bigbio/mediqa_rqe · Datasets at Hugging Face

id stringlengths 1 4	document_id stringlengths 1 4	text_1 stringlengths 15 613	text_2 stringlengths 0 214	label stringclasses 2 values
301	301	This is a little old lady with diverticulitis and diarrhea, acutely ill. She had hirsutism as a teenager and they irradiated her adrenals. Do I need to cover her with steroids?	Little old lady diverticulitis, previous radiation adrenals. Give steroids now?	true
302	302	This is a little old lady with diverticulitis and diarrhea, acutely ill. She had hirsutism as a teenager and they irradiated her adrenals. Do I need to cover her with steroids?	At what ages should you do a Denver Developmental Screening Test?	false
303	303	Kindergarten physical. 7-8 red blood cells on urinalysis. No protein, no illness. How far do you pursue this?	Kindergarten physical, 7-8 red blood cells on urinalysis, otherwise normal. How far do you pursue this?	true
304	304	Kindergarten physical. 7-8 red blood cells on urinalysis. No protein, no illness. How far do you pursue this?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
305	305	German exchange student. German physician said she needs another diphtheria-tetanus immunization. But I looked at her records from Germany and she was fully immunized, just had one 2 months ago. So what do you do?	German exchange student, German physician said she needs diphtheria-tetanus toxoid but fully immunized.	true
306	306	I had an alcoholic in the hospital last week for treatment for withdrawal and the question was, "What day do the seizures usually come?"	Alcoholic patient in hospital for withdrawal. What day do the seizures usually come?	true
307	307	I had an alcoholic in the hospital last week for treatment for withdrawal and the question was, "What day do the seizures usually come?"	Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?	false
308	308	A little girl with viral gastroenteritis and high fever. Had one metamyelocyte on her peripheral smear. What to do about it? Was it just a lab error?	Girl, viral gastroenteritis, 1 metamyelocyte on peripheral smear. What to do?	true
309	309	A little old lady Vitamin A user. She had some skin problems 3 months ago and self-medicated with Vitamin A, 2 tablets per day which is 8000 units per day. Is that enough to give you toxicity?	Old lady Vitamin A user (8000 units/day). Is that enough to give you toxicity?	true
310	310	A Henoch-Schoenlein-purpura patient. What's the source of the hemorrhage? Low platelets? Vasculitis?	Henoch Schoenlein purpura. What causes hemorrhage? Low platelets? Vasculitis?	true
311	311	What was causing her prolonged pyrexia? Laboratory work normal. Watched her (sat on it) for five months. Then noted neck mass.	What was causing her prolonged pyrexia? Watched her (sat on it) for 5 months.	true
312	312	What was causing her prolonged pyrexia? Laboratory work normal. Watched her (sat on it) for five months. Then noted neck mass.	What size pills does digoxin come in?	false
313	313	He has shown no improvement with three weeks of therapy for Bell's palsy -- still complete facial paralysis on the left side. When does he need more intervention? Dr. X usually sees improvement by now.	Bell's palsy, no improvement after 3 weeks. When does he need more intervention?	true
314	314	He has shown no improvement with three weeks of therapy for Bell's palsy -- still complete facial paralysis on the left side. When does he need more intervention? Dr. X usually sees improvement by now.	How should I treat polymenorrhea in a 14-year-old girl?	false
315	315	I haven't treated mastitis in awhile -- is there anything new being used for treatment?	I haven't treated mastitis in a while. Is there anything new being used?	true
316	316	I haven't treated mastitis in awhile -- is there anything new being used for treatment?	How should I treat polymenorrhea in a 14-year-old girl?	false
317	317	What drug for mastitis can be used safely while breast feeding for penicillin-sensitive patient?	What drug for mastitis can be used while breast feeding in penicillin allergic patient?	true
318	318	What drug for mastitis can be used safely while breast feeding for penicillin-sensitive patient?	How do you inject the bicipital tendon?	false
319	319	A 45-year-old female experienced dramatic worsening of Meniere's Disease when on alprazolam and wants to take Xanax instead. Is the worsening due to the generic form of the drug? Or is she only convinced that it is? Will Title XIX pay for it?	Meniere's Disease worse on generic alprazolam. Is worsening due to generic form?	true
320	320	A 45-year-old female experienced dramatic worsening of Meniere's Disease when on alprazolam and wants to take Xanax instead. Is the worsening due to the generic form of the drug? Or is she only convinced that it is? Will Title XIX pay for it?	How should I treat polymenorrhea in a 14-year-old girl?	false
321	321	A 45-year-old male came to office earlier (a few days ago) and said he wonders if dialysis could cause his headaches to get worse -- they seem worse after dialysis. Question is whether the dialysis procedure could accelerate the headaches?	45-year-old man on dialysis. Could dialysis cause his headaches to get worse?	true
322	322	A 45-year-old male came to office earlier (a few days ago) and said he wonders if dialysis could cause his headaches to get worse -- they seem worse after dialysis. Question is whether the dialysis procedure could accelerate the headaches?	What is the dose of Sporanox?	false
323	323	68-year-old female came in for Papanicolaou smear and physical examination. Her husband said, "Have you told the doctor about your sleep apnea?" What are those spells that her husband calls sleep apnea?	68-year-old woman, husband: "Have you told about sleep apnea?" What are those spells?	true
324	324	68-year-old female came in for Papanicolaou smear and physical examination. Her husband said, "Have you told the doctor about your sleep apnea?" What are those spells that her husband calls sleep apnea?	Let's give these immunizations. That's right isn't it?	false
325	325	If you just have serous otitis, I have in my mind that this resolves faster with antibiotics. I couldn't cite an article. I believe that but is it true? Every time I say that to a patient, I say to myself I should go back and check.	If you just have serous otitis, does it resolve faster with antibiotics?	true
326	326	If you just have serous otitis, I have in my mind that this resolves faster with antibiotics. I couldn't cite an article. I believe that but is it true? Every time I say that to a patient, I say to myself I should go back and check.	How should I treat polymenorrhea in a 14-year-old girl?	false
327	327	People with recurrent sinusitis. When I was in practice (he's now in urgicenter), I used to get nasal cultures and sometimes I would get interesting results like Staphylococcus aureus. What's the role of nasal cultures in patients with recurrent sinusitis?	In patient with recurrent sinusitis, what is the role of nasal cultures?	true
328	328	People with recurrent sinusitis. When I was in practice (he's now in urgicenter), I used to get nasal cultures and sometimes I would get interesting results like Staphylococcus aureus. What's the role of nasal cultures in patients with recurrent sinusitis?	Let's give these immunizations. That's right isn't it?	false
329	329	I don't know if there is a handy reference to ophthalmologic drugs because some are in this reference and some aren't.	Is there a handy reference to ophthalmologic drugs?	true
330	330	I don't know if there is a handy reference to ophthalmologic drugs because some are in this reference and some aren't.	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
331	331	What's the dose of Tenuate and do they still make it? Patient interested. But Dr. X decided to use fenfluramine-phentermine anyway.	What's the dose of Tenuate and do they still make it? Patient interested.	true
332	332	How do you treat pediculosis pubis in the eyelid? Asked of participant by different physician in group but it then became Dr. X's question.	How do you treat pediculosis pubis in the eyelid?	true
333	333	It's not crystal clear what's going on with her. I may treat her for diverticulitis. I've seen diverticulitis in a patient as young as 19-year-old. (This patient is in her 20's.)	It's not clear what's going on with her. I may treat her for diverticulitis.	true
334	334	It's not crystal clear what's going on with her. I may treat her for diverticulitis. I've seen diverticulitis in a patient as young as 19-year-old. (This patient is in her 20's.)	How should I treat polymenorrhea in a 14-year-old girl?	false
335	335	17-year-old for a Reserve Officers' Training Corps physical. He has a Grade I to II systolic murmur. Should he get an echocardiogram?	17-year-old Reserve Officers' Training Corps (ROTC) physical, has Grade I to II systolic murmur. Should he get an echocardiogram?	true
336	336	17-year-old for a Reserve Officers' Training Corps physical. He has a Grade I to II systolic murmur. Should he get an echocardiogram?	What antibiotic should I use for this diabetic patient's infected foot ulcer?	false
337	337	I'll have to look this up -- how to measure the voltage on an electrocardiogram. What do you add to what to diagnose ventricular hypertrophy?	What do you add to what to diagnose ventricular hypertrophy on an electrocardiogram?	true
338	338	I'll have to look this up -- how to measure the voltage on an electrocardiogram. What do you add to what to diagnose ventricular hypertrophy?	I wonder if this patient could have a rotator cuff thing?	false
339	339	How can I keep up with all this paperwork?	How can I keep up with all this paperwork?	true
340	340	It seems like an inflammatory thing but I'm not sure what's going on (patient with elbow pain, can't straighten elbow).	Patient with elbow pain. Seems like an inflammatory thing but I'm not sure.	true
341	341	It seems like an inflammatory thing but I'm not sure what's going on (patient with elbow pain, can't straighten elbow).	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
342	342	This is the 64-thousand-dollar question. When do you refer a patient with head trauma for a computerized tomography (CT)? 99 out of 100 will be okay but I remember a couple of horror stories.	When do you refer a patient with head trauma for a computerized tomography (CT)?	true
343	343	This is the 64-thousand-dollar question. When do you refer a patient with head trauma for a computerized tomography (CT)? 99 out of 100 will be okay but I remember a couple of horror stories.	How do you use Redux? What are the indications?	false
344	344	This patient has a cervical radiculopathy with numbness of all four fingers (not the thumb). X-rays show foraminal narrowing at cervical spine level 5-6 (C5-6). What fingers are innervated by C5-6?	X-rays show foraminal narrowing at cervical spine level 5-6 (C5-6). What fingers are innervated by C5-6?	true
345	345	Could any of her medications cause her to be incontinent? She's on thioridazine, carbamazepine, Klonopin, theophylline, Premarin, trazodone.	Could any of her medications cause her to be incontinent?	true
346	346	Could any of her medications cause her to be incontinent? She's on thioridazine, carbamazepine, Klonopin, theophylline, Premarin, trazodone.	How should I treat polymenorrhea in a 14-year-old girl?	false
347	347	This is a 7-year-old girl, mother calling regarding treatment for urinary tract infection, she weighs 57 pounds, what is the dose of Bactrim?	What is the dose of Bactrim for a 7-year-old, 57-pound girl with a urinary tract infection?	true
348	348	This is a 7-year-old girl, mother calling regarding treatment for urinary tract infection, she weighs 57 pounds, what is the dose of Bactrim?	Is melatonin good for anything? What is the dose?	false
349	349	57-year-old farm wife called and said veterinarian came and found rabies in a calf, brain sent to tertiary center X. Recommended that family be immunized against rabies. Do they really need rabies shots?	57-year-old farm wife, rabies in a calf. Does the family really need rabies shots?	true
350	350	What's the dose of Compazine suppositories?	What's the dose of Compazine suppositories?	true
351	351	What size package does Compazine come in?	What size package does Compazine come in?	true
352	352	What is Legatrin?	What is Legatrin?	true
353	353	Old guy with fatigue and poor appetite, smoker, what's causing his fatigue?	Old guy with fatigue and poor appetite, smoker, what's causing his fatigue?	true
354	354	Old guy with fatigue and poor appetite, smoker, what's causing his fatigue?	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
355	355	Lymph nodes -- when do you refer and when do you just watch?	Lymph nodes -- when do you refer and when do you just watch?	true
356	356	Lymph nodes -- when do you refer and when do you just watch?	What size pills does digoxin come in?	false
357	357	72-year-old female seen last Thursday for swollen lip and side of face, treated with ice and Benadryl and it went away in 24 hours. Now returns - at noon today swelling recurred with tongue and gums now swollen. What is causing the swelling?	72-year-old female, swollen lip and side of face. What is causing the swelling?	true
358	358	72-year-old female seen last Thursday for swollen lip and side of face, treated with ice and Benadryl and it went away in 24 hours. Now returns - at noon today swelling recurred with tongue and gums now swollen. What is causing the swelling?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
359	359	Patient didn't tell Dr. X she was breastfeeding and he ordered Tagamet -- when she went to pharmacy, pharmacist and patient decided best not to use it. Dr. X questioned whether it's okay to use Tagamet while breastfeeding.	Is it okay to use Tagamet while breastfeeding?	true
360	360	Patient didn't tell Dr. X she was breastfeeding and he ordered Tagamet -- when she went to pharmacy, pharmacist and patient decided best not to use it. Dr. X questioned whether it's okay to use Tagamet while breastfeeding.	What is the other drug besides Famvir and acyclovir for Herpes Zoster?	false
361	361	Second infectious-mononucleosis test today negative. Question is are we all using the same mononucleosis test (Private lab X, hospital lab, this office)? He feels there about 25% false positives (sic, meant negatives) with this test.	Second infectious mononucleosis test negative. Is it a false positive (sic, meant negative)?	true
362	362	Second infectious-mononucleosis test today negative. Question is are we all using the same mononucleosis test (Private lab X, hospital lab, this office)? He feels there about 25% false positives (sic, meant negatives) with this test.	How do you use Redux? What are the indications?	false
363	363	What is the effect of oxygen therapy on cluster headaches. Patient requested this therapy based on past history of this treatment relieving his headaches. Several years ago his doctor in town X prescribed it and it helped.	What is the effect of oxygen therapy on cluster headaches? Patient requested it.	true
364	364	27-year-old female. Patient called in and nurse discussed her with her doctor. He didn't see the patient. Today he ordered Levsin -- told nurse he didn't know the strength but give plain tablets and call in order to pharmacist.	What is the dose of Levsin?	true
365	365	Can Seldane and Zithromax be used together? Patient phone in -- nurses discussed this with Dr. X -- he did not see patient today. Saw her earlier in the week. They did order Cefotan however -- he wasn't sure about Zithromax at first.	Can Seldane and Zithromax be used together?	true
366	366	Can Seldane and Zithromax be used together? Patient phone in -- nurses discussed this with Dr. X -- he did not see patient today. Saw her earlier in the week. They did order Cefotan however -- he wasn't sure about Zithromax at first.	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
367	367	Is it really worth using hormone replacement therapy in this woman who now has spotting and will require an endometrial biopsy?	Is it worth using hormone replacement therapy in this woman with spotting who will need endometrial biopsy?	true
368	368	Is it really worth using hormone replacement therapy in this woman who now has spotting and will require an endometrial biopsy?	What are the indications for getting a digoxin level?	false
369	369	In a patient with acute pancreatitis, after it has resolved, do you always need to x-ray the stomach? I always do both the gall bladder and the stomach but do you always need to x-ray the stomach?	Acute pancreatitis, now resolved. Need to x-ray both stomach and gallbladder versus just gallbladder?	true
370	370	In a patient with acute pancreatitis, after it has resolved, do you always need to x-ray the stomach? I always do both the gall bladder and the stomach but do you always need to x-ray the stomach?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
371	371	What is the name of that new drug that is like Prilosec? It has "acid" at the end of the name.	What is that new drug like Prilosec - it has "acid" at the end of the name.	true
372	372	What is the normal flora of a hamster's mouth?	What is the normal flora of a hamster's mouth?	true
373	373	What is the best treatment for a callus? What should be the frequency of paring? I put on a donut pad, will that help prevent it?	What is the best treatment for a callus? Frequency of paring? Donut pad?	true
374	374	What is the dose of Pediazole?	What is the dose of Pediazole?	true
375	375	What is the dose of Pediazole?	How should I treat polymenorrhea in a 14-year-old girl?	false
376	376	Does imipramine come as a 25-milligram tablet?	Does imipramine come as a 25-milligram tablet?	true
377	377	Does imipramine come as a 25-milligram tablet?	How should I treat polymenorrhea in a 14-year-old girl?	false
378	378	What is the dose of imipramine for a 10-year-old boy?	What is the dose of imipramine for a 10-year-old boy?	true
379	379	What is the dose of imipramine for a 10-year-old boy?	How should I treat polymenorrhea in a 14-year-old girl?	false
380	380	What is the maximum dose of atenolol?	What is the maximum dose of atenolol?	true
381	381	What is the maximum dose of atenolol?	How should I treat polymenorrhea in a 14-year-old girl?	false
382	382	What is the maximum dose of Vasotec?	What is the maximum dose of Vasotec?	true
383	383	What is the maximum dose of Dynacirc?	What is the maximum dose of Dynacirc?	true
384	384	How do you remove the memory from the Glucotrol Elite Glucometer?	How do you remove the memory from the Glucotrol Elite Glucometer?	true
385	385	How do you remove the memory from the Glucotrol Elite Glucometer?	How should I treat polymenorrhea in a 14-year-old girl?	false
386	386	What is the dose of Bactrim for this 40-pound child?	What is the dose of Bactrim for this 40-pound child?	true
387	387	What is the dose of Bactrim for this 40-pound child?	Let's give these immunizations. That's right isn't it?	false
388	388	What should I do with this organic-personality-disorder patient with a subtherapeutic Depakote level but who is clinically stable?	Organic personality disorder patient. What to do with subtherapeutic Depakote level?	true
389	389	What should I do with this organic-personality-disorder patient with a subtherapeutic Depakote level but who is clinically stable?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
390	390	What are the New York Heart Association classes I - IV? Where is an explanation of these?	What are New York Heart Association classes I - IV? Where to find explanation?	true
391	391	What are the New York Heart Association classes I - IV? Where is an explanation of these?	What antibiotic should I use for this diabetic patient's infected foot ulcer?	false
392	392	What is the best treatment of hypercholesterolemia? The patient is already on two drugs.	What is best treatment for hypercholesterolemia? Patient already on two drugs.	true
393	393	What is the best treatment of hypercholesterolemia? The patient is already on two drugs.	How should I treat polymenorrhea in a 14-year-old girl?	false
394	394	Are there any interactions between Biaxin and Depakote?	Are there any interactions between Biaxin and Depakote?	true
395	395	Are there any interactions between Biaxin and Depakote?	How do you inject the bicipital tendon?	false
396	396	What asthma inhaler is blue and white?	What asthma inhaler is blue and white?	true
397	397	What asthma inhaler is blue and white?	What is in Ortho Novum 1/35?	false
398	398	80-year-old female. Why is she losing weight? Has well-controlled congestive heart failure. Patient says she isn't eating well and dentures don't fit well. Dr. X ordered thyroid stimulating hormone -- says he does it routinely. Dental appointment.	80-year-old female. Why is she losing weight? Well-controlled congestive heart failure, dentures don't fit.	true
399	399	80-year-old female. Why is she losing weight? Has well-controlled congestive heart failure. Patient says she isn't eating well and dentures don't fit well. Dr. X ordered thyroid stimulating hormone -- says he does it routinely. Dental appointment.	I wonder if this patient could have a rotator cuff thing?	false
400	400	Why is she fatigued? This is follow-up visit. Automated blood count abnormal but done by hand was normal. Doing thyroxine today since thyroid stimulating hormone was elevated. Patient smokes 1 1/2 packs per day. Trying to cut back.	Why is she fatigued?	true

301

This is a little old lady with diverticulitis and diarrhea, acutely ill. She had hirsutism as a teenager and they irradiated her adrenals. Do I need to cover her with steroids?

Little old lady diverticulitis, previous radiation adrenals. Give steroids now?

true

302

This is a little old lady with diverticulitis and diarrhea, acutely ill. She had hirsutism as a teenager and they irradiated her adrenals. Do I need to cover her with steroids?

At what ages should you do a Denver Developmental Screening Test?

false

303

Kindergarten physical. 7-8 red blood cells on urinalysis. No protein, no illness. How far do you pursue this?

Kindergarten physical, 7-8 red blood cells on urinalysis, otherwise normal. How far do you pursue this?

true

304

Kindergarten physical. 7-8 red blood cells on urinalysis. No protein, no illness. How far do you pursue this?

Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?

false

305

German exchange student. German physician said she needs another diphtheria-tetanus immunization. But I looked at her records from Germany and she was fully immunized, just had one 2 months ago. So what do you do?

German exchange student, German physician said she needs diphtheria-tetanus toxoid but fully immunized.

true

306

I had an alcoholic in the hospital last week for treatment for withdrawal and the question was, "What day do the seizures usually come?"

Alcoholic patient in hospital for withdrawal. What day do the seizures usually come?

true

307

I had an alcoholic in the hospital last week for treatment for withdrawal and the question was, "What day do the seizures usually come?"

Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?

false

308

A little girl with viral gastroenteritis and high fever. Had one metamyelocyte on her peripheral smear. What to do about it? Was it just a lab error?

Girl, viral gastroenteritis, 1 metamyelocyte on peripheral smear. What to do?

true

309

A little old lady Vitamin A user. She had some skin problems 3 months ago and self-medicated with Vitamin A, 2 tablets per day which is 8000 units per day. Is that enough to give you toxicity?

Old lady Vitamin A user (8000 units/day). Is that enough to give you toxicity?

true

310

A Henoch-Schoenlein-purpura patient. What's the source of the hemorrhage? Low platelets? Vasculitis?

Henoch Schoenlein purpura. What causes hemorrhage? Low platelets? Vasculitis?

true

311

What was causing her prolonged pyrexia? Laboratory work normal. Watched her (sat on it) for five months. Then noted neck mass.

What was causing her prolonged pyrexia? Watched her (sat on it) for 5 months.

true

312

What was causing her prolonged pyrexia? Laboratory work normal. Watched her (sat on it) for five months. Then noted neck mass.

What size pills does digoxin come in?

false

313

He has shown no improvement with three weeks of therapy for Bell's palsy -- still complete facial paralysis on the left side. When does he need more intervention? Dr. X usually sees improvement by now.

Bell's palsy, no improvement after 3 weeks. When does he need more intervention?

true

314

He has shown no improvement with three weeks of therapy for Bell's palsy -- still complete facial paralysis on the left side. When does he need more intervention? Dr. X usually sees improvement by now.

How should I treat polymenorrhea in a 14-year-old girl?

false

315

I haven't treated mastitis in awhile -- is there anything new being used for treatment?

I haven't treated mastitis in a while. Is there anything new being used?

true

316

I haven't treated mastitis in awhile -- is there anything new being used for treatment?

How should I treat polymenorrhea in a 14-year-old girl?

false

317

What drug for mastitis can be used safely while breast feeding for penicillin-sensitive patient?

What drug for mastitis can be used while breast feeding in penicillin allergic patient?

true

318

What drug for mastitis can be used safely while breast feeding for penicillin-sensitive patient?

How do you inject the bicipital tendon?

false

319

A 45-year-old female experienced dramatic worsening of Meniere's Disease when on alprazolam and wants to take Xanax instead. Is the worsening due to the generic form of the drug? Or is she only convinced that it is? Will Title XIX pay for it?

Meniere's Disease worse on generic alprazolam. Is worsening due to generic form?

true

320

A 45-year-old female experienced dramatic worsening of Meniere's Disease when on alprazolam and wants to take Xanax instead. Is the worsening due to the generic form of the drug? Or is she only convinced that it is? Will Title XIX pay for it?

How should I treat polymenorrhea in a 14-year-old girl?

false

321

A 45-year-old male came to office earlier (a few days ago) and said he wonders if dialysis could cause his headaches to get worse -- they seem worse after dialysis. Question is whether the dialysis procedure could accelerate the headaches?

45-year-old man on dialysis. Could dialysis cause his headaches to get worse?

true

322

A 45-year-old male came to office earlier (a few days ago) and said he wonders if dialysis could cause his headaches to get worse -- they seem worse after dialysis. Question is whether the dialysis procedure could accelerate the headaches?

What is the dose of Sporanox?

false

323

68-year-old female came in for Papanicolaou smear and physical examination. Her husband said, "Have you told the doctor about your sleep apnea?" What are those spells that her husband calls sleep apnea?

68-year-old woman, husband: "Have you told about sleep apnea?" What are those spells?

true

324

68-year-old female came in for Papanicolaou smear and physical examination. Her husband said, "Have you told the doctor about your sleep apnea?" What are those spells that her husband calls sleep apnea?

Let's give these immunizations. That's right isn't it?

false

325

If you just have serous otitis, I have in my mind that this resolves faster with antibiotics. I couldn't cite an article. I believe that but is it true? Every time I say that to a patient, I say to myself I should go back and check.

If you just have serous otitis, does it resolve faster with antibiotics?

true

326

If you just have serous otitis, I have in my mind that this resolves faster with antibiotics. I couldn't cite an article. I believe that but is it true? Every time I say that to a patient, I say to myself I should go back and check.

How should I treat polymenorrhea in a 14-year-old girl?

false

327

People with recurrent sinusitis. When I was in practice (he's now in urgicenter), I used to get nasal cultures and sometimes I would get interesting results like Staphylococcus aureus. What's the role of nasal cultures in patients with recurrent sinusitis?

In patient with recurrent sinusitis, what is the role of nasal cultures?

true

328

People with recurrent sinusitis. When I was in practice (he's now in urgicenter), I used to get nasal cultures and sometimes I would get interesting results like Staphylococcus aureus. What's the role of nasal cultures in patients with recurrent sinusitis?

Let's give these immunizations. That's right isn't it?

false

329

I don't know if there is a handy reference to ophthalmologic drugs because some are in this reference and some aren't.

Is there a handy reference to ophthalmologic drugs?

true

330

I don't know if there is a handy reference to ophthalmologic drugs because some are in this reference and some aren't.

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

331

What's the dose of Tenuate and do they still make it? Patient interested. But Dr. X decided to use fenfluramine-phentermine anyway.

What's the dose of Tenuate and do they still make it? Patient interested.

true

332

How do you treat pediculosis pubis in the eyelid? Asked of participant by different physician in group but it then became Dr. X's question.

How do you treat pediculosis pubis in the eyelid?

true

333

It's not crystal clear what's going on with her. I may treat her for diverticulitis. I've seen diverticulitis in a patient as young as 19-year-old. (This patient is in her 20's.)

It's not clear what's going on with her. I may treat her for diverticulitis.

true

334

It's not crystal clear what's going on with her. I may treat her for diverticulitis. I've seen diverticulitis in a patient as young as 19-year-old. (This patient is in her 20's.)

How should I treat polymenorrhea in a 14-year-old girl?

false

335

17-year-old for a Reserve Officers' Training Corps physical. He has a Grade I to II systolic murmur. Should he get an echocardiogram?

17-year-old Reserve Officers' Training Corps (ROTC) physical, has Grade I to II systolic murmur. Should he get an echocardiogram?

true

336

17-year-old for a Reserve Officers' Training Corps physical. He has a Grade I to II systolic murmur. Should he get an echocardiogram?

What antibiotic should I use for this diabetic patient's infected foot ulcer?

false

337

I'll have to look this up -- how to measure the voltage on an electrocardiogram. What do you add to what to diagnose ventricular hypertrophy?

What do you add to what to diagnose ventricular hypertrophy on an electrocardiogram?

true

338

I'll have to look this up -- how to measure the voltage on an electrocardiogram. What do you add to what to diagnose ventricular hypertrophy?

I wonder if this patient could have a rotator cuff thing?

false

339

How can I keep up with all this paperwork?

true

340

It seems like an inflammatory thing but I'm not sure what's going on (patient with elbow pain, can't straighten elbow).

Patient with elbow pain. Seems like an inflammatory thing but I'm not sure.

true

341

It seems like an inflammatory thing but I'm not sure what's going on (patient with elbow pain, can't straighten elbow).

Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?

false

342

This is the 64-thousand-dollar question. When do you refer a patient with head trauma for a computerized tomography (CT)? 99 out of 100 will be okay but I remember a couple of horror stories.

When do you refer a patient with head trauma for a computerized tomography (CT)?

true

343

This is the 64-thousand-dollar question. When do you refer a patient with head trauma for a computerized tomography (CT)? 99 out of 100 will be okay but I remember a couple of horror stories.

How do you use Redux? What are the indications?

false

344

This patient has a cervical radiculopathy with numbness of all four fingers (not the thumb). X-rays show foraminal narrowing at cervical spine level 5-6 (C5-6). What fingers are innervated by C5-6?

X-rays show foraminal narrowing at cervical spine level 5-6 (C5-6). What fingers are innervated by C5-6?

true

345

Could any of her medications cause her to be incontinent? She's on thioridazine, carbamazepine, Klonopin, theophylline, Premarin, trazodone.

Could any of her medications cause her to be incontinent?

true

346

Could any of her medications cause her to be incontinent? She's on thioridazine, carbamazepine, Klonopin, theophylline, Premarin, trazodone.

How should I treat polymenorrhea in a 14-year-old girl?

false

347

This is a 7-year-old girl, mother calling regarding treatment for urinary tract infection, she weighs 57 pounds, what is the dose of Bactrim?

What is the dose of Bactrim for a 7-year-old, 57-pound girl with a urinary tract infection?

true

348

This is a 7-year-old girl, mother calling regarding treatment for urinary tract infection, she weighs 57 pounds, what is the dose of Bactrim?

Is melatonin good for anything? What is the dose?

false

349

57-year-old farm wife called and said veterinarian came and found rabies in a calf, brain sent to tertiary center X. Recommended that family be immunized against rabies. Do they really need rabies shots?

57-year-old farm wife, rabies in a calf. Does the family really need rabies shots?

true

350

What's the dose of Compazine suppositories?

true

351

What size package does Compazine come in?

true

352

What is Legatrin?

true

353

Old guy with fatigue and poor appetite, smoker, what's causing his fatigue?

true

354

Old guy with fatigue and poor appetite, smoker, what's causing his fatigue?

Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?

false

355

Lymph nodes -- when do you refer and when do you just watch?

true

356

Lymph nodes -- when do you refer and when do you just watch?

What size pills does digoxin come in?

false

357

72-year-old female seen last Thursday for swollen lip and side of face, treated with ice and Benadryl and it went away in 24 hours. Now returns - at noon today swelling recurred with tongue and gums now swollen. What is causing the swelling?

72-year-old female, swollen lip and side of face. What is causing the swelling?

true

358

72-year-old female seen last Thursday for swollen lip and side of face, treated with ice and Benadryl and it went away in 24 hours. Now returns - at noon today swelling recurred with tongue and gums now swollen. What is causing the swelling?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

359

Patient didn't tell Dr. X she was breastfeeding and he ordered Tagamet -- when she went to pharmacy, pharmacist and patient decided best not to use it. Dr. X questioned whether it's okay to use Tagamet while breastfeeding.

Is it okay to use Tagamet while breastfeeding?

true

360

Patient didn't tell Dr. X she was breastfeeding and he ordered Tagamet -- when she went to pharmacy, pharmacist and patient decided best not to use it. Dr. X questioned whether it's okay to use Tagamet while breastfeeding.

What is the other drug besides Famvir and acyclovir for Herpes Zoster?

false

361

Second infectious-mononucleosis test today negative. Question is are we all using the same mononucleosis test (Private lab X, hospital lab, this office)? He feels there about 25% false positives (sic, meant negatives) with this test.

Second infectious mononucleosis test negative. Is it a false positive (sic, meant negative)?

true

362

Second infectious-mononucleosis test today negative. Question is are we all using the same mononucleosis test (Private lab X, hospital lab, this office)? He feels there about 25% false positives (sic, meant negatives) with this test.

How do you use Redux? What are the indications?

false

363

What is the effect of oxygen therapy on cluster headaches. Patient requested this therapy based on past history of this treatment relieving his headaches. Several years ago his doctor in town X prescribed it and it helped.

What is the effect of oxygen therapy on cluster headaches? Patient requested it.

true

364

27-year-old female. Patient called in and nurse discussed her with her doctor. He didn't see the patient. Today he ordered Levsin -- told nurse he didn't know the strength but give plain tablets and call in order to pharmacist.

What is the dose of Levsin?

true

365

Can Seldane and Zithromax be used together? Patient phone in -- nurses discussed this with Dr. X -- he did not see patient today. Saw her earlier in the week. They did order Cefotan however -- he wasn't sure about Zithromax at first.

Can Seldane and Zithromax be used together?

true

366

Can Seldane and Zithromax be used together? Patient phone in -- nurses discussed this with Dr. X -- he did not see patient today. Saw her earlier in the week. They did order Cefotan however -- he wasn't sure about Zithromax at first.

Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?

false

367

Is it really worth using hormone replacement therapy in this woman who now has spotting and will require an endometrial biopsy?

Is it worth using hormone replacement therapy in this woman with spotting who will need endometrial biopsy?

true

368

Is it really worth using hormone replacement therapy in this woman who now has spotting and will require an endometrial biopsy?

What are the indications for getting a digoxin level?

false

369

In a patient with acute pancreatitis, after it has resolved, do you always need to x-ray the stomach? I always do both the gall bladder and the stomach but do you always need to x-ray the stomach?

Acute pancreatitis, now resolved. Need to x-ray both stomach and gallbladder versus just gallbladder?

true

370

In a patient with acute pancreatitis, after it has resolved, do you always need to x-ray the stomach? I always do both the gall bladder and the stomach but do you always need to x-ray the stomach?

Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?

false

371

What is the name of that new drug that is like Prilosec? It has "acid" at the end of the name.

What is that new drug like Prilosec - it has "acid" at the end of the name.

true

372

What is the normal flora of a hamster's mouth?

true

373

What is the best treatment for a callus? What should be the frequency of paring? I put on a donut pad, will that help prevent it?

What is the best treatment for a callus? Frequency of paring? Donut pad?

true

374

What is the dose of Pediazole?

true

375

What is the dose of Pediazole?

How should I treat polymenorrhea in a 14-year-old girl?

false

376

Does imipramine come as a 25-milligram tablet?

true

377

Does imipramine come as a 25-milligram tablet?

How should I treat polymenorrhea in a 14-year-old girl?

false

378

What is the dose of imipramine for a 10-year-old boy?

true

379

What is the dose of imipramine for a 10-year-old boy?

How should I treat polymenorrhea in a 14-year-old girl?

false

380

What is the maximum dose of atenolol?

true

381

What is the maximum dose of atenolol?

How should I treat polymenorrhea in a 14-year-old girl?

false

382

What is the maximum dose of Vasotec?

true

383

What is the maximum dose of Dynacirc?

true

384

How do you remove the memory from the Glucotrol Elite Glucometer?

true

385

How do you remove the memory from the Glucotrol Elite Glucometer?

How should I treat polymenorrhea in a 14-year-old girl?

false

386

What is the dose of Bactrim for this 40-pound child?

true

387

What is the dose of Bactrim for this 40-pound child?

Let's give these immunizations. That's right isn't it?

false

388

What should I do with this organic-personality-disorder patient with a subtherapeutic Depakote level but who is clinically stable?

Organic personality disorder patient. What to do with subtherapeutic Depakote level?

true

389

What should I do with this organic-personality-disorder patient with a subtherapeutic Depakote level but who is clinically stable?

Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?

false

390

What are the New York Heart Association classes I - IV? Where is an explanation of these?

What are New York Heart Association classes I - IV? Where to find explanation?

true

391

What are the New York Heart Association classes I - IV? Where is an explanation of these?

What antibiotic should I use for this diabetic patient's infected foot ulcer?

false

392

What is the best treatment of hypercholesterolemia? The patient is already on two drugs.

What is best treatment for hypercholesterolemia? Patient already on two drugs.

true

393

What is the best treatment of hypercholesterolemia? The patient is already on two drugs.

How should I treat polymenorrhea in a 14-year-old girl?

false

394

Are there any interactions between Biaxin and Depakote?

true

395

Are there any interactions between Biaxin and Depakote?

How do you inject the bicipital tendon?

false

396

What asthma inhaler is blue and white?

true

397

What asthma inhaler is blue and white?

What is in Ortho Novum 1/35?

false

398

80-year-old female. Why is she losing weight? Has well-controlled congestive heart failure. Patient says she isn't eating well and dentures don't fit well. Dr. X ordered thyroid stimulating hormone -- says he does it routinely. Dental appointment.

80-year-old female. Why is she losing weight? Well-controlled congestive heart failure, dentures don't fit.

true

399

80-year-old female. Why is she losing weight? Has well-controlled congestive heart failure. Patient says she isn't eating well and dentures don't fit well. Dr. X ordered thyroid stimulating hormone -- says he does it routinely. Dental appointment.

I wonder if this patient could have a rotator cuff thing?

false

400

Why is she fatigued? This is follow-up visit. Automated blood count abnormal but done by hand was normal. Doing thyroxine today since thyroid stimulating hormone was elevated. Patient smokes 1 1/2 packs per day. Trying to cut back.

Why is she fatigued?

true