'pas', 'présent', 'dans', 'toutes', 'les', 'directives', 'cliniques,', 'à', 'savoir', 'la', 'maladie', 'diverticulaire', 'symptomatique', 'non', 'compliquée.'], ['Dans', 'ces', 'cas,', 'un', 'essai', 'thérapeutique', 'avec', 'la', 'rifaximine', 'est', 'recommandé,', 'le', 'vrai', 'numéro', '1', 'étant', 'la', 'rifaximine.'], [""L'absence"", 'de', 'réactifs', 'de', 'phase', 'aiguë', 'dans', ""l'analyse"", 'de', 'laboratoire', 'suggère', ""qu'il"", ""n'y"", 'a', 'pas', 'de', 'diverticulite', 'aiguë', 'au', 'moment', 'de', 'la', 'consultation,', 'ce', 'qui', 'nous', 'amènerait', 'à', 'demander', 'un', 'examen', ""d'imagerie"", 'pour', ""l'exclure.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
549_128,,
221_48,"[['QUESTION', 'TYPE:', 'ANATOMIE', 'PATHOLOGIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '20', 'ans', 'souffrant', ""d'ataxie,"", 'de', 'maux', 'de', 'tête', 'et', ""d'une"", 'masse', 'kystique', 'solide', 'dans', ""l'hémisphère"", 'cérébelleux', 'droit', 'a', 'été', 'opéré', 'et', 'une', 'lésion', 'a', 'été', 'réséquée.', 'Histologiquement,', 'la', 'lésion', 'présentait', 'des', 'cellules', 'avec', 'des', 'processus', 'cytoplasmiques', 'longs', 'et', 'fins,', 'un', 'motif', 'fasciculaire', 'et', 'microkystique,', 'de', 'nombreux', 'vaisseaux', 'et', 'des', 'fibres', 'de', 'Rosenthal.'], ['Le', 'diagnostic', 'anatomopathologique', 'le', 'plus', 'probable', 'est', 'le', 'suivant', ':'], ['1-', 'Astrocytome', 'pilocytique.'], ['2-', 'Le', 'xanthoastrocytome', 'pléomorphe.'], ['3-', 'Neurocytome', 'central.'], ['4-', 'Liponeurocytome.'], ['5-', 'La', 'maladie', 'de', 'Prion.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Une', 'question', 'qui', 'ne', 'semble', 'pas', 'avoir', 'de', 'seconde', 'intention,', ""puisqu'elle"", 'ne', 'comporte', 'aucun', 'élément', 'de', 'confusion.'], ['La', 'déclaration', 'résume', 'de', 'manière', 'concise', 'la', 'description', 'de', ""l'astrocytome"", 'pilocytique.'], ['Les', 'fibres', 'de', 'Rosenthal', 'peuvent', 'prêter', 'à', 'confusion', 'car', 'elles', 'ne', 'sont', 'pas', 'très', 'spécifiques', 'et', 'nous', 'font', 'penser,', 'par', 'exemple,', 'au', 'xanthoastrocytome', 'pléomorphe', 'dans', 'lequel', 'elles', 'peuvent', 'également', 'être', 'trouvées,', 'mais', 'la', 'morphologie', 'cellulaire', 'décrite', '(processus', 'cytoplasmiques', 'longs', 'et', 'fins,', 'qui', 'sont', 'à', ""l'origine"", 'du', 'nom', '""pilocytique"")', 'maintient', 'la', 'première', 'option', 'comme', 'étant', 'la', 'bonne.'], ['Une', 'bonne', 'description', 'de', 'cette', 'entité,', 'expliquant', 'ce', 'qui', 'la', 'distingue', 'des', 'autres', 'tumeurs', 'gliales,', 'peut', 'être', 'trouvée', 'dans', 'Practical', 'Surgical', 'Neuropathology.'], ['Une', 'approche', 'diagnostique.'], ['A.'], ['Perry,', 'D.J.'], ['Frère.'], ['p82-88.'], ['Churchill', 'Livingstone', 'Elsevier.'], ['2010.'], ['(Philadephie).']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O'], ['O'], ['O', 'O'], ['O'], ['O'], ['O', 'O', 'O'], ['O'], ['O']]"
606_113,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '35', 'ans,', 'facteur,', 'sans', 'antécédents,', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'des', 'douleurs', 'cervicales', 'aiguës', 'depuis', '24', 'heures,', 'sans', 'antécédents', 'traumatiques,', 'irradiant', 'dans', 'le', 'bras', 'gauche', ""jusqu'à"", 'la', 'main', 'et', 'accompagnées', ""d'une"", 'paresthésie', 'au', 'niveau', 'du', 'bord', 'radial', 'de', ""l'avant-bras.""], ['Il', ""n'y"", 'a', 'pas', 'de', 'perte', 'objective', 'de', 'force,', 'la', 'mobilité', 'du', 'cou', 'est', 'préservée', 'bien', ""qu'elle"", 'soit', 'douloureuse', 'et', 'il', 'y', 'a', 'contracture', 'de', 'la', 'musculature', 'paravertébrale.'], ['La', 'première', 'attitude', 'sera', ':'], ['1-', 'Traitement', 'conservateur', 'par', 'anti-inflammatoires', 'non', 'stéroïdiens,', 'chaleur', 'locale', 'et', 'repos', 'relatif.'], ['2-', 'Appel', 'urgent', 'au', 'neurochirurgien', 'pour', 'une', 'évaluation', 'chirurgicale.'], ['3-', 'Demande', 'préférentielle', 'pour', ""l'IRM"", 'et', ""l'électromyogramme.""], ['4-', ""L'orientation"", 'préférentielle', 'vers', 'les', 'consultations', 'externes', 'de', 'traumatologie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'réponse', '1', 'est', 'correcte.'], ['75', '%', 'des', 'patients', 'souffrant', 'de', 'radiculopathie', 'voient', 'leur', 'état', ""s'améliorer"", 'grâce', 'à', 'un', 'traitement', 'non', 'chirurgical,', 'qui', 'est', 'le', 'traitement', 'de', 'choix', 'dans', 'les', 'premiers', 'stades.'], [""L'IRM"", 'est', 'indiquée', 'pour', 'certains', 'signaux', ""d'alarme"", ':', 'fièvre,', 'perte', 'de', 'poids,', 'douleurs', 'nocturnes,', 'persistance', 'des', 'symptômes', 'malgré', 'un', 'traitement', 'conservateur', 'et', 'perte', 'de', 'force', '(réponse', 'incorrecte', '3).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim']]"
436_223,,
220_126,,
483_174,"[['QUESTION', 'TYPE:', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '22', 'ans', 'présente', 'un', 'arrêt', 'cardiaque', 'soudain', 'avec', 'un', 'rythme', 'considéré', 'comme', 'pouvant', 'être', 'défibrillé.'], ['Des', 'compressions', 'thoraciques', 'et', 'des', 'ventilations', 'sont', 'effectuées,', 'un', 'choc', 'de', 'défibrillateur', 'a', 'été', 'donné', 'et', 'une', 'ligne', 'veineuse', 'périphérique', 'a', 'été', 'canulée.'], ['Parmi', 'les', 'actions', 'suivantes,', 'laquelle', 'serait', 'la', 'plus', 'appropriée', '?'], ['1-', 'Administrer', '150', 'mg', ""d'amiodarone"", 'par', 'voie', 'intraveineuse.'], ['2-', 'Administrer', '300', 'mg', ""d'amiodarone"", 'par', 'voie', 'intraveineuse.'], ['3-', 'Administrer', '1', 'mg', ""d'atropine"", 'par', 'voie', 'intraveineuse.'], ['4-', 'Administrer', '2', 'mg', ""d'atropine"", 'par', 'voie', 'intraveineuse.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Question', 'controversée,', 'puisque', ""l'amiodarone"", '(la', 'dose', 'est', 'correcte,', '300', 'mg)', 'est', 'administrée', 'après', 'le', 'troisième', 'choc,', 'et', 'non', 'après', 'la', 'première', 'défibrillation,', 'comme', 'le', 'dit', 'la', 'déclaration.'], [""C'est"", 'pourtant', 'ce', 'que', 'disent', 'les', 'guides.'], ['Je', 'suis', 'sûr', 'que', 'plus', ""d'un"", ""d'entre"", 'nous', 'a', 'administré', 'de', ""l'amiodarone"", 'dès', ""qu'il"", 'disposait', ""d'un"", 'accès', 'veineux', 'en', 'cas', 'de', 'rythme', 'choquable.'], ['Les', 'autres', 'options', 'sont', 'incorrectes.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
113_93,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '35', 'ans', 'en', 'bonne', 'santé', 'consulte', 'pour', 'une', 'asthénie.'], [""L'hémogramme"", 'a', 'montré', 'une', 'anémie', 'microcytaire', 'et', 'hypochromatique', '(hémoglobine', '7', 'g/dl,', 'volume', 'corpusculaire', 'moyen', '68', 'fl,', 'hémoglobine', 'corpusculaire', 'moyenne', '24', 'pg)', 'avec', 'une', 'distribution', 'élevée', 'des', 'globules', 'rouges', '(ADE', '20', '%),', 'une', 'diminution', 'des', 'réticulocytes', '(0,3', '%,', '30000/l', 'absolu),', 'une', 'diminution', 'du', 'contenu', 'en', 'hémoglobine', 'dans', 'les', 'réticulocytes', '(17', 'pg)', 'et', 'une', 'thrombocytose', 'discrète', '(500', '000', 'plaquettes).'], ['Avec', 'les', 'données', 'de', ""l'hémogramme,"", 'quelle', 'serait', 'votre', 'suspicion', 'diagnostique', 'même', 'sans', 'la', 'biochimie', 'du', 'patient', '?'], ['1-', 'Trait', 'thalassémique.'], ['2-', 'Anémie', 'centrale,', 'arégénérative,', 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59_51,"[['QUESTION', 'TYPE:', 'ANESTHÉSIOLOGIE', 'ET', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Patient', 'de', '47', 'ans', 'consultant', 'le', 'service', 'des', 'urgences', 'pour', 'une', 'perte', 'de', 'connaissance', 'soudaine', 'Lequel', 'des', 'éléments', 'suivants', 'a', 'un', 'meilleur', 'rendement', 'diagnostique', '?'], ['1-', 'Antécédents', 'médicaux.'], ['2-', ""L'électrocardiogramme.""], ['3-', 'Enregistrement', 'Holter.'], ['4-', 'EEG.'], ['5-', 'Tomodensitométrie', 'crânienne.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Il', 'est', 'clair', 'que', ""c'est"", 'la', 'seule', 'réponse', 'qui', 'englobe', 'toutes', 'les', 'causes', 'de', 'perte', 'de', 'conscience', 'soudaine', 'et', 'qui', 'permet', 'de', 'poser', 'un', 'diagnostic', ""d'une"", 'certaine', 'manière.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
412_54,"[['QUESTION', 'TYPE:', 'BIOSTATIQUE'], ['CLINICAL', 'CASE:'], ['Elizabeth', 'a', 'trois', 'fils', 'et', 'une', 'fille', '(Mary),', 'tous', 'en', 'bonne', 'santé.'], ['Un', 'frère', 'et', 'un', 'oncle', 'maternel', ""d'Isabel"", 'sont', 'décédés', 'de', 'la', 'maladie', 'de', 'Duchenne,', 'une', 'maladie', 'récessive', 'liée', 'à', ""l'X.""], ['Maria', 'souhaite', 'maintenant', 'tomber', 'enceinte', 'et', 'veut', 'connaître', 'le', 'risque', 'de', 'transmission', 'de', 'la', 'maladie', 'à', 'sa', 'progéniture.'], ['Sur', 'la', 'base', 'des', 'données', 'recueillies,', 'quelle', 'est', 'la', 'probabilité', 'que', 'Maria', 'soit', 'porteuse', 'de', 'la', 'maladie', 'de', 'Duchenne', '?'], ['1-', '2/3.'], ['2-', '1/2.'], ['3-', '1/4.'], ['4-', 'Moins', 'de', '1/4.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Sa', 'grand-mère', 'maternelle', 'était', 'porteuse', 'de', 'la', 'mutation', ""d'une"", 'copie', 'du', 'gène', 'sur', 'un', 'chromosome', 'X', '(on', 'ne', 'nous', 'dit', 'pas', ""qu'elle"", 'a', 'souffert', 'de', 'la', 'maladie,', 'mais', 'un', 'de', 'ses', 'fils,', ""l'oncle"", 'maternel', ""d'Isabel,"", 'en', 'a', 'souffert).'], ['La', 'mère', ""d'Isabel"", 'est', 'toujours', 'porteuse', 'de', 'la', 'maladie,', 'car', ""l'un"", 'des', 'frères', ""d'Isabel"", 'en', 'a', 'souffert,', 'mais', 'pas', 'son', 'père.'], ['Ainsi,', 'Elizabeth', 'a', '50', '%', 'de', 'chances', ""d'avoir"", 'hérité', 'du', 'gène', 'muté', 'de', 'sa', 'mère', '(comme', 'ses', 'enfants', 'sont', 'tous', 'en', 'bonne', 'santé,', 'nous', 'ne', 'savons', 'pas', 'si', 'elle', 'est', 'porteuse),', 'et', 'sa', 'fille', 'a', 'donc', '25', '%', 'de', 'chances', ""d'avoir"", 'hérité', 'du', 'gène', 'muté', 'de', 'sa', 'grand-mère.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
347_159,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '69', 'ans', ""s'est"", 'présentée', 'à', 'la', 'clinique', 'en', 'se', 'plaignant', 'de', 'saignements', 'génitaux', 'depuis', 'plusieurs', 'mois.'], ['Refuse', 'le', 'traitement', 'hormonal', 'substitutif', 'et', ""l'anticoagulation.""], ['Elle', 'présente', 'une', 'cytologie', 'cervico-vaginale', 'normale.'], [""L'examen"", 'physique', 'général', 'et', 'génital', ""n'a"", 'rien', 'révélé', ""d'intéressant.""], ['IMC', 'de', '38', 'kg/m2.'], ['Indiquez', ""l'attitude"", 'la', 'plus', 'correcte', ':'], ['1-', 'Prescrire', 'de', 'la', 'progestérone', 'cyclique.'], ['2-', 'Biopsie', 'de', ""l'endomètre.""], ['3-', 'Biopsies', 'cervicales', 'aléatoires.'], ['4-', 'Bilan', 'hormonal', 'avec', 'FSH,', 'LH', 'et', 'œstradiol.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Biopsie', 'de', ""l'endomètre.""], ['Péri', 'ou', 'ménopause', ':', '-', 'En', 'raison', 'de', 'la', 'prévalence', 'élevée', 'de', 'la', 'pathologie', 'organique', 'au', 'cours', 'de', 'cette', 'période,', 'il', 'est', 'nécessaire', 'de', 'réaliser', 'systématiquement', 'une', 'biopsie', 'de', ""l'endomètre"", '(Cornier', 'ou', 'hystéroscopie).']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
325_56,"[['QUESTION', 'TYPE:', 'SOINS', 'CRITIQUES,', 'PALLIATIFS', 'ET', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Patient', 'de', '54', 'ans', 'admis', 'pour', 'une', 'fièvre', 'thermométrique', 'de', '38°C', 'au', 'cours', 'des', 'cinq', 'derniers', 'jours', 'et', 'une', 'dyspnée', 'au', 'repos', '(NYHA', 'lV)', 'apparue', '6', 'heures', 'avant', 'son', 'arrivée', 'à', ""l'hôpital.""], ['Au', 'service', 'des', 'urgences,', ""l'examen"", 'était', 'compatible', 'avec', 'une', 'insuffisance', 'cardiaque', 'et', ""l'ECG"", 'montrait', 'un', 'bloc', 'auriculo-ventriculaire', 'complet', 'avec', 'une', 'fréquence', 'ventriculaire', ""d'échappement"", 'de', '45', 'bpm.'], ['Les', 'signes', ""d'insuffisance"", 'cardiaque', 'sont', 'réfractaires', 'au', 'traitement', 'médical', 'et', ""l'échocardiographie"", 'transœsophagienne', 'montre', 'une', 'valve', 'aortique', 'avec', 'un', 'orifice', 'régurgitant', 'efficace', 'de', '0,5', 'cm2.'], ['Les', 'cultures', 'en', 'série', 'sont', 'positives', 'pour', 'Streptococcus', 'gallolyticus.'], ['Indiquez', ""l'attitude"", 'la', 'plus', 'appropriée', ':'], ['1-', 'Chirurgie', 'cardiaque', 'pour', 'remplacement', 'de', 'la', 'valve', 'aortique', 'par', 'une', 'prothèse', 'mécanique', 'avec', 'antibiothérapie', 'selon', ""l'antibiogramme.""], ['2-', 'Antibiothérapie', 'selon', 'antibiogramme', 'et', 'mise', 'en', 'place', ""d'une"", 'contre-pulsion', 'par', 'ballon', 'intra-aortique', 'et', ""d'un"", 'stimulateur', 'cardiaque', 'transitoire', 'pendant', '3', 'semaines,', 'après', 'quoi', 'un', 'stimulateur', 'cardiaque', 'permanent', 'sera', 'implanté.'], ['3-', 'Implantation', ""d'un"", 'stimulateur', 'cardiaque', 'transitoire,', 'antibiothérapie', 'selon', 'antibiogramme', 'et', 'implantation', 'percutanée', ""d'une"", 'prothèse', 'valvulaire', 'aortique.'], ['4-', 'Implantation', 'urgente', ""d'un"", 'stimulateur', 'cardiaque', 'permanent', 'avec', 'antibiothérapie', 'selon', ""l'antibiogramme"", 'pendant', '6', 'semaines.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'bonne', 'réponse', 'est', '1,', 'car', 'les', 'indications', 'de', 'la', 'chirurgie', 'cardiaque', 'comprennent', 'le', 'développement', ""d'une"", 'insuffisance', 'cardiaque', 'ou', 'de', 'nouveaux', 'troubles', 'de', 'la', 'conduction,', 'et', 'dans', 'ce', 'cas,', 'elle', 'présente', 'les', 'deux.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
335_175,"[['QUESTION', 'TYPE:', 'PHARMACOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '88', 'ans', 'vient', 'consulter', 'parce', ""qu'il"", 'a', 'fait', 'trois', 'chutes', 'au', 'cours', 'des', 'six', 'derniers', 'mois.'], ['Aucune', 'des', 'chutes', ""n'a"", 'été', 'accompagnée', 'de', 'vertiges', 'ou', 'de', 'syncopes.'], ['Une', 'chute', ""s'est"", 'produite', 'lors', ""d'une"", 'promenade', 'dans', 'le', 'jardin.'], ['Ses', 'antécédents', 'médicaux', 'comprennent', 'de', ""l'hypertension"", 'sans', 'changements', 'posturaux', 'de', 'la', 'pression', 'artérielle,', 'de', 'la', 'goutte,', 'de', ""l'arthrose"", 'et', 'de', 'la', 'dépression.'], ['Prendre', 'régulièrement', '5', 'médicaments.'], ['Lequel', 'des', 'éléments', 'suivants', 'est', 'le', 'plus', 'susceptible', 'de', 'contribuer', 'aux', 'chutes', 'de', 'ce', 'patient', '?'], ['1-', 'Alopurinol.'], ['2-', 'Hydrochlorothiazide.'], ['3-', 'Lisinopril.'], ['4-', 'Paroxétine.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Paroxétine', ';', 'question', 'compliquée', 'car', ""l'hydrochlorothiazide"", 'et', 'le', 'lisinopril', 'peuvent', 'également', 'provoquer', 'des', 'chutes', 'chez', 'les', 'personnes', 'âgées,', 'mais', 'elles', 'sont', 'généralement', 'accompagnées', 'de', 'vertiges.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
19_109,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '32', 'ans', ""s'est"", 'rendue', 'à', 'Cuba,', 'où', 'elle', 'est', 'arrivée', 'il', 'y', 'a', 'trois', 'jours.'], ['Le', 'lendemain', 'de', 'son', 'retour,', 'il', ""s'est"", 'rendu', 'chez', 'son', 'médecin', 'de', 'famille', 'pour', 'une', 'forte', 'fièvre,', 'de', 'fortes', 'douleurs', 'articulaires', 'et', 'des', 'maux', 'de', 'tête', 'qui', 'avaient', 'commencé', 'avant', 'le', 'voyage', 'de', 'retour,', 'et', ""s'est"", 'vu', 'prescrire', 'du', 'paracétamol.'], ['Trois', 'jours', 'plus', 'tard,', 'sans', 'amélioration,', 'elle', 'a', 'présenté', 'le', 'matin', 'une', 'éruption', 'maculo-papulaire', 'prurigineuse', 'généralisée,', 'plus', 'intense', 'sur', 'les', 'membres', 'inférieurs,', 'où', 'elle', ""s'est"", 'transformée', 'en', 'pétéchies,', 'et', 'elle', ""s'est"", 'rendue', 'au', 'service', 'des', 'urgences.'], ['Pas', 'de', 'données', 'pertinentes', 'sur', 'la', 'MC', 'à', ""l'exception"", 'des', 'plaquettes', '75000/mm3', '(htco', '36%,', 'leucocytes', '4100', '79%', 'neutrophiles).'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Mononucléose', 'infectieuse.'], ['2-', 'Éruption', 'allergique.'], ['3-', 'Le', 'paludisme', 'à', 'P.', 'falciparum.'], ['4-', 'La', 'fièvre', 'typhoïde.'], ['5-', 'Dengue.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Dans', 'ce', 'cas,', 'je', 'pense', 'que', 'la', 'bonne', 'réponse', 'est', '5.'], ['1', 'ne', 'devrait', 'pas', ""l'être"", 'car,', 'bien', 'que', 'le', 'tableau', 'clinique', 'soit', 'évocateur,', 'il', ""n'y"", 'a', 'pas', 'de', 'lymphocytose.'], ['Le', 'tableau', 'clinique', 'ne', 'fait', 'pas', 'non', 'plus', 'penser', 'à', 'un', 'exanthème', 'allergique.'], ['Et', 'certainement', 'aucun', 'signe', 'clinique', 'ou', 'symptôme', 'correspondant', 'au', 'paludisme', 'ou', 'à', 'la', 'fièvre', 'typhoïde.'], ['En', 'plus', 'des', 'signes', 'cliniques,', 'ce', 'qui', 'indique', 'la', 'dengue,', ""c'est"", 'la', 'plaquettopénie.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
401_147,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE', 'ET', 'ORTHOPÉDIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '13', 'ans', 'présente', 'des', 'douleurs', 'dorsales', 'depuis', 'plusieurs', 'mois,', 'uniquement', 'en', 'se', 'levant', 'et', 'en', 'marchant.', 'Quel', 'diagnostic', 'faut-il', 'envisager', '?'], ['1-', 'La', 'maladie', 'de', 'Scheuermann.'], ['2-', 'Scoliose', 'thoracique.'], ['3-', 'Tumeur', 'maligne', 'du', 'corps', 'vertébral.'], ['4-', 'Il', ""s'agit"", ""d'une"", 'surcharge', 'mécanique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Une', 'tumeur', 'maligne', 'est', 'également', 'douloureuse', 'au', 'repos.'], ['En', 'ce', 'qui', 'concerne', 'la', 'maladie', 'de', 'Scheuermann', 'et', 'la', 'scoliose,', 'nous', 'devrions', 'disposer', 'de', 'certaines', 'données', 'physiques,', 'car', 'le', 'patient', 'présente', 'un', 'examen', 'spécifique', 'qui', 'nous', 'permettrait', 'de', 'poser', 'le', 'diagnostic.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
607_115,,
453_150,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '25', 'ans', 'consulte', 'pour', 'des', 'tremblements.'], [""L'examen"", 'révèle', 'une', 'dysarthrie', 'et', 'une', 'dystonie.'], ['A', 'des', 'antécédents', 'familiaux', 'de', 'maladies', 'psychiatriques', 'et', 'de', 'troubles', 'du', 'mouvement.'], ['Quel', 'est', 'le', 'test', 'de', 'diagnostic', 'que', 'vous', 'considérez', 'comme', 'le', 'plus', 'précis', '?'], ['1-', 'DATA', 'CAN.'], ['2-', 'Étude', 'de', 'la', 'conduction', 'nerveuse.'], ['3-', ""L'électroencéphalogramme.""], ['4-', 'Cuivre', 'dans', 'les', 'urines', 'de', '24.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], [""S'ils"", 'parlent', ""d'un"", 'jeune', 'homme', 'âgé', 'de', '20', 'à', '30', 'ans,', 'présentant', 'des', 'tremblements', 'et', 'une', 'dystonie,', ""qu'il"", 'ait', 'ou', 'non', 'des', 'antécédents', 'familiaux,', 'et', 'surtout', 'si', ""l'une"", 'des', 'options', 'mentionne', 'la', 'présence', 'de', 'cuivre', 'dans', 'les', 'urines,', 'ils', 'me', 'font', 'penser', 'à', 'la', 'maladie', 'de', 'Wilson.'], ['Je', 'ne', 'pense', 'pas', 'à', 'un', 'Parkinson', 'juvénile,', 'ni', 'à', 'une', 'clinique', 'pour', 'épileptiques.'], ['La', 'réponse', 'correcte', 'est', 'donc', '4.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
529_166,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '18', 'ans', 'consulte', 'pour', 'des', 'œdèmes.'], ['Un', 'examen', 'sanguin', 'complet', 'a', 'révélé', 'une', 'protéinurie', 'de', '8', 'g/jour', 'sans', 'microhématurie,', 'une', 'hypoalbuminémie', 'et', 'une', 'hypercholestérolémie', 'avec', 'une', 'fonction', 'rénale', 'normale.'], ['Les', 'corticostéroïdes', 'sont', 'administrés', 'de', 'manière', 'empirique.'], ['Après', 'un', 'mois,', 'le', 'tableau', 'clinique', 'a', 'complètement', 'disparu.'], ['Quelle', 'est', 'votre', 'hypothèse', 'de', 'diagnostic', '?'], ['1-', 'Amyloïdose.'], ['2-', 'La', 'néphropathie', 'à', 'IgA', 'ou', 'maladie', 'de', 'Berger.'], ['3-', 'Le', 'syndrome', ""d'Alport.""], ['4-', 'Néphropathie', 'avec', 'changements', 'minimes.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Nous', 'décrivons', 'un', 'jeune', 'patient', 'présentant', 'les', 'critères', 'du', 'syndrome', 'néphrotique', 'avec', 'une', 'excellente', 'réponse', 'aux', 'corticostéroïdes.'], ['En', ""l'absence"", 'de', 'biopsie,', 'la', 'présentation', 'clinique', 'et', ""l'évolution"", 'suggèrent', 'une', 'néphropathie', 'avec', 'des', 'changements', 'minimes,', 'généralement', 'avec', 'une', 'fonction', 'rénale', 'normale', 'ou', 'légèrement', 'altérée', 'et', 'un', 'syndrome', 'néphrotique,', 'qui', 'disparaît', 'dans', '85', 'à', '90', '%', 'des', 'cas', 'avec', 'un', 'traitement', 'aux', 'stéroïdes.'], [""L'âge"", 'est', 'la', 'seule', 'donnée', 'qui', 'pose', 'un', 'peu', 'problème,', 'car', 'bien', ""qu'il"", ""s'agisse"", 'de', 'la', 'cause', 'la', 'plus', 'fréquente', 'du', 'syndrome', 'néphrotique', 'idiopathique', 'chez', 'les', 'enfants', 'et', 'les', 'adolescents,', 'il', 'est', 'généralement', 'recommandé', ""d'effectuer"", 'une', 'biopsie', 'avant', 'le', 'traitement', 'chez', 'les', 'personnes', 'de', 'plus', 'de', '16', 'ans,', 'mais', 'en', 'tout', 'état', 'de', 'cause,', 'cette', 'question', 'ne', 'fait', 'pas', ""l'objet"", ""d'une"", 'grande', 'discussion.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
258_96,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '62', 'ans', 'atteint', 'de', 'diabète', 'de', 'type', '2', 'depuis', '10', 'ans', 'est', 'traité', 'par', 'metformine', 'et', 'sitagliptine.'], ['Peu', ""d'exercice"", 'physique', 'et', 'un', 'régime', 'alimentaire', 'adéquat.'], ['Au', 'cours', 'des', 'six', 'derniers', 'mois,', 'il', 'a', 'perdu', 'du', 'poids', 'et', 'est', 'devenu', 'plus', 'asthénique.'], ['Ses', 'contrôles', 'glycémiques', 'se', 'sont', 'détériorés,', 'passant', ""d'une"", 'glycémie', 'de', 'base', 'de', '110-140', 'mg/dl', 'à', 'une', 'glycémie', 'de', '170-200', 'mg/dl,', 'tout', 'comme', 'son', 'hémoglobine', 'glyquée,', 'qui', 'est', 'passée', 'de', '7,1', 'à', '8,5', '%.'], ['La', 'mesure', 'thérapeutique', 'la', 'plus', 'appropriée', 'à', 'prendre', 'est', 'la', 'suivante', ':'], ['1-', 'Augmenter', ""l'apport"", 'en', 'protéines', 'et', 'en', 'glucides', 'à', 'chaîne', 'longue', 'dans', ""l'alimentation"", 'pour', 'améliorer', ""l'asthénie"", 'et', 'la', 'perte', 'de', 'poids.'], ['2-', 'Ajouter', 'une', 'dose', ""d'insuline"", 'basale', 'au', 'traitement.'], ['3-', 'Associer', ""l'ascarbose"", 'au', 'traitement.'], ['4-', 'Substituer', 'la', 'sitagliptine', 'par', 'la', 'pioglitazone.'], ['5-', 'Remplacer', 'la', 'metformine', 'par', 'le', 'glimperide.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Ajouter', 'une', 'dose', 'basale', ""d'insuline"", 'au', 'traitement.'], ['Question', 'attendue', 'sur', 'un', 'sujet', 'très', 'important', ':', 'le', 'diabète', 'et', 'son', 'traitement.'], ['Patient', 'mal', 'contrôlé', 'par', 'la', 'metformine', 'et', 'la', 'sitagliptine', 'avec', 'des', 'symptômes', 'cardinaux', 'discrets', '(perte', 'de', 'poids,', 'asthénie).'], ['La', 'meilleure', 'option', 'est', ""l'insuline"", 'pour', 'contrôler', 'les', 'symptômes', 'cardinaux', 'et', 'abaisser', 'le', 'taux', ""d'HbA1c"", 'à', '<', '7', '%.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
375_128,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Patient', 'de', '45', 'ans', 'examiné', 'pour', 'une', 'possible', 'méningite,', 'avec', 'fièvre,', 'maux', 'de', 'tête', 'et', 'vomissements', 'depuis', '2', 'jours.'], ['Il', 'a', 'subi', 'une', 'IRM', 'cérébrale', 'et', 'une', 'ponction', 'lombaire.'], ['Vingt', 'heures', 'plus', 'tard,', ""lorsqu'il"", ""s'est"", 'levé', 'pour', 'aller', 'aux', 'toilettes,', 'il', ""s'est"", 'plaint', ""d'un"", 'violent', 'mal', 'de', 'tête,', 'très', 'marqué', ""lorsqu'il"", ""s'est"", 'assis,', 'mais', 'qui', 'a', 'disparu', ""lorsqu'il"", ""s'est"", 'allongé.'], ['Il', ""n'a"", 'plus', 'de', 'fièvre', 'ni', 'de', 'vomissements.'], ['Quelle', 'est', 'la', 'source', 'la', 'plus', 'probable', 'de', 'ce', 'mal', 'de', 'tête', '?'], ['1-', 'La', 'méningite', 'reste', 'la', 'cause', 'principale', 'de', 'votre', 'mal', 'de', 'tête,', 'car', 'il', ""s'agit"", 'du', 'même', 'type', 'de', 'mal', 'de', 'tête', ""qu'au"", 'début', 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352_161,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '27', 'ans', 'a', 'été', 'adressée', 'au', 'service', 'de', 'gynécologie', 'pour', 'évaluation,', 'signalant', 'une', 'dyspareunie', 'depuis', '8', 'mois,', 'ainsi', ""qu'une"", 'dyschésie', 'et', 'une', 'rectorragie', 'occasionnelle', 'coïncidant', 'avec', 'les', 'menstruations', 'depuis', '3-4', 'mois.'], ['Elle', 'souffre', 'également', 'de', 'dysménorrhée', 'depuis', 'des', 'années,', 'qui', 'est', 'bien', 'contrôlée', 'par', ""l'ibuprofène.""], ['Elle', 'essaie', 'de', 'tomber', 'enceinte', 'depuis', 'environ', '16', 'mois,', 'sans', 'succès.'], ['À', ""l'examen"", 'gynécologique,', 'seule', 'une', 'douleur', 'est', 'notée', 'à', 'la', 'pression', 'sur', 'le', 'fornix', 'vaginal', 'postérieur.'], ['Quel', 'examen', 'vous', 'permettrait', 'de', 'poser', 'un', 'diagnostic', 'de', 'certitude', 'sur', 'votre', 'pathologie', '?'], ['1-', 'Echographie', 'transvaginale.'], ['2-', 'La', 'laparoscopie', 'diagnostique.'], ['3-', 'Imagerie', 'par', 'résonance', 'magnétique.'], ['4-', 'Coloscopie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'bonne', 'réponse', 'est', '2.'], ['Il', ""s'agit"", ""d'une"", 'suspicion', ""d'endométriose,"", 'basée', 'sur', 'les', 'symptômes', 'et', 'les', 'signes', 'mentionnés', 'dans', 'la', 'déclaration.'], ['On', 'nous', 'demande', 'un', 'diagnostic', 'de', 'certitude,', 'et', ""l'étalon-or"", 'pour', 'le', 'diagnostic', 'de', 'cette', 'maladie', 'est', 'la', 'laparoscopie', 'diagnostique.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
575_102,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '29', 'ans', 'ayant', 'des', 'antécédents', 'de', 'convulsions', 'fébriles', 'et', 'grande', 'fumeuse.'], ['Depuis', 'deux', 'ans,', 'elle', 'présente', 'des', 'épisodes', 'fréquents', 'et', 'stéréotypés', 'qui', 'commencent', 'par', 'une', 'sensation', 'épigastrique', 'croissante', 'et', 'une', 'odeur', 'désagréable,', 'suivies', ""d'une"", 'déconnexion', 'de', 'son', 'environnement.'], ['Les', 'membres', 'de', 'la', 'famille', 'qui', 'sont', 'avec', 'elle', 'observent', ""qu'elle"", 'fait', 'des', 'mouvements', 'de', 'succion', 'et', 'des', 'mouvements', 'répétés', ""d'ouverture"", 'et', 'de', 'fermeture', 'de', 'la', 'main', 'gauche.'], ['Au', 'bout', 'de', 'deux', 'minutes,', 'les', 'mouvements', ""s'atténuent,"", 'mais', 'il', 'a', 'du', 'mal', 'à', 'réagir', 'correctement', 'et', 'ne', 'se', 'souvient', 'que', 'partiellement', 'de', 'ce', 'qui', ""s'est"", 'passé.'], ['Lequel', 'des', 'diagnostics', 'suivants', 'est', 'le', 'plus', 'probable', '?'], ['1-', 'Crises', 'focales', 'complexes', 'du', 'lobe', 'temporal.'], ['2-', 'Accidents', 'ischémiques', 'transitoires', 'dans', 'le', 'territoire', 'carotidien', 'droit.'], ['3-', 'Les', 'crises', 'motrices', 'focales', 'simples.'], ['4-', 'Episodes', ""d'amnésie"", 'globale', 'transitoire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Le', 'rapport', 'de', 'cas', 'donne', 'une', 'description', 'classique', ""d'une"", 'crise', ""d'épilepsie"", 'temporale', 'médiane.'], [""L'aura"", 'de', 'la', 'sensation', 'épigastrique', 'ascendante', 'et', 'la', 'perturbation', 'olfactive', 'et', 'la', 'description', 'ultérieure', 'de', 'la', 'crise', 'avec', ""l'altération"", 'du', 'niveau', 'de', 'conscience', '(déconnexion', 'de', ""l'environnement)"", 'avec', 'des', 'automatismes', 'buccaux', 'et', 'manuels.'], ['La', 'classification', 'actuelle', 'est', 'celle', 'de', ""l'ILAE"", 'de', '2017,', 'qui', 'décrirait', 'cette', 'crise', 'comme', 'une', 'crise', 'focale', 'avec', 'altération', 'du', 'niveau', 'de', 'conscience,', 'mais', 'dans', 'le', 'MIR,', 'on', 'continue', ""d'utiliser"", ""l'ancienne"", 'terminologie', '(complexe,', ""c'est"", 'ainsi', 'que', ""l'on"", 'appelait', ""l'altération"", 'du', 'niveau', 'de', 'conscience).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
278_31,"[['QUESTION', 'TYPE:', 'ANATOMIE', 'PATHOLOGIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '20', 'ans', 'atteinte', ""d'une"", 'tumeur', 'ovarienne', 'kystique', 'solide', 'de', '15', 'cm', 'détectée', 'par', 'échographie', 'après', 'avoir', 'présenté', 'des', 'symptômes', 'abdominaux', 'non', 'spécifiques.'], ['Dans', ""l'étude"", 'anatomopathologique', 'du', 'spécimen', 'correspondant,', 'des', 'dents,', 'des', 'poils,', 'des', 'zones', ""d'épithélium"", 'intestinal,', 'des', 'zones', ""d'épithélium"", 'malpighien', '(15', '%)', 'et', ""d'épithélium"", 'bronchique,', 'ainsi', 'que', 'des', 'éléments', 'neuroectodermiques', 'et', 'embryonnaires', 'sont', 'retrouvés', 'dans', 'plusieurs', 'des', 'préparations', 'histologiques.'], ['En', 'se', 'référant', 'à', 'ce', 'cas,', 'énoncer', 'le', 'diagnostic', 'correct', ':'], ['1-', 'Tératocarcinome.'], ['2-', 'Tératome', 'immature.'], ['3-', 'Tératome', 'kystique', 'mature.'], ['4-', 'Dysgerminome.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Après', 'avoir', 'lu', 'la', 'question', 'et', 'les', 'réponses', 'possibles,', 'nous', 'avons', 'deux', 'options', 'tumorales', 'et', 'deux', 'options', 'non', 'tumorales.'], ['Ils', 'ne', 'mentionnent', 'à', 'aucun', 'moment', 'des', 'caractéristiques', 'cellulaires', 'atypiques,', 'ce', 'qui', 'signifie', 'que', 'nous', 'pouvons', 'exclure', 'sans', 'risque', 'les', 'lésions', 'tumorales,', 'des', 'doutes', 'subsistant', 'entre', 'les', 'réponses', '2', 'et', '3.'], ['Dans', 'ce', 'cas,', 'il', 'faudrait', 'opter', 'pour', 'TERATOMIE', 'IMMATURELLE,', 'lorsque', ""l'on"", 'mentionne', 'la', 'présence', 'de', 'restes', 'embryonnaires.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
225_64,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '82', 'ans', 'présente', 'des', 'vertiges', 'soudains', 'et', 'fréquents,', 'sans', 'prodromes,', 'de', 'courte', 'durée', 'et', 'qui', ""s'estompent"", 'spontanément,', 'sans', 'jamais', 'présenter', 'de', 'syncope.'], [""L'examen"", 'physique', 'et', ""l'électrocardiogramme"", 'de', 'référence', 'sont', 'normaux.'], ['Dans', 'un', 'électrocardiogramme', 'ambulatoire', 'de', '24', 'heures,', 'des', 'phases', 'de', 'courte', 'durée', ""d'ondes"", 'P', 'pré-QRS', 'absentes', 'avec', 'un', 'rythme', ""d'échappement"", 'de', 'la', 'jonction', 'auriculo-ventriculaire', 'avec', 'QRS', 'étroit', 'à', '40', 'bpm', 'et', 'une', 'onde', ""d'apparition"", 'du', 'segment', 'ST', 'correspondant', 'à', 'une', 'P', 'rétrograde', 'sont', 'détectées', 'dans', 'la', 'période', 'de', 'veille.'], ['Aucune', 'période', ""d'asystolie"", 'de', 'plus', 'de', '3', 'secondes', ""n'est"", 'détectée.'], ['A', 'cela,', 'vous', 'répondrez', ':'], ['1-', 'Le', 'patient', 'présente', 'un', 'BAV', 'du', 'troisième', 'degré', 'et', 'nécessite', ""l'implantation"", ""d'un"", 'stimulateur', 'cardiaque.'], ['2-', ""L'absence"", 'de', 'périodes', ""d'asystolie"", '>3', 'secondes', 'exclut', 'une', 'cause', 'cardiaque', 'de', 'vertige.'], ['3-', 'Un', 'traitement', 'médicamenteux', 'visant', 'à', 'augmenter', 'la', 'conduction', 'dans', 'le', 'nœud', 'AV', 'serait', 'indiqué.'], ['4-', 'Le', 'patient', 'présente', 'un', 'dysfonctionnement', 'sinusal', 'avec', 'bloc', 'sino-auriculaire', 'et', 'nécessite', ""l'implantation"", ""d'un"", 'stimulateur', 'cardiaque', 'en', 'raison', 'des', 'symptômes.'], ['5-', 'Les', 'altérations', 'détectées', 'dans', ""l'électrocardiogramme"", 'ambulatoire', 'sont', 'typiques', 'des', 'patients', 'de', 'cet', 'âge', 'et', 'il', ""n'y"", 'a', 'pas', ""d'indication"", ""d'intervention"", 'thérapeutique.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Quels', 'sont', 'les', 'résultats', 'de', ""l'Holter"", '?'], ['En', 'cas', 'de', 'défaillance', 'du', 'nœud', 'sinusal,', 'le', 'nœud', 'AV', 'prend', 'le', 'relais', 'et', 'stimule', 'le', 'ventricule.'], ['Chez', '10', '%', 'des', 'personnes,', 'il', 'existe', 'une', 'conduction', 'rétrograde,', 'de', 'sorte', 'que', 'le', 'battement', 'généré', 'dans', 'la', 'NVA', 'stimule', 'à', 'la', 'fois', 'les', 'ventricules', 'et', 'les', 'oreillettes,', 'ce', 'qui', 'donne', 'une', 'P', 'rétrograde,', 'comme', ""l'indique"", ""l'étude.""], ['À', 'cet', 'égard,', 'il', ""n'y"", 'a', 'pas', 'de', 'problème.'], ['Il', ""n'y"", 'a', 'pas', 'non', 'plus', 'de', 'pauses', 'de', 'plus', 'de', '3', 'secondes', 'susceptibles', 'de', 'provoquer', 'une', 'syncope', 'cardiogénique', ""(qu'il"", ""n'a"", ""d'ailleurs"", 'jamais', 'connue).'], [""L'option"", '1', 'est', 'exclue', ':', 'il', 'ne', ""s'agit"", 'pas', ""d'une"", 'BAV', 'complète.'], ['Le', 'point', '2', 'ne', 'peut', 'pas', 'non', 'plus', 'être', 'répondu', ':', 'pour', 'exclure,', 'que', 'dit-on', 'pour', 'exclure', '?'], [""C'est"", 'comme', 'jamais/toujours.'], ['3', ""n'a"", 'pas', 'beaucoup', 'de', 'sens', ':', 'oui,', 'on', 'pourrait', 'suspendre', 'ceux', 'qui', 'détériorent', 'la', 'conduction', '(bêta-bloquants,', 'antagonistes', 'du', 'calcium),', 'mais', 'les', 'médicaments', 'qui', 'la', 'facilitent,', 'tant', ""qu'on"", 'ne', 'lui', 'donne', 'pas', 'une', 'perfusion', ""d'atropine"", 'à', 'ramener', 'à', 'la', 'maison...'], ['En', '4,', 'dire', ""qu'il"", 'a', 'un', 'bloc', 'sino-auriculaire', 'est', 'un', 'peu', 'exagéré', ':', 'sans', 'étude', 'électrophysiologique', 'on', 'ne', 'peut', 'pas', 'le', 'dire,', 'il', ""n'a"", 'pas', 'forcément', 'un', 'bloc', 'SA,', 'et', 'cela', ""n'indiquerait"", 'pas', 'non', 'plus', 'à', 'lui', 'seul', ""l'implantation"", ""d'un"", 'pacemaker.'], ['En', 'fin', 'de', 'compte,', 'je', 'cocherais', 'donc', ""l'option"", '5.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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78_33,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'ménopausée', 'de', '55', 'ans', 'consulte', 'pour', 'asthénie', 'et', 'dyspnée', 'à', ""l'effort.""], ['Dans', 'son', 'anamnèse,', 'elle', 'a', 'fait', 'état', ""d'une"", 'légère', 'épigastralgie', 'et', 'de', 'brûlures', ""d'estomac"", 'occasionnelles.'], ['Pas', 'de', 'métrorragies.'], ['Analyses', 'sanguines', ':', 'Hb6', 'gr/dL,', 'MCV', '69', 'fl,', 'sidérémie', '13', 'microgrammes/dL,', 'ferritine', '4', 'ngr/mL.'], ['Endoscopie', 'gastro-intestinale', 'alata', ':', 'petite', 'hernie', 'hiatale', 'coulissante', 'sans', 'signe', ""d'œsophagite.""], ['Quelle', 'est', 'la', 'bonne', 'attitude', '?'], ['1-', 'Administrer', 'du', 'fer', 'par', 'voie', 'orale', 'et', 'surveiller', ""l'évolution"", 'de', ""l'anémie.""], ['2-', 'Traiter', 'avec', 'des', 'inhibiteurs', 'de', 'la', 'pompe', 'à', 'protons', 'et', 'évaluer', 'après', 'trois', 'mois.'], ['3-', 'Recommander', 'une', 'coloscopie', 'complète.'], ['4-', 'Réaliser', 'une', 'étude', 'endoscopique', 'de', 'la', 'capsule.'], ['5-', 'Demander', 'un', 'bilan', 'gynécologique.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Nous', 'avons', 'un', 'cas', ""d'anémie"", 'ferriprive', 'chronique,', 'sans', 'saignement', 'apparent.'], ['La', 'première', 'cause', ""d'anémie"", 'ferriprive', 'est', 'une', 'hémorragie', 'occulte', ""d'origine"", 'digestive.'], [""L'existence"", 'de', 'symptômes', 'cliniques', 'évocateurs', ""d'une"", 'pathologie', 'du', 'tube', 'digestif', 'supérieur', 'a', 'conduit', 'à', 'débuter', ""l'étude"", 'par', 'une', 'endoscopie', 'digestive', 'haute,', 'mais', 'aucune', 'pathologie', 'ne', 'justifie', ""l'anémie"", 'et', 'des', 'investigations', 'complémentaires', 'sont', 'donc', 'nécessaires,', 'ce', 'qui', 'exclut', 'les', 'réponses', '1', 'et', '2.'], ['Entre', '3', 'et', '4,', 'les', 'lésions', 'du', 'gros', 'intestin', 'sont', 'beaucoup', 'plus', 'fréquentes', 'et', 'doivent', 'être', 'éliminées', 'avant', 'les', 'lésions', 'du', 'petit', 'intestin.'], ['En', 'fait,', 'les', 'recommandations', 'relatives', 'à', ""l'endoscopie"", 'par', 'capsule', 'dans', 'les', 'études', 'sur', ""l'anémie"", 'sont', 'limitées.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
397_140,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE', 'ET', 'ORTHOPÉDIE'], ['CLINICAL', 'CASE:'], ['Vous', 'évaluez', 'un', 'patient', 'de', '66', 'ans', 'qui', 'présente', 'des', 'douleurs', 'à', ""l'aine"", 'accentuées', 'par', 'une', 'station', 'debout', 'prolongée', 'quelques', 'jours', 'par', 'mois.'], ['Une', 'radiographie', 'simple', 'des', 'hanches', 'montre', 'un', 'rétrécissement', 'de', ""l'espace"", 'articulaire', 'fémoro-acétabulaire,', 'une', 'sclérose', 'et', 'des', 'ostéophytes.'], ['Quelle', 'est', 'votre', 'attitude', '?'], ['1-', 'Je', 'diagnostique', 'une', 'coxarthrose', 'et', ""j'envoie"", 'le', 'traumatologue', 'poser', 'une', 'prothèse', 'de', 'hanche.'], ['2-', 'Initiation', ""d'un"", 'traitement', 'avec', 'des', 'opioïdes', 'faibles', 'qui', 'ont', 'démontré', 'leur', 'capacité', 'à', 'stopper', 'la', 'progression', 'de', 'la', 'maladie.'], ['3-', 'Je', 'commence', 'le', 'traitement', 'avec', 'du', 'paracétamol,', ""j'explique"", 'que', ""l'évolution"", 'est', 'très', 'variable', 'et', 'que', ""l'indication"", 'de', 'la', 'chirurgie', 'dépend', 'de', 'la', 'fonctionnalité', 'et', 'du', 'contrôle', 'de', 'la', 'douleur.'], ['4-', 'Compte', 'tenu', 'des', 'caractéristiques', 'radiologiques', 'décrites,', 'je', 'dois', 'réaliser', 'une', 'IRM', 'de', 'la', 'hanche', 'avant', 'de', 'prendre', 'une', 'décision', 'thérapeutique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', 'présente', 'une', 'coxarthrose', '(aucun', 'autre', 'examen', ""d'imagerie"", ""n'est"", 'nécessaire)', 'et', 'les', 'options', 'conservatrices', 'sont', 'épuisées', 'avant', ""d'opter"", 'pour', 'un', 'traitement', 'chirurgical.'], ['Les', 'opioïdes', 'faibles', 'ne', 'sont', 'pas', 'le', 'traitement', 'initial', 'de', 'choix.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
275_74,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '67', 'ans,', 'atteint', ""d'une"", 'cirrhose', 'du', 'foie', 'et', 'buveur', 'actif,', 'a', 'été', 'admis', 'pour', 'une', 'distension', 'abdominale', 'progressive', 'accompagnée', ""d'un"", 'malaise', 'diffus,', 'évoluant', 'depuis', 'deux', 'semaines.'], ['Pas', 'de', 'fièvre', 'ni', ""d'autres"", 'symptômes.'], [""L'examen"", 'a', 'révélé', 'une', 'matité', 'changeante', 'à', 'la', 'percussion', 'abdominale,', 'sans', 'œdème.'], ['Une', 'paracentèse', 'diagnostique', 'a', 'été', 'effectuée', 'et', 'un', 'liquide', 'légèrement', 'trouble', 'a', 'été', 'trouvé,', 'avec', '2', '300', 'cellules/mL,', 'dont', '30', '%', 'de', 'lymphocytes,', '60', '%', 'de', 'polymorphonucléaires', 'et', '10', '%', 'de', 'globules', 'rouges.'], ['Quelle', 'est', 'la', 'première', 'mesure', 'thérapeutique', 'que', 'vous', 'prescririez', 'immédiatement', 'à', 'ce', 'patient', '?'], ['1-', 'Restriction', 'saline', 'et', 'hydrique.'], ['2-', 'Traitement', 'diurétique', 'par', 'spironolactone', 'orale.'], ['3-', 'Traitement', 'par', 'une', 'céphalosporine', 'de', 'troisième', 'génération.'], ['4-', 'Paracentèse', 'évacuatrice.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'une"", 'péritonite', 'bactérienne', 'spontanée', '(PBS),', 'définie', 'par', 'la', 'présence', 'de', '>', '250', 'polymorphonucléaires/mL', 'dans', 'le', 'liquide', 'ascitique', '(dans', 'ce', 'cas,', 'il', 'y', 'en', 'a', '1', '380,', 'soit', '60', '%', 'de', '2', '300).'], ['Il', ""s'agit"", ""d'une"", 'indication', 'pour', 'commencer', 'à', 'administrer', 'des', 'céphalosporines', 'de', '3e', 'génération', '(ceftriaxone', 'ou', 'céfotaxime)', 'et', 'de', ""l'albumine.""], ['Les', 'autres', 'sont', 'des', 'traitements', 'qui', 'peuvent', 'attendre', 'une', 'amélioration', '(on', 'ne', 'parle', 'pas', ""d'ascite"", 'sous', 'tension).']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
418_77,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '80', 'ans', ""s'est"", 'présentée', 'aux', 'urgences', 'avec', 'des', 'douleurs', 'abdominales', 'débutant', 'dans', ""l'épigastre"", 'et', 'irradiant', 'ensuite', 'vers', 'la', 'fosse', 'iliaque', 'gauche.'], ['Il', 'était', 'accompagné', ""d'une"", 'fièvre', 'de', '37,5ºC.', 'Un', 'scanner', 'abdominal', 'a', 'été', 'réalisé,', 'montrant', 'une', 'inflammation', 'des', 'parois', 'du', 'sigma', 'et', 'un', 'abcès', 'mésentérique', 'de', '2', 'cm.'], ['Le', 'traitement', 'de', 'choix', 'est', 'le', 'suivant', ':'], ['1-', 'Admission', 'dans', 'le', 'service', 'avec', 'régime', 'absolu', 'et', 'traitement', 'antibiotique', 'à', 'large', 'spectre.'], ['2-', 'Décharge', 'de', 'la', 'colostomie.'], ['3-', 'Drainage', 'par', 'chirurgie', 'laparoscopique.'], ['4-', 'Chirurgie', 'urgente', 'avec', 'sigmoïdectomie', 'et', 'anastomose', 'colorectale.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', 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200_75,,
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378_132,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '72', 'ans', 'consulte', 'pour', 'des', 'pertes', 'de', 'mémoire', 'progressives', 'et', 'des', 'difficultés', 'à', 'trouver', 'ses', 'mots', 'depuis', 'un', 'an.'], ['Quel', 'est', 'le', 'dépistage', 'le', 'plus', 'utile', 'pour', 'caractériser', 'le', 'type', 'de', 'déficit', 'cognitif', 'dont', 'vous', 'souffrez', '?'], ['1-', 'Évaluation', 'neuropsychologique.'], ['2-', 'Imagerie', 'par', 'résonance', 'magnétique', 'du', 'cerveau.'], ['3-', 'Tomographie', 'par', 'émission', 'de', 'positrons.'], ['4-', ""L'électroencéphalogramme.""], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'caractérisation', 'des', 'processus', 'de', 'déficience', 'cognitive', 'reste', 'clinique,', 'les', 'tests', ""d'imagerie"", '(IRM', 'ou', 'PET)', 'étant', 'parfois', 'un', 'outil', 'de', 'soutien.'], ['La', 'première', 'option', 'serait', 'la', 'bonne', 'car', 'elle', 'permet', 'la', 'mesure', 'standardisée', 'de', 'chacun', 'des', 'domaines', 'cognitifs,', 'ce', 'qui', 'nous', 'permettra', ""d'encadrer"", 'les', 'déficits', 'du', 'patient', 'dans', 'un', 'syndrome', 'spécifique', 'et', 'le', 'suivi', 'de', 'la', 'détérioration', 'avec', 'des', 'scanners', 'répétés', 'dans', 'le', 'temps.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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160_117,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '35', 'ans', 'a', 'présenté', 'une', 'hématurie', 'à', 'la', 'suite', ""d'infections"", 'respiratoires', 'survenues', 'il', 'y', 'a', 'plusieurs', 'années.', 'Les', 'analyses', 'sanguines', 'ont', 'révélé', 'une', 'créatinine', 'de', '1', 'mg/dl', 'sans', 'autre', 'altération', 'et', 'des', 'hémocytes', 'urinaires', 'de', '50/champ,', 'dont', '80', '%', 'étaient', 'dysmorphiques,', 'avec', 'une', 'protéinurie', 'de', '0,8', 'gramme', 'en', '24', 'heures.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Néphropathie', 'à', 'changement', 'minime.'], ['2-', 'Glomérulonéphrite', 'membraneuse.'], ['3-', 'Néphropathie', 'à', 'IgA.'], ['4-', 'Glomérulonéphrite', 'proliférative', 'et', 'diffuse.'], ['5-', 'Glomérulosclérose', 'focale', 'et', 'segmentaire', 'primaire.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', ':', '3.'], ['Néphropathie', 'à', 'IgA.'], ['La', 'présentation', 'clinique', 'de', 'cette', 'néphropathie', 'étant', 'très', 'peu', 'spécifique,', 'il', 'faut', ""s'appuyer"", 'sur', 'son', 'épidémiologie', 'pour', 'identifier', 'la', 'maladie', 'responsable.'], ['Comme', 'il', ""s'agissait"", ""d'un"", 'jeune', 'homme,', 'avec', 'des', 'antécédents', ""d'infections"", 'respiratoires,', 'une', 'relation', 'a', 'été', 'établie', 'entre', 'ces', 'infections', 'et', 'la', 'pathologie', 'rénale.'], ['Sur', 'cette', 'base,', 'nous', 'pensons', 'à', 'la', 'néphropathie', 'à', 'IgA,', 'qui', 'est', 'non', 'seulement', 'la', 'glomérulonéphrite', 'la', 'plus', 'courante,', 'mais', 'qui', 'se', 'présente', 'également', 'dans', 'la', 'plupart', 'des', 'cas', 'de', 'la', 'manière', 'décrite.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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24_115,"[['QUESTION', 'TYPE:', 'INFECTIEUX'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '68', 'ans', 'est', 'examiné', 'pour', 'fièvre51e,', 'perte', 'de', 'poids', 'et', 'dyspnée', 'à', ""l'effort.""], ['La', 'PE', 'révèle', 'un', 'nouveau', 'souffle', 'diastolique', 'aortique', 'et', 'des', 'stigmates', ""d'embolies"", 'périphériques.'], [""L'échocardiographie"", 'a', 'montré', 'une', 'végétation', 'de', '1', 'cm', 'sur', 'la', 'valve', 'aortique', 'et', 'deux', 'hémocultures', 'ont', 'isolé', 'un', 'Streptococcus', 'bovis', 'sensible', 'à', 'la', 'pénicilline.'], ['Après', 'le', 'début', 'du', 'traitement', 'de', ""l'endocardite,"", 'lequel', 'des', 'examens', 'suivants', 'pourrait', 'nous', 'aider', 'à', 'poser', 'le', 'diagnostic', '?'], ['1-', 'Test', 'de', 'tolérance', 'au', 'glucose.'], ['2-', 'Radiographie', 'du', 'thorax.'], ['3-', 'Endoscopie', 'digestive', 'haute.'], ['4-', 'Coloscopie.'], ['5-', 'Echographie', 'abdominale.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Autre', 'cadeau', ""d'une"", 'question,', ""l'association"", 'de', ""l'endocardite"", 'à', 'S.bovis', 'et', 'du', 'cancer', 'du', 'côlon.'], ['Au', 'fait,', 'il', 'est', 'amusant', 'de', 'constater', 'que', ""l'on"", 'fait', 'passer', 'une', 'radiographie', 'du', 'thorax', 'comme', 'test', 'pour', 'performer....', 'Êtes-vous', 'en', 'train', 'de', 'me', 'dire', ""qu'un"", 'patient', 'fiévreux', 'et', 'dyspnéique', 'subira', 'un', 'échocardiogramme', 'avant', 'une', 'simple', 'radiographie', 'du', 'thorax', '?'], ['Et', ""d'un"", 'autre', 'côté...', 'Pourquoi', 'les', 'personnes', 'qui', 'rédigent', 'le', 'MIR', 'ne', 'rendent-elles', 'pas', 'les', 'questions', 'plus', 'courtes', 'et', 'moins', 'tordues', '?'], [""S'ils"", 'veulent', 'savoir', 'quel', 'test', 'effectuer', 'sur', 'un', 'patient', 'atteint', ""d'endocardite"", 'à', 'S.', 'bovis,', 'ils', 'peuvent', 'poser', 'la', 'question', 'directement,', 'sans', 'nous', 'parler', 'des', 'grains', 'de', 'beauté', 'du', 'patient...']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
260_99,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '45', 'ans', ""s'est"", 'présentée', 'à', 'la', 'clinique,', 'référée', 'par', 'la', 'chirurgie,', 'avec', 'un', 'diagnostic', 'de', 'tumeur', 'neuroendocrine', 'après', 'une', 'pancréatectomie', 'partielle', 'pour', 'une', 'tumeur', 'de', '2', 'cm', 'dans', 'la', 'queue', 'du', 'pancréas.'], ['La', 'tumeur', 'avait', 'été', 'détectée', 'par', 'hasard', 'lors', ""d'un"", 'scanner', 'abdominal', 'demandé', 'pour', 'compléter', ""l'étude"", ""d'un"", 'simple', 'kyste', 'du', 'foie.'], [""L'interrogatoire"", 'de', 'la', 'patiente', 'fait', 'état', 'de', 'règles', 'irrégulières,', ""d'une"", 'aménorrhée', 'depuis', '6', 'mois,', 'et', 'de', 'coliques', 'néphrétiques', 'répétées', 'depuis', ""l'âge"", 'de', '20', 'ans,', 'pour', 'lesquelles', 'elle', 'a', 'eu', 'recours', 'à', 'la', 'lithotripsie', 'à', 'plusieurs', 'reprises.'], ['Il', 'a', 'également', 'des', 'antécédents', 'familiaux', 'de', 'colique', 'néphrétique.'], ['Quel', 'est', 'votre', 'diagnostic', 'présumé', '?'], ['1-', 'Néoplasie', 'endocrinienne', 'multiple', 'de', 'type', '1', 'ou', 'syndrome', 'de', 'Wermer.'], ['2-', 'Néoplasie', 'endocrinienne', 'multiple', 'de', 'type', '2', 'A', 'ou', 'syndrome', 'de', 'Sipple.'], ['3-', 'Néoplasie', 'endocrinienne', 'multiple', 'de', 'type', '2B.'], ['4-', 'Somatostatinome.'], ['5-', 'Tumeur', 'neuroendocrine', 'productrice', 'de', 'PTH.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Très', 'belle', 'question', 'clinique', 'du', 'MEN.'], ['Tumeur', 'neuroendocrine', 'pancréatique', '+', 'adénome', 'hypophysaire', '(prolactinome)', '+', 'hyperparathyroïdie', '(colique', 'néphrétique', 'chez', 'les', 'jeunes)', ':', 'MEN', '1.'], ['Difficulté', 'moyenne', 'car', 'il', 'faut', 'connaître', 'la', 'triade', 'MEN', 'et', 'reconnaître', 'les', 'différentes', 'tumeurs.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
211_87,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '78', 'ans', ""s'est"", 'présentée', 'aux', 'urgences', 'pour', 'une', 'douleur', 'dans', 'la', 'fosse', 'iliaque', 'gauche', 'depuis', '24', 'heures,', 'associée', 'à', 'de', 'la', 'fièvre', 'et', 'à', 'des', 'vomissements', 'occasionnels.'], [""L'examen"", 'a', 'révélé', 'une', 'douleur', 'sélective', 'à', 'la', 'palpation', 'dans', 'la', 'fosse', 'iliaque', 'gauche', 'avec', 'une', 'sensation', ""d'occupation,"", 'de', 'défense', 'et', 'de', 'décompression', 'positive.'], ['En', 'cas', 'de', 'suspicion', 'de', 'diverticulite', 'aiguë,', 'laquelle', 'des', 'affirmations', 'suivantes', 'est', 'correcte', '?'], ['1-', ""L'examen"", 'complémentaire', 'le', 'plus', 'sûr', 'et', 'le', 'plus', 'performant', 'est', 'le', 'lavement', 'baryté.'], ['2-', 'En', 'cas', ""d'abcès"", 'pelvien', 'contenu,', 'un', 'drainage', 'percutané', 'guidé', 'par', 'le', 'scanner', 'ou', ""l'échographie"", 'est', 'indiqué.'], ['3-', 'Si', 'une', 'intervention', 'chirurgicale', 'est', 'nécessaire', 'après', 'la', 'résolution', 'de', ""l'épisode"", 'aigu,', ""l'approche"", 'laparoscopique', 'est', 'contre-indiquée.'], ['4-', 'En', 'cas', 'de', 'diverticulite', 'aiguë', 'non', 'compliquée,', 'une', 'sigmoïdectomie', 'élective', 'est', 'indiquée', 'après', 'la', 'guérison', 'du', 'premier', 'épisode', 'aigu.'], ['5-', 'En', 'cas', 'de', 'péritonite', 'généralisée,', 'la', 'technique', 'chirurgicale', 'la', 'plus', 'appropriée', 'est', 'de', 'réaliser', 'une', 'colostomie', 'dérivée', 'sans', 'résection', 'du', 'segment', 'sigmoïde', 'atteint.'], ['BONNE', 'RÉPONSE', ':', '2'], ['1', 'est', 'incorrect', 'car', 'les', 'examens', ""d'imagerie"", 'de', 'choix', 'seraient', ""l'échographie"", 'ou', 'le', 'scanner', ';', '3', 'est', 'incorrect', 'car', ""l'approche"", 'laparoscopique', 'est', 'indiquée', 'dès', 'le', 'départ', ';', '4', 'est', 'incorrect', 'car', ""l'indication"", 'dans', 'le', 'premier', 'épisode', 'concerne', 'les', 'personnes', 'de', 'moins', 'de', '50', 'ans,', 'dans', 'les', 'autres', 'cas', 'elle', 'est', 'indiquée', 'après', 'le', 'deuxième', 'épisode', 'ou', 'en', 'cas', 'de', 'symptômes', 'persistants', 'ou', 'de', 'suspicion', 'de', 'néoplasie', ';', 'et', '5', 'est', 'incorrect', 'car', 'la', 'chirurgie', 'en', 'cas', 'de', 'perforation', 'avec', 'péritonite', 'doit', 'toujours', 'réséquer', 'le', 'segment', 'de', 'côlon', 'affecté', 'pour', 'contrôler', 'le', 'foyer', 'de', ""l'infection.""]]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 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162_121,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '52', 'ans', 'atteint', ""d'une"", 'maladie', 'rénale', 'chronique', 'de', 'stade', 'V,', 'secondaire', 'à', 'une', 'polykystose', 'rénale', 'autosomique', 'dominante,', 'reçoit', 'une', 'greffe', 'de', 'rein', ""d'un"", 'donneur', 'cadavérique.'], ['Un', 'de', 'ses', 'frères,', 'âgé', 'de', '34', 'ans,', 'vient', 'lui', 'rendre', 'visite', 'et', 'lui', 'dit', ""qu'il"", 'ne', 'sait', 'pas', ""s'il"", 'souffre', 'de', 'la', 'maladie', 'car', 'il', ""n'a"", 'jamais', 'vu', 'de', 'médecin', 'depuis', 'son', 'adolescence.'], ['Quelle', 'attitude', 'ou', 'quel', 'test', 'vous', 'semble', 'le', 'plus', 'approprié', 'à', 'recommander', 'à', 'ce', 'moment-là', '?'], ['1-', 'Étude', 'génétique', 'mutationnelle', 'et', 'de', 'liaison.'], ['2-', 'Echographie', 'abdomino-pelvienne.'], ['3-', 'Tomographie', 'hélicoïdale', 'axiale', 'avec', 'contraste', 'iodé.'], ['4-', 'IRM', 'abdominale', 'et', 'cérébrale.'], ['5-', 'Examens', 'cliniques', 'périodiques.'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'bonne', 'réponse', 'est', ':', '2.'], ['Échographie', 'abdomino-pelvienne.'], [""L'échographie"", 'abdomino-pelvienne', 'est', 'sans', 'aucun', 'doute', 'le', 'test', 'le', 'plus', 'spécifique', 'et', 'le', 'plus', 'sensible', 'pour', 'le', 'diagnostic', 'de', 'la', 'polykystose', 'rénale', 'et,', 'surtout,', 'le', 'test', 'le', 'moins', 'coûteux', 'pour', 'déterminer', 'si', 'le', 'frère', 'ou', 'la', 'sœur', 'du', 'patient', 'a', 'hérité', 'de', 'la', 'polykystose', 'rénale.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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136_132,"[['QUESTION', 'TYPE:', 'ONCOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '60', 'ans', 'se', 'présente', 'aux', 'urgences', 'pour', 'une', 'crise', 'de', 'coma.'], ['Ex-fumeur', 'depuis', '3', 'ans,', 'pas', ""d'autres"", 'antécédents', 'intéressants.'], ['Un', 'scanner', 'montre', 'de', 'multiples', 'métastases.'], ['Quelle', 'est', ""l'origine"", 'la', 'plus', 'probable', '?'], ['1-', 'Cancer', 'de', 'la', 'tête', 'et', 'du', 'cou.'], ['2-', 'Cancer', 'du', 'poumon.'], ['3-', 'Cancer', 'de', 'la', 'vessie.'], ['4-', 'Cancer', 'du', 'côlon.'], ['5-', 'Le', 'cancer', 'du', 'pancréas.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Facile,', ""n'est-ce"", 'pas', '?'], ['Le', 'cancer', 'du', 'poumon', 'est', 'la', 'cause', 'la', 'plus', 'fréquente', 'de', 'métastases', 'cérébrales', 'et,', 'dans', '20', 'à', '30', '%', 'des', 'cas,', ""c'est"", 'à', 'la', 'suite', 'de', 'ces', 'métastases', 'que', 'la', 'tumeur', 'primaire', 'est', 'diagnostiquée', '(comme', 'ici).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
518_105,"[['QUESTION', 'TYPE:', 'SOINS', 'CRITIQUES', 'ET', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '24', 'ans', 'ayant', 'des', 'antécédents', 'de', 'migraine,', 'sous', 'traitement', 'au', 'propranolol', 'et', 'aux', 'contraceptifs', 'oraux,', 'a', 'présenté', 'une', 'dyspnée', 'sévère,', 'un', 'enrouement,', 'une', 'éruption', 'cutanée,', 'des', 'nausées', 'et', 'des', 'vomissements', '30', 'minutes', 'après', 'avoir', 'pris', 'du', 'métamizole.'], ['Sa', 'tension', 'artérielle', 'est', 'de', '90/40', 'mmHg', 'et', 'sa', 'SatO2', 'de', '90', '%.'], ['Le', 'traitement', 'initial', 'le', 'plus', 'correct', 'serait', ""d'administrer"", 'le', 'médicament', ':'], ['1-', 'Adrénaline.'], ['2-', 'Adrénaline', 'et', 'dexchlorphéniramine.'], ['3-', 'Adrénaline,', 'dexchlorphéniramine', 'et', 'méthylprednisolone.'], ['4-', 'Adrénaline,', 'dexchlorphéniramine', 'et', 'glucagon.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", ""d'une"", 'réaction', 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581_205,,
543_39,"[['QUESTION', 'TYPE:', 'ALLERGOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '35', 'ans', 'a', 'consulté', 'pour', 'confirmer', 'une', 'allergie', 'présumée', 'à', 'Anisakis', 'simplex.'], ['A', 'déjà', 'souffert', ""d'un"", 'tableau', 'clinique', ""d'anisakiase"", 'gastro-intestinale', 'après', 'avoir', 'mangé', 'du', 'poisson.'], ['Les', 'tests', 'ont', 'révélé', 'des', 'niveaux', ""d'IgE"", 'spécifiques', 'de', '10', 'KU/l', 'contre', 'Anisakis', 'simplex.'], ['Parmi', 'les', 'recommandations', 'suivantes,', 'quelle', 'est', 'celle', 'qui', ""s'applique"", 'à', 'ce', 'patient', '?'], ['1-', 'Ne', 'peut', 'manger', 'aucun', 'poisson,', 'crustacé,', 'mollusque', 'ou', 'céphalopode.'], ['2-', 'Vous', 'pouvez', 'manger', 'du', 'poisson', 'frais', 'cuit', 'sur', 'le', 'grill.'], ['3-', 'Vous', 'pouvez', 'consommer', 'du', 'poisson', 'surgelé', 'du', 'commerce.'], ['4-', 'Vous', 'pouvez', 'consommer', 'du', 'poisson', 'frais', 'mariné', 'ou', 'fumé', 'à', 'froid.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Anisakis', 'simplex', 'est', 'un', 'parasite', 'que', ""l'on"", 'trouve', 'couramment', 'chez', 'les', 'poissons.'], ['Pour', 'éviter', 'les', 'réactions', 'à', 'ce', 'parasite,', 'il', 'convient', 'de', 'suivre', 'un', 'régime', 'sans', 'poisson', 'frais', 'et', 'cru', '(anchois', 'au', 'vinaigre,', 'poissons', 'fumés,', 'salés,', 'sushis,', 'etc.'], ['Le', 'poisson', 'surgelé', 'ou', 'le', 'poisson', 'frais', 'préalablement', 'congelé', 'à', '-20°C', 'pendant', 'au', 'moins', '5', 'jours', 'avant', ""d'être"", 'cuisiné', 'peut', 'être', 'consommé,', 'à', 'condition', ""qu'il"", 'soit', 'cuit', 'à', 'des', 'températures', 'élevées', '>60°C', '(grillé,', 'frit,', 'etc.),', 'en', 'évitant', 'les', 'préparations', 'crues,', 'grillées', 'ou', 'cuites', 'au', 'micro-ondes.'], ['Il', 'est', 'recommandé', 'de', 'consommer', 'de', 'préférence', 'les', 'queues', 'car', 'les', 'larves', 'du', 'parasite', 'sont', 'généralement', 'proches', 'des', 'viscères', 'de', 'la', 'tête.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
2_36,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'cholécystite', 'calcaire', 'aiguë', 'a', 'été', 'diagnostiquée', 'chez', 'un', 'patient', 'de', '87', 'ans', 'ayant', 'des', 'antécédents', 'de', 'bronchite', 'chronique', 'et', ""d'insuffisance"", 'cardiaque.'], ['Après', '4', 'jours', ""d'hospitalisation"", 'et', 'un', 'traitement', 'à', 'base', 'de', 'régime', 'absolu', 'et', 'de', 'sérum', 'thérapeutique', 'à', 'base', 'de', 'pipéracilline-tazobactam,', 'le', 'patient', 'continue', 'à', 'avoir', 'de', 'la', 'fièvre,', 'des', 'douleurs', 'abdominales', 'persistantes', 'et', 'une', 'leucocytose.'], [""L'attitude"", 'la', 'plus', 'appropriée', 'à', 'ce', 'stade', 'serait', 'la', 'suivante', ':'], ['1-', 'Traitement', 'chirurgical', 'urgent.'], ['2-', 'Drainage', 'biliaire', 'par', 'cholécystostomie', 'percutanée.'], ['3-', 'Remplacer', 'la', 'pipéracilline-tazobactam', 'par', 'le', 'métronidazole-cefotaxime.'], ['4-', 'Remplacer', 'la', 'pipéracilline-tazobactam', 'par', ""l'amikacine-clindamycine.""], ['5-', 'Ajouter', 'au', 'traitement', 'un', 'aminoglycoside', 'comme', 'la', 'gentamicine.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Dans', 'cette', 'question,', 'ils', 'insistent', 'sur', ""l'âge"", 'et', 'la', 'comorbidité', 'du', 'patient,', 'ainsi', 'que', 'sur', 'le', 'temps', ""d'évolution,"", 'de', 'sorte', 'que', 'la', 'réponse', ""n'est"", 'probablement', 'pas', '1.'], ['Dans', 'tous', 'les', 'cas,', ""l'idéal"", 'est', 'de', 'drainer', 'la', 'vésicule', 'biliaire', 'qui', ""n'a"", 'pas', 'remonté,', 'donc', 'la', 'réponse', 'que', 'je', 'donnerais', 'serait', '2.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
122_119,"[['QUESTION', 'TYPE:', 'MICROBIOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'jeune', 'femme', 'de', '17', 'ans', ""s'est"", 'présentée', 'aux', 'urgences', 'avec', 'des', 'symptômes', 'aigus', 'de', 'forte', 'fièvre,', 'de', 'douleur', 'pharyngée', 'et', 'de', 'lymphadénopathie', 'cervicale.'], ['Une', 'pharyngite', 'aiguë', 'avait', 'déjà', 'été', 'diagnostiquée', 'et', 'traitée', 'à', ""l'amoxicilline."", 'Elle', 'a', 'ensuite', 'présenté', 'une', 'éruption', 'cutanée', 'maculaire', 'généralisée.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'révélé', 'une', 'légère', 'leucocytose', 'et', 'la', 'présence', 'de', 'leucocytes', 'activés,', 'une', 'légère', 'thrombopénie', 'et', 'une', 'légère', 'augmentation', 'des', 'transaminases.'], ['Quel', 'serait', 'le', 'diagnostic', 'le', 'plus', 'probable', 'de', 'ce', 'tableau', 'clinique', '?'], ['1-', ""C'est"", 'un', 'cas', 'typique', 'de', 'la', 'mononucléose', 'infectieuse.'], ['2-', ""L'infection"", 'par', 'le', 'virus', 'de', 'la', 'varicelle', 'et', 'du', 'zona.'], ['3-', 'Toxoplasmose', 'aiguë.'], ['4-', 'La', 'maladie', 'de', 'Lyme.'], ['5-', 'Infection', 'par', 'le', 'virus', 'de', ""l'herpès"", '8.'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'bonne', 'réponse', 'est', 'la', 'première.'], ['Il', ""s'agit"", ""d'un"", 'tableau', 'typique', 'de', 'la', 'mononucléose', 'infectieuse.'], ['Bien', ""qu'un"", 'tableau', 'similaire', 'puisse', 'se', 'produire', 'en', 'cas', 'de', 'toxoplasmose', 'aiguë,', 'moins', 'de', '1', '%', 'des', 'infections', 'aiguës', 'à', 'toxoplasme', 'se', 'présentent', 'sous', 'la', 'forme', ""d'une"", 'mononucléose.'], ['La', 'mononucléose', 'infectieuse', ""d'Epstein-Barr"", 'se', 'caractérise', 'par', ""l'apparition"", ""d'une"", 'éruption', 'maculaire', 'après', 'un', 'traitement', 'à', ""l'amoxicilline.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
36_130,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'NEUROCHIRURGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '85', 'ans', 'consulte', 'pour', 'fatigue', 'et', 'faiblesse,', 'surtout', 'le', 'matin.'], ['Parfois,', 'il', 'est', 'instable', 'sur', 'ses', 'pieds', 'et', 'doit', ""s'asseoir"", 'pour', 'retrouver', 'son', 'équilibre.'], ['À', 'deux', 'reprises,', 'il', 'a', 'dû', ""s'asseoir"", 'pour', 'éviter', 'de', 'tomber,', 'mais', 'il', 'nie', 'tout', 'symptôme', 'de', 'vertige.'], ['Il', 'souffre', ""d'hypertension,"", ""d'incontinence"", 'urinaire', 'et', ""d'arthrose.""], ['Son', 'traitement', 'est', 'composé', ""d'hydrochlorothiazide"", '(25', 'mg/j),', ""d'oxybutynine"", '(10', 'mg/j),', 'de', 'lisinopril', '(10', 'mg/j),', 'de', 'calcium', '(1500', 'mg/j)', 'et', 'de', 'paracétamol', '(3', 'g/j).'], ['A', ""l'examen,"", 'pression', 'artérielle', '115/70', 'mm', 'Hg,', 'pouls', '80', 'bpm.'], ['Leurs', 'mouvements', 'sont', 'lents.'], ['Tremblement', 'modéré', 'de', 'la', 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432_117,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES', 'ET', 'MICROBIOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '85', 'ans', 'porteur', ""d'un"", 'cathéter', 'veineux', 'périphérique', 'qui,', 'une', 'semaine', 'après', 'avoir', 'été', 'hospitalisé', 'pour', 'un', 'accident', 'vasculaire', 'cérébral,', 'a', 'commencé', 'à', 'avoir', 'des', 'frissons', 'et', 'de', 'la', 'fièvre.'], ['Des', 'hémocultures', 'ont', 'été', 'réalisées', 'et', 'la', 'microbiologie', 'a', 'indiqué', 'que', 'des', 'cocci', 'gram-positifs', 'se', 'développaient', 'en', 'grappes.'], ['Dans', ""l'attente"", 'de', ""l'antibiogramme,"", 'quel', 'est', 'le', 'traitement', 'antibiotique', 'le', 'plus', 'approprié', '?'], ['1-', 'Céfazoline.'], ['2-', 'Cloxacilline.'], ['3-', 'Vancomycine.'], ['4-', 'Linezolid.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'cause', 'la', 'plus', 'fréquente', ""d'infection"", 'par', 'cathéter', 'est', 'la', 'colonisation', 'de', 'la', 'peau', 'par', 'des', 'bactéries.'], ['La', 'coloration', 'de', 'Gram', 'nous', 'indique', ""qu'il"", ""s'agit"", ""d'un"", 'staphylocoque,', 'la', 'plupart', 'des', 'espèces', 'de', 'ce', 'genre', 'acquises', 'en', 'milieu', 'hospitalier', 'sont', 'résistantes', 'à', 'la', 'méthicilline,', 'elles', 'sont', 'donc', 'considérées', 'comme', 'résistantes', 'à', 'la', 'cloxacilline,', 'à', 'la', 'céfazoline', 'et', 'il', ""n'y"", 'a', 'pas', 'de', 'données', 'cliniques', 'sur', ""l'efficacité"", 'du', 'linézolide', 'pour', 'le', 'traitement', 'de', ""l'infection"", 'systémique', 'liée', 'au', 'cathéter.'], ['Ceci,', 'ajouté', 'à', ""l'expérience"", 'de', ""l'utilisation"", 'de', 'la', 'vancomycine', 'dans', 'ce', 'contexte,', 'est', 'considéré', 'comme', 'le', 'choix', 'empirique', 'de', 'la', 'vancomycine.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
513_38,"[['QUESTION', 'TYPE:', 'SOINS', 'CRITIQUES', 'ET', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '72', 'ans', ""s'est"", 'présenté', 'aux', 'urgences', 'avec', 'un', 'angio-œdème', 'lingual', 'sévère.'], ['Pas', ""d'urticaire"", 'associée', 'ni', ""d'antécédents"", ""d'allergie"", 'médicamenteuse', 'ou', 'alimentaire.'], ['Ses', 'antécédents', 'personnels', 'comprennent', 'un', 'diabète', 'sucré', 'de', 'type', '2,', 'une', 'dyslipidémie,', 'une', 'hypertension,', 'une', 'hypothyroïdie', 'et', 'la', 'maladie', 'de', 'Parkinson.'], ['Sous', 'traitement', 'régulier', 'de', 'metformine,', 'simvastatine,', 'enalapril,', 'thyroxine', 'et', 'levodopa.'], ['Parmi', 'les', 'médicaments', 'suivants,', 'lequel', 'est', 'le', 'plus', 'susceptible', ""d'être"", 'à', ""l'origine"", 'du', 'tableau', 'clinique', 'décrit', '?'], ['1-', 'Enalapril.'], ['2-', 'Simvastatine.'], ['3-', 'Metformine', 'ou', 'lévodopa', 'à', 'parts', 'égales.'], ['4-', 'Levodopa.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Parmi', 'les', 'médicaments', 'proposés,', 'les', 'options', 'les', 'moins', 'probables', 'seraient', 'le', '3,', 'car', 'la', 'metformine', 'provoque', 'très', 'rarement', 'un', 'angio-œdème', 'lingual', '(en', 'mars', '2020,', 'un', 'seul', 'cas', 'avait', 'été', 'décrit', 'dans', 'le', 'monde)', 'et', 'le', '4,', 'car,', 'parmi', 'les', 'effets', 'indésirables', 'de', 'la', 'lévodopa,', ""l'angio-œdème"", 'est', 'classé', 'parmi', 'les', 'effets', 'très', 'rares', '(fréquence', 'inférieure', 'à', '0,1', '%).'], ['Parmi', 'les', 'deux', 'options', 'restantes,', 'les', 'médicaments', 'les', 'plus', 'fréquemment', 'et', 'classiquement', 'associés', 'à', ""l'angio-œdème"", 'lingual', 'sont', 'les', 'inhibiteurs', 'de', ""l'ECA"", '(fréquence', ""d'environ"", '0,2', '%),', 'et', 'leur', 'association', 'avec', 'la', 'simvastatine', 'est', 'également', 'inférieure', 'à', '0,1', '%.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
580_198,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '35', 'ans,', 'adressée', 'aux', 'urgences', 'pour', 'un', 'traumatisme', 'crânien', 'consécutif', 'à', 'une', 'chute', 'en', 'scooter,', 'sans', 'perte', 'de', 'connaissance', 'ni', 'amnésie.'], [""L'examen"", 'a', 'révélé', 'un', 'traumatisme', 'crânien', 'fermé', 'avec', 'commotion', 'cérébrale', 'et', 'de', 'légers', 'maux', 'de', 'tête', 'sans', 'nausées', 'ni', 'vomissements.'], [""L'examen"", 'neurologique', 'était', 'normal', 'avec', 'un', 'indice', 'de', 'Glasgow', 'de', '15.'], ['Dans', 'cette', 'situation,', 'quel', 'examen', ""d'imagerie"", 'est', 'indiqué', 'en', 'premier', 'lieu', '?'], ['1-', 'Tomodensitométrie', 'crânienne', 'sans', 'contraste.'], ['2-', 'Tomodensitométrie', 'crânienne', 'avec', 'contraste.'], ['3-', 'Pas', 'de', 'test', ""d'imagerie.""], ['4-', 'Radiographie', 'simple', 'du', 'crâne.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Après', 'un', 'traumatisme', 'crânien', 'chez', 'un', 'patient', 'qui', ""n'est"", 'pas', 'anticoagulé', 'ou', 'sous', 'antiplaquettaire,', 'qui', ""n'a"", 'pas', 'de', 'facteurs', 'de', 'risque', 'connus', ""d'hémorragie"", 'et', 'qui', 'ne', 'présente', 'pas', 'de', 'données', 'alarmantes', 'à', ""l'anamnèse"", 'ou', 'à', ""l'examen"", 'physique,', 'il', ""n'est"", 'pas', 'nécessaire', ""d'effectuer"", 'un', 'test', ""d'imagerie"", 'crânienne.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
248_118,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '34', 'ans', 'a', 'consulté', 'pour', 'de', 'la', 'fièvre', 'et', 'un', 'malaise', 'général.'], ['Le', 'dossier', 'médical', 'fait', 'état', ""d'antécédents"", 'de', 'relations', 'homosexuelles', 'au', 'cours', 'des', 'quatre', 'derniers', 'mois', 'avec', 'un', 'nouveau', 'partenaire.'], ['Deux', 'mois', 'avant', 'la', 'consultation', 'actuelle,', 'il', 'présentait', 'une', 'lésion', 'ulcéreuse', 'indolore', 'sur', 'le', 'gland', 'du', 'pénis', 'ainsi', ""qu'une"", 'lymphadénopathie', 'inguinale', 'bilatérale,', 'toutes', 'ces', 'lésions', 'étant', 'spontanément', 'résolutives.'], ['Des', 'études', 'sérologiques', 'ont', 'été', 'demandées', 'avec', 'les', 'résultats', 'suivants', ':', 'VIH', 'négatif,', 'RPR', '1/320,', 'HAART', '1/128.'], ['Quel', 'traitement', 'préconisez-vous', 'pour', 'ce', 'patient', '?'], ['1-', 'Aucun.'], ['2-', 'Pénicilline', 'G', 'intraveineuse,', '24', 'MU', 'tous', 'les', 'jours', 'pendant', '14', 'jours.'], ['3-', 'Pénicilline', 'benzathine', '2,4', 'MU', 'intramusculaire,', '3', 'doses', 'en', 'trois', 'semaines', 'consécutives.'], ['4-', 'Ceftriaxone', '2', 'grammes', 'par', 'voie', 'intramusculaire', 'en', 'une', 'seule', 'dose.'], ['5-', 'Pénicilline', 'benzathine', '2,4', 'MU', 'intramusculaire', 'en', 'une', 'seule', 'dose.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Question', 'à', 'réponse', 'directe.'], ['Il', ""s'agit"", ""d'une"", 'syphilis', 'de', 'stade', 'secondaire', '(à', 'la', 'fois', 'en', 'termes', ""d'antécédents"", 'et', 'de', 'sérologie)', 'et', 'le', 'traitement', 'consiste', 'donc', 'en', 'une', 'dose', 'unique', 'de', 'pénicilline', 'benzathine', '2,4', 'MU.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
222_197,"[['QUESTION', 'TYPE:', 'EPIDEMIOLOGIE'], ['CLINICAL', 'CASE:'], ['Homosexuel', 'séropositif', 'de', '30', 'ans,', 'bénévole', 'dans', 'un', 'centre', 'pour', 'malades', 'du', 'sida.'], [""D'après"", 'ses', 'antécédents', 'médicaux,', 'elle', 'a', 'reçu', ""l'anatoxine"", 'diphtérique', '(Td)', 'il', 'y', 'a', '6', 'ans,', 'le', 'ROR', 'dans', ""l'enfance"", 'et', ""l'adolescence,"", 'et', ""l'hépatite"", 'B', 'il', 'y', 'a', '3', 'ans.'], ['Il', 'est', 'actuellement', 'asymptomatique', 'et', 'son', 'taux', 'de', 'CD4', 'est', 'supérieur', 'à', '200', 'cls/microlitre.'], ['Quelles', 'sont', 'les', 'vaccinations', 'à', 'recommander', '?'], ['1-', 'Grippe', 'saisonnière,', 'pneumocoque,', 'méningite', 'tétravalente', 'et', 'hépatite', 'A.'], ['2-', 'Grippe', 'saisonnière,', 'Td,', 'pneumocoque', 'et', 'méningite', 'tétravalente.'], ['3-', 'Tétravalent', 'méningite,', 'pneumocoque', 'et', 'grippe', 'saisonnière.'], ['4-', 'Td,', 'méningite', 'tétravalente', 'à', 'pneumocoques.'], ['5-', 'Triple', 'virus,', 'grippe', 'saisonnière,', 'pneumocoque.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Les', 'recommandations', 'de', 'vaccination', 'pour', 'les', 'adultes', 'séropositifs', 'comprennent', ""l'hépatite"", 'B,', 'la', 'grippe,', 'le', 'ROR,', 'le', 'pneumocoque,', 'le', 'Td', 'et', 'le', 'Tdap,', 'et', 'pour', 'certains', 'adultes,', ""l'hépatite"", 'A,', 'ou', 'les', 'combinaisons', 'A', 'et', 'B,', 'la', 'méningite', 'bactérienne,', 'le', 'VPH', 'et', 'le', 'méningocoque', '(Source', '[1]).'], ['Si', ""l'on"", 'tient', 'compte', 'du', 'fait', 'que', 'la', 'personne', 'a', 'été', 'vaccinée,', 'que', 'son', 'taux', 'de', 'CD4', 'est', 'supérieur', 'à', '100', ""(s'il"", 'est', 'inférieur,', 'il', 'y', 'a', 'une', 'contre-indication)', 'et', ""qu'elle"", 'travaille', 'dans', 'un', 'centre', ""d'aide"", 'aux', 'malades', 'du', 'sida', '(assimilé', 'au', '""personnel', 'de', 'santé""),', 'les', 'réponses', '2,', '4', 'et', '5', 'sont', 'erronées.'], ['Les', 'quatre', 'vaccins', 'de', ""l'option"", '1', 'peuvent', 'être', 'administrés.'], ['Un', 'peu', 'plus', 'de', 'détails', ':', 'Vaccination', 'contre', 'le', 'tétanos', 'et', 'la', 'diphtérie', ':', 'tout', 'le', 'monde', 'devrait', 'être', 'vacciné', 'contre', 'ces', 'deux', 'maladies.'], ['Vaccin', 'contre', ""l'hépatite"", 'B', ':', 'Les', 'virus', 'de', ""l'hépatite"", 'B', 'et', 'du', 'VIH', 'partagent', 'les', 'mêmes', 'voies', 'de', 'transmission,', 'de', 'sorte', ""qu'il"", 'est', 'fréquent', 'que', 'les', 'patients', 'infectés', 'par', 'le', 'VIH', 'soient', 'également', 'infectés', 'par', 'le', 'virus', 'de', ""l'hépatite"", 'B.'], ['Il', 'est', 'donc', 'important', 'de', 'savoir', 'si', 'la', 'personne', 'infectée', 'par', 'le', 'VIH', 'présente', 'des', 'marqueurs', ""d'infection"", 'par', 'le', 'virus', 'de', ""l'hépatite"", 'B', 'et', 'de', 'procéder', 'à', 'la', 'vaccination', 'si', 'ce', ""n'est"", 'pas', 'le', 'cas.'], ['Vaccin', 'contre', ""l'hépatite"", 'A', ':', 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'personne', 'infectée', 'par', 'le', 'VIH', 'pour', 'éviter', ""qu'elles"", 'ne', 'transmettent', 'la', 'maladie.'], ['Vaccin', 'antipneumococcique', ':', 'les', 'infections', 'à', 'pneumocoques', '(en', 'particulier', 'les', 'pneumonies)', 'sont', ""jusqu'à"", '10', 'fois', 'plus', 'fréquentes', 'chez', 'les', 'personnes', 'infectées', 'par', 'le', 'VIH', 'que', 'chez', 'les', 'adultes', 'non', 'infectés', 'par', 'le', 'VIH.', 'La', 'vaccination', 'est', 'donc', 'recommandée,', 'bien', 'que', 'chez', 'les', 'patients', 'dont', 'la', 'numération', 'est', 'inférieure', 'à', '200/mm3,', 'la', 'réponse', 'protectrice', 'ne', 'soit', 'généralement', 'pas', 'suffisante.'], ['Ils', 'doivent', 'recevoir', 'une', 'deuxième', 'dose', 'à', ""l'âge"", 'de', '3', 'à', '5', 'ans.'], ['Les', 'enfants', 'infectés', 'par', 'le', 'VIH', 'doivent', 'être', 'vaccinés', 'avec', 'le', 'vaccin', 'conjugué', 'antipneumococcique', 'en', 'respectant', 'le', 'nombre', 'de', 'doses', 'correspondant', 'à', 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321_144,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '50', 'ans,', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'une', 'polyangéite', 'avec', 'granulomatose', 'il', 'y', 'a', '10', 'ans', 'et', 'qui', ""n'a"", 'pas', 'été', 'traité', 'pendant', 'les', '5', 'dernières', 'années,', 'est', 'venu', 'pour', 'un', 'contrôle', 'programmé', 'et', ""s'est"", 'avéré', 'asymptomatique.'], ['La', 'radiographie', 'pulmonaire,', 'les', 'analyses', 'sanguines', 'et', 'le', 'sédiment', 'urinaire', 'étaient', 'normaux,', 'à', ""l'exception"", ""d'anticorps"", 'anti-neutrophiles', 'cytoplasmiques', '(ANCA)', 'positifs', 'au', 'titre', '1/320,', 'avec', 'une', 'spécificité', 'anti-protéinase', '3,', 'qui', 'étaient', 'auparavant', 'négatifs.'], ['Quelle', 'est', ""l'approche"", 'thérapeutique', 'la', 'plus', 'appropriée', '?'], ['1-', 'Commencer', 'le', 'traitement', 'avec', 'des', 'corticostéroïdes.'], ['2-', 'Commencer', 'le', 'traitement', 'par', 'cyclophosphamide.'], ['3-', 'Commencer', 'le', 'traitement', 'par', 'mycophénolate', 'mofétil.'], ['4-', ""L'attente"", 'vigilante.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Dans', 'la', 'vascularite', 'ANCA,', 'quelle', ""qu'elle"", 'soit,', 'il', 'a', 'été', 'démontré', 'que', 'ces', 'anticorps', 'sont', 'liés', 'à', ""l'activité"", 'de', 'la', 'maladie,', 'mais', 'à', 'aucun', 'moment', 'leurs', 'niveaux', 'ne', 'rendent', 'obligatoires', 'des', 'changements', 'dans', 'le', 'traitement.'], ['Dans', 'ce', 'cas,', 'si', 'le', 'patient', 'est', 'asymptomatique', 'et', ""qu'il"", 'existe', 'des', 'preuves', 'objectives', ""d'un"", 'manque', ""d'activité,"", 'une', 'surveillance', 'étroite', 'doit', 'être', 'effectuée', 'sans', 'reprendre', 'ou', 'modifier', 'le', 'traitement.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
516_103,"[['QUESTION', 'TYPE:', 'SOINS', 'CRITIQUES', 'ET', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '56', 'ans', 'est', 'retrouvé', 'dans', 'le', 'coma', 'à', 'son', 'domicile.'], ['Il', 'a', 'des', 'antécédents', ""d'hypertension"", 'artérielle', 'et', 'de', 'diabète', 'sucré.'], ['Il', ""n'a"", 'pas', ""d'habitudes"", 'toxiques', 'ni', ""d'autres"", 'maladies', 'chroniques.'], ['Il', 'suit', 'un', 'traitement', 'à', 'base', ""d'irbésartan"", 'et', ""d'empaglifozine.""], ['Aucun', 'signe', 'de', 'malnutrition.'], ['Sa', 'tension', 'artérielle', 'est', 'de', '110/60', 'mmHg,', 'sa', 'fréquence', 'cardiaque', 'de', '110', 'bpm,', 'sa', 'SatO2', 'de', '90', '%,', 'sa', 'glycémie', 'capillaire', 'de', '120', 'mg/dl', 'et', 'sa', 'fréquence', 'respiratoire', 'de', '7', 'rpm.'], ['Quelle', 'approche', 'thérapeutique', 'initiale', 'vous', 'semble', 'la', 'plus', 'appropriée', '?'], ['1-', 'Administrer', 'de', 'la', 'naloxone,', 'du', 'flumazénil', 'et', 'de', 'la', 'thiamine.'], ['2-', 'Administrer', 'de', 'la', 'naloxone,', 'du', 'flumazénil', 'et', 'du', 'glucose', 'hypertonique.'], ['3-', 'Administrer', 'de', 'la', 'naloxone', 'et', 'du', 'flumazénil.'], ['4-', 'Administrer', 'de', 'la', 'thiamine', 'et', 'du', 'glucose', 'hypertonique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Nous', 'avons', 'rencontré', 'un', 'patient', 'souffrant', ""d'hypoventilation.""], ['La', 'glycémie', 'est', 'correcte', '(nous', 'avons', 'exclu', 'le', 'coma', 'hyperosmolaire', 'et', ""l'hypoglycémie,"", 'options', '2', 'et', '4),', 'donc,', 'bien', ""qu'il"", ""n'y"", 'ait', 'pas', ""d'antécédents"", 'de', 'consommation', 'de', 'drogues,', 'nous', 'devons', 'nous', 'tourner', 'vers', 'les', 'plus', 'courantes', 'et', 'que', 'nous', 'pouvons', 'antagoniser', 'avec', 'des', 'antidotes', ':', 'les', 'benzodiazépines', '(flumazénil)', 'et', 'les', 'opiacés', '(naloxone).'], ['Si', ""l'on"", 'soupçonnait', 'une', 'intoxication', 'à', ""l'éthylène"", 'glycol,', 'on', 'administrerait', 'de', 'la', 'thiamine,', 'mais', 'on', 'ne', 'nous', 'fournit', 'aucune', 'donnée', 'permettant', 'de', 'suspecter', 'cette', 'intoxication.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
44_153,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Enfant', 'âgé', 'de', '28', 'jours,', 'né', 'à', 'terme.'], ['Antécédents', 'de', 'grossesse', 'et', ""d'accouchement"", 'normaux.'], ['Il', 'est', 'allaité', 'depuis', 'sa', 'naissance.'], ['Consultation', 'parce', ""qu'il"", 'y', 'a', '8', 'jours,', 'il', 'a', 'commencé', 'à', 'vomir,', ""d'abord"", 'sporadiquement', 'et', 'depuis', '5', 'jours,', 'après', 'toutes', 'les', 'tétées.'], ['Il', 'a', 'faim', 'en', 'permanence.'], ['Les', 'vomissements', 'concernent', 'les', 'aliments', '""recrachés"".'], ['À', 'la', 'palpation,', ""l'abdomen"", 'est', 'mou', 'et', 'dépressible,', 'sans', 'viscéro-mégalie.'], [""L'analyse"", 'des', 'gaz', 'du', 'sang', 'montre', 'un', 'pH', 'de', '7,49,', 'un', 'bicarbonate', 'de', '30', 'mEq/l,', 'une', 'pCO2', 'de', '53', 'mmHg,', 'un', 'excès', 'de', 'base', 'de', '+8', 'mEq/l.'], ['Ions', ':', 'Na', '137', 'mEq/l,', 'K', '3,1', 'mEq/l,', 'Cl', '94', 'mEq/l.'], ['Compte', 'tenu', 'du', 'diagnostic', 'le', 'plus', 'probable', 'dans', 'le', 'tableau', 'clinique', 'décrit,', 'quel', 'est', ""l'examen"", 'complémentaire', 'de', 'choix', 'pour', 'confirmer', 'ce', 'diagnostic', 'clinique', '?'], ['1-', 'Radiographie', 'abdominale', 'simple.'], ['2-', 'pHmétrie.'], ['3-', 'Echographie', 'abdominale.'], ['4-', 'Détermination', 'des', 'électrolytes', 'dans', 'la', 'sueur.'], ['5-', 'Esophagogastroscopie.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', '3.'], ['Question', 'facile', 'si', ""l'on"", 'suspecte', 'une', 'pathologie,', 'ce', 'qui', 'me', 'semble', 'également', 'simple', 'car', 'la', 'description', 'clinique', 'est', 'celle', ""d'une"", 'sténose', 'hypertrophique', 'du', 'pylore.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
54_72,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'étudiante', 'de', '22', 'ans,', 'sans', 'antécédents', 'pathologiques', 'ni', 'prise', 'de', 'médicaments', 'autres', ""qu'anovulatoires,"", 'se', 'présente', 'au', 'service', 'des', 'urgences', 'en', 'raison', ""d'une"", 'dégradation', 'de', 'son', 'état', 'général', 'et', 'du', 'besoin', 'de', 'respirer', 'profondément.'], ['Il', 'signale', 'une', 'perte', 'de', 'poids', 'depuis', '2', 'ou', '3', 'jours,', 'une', 'polydipsie,', 'une', 'polyurie', 'et', 'des', 'nausées.'], ['Pas', 'de', 'toux', 'ni', 'de', 'sensation', 'de', 'fièvre.'], ['Examen', ':', 'aspect', 'de', 'gravité,', 'tension', 'artérielle', '100/60', 'mmHg,', 'respiration', 'profonde', 'et', 'rapide', '(28rpm),', 'état', 'de', 'conscience', 'conservé,', 'muqueuses', 'sèches.'], ['Pas', 'de', 'fièvre.'], ['NFS', ':', 'glycémie', '420', 'mg/dL,', 'Na+', '131', 'mEq/L,', 'K+', 'normal,', 'pH', '7,08,', 'bicarbonate', '8', 'mEq/L', 'et', 'cétonurie', '(+++)', 'Quelle', 'est', 'la', 'réponse', 'la', 'plus', 'correcte', '?'], ['1-', 'Début', 'de', 'diabète', 'sucré', 'de', 'type', '2,', 'avec', 'dyspnée', 'probablement', 'due', 'à', 'une', 'pneumonie', 'ou', 'à', 'une', 'thromboembolie,', 'car', 'elle', 'prend', 'des', 'anovulatoires.'], ['2-', 'Il', ""s'agit"", ""d'une"", 'acidocétose', 'diabétique.', 'Elle', 'doit', 'être', 'traitée', 'par', 'insuline', 'intraveineuse,', 'sérothérapie,', 'mesures', 'générales', 'et', 'recherche', 'de', 'la', 'cause', 'déclenchante.'], ['3-', 'Début', ""d'un"", 'diabète', 'de', 'type', '1', 'avec', 'acidocétose.', 'Traiter', 'avec', 'du', 'bicarbonate', 'et,', 'après', 'correction', 'de', ""l'acidose,"", 'ajouter', 'de', ""l'insuline"", 'par', 'voie', 'intraveineuse.'], ['4-', 'Cela', 'ressemble', 'à', 'une', 'acidocétose', 'diabétique,', 'mais', 'il', 'pourrait', ""s'agir"", ""d'une"", 'intoxication', 'alcoolique.', 'Le', 'taux', ""d'alcoolémie"", 'doit', 'être', 'déterminé', 'avant', 'de', 'commencer', 'le', 'traitement', 'à', ""l'insuline.""], ['5-', 'Traiter', 'avec', 'de', ""l'insuline"", 'sous-cutanée', 'rapide,', 'une', 'thérapie', 'sérique', 'et', 'lui', 'demander', 'de', 'boire', 'beaucoup.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Début', ""d'une"", 'DM', 'avec', 'acidocétose.'], ['La', 'priorité', 'est', 'donnée', 'à', ""l'administration"", ""d'insuline"", 'par', 'voie', 'intraveineuse', 'et', 'à', 'la', 'thérapie', 'sérique.'], ['Bicarbonate', 'oui', 'pH', '<', '7.'], [""L'administration"", ""d'insuline"", 'ne', 'doit', 'jamais', 'être', 'retardée.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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553_177,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '33', 'ans,', 'résidant', 'à', 'Valence,', 'a', 'consulté', 'pour', 'présenter', 'une', 'plaque', 'érythémateuse-orange', 'sur', 'la', 'joue', 'droite', 'après', 'une', 'piqûre', ""d'insecte,"", 'qui', 'a', 'grandi', 'lentement', ""jusqu'à"", 'atteindre', '1,5', 'cm', 'et', 'qui,', 'au', 'cours', 'des', 'dernières', 'semaines,', ""s'est"", 'ulcérée', 'et', 'recouverte', ""d'une"", 'croûte.'], ['La', 'blessure', 'ne', 'provoque', ""qu'une"", 'gêne', 'discrète', ""s'il"", 'se', 'gratte.'], ['Ses', 'antécédents', 'comprennent', 'un', 'psoriasis', 'en', 'plaques', 'traité', 'par', 'adalimumab', 'sous-cutané.'], ['Elle', 'est', 'en', 'bonne', 'santé', 'générale,', 'ne', 'prend', 'pas', ""d'autres"", 'médicaments', 'et', 'ne', 'signale', 'pas', ""d'allergies"", 'médicamenteuses.'], ['Indiquez', 'le', 'traitement', 'que', 'vous', 'utiliseriez', ':'], ['1-', 'Isotrétinoïne', 'par', 'voie', 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608_115,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '27', 'ans,', 'sportif', 'régulier,', 'se', 'plaint', 'de', 'douleurs', 'à', 'la', 'jambe', 'droite', 'après', 'une', 'course', 'continue.'], ['Il', 'a', 'consulté', 'un', 'physiothérapeute', 'à', 'plusieurs', 'reprises', 'et', 'on', 'lui', 'a', 'diagnostiqué', 'une', 'élongation', 'du', 'mollet.'], ['Plusieurs', 'mois', 'se', 'sont', 'écoulés,', 'son', 'état', 'ne', ""s'est"", 'pas', 'amélioré', 'et', 'il', 'signale', 'de', 'fortes', 'douleurs', 'après', 'une', 'activité', 'physique,', 'qui', ""s'estompent"", 'avec', 'le', 'repos', 'dans', 'les', 'heures', 'qui', 'suivent', ""l'exercice.""], ['Quel', 'test', 'peut', 'aider', 'au', 'diagnostic', '?'], ['1-', 'Tomographie', 'par', 'émission', 'de', 'positons', 'au', '18', 'FDG.'], ['2-', 'Détermination', 'de', 'la', 'pression', 'du', 'compartiment', 'postérieur', 'immédiatement', 'après', ""l'activité.""], ['3-', ""L'échographie"", 'Doppler', 'pour', 'éliminer', 'un', 'trouble', 'circulatoire', 'du', 'membre', 'inférieur.'], ['4-', 'La', 'spectrométrie', 'par', 'résonance', 'magnétique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Nous', 'présentons', 'un', 'cas', 'de', 'syndrome', 'du', 'compartiment', 'chronique.'], ['Pour', 'le', 'diagnostic,', 'il', 'est', 'nécessaire', 'de', 'mesurer', 'la', 'pression', 'dans', 'les', 'compartiments', 'concernés', 'au', 'repos', 'et', 'après', 'une', 'activité', '(réponse', '2', 'correcte).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim']]"
294_44,"[['QUESTION', 'TYPE:', 'GÉNÉTIQUE', 'ET', 'IMMUNOLOGIE'], ['CLINICAL', 'CASE:'], ['Amalia', 'est', 'une', 'petite', 'fille', 'de', '3', 'ans', 'qui', 'a', 'été', 'opérée', 'pour', 'une', 'tétralogie', 'de', 'Fallot.'], ['Il', 'présentait', 'également', 'un', 'dysfonctionnement', 'thymique', 'pendant', 'la', 'période', 'néonatale', 'et', 'une', 'hypocalcémie,', 'ainsi', ""qu'une"", 'voix', 'nasillarde', 'et', 'un', 'retard', 'psychomoteur.'], ['Quel', 'est', 'le', 'test', 'génétique', 'qui', 'vous', 'semble', 'le', 'plus', 'approprié', 'pour', 'établir', 'votre', 'diagnostic', 'étiologique', '?'], ['1-', 'Étude', 'de', 'la', 'délétion', '22q11', '(syndrome', 'de', 'Di', 'George', 'ou', 'de', 'Velo-cardio-facial).'], ['2-', 'Etude', 'de', ""l'expansion"", 'du', 'gène', 'FMR1,', 'responsable', 'du', 'syndrome', 'de', ""l'X"", 'fragile.'], ['3-', 'Séquençage', 'des', 'gènes', 'liés', 'au', 'HRAS', '(syndrome', 'de', 'Noonan).'], ['4-', 'Etude', 'génétique', 'du', 'syndrome', 'de', 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156_230,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '40', 'ans', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'une', 'stomatite', 'aphteuse,', 'une', 'conjonctivite,', 'une', 'urétrite,', 'une', 'balanite', 'et', 'des', 'douleurs', 'articulaires.'], ['Parmi', 'les', 'diagnostics', 'suivants,', 'lequel', 'est', 'le', 'plus', 'probable', '?'], ['1-', 'Behçet.'], ['2-', 'Le', 'syndrome', 'de', ""l'arthrite"", 'réactive.'], ['3-', 'Le', 'syndrome', 'de', 'Sweet.'], ['4-', 'Déficit', 'de', 'vitamina', 'A.'], ['5-', 'Infection', 'gonococcique.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Compte', 'tenu', 'de', 'ce', 'tableau', 'clinique', 'et', 'en', ""l'absence"", 'de', 'tests', 'complémentaires', 'disponibles,', 'le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'celui', ""d'une"", 'arthrite', 'réactionnelle.'], ['Le', 'seul', 'problème', 'est', 'que', 'la', 'déclaration', 'parle', 'de', 'douleurs', 'articulaires', 'et', 'non', ""d'arthrite...""], ['Le', 'syndrome', 'de', 'Reiter', '(triade', 'conjonctivite,', 'urétrite', 'et', 'arthrite)', 'est', ""l'une"", 'des', 'formes', ""d'arthrite"", 'réactive.'], ['La', 'maladie', 'de', 'Behçet', 'peut', ""s'accompagner"", 'de', 'muguet', 'buccal', 'et', 'génital,', 'mais', ""l'urétrite"", ""n'est"", 'pas', 'une', 'caractéristique', 'de', 'la', 'maladie.'], [""L'affection"", 'oculaire', 'proprement', 'dite', 'est', ""l'uvéite.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
82_45,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'VASCULAIRE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '60', 'ans', 'signale', 'une', 'douleur', 'précordiale', 'après', 'un', 'effort', 'moyen.'], ['La', 'coronarographie', 'montre', 'une', 'sténose', 'significative', 'dans', 'les', 'segments', 'proximaux', 'des', 'trois', 'vaisseaux', 'principaux', 'avec', 'un', 'bon', 'lit', 'distal.'], ['La', 'fonction', 'ventriculaire', 'est', 'déprimée', '(<30%).'], ['Quelle', 'est', 'la', 'meilleure', 'option', 'thérapeutique', '?'], ['1-', 'Revascularisation', 'percutanée.'], ['2-', 'Traitement', 'médical.'], ['3-', 'Chirurgie', 'de', 'revascularisation', 'myocardique.'], ['4-', 'Contre-pulsion', 'par', 'ballon', 'implantable.'], ['5-', 'La', 'transplantation', 'cardiaque.'], ['BONNE', 'RÉPONSE', ':', '3'], ['On', 'nous', 'parle', ""d'un"", 'patient', 'souffrant', ""d'une"", 'maladie', 'coronarienne', 'à', 'trois', 'vaisseaux', 'et,', 'ce', 'qui', 'est', 'très', 'important,', ""d'un"", 'dysfonctionnement', 'ventriculaire', 'grave.'], ['Dans', 'ces', 'conditions,', 'le', 'traitement', 'de', 'choix', 'serait', 'chirurgical', '(chirurgie', 'de', 'revascularisation', 'du', 'myocarde', 'ou', 'by-pass).'], ['Si', ""l'on"", 'nous', 'avait', 'parlé', ""d'un"", 'patient', 'dont', 'la', 'fonction', 'ventriculaire', 'gauche', 'est', 'préservée,', 'le', 'choix', 'entre', 'traitement', 'chirurgical', 'et', 'traitement', 'percutané', 'serait', 'plus', 'discutable,', 'car', ""aujourd'hui,"", 'grâce', 'aux', 'stents', 'à', 'élution', 'de', 'médicaments,', 'les', 'différences', 'en', 'termes', 'de', 'morbidité', 'et', 'de', 'mortalité', 'entre', 'la', 'chirurgie', 'de', 'pontage', 'et', ""l'angioplastie"", 'sont', 'minimes.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
485_49,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '60', 'ans,', 'traité', 'à', 'la', 'carbamazépine', 'pour', 'une', 'épilepsie,', 'a', 'présenté', 'de', 'la', 'fièvre', '(38,8°C),', 'une', 'odynophagie,', 'une', 'conjonctivite,', 'des', 'lésions', 'cutanées', 'brunâtres', 'réparties', 'sur', 'une', 'grande', 'partie', 'du', 'corps,', 'avec', 'un', 'aspect', 'en', 'œil', 'de', 'bœuf', 'et', 'accompagnées', ""d'un"", 'décollement', 'de', ""l'épiderme"", '(plus', 'de', '30', '%)', 'au', 'moindre', 'contact.'], ['Il', 'est', 'très', 'probable', 'que', 'vous', 'présentiez', 'un', 'tableau', 'clinique', 'de..', ':'], ['1-', ""L'urticaire"", 'aiguë', ""d'origine"", 'pharmacologique.'], ['2-', 'Erythème', 'mineur', 'exsudatif', 'secondaire', 'à', 'des', 'médicaments.'], ['3-', 'Le', 'syndrome', 'de', 'Stevens-Johnson', 'pharmacologique.'], ['4-', 'La', 'nécrolyse', 'épidermique', 'toxique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", ""d'un"", 'patient', 'sévère', 'présentant', 'des', 'lésions', 'ciblées', 'et', 'le', 'signe', 'de', 'Nikolsky', 'sur', 'plus', 'de', '30', '%', 'de', 'la', 'surface', 'corporelle.'], ['En', 'cas', ""d'antécédents"", 'de', 'traitement', 'à', 'la', 'carbamazépine,', 'une', 'nécrolyse', 'épidermique', 'toxique', 'est', 'suspectée', '(réponse', '4).'], ['Si', 'le', 'décollement', 'de', ""l'épiderme"", 'est', 'inférieur', 'à', '10', '%,', 'il', ""s'agit"", 'alors', ""d'une"", 'maladie', 'de', 'Stevens-Johnson', '(les', 'cas', 'intermédiaires', 'sont', 'qualifiés', 'de', 'chevauchement,', 'car', 'il', ""s'agit"", ""d'un"", 'spectre', 'complet).'], ['Par', 'ailleurs,', 'nous', 'recommandons', ""l'admission"", 'immédiate', 'dans', 'une', 'unité', 'de', 'soins', 'pour', 'grands', 'brûlés.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
219_124,,
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199_74,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'présentant', 'au', 'cours', 'de', 'la', 'deuxième', 'décennie', 'de', 'sa', 'vie', 'un', 'parkinsonisme', 'progressif,', 'des', 'tremblements,', 'une', 'dystonie', 'et', 'des', 'troubles', 'du', 'comportement,', 'il', 'faut', 'toujours', 'dépister', 'une', 'maladie', 'dont', 'le', 'traitement', 'approprié', 'peut', 'améliorer', 'les', 'symptômes', 'neurologiques', 'et', 'stopper', ""l'évolution"", 'clinique.'], ['De', 'quelle', 'maladie', ""s'agit-il"", '?'], ['1-', 'La', 'maladie', 'de', 'Huntington.'], ['2-', 'La', 'maladie', 'de', 'Wilson.'], ['3-', 'Le', 'syndrome', 'de', 'Gilles', 'de', 'la', 'Tourette.'], ['4-', 'Sydenham', 'Korea.'], ['5-', 'La', 'maladie', 'de', 'Parkinson', 'à', 'début', 'juvénile.'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'clé', 'de', 'la', 'question', 'est', '""l\'arrêt', 'de', ""l'évolution"", 'clinique"",', 'car', 'la', 'maladie', 'de', 'Huntington,', 'la', 'maladie', 'de', 'Tourette', 'et', 'la', 'maladie', 'de', 'Parkinson', ""n'ont"", 'pas', 'de', 'traitement', 'capable', ""d'arrêter"", ""l'évolution"", 'clinique.'], ['La', 'chorée', 'de', 'Sydenham', 'est', 'typique', 'des', 'jeunes', 'enfants', 'ayant', 'des', 'antécédents', ""d'infection"", 'streptococcique', 'et', 'sa', 'résolution', 'est', 'généralement', 'spontanée.'], ['En', 'outre,', 'dans', 'les', 'cas', 'cliniques,', 'il', 'est', 'recommandé', ""d'exclure"", 'la', 'maladie', 'de', 'Wilson', 'chez', 'les', 'jeunes', 'patients', 'présentant', 'des', 'troubles', 'du', 'mouvement', 'et', 'des', 'troubles', 'neuropsychiatriques.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
331_87,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'hospitalisé', 'incapable', 'de', ""s'alimenter"", 'par', 'voie', 'orale', 'pendant', 'plus', 'de', '6', 'jours,', 'dans', 'laquelle', 'des', 'situations', 'cliniques', 'suivantes', 'doit-on', 'obligatoirement', 'recourir', 'à', 'la', 'nutrition', 'parentérale', '?'], ['1-', 'AVC', 'cardioembolique', 'avec', 'dysphagie', 'neurologique', 'complète.'], ['2-', 'Cachexie', 'due', 'à', 'un', 'empyème', 'chronique', 'chez', 'les', 'patients', 'immunodéprimés.'], ['3-', 'Accident', 'vasculaire', 'cérébral', 'paralytique', 'prolongé.'], ['4-', 'Maladie', ""d'Alzheimer"", 'avancée', 'avec', 'risque', 'sévère', ""d'aspiration"", 'bronchique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], [""L'iléus"", 'paralytique', 'est', 'un', 'défaut', 'de', 'propulsion', 'intestinale', 'qui', 'survient', 'de', 'manière', 'aiguë', 'en', ""l'absence"", ""d'obstruction"", 'mécanique', ';', 'il', 'est', 'secondaire', 'à', 'diverses', 'causes', 'et', 'affecte', 'la', 'contractilité', 'intestinale.'], ['La', 'voie', 'parentérale', 'est', 'donc', 'nécessaire.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
205_214,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'jeune', 'homme', 'de', '24', 'ans', 'présente,', 'trois', 'jours', 'après', 'un', 'contact', 'sexuel', 'à', 'risque,', 'de', 'nombreuses', 'petites', 'lésions', 'pustuleuses', 'très', 'prurigineuses', 'qui', 'évoluent', 'vers', 'de', 'minuscules', 'érosions', 'touchant', ""l'ensemble"", 'du', 'gland', 'du', 'pénis', 'et', 'la', 'surface', 'interne', 'du', 'prépuce.'], ['Parmi', 'les', 'éléments', 'suivants,', 'quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Candidose', 'génitale.'], ['2-', 'Chancroide.'], ['3-', 'Syphilis', 'secondaire.'], ['4-', 'Balanite', 'à', 'Trichomonas.'], ['5-', 'Infection', 'fongique', 'dermatophyte.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Le', 'chancre', 'est', 'une', 'lésion', 'solitaire.'], ['La', 'syphilis', 'secondaire', 'se', 'présente', 'généralement', 'sous', 'la', 'forme', ""d'une"", 'éruption', 'cutanée', 'généralisée', 'ou', 'de', 'lésions', 'caractéristiques', 'sur', 'les', 'paumes', 'et', 'les', 'plantes', '(ongles', 'syphilitiques)', 'avec', 'une', 'période', 'de', 'latence', 'plus', 'longue.'], ['La', 'balanite', 'à', 'Trichomonas', 'est', 'toujours', 'associée', 'à', 'une', 'urétrite,', 'qui', ""n'est"", 'pas', 'mentionnée', 'dans', 'la', 'question.'], ['La', 'réponse', 'est', 'donc', '1.'], ['Cependant,', 'le', 'tableau', 'clinique', 'suggère', 'un', 'herpès', 'simplex', 'plutôt', ""qu'une"", 'candidose', 'et', '5', 'fait', 'également', 'référence', 'aux', 'champignons', '(bien', 'que', 'les', 'dermatophytes', 'ne', 'provoquent', 'pas', 'de', 'balanite).', '....', 'A', 'notre', 'avis,', 'même', 'si', 'nous', 'considérons', 'que', '1', 'est', 'correct,', 'la', 'question', 'est', 'trompeuse', 'et', 'pourrait', 'faire', ""l'objet"", ""d'une"", 'contestation.'], ['En', 'outre,', 'la', 'candidose', 'génitale', ""n'est"", 'pas', 'nécessairement', 'transmise', 'sexuellement.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
441_98,,
302_111,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'atteint', 'de', 'polyarthrite', 'rhumatoïde', 'sous', 'méthotrexate,', 'prednisone', 'et', 'indométhacine', 'qui', 'présente', 'de', 'manière', 'aiguë', 'des', 'œdèmes', 'et', 'une', 'augmentation', 'de', 'la', 'créatinine', 'plasmatique', 'avec', 'un', 'sédiment', 'urinaire', 'peu', 'expressif', 'et', 'une', 'protéinurie', 'inférieure', 'à', '100', 'mg/24', 'h,', 'la', 'cause', 'la', 'plus', 'probable', 'est', 'la', 'suivante', ':'], ['1-', ""L'amylose"", 'rénale.'], ['2-', 'Glomérulonéphrite', 'secondaire', 'à', 'la', 'polyarthrite', 'rhumatoïde.'], ['3-', 'Insuffisance', 'rénale', 'due', 'aux', 'anti-inflammatoires', 'non', 'stéroïdiens.'], ['4-', 'Néphrite', 'interstitielle', 'due', 'au', 'méthotrexate.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Une', 'insuffisance', 'rénale', 'aiguë', 'pré-rénale', 'due', 'aux', 'AINS', 'semble', ""l'option"", 'la', 'plus', 'plausible', 'dans', 'ce', 'cas.'], ['La', 'néphrite', 'tubulo-interstitielle', 'induite', 'par', 'le', 'méthotrexate', 'est', 'moins', 'probable', 'en', 'raison', 'de', ""l'absence"", ""d'éruption"", 'cutanée,', 'de', 'fièvre', 'ou', ""d'éosinophilie,"", 'qui,', 'bien', 'que', 'rares', 'dans', 'la', 'MIR,', 'sont', 'souvent', 'présentes.'], ['Bien', 'que', 'la', 'GMN', 'et', ""l'amylose"", 'rénale', 'soient', 'relativement', 'fréquentes', 'dans', 'la', 'PR,', 'le', 'sédiment', 'urinaire', 'fade', 'et', ""l'absence"", 'de', 'protéinurie', 'rendent', 'ces', 'options', 'peu', 'probables.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
517_104,"[['QUESTION', 'TYPE:', 'SOINS', 'CRITIQUES', 'ET', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '34', 'ans', 'est', 'impliqué', 'dans', 'un', 'accident', 'de', 'la', 'route', 'et', 'est', 'soigné', 'sur', 'place.'], [""L'agent"", 'de', 'santé', 'constate', ""qu'il"", 'est', 'pâle,', 'en', 'sueur,', ""qu'il"", 'a', 'un', 'pouls', 'filant', 'avec', 'une', 'tension', 'artérielle', 'de', '90/50', 'mmHg,', 'une', 'fréquence', 'cardiaque', 'de', '127', 'bpm,', 'une', 'fréquence', 'respiratoire', 'de', '28', 'rpm', 'et', 'une', 'saturation', 'en', 'oxygène', 'de', '92%.'], ['Il', 'est', 'perfusé', 'avec', '20', 'ml/kg', 'de', 'cristalloïde.'], ['Pendant', 'le', 'transfert', 'à', ""l'hôpital,"", 'les', 'signes', 'vitaux', ""s'améliorent"", 'temporairement,', 'puis', 'se', 'détériorent', 'à', ""l'arrivée"", 'à', ""l'hôpital.""], ['Veuillez', 'cocher', 'la', 'bonne', 'réponse', ':'], ['1-', 'Nécessite', 'une', 'transfusion', 'de', 'sang', 'de', 'groupe', 'spécifique.'], ['2-', 'Nécessite', 'une', 'transfusion', 'sanguine', ""d'urgence"", '(O', 'Rh', 'négatif).'], ['3-', 'Une', 'éventuelle', 'transfusion', 'sanguine', 'doit', 'être', 'préparée', 'par', 'des', 'tests', 'de', 'compatibilité', 'croisée.'], ['4-', 'Une', 'nouvelle', 'perfusion', 'de', '20', 'ml/kg', 'de', 'cristalloïdes', 'doit', 'être', 'tentée.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Chez', 'un', 'patient', 'polytraumatisé,', 'la', 'première', 'cause', 'de', 'choc', 'est', 'la', 'perte', 'de', 'sang', '(choc', 'hémorragique).'], ['Les', 'lignes', 'directrices', 'à', 'suivre', 'doivent', 'toujours', 'inclure', 'la', 'reconstitution', 'du', 'volume', 'de', 'sang', '(si', 'possible', 'avec', 'des', 'produits', 'sanguins', 'le', 'plus', 'tôt', 'possible)', 'et', 'le', 'contrôle', 'de', ""l'épidémie.""], ['Dans', 'ce', 'cas,', 'étant', 'donné', 'que', 'le', 'pronostic', 'vital', 'est', 'engagé,', 'le', 'besoin', 'de', 'transfusion', 'est', 'très', 'urgent,', 'et', ""l'indication"", 'est', 'donc', 'une', 'transfusion', 'sanguine', ""d'urgence"", '(O', 'Rh', 'négatif).']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
520_38,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '72', 'ans', ""s'est"", 'présenté', 'aux', 'urgences', 'avec', 'un', 'angio-œdème', 'lingual', 'sévère.'], ['Pas', ""d'urticaire"", 'associée', 'ni', ""d'antécédents"", ""d'allergie"", 'médicamenteuse', 'ou', 'alimentaire.'], ['Ses', 'antécédents', 'personnels', 'comprennent', 'un', 'diabète', 'sucré', 'de', 'type', '2,', 'une', 'dyslipidémie,', 'une', 'hypertension,', 'une', 'hypothyroïdie', 'et', 'la', 'maladie', 'de', 'Parkinson.'], ['Sous', 'traitement', 'régulier', 'de', 'metformine,', 'simvastatine,', 'enalapril,', 'thyroxine', 'et', 'levodopa.'], ['Parmi', 'les', 'médicaments', 'suivants,', 'lequel', 'est', 'le', 'plus', 'susceptible', ""d'être"", 'à', ""l'origine"", 'du', 'tableau', 'clinique', 'décrit', '?'], ['1-', 'Enalapril.'], ['2-', 'Simvastatine.'], ['3-', 'Metformine', 'ou', 'lévodopa', 'à', 'parts', 'égales.'], ['4-', 'Levodopa.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], [""L'œdème"", 'de', 'Quincke', 'est', 'un', 'type', ""d'urticaire"", 'profonde', 'qui', 'peut', 'être', ""d'origine"", 'médicamenteuse', '(non', 'IgE)', 'et', 'dans', 'ce', 'cas,', 'les', 'inhibiteurs', 'de', ""l'ECA"", '(tels', 'que', ""l'énalapril)"", 'sont', 'considérés', 'comme', 'la', 'cause', 'pharmacologique', 'la', 'plus', 'fréquente,', 'donc', 'dans', 'ce', 'cas', 'ce', 'serait', 'la', 'bonne', 'réponse', '(si', 'nous', 'parlons', 'en', 'termes', 'probabilistes).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
379_133,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'jeune', 'fille', 'de', '20', 'ans', 'vient', 'aux', 'urgences', 'parce', ""qu'elle"", 'a', 'remarqué', 'après', 'son', 'réveil,', 'en', 'se', 'regardant', 'dans', 'le', 'miroir,', 'une', 'faiblesse', 'dans', 'la', 'moitié', 'droite', 'de', 'son', 'visage', '(y', 'compris', 'le', 'front,', 'en', 'fermant', 'la', 'paupière', 'et', 'en', 'souriant).'], ['Elle', ""s'accompagne"", ""d'une"", 'dysgueusie,', ""d'une"", 'sensation', 'de', 'goût', 'métallique', 'des', 'aliments,', ""d'une"", 'hyperacousie', 'et', ""d'une"", 'douleur', 'mastoïdienne', 'ipsilatérale.'], ['À', ""l'examen,"", 'il', ""n'y"", 'a', 'pas', 'de', 'signes', 'de', 'déficits', 'de', 'force', 'ou', 'de', 'déficits', 'sensoriels', 'dans', 'les', 'extrémités,', 'ni', 'de', 'troubles', 'de', 'la', 'parole', 'ou', 'du', 'langage.'], ['Dans', 'ce', 'cas,', 'laquelle', 'des', 'affirmations', 'suivantes', 'est', 'correcte', '?'], ['1-', 'Le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'celui', ""d'une"", 'plaque', 'démyélinisante', 'dans', ""l'hémiprotubérance"", 'controlatérale,', ""l'examen"", 'complémentaire', 'le', 'plus', 'nécessaire', 'étant', ""l'IRM"", 'crânienne.'], ['2-', 'Les', 'corticostéroïdes', 'oraux', 'sont', 'le', 'traitement', 'de', 'choix', 'pour', 'le', 'patient.'], ['3-', 'La', 'fibrinolyse', 'intraveineuse', 'doit', 'être', 'envisagée', 'si', 'le', 'temps', ""d'évolution"", 'est', 'inférieur', 'à', '3h.'], ['4-', ""L'affection"", 'est', 'très', 'probablement', 'irréversible.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Ils', 'décrivent', 'un', 'tableau', 'de', 'paralysie', 'faciale', 'périphérique', 'typique,', 'avec', 'dysgueusie,', 'hyperacousie', 'et', 'douleur', 'mastoïdienne.'], ['Dans', 'ce', 'cas,', 'le', 'traitement', 'est', 'un', 'corticostéroïde.'], ['La', 'première', 'ne', 'serait', 'pas', 'correcte', 'car,', 'bien', ""qu'elle"", 'se', 'situe', 'dans', 'la', 'tranche', ""d'âge"", 'du', 'début', 'de', 'la', 'sclérose', 'en', 'plaques,', 'la', 'présentation', 'est', 'généralement', 'progressive', 'sur', 'plusieurs', 'jours', 'et', ""l'atteinte"", 'nucléaire', 'du', '7e', 'nerf', 'crânien', '(qui', 'pourrait', 'simuler', 'un', 'nerf', 'facial', 'périphérique)', 'ne', 'provoquerait', 'pas', 'de', 'dysgueusie,', ""d'hyperacousie"", 'ou', 'de', 'douleur', 'mastoïdienne.'], ['La', 'troisième', 'réponse', 'suggère', ""qu'il"", ""s'agit"", ""d'une"", 'affection', 'vasculaire', 'et', 'donc', 'que', 'la', 'paralysie', 'faciale', 'est', 'centrale,', 'ce', 'qui', 'signifie', ""qu'elle"", 'est', 'exclue.', 'La', 'dernière', 'réponse', ""n'est"", 'pas', 'correcte', 'car', 'la', 'plupart', 'des', 'paralysies', 'faciales', 'périphériques', 'idiopathiques', '(paralysie', 'de', 'Bell)', 'guérissent', 'sans', 'séquelles.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
600_184,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '70', 'ans', 'a', 'signalé', 'une', 'douleur', 'et', 'une', 'raideur', 'au', 'niveau', 'de', 'la', 'ceinture', 'scapulaire', 'et', 'du', 'bassin', 'depuis', 'un', 'mois,', 'prédominant', 'au', 'lever', 'et', ""s'améliorant"", 'avec', 'le', 'mouvement,', 'sans', 'fièvre,', 'ni', 'maux', 'de', 'tête', 'ni', 'malaise', 'général.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'raideur', 'et', 'une', 'douleur', 'à', 'la', 'mobilisation', 'des', 'épaules', 'et', 'des', 'hanches.'], [""L'analyse"", 'de', 'sang', 'montre', 'une', 'élévation', 'de', ""l'ESR"", 'et', 'de', 'la', 'protéine', 'C-réactive.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', 'et', 'quel', 'traitement', 'prescrivez-vous', '?'], ['1-', 'Polyarthrite', 'rhumatoïde,', 'commencer', 'le', 'traitement', 'par', 'le', 'méthotrexate.'], ['2-', 'Fibromyalgie,', 'je', 'commencerais', 'le', 'traitement', 'par', 'la', 'duloxétine.'], ['3-', 'Polymyalgie', 'rhumatismale,', 'commencer', 'le', 'traitement', 'avec', 'des', 'corticostéroïdes.'], ['4-', 'Spondylarthrite', 'ankylosante,', 'commencer', 'le', 'traitement', 'par', 'des', 'anti-inflammatoires', 'non', 'stéroïdiens.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Dans', 'ce', 'cas,', 'il', 'décrit', 'les', 'symptômes', 'cardinaux', 'de', 'la', 'polymyalgie', 'rhumatismale.'], ['Patient', 'âgé', 'de', 'plus', 'de', '50', 'ans,', 'présentant', 'une', 'douleur', 'et', 'une', 'raideur', 'au', 'niveau', 'des', 'deux', 'ceintures,', 'associées', 'à', 'une', 'élévation', 'des', 'réactifs', 'de', 'phase', 'aiguë.'], ['Elle', 'présente', 'tous', 'les', 'critères', 'indispensables', ':', 'âge', 'supérieur', 'ou', 'égal', 'à', '50', 'ans,', 'omalgie', 'bilatérale', 'et', 'augmentation', 'des', 'réactifs', 'de', 'phase', 'aiguë.'], ['Parmi', 'les', 'critères', 'facultatifs,', 'raideur,', 'douleur', 'ou', 'limitation', 'de', 'la', 'hanche.'], ['Le', 'traitement', 'initial', 'consiste', 'en', ""l'administration"", 'de', 'corticostéroïdes', 'à', 'doses', 'moyennes.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
415_72,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'CARDIOVASCULAIRE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '45', 'ans,', 'ayant', 'des', 'antécédents', 'de', 'maladie', 'fébrile', 'et', 'de', 'douleur', 'thoracique,', 'se', 'présente', 'à', ""l'hôpital"", 'avec', 'une', 'dyspnée', 'et', 'une', 'tachypnée.'], ['À', ""l'examen"", 'physique,', 'la', 'tension', 'artérielle', 'est', 'basse,', 'la', 'pression', 'veineuse', 'jugulaire', 'est', 'élevée,', 'le', 'sinus', 'descendant', 'est', 'proéminent', 'et', 'le', 'pouls', 'est', 'paradoxal.'], ['Quel', 'diagnostic', 'suspecteriez-vous', '?'], ['1-', 'La', 'cardiomyopathie', 'dilatée.'], ['2-', 'Epanchement', 'péricardique', 'avec', 'tamponnade', 'cardiaque.'], ['3-', 'Péricardite', 'constrictive.'], ['4-', 'La', 'cardiopathie', 'ischémique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], [""C'est"", ""l'examen"", 'classique', ':', 'il', 'avait', 'de', 'la', 'fièvre', 'et', 'des', 'douleurs,', 'il', 'avait', 'une', 'péricardite', 'avec', 'épanchement,', 'et', 'maintenant', 'elle', 'provoque', 'une', 'tamponnade.'], [""D'où"", ""l'hypotension"", '(le', 'cœur', 'ne', 'peut', 'pas', 'se', 'remplir', 'correctement', 'de', 'sang', 'et', 'pomper),', ""l'engorgement"", 'de', 'la', 'jugulaire', 'et', 'la', 'dépendance', 'de', 'la', 'respiration', 'pour', 'atteindre', 'la', 'précharge', 'et', 'le', 'débit', 'cardiaque', ""(c'est-à-dire"", 'le', 'pouls', 'paradoxal).']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
560_180,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '26', 'ans,', 'diagnostiquée', 'avec', 'un', 'lupus', 'érythémateux', 'disséminé,', 'sous', 'traitement', 'à', ""l'hydroxychloroquine,"", 'consulte', 'pour', 'une', 'sensation', 'de', 'faiblesse', 'généralisée', 'qui', ""s'est"", 'progressivement', 'développée', 'au', 'cours', 'des', '15', 'derniers', 'jours.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'pâleur', 'cutanée', 'et', 'les', 'analyses', 'sanguines', 'ont', 'révélé', 'une', 'Hb', 'de', '7,4', 'g/dL,', 'une', 'Hcto', 'de', '31', '%', 'et', 'une', 'MCV', 'de', '108.'], ['Laquelle', 'des', 'déterminations', 'suivantes', 'sera', 'la', 'plus', 'utile', 'pour', 'décider', ""d'une"", 'action', '?'], ['1-', 'Haptoglobine.'], ['2-', 'Test', 'de', 'Coombs.'], ['3-', 'Vitamine', 'B12.'], ['4-', 'Anticorps', 'antinucléaires.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Ils', 'rapportent', 'le', 'cas', ""d'un"", 'patient', 'atteint', 'de', 'LED', 'et', 'traité', 'à', ""l'hydroxychloroquine.""], ['Il', 'a', 'un', 'taux', ""d'hémoglobine"", 'de', '7,4', 'et', 'un', 'VCM', 'supérieur', 'à', '100.', 'Si', ""l'on"", 'ajoute', 'la', 'pâleur', 'et', 'la', 'faiblesse,', 'il', ""s'agit"", ""d'une"", 'anémie', 'macrocytaire.'], ['À', 'mon', 'avis,', ""l'alternative"", 'la', 'plus', 'appropriée', 'serait', ""l'alternative"", '2,', 'car', 'il', 'a', 'été', 'rapporté', 'que', ""l'hydroxyloroquine"", 'diminue', ""l'absorption"", 'de', ""l'acide"", 'folique', 'lors', ""d'un"", 'traitement', 'pharmacologique,', 'et', 'dans', 'ce', 'cas,', 'nous', 'pourrions', 'avoir', 'affaire', 'à', 'une', 'anémie', 'hémolytique', 'auto-immune', 'avec', 'consommation', ""d'acide"", 'folique.'], ['Pour', 'ce', 'faire,', 'il', 'faut', ""d'abord"", 'déterminer', 'le', 'coombs', 'direct.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
358_232,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '24', 'ans', 'a', 'consulté', 'après', 'avoir', 'remarqué', 'des', 'adénopathies', 'inguinales.'], [""L'interrogatoire"", ""n'a"", 'pas', 'révélé', 'la', 'présence', ""d'un"", 'quelconque', 'malaise', 'local', 'ou', 'de', 'données', 'suggérant', 'une', 'infection', 'sexuellement', 'transmissible.'], [""L'examen"", 'a', 'révélé', 'la', 'présence', 'de', 'deux', 'ganglions', 'lymphatiques,', 'un', 'dans', 'chaque', 'aine,', ""d'un"", 'diamètre', 'de', '1', 'cm,', 'mous,', 'mobiles', 'et', 'non', 'douloureux.'], ['Aucune', 'lésion', 'cutanée', ""n'est"", 'visible', 'sur', 'les', 'membres', 'inférieurs,', ""l'anus"", 'ou', 'le', 'périnée.'], ['Quelles', 'sont', 'les', 'preuves', 'que', 'vous', 'considérez', 'comme', 'essentielles', '?'], ['1-', 'Une', 'sérologie', 'de', 'la', 'syphilis', 'car', 'il', ""s'agit"", 'très', 'probablement', ""d'une"", 'infection', 'à', 'Treponema', 'pallidum.'], ['2-', 'Un', 'examen', 'gynécologique', 'pour', 'écarter', 'la', 'possibilité', ""d'un"", 'cancer', 'de', ""l'ovaire.""], ['3-', ""D'après"", 'les', 'caractéristiques', 'cliniques,', 'il', 'semble', 'que', 'les', 'ganglions', 'lymphatiques', 'soient', 'normaux', 'et', ""qu'il"", ""n'y"", 'ait', 'pas', 'lieu', 'de', 'procéder', 'à', ""d'autres"", 'examens.'], ['4-', 'Un', 'test', 'de', 'Paul-Bunell', 'doit', 'être', 'réalisé', 'pour', 'éliminer', 'une', 'mononucléose', 'infectieuse.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', '3.'], ['Dans', 'la', 'région', 'inguinale,', 'les', 'ganglions', 'lymphatiques', 'peuvent', 'mesurer', ""jusqu'à"", '1,5', 'cm', 'et', 'sont', 'normaux.'], ['De', 'plus,', 'le', 'reste', 'des', 'données', 'de', ""l'examen"", 'de', ""l'aine"", '(pas', 'de', 'douleur,', 'mobile,', 'souple,', 'etc.)', 'corrobore', 'ces', 'données.'], ['En', 'revanche,', 'il', ""n'y"", 'a', 'pas', 'de', 'signes', 'ou', 'de', 'symptômes', 'qui', 'suggèrent', 'une', 'infection', 'sexuellement', 'transmissible.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
414_71,,
131_221,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'NEUROCHIRURGIE'], ['CLINICAL', 'CASE:'], ['Un', 'individu', 'présente', 'une', '""faiblesse', 'musculaire""', '(hémiparésie', 'spastique)', 'des', 'deux', 'membres', 'droits,', 'avec', 'hyperréflexie', 'et', 'signe', 'de', 'Babinski,', 'ainsi', ""qu'une"", '""paralysie', 'faciale', 'flasque""', 'de', ""l'hémiface"", 'gauche,', 'avec', 'incapacité', 'de', 'fermer', ""l'œil"", 'gauche', 'ou', 'de', 'rétracter', 'le', 'côté', 'gauche', 'de', 'la', 'bouche,', 'en', 'plus', ""d'autres"", 'altérations.'], [""D'après"", 'les', 'données', 'décrites,', 'il', ""s'agit"", ""d'une"", 'affection', 'qui', 'touche,', 'entre', 'autres,', 'les', 'faisceaux', 'moteurs', ':', 'cortico-spinal', 'et', 'cortico-nucléaire,', 'mais', 'à', 'quel', 'niveau', 'du', 'neuroaxe', 'se', 'situerait', 'la', 'lésion', '?'], ['1-', 'Au', 'niveau', 'de', ""l'aire"", '4', 'du', 'cortex', 'cérébral', 'de', 'Brodmann', 'du', 'côté', 'droit.'], ['2-', 'Dans', 'la', 'capsule', 'interne,', 'bras', 'postérieur', 'du', 'côté', 'droit.'], ['3-', 'Dans', 'le', 'pédoncule', 'cérébral', 'gauche.'], ['4-', 'Dans', 'la', 'partie', 'médiane', 'de', 'la', 'protubérance', 'caudale', 'du', 'côté', 'gauche.'], ['5-', 'Dans', 'le', 'bulbe', 'rachidien', 'avant', 'la', 'décussation', 'du', 'tractus', 'cortico-spinal', 'droit.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Une', 'question', 'toujours', 'délicate', 'de', 'la', 'part', 'du', 'tronc', 'cérébral.'], ['Nous', 'avons', 'une', 'hémiparésie', 'droite', 'et', 'une', 'atteinte', 'du', 'noyau', 'facial', 'gauche,', 'car', 'les', 'noyaux', 'facial', 'supérieur', 'et', 'inférieur', 'sont', 'touchés', ';', 'nous', 'avons', 'donc', 'un', 'tableau', 'clinique', 'croisé,', 'et', 'nous', 'devons', 'penser', 'à', 'une', 'atteinte', 'du', 'tronc', 'cérébral.'], ['Si', ""l'on"", 'schématise', 'rapidement', ""l'origine"", 'des', 'noyaux', 'des', 'nerfs', 'crâniens', ':', 'les', '4', 'premiers', 'au-dessus', 'du', 'pons,', 'les', '4', 'suivants', 'dans', 'le', 'pons', 'et', 'les', '4', 'derniers', 'en', 'dessous', 'du', 'pons,', 'le', 'noyau', 'facial', 'se', 'trouve', 'dans', 'les', '4', 'noyaux', 'du', 'milieu.'], ['Donc', 'noyau', 'facial', 'gauche,', 'pons', 'gauche,', 'donc', 'réponse', '4.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
70_127,"[['QUESTION', 'TYPE:', 'ANESTHÉSIOLOGIE,', 'SOINS', 'INTENSIFS', 'ET', 'MÉDECINE', ""D'URGENCE""], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '30', 'ans', 'ayant', 'un', 'antécédent', 'de', 'toxicomanie', 'en', 'cours', 'de', 'désintoxication', 'a', 'été', 'amenée', 'aux', 'urgences', 'pour', 'une', 'somnolence', 'profonde,', 'sans', 'aucun', 'autre', 'symptôme.'], ['Nous', 'avons', 'découvert', 'que', 'son', 'traitement', 'comprend', 'de', ""l'olanzapine"", 'et', 'des', 'benzodiazépines.'], ['Que', 'devons-nous', 'faire', 'en', 'premier', '?'], ['1-', 'Procéder', 'à', ""l'IOT.""], ['2-', 'Réaliser', 'une', 'radiographie', 'du', 'crâne.'], ['3-', 'Administrer', 'du', 'flumazénil.'], ['4-', 'Administrer', 'de', 'la', 'naloxone.'], ['5-', 'Attendez', ""qu'il"", 'se', 'réveille.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Une', 'surconsommation', 'des', 'médicaments', 'que', 'vous', 'prenez', 'doit', 'être', 'suspectée.'], [""L'olanzapine"", ""n'ayant"", 'pas', ""d'antidote,"", 'il', 'convient', 'en', 'principe', ""d'antagoniser"", ""l'effet"", 'des', 'benzodiazépines.'], ['Si', 'le', 'patient', 'reste', 'somnolent', 'et', 'ne', 'réagit', 'pas', 'aux', 'stimuli,', 'il', 'faut', 'procéder', 'à', 'une', 'intubation', 'pour', 'sécuriser', 'les', 'voies', 'respiratoires.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
463_71,"[['QUESTION', 'TYPE:', 'SOINS', 'INTENSIFS', 'ET', 'URGENCES'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'souffrant', ""d'hypotension"", 'et', ""d'hypoperfusion"", 'tissulaire', 'chez', 'laquelle', 'les', 'paramètres', 'suivants', 'ont', 'été', 'observés', 'après', ""l'insertion"", ""d'un"", 'cathéter', 'de', 'Swan-Ganz', ':', 'index', 'cardiaque', 'de', '1,4', 'L/min/m2,', 'pression', 'de', 'coin', 'capillaire', 'pulmonaire', 'de', '25', 'mmHg', 'et', 'résistances', 'vasculaires', 'systémiques', 'de', '2000', 'dynes/m2.'], ['Le', 'type', 'de', 'choc', 'présenté', 'par', 'le', 'patient', 'est', 'le', 'suivant', ':'], ['1-', 'Cardiogénique.'], ['2-', 'Septique.'], ['3-', 'Hypovolémique.'], ['4-', 'Anaphylactique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Aucun', 'autre', 'détail', 'sur', 'la', 'patiente', ""n'est"", 'donné,', 'si', 'ce', ""n'est"", ""qu'elle"", 'est', 'en', 'état', 'de', 'choc', '(hypoperfusion', 'tissulaire)', 'et', 'que', ""l'insertion"", ""d'un"", 'cathéter', 'de', 'Swan-Ganz', 'révèle', 'un', 'index', 'cardiaque', 'bas', '(<2),', 'une', 'PCP', 'élevée', '(25', 'mmHg)', 'et', 'des', 'résistances', 'systémiques', 'élevées', '(normales', ':', '600-1200', 'dynes/m2).'], ['Ces', 'données', 'sont', 'compatibles', 'avec', 'une', 'origine', 'cardiogénique', 'du', 'choc.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
476_93,"[['QUESTION', 'TYPE:', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '58', 'ans,', 'hypertendu,', 'se', 'présente', 'aux', 'urgences', 'pour', 'une', 'syncope', 'de', '30', 'secondes', 'lors', ""d'une"", 'course', 'à', 'pied,', 'avec', 'récupération', 'spontanée', 'et', 'sans', 'séquelles.'], ['La', 'tension', 'artérielle', 'est', 'de', '135/65', 'mmHg.'], [""L'auscultation"", 'cardiaque', 'révèle', 'un', 'souffle', 'systolique', 'fort', 'et', 'intense,', 'qui', ""s'atténue"", 'avec', 'les', 'manœuvres', 'de', 'Valsalva', 'et', 'un', 'second', 'son', 'atténué.'], [""L'ECG"", 'montre', 'un', 'rythme', 'sinusal', 'à', '72', 'bpm,', 'avec', 'des', 'critères', ""d'hypertrophie"", 'ventriculaire', 'gauche', 'et', 'des', 'ondes', 'T', 'inversées', 'antérieures.'], ['Veuillez', 'cocher', ""l'affirmation"", 'correcte', ':'], ['1-', 'Le', 'tableau', 'clinique', 'suggère', 'une', 'thromboembolie', 'pulmonaire.'], ['2-', 'Les', 'données', 'fournies', 'indiquent', 'une', 'cardiomyopathie', 'hypertrophique', 'avec', 'une', 'obstruction', 'sévère', 'de', 'la', 'voie', ""d'écoulement"", 'du', 'ventricule', 'gauche.'], ['3-', 'Ces', 'données', 'correspondent', 'à', 'une', 'sténose', 'aortique', 'sévère.'], ['4-', 'La', 'dissection', 'aortique', 'doit', 'être', 'exclue', 'par', 'une', 'tomographie', 'assistée', 'par', 'ordinateur', 'avec', 'contraste.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Les', 'données', 'fournies', 'sur', 'les', 'caractéristiques', 'du', 'souffle', '(il', 'DIMINUE', 'avec', 'Valsalva)', 'et', 'les', 'données', 'sur', ""l'hypertrophie"", 'ventriculaire', 'gauche,', 'nous', 'conduisent', 'au', 'diagnostic', 'de', 'sténose', 'aortique', 'sévère.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
546_124,,
313_177,"[['QUESTION', 'TYPE:', 'ONCOLOGIE'], ['CLINICAL', 'CASE:'], ['Patient', 'de', '57', 'ans', 'à', 'qui', ""l'on"", 'a', 'diagnostiqué', 'un', 'adénocarcinome', 'du', 'côlon', 'de', 'stade', 'T3N1M0.'], ['Il', 'a', 'été', 'traité', 'par', 'résection', 'suivie', ""d'une"", 'chimiothérapie', 'postopératoire', 'FOLFOX', '(fluorouracil,', 'leucovorine', 'et', 'oxaliplatine)', 'pendant', '6', 'mois.'], ['Deux', 'ans', 'plus', 'tard,', 'lors', ""d'un"", 'examen', 'de', 'routine,', ""l'antigène"", 'carcino-embryonnaire', '(ACE)', 'est', 'élevé', 'à', '30', 'ng/ml', '(contre', 'moins', 'de', '2', 'ng/ml', 'auparavant).'], ['Aucun', 'symptôme,', 'examen', 'physique', 'sans', 'particularité,', 'radiographie', 'pulmonaire', 'normale.'], ['La', 'tomodensitométrie', 'montre', 'une', 'masse', 'de', '3', 'cm', 'dans', 'le', 'lobe', 'hépatique', 'droit', 'qui', 'est', 'détectée', 'par', 'la', 'TEP.'], ['Aucune', 'autre', 'altération', ""n'est"", 'observée', 'à', 'la', 'tomodensitométrie', 'ou', 'à', 'la', 'tomographie', 'par', 'émission', 'de', 'positons.'], ['Quelle', 'est', ""l'attitude"", 'la', 'plus', 'correcte', 'selon', 'vous', '?'], ['1-', 'Chimiothérapie', 'avec', 'FOLFIRI', '(fluorouracil,', 'leucovorine', 'et', 'irinotécan)', 'plus', 'bévacizumab.'], ['2-', 'Monochimiothérapie', 'par', 'capécitabine.'], ['3-', 'Évaluation', 'par', 'résection', 'chirurgicale', 'de', 'la', 'lésion', 'hépatique.'], ['4-', 'Radiothérapie', 'hépatique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Nous', 'sommes', 'confrontés', 'à', 'une', 'situation', 'de', 'métastase', 'hépatique', 'probable', ""d'un"", 'adénocarcinome', 'localisé', 'du', 'côlon', 'traité', 'il', 'y', 'a', 'deux', 'ans.'], ['Probable', 'car', 'nous', ""n'avons"", 'pas', 'de', 'confirmation', 'histologique,', 'mais', 'comme', ""c'est"", 'souvent', 'le', 'cas,', ""qu'est-ce"", 'que', 'cela', 'pourrait', 'être', ""d'autre"", '?'], ['Comme', 'il', ""s'agit"", ""d'une"", 'situation', 'oligométastatique', 'et', 'que', 'les', 'traitements', 'de', ""l'adénocarcinome"", 'avancé', 'du', 'côlon', 'permettent', 'une', 'survie', 'prolongée', 'avec', 'une', 'bonne', 'qualité', 'de', 'vie', 'chez', 'ces', 'patients,', 'si', 'rien', 'ne', 'contre-indique', 'la', 'chirurgie,', 'celle-ci', 'devrait', 'être', 'la', 'première', 'option', '(réponse', '3', 'correcte).'], ['Vous', 'trouverez', 'ci-joint', ""l'algorithme"", 'proposé', 'par', 'le', 'NCCN', 'dans', 'les', 'situations', 'de', 'récidive', '(http://www.nccn.org/professionals/physician_gls/pdf/colon.pdf).'], ['En', 'cas', 'de', 'situation', 'non', 'résécable,', 'un', 'traitement', 'par', 'chimiothérapie', 'serait', 'envisagé', 'dans', 'le', 'but', 'de', 'transformer', 'la', 'lésion', 'métastatique', 'unique', 'en', 'une', 'lésion', 'résécable.'], ['Si', 'plus', 'de', '12', 'mois', 'se', 'sont', 'écoulés', 'depuis', 'le', 'traitement', 'par', 'FOLFOX,', 'le', 'même', 'schéma', 'pourrait', 'être', 'utilisé,', 'bien', 'que', 'FOLFIRI+bevacizumab', 'soit', 'également', 'utile.'], ['La', 'capécitabine', 'en', 'monothérapie,', 'dans', 'la', 'situation', 'actuelle', 'du', 'patient,', 'ne', 'serait', 'pas', 'non', 'plus', 'une', 'bonne', 'option', 'de', 'départ,', 'car', 'les', 'réponses', 'sont', 'inférieures', 'à', 'celles', 'obtenues', 'avec', 'FOLFOX', 'ou', 'FOLFIRI', 'plus', 'des', 'combinaisons', 'antiangiogéniques.'], ['La', 'radiothérapie', 'hépatique', 'pourrait', 'être', 'envisagée,', 'car', 'il', 'existe', 'des', 'techniques', 'SBRT', 'qui', 'donnent', 'de', 'très', 'bons', 'résultats,', 'mais', 'dans', 'ce', 'cas,', 'il', 'est', 'préférable', 'de', 'commencer', 'par', 'demander', 'une', 'évaluation', 'par', 'les', 'chirurgiens,', 'et', ""s'ils"", 'excluent', 'la', 'chirurgie,', 'nous', 'envisagerons', 'la', 'RT.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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446_130,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '28', 'ans', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'de', ""l'hôpital"", 'avec', 'une', 'hématurie', 'macroscopique.'], ['Parmi', 'les', 'anomalies', 'suivantes', 'de', ""l'analyse"", ""d'urine,"", 'lesquelles', 'confirmeraient', 'le', 'diagnostic', 'de', 'glomérulonéphrite', '?'], ['1-', 'Dysmorphie', 'des', 'globules', 'rouges', 'et/ou', 'des', 'hématies.'], ['2-', 'Protéinurie', 'de', '1', 'g/jour,', 'avec', 'bandelette', 'négative', 'et', 'microalbuminurie', 'supérieure', 'à', '300', 'mg/24', 'heures.'], ['3-', 'Coexistence', ""d'une"", 'hématurie', 'avec', 'pyurie', 'sans', 'bactériurie.'], ['4-', 'Caillots', 'dans', 'les', 'urines', 'à', ""l'œil"", 'nu.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'glomérulonéphrite', 'est', 'typiquement', 'associée', 'à', 'des', 'érythrocytes', 'dysmorphiques', 'et', 'à', 'des', 'coulées', 'hématiques', 'dans', 'le', 'sédiment', '(option', '1', 'correcte).'], ['Une', 'protéinurie', 'variable', 'peut', 'également', 'être', 'observée,', 'bien', ""qu'elle"", 'ne', 'se', 'présente', 'généralement', 'pas', 'sous', 'la', 'forme', ""d'une"", 'microalbuminurie', 'isolée', '(option', '2', 'incorrecte),', 'ainsi', ""qu'une"", 'hématurie', 'avec', 'pyurie,', 'bien', ""qu'elle"", 'ne', 'soit', 'pas', 'caractéristique', '(option', '3', 'incorrecte).'], ['Les', 'caillots', 'se', 'produisent', 'souvent', 'dans', 'le', 'contexte', 'de', 'troubles', 'des', 'voies', 'urinaires', 'inférieures', '(option', '4', 'incorrecte).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim']]"
551_130,,
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614_118,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '41', 'ans', 'consulte', 'pour', 'des', 'gonalgies', 'depuis', 'plusieurs', 'jours.'], ['A', ""l'examen,"", 'le', 'test', 'de', 'Thessaly', '(douleur', 'lors', 'des', 'mouvements', 'de', 'rotation', 'interne', 'et', 'externe', 'avec', 'le', 'genou', 'fléchi)', 'est', 'positif.'], ['Parmi', 'les', 'blessures', 'suivantes,', 'laquelle', 'est', 'la', 'plus', 'probable', '?'], ['1-', 'Lésion', 'méniscale.'], ['2-', 'Rupture', 'du', 'ligament', 'croisé', 'antérieur.'], ['3-', 'Rupture', 'du', 'ligament', 'croisé', 'postérieur.'], ['4-', 'Lésion', 'due', 'à', 'une', 'arthropathie', 'dégénérative.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'manœuvre', 'de', 'Thessalie', 'consiste', 'pour', 'le', 'patient,', 'en', 'appui', 'monopodal', 'et', 'en', 'flexion', 'du', 'genou', 'de', '5º', 'puis', 'de', '20º,', 'à', 'effectuer', 'des', 'rotations', 'internes', 'et', 'externes', 'de', 'la', 'jambe.'], ['Si', 'cela', 'reproduit', 'la', 'douleur', 'signalée', 'par', 'le', 'patient,', 'le', 'test', 'est', 'considéré', 'comme', 'positif.'], ['Il', ""s'agit"", ""d'un"", 'test', 'utilisé', 'pour', 'le', 'diagnostic', 'de', 'la', 'pathologie', 'méniscale', '(sensibilité', 'supérieure', 'à', '90', '%', 'et', 'spécificité', 'supérieure', 'à', '95', '%)', '(Réponse', '1', 'correcte).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim']]"
499_182,,
613_118,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '41', 'ans', 'consulte', 'pour', 'des', 'gonalgies', 'depuis', 'plusieurs', 'jours.'], ['A', ""l'examen,"", 'le', 'test', 'de', 'Thessaly', '(douleur', 'lors', 'des', 'mouvements', 'de', 'rotation', 'interne', 'et', 'externe', 'avec', 'le', 'genou', 'fléchi)', 'est', 'positif.'], ['Parmi', 'les', 'blessures', 'suivantes,', 'laquelle', 'est', 'la', 'plus', 'probable', '?'], ['1-', 'Lésion', 'méniscale.'], ['2-', 'Rupture', 'du', 'ligament', 'croisé', 'antérieur.'], ['3-', 'Rupture', 'du', 'ligament', 'croisé', 'postérieur.'], ['4-', 'Lésion', 'due', 'à', 'une', 'arthropathie', 'dégénérative.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Test', 'de', 'Thessalie.', 'Test', 'de', 'provocation', 'réalisé', 'en', 'cas', 'de', 'suspicion', 'de', 'lésion', 'méniscale.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
247_117,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '54', 'ans,', 'diagnostiqué', 'avec', 'un', 'diabète', 'sucré', 'de', 'type', '2,', ""s'est"", 'présenté', 'à', 'notre', 'clinique.'], ['Il', 'a', 'fait', 'état', ""d'une"", 'fièvre', 'de', '40ºC', 'accompagnée', 'de', 'frissons,', ""d'arthromyalgie"", 'et', 'de', 'céphalées,', 'pour', 'lesquels', 'il', 'a', 'commencé', 'un', 'traitement', 'au', 'paracétamol.'], ['La', 'peinture', 'a', 'commencé', '24', 'heures', 'avant', 'son', 'retour', 'en', 'Espagne.'], ['Trois', 'jours', 'plus', 'tard,', 'le', 'patient', 'a', 'présenté', 'une', 'éruption', 'maculo-papulaire', 'généralisée', 'qui', ""s'est"", 'transformée', 'en', 'pétéchies', 'plus', 'intenses', 'sur', 'les', 'membres', 'inférieurs.'], ['Il', 'a', 'présenté', 'des', 'analyses', 'sanguines', 'montrant', 'une', 'leucopénie', 'à', '3', '200/mm3', 'et', 'des', 'plaquettes', 'à', '91', '000/mm3,', 'ainsi', ""qu'une"", 'élévation', 'sévère', 'des', 'taux', ""d'aminotransférase.""], ['Le', 'frottis', 'sanguin', 'épais,', 'le', 'frottis', 'sanguin', 'périphérique,', 'la', 'PCR', 'et', ""l'antigène"", 'du', 'paludisme', 'sont', 'négatifs.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', 'en', 'cas', 'de', 'suspicion', '?'], ['1-', ""L'infection"", 'à', 'coronavirus.'], ['2-', 'Chorioméningite', 'lymphocytaire.'], ['3-', 'La', 'dengue.'], ['4-', ""L'infection"", 'par', 'le', 'virus', 'du', 'chikungunya.'], ['5-', 'Encéphalite', 'de', 'Saint', 'Louis.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', 'est', 'frappant', 'dans', 'cette', 'question', 'que', ""l'on"", 'nous', 'dise', 'que', 'notre', 'patient', 'est', 'retourné', 'en', 'Espagne,', 'mais', 'pas', ""d'où"", '(ce', 'qui', 'pourrait', 'nous', 'aider', 'à', 'faire', 'des', 'digressions', 'sur', 'la', 'cause', 'possible).'], ['Cependant,', 'la', 'description', 'de', ""l'image"", 'est', 'très', 'complète', 'et', 'typique,', 'de', 'sorte', 'que', 'la', 'question', 'est', 'facile.'], ['Il', ""s'agit"", ""d'une"", 'maladie', 'qui', 'provoque', 'de', 'la', 'fièvre,', 'des', 'arthralgies', 'et', 'une', 'éruption', 'généralisée', 'avec', 'des', 'pétéchies', 'sur', 'les', 'membres', 'inférieurs.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'révélé', 'une', 'leucopénie', 'accompagnée', ""d'une"", 'plaquettopénie', 'et', ""d'une"", 'élévation', 'des', 'transaminases.'], ['Le', 'paludisme', 'a', 'été', 'exclu', 'comme', 'cause', 'possible.'], ['Toutes', 'les', 'données', 'sont', 'très', 'évocatrices', 'de', 'la', 'dengue,', 'en', 'particulier', 'les', 'plaquettes', 'et', 'les', 'pétéchies', '(évocatrices', ""d'une"", 'fragilité', 'capillaire),', 'la', 'réponse', '3', 'est', 'correcte.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
88_56,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'VASCULAIRE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '78', 'ans,', 'ayant', 'des', 'antécédents', ""d'hypertension"", 'artérielle', 'sous', 'traitement', 'par', 'amlodipine,', 'a', 'été', 'admise', 'il', 'y', 'a', 'trois', 'mois', 'pour', 'insuffisance', 'cardiaque', 'et', 'fibrillation', 'auriculaire.'], ['Vous', 'vous', 'rendez', 'chez', 'votre', 'médecin', 'pour', 'un', 'bilan', 'cardiologique.'], ['Le', 'rapport', 'de', 'sortie', 'indique', 'le', 'résultat', 'de', ""l'échocardiographie"", 'montrant', 'un', 'dysfonctionnement', 'ventriculaire', 'gauche', 'modéré', 'et', 'le', 'traitement', 'de', 'sortie', ':', ""l'amlodipine"", 'a', 'été', 'arrêtée', 'et', 'du', 'furosémide', 'et', 'de', ""l'énalapril"", 'ont', 'été', 'mis', 'en', 'place.'], ['La', 'patiente', 'dit', 'se', 'sentir', 'mieux,', 'sans', 'fatigue', 'et', 'avec', 'moins', ""d'œdèmes"", 'dans', 'les', 'jambes,', 'mais', 'elle', ""n'est"", 'pas', 'encore', 'complètement', 'rétablie.'], [""L'examen"", 'physique', ""n'a"", 'révélé', 'aucun', 'signe', ""d'insuffisance"", 'cardiaque,', 'mais', 'la', 'tension', 'artérielle', 'et', 'la', 'fréquence', 'cardiaque', 'étaient', 'respectivement', 'de', '150/90', 'mmHg', 'et', '120', 'bpm.'], [""L'ECG"", 'montre', 'une', 'fibrillation', 'auriculaire', 'à', '110-120', 'bpm.'], ['Quel', 'traitement', 'est', 'le', 'plus', 'susceptible', ""d'améliorer"", 'les', 'symptômes', 'et', 'de', 'réduire', 'la', 'mortalité', 'due', 'aux', 'événements', 'cardiovasculaires', '?'], ['1-', 'Digoxine', 'et', 'acide', 'acétylsalicylique.'], ['2-', ""L'aténolol"", 'et', ""l'acide"", 'acétylsalicylique.'], ['3-', 'Le', 'vérapamil', 'et', ""l'acénocoumarol.""], ['4-', 'Carvédilol', 'et', 'acénocoumarol.'], ['5-', 'Carvédilol', 'et', 'clopidogrel.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Question', 'typiquement', 'longue', 'et', 'décousue,', 'mais', 'pas', 'trop', 'compliquée', 'en', 'réalité...'], ['La', 'patiente', 'souffre', ""d'insuffisance"", 'cardiaque', 'avec', 'une', 'dysfonction', 'ventriculaire', 'modérée', 'et', 'une', 'fibrillation', 'auriculaire', ';', 'elle', 'présente', 'des', 'critères', ""d'anticoagulation,"", 'et', 'entre', 'les', 'deux', 'options', 'qui', 'incluent', ""l'acénocoumarol,"", 'nous', 'sommes', 'enclins', 'à', 'choisir', ""l'option"", '4,', 'car', 'elle', 'inclut', 'le', 'carvédilol,', 'un', 'médicament', 'dont', 'il', 'a', 'été', 'démontré', ""qu'il"", 'augmentait', 'la', 'survie', 'en', 'cas', ""d'insuffisance"", 'cardiaque.'], ['Le', 'vérapamil', '(et', 'les', 'antagonistes', 'du', 'calcium', 'en', 'général)', 'sont', 'contre-indiqués', 'dans', ""l'insuffisance"", 'cardiaque', 'systolique', ':', 'ils', ""n'augmentent"", 'pas', 'la', 'survie', '(ils', 'augmentent', 'même', 'la', 'morbidité', 'et', 'la', 'mortalité)', 'et,', 'en', 'particulier,', 'les', 'non-dihydropyridines', '(vérapamil', 'et', 'diltiazem)', 'ne', 'doivent', 'pas', 'être', 'associées', 'aux', 'bêta-bloquants', 'en', 'raison', 'du', 'risque', 'accru', 'de', 'blocage', 'du', 'système', 'de', 'conduction.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
536_122,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '75', 'ans,', 'hypertendu', 'et', 'traité', 'à', ""l'énalapril"", '(20', 'mg/jour),', 'a', 'consulté', 'pour', 'une', 'détérioration', 'de', 'son', 'état', 'général,', 'des', 'céphalées', 'bitemporales', 'et', 'une', 'claudication', 'mandibulaire', 'depuis', '3', 'semaines.'], ['En', 'outre,', 'au', 'cours', 'des', 'dernières', 'heures,', 'il', 'a', 'signalé', 'deux', 'épisodes', ""d'amaurosis"", 'fugax', 'de', ""l'œil"", 'gauche.'], [""L'examen"", 'physique', 'a', 'révélé', 'un', 'épaississement', 'et', 'une', 'absence', 'de', 'pouls', 'dans', ""l'artère"", 'temporale', 'gauche.'], ['Analyse', ':', 'CRP', '6', 'mg/dl', '(VN', '<1)', ';', 'hémoglobine', '10,5', 'g/dl', ';', 'ESR', '92', 'mm.'], ['Radiographie', 'pulmonaire', 'normale.'], ['En', 'tenant', 'compte', 'du', 'diagnostic', 'le', 'plus', 'probable,', 'cochez', 'la', 'bonne', 'option', 'de', 'traitement', ':'], ['1-', 'Le', 'rituximab', 'doit', 'être', 'administré,', 'les', 'glucocorticoïdes', 'ayant', 'été', 'relégués', 'en', 'seconde', 'intention', 'en', 'raison', 'de', 'leurs', 'effets', 'secondaires.'], ['2-', 'Le', 'tocilizumab', ""s'est"", 'avéré', 'efficace', 'pour', 'réduire', 'les', 'rechutes', 'et', 'la', 'dose', 'cumulative', 'de', 'prednisone', 'chez', 'plus', 'de', '50', '%', 'des', 'patients.'], ['3-', 'En', 'présence', 'de', 'symptômes', 'ischémiques,', 'et', 'afin', 'de', 'ne', 'pas', 'aggraver', 'le', 'risque', 'vasculaire', 'du', 'patient,', ""l'utilisation"", 'de', 'glucocorticoïdes', 'à', 'des', 'doses', 'supérieures', 'à', '30', 'mg/jour', 'doit', 'être', 'évitée.'], ['4-', 'En', 'association', 'avec', 'des', 'bolus', 'de', 'glucocorticoïdes', 'de', '1', 'g/jour,', ""l'infliximab"", 'doit', 'être', 'utilisé', 'en', 'première', 'intention', 'pour', ""l'induction"", 'de', 'la', 'rémission.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Cas', 'clinique', ""d'artérite"", 'à', 'cellules', 'géantes.'], ['La', 'corticothérapie', 'reste', 'le', 'premier', 'choix', '(réponse', '1', 'incorrecte),', 'à', 'administrer', 'en', 'impulsions', '(doses', 'différentes', 'selon', 'la', 'littérature,', 'mais', 'au', 'moins', '125', 'mg/j)', 'en', 'cas', ""d'atteinte"", 'oculaire', '(réponse', '3', 'incorrecte).'], ['Le', 'traitement', 'de', 'choix', 'actuel', 'pour', ""l'économie"", 'de', 'corticostéroïdes', 'est', 'le', 'tocilizumab', '(réponse', '4', 'incorrecte),', 'qui', ""s'est"", 'également', 'révélé', 'capable', 'de', 'réduire', 'les', 'récidives', '(réponse', '2', 'correcte).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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492_107,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '18', 'ans', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'une', 'épistaxis', 'de', 'plusieurs', 'jours,', 'sans', 'antécédents', 'personnels', 'ou', 'familiaux', 'intéressants.'], ['À', ""l'examen,"", 'il', 'est', 'afébrile,', 'on', 'observe', 'de', 'multiples', 'ecchymoses,', 'aucune', 'splénomégalie', ""n'est"", 'palpable.'], ['Analyse', ':', 'leucocytes', '7,2', 'x103/μL,', 'Hb', '12,3', 'g/dL,', 'plaquettes', '6,0', 'x103/μL.'], ['La', 'thrombocytopénie', 'est', 'confirmée', 'par', 'le', 'frottis,', 'où', ""l'on"", 'observe', 'une', 'augmentation', 'de', 'la', 'taille', 'des', 'plaquettes.'], ['Coagulation', 'et', 'biochimie', 'normales.'], ['Quel', 'est,', 'selon', 'vous,', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Purpura', 'thrombocytopénique', 'thrombotique.'], ['2-', 'La', 'coagulation', 'intravasculaire', 'disséminée.'], ['3-', 'Thrombocytopénie', ""d'origine"", 'infectieuse.'], ['4-', 'Thrombocytopénie', 'immunitaire', 'primaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", ""d'un"", 'cas', 'clinique', 'simple', 'avec', 'seulement', 'une', 'thrombopénie', 'clinique,', 'des', 'pétéchies', 'et', 'une', 'épistaxis.'], ['1', 'est', 'faux,', 'ils', 'parleraient', 'de', 'fièvre,', 'de', 'données', ""d'hémolyse,"", 'de', 'symptômes', 'neurologiques,', 'il', 'y', 'aurait', 'des', 'schistocytes', 'dans', 'le', 'frottis.'], ['Dans', 'le', 'cas', '2,', 'la', 'coagulation', 'doit', 'être', 'altérée', 'et', 'dans', 'ce', 'cas', 'elle', ""n'est"", 'pas', 'nommée.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
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245_115,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'sous', 'chimiothérapie', 'pour', 'une', 'leucémie', 'est', 'admis', 'pour', 'une', 'pneumonie', 'pour', 'laquelle', 'un', 'traitement', 'au', 'céfépime', 'a', 'été', 'prescrit.'], ['Un', 'scanner', 'thoracique', 'CXR/CT', 'montre', 'un', 'infiltrat', 'avec', 'un', 'signe', 'de', 'halo', 'et', 'un', 'ménisque', 'en', 'croissant.'], ['La', 'lésion', 'est', 'périphérique', 'et', 'une', 'ponction', 'transthoracique', 'est', 'indiquée', 'pour', 'le', 'prélèvement.'], ['Dans', ""l'attente"", 'de', 'résultats', 'histologiques', 'et', 'microbiologiques', 'définitifs,', 'quel', 'antimicrobien', 'ajouteriez-vous', 'au', 'traitement', '?'], ['1-', 'Ganciclovir.'], ['2-', 'Caspofungine.'], ['3-', 'Fluconazol.'], ['4-', 'Pipéracilline-tazobactam.'], ['5-', 'Voriconazol.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Question', 'à', 'réponse', 'directe.'], ['Il', ""s'agit"", ""d'un"", 'patient', 'sous', 'chimiothérapie', 'présentant', 'des', 'symptômes', 'respiratoires', 'et', 'le', '""signe', 'du', 'halo""', 'à', 'la', 'radiographie,', 'très', 'évocateur', ""d'une"", 'aspergillose', 'pulmonaire', 'invasive.'], ['Le', 'traitement', 'consiste', 'à', 'utiliser', 'le', 'voriconazole.'], [""L'Aspergillus"", 'est', 'résistant', 'au', 'fluconazole,', 'il', 'ne', ""s'agit"", 'donc', 'pas', ""d'une"", 'option', 'valable.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
387_156,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Nourrisson', 'de', '5', 'mois', 'exclusivement', 'nourri', 'au', 'sein', ""jusqu'à"", ""aujourd'hui,"", 'qui,', 'en', 'raison', 'du', 'travail', 'de', 'la', 'mère,', 'a', 'été', 'introduit', 'dans', 'un', 'biberon', 'avec', 'du', 'lait', 'maternisé', 'de', 'démarrage', 'et,', 'il', 'y', 'a', 'quelques', 'jours,', 'a', 'été', 'additionné', 'de', 'céréales', 'avec', 'et', 'sans', 'gluten.'], ['Ses', 'antécédents', 'familiaux', 'comprennent', 'une', 'mère', 'de', '28', 'ans', 'souffrant', ""d'asthme,"", 'un', 'père', 'de', '32', 'ans', 'en', 'bonne', 'santé', 'et', 'un', 'frère', 'de', '5', 'ans', 'souffrant', 'de', 'maladie', 'cœliaque', 'et', 'de', 'dermatite', 'atopique.'], ['En', 'ce', 'qui', 'concerne', 'les', 'antécédents', 'personnels,', 'la', 'grossesse', ""s'est"", 'déroulée', 'sans', 'incident', 'et', ""l'accouchement"", 'par', 'césarienne,', 'un', 'biberon', 'de', 'lait', 'maternisé', 'ayant', 'été', 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41_139,"[['QUESTION', 'TYPE:', 'OTO-RHINO-LARYNGOLOGIE', 'ET', 'CHIRURGIE', 'MAXILLO-FACIALE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'en', 'mauvais', 'état', 'général,', 'fiévreux', '(température', 'axillaire', 'de', '39,5°),', 'présentant', 'une', 'tuméfaction', 'sous-mandibulaire', 'bilatérale', 'évoluant', 'depuis', 'six', 'jours,', 'des', 'douleurs', 'buccales', 'et', 'un', 'trismus,', 'laquelle', 'des', 'affirmations', 'suivantes', 'est', 'correcte', '?'], ['1-', 'La', 'première', 'probabilité', 'diagnostique', 'est', 'un', 'carcinome', 'du', 'plancher', 'buccal', 'avec', 'métastases', 'cervicales', 'bilatérales.'], ['2-', 'La', 'priorité', 'thérapeutique', 'est', ""d'assurer"", 'la', 'nutrition', 'du', 'patient.'], ['3-', 'Il', ""s'agit"", 'très', 'certainement', ""d'une"", 'médiastinite.'], ['4-', 'Le', 'risque', ""d'obstruction"", 'des', 'voies', 'respiratoires', 'doit', 'être', 'considéré', 'en', 'priorité.'], ['5-', 'En', 'première', 'intention,', 'une', 'cytologie', 'par', 'aspiration', 'à', ""l'aiguille"", 'fine', 'doit', 'être', 'réalisée.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Ce', 'patient', 'est', 'dans', 'un', 'état', 'grave.'], ['Le', 'trismus', 'et', 'la', 'fièvre', 'suggèrent', 'une', 'infection', 'profonde', 'de', ""l'espace"", 'cervical,', 'ce', 'qui', ""n'est"", 'pas', 'un', 'jeu', 'car', 'les', 'voies', 'respiratoires', 'peuvent', 'être', 'obstruées.'], ['Sachant', 'cela,', 'les', 'options', '1,', '2', 'et', '5', ""n'ont"", 'plus', 'lieu', ""d'être"", 'et', 'il', 'me', 'reste', 'les', 'options', '3', 'et', '4.'], ['Il', 'se', 'peut', ""qu'il"", 'y', 'ait', 'déjà', 'une', 'médiastinite', ';', 'après', 'tout,', ""c'est"", ""l'histoire"", 'naturelle', 'des', 'infections', 'de', ""l'espace"", 'cervical', 'profond,', 'mais', 'la', 'réponse', '4', 'est', 'plus', 'correcte,', 'et', 'de', 'plus,', 'nous', 'sommes', 'dans', 'le', 'bloc', 'ORL,', 'la', 'spécialité', 'des', 'voies', 'respiratoires.'], [""J'aime"", 'cette', 'question', 'parce', ""qu'elle"", 'fait', 'appel', 'à', 'des', 'connaissances', 'qui', 'sont', 'importantes', 'dans', 'la', 'pratique', 'clinique.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
385_153,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', 'chez', 'un', 'nouveau-né', 'présentant', 'une', 'microcéphalie,', 'un', 'retard', 'de', 'croissance', 'intra-utérin,', 'une', 'cardiopathie', 'congénitale,', 'un', 'pied', 'talus', 'vertical', 'et', 'un', 'faciès', 'particulier', '(microphtalmie,', 'petites', 'fissures', 'palpébrales,', 'micrognathie', 'et', 'oreilles', 'dysplasiques),', 'des', 'mains', 'avec', ""l'index"", 'et', ""l'auriculaire"", 'au-dessus', 'du', 'majeur', 'et', 'de', ""l'annulaire"", '?'], ['1-', 'Trisomie', '18', '(syndrome', ""d'Edwards).""], ['2-', 'Trisomie', '13', '(syndrome', 'de', 'Patau).'], ['3-', 'Trisomie', '21', '(syndrome', 'de', 'Down).'], ['4-', 'Trisomie', '9.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Il', 'décrit', 'fidèlement', 'un', 'S.', ""d'Edwards.""], ['Bien', 'que', 'la', 'maladie', 'cardiaque', 'et', ""l'atteinte"", 'des', 'pieds', ""qu'il"", 'décrit', 'soient', 'communes', 'à', 'plusieurs', 'maladies', 'chromosomiques,', ""l'atteinte"", 'des', 'doigts', 'et', 'des', 'orteils', 'est', 'très', 'caractéristique', 'de', 'la', 'maladie', ""d'Edwards.""]]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
194_162,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Une', 'fillette', 'de', '3', 'ans,', 'originaire', 'du', 'Bangladesh,', 'consulte', 'pour', 'des', 'épisodes', 'fébriles', 'intermittents', ""d'une"", 'durée', 'de', '3', 'semaines,', 'associés', 'à', 'une', 'faiblesse', 'et', 'à', 'une', 'perte', ""d'appétit.""], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'splénomégalie', 'marquée', 'et', 'une', 'pâleur', 'cutanéo-muqueuse.'], ['Les', 'tests', 'complémentaires', 'comprennent', ':', 'hémoglobine', '8,5', 'mg/dl,', 'hématocrite', '26%,', 'MCV', '86', 'fL,', 'MCH', '29', 'pg,', 'leucocytes', '2800/ml', 'avec', '300', 'neutrophiles/ml,', 'plaquettes', '54000/ml,', 'GOT', '85', 'U/l,', 'GPT92', 'U/l', 'et', 'hypergammaglobulinémie', 'polyclonale', 'dans', 'le', 'protéinogramme', 'sérique.'], ['Indiquez', 'le', 'diagnostic', 'le', 'plus', 'probable', 'sur', 'la', 'base', 'des', 'données', 'disponibles', 'à', 'ce', 'jour', ':'], ['1-', 'La', 'leucémie', 'aiguë', 'lymphoblastique.'], ['2-', 'Le', 'lymphome', 'de', 'Burkitt.'], ['3-', 'Leishmaniose', 'viscérale.'], ['4-', 'La', 'tuberculose', 'miliaire.'], ['5-', 'Paludisme', 'chronique.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Des', 'données', 'telles', 'que', 'la', 'pancytopénie', 'et', ""l'hypergammaglobulinémie"", 'sont', 'très', 'caractéristiques', 'du', 'kala-azar.'], [""L'origine"", 'de', ""l'enfant"", 'oriente', 'également', 'vers', 'ce', 'diagnostic,', 'bien', ""qu'il"", ""s'agisse"", ""d'une"", 'maladie', 'qui', 'se', 'manifeste', 'également', 'dans', 'la', 'région', 'méditerranéenne.'], ['Dans', 'le', 'diagnostic', 'différentiel,', 'il', 'est', 'important', 'de', 'garder', 'à', ""l'esprit"", 'la', 'possibilité', ""d'une"", 'leucose.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
371_126,,
283_56,,
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92_235,"[['QUESTION', 'TYPE:', 'SOINS', 'PALLIATIFS'], ['CLINICAL', 'CASE:'], ['Patiente', 'de', '60', 'ans', 'chez', 'qui', 'une', 'néoplasie', 'mammaire', 'a', 'été', 'diagnostiquée', 'il', 'y', 'a', '10', 'ans.'], ['Il', 'a', 'été', 'traité', 'par', 'radiochimiothérapie', 'puis', 'par', 'hormonothérapie', 'pendant', '5', 'ans.'], ['Une', 'scintigraphie', 'osseuse', 'réalisée', 'pour', 'une', 'douleur', 'osseuse', 'polytopique', 'a', 'mis', 'en', 'évidence', 'la', 'présence', 'de', 'métastases', 'osseuses.'], ['Il', 'est', 'actuellement', 'sous', 'opioïdes', 'mineurs', 'et', 'AINS', 'avec', 'un', 'bon', 'contrôle', 'de', 'la', 'douleur.'], ['Elle', 'a', 'consulté', 'pour', 'des', 'maux', 'de', 'tête', 'qui', 'ne', 'disparaissaient', 'pas', 'avec', ""l'analgésie"", 'en', 'cours', 'et', 'un', 'scanner', 'du', 'cerveau', 'a', 'montré', 'des', 'images', 'compatibles', 'avec', 'des', 'métastases', 'cérébrales.'], ['En', 'ce', 'qui', 'concerne', 'le', 'traitement', 'de', 'la', 'douleur,', 'indiquez', 'la', 'réponse', 'correcte', ':'], ['1-', 'Passer', 'à', 'des', 'opioïdes', 'plus', 'puissants.'], ['2-', 'Des', 'doses', 'supplémentaires', ""d'opioïdes"", 'doivent', 'être', 'administrées', 'si', 'nécessaire.'], ['3-', 'Les', 'corticostéroïdes', 'doivent', 'être', 'ajoutés.'], ['4-', 'Passer', 'à', 'un', 'opioïde', 'plus', 'fort', 'et', 'conserver', 'les', 'AINS.'], ['5-', 'Le', 'patient', 'doit', 'être', 'admis', 'pour', 'un', 'traitement', 'intraveineux', 'avec', 'un', 'opioïde', 'majeur.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Les', 'métastases', 'cérébrales', 'provoquent', 'des', 'douleurs', 'dues', 'à', ""l'hypertension"", 'crânienne.'], ['Le', 'traitement', 'de', 'choix', 'est', ""l'administration"", 'de', 'corticostéroïdes.'], ['La', 'dexaméthasone', 'en', 'doses', 'orales', 'de', '4', 'à', '16', 'mg/jour', 'est', 'le', 'traitement', 'de', 'choix.']]","[['O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
342_158,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '24', 'ans,', 'primigeste,', 'fait', 'une', 'fausse', 'couche', 'à', '7', 'semaines', 'de', 'grossesse.'], [""L'examen"", 'pathologique', 'des', 'restes', 'avortés', 'indique', 'une', 'maladie', 'molaire.'], ['Nous', 'devons', 'vous', 'en', 'informer', ':'], ['1-', 'Le', 'risque', ""d'une"", 'nouvelle', 'gestation', 'molaire', 'lors', ""d'une"", 'prochaine', 'grossesse', 'est', 'de', '50%.'], ['2-', 'Vous', 'ne', 'devez', 'pas', 'tomber', 'enceinte', 'avant', ""d'avoir"", 'subi', 'des', 'examens', 'réguliers', 'et', ""d'avoir"", 'passé', 'un', 'an', 'avec', 'des', 'taux', 'de', 'BHCG', 'négatifs.'], ['3-', 'Aucune', 'surveillance', 'supplémentaire', ""n'est"", 'nécessaire', 'si', ""l'évacuation"", 'du', 'tissu', 'trophoblastique', 'a', 'été', 'complète.'], ['4-', 'Il', 'est', 'nécessaire', ""d'effectuer"", 'des', 'contrôles', 'réguliers', 'car', '40%', 'des', 'cas', 'développeront', 'une', 'néoplasie', 'trophoblastique', 'gestationnelle.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'maladie', 'trophoblastique', 'gestationnelle', 'doit', 'faire', ""l'objet"", ""d'un"", 'suivi', '(que', ""l'évacuation"", 'soit', 'complète', 'ou', 'non)', 'et', 'il', 'faut', 'conseiller', 'à', 'la', 'patiente', 'de', 'ne', 'pas', 'retomber', 'enceinte', 'avant', 'au', 'moins', '6', 'mois', 'avec', 'des', 'titres', 'de', 'BHCG', 'négatifs.'], ['Le', 'risque', 'de', 'récidive', 'lors', ""d'une"", 'autre', 'grossesse', 'est', 'faible', '(1/55)', 'et', '90', '%', 'des', 'cas', 'évoluent', 'de', 'manière', 'satisfaisante', 'sans', 'développer', 'de', 'néoplasme.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
357_232,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '24', 'ans', 'a', 'consulté', 'après', 'avoir', 'remarqué', 'des', 'adénopathies', 'inguinales.'], [""L'interrogatoire"", ""n'a"", 'pas', 'révélé', 'la', 'présence', ""d'un"", 'quelconque', 'malaise', 'local', 'ou', 'de', 'données', 'suggérant', 'une', 'infection', 'sexuellement', 'transmissible.'], [""L'examen"", 'a', 'révélé', 'la', 'présence', 'de', 'deux', 'ganglions', 'lymphatiques,', 'un', 'dans', 'chaque', 'aine,', ""d'un"", 'diamètre', 'de', '1', 'cm,', 'mous,', 'mobiles', 'et', 'non', 'douloureux.'], ['Aucune', 'lésion', 'cutanée', ""n'est"", 'visible', 'sur', 'les', 'membres', 'inférieurs,', ""l'anus"", 'ou', 'le', 'périnée.'], ['Quelles', 'sont', 'les', 'preuves', 'que', 'vous', 'considérez', 'comme', 'essentielles', '?'], ['1-', 'Une', 'sérologie', 'de', 'la', 'syphilis', 'car', 'il', ""s'agit"", 'très', 'probablement', ""d'une"", 'infection', 'à', 'Treponema', 'pallidum.'], ['2-', 'Un', 'examen', 'gynécologique', 'pour', 'écarter', 'la', 'possibilité', ""d'un"", 'cancer', 'de', ""l'ovaire.""], ['3-', ""D'après"", 'les', 'caractéristiques', 'cliniques,', 'il', 'semble', 'que', 'les', 'ganglions', 'lymphatiques', 'soient', 'normaux', 'et', ""qu'il"", ""n'y"", 'ait', 'pas', 'lieu', 'de', 'procéder', 'à', ""d'autres"", 'examens.'], ['4-', 'Un', 'test', 'de', 'Paul-Bunell', 'doit', 'être', 'réalisé', 'pour', 'éliminer', 'une', 'mononucléose', 'infectieuse.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'présence', 'de', 'ganglions', 'inguinaux', 'de', '1', 'à', '1,5', 'cm', 'peut', 'être', 'normale', 'en', ""l'absence"", 'de', 'symptômes.'], ['Dans', 'ce', 'cas,', 'les', 'ganglions', 'lymphatiques', 'sont', 'très', 'peu', 'spécifiques,', 'sans', 'signes', 'de', 'malignité', '(mobiles,', 'mous,', 'non', 'douloureux),', 'ce', 'qui', 'ne', 'permet', 'pas', 'de', 'suspecter', 'une', 'infiltration', 'néoplasique,', 'et', ""l'absence"", ""d'autres"", 'signes', 'cliniques', 'permet', 'également', ""d'exclure"", 'la', 'présence', 'de', 'MST.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
596_121,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '79', 'ans', 'admise', 'pour', 'une', 'fracture', 'ostéoporotique', 'de', 'la', 'hanche.'], ['En', 'ce', 'qui', 'concerne', 'la', 'prévention', 'secondaire', 'des', 'fractures', 'de', 'fragilité,', 'cochez', 'la', 'MAUVAISE', 'réponse', ':'], ['1-', 'Une', 'mauvaise', 'observance', 'du', 'traitement', 'est', 'associée', 'à', 'un', 'risque', 'accru', 'de', 'fracture.'], ['2-', 'Les', 'marqueurs', 'du', 'remodelage', 'osseux', 'peuvent', 'être', 'utiles', 'pour', 'le', 'suivi', 'précoce', 'de', 'la', 'réponse', 'au', 'traitement.'], ['3-', 'La', 'monothérapie', 'à', 'la', 'vitamine', 'D', 'est', 'efficace', 'pour', 'réduire', 'ces', 'fractures', 'chez', 'les', 'personnes', 'âgées', 'non', 'institutionnalisées.'], ['4-', ""L'augmentation"", 'du', 'calcium', 'alimentaire', 'ou', 'la', 'prise', 'de', 'suppléments', 'de', 'calcium', 'ne', 'protègent', 'pas', 'à', 'elles', 'seules', 'contre', 'les', 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334_82,"[['QUESTION', 'TYPE:', 'PHARMACOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'diagnostiquée', 'avec', 'un', 'diabète', 'sucré', 'de', 'type', '1', 'depuis', '24', 'ans.'], ['Elle', ""s'est"", 'présentée', 'à', 'la', 'clinique', 'avec', 'une', 'histoire', 'de', 'trois', 'mois', 'de', 'picotements', 'dans', 'les', 'deux', 'pieds,', 'avec', 'une', 'distribution', 'semblable', 'à', 'celle', ""d'une"", 'chaussette,', 'avec', 'une', 'douleur', 'paresthésique', 'et', 'une', 'sensation', 'de', 'pieds', 'chauds,', 'principalement', 'la', 'nuit,', 'ce', 'qui', 'interférait', 'de', 'manière', 'significative', 'avec', 'son', 'sommeil.'], ['Parmi', 'les', 'médicaments', 'suivants,', 'quel', 'est', 'celui', 'que', 'vous', 'utiliseriez', 'en', 'première', 'intention', 'pour', 'traiter', 'votre', 'maladie', '?'], ['1-', 'Ibuprofène.'], ['2-', 'Oxycodone.'], ['3-', 'Duloxétine.'], ['4-', 'Paracétamol.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Duloxétine', ';', 'le', 'tableau', 'clinique', 'décrit', 'est', 'une', 'neuropathie', 'diabétique.'], ['Parmi', 'les', 'médicaments', 'proposés,', 'le', 'premier', 'choix', 'serait', 'un', 'double', 'antidépresseur', 'tel', 'que', 'la', 'duloxétine.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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239_146,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '80', 'ans', 'est', 'admis', 'en', 'raison', 'de', ""l'apparition"", 'soudaine', ""d'une"", 'aphasie', 'et', ""d'une"", 'hémiparésie', 'droite.'], ['Antécédents', ':', 'hypertension', 'bien', 'contrôlée', 'par', 'un', 'régime', 'alimentaire', 'et', 'détérioration', 'cognitive', 'au', 'cours', 'de', 'la', 'dernière', 'année', 'étudiée', 'par', 'son', 'neurologue.'], ['La', 'tomodensitométrie', 'crânienne', ""d'urgence"", 'montre', 'un', 'hématome', 'lobaire', 'frontal', 'gauche', 'sans', 'prise', 'de', 'contraste.'], ['Quelle', 'est', 'la', 'cause', 'la', 'plus', 'probable', 'de', ""l'hématome"", '?'], ['1-', 'Malformation', 'artérioveineuse', 'masquée', 'par', 'un', 'hématome', 'aigu.'], ['2-', ""L'hypertension"", 'artérielle', 'chronique.'], ['3-', 'Vascularite', 'isolée', 'du', 'système', 'nerveux.'], ['4-', 'Tumeur', 'cérébrale.'], ['5-', 'Angiopathie', 'amyloïde', 'cérébrale', 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173_51,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '53', 'ans', 'souffrant', ""d'asthme"", 'bronchique', 'se', 'présente', 'à', 'la', 'clinique', ""d'allergologie"", 'pour', 'un', 'bilan', 'de', 'santé.'], ['Il', 'signale', 'des', 'exacerbations', 'répétées', 'avec', 'des', 'symptômes', 'nocturnes,', 'une', 'utilisation', 'fréquente', 'de', 'médicaments', 'de', 'secours', 'et', 'une', 'dyspnée', 'à', ""l'effort"", ""lorsqu'il"", 'marche', 'sur', 'un', 'terrain', 'plat.'], ['Sa', 'spirométrie', 'montre', 'un', 'rapport', 'VEMS/CVF', 'pré-bronchodilatateur', 'de', '60', '%', 'et', 'un', 'VEMS', 'de', '55', '%.'], ['Les', 'tests', 'cutanés', 'sont', 'positifs', 'pour', 'les', 'acariens', 'et', 'les', 'IgE', 'totales', 'sont', 'de', '150', 'UI/ml.'], ['Le', 'patient', 'est', 'traité', 'par', 'une', 'combinaison', 'de', 'salmétérol/budésonide', 'à', 'forte', 'dose', '(50/500', 'mg', ':', '2', 'bouffées', 'deux', 'fois', 'par', 'jour),', 'de', 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51_230,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Femme', 'enceinte', 'de', '37', 'semaines', 'avec', 'un', 'antigène', 'de', 'surface', 'de', ""l'hépatite"", 'B', 'positif.'], ['Consultation', 'sur', 'les', 'soins', 'à', 'apporter', 'au', 'nouveau-né', 'et', 'sur', 'la', 'possibilité', 'de', ""l'allaiter.""], ['Quel', 'conseil', 'vous', 'semble', 'le', 'plus', 'approprié', '?'], ['1-', 'Administrer', 'le', 'vaccin', 'contre', ""l'hépatite"", 'B', 'à', 'la', 'naissance.', 'Allaitement', 'artificiel.'], ['2-', 'Administrer', 'le', 'vaccin', 'et', 'les', 'immunoglobulines', 'à', 'la', 'naissance.', 'Allaitement', 'à', 'partir', ""d'un"", 'mois.'], ['3-', 'Immunoglobulines', 'à', 'la', 'naissance', 'et', 'allaitement', 'artificiel.'], ['4-', 'Vaccination', 'et', 'immunoglobulines', 'à', 'la', 'naissance.', ""L'alimentation"", 'maternelle.'], ['5-', 'Alimentation', 'artificielle', 'et', 'isolement', 'pendant', '4', 'semaines.'], ['BONNE', 'RÉPONSE', ':', '4'], ['La', 'bonne', 'réponse', 'est', '4.'], ['Les', 'enfants', 'nés', 'de', 'mères', 'porteuses', 'du', 'VHB', 'doivent', 'recevoir', 'le', 'vaccin', 'contre', ""l'hépatite"", 'B', 'et', ""l'immunoglobuline"", 'à', 'différents', 'points', 'de', 'ponction', 'dans', 'les', '24', 'premières', 'heures', 'de', 'leur', 'vie.'], ['Bien', 'que', 'le', 'virus', 'soit', 'excrété', 'dans', 'le', 'lait', 'maternel,', 'le', 'risque', 'de', 'transmission', 'par', 'cette', 'voie', 'est', 'très', 'faible', 'et', 'ne', 'constitue', 'pas', 'actuellement', 'une', 'contre-indication', 'à', ""l'allaitement.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
184_65,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Vous', 'adressez', 'à', 'votre', 'cabinet', 'un', 'patient', 'souffrant', ""d'obésité"", '(indice', 'de', 'masse', 'corporelle', '38).'], ['Dans', 'ses', 'antécédents', 'médicaux,', 'le', 'patient', 'indique', ""qu'il"", 'est', 'obèse', 'depuis', ""l'âge"", 'de', '17', 'ans', '(il', 'a', 'actuellement', '36', 'ans),', ""qu'il"", 'a', 'suivi', 'de', 'nombreux', 'régimes', 'avec', 'des', 'pertes', 'de', 'poids', 'allant', 'de', '5', 'à', '10', 'kg,', 'mais', ""qu'il"", 'a', 'repris', 'son', 'poids', 'par', 'la', 'suite.'], ['Le', 'patient', 'suit', 'actuellement', 'un', 'régime', 'de', '1500', 'Kcal', '(auto-administré', 'et', 'non', 'restreint', 'en', 'graisses)', 'avec', 'un', 'bon', 'suivi', 'de', 'ce', 'régime,', 'en', 'effectuant', 'une', 'heure', ""d'exercice"", 'aérobique', '4', 'jours', 'par', 'semaine.'], ['Elle', 'a', 'perdu', '3', 'kg', 'mais', 'doit', 'encore', 'perdre', '7', 'kg', 'supplémentaires.'], ['Si', 'vous', 'avez', 'la', 'possibilité', ""d'ajouter"", 'un', 'médicament', 'contre', ""l'obésité,"", 'lequel', 'utiliseriez-vous', 'pour', 'réduire', ""l'absorption"", 'des', 'graisses', '?'], ['1-', 'Orlistat.'], ['2-', 'Topiramate.'], ['3-', 'La', 'sibutramine.'], ['4-', 'Liraglutide.'], ['5-', 'Metformine.'], ['BONNE', 'RÉPONSE', ':', '1'], [""L'orlistat"", 'agit', 'en', 'diminuant', ""l'absorption"", 'des', 'graisses', ';', ""c'est"", 'actuellement', 'le', 'seul', 'médicament', 'approuvé', 'pour', 'le', 'traitement', 'de', ""l'obésité.""]]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
295_75,"[['QUESTION', 'TYPE:', 'GÉNÉTIQUE', 'ET', 'IMMUNOLOGIE'], ['CLINICAL', 'CASE:'], ['Indiquez', 'la', 'situation', 'clinique', 'en', 'relation', 'avec', ""l'infection"", 'par', 'le', 'virus', 'de', ""l'hépatite"", 'B', 'chez', 'un', 'patient', 'âgé', 'de', '5', 'ans,', 'originaire', 'du', 'Nigeria,', 'présentant', 'un', 'examen', 'physique', 'normal', 'et', 'les', 'sérologies', 'suivantes', 'pour', ""l'hépatite"", 'B', ':', 'HBsAg', '+', '/', 'ANTI-', 'HBs', '-', '/', 'HBeAg', '-', '/', 'ANTI-', 'Hbe', '+', '/', 'ANTI-', 'Hbc', 'IgM', '-', '/', 'ANTI-', 'Hbc', 'IgG', '+/', 'ADN', 'VHB', '+', ':'], ['1-', 'Infection', 'aiguë.'], ['2-', 'Infection', 'chronique.'], ['3-', 'Patient', 'vacciné.'], ['4-', 'Porteurs', 'asymptomatiques.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Question', 'dans', 'laquelle,', 'ayant', 'un', 'tableau', 'en', 'tête,', 'il', 'sort', 'tout', 'seul,', 'en', 'écartant', 'des', 'options', ':', 'Option', '1', ':', ""L'infection"", 'aiguë', 'serait', 'HBeAg', '+', 'et', 'ANTI-HBe', '-', '.', 'En', 'outre,', 'les', 'anticorps', 'anti-HBe', 'seraient', 'de', 'type', 'IgM', '(seule', 'cette', 'dernière', 'information', 'nous', 'oblige', 'à', ""l'exclure"", 'directement).'], ['Option', '2', ':', 'la', 'bonne.'], ['Répond', 'à', 'toutes', 'les', 'caractéristiques.'], ['Option', '3', ':', 'le', 'patient', 'vacciné', 'ne', 'peut', 'pas', 'avoir', ""d'ADN"", 'du', 'virus', '(la', 'seule', 'chose', 'qui', 'se', 'révèle', 'positive', 'chez', 'un', 'patient', 'vacciné', 'est', 'le', 'type', ""d'IgG"", 'anti-Bs).'], ['Option', '4', ':', ""l'option"", 'qui', 'pourrait', 'susciter', 'le', 'plus', 'de', 'doutes.'], ['Chez', 'le', 'porteur', 'asymptomatique', '(porteur', 'chronique/séroconverti),', 'la', 'différence', 'réside', 'dans', ""l'absence"", ""d'ADN"", 'viral.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
559_160,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '35', 'ans', 'prenant', 'des', 'contraceptifs', ""s'est"", 'présentée', 'au', 'service', 'des', 'urgences', 'avec', 'un', 'syndrome', 'fébrile', 'et', 'des', 'paresthésies', 'dans', 'le', 'côté', 'gauche', 'du', 'corps.'], ['Les', 'analyses', 'sanguines', 'ont', 'montré', 'une', 'Hb', 'de', '7,5', 'g/dl,', 'des', 'plaquettes', 'de', '7', '000/microl,', 'des', 'leucocytes', 'normaux', 'avec', 'une', 'numération', 'différentielle', 'normale,', 'une', 'LDH', 'de', '1', '200', 'UI/l,', 'des', 'réticulocytes', 'de', '10', '%', '(normale', '0,5-2', '%),', 'une', 'haptoglobine', 'sérique', 'indétectable,', 'un', 'test', 'de', 'Coombs', 'direct', 'négatif', 'et', 'un', 'frottis', 'de', 'sang', 'périphérique', 'avec', 'des', 'schistocytes.'], ['Coagulation', '(temps', 'de', 'prothrombine', 'et', 'TCA)', 'normale.'], ['Lequel', 'des', 'diagnostics', 'suivants', 'est', 'le', 'plus', 'probable', '?'], ['1-', 'Anémie', 'hémolytique', 'auto-immune.'], ['2-', 'Purpura', 'thrombocytopénique', 'thrombotique.'], ['3-', 'Le', 'syndrome', ""d'Evans"", '(anémie', 'hémolytique', 'immunitaire', 'et', 'thrombopénie).'], ['4-', 'Thrombopénie', 'immunitaire', 'idiopathique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'crainte', 'de', 'tous', 'les', 'hématologues', 'de', 'garde...', 'que', 'vous', 'obteniez', 'un', 'TTP.'], ['Car,', 'bien', 'que', 'peu', 'fréquente,', ""c'est"", ""l'urgence"", 'hématologique', 'la', 'plus', 'courante.'], ['Le', 'cas', 'clinique', 'est', 'assez', 'typique.'], ['Un', 'jeune', 'ayant', 'de', 'la', 'fièvre', 'et', 'des', 'symptômes', 'neurologiques', 'qui', 'le', 'poussent', 'à', 'se', 'rendre', 'aux', 'urgences', '(il', 'est', 'en', 'fuite).'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'révélé', 'une', 'anémie', 'avec', 'des', 'signes', ""d'hémolyse"", '(augmentation', 'de', 'la', 'LDH', 'et', 'du', 'réticulum,', 'présence', 'de', 'schistocytes', 'dans', 'le', 'sang', 'périphérique)', 'et', 'une', 'thrombopénie', 'sévère.'], ['En', 'outre,', 'la', 'coagulation', 'est', 'normale.'], ['Pour', 'le', 'distinguer', ""d'autres"", 'choses', '(bien', ""qu'il"", 'ne', 'faille', 'pas', 'en', 'douter...),', 'il', 'indique', 'que', 'le', 'coombs', 'est', 'négatif.'], ['Pour', 'rappel', ':', 'TRAITEMENT', 'URGENT', ':', 'REMPLACEMENTS', 'PLASMATIQUES.'], ['Le', 'diagnostic', 'est', 'confirmé', 'par', 'un', 'déficit', 'en', 'ADAMTS', '13,', 'mais', 'le', 'traitement', 'est', 'initié', 'avant', 'que', 'cette', 'valeur', 'ne', 'soit', 'disponible,', 'ce', 'qui', ""n'est"", 'généralement', 'pas', 'fait', 'dans', ""l'urgence.""], ['Et,', 'comme', 'nous', 'le', 'savons', 'tous,', 'ces', 'choses', 'ont', 'tendance', 'à', 'se', 'produire', 'la', 'nuit', 'et/ou', 'le', 'week-end,', 'pour', 'rendre', 'les', 'choses', 'plus', 'difficiles....']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 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'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
558_160,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '35', 'ans', 'prenant', 'des', 'contraceptifs', ""s'est"", 'présentée', 'au', 'service', 'des', 'urgences', 'avec', 'un', 'syndrome', 'fébrile', 'et', 'des', 'paresthésies', 'dans', 'le', 'côté', 'gauche', 'du', 'corps.'], ['Les', 'analyses', 'sanguines', 'ont', 'montré', 'une', 'Hb', 'de', '7,5', 'g/dl,', 'des', 'plaquettes', 'de', '7', '000/microl,', 'des', 'leucocytes', 'normaux', 'avec', 'une', 'numération', 'différentielle', 'normale,', 'une', 'LDH', 'de', '1', '200', 'UI/l,', 'des', 'réticulocytes', 'de', '10', '%', '(normale', '0,5-2', '%),', 'une', 'haptoglobine', 'sérique', 'indétectable,', 'un', 'test', 'de', 'Coombs', 'direct', 'négatif', 'et', 'un', 'frottis', 'de', 'sang', 'périphérique', 'avec', 'des', 'schistocytes.'], ['Coagulation', '(temps', 'de', 'prothrombine', 'et', 'TCA)', 'normale.'], ['Lequel', 'des', 'diagnostics', 'suivants', 'est', 'le', 'plus', 'probable', '?'], ['1-', 'Anémie', 'hémolytique', 'auto-immune.'], ['2-', 'Purpura', 'thrombocytopénique', 'thrombotique.'], ['3-', 'Le', 'syndrome', ""d'Evans"", '(anémie', 'hémolytique', 'immunitaire', 'et', 'thrombopénie).'], ['4-', 'Thrombopénie', 'immunitaire', 'idiopathique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Le', 'patient', 'présente', 'les', 'critères', 'du', 'purpura', 'thrombocytopénique', 'thrombotique', '(PTT)', ':', '1.'], ['Troubles', 'neurologiques.'], ['2.'], ['Syndrome', 'fébrile', '(fièvre).'], ['3.'], ['Anémie', 'hémolytique', 'migroangiopathique', 'de', 'Coombs', 'négative', '(présence', 'de', 'schistocytes).'], ['4.'], ['Thrombopénie.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O'], ['B-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O'], ['B-Premise']]"
227_72,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '45', 'ans', 'ayant', 'des', 'antécédents', 'de', 'souffle', 'cardiaque', 'détecté', 'à', ""l'âge"", 'pédiatrique.'], ['Admis', 'au', 'service', 'des', 'urgences', 'pour', 'palpitations,', 'grande', 'fatigue', 'et', 'œdème', 'malléolaire.'], [""L'examen"", 'physique', 'révèle', ""l'absence"", 'de', 'cyanose.'], ['Saturation', 'en', 'oxygène', 'par', 'oxymètre', 'de', 'pouls', '97%', 'Tension', '120/80', 'mmHg.'], ['Rythme', 'cardiaque', 'irrégulier', 'à', '100', 'bpm.'], ['Souffle', 'systolique', 'éjectif', '(2/6)', 'dans', 'le', 'foyer', 'pulmonaire.'], ['2ème', 'bruit', 'déplié,', 'large', 'et', 'fixe.'], ['Pas', 'de', 'râles.'], ['Ligera', 'hepatomeglaia', '(2-3', 'cm).'], ['Léger', 'œdème', 'malléolaire.'], ['ECG', ':', 'arythmie', 'complète', 'due', 'à', 'une', 'fibrillation', 'auriculaire', 'à', '100', 'bpm.'], ['QRS', '+120º.'], ['Trouble', 'de', 'la', 'conduction', 'de', 'la', 'branche', 'droite.'], ['Quelle', 'est', 'votre', 'orientation', 'diagnostique', '?'], ['1-', 'La', 'communication', 'interventriculaire.'], ['2-', 'Sténose', 'aortique.'], ['3-', 'Sténose', 'mitrale.'], ['4-', 'La', 'communication', 'interauriculaire.'], ['5-', 'La', 'persistance', 'du', 'canal', 'artériel.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Si', 'le', 'murmure', 'est', 'pédiatrique,', 'je', 'pense', ""qu'il"", 'est', 'congénital.'], ['Hépatomégalie,', 'œdème', 'malléolaire', 'et', 'BRD,', 'quelque', 'chose', 'surcharge', 'le', 'cœur', 'droit.'], ['Nous', 'avons', 'donc', 'exclu', 'une', 'sténose', 'aortique', 'et', 'mitrale.'], ['Une', 'persistance', 'du', 'canal', 'donne', 'une', 'cyanose', ':', 'à', 'exclure.'], ['¿CIV', 'ou', 'CIA', '?'], ['Si', ""l'on"", 'me', 'dit', ""qu'il"", 'est', 'en', 'FA,', ""c'est"", 'parce', 'que', 'les', 'oreillettes', 'sont', 'de', 'taille', 'XL', 'et', ""qu'une"", 'VSD', 'ne', 'provoque', 'pas', 'de', 'dilatation', 'des', 'oreillettes.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
168_86,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'CARDIOVASCULAIRE'], ['CLINICAL', 'CASE:'], ['Quel', 'examen', 'conseilleriez-vous', 'en', 'premier', 'lieu', 'à', 'un', 'patient', 'de', '82', 'ans', 'présentant', 'un', 'angor', ""d'effort"", 'et', 'un', 'souffle', 'systolique', ""d'éjection"", ""d'intensité"", '3/6', 'à', ""l'auscultation"", '?'], ['1-', 'Un', 'test', ""d'effort.""], ['2-', 'Une', 'coronarographie.'], ['3-', 'Une', 'échocardiographie', ""d'effort.""], ['4-', 'Un', 'scanner', 'coronaire.'], ['5-', 'Un', 'échocardiogramme-Doppler.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Murmure', 'éjectif,', 'notre', 'première', 'suspicion', 'est', 'une', 'sténose', 'aortique.'], [""L'angine"", 'peut', 'être', 'due', 'à', 'la', 'sténose', 'elle-même', 'ou', 'à', 'une', 'maladie', 'coronarienne', 'sous-jacente', '(probable,', 'compte', 'tenu', 'de', ""l'âge).""], ['Et', 'avec', 'ces', 'données,', 'nous', 'ne', 'pouvons', 'pas', 'savoir', 'si', 'la', 'sténose', 'est', 'grave.'], ['Par', 'conséquent,', 'la', 'première', 'chose', 'à', 'faire', 'est', ""d'étudier"", 'la', 'valvulopathie', ':', 'nous', 'ne', 'voulons', 'pas', 'faire', 'courir', 'le', 'patient', 'ou', 'le', 'surcharger', 'de', 'dobuta', 'et', 'provoquer', 'une', 'syncope,', 'ni', 'procéder', 'à', 'un', 'cathétérisme', 'sans', 'avoir', 'effectué', 'au', 'préalable', 'un', 'autre', 'test', 'non', 'invasif.'], ['Et', 'le', 'cardioTC,', 'chez', 'une', 'personne', 'de', '80', 'ans,', 'va', 'nous', 'dire', 'ce', 'que', 'nous', 'savons', 'déjà', ':', ""qu'elle"", 'a', 'du', 'calcium', ""jusqu'aux"", 'sourcils.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
329_84,,
447_131,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '25', 'ans', 'sans', 'antécédents', 'connus.'], ['Depuis', 'deux', 'mois,', 'il', 'a', 'des', 'urines', 'pleines', 'et', 'mousseuses,', 'sans', 'aucun', 'autre', 'symptôme.'], [""L'examen"", 'physique', 'ne', 'révèle', 'rien.'], ['Urine', 'élémentaire', ':', 'pH', '5', ';', 'glucose', 'négatif', ';', 'hémoglobine', '++', ';', 'protéines', '++', ';', 'estérase', 'leucocytaire', 'négative', ';', 'protéinurie', '1,5', 'g/24', 'heures', ';', 'Na', 'urinaire', '60', 'mEq/L', ';', 'K', 'urinaire', '30', 'mEq/L', ';', 'Cl', 'urinaire', '100', 'mEq/L.'], ['Biochimie', 'sanguine', ':', 'créatinine', '1,6', 'mg/dl', ';', 'urée', '80', 'mg/dl', ';', 'Na', '140', 'mEq/l', ';', 'K', '3,8', 'mEq/l.'], ['Étude', 'immunologique', ':', 'anti-DNA', 'négatif', ';', 'ANCA', 'négatif', ';', 'antiMBG', 'négatif,', 'facteur', 'rhumatoïde', 'négatif', ';', 'C3', '20', 'mg/dL', '(normale', '60-120)', ';', 'C4', '10', 'mg/dL', '(normale', '20-40).'], ['Une', 'biopsie', 'rénale', 'est', 'effectuée.'], ['Selon', 'vous,', 'lequel', 'de', 'ces', 'diagnostics', 'est', 'le', 'plus', 'susceptible', ""d'être"", 'trouvé', 'dans', 'la', 'biopsie', '?'], ['1-', 'Glomérulonéphrite', 'membraneuse.'], ['2-', 'Glomérulonéphrite', 'à', 'changement', 'minime.'], ['3-', 'Glomérulonéphrite', 'mésangiale', 'IgA.'], ['4-', 'Glomérulonéphrite', 'membranoproliférative.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['De', 'nombreuses', 'données', 'analytiques', 'nous', 'sont', 'présentées,', 'mais', 'il', 'suffit', ""d'en"", 'examiner', 'deux', ':', 'les', 'niveaux', 'des', 'fractions', 'C3', 'et', 'C4', 'du', 'complément', 'sont', 'faibles.'], ['Parmi', 'les', 'options', 'proposées,', 'seule', 'la', 'glomérulonéphrite', 'membranoproliférative', 'présente', 'une', 'hypocomplémentémie', '(option', '4', 'correcte).']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim']]"
72_52,"[['QUESTION', 'TYPE:', 'ANESTHESIOLOGIE,', 'SOINS', 'INTENSIFS', 'ET', 'URGENCES'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '72', 'ans,', 'ex-fumeur,', 'hypertendu', 'et', 'diabétique.'], ['Antécédents', ""d'accident"", 'vasculaire', 'cérébral', 'avec', 'parésie', 'résiduelle', 'dans', 'le', 'bras', 'gauche', 'il', 'y', 'a', '4', 'mois.'], ['Elle', ""s'est"", 'présentée', 'au', 'service', 'des', 'urgences', ""d'un"", 'hôpital', 'régional', 'pour', 'une', 'douleur', 'précordiale', 'intense', 'qui', 'durait', 'depuis', '2', 'heures', ';', 'à', ""l'examen"", 'physique,', 'elle', 'présentait', 'une', 'peau', 'froide', 'et', 'moite,', 'une', 'tension', 'artérielle', 'de', '80', 'mm', 'Hg', ';', ""l'électrocardiogramme"", 'montrait', 'une', 'élévation', 'marquée', 'du', 'segment', 'ST', 'dans', 'les', 'dérivations', 'V1-V6,', 'I', 'et', 'aVL.'], ['Parmi', 'les', 'traitements', 'suivants', 'de', 'la', 'maladie', 'coronarienne,', 'lequel', 'est', 'le', 'plus', 'approprié', '?'], ['1-', 'Fibrinolyse', 'systémique', 'immédiate', 'à', ""l'hôpital"", 'régional.'], ['2-', 'Transfert', 'immédiat', 'vers', 'un', 'centre', 'tertiaire', 'pour', 'traitement', 'par', 'fibrinolyse.'], ['3-', 'Transfert', 'immédiat', 'vers', 'un', 'centre', 'tertiaire', 'pour', 'une', 'procédure', 'de', 'revascularisation', 'coronaire', 'percutanée.'], ['4-', 'Stabilisation', 'hémodynamique', 'et', 'procédure', 'de', 'revascularisation', 'différée.'], ['5-', 'Traitement', 'immédiat', 'par', 'fondaparinux', 'et', 'abciximab.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Plusieurs', 'faits', 'importants', 'se', 'conjuguent', 'dans', 'cette', 'question.'], ['Tout', ""d'abord,"", 'il', ""s'agit"", ""d'un"", 'patient', 'présentant', 'un', 'IAM', 'antérieur', 'et', 'latéral', 'étendu,', 'avec', 'un', 'choc', 'cardiogénique.'], [""D'autre"", 'part,', 'on', 'nous', 'dit', 'que', 'le', 'patient', 'a', 'eu', 'un', 'accident', 'vasculaire', 'cérébral', 'il', 'y', 'a', '4', 'mois.'], ['Le', 'tableau', 'clinique', 'du', 'patient', 'montre', 'clairement', ""qu'une"", 'stratégie', 'de', 'reperfusion', 'urgente', 'est', 'indiquée,', 'ce', 'qui', 'invalide', 'les', 'options', '4', 'et', '5.'], ['La', 'question', 'fondamentale', 'est', 'de', 'savoir', ""s'il"", 'faut', 'choisir', 'la', 'fibrinolyse', '(qui', 'peut', 'être', 'effectuée', 'dans', 'un', 'hôpital', 'de', 'comté)', 'ou', ""l'ICP"", '(pour', 'laquelle', 'vous', 'devez', 'être', 'orienté', 'vers', 'un', 'centre', 'tertiaire).'], [""L'option"", '2', ""n'a"", 'pas', 'beaucoup', 'de', 'sens,', 'car', 'si', 'une', 'fibrinolyse', 'était', 'indiquée,', 'le', 'transfert', 'ne', 'serait', ""qu'une"", 'perte', 'de', 'temps.'], ['Un', 'antécédent', ""d'accident"", 'vasculaire', 'cérébral', '(vraisemblablement', 'ischémique)', 'survenu', 'il', 'y', 'a', 'quatre', 'mois', 'est', 'une', 'contre-indication', 'relative', 'à', 'la', 'fibrinolyse', '(si', 'le', 'délai', 'est', 'inférieur', 'à', 'trois', 'mois,', 'il', ""s'agit"", ""d'une"", 'contre-indication', 'absolue),', 'mais', 'le', 'point', 'de', 'basculement', 'définitif', 'pour', ""l'ICP"", 'est', ""l'étendue"", 'de', ""l'IAM"", 'et', 'la', 'présence', ""d'un"", 'choc,', 'qui', 'sont', 'des', 'indications', 'pour', 'une', 'ICP', 'urgente.'], ['La', 'réponse', 'correcte', 'est', 'donc', '3.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
505_85,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '79', 'ans', 'est', 'amené', 'aux', 'urgences', 'à', '19', 'heures', 'en', 'provenance', ""d'une"", 'maison', 'de', 'retraite,', 'mais', 'nous', 'ne', 'disposons', 'pas', 'du', 'rapport', ""d'orientation"", 'et', 'ne', 'connaissons', 'donc', 'pas', 'ses', 'antécédents', 'médicaux.'], ['Il', 'est', 'désorienté', 'dans', 'le', 'temps', 'et', ""l'espace.""], ['A', 'du', 'mal', 'à', 'se', 'souvenir', ""d'informations"", 'simples.'], ['Il', 'devient', 'parfois', 'très', 'nerveux', 'et', 'agité,', 'car', 'il', 'voit', 'des', 'personnes', 'menaçantes,', 'même', ""lorsqu'il"", 'est', 'seul.'], ['À', ""d'autres"", 'moments,', 'il', 'semble', 'somnolent', 'et', 'inattentif.'], ['Les', 'principales', 'données', 'étayant', 'le', 'diagnostic', 'de', 'délire', 'par', 'opposition', 'à', 'celui', 'de', 'démence', 'sont', 'les', 'suivantes', ':'], ['1-', 'La', 'présence', ""d'hallucinations"", 'visuelles.'], ['2-', 'Symptômes', 'cognitifs.'], ['3-', 'Agitation', 'psychomotrice.'], ['4-', 'Fluctuation', 'du', 'niveau', 'de', 'vigilance.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Peu', 'de', 'commentaires...', ""c'est"", 'la', 'définition', 'du', 'délire.'], ['État', 'de', 'conscience', 'altéré.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
360_93,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '46', 'ans', 'ayant', 'des', 'antécédents', 'de', 'valvulopathie', 'rhumatismale,', 'nécessitant', 'un', 'remplacement', 'de', 'la', 'valvule', 'mitrale', 'par', 'une', 'prothèse', 'mécanique.'], [""L'évolution"", 'postopératoire', 'initiale', 'est', 'favorable.'], ['Cependant,', 'après', 'avoir', 'commencé', 'un', 'traitement', 'à', ""l'acénocoumarol,"", 'il', 'a', 'développé', 'une', 'nécrose', 'cutanée', 'affectant', 'la', 'région', 'abdominale', 'et', 'les', 'extrémités.'], ['Parmi', 'les', 'modifications', 'suivantes,', 'lesquelles', 'justifieraient', 'cette', 'image', '?'], ['1-', 'Le', 'déficit', 'en', 'antithrombine.'], ['2-', 'Facteur', 'V', 'Leiden.'], ['3-', 'Hyperhomocystéinémie.'], ['4-', 'Déficit', 'en', 'protéine', 'C.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['La', 'nécrose', 'cutanée', 'induite', 'par', 'la', 'warfarine', 'est', 'un', 'effet', 'indésirable', 'rare', 'et', 'grave', 'de', 'la', 'thérapie', 'anticoagulante', 'orale,', 'survenant', 'chez', 'seulement', '0,01', 'à', '0,1%', 'des', 'patients,', 'et', 'est', 'particulièrement', 'liée', 'à', 'un', 'déficit', 'en', 'protéines', 'de', 'coagulation', 'C', 'et', 'S.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
459_173,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE', 'ET', 'ORTHOPÉDIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '36', 'ans,', 'sans', 'antécédents,', 'qui,', 'à', 'la', 'suite', ""d'un"", 'traumatisme', 'à', 'haute', 'énergie', 'consécutif', 'à', 'une', 'chute', 'de', 'moto,', 'a', 'subi', 'une', 'fracture', 'diaphysaire', 'moyenne', 'ouverte', 'du', 'tibia,', 'grade', 'II', 'de', 'Gustilo.'], ['Parmi', 'les', 'manœuvres', 'ou', 'thérapies', 'suivantes,', 'laquelle', 'est', 'la', 'plus', 'efficace', 'pour', 'prévenir', ""l'infection"", '?'], ['1-', 'Antibiothérapie', 'intraveineuse', 'immédiate', 'à', 'large', 'spectre.'], ['2-', 'Débridement', 'exhaustif', '-', 'nettoyage', 'de', 'la', 'plaie', 'au', 'bloc', 'opératoire', 'avec', 'au', 'moins', '10', 'litres', 'de', 'sérum', 'physiologique.'], ['3-', 'Stabilisation', 'urgente', 'de', 'la', 'fracture', 'par', 'fixation', 'externe', 'et', 'fermeture', 'rapide', 'de', 'la', 'plaie.'], ['4-', 'Fermeture', 'précoce', 'de', 'la', 'plaie', 'avec', 'antiseptiques', 'et', 'oxygénothérapie', 'à', 'deux', 'litres', 'par', 'minute.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Je', 'pense', 'que', 'la', 'réponse', 'la', 'plus', 'correcte', 'est', '2,', 'car', 'les', 'fractures', 'de', 'Gustilo', 'II', 'sont', 'principalement', 'couvertes', 'de', 'Gram', '(+)', 'au', 'moyen', ""d'un"", 'Cepha', 'de', '1ère', 'génération,', 'et', 'il', 'ne', ""s'agit"", 'pas', ""d'une"", 'question', 'de', 'prévention', 'mais', 'de', 'traitement', '(il', 'est', 'considéré', 'comme', 'contaminé).']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
149_162,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '52', 'ans', ""s'est"", 'présentée', 'au', 'service', 'des', 'urgences', 'avec', 'une', 'paralysie', 'bilatérale', 'des', 'membres', 'supérieurs', 'apparue', 'brusquement', 'deux', 'heures', 'plus', 'tôt.'], ['Dans', ""l'interview,"", 'elle', 'rit', 'et', 'dit', ""qu'elle"", 'ne', 'comprend', 'pas', 'pourquoi', 'ses', 'proches', 'sont', 'si', 'inquiets.'], ['La', 'famille', 'rapporte', 'que', 'la', 'veille,', 'leur', 'fils', 'a', 'été', 'arrêté', 'par', 'la', 'police', 'pour', 'trafic', 'de', 'drogue', 'et', ""qu'ils"", ""n'ont"", 'pas', 'encore', 'pu', 'le', 'contacter.'], ['Lequel', 'des', 'diagnostics', 'suivants', 'est', 'le', 'plus', 'probable', '?'], ['1-', 'Trouble', 'factice.'], ['2', '-', 'Travestissement', 'délirant.'], ['3-', ""L'hypocondrie.""], ['4-', 'Trouble', 'dépressif', 'majeur.'], ['5-', 'Trouble', 'de', 'conversion.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Le', 'beau', 'mot', 'pour', 'décrire', 'cela', 'est', ':', '""Belle', 'indifférence"",', 'cette', 'femme', 'est', 'montrée', 'avec', 'une', 'élégante', 'indifférence', 'face', 'à', 'une', 'paralysie.'], ['Le', 'diagnostic...', '2,3,4', 'peut', 'être', 'exclu', 'car', 'le', 'tableau', 'clinique', 'ne', 'correspond', 'pas', ':', 'pas', 'de', 'délire,', 'pas', ""d'inquiétude,"", 'pas', 'de', 'tristesse.'], ['1', 'serait', ""s'il"", 'faisait', 'du', 'profit,', ""s'il"", 'faisait', 'sciemment', 'semblant', 'et', 'si,', 'pour', 'faire', 'du', 'profit,', 'il', 'simulait', 'sa', 'maladie.'], ['Ce', ""n'est"", 'pas', 'le', 'cas.'], ['Il', 'serait', 'conversationnel', 'si', 'le', 'symptôme', 'voulait', 'nous', 'transmettre', 'quelque', 'chose,', ""c'est-à-dire"", ""s'il"", ""s'agissait"", ""d'une"", 'métaphore', 'de', 'son', 'monde', 'intérieur...'], ['Le', 'plus', 'précis', 'dans', 'ce', 'cas', ':', '5.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
246_116,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Une', 'tuberculose', 'pulmonaire', 'a', 'été', 'diagnostiquée', 'chez', 'un', 'patient', 'ayant', 'des', 'antécédents', 'de', 'consommation', 'excessive', ""d'alcool,"", 'en', 'raison', 'de', 'la', 'toux,', 'de', 'la', 'fièvre,', 'de', ""l'expectoration"", 'et', 'de', ""l'isolement"", 'de', 'Mycobacterium', 'tuberculosis', 'dans', 'les', 'cultures', ""d'expectoration.""], ['Le', 'patient', 'a', 'commencé', 'un', 'traitement', 'à', ""l'isoniazide,"", 'à', 'la', 'rifampicine,', 'à', ""l'éthambutol"", 'et', 'au', 'pyrazinamide,', 'avec', 'une', 'tolérance', 'adéquate.'], ['Vingt', 'jours', 'après', 'le', 'début', 'du', 'traitement,', 'une', 'résistance', 'à', 'la', 'rifampicine', 'de', 'M.', 'tuberculosis', 'isolé', 'à', 'partir', ""d'expectorations"", 'a', 'été', 'signalée.'], ['Quel', 'régime', 'choisiriez-vous', 'sur', 'la', 'base', 'de', 'ce', 'rapport', '?'], ['1-', 'Isoniazide,', 'éthambutol,', 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457_126,"[['QUESTION', 'TYPE:', 'OTO-RHINO-LARYNGOLOGIE', 'ET', 'CHIRURGIE', 'MAXILLO-FACIALE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '47', 'ans,', 'aux', 'antécédents', ""d'adénome"", 'pléomorphe', 'de', 'la', 'parotide', 'droite,', 'traité', 'par', 'chirurgie', '(parotidectomie', 'extrafaciale)', 'il', 'y', 'a', '6', 'mois,', ""s'est"", 'présenté', 'à', 'notre', 'clinique', 'pour', 'des', 'douleurs', 'lors', 'de', 'la', 'mastication', 'avec', 'transpiration', 'et', 'rougissement', 'de', 'la', 'peau', 'dans', 'la', 'région', 'préauriculaire.'], ['Quel', 'serait', 'le', 'traitement', 'de', 'choix', '?'], ['1-', 'Parotidectomie', 'totale', 'élargie', 'en', 'cas', 'de', 'suspicion', 'de', 'récidive', 'tumorale.'], ['2-', 'La', 'prégabaline.'], ['3-', 'Injection', 'intradermique', 'de', 'toxine', 'botulique.'], ['4-', 'Antibiothérapie', 'à', 'large', 'spectre.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Ce', 'tableau', 'clinique', 'est', 'appelé', 'syndrome', 'de', 'Frey', 'et', 'consiste', 'en', 'une', 'réinnervation', 'anormale', 'des', 'structures', 'régionales', 'après', 'une', 'parotidectomie', 'due', 'à', 'une', 'lésion', 'du', 'nerf', 'auriculotemporal,', 'de', 'sorte', 'que', 'lors', 'de', 'la', 'mastication,', 'un', 'érythème', 'et', 'une', 'transpiration', 'préauriculaire', 'apparaissent.'], ['Le', 'traitement', 'consiste', 'en', ""l'injection"", 'de', 'toxine', 'botulique', 'par', 'voie', 'intradermique.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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330_85,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '22', 'ans', 'souffrant', ""d'hyposmie"", 'présente', 'une', 'absence', 'de', 'développement', 'des', 'caractères', 'sexuels', 'secondaires', 'et', 'une', 'infertilité.'], ['Volume', 'testiculaire', 'bilatéral', 'de', '4', 'ml.'], ['Sur', 'le', 'plan', 'analytique,', 'FSH', '1,2', 'U/L', '(vn', '5-15)', ';', 'LH', '0,6', 'U/L', '(vn', '3-15)', ';', 'testostérone', '100', 'ng/diu', '(vn', '300-1200),', 'prolactine', 'normale.'], ['Indiquez', 'le', 'traitement', 'que', 'vous', 'proposerez', 'pour', 'obtenir', 'la', 'fertilité', ':'], ['1-', 'Pompe', 'à', 'perfusion', 'de', 'Gn_RH.'], ['2-', 'Administration', 'intramusculaire', 'mensuelle', 'de', 'triptoréline.'], ['3-', 'Administration', 'intramusculaire', 'de', 'HFS', 'et', 'HL', 'une', 'fois', 'par', 'semaine.'], ['4-', 'Traitement', 'à', 'la', 'bromocriptine.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Le', 'syndrome', 'de', 'Kallman', 'ou', 'syndrome', 'de', 'Morsier', 'est', 'une', 'insuffisance', 'congénitale', 'associée', 'à', 'un', 'hypogonadisme', 'hypogonadotrope', 'dû', 'à', 'un', 'déficit', 'de', 'production', 'de', 'GnRH.'], ['Des', 'injections', 'répétées', 'de', 'GnRH', 'sont', 'utilisées', 'pour', 'restaurer', 'la', 'fertilité.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
181_59,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Diabétique', 'de', 'type', '1', 'se', 'présentant', 'aux', 'urgences', 'pour', 'dyspnée', 'et', 'malaise', 'général.'], ['Les', 'analyses', 'sanguines', 'ont', 'révélé', 'une', 'glycémie', 'de', '450', 'mg/dl,', 'un', 'taux', 'de', 'Na', 'de', '142', 'mEq/l,', 'un', 'taux', 'de', 'K', 'de', '4', 'mEq/l,', 'un', 'pH', 'de', '7,15', 'et', 'un', 'taux', 'de', 'bicarbonate', 'de', '12', 'mmol/l.'], ['Quel', 'traitement', 'ne', 'serait', 'PAS', 'indiqué', '?'], ['1-', 'Solution', 'saline', 'IV', 'rapide.'], ['2-', 'Solution', 'de', 'glucose', 'à', '5', '%', 'par', 'voie', 'IV', 'lorsque', 'la', 'glycémie', 'est', 'inférieure', 'à', '250', 'mg/dl.'], ['3-', 'Insuline', 'humaine', 'rapide', 'iv.'], ['4-', 'Chlorure', 'de', 'potassium', '100', 'mEq', '/', 'jour', 'dilué', 'dans', 'les', 'sérums.'], ['5-', 'Bicarbonate', 'de', 'sodium', '1M', '100', 'cc', 'iv', 'en', '30', 'minutes.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Question', 'facile', 'car', 'le', 'traitement', 'de', ""l'acidocétose"", 'diabétique', 'est', 'un', 'sujet', 'récurrent', 'dans', 'le', 'MIR.'], ['Le', 'bicarbonate', 'est', 'indiqué', 'lorsque', 'le', 'pH', 'est', 'inférieur', 'à', '7.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
182_61,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '76', 'ans', ""s'inquiète"", 'du', 'risque', ""d'accident"", 'vasculaire', 'cérébral,', 'car', 'sa', 'mère', 'est', 'décédée', ""d'un"", 'accident', 'vasculaire', 'cérébral', 'il', 'y', 'a', 'un', 'an.'], ['On', 'lui', 'a', 'diagnostiqué', 'une', 'hypertension', 'artérielle', 'et', 'un', 'diabète', 'sucré', 'de', 'type', '2.', 'Elle', 'est', 'traitée', 'par', 'glipizide,', 'aspirine,', 'énalapril', 'et', 'atorvastatine.'], ['Il', 'fume', '20', 'cigarettes', 'par', 'jour', 'et', 'mène', 'une', 'vie', 'sédentaire.'], [""L'examen"", 'révèle', 'une', 'tension', 'artérielle', 'de', '150/80', 'mm', 'Hg.'], [""L'analyse"", 'de', 'sang', 'a', 'révélé', 'un', 'taux', ""d'hémoglobine"", 'A1C', 'de', '8', '%', 'et', 'un', 'taux', 'de', 'cholestérol', 'LDL', 'de', '110', 'mg/dl.'], ['Laquelle', 'des', 'actions', 'suivantes', 'est', 'associée', 'à', 'une', 'plus', 'grande', 'réduction', 'du', 'risque', ""d'accident"", 'vasculaire', 'cérébral', '?'], ['1-', 'Obtenir', 'un', 'contrôle', 'optimal', 'de', 'la', 'tension', 'artérielle.'], ['2-', 'Atteindre', 'des', 'niveaux', 'optimaux', ""d'hémoglobine"", 'A1C.'], ['3-', 'Ajouter', 'un', 'antioxydant', 'au', 'traitement.'], ['4-', 'Arrêter', 'de', 'fumer.'], ['5-', 'Atteindre', 'un', 'taux', 'de', 'LDL', 'inférieur', 'à', '100', 'mg/dl.'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'tension', 'artérielle', 'est', 'le', 'facteur', 'cardiovasculaire', 'le', 'plus', 'influent', 'pour', 'les', 'femmes', 'de', 'plus', 'de', '70', 'ans.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
21_111,"[['QUESTION', 'TYPE:', 'INFECTIEUX'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '32', 'ans,', 'qui', 'a', 'été', 'récemment', 'libéré', 'de', 'prison,', 'subit', 'un', 'test', 'cutané', 'aux', 'protéines', 'dérivées', '(PPD)', 'avec', 'une', 'induration', 'de', '10', 'mm.'], ['Il', 'y', 'a', 'un', 'an,', 'sa', 'PPD', 'était', 'négative,', 'il', 'est', 'actuellement', 'asymptomatique,', 'sa', 'sérologie', 'VIH', 'est', 'négative', 'et', 'sa', 'radiographie', 'pulmonaire', 'est', 'normale.'], ['Parmi', 'les', 'attitudes', 'suivantes,', 'laquelle', 'vous', 'semble', 'la', 'plus', 'appropriée', '?'], ['1-', 'Ne', 'pas', 'effectuer', 'de', 'traitement', 'et', 'de', 'contrôle', 'annuel', 'Rx.'], ['2-', 'Culture', 'des', 'expectorations', 'à', 'la', 'recherche', 'de', 'mycobactéries', 'et', 'ne', 'traiter', 'que', 'si', 'elle', 'est', 'positive.'], ['3-', 'Isoniazide', 'pendant', '9', 'mois.'], ['4-', 'Traitement', 'à', '4', 'médicaments', 'pendant', '4', 'mois.'], ['5-', 'Traitement', 'par', 'RIF', 'et', 'PRZ', 'pendant', '2', 'mois.'], ['BONNE', 'RÉPONSE', ':', '3'], ['En', 'cas', 'de', 'conversion', 'de', 'la', 'PPD', 'dans', 'les', '2', 'ans,', 'et', 'si', ""l'on"", 'exclut', 'une', 'tuberculose', 'actuelle,', 'une', 'chimioprophylaxie', 'à', ""l'INH"", 'est', 'indiquée,', 'mais', 'je', 'pensais', 'que', ""c'était"", 'pour', 'une', 'durée', 'de', '6', 'mois', 'et', 'non', 'de', '9.'], ['Le', 'reste', ""n'est"", 'pas', 'contestable.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O']]"
60_59,"[['QUESTION', 'TYPE:', 'ANESTHÉSIOLOGIE', 'ET', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '40', 'ans,', 'touriste', 'étranger,', 'a', 'été', 'adressé', 'au', 'service', 'des', 'urgences', 'pour', 'un', 'faible', 'niveau', 'de', 'conscience,', 'une', 'température', 'de', '37,7', 'ºC', 'et', 'une', 'dyspnée.'], ['Pas', 'de', 'traumatisme.'], ['Plusieurs', 'tests', 'sont', 'effectués.'], ['Le', 'plus', 'immédiat', 'est', 'un', 'VAE', 'sans', 'oxygène', 'montrant', 'un', 'PH', 'de', '7,33,', 'une', 'PCO2', 'de', '50,', 'une', 'PO2', 'de', '65,', 'une', 'HCO3', 'de', '27', ':'], ['1-', 'TEP.'], ['2-', 'Pneumonie', 'lobaire.'], ['3-', 'EAP.'], ['4-', ""L'hypoventilation"", 'alvéolaire.'], ['5-', 'Bronchopneumonie.'], ['BONNE', 'RÉPONSE', ':', '5'], ['En', 'fait,', 'il', 'peut', ""s'agir"", 'de', 'toutes,', 'mais', 'la', 'cause', 'la', 'plus', 'fréquente', ""d'acidose"", 'respiratoire', 'aiguë', 'non', 'compensée', 'chez', 'un', 'jeune', 'est', 'la', 'bronchopneumonie.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
455_155,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'homme', 'de', '70', 'ans,', 'hypertendu,', 'présentant', 'une', 'hémiplégie', 'droite', ""d'apparition"", 'brutale', 'avec', 'une', 'légère', 'dysarthrie,', 'sans', 'altération', 'de', ""l'évocation"", 'ou', 'de', 'la', 'compréhension', 'du', 'langage,', 'quel', 'type', ""d'accident"", 'vasculaire', 'cérébral', 'vous', 'paraît', 'le', 'plus', 'probable', '?'], ['1-', 'Un', 'infarctus', 'lacunaire', 'capsulaire', 'gauche.'], ['2-', 'Un', 'infarctus', 'sylvien', 'fronto-temporal', 'cortico-sous-cortical', 'gauche.'], ['3-', 'Un', 'infarctus', 'du', 'tronc', 'cérébral.'], ['4-', 'Une', 'hémorragie', 'lenticulaire', 'gauche.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'réponse', 'la', 'plus', 'proche', 'est', '1.'], ['Si', 'nous', 'sommes', 'stricts,', 'nous', 'parlerions', ""d'un"", 'infarctus', 'lacunaire', 'purement', 'moteur', '(avec', 'une', 'légère', 'dysarthrie).'], ['Puisque', 'les', 'trois', 'autres', 'options', 'ne', 'nous', 'donnent', 'pas', 'une', 'clinique', 'comme', 'celle', 'de', ""l'énoncé.""], ['Les', 'options', '2', 'et', '3', 'nous', 'permettent', 'de', 'disposer', ""d'une"", 'clinique', 'beaucoup', 'plus', 'riche', 'et', 'étendue.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
1_35,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '43', 'ans,', 'sans', 'maladie', ""d'intérêt,"", ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'pour', '4', 'selles', 'mélaïques', 'au', 'cours', 'des', '12', 'dernières', 'heures.'], ['Il', 'dit', 'avoir', 'pris', 'des', 'AINS', 'les', 'jours', 'précédents.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'pâleur', 'de', 'la', 'peau', 'et', 'des', 'muqueuses.'], ['TA', '95/65', 'et', 'FC', '110', 'bpm.'], [""L'abdomen"", ""n'est"", 'pas', 'douloureux', 'et', 'le', 'toucher', 'rectal', 'révèle', 'des', 'selles', 'mélaïques.'], [""L'analyse"", 'de', 'sang', 'a', 'révélé', 'un', 'taux', ""d'Hb"", 'de', '8,1', 'g/dl.'], ['Après', 'perfusion', 'de', 'sérum', 'physiologique', 'et', 'début', 'de', 'la', 'transfusion', 'de', 'concentré', 'de', 'globules', 'rouges,', 'la', 'tension', 'est', 'à', '120/85', 'et', 'la', 'FC', 'à', '90', 'bpm.'], ['Une', 'endoscopie', 'a', 'été', 'pratiquée', 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521_76,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'fillette', 'de', '7', 'ans', 'vient', 'à', 'la', 'clinique', 'parce', 'que', 'ses', 'parents', 'remarquent', 'que', 'son', 'visage', 'est', 'rouge', 'depuis', 'la', 'veille', 'et', 'que,', 'depuis', 'quelques', 'heures,', 'ils', 'ont', 'remarqué', 'des', 'taches', 'rouges', 'sur', 'son', 'corps.'], ['À', ""l'examen,"", 'il', 'est', 'afébrile,', 'ses', 'amygdales', 'et', 'ses', 'oreilles', 'sont', 'intactes,', ""l'auscultation"", 'cardio-pulmonaire', 'est', 'normale.'], ['Il', 'y', 'a', 'une', 'éruption', 'maculo-papulaire', 'confluente', 'sur', 'les', 'deux', 'joues,', 'y', 'compris', 'sur', 'la', 'lèvre', 'supérieure,', 'ressemblant', 'à', 'un', 'visage', '""giflé"".'], ['La', 'poitrine', 'présente', 'une', 'éruption', 'réticulaire,', 'en', 'dentelles,', 'non', 'prurigineuse.'], ['Quel', 'est', 'le', 'diagnostic', 'clinique', 'le', 'plus', 'probable', '?'], ['1-', 'Varicelle.'], ['2-', 'La', 'rubéole.'], ['3-', 'Erythème', 'infectieux', 'ou', '5ème', 'maladie.'], ['4-', 'Exanthème', 'soudain', 'ou', '6ème', 'maladie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Bien', 'que', 'cette', 'question', 'se', 'situe', 'à', 'cheval', 'entre', 'la', 'dermatologie', 'et', 'la', 'pédiatrie,', 'nous', 'souhaitons', 'apporter', 'notre', 'pierre', 'à', ""l'édifice.""], ['Il', ""s'agit"", 'de', ""l'érythème"", 'súduodens', 'ou', 'cinquième', 'maladie', '(également', 'appelé', 'mégaloérythème),', 'causé', 'par', 'le', 'parvovirus', 'B19.'], ['Il', 'est', 'typique', ""qu'après"", 'un', 'épisode', 'de', 'forte', 'fièvre,', 'un', 'érythème', 'apparaisse', 'sur', 'les', 'deux', 'joues', 'sous', 'la', 'forme', ""d'une"", '""gifle""', 'qui', 'a', 'généralement', 'une', 'extension', 'cranio-caudale', 'dans', 'les', 'jours', 'qui', 'suivent.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
20_110,"[['QUESTION', 'TYPE:', 'INFECTIEUX'], ['CLINICAL', 'CASE:'], ['Patient', 'âgé', 'de', '40', 'ans,', 'fumeur', 'depuis', ""l'âge"", 'de', '18', 'ans', 'et', 'sans', 'antécédents', 'intéressants.'], ['Consultation', 'en', 'raison', ""d'une"", 'histoire', 'de', '24', 'heures', 'de', 'frissons,', 'de', 'fièvre', 'thermométrique', 'de', '39', 'ºC', 'et', 'de', 'toux', 'avec', 'expectoration.'], ['La', 'radiographie', 'du', 'thorax', 'montre', 'une', 'densité', 'accrue', 'avec', 'un', 'motif', 'alvéolaire', 'dans', 'le', 'LSD', 'et', 'le', 'patient', 'est', 'diagnostiqué', 'comme', 'souffrant', ""d'une"", 'PAC.'], ['Quel', 'est', ""l'agent"", 'étiologique', 'le', 'plus', 'fréquent', 'et', 'donc', 'de', 'couverture', 'obligatoire', 'lors', 'du', 'choix', 'du', 'traitement', 'empirique', 'de', ""l'atb"", '?'], ['1-', 'Mycoplasma', 'pneumoniae.'], ['2-', 'Chlamydia', 'pneumoniae.'], ['3-', 'Streptococcus', 'pneumoniae.'], ['4-', 'Legionella', 'pneumophila', 'sérogroupe', '1.'], ['5-', 'Haemophilus', 'influenzae.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'une"", 'question', ""d'épidémiologie"", 'assez', 'facile', ':', 'chez', 'les', 'adultes,', 'en', ""l'absence"", ""d'autres"", 'données,', 'le', 'pneumocoque', 'occupe', 'la', 'première', 'place.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
422_88,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Quel', 'est', 'le', 'traitement', 'de', 'choix', 'pour', 'un', 'homme', 'de', '38', 'ans', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'une', 'maladie', 'de', 'Cushing', 'en', 'rapport', 'avec', 'un', 'macroadénome', 'hypophysaire', 'de', '22', 'mm', 'de', 'diamètre', '?'], ['1-', 'Essayer', ""d'abord"", 'un', 'traitement', 'médical', 'et,', ""s'il"", ""n'est"", 'pas', 'efficace,', 'recourir', 'à', 'la', 'chirurgie.'], ['2-', 'Surrénalectomie.'], ['3-', 'Résection', 'chirurgicale', 'sélective', 'de', ""l'adénome.""], ['4-', 'La', 'radiothérapie', 'pour', 'tenter', 'de', 'réduire', 'la', 'taille', 'de', 'la', 'tumeur.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Bien', 'que', 'la', 'plupart', 'des', 'adénomes', 'produisant', 'de', ""l'ACTH"", 'récidivent,', 'la', 'chirurgie', 'est', 'toujours', 'la', 'première', 'option', 'thérapeutique.'], ['Les', 'médicaments', 'disponibles', '(kétoconazole,', 'analogues', 'de', 'la', 'somatostatine)', 'visent', 'à', 'diminuer', 'les', 'effets', 'de', ""l'excès"", 'de', 'cortisol', 'ou', 'à', 'diminuer', 'la', 'libération', ""d'ACTH,"", 'mais', 'ne', 'sont', 'pas', 'curatifs.']]","[['O', 'O', 'O'], ['O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
348_160,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '45', 'ans,', 'mère', 'de', 'trois', 'enfants,', 'se', 'rend', 'à', 'une', 'consultation', 'pour', 'un', 'diagnostic', 'précoce.'], ['La', 'cytologie', 'cervicovaginale', 'est', 'compatible', 'avec', 'une', 'lésion', 'intraépithéliale', 'malpighienne', 'de', 'haut', 'grade.'], ['Lequel', 'des', 'éléments', 'suivants', 'choisiriez-vous', '?'], ['1-', 'Répéter', 'la', 'cytologie', 'dans', 'un', 'mois.'], ['2-', 'Colposcopie', 'avec', 'biopsie', 'éventuelle.'], ['3-', 'Hystérectomie', 'avec', 'salpingectomie', 'bilatérale', 'et', 'conservation', 'ovarienne.'], ['4-', 'Le', 'curetage', 'fractionné.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'colposcopie', 'est', 'indiquée', 'pour', 'toutes', 'les', 'patientes', 'présentant', 'une', 'cytologie', 'anormale', '(lésion', 'intraépithéliale', 'ou', 'suspicion', 'de', 'cancer', 'invasif', 'ou', ""d'infection"", 'à', 'HPV),', 'en', 'tant', 'que', 'deuxième', 'niveau', 'de', 'dépistage.'], ['Si', 'des', 'lésions', 'sont', 'observées', 'lors', 'de', 'ce', 'test,', 'une', 'biopsie', 'de', 'la', 'lésion', 'doit', 'être', 'effectuée.'], ['Il', 'est', 'inutile', 'de', 'répéter', 'la', 'cytologie', '(car', 'il', ""s'agit"", ""d'un"", 'test', 'de', 'dépistage', 'et', 'non', ""d'un"", 'test', 'de', 'diagnostic),', 'il', ""n'est"", 'pas', 'non', 'plus', 'indiqué', 'de', 'pratiquer', 'une', 'hystérectomie', 'pour', 'une', 'lésion', 'intraépithéliale', 'qui', ""n'a"", 'pas', 'été', 'confirmée', 'par', 'une', 'biopsie,', 'et', 'le', 'curetage', 'de', 'la', 'cavité', 'endométriale', 'ne', 'fournit', 'pas', ""d'informations"", 'puisque', 'la', 'lésion', 'provient', 'du', 'col', 'de', ""l'utérus.""]]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
411_52,"[['QUESTION', 'TYPE:', 'BIOSTATIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'couple', 'ayant', 'un', 'premier', 'enfant', 'de', 'sexe', 'masculin', '(cas', 'index)', 'atteint', 'de', 'fibrose', 'kystique', '(mucoviscidose)', 'se', 'présente', 'pour', 'un', 'conseil', 'génétique.'], ['Le', 'diagnostic', 'moléculaire', 'indique', 'que', 'le', 'cas', 'index', 'est', 'homozygote', 'pour', 'la', 'mutation', 'F5O8del', 'et', 'que', 'ses', 'parents', 'sont', 'porteurs', 'hétérozygotes.'], ['Le', 'généticien', 'clinique', 'les', 'informera', 'sur', 'le', 'mode', 'de', 'transmission', 'de', 'la', 'maladie.'], ['Quelle', 'est', ""l'affirmation"", 'correcte', '?'], ['1-', 'La', 'probabilité', 'que', 'la', 'prochaine', 'descendance', 'soit', 'affectée', 'est', 'de', '25', '%.'], ['2-', 'La', 'probabilité', 'que', 'la', 'progéniture', 'suivante', 'soit', 'affectée', 'est', 'de', '50', '%.'], ['3-', 'Ayant', 'eu', 'un', 'enfant', 'affectueux,', 'la', 'progéniture', 'suivante', 'sera', 'également', 'affectueuse.'], ['4-', 'Ayant', 'eu', 'une', 'descendance', 'homozygote', 'F5O8del,', 'les', 'descendants', 'suivants', 'seront', 'porteurs', 'hétérozygotes', '(67%)', 'ou', 'homozygotes', 'sans', 'la', 'mutation', '(33%).'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Les', 'deux', 'parents', 'sont', 'porteurs', ""d'une"", 'mutation', '(parce', ""qu'ils"", 'ne', 'sont', 'pas', 'malades', 'et', ""qu'ils"", 'ont', 'déjà', 'eu', 'un', 'enfant', 'homozygote),', 'et', 'la', 'progéniture', 'suivante', 'a', '50', '%', 'de', 'chances', 'de', 'recevoir', 'la', 'mutation', 'de', 'chaque', 'parent,', 'de', 'sorte', 'que', 'la', 'probabilité', 'de', 'la', 'recevoir', 'des', 'deux', 'parents', 'est', 'de', '50', '%x50', '%=25', '%.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
590_64,"[['QUESTION', 'TYPE:', 'OPHTHALMOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '68', 'ans', 'qui', 'utilise', 'des', 'lunettes', 'de', '+4,00', 'dioptries', 'pour', 'la', 'vision', 'de', 'loin', 'dans', 'les', 'deux', 'yeux.'], ['Il', 'consulte', 'parce', ""qu'il"", 'souffre', 'depuis', 'quelques', 'semaines', 'de', 'douleurs', 'oculaires', 'accompagnées', 'de', 'maux', 'de', 'tête', 'et', ""d'une"", 'vision', 'floue', 'le', 'soir', ""lorsqu'il"", 'regarde', 'la', 'télévision', 'dans', ""l'obscurité.""], ['Parmi', 'les', 'pathologies', 'suivantes,', 'quelle', 'est', 'celle', 'dont', 'vous', 'êtes', 'le', 'plus', 'susceptible', 'de', 'souffrir', '?'], ['1-', 'Glaucome', 'angulaire', 'primaire.'], ['2-', 'La', 'migraine.'], ['3-', 'La', 'kératite', 'actinique.'], ['4-', 'Le', 'syndrome', 'de', ""l'œil"", 'sec.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Nous', 'sommes', 'en', 'présence', ""d'une"", 'patiente', 'de', '68', 'ans.'], ['À', 'cet', 'âge,', 'bien', 'que', 'le', 'cristallin', 'ne', 'présente', 'normalement', 'pas', 'de', 'cataracte', 'nécessitant', 'une', 'intervention', 'chirurgicale,', 'il', ""s'est"", 'généralement', 'épaissi.'], ['Cela', 'signifie', ""qu'il"", 'projette', ""l'iris"", 'vers', ""l'avant"", 'et', 'réduit', 'la', 'profondeur', 'de', 'la', 'chambre', 'antérieure.'], ['Dans', 'un', 'œil', 'dont', 'la', 'profondeur', 'de', 'la', 'chambre', 'antérieure', 'est', 'normale,', 'cela', 'ne', 'pose', 'généralement', 'pas', 'de', 'problème.'], ['Mais', 'les', 'hypermétropes', 'ont', 'déjà', 'une', 'chambre', 'étroite.'], [""C'est"", 'la', 'combinaison', 'habituelle', 'que', ""l'on"", 'trouve', 'dans', 'la', 'fermeture', 'angulaire', 'primaire', ':', 'hypermétropie', 'et', 'âge', 'supérieur', 'à', '50-60', 'ans.'], ['Les', 'jeunes', 'hypermétropes', ""n'ont"", 'généralement', 'pas', 'encore', 'ce', 'problème.'], ['Il', 'en', 'va', 'de', 'même', 'pour', 'les', 'personnes', 'âgées', 'qui', 'sont', 'emmétropes,', 'myopes', 'ou', 'qui', 'ont', 'subi', 'une', 'opération', 'de', 'la', 'cataracte.'], ['Avec', 'cet', 'angle', 'étroit,', ""c'est"", 'la', 'mydriase', 'qui', 'déclenche', 'la', 'fermeture', 'angulaire.'], [""C'est-à-dire"", 'que', 'dans', 'la', 'pénombre,', 'la', 'pupille', 'se', 'dilate', 'et', ""l'iris"", ""s'épaissit"", 'dans', 'sa', 'partie', 'périphérique,', 'où', 'il', 'est', 'déjà', 'très', 'proche', 'de', ""l'endothélium"", 'cornéen', 'dans', 'le', 'cas', ""d'une"", 'chambre', 'étroite.'], ['La', 'mydriase', 'déclenche', 'alors', 'la', 'fermeture', 'angulaire,', 'qui', ""s'accompagne"", ""d'une"", 'douleur', 'oculaire', 'pouvant', 'irradier', 'vers', ""l'arrière"", '(céphalée).'], [""L'augmentation"", 'de', 'la', 'pression', 'intraoculaire', 'entraîne', 'un', 'œdème', 'de', 'la', 'cornée', 'qui', 'provoque', 'une', 'vision', 'floue.'], ['Par', 'conséquent,', ""l'option"", '1', 'est', 'la', 'bonne.'], ['La', 'migraine', ""n'est"", 'pas', 'nécessairement', 'liée', 'à', 'la', 'pénombre,', 'et', 'les', 'douleurs', 'oculaires', 'et', 'la', 'vision', 'floue', 'ne', 'sont', 'pas', 'particulièrement', 'typiques.'], ['La', 'kératite', 'actinique', 'est', 'causée', 'par', ""l'exposition"", 'aux', 'rayons', 'ultraviolets', '(tels', 'que', 'le', 'rayonnement', 'solaire)', 'et', ""n'est"", 'pas', 'liée', 'à', ""l'hypermétropie"", 'ou', 'au', 'fait', ""d'être"", 'dans', 'la', 'pénombre.'], ['En', 'outre,', 'les', 'antécédents', ""d'exposition"", 'sont', 'généralement', 'clairs.'], ['Enfin,', 'la', 'sécheresse', 'oculaire', 'ne', 'produit', 'pas', 'non', 'plus', 'ces', 'symptômes', ':', 'il', ""s'agit"", 'plutôt', ""d'une"", 'sensation', 'de', 'brûlure,', 'de', 'corps', 'étranger,', 'de', 'lourdeur,', 'etc.'], ['Elle', ""n'est"", 'pas', 'non', 'plus', 'liée', 'aux', 'autres', 'éléments', ':', 'pénombre,', 'hypermétropie,', 'etc.'], ['Un', 'petit', 'détail,', ""j'aurais"", 'mieux', 'formulé', 'la', 'question.'], ['Il', 'est', 'entendu', ""qu'on"", 'nous', 'demande', 'quelle', 'est', 'la', 'pathologie', 'la', 'plus', 'probable', 'par', 'rapport', 'aux', 'symptômes', 'et', 'à', ""l'anamnèse.""], ['Mais', 'tel', ""qu'il"", 'est', 'formulé,', 'on', 'nous', 'demande', 'quelle', 'est', 'la', 'pathologie', 'la', 'plus', 'susceptible', ""d'être"", 'présente,', 'sans', 'autre', 'forme', 'de', 'procès.'], ['Une', 'femme', 'de', '68', 'ans', 'est', 'très', 'probablement', 'atteinte', 'de', 'sécheresse', 'oculaire,', 'même', 'si', 'celle-ci', ""n'est"", 'pas', 'à', ""l'origine"", 'des', 'symptômes', 'pour', 'lesquels', 'elle', 'consulte.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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86_51,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'VASCULAIRE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '26', 'ans,', 'asymptomatique', 'et', 'sans', 'antécédents,', 'présente', 'à', ""l'examen"", 'un', 'souffle', 'mésosystolique', 'au', 'niveau', 'du', 'foyer', 'aortique', 'et', 'du', 'bord', 'parasternal', 'gauche', 'qui', 'augmente', 'lors', 'de', 'la', 'manœuvre', 'de', 'Valsalva.'], ['La', 'tension', 'artérielle', 'et', 'les', 'pouls', 'périphériques', 'sont', 'normaux', 'et', ""l'ECG"", 'montre', 'des', 'signes', ""d'élargissement"", 'marqué', 'du', 'ventricule', 'gauche', 'et', 'des', 'ondes', 'T', 'négatives', 'très', 'profondes', 'en', 'V3,', 'V4,', 'V5', 'et', 'V6.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Souffle', 'fonctionnel.'], ['2-', 'Sténose', 'aortique.'], ['3-', 'Insuffisance', 'aortique.'], ['4-', 'La', 'cardiomyopathie', 'hypertrophique.'], ['5-', 'La', 'déficience', 'septale', 'ventriculaire.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Un', 'jeune', 'homme', 'présentant', 'un', 'souffle', 'systolique', 'aortique', 'qui', 'augmente', 'lors', 'de', 'la', 'manœuvre', 'de', 'Valsalva', 'et', 'des', 'signes', ""d'hypertrophie"", 'du', 'ventricule', 'gauche', 'est', 'presque', 'un', '""portrait""', 'des', 'résultats', 'typiques', 'de', 'la', 'cardiomyopathie', 'hypertrophique.'], ['Question', 'très', 'simple.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O']]"
498_129,,
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618_119,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '13', 'ans,', 'sans', 'antécédents', 'pertinents,', 'avec', 'ménarche', 'depuis', '3', 'mois,', 'suivie', 'depuis', ""l'âge"", 'de', '10', 'ans', 'pour', 'une', 'scoliose', 'idiopathique', 'qui', ""s'est"", 'aggravée.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'bosse', 'de', '7', 'degrés', 'au', 'test', ""d'Adams"", 'et,', 'sur', 'le', 'scoliogramme,', 'une', 'courbe', 'thoraco-lombaire', 'T4-L1', 'de', '35', 'degrés', 'de', 'Cobb', 'et', 'un', 'Risser', 'de', '0', ':'], ['1-', 'Recommander', 'la', 'natation', 'et', 'revoir', 'la', 'situation', 'dans', 'trois', 'mois.'], ['2-', 'Prescrire', 'une', 'orthèse', 'de', 'type', 'brace.'], ['3-', 'Consulter', 'un', 'kinésithérapeute', 'pour', ""l'élasticité"", 'de', 'la', 'colonne', 'vertébrale.'], ['4-', 'Réexamen', 'dans', '6', 'mois', 'avec', 'une', 'nouvelle', 'radiographie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Le', 'traitement', 'avec', 'un', 'appareil', 'de', 'Risser', 'de', '0', 'à', '2', 'peut', 'être', 'envisagé', 'car', 'il', 'y', 'a', 'encore', 'de', 'la', 'croissance', 'à', 'faire', 'et', 'la', 'correction', 'peut', 'avoir', 'lieu.'], ['Son', 'utilisation', 'est', 'envisagée', 'pour', 'des', 'courbes', 'comprises', 'entre', '30', 'et', '40º.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"