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
601	601	What is the dose of Reglan?	What is the dose of Reglan?	true
602	602	His nurse's grandmother called in for a prescription for Novahistine. What is Novahistine elixir and what is the dose?	What is Novahistine elixir and what is the dose?	true
603	603	His nurse's grandmother called in for a prescription for Novahistine. What is Novahistine elixir and what is the dose?	How should I treat polymenorrhea in a 14-year-old girl?	false
604	604	One month ago I did a physical exam, his alkaline phosphatase was elevated. Had a questionable prostatic nodule, prostate specific antigen was normal. I discussed with my partner, bowlegged, question Pagets, fractionated alkaline phosphatase and both liver and bone were high, got x-rays of skull and pelvis, which were normal. Do I really want to go chasing after this elevated alkaline phosphatase?	Alkaline phosphatase elevated. Do I really want to go chasing after this?	true
605	605	One month ago I did a physical exam, his alkaline phosphatase was elevated. Had a questionable prostatic nodule, prostate specific antigen was normal. I discussed with my partner, bowlegged, question Pagets, fractionated alkaline phosphatase and both liver and bone were high, got x-rays of skull and pelvis, which were normal. Do I really want to go chasing after this elevated alkaline phosphatase?	Let's give these immunizations. That's right isn't it?	false
606	606	What is causing the elevated liver function tests?	What is causing the elevated liver function tests?	true
607	607	What is causing the elevated liver function tests?	I wonder if this patient could have a rotator cuff thing?	false
608	608	Patient going to Viet Nam. What immunizations are needed?	Patient going to Viet Nam. What immunizations are needed?	true
609	609	Patient going to Viet Nam. What immunizations are needed?	At what ages should you do a Denver Developmental Screening Test?	false
610	610	Patient going to Cancun. Does he need Hepatitis A vaccine?	Patient going to Cancun. Does he need Hepatitis A vaccine?	true
611	611	Patient going to Cancun. Does he need Hepatitis A vaccine?	How should I treat polymenorrhea in a 14-year-old girl?	false
612	612	Would melatonin be indicated for insomnia?	Would melatonin be indicated for insomnia?	true
613	613	Would melatonin be indicated for insomnia?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
614	614	How can I politely say "I don't have time to see your kids too" when a mother brings them along?	How can I politely say to the mother "I don't have time to see your kids too"?	true
615	615	How can I politely say "I don't have time to see your kids too" when a mother brings them along?	Let's give these immunizations. That's right isn't it?	false
616	616	Should I charge her child for an office visit (not scheduled just brought her in as an add on)?	Should I charge her child for office visit? Not scheduled, just brought her in.	true
617	617	Should I charge her child for an office visit (not scheduled just brought her in as an add on)?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
618	618	This young woman has atypical chest pain. Can you ignore it? She has a strong family history of coronary disease. Our young police chief just had a coronary artery bypass graft.	Young woman with atypical chest pain. Can you ignore it?	true
619	619	This young woman has atypical chest pain. Can you ignore it? She has a strong family history of coronary disease. Our young police chief just had a coronary artery bypass graft.	Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?	false
620	620	I normally give amoxicillin for tonsillitis. Mother said it didn't work last time. How far should I push it (the amoxicillin that I wanted to use)?	How far should I push it? (The amoxicillin that I want to use.)	true
621	621	I normally give amoxicillin for tonsillitis. Mother said it didn't work last time. How far should I push it (the amoxicillin that I wanted to use)?	What is the cause and treatment of this old man's stomatitis?	false
622	622	Why does this lady get so short of breath even though her pulmonary function tests are normal? I really think she has asthma with normal pulmonary function tests. How do I investigate further?	Why does this lady get so short of breath even though her pulmonary function tests are normal?	true
623	623	Why does this lady get so short of breath even though her pulmonary function tests are normal? I really think she has asthma with normal pulmonary function tests. How do I investigate further?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
624	624	How to stop somebody when she comes in with five problems, but her appointment time is only long enough for one?	How to stop somebody, with 5 problems, but appointment only long enough for one?	true
625	625	How to stop somebody when she comes in with five problems, but her appointment time is only long enough for one?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
626	626	What is the most effective, but easiest (considering her busy life) thing to do with temporomandibular joint syndrome?	What is most effective, but easy (considering busy life) thing to do with temporomandibular joint syndrome?	true
627	627	What is the most effective, but easiest (considering her busy life) thing to do with temporomandibular joint syndrome?	How should I treat polymenorrhea in a 14-year-old girl?	false
628	628	How much should I be pushing hepatitis vaccine and chickenpox vaccine since they're optional?	How much should I push hepatitis B and chickenpox vaccine since they're optional?	true
629	629	How much should I be pushing hepatitis vaccine and chickenpox vaccine since they're optional?	Is melatonin good for anything? What is the dose?	false
630	630	What is the best and most cost effective way to diagnose sinusitis (acute vs. chronic)? I don't want to do a CT.	What is the best and most cost effective way to diagnose sinusitis?	true
631	631	What is the best and most cost effective way to diagnose sinusitis (acute vs. chronic)? I don't want to do a CT.	What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)	false
632	632	What causes fibroids and what would cause them to enlarge rapidly (patient asked Dr. X and she didn't know)?	What causes fibroids and what would cause them to enlarge rapidly?	true
633	633	What causes fibroids and what would cause them to enlarge rapidly (patient asked Dr. X and she didn't know)?	How should I treat polymenorrhea in a 14-year-old girl?	false
634	634	Why is there an increasing incidence of asthma, just in general?	Why is there an increasing incidence of asthma, just in general?	true
635	635	Why is there an increasing incidence of asthma, just in general?	Let's give these immunizations. That's right isn't it?	false
636	636	I got an order to sign from the nursing home for a lady who wants Vicks VapoRub. Is Vicks VapoRub effective? Has research been done?	Is Vicks VapoRub effective? Has research been done?	true
637	637	Why do we get so much junk mail?	Why do we get so much junk mail?	true
638	638	Is this a viral or a bacterial infection?	Is this a viral or a bacterial infection?	true
639	639	Is this a viral or a bacterial infection?	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
640	640	Is erythromycin adequate treatment for sinusitis?	Is erythromycin adequate treatment for sinusitis?	true
641	641	Is erythromycin adequate treatment for sinusitis?	What is the dose of Famvir?	false
642	642	How old should a patient be before I quit doing prostate specific antigens (PSA's)?	How old should a patient be before I quit doing prostate specific antigens?	true
643	643	How old should a patient be before I quit doing prostate specific antigens (PSA's)?	Why did she get Coccidiomycosis?	false
644	644	Does Synthroid come in 175 microgram pills? (His thyroid stimulating hormone was approximately 7.0.)	Does Synthroid come in 175 microgram pills (his thyroid stimulating hormone was approximately 7.0)?	true
645	645	Does Synthroid come in 175 microgram pills? (His thyroid stimulating hormone was approximately 7.0.)	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
646	646	Is it worth it to get a cholesterol on an 82-year-old man? (Total cholesterol approximately 220, low-density lipoprotein (LDL-cholesterol) approximately 160.)	Is it worth getting a cholesterol on an 82-year-old man?	true
647	647	Is it worth it to get a cholesterol on an 82-year-old man? (Total cholesterol approximately 220, low-density lipoprotein (LDL-cholesterol) approximately 160.)	Let's give these immunizations. That's right isn't it?	false
648	648	Are there any resources here so that we could get the hearing test here on this 2-month old?	Are resources here so we could get the hearing test here on this 2-month-old?	true
649	649	At what point do I start him on something prophylactic for his asthma, rather than just as-needed Proventil metered-dose inhaler?	At what point do I start him on something prophylactic for his asthma?	true
650	650	At what point do I start him on something prophylactic for his asthma, rather than just as-needed Proventil metered-dose inhaler?	What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)	false
651	651	Would Fosamax help the osteoporosis that comes from chronic steroid use? He's on chronic steroids for his chronic obstructive pulmonary disease.	Would Fosamax help the osteoporosis that comes from chronic steroid use?	true
652	652	Would Fosamax help the osteoporosis that comes from chronic steroid use? He's on chronic steroids for his chronic obstructive pulmonary disease.	What is the dose of Neurontin?	false
653	653	He's already on hydrocodone. I prescribed a Duragesic patch. The question is using narcotics for noncancer pain. How legitimate is that?	I'm using narcotics for noncancer pain. How legitimate is that?	true
654	654	He's already on hydrocodone. I prescribed a Duragesic patch. The question is using narcotics for noncancer pain. How legitimate is that?	What are the causes of tinnitus?	false
655	655	Should I use Serevent (long acting beta agonist) or an inhaled steroid? Which would be the more effective?	Should I use Serevent (long acting beta agonist) or an inhaled steroid?	true
656	656	Should I use Serevent (long acting beta agonist) or an inhaled steroid? Which would be the more effective?	How should I workup this baby with a single umbilical artery?	false
657	657	What class of antihypertensives have the least effect on male sexual function?	What class of antihypertensives have the least effect on male sexual function?	true
658	658	What class of antihypertensives have the least effect on male sexual function?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
659	659	How much of a workup should I do in view of his age (84) particularly since he's eating well? He's lost approximately 10 pounds in the last 15 months.	How much of a workup for weight loss should I do in view of his age (84)?	true
660	660	How much of a workup should I do in view of his age (84) particularly since he's eating well? He's lost approximately 10 pounds in the last 15 months.	Let's give these immunizations. That's right isn't it?	false
661	661	Would it be better to put her on a potassium sparing diuretic or just potassium?	Would it be better to put her on a potassium-sparing diuretic or just potassium?	true
662	662	Would it be better to put her on a potassium sparing diuretic or just potassium?	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
663	663	Is there something like a screening test for diabetic neuropathy that's practical for family physicians? I'd probably lose those nylon things. I just touch their feet with my finger.	Is there a screening test for diabetic neuropathy that's practical for family physicians?	true
664	664	Is there something like a screening test for diabetic neuropathy that's practical for family physicians? I'd probably lose those nylon things. I just touch their feet with my finger.	Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery?	false
665	665	She has an upper respiratory infection. Is it viral or bacterial?	She has an upper respiratory infection. Is it viral or bacterial?	true
666	666	She has an upper respiratory infection. Is it viral or bacterial?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
667	667	What is the incidence of hypothyroidism in a 13-year-old girl? Should I check a thyroid level because of her fatigue or not?	Should I check a thyroid level because of her fatigue or not?	true
668	668	What is the incidence of hypothyroidism in a 13-year-old girl? Should I check a thyroid level because of her fatigue or not?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
669	669	Is this upper respiratory infection viral or bacterial?	Is this upper respiratory infection viral or bacterial?	true
670	670	Is this upper respiratory infection viral or bacterial?	How do you use Redux? What are the indications?	false
671	671	Does she have pneumonia?	Does she have pneumonia?	true
672	672	Does she have pneumonia?	Maneuver mentioned at continuing medical education course for vertigo, couldn't remember how to do it or name of it.	false
673	673	History of cancer of the colon 20 years ago at age 70 when cause of anemia was followed up. Her hemoglobin still falls but he doesn't think she has any more cancer. She takes iron supplements daily. Question is what causes hemoglobin to fall? Hemoglobin today 10.5 (lower).	What is causing her hemoglobin to fall (10.5 today)?	true
674	674	History of cancer of the colon 20 years ago at age 70 when cause of anemia was followed up. Her hemoglobin still falls but he doesn't think she has any more cancer. She takes iron supplements daily. Question is what causes hemoglobin to fall? Hemoglobin today 10.5 (lower).	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
675	675	Can her walker which is an old one without wheels, have wheels put on it and will Medicare cover the cost?	Can her walker have wheels put on it and will Medicare cover the cost?	true
676	676	Dr. X said Tagamet has been used successfully for treatment of warts--recommended by a dermatology professor. Question is, what is appropriate dosage?	What is dose of Tagamet when used for warts?	true
677	677	Dr. X said Tagamet has been used successfully for treatment of warts--recommended by a dermatology professor. Question is, what is appropriate dosage?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
678	678	52-year-old female. Patient asked Dr. X why she has painful orgasms? "She feels that these may be like her uterus is contracting."	52-year-old female. Patient asked doctor why she has painful orgasms.	true
679	679	52-year-old female. Patient asked Dr. X why she has painful orgasms? "She feels that these may be like her uterus is contracting."	Should I wait until baby certain age before I do renal ultrasound for single umbilical artery?	false
680	680	Patient (parent) education: Is there a textbook I can show this patient's mother to help explain hand foot and mouth disease?	Is there a textbook I can show mother to help explain hand foot and mouth disease?	true
681	681	Patient (parent) education: Is there a textbook I can show this patient's mother to help explain hand foot and mouth disease?	How should I treat polymenorrhea in a 14-year-old girl?	false
682	682	Woman thought to be 4 weeks gestation having bright red vaginal bleeding, gravida 3 para 0. Question: Is she having a miscarriage and what steps should be taken?	Is she having a miscarriage and what steps should be taken?	true
683	683	Woman thought to be 4 weeks gestation having bright red vaginal bleeding, gravida 3 para 0. Question: Is she having a miscarriage and what steps should be taken?	What is the cause and treatment of this old man's stomatitis?	false
684	684	66-year-old woman. What to do about patient who is not taking prescribed Coumadin? She says she is taking it but lab work leads Dr. X to feel quite positively that she is not.	66-year-old female. What to do about patient who is not taking prescribed Coumadin?	true
685	685	66-year-old woman. What to do about patient who is not taking prescribed Coumadin? She says she is taking it but lab work leads Dr. X to feel quite positively that she is not.	Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?	false
686	686	What is causing this child's shakiness which only presents in the morning?	What is causing this child's shakiness which only presents in the morning?	true
687	687	What is causing this child's shakiness which only presents in the morning?	Why did she get Coccidiomycosis?	false
688	688	This 52-year-old woman had a sister who died at age 34 of breast cancer. This patient is now menopausal. Should she be on hormone replacement therapy?	52-year-old female, sister died of breast cancer at age 34. Should she be on hormone replacement therapy?	true
689	689	This 52-year-old woman had a sister who died at age 34 of breast cancer. This patient is now menopausal. Should she be on hormone replacement therapy?	Patient with transient ischemic attacks; I'm always uncomfortable with how quickly to pursue a workup.	false
690	690	77-year-old woman. Should I put her on a cholesterol lowering drug? What benefit would it be at her age, other than a financial burden?	77-year-old female. Should I put her on a cholesterol lowering drug?	true
691	691	77-year-old woman. Should I put her on a cholesterol lowering drug? What benefit would it be at her age, other than a financial burden?	Let's give these immunizations. That's right isn't it?	false
692	692	What is Betamol eye drops?	What are Betamol eye drops?	true
693	693	What is Xalatan eye drops?	What are Xalatan eye drops?	true
694	694	Should she be started on hormone replacement? She's 71 so is it too late to benefit her? I'm doing it due to coronary disease risk factors. I've heard that after 75 it doesn't do much good but at least we'll get 4-5 years.	Should she be started on hormone replacement therapy? She's 71 so is it too late to benefit her?	true
695	695	Should she be started on hormone replacement? She's 71 so is it too late to benefit her? I'm doing it due to coronary disease risk factors. I've heard that after 75 it doesn't do much good but at least we'll get 4-5 years.	How should I workup this baby with a single umbilical artery?	false
696	696	Does she have any underlying inflammation of her kidneys? Creatinine approximately 1.0, 3+ albumin on urinalysis, just over 500 milligrams protein/ 24 hrs, normal intravenous pyelogram.	Does she have kidney inflammation? Creatinine approximately 1.0, 3+ albumin, just over 500 milligrams protein/24 hours, normal intravenous pyelogram.	true
697	697	Does she have any underlying inflammation of her kidneys? Creatinine approximately 1.0, 3+ albumin on urinalysis, just over 500 milligrams protein/ 24 hrs, normal intravenous pyelogram.	How do you use Redux? What are the indications?	false
698	698	No symptoms, previous prostate biopsy. Prostate specific antigen in 1994= approximately 4; 1995= approximately 4; 1996=approximately 6.5. What to do? Should you biopsy again?	Prostate specific antigen in 1994= approximately 4; 1995= approximately 4; 1996= approximately 6.5. What to do? Should you biopsy again?	true
699	699	No symptoms, previous prostate biopsy. Prostate specific antigen in 1994= approximately 4; 1995= approximately 4; 1996=approximately 6.5. What to do? Should you biopsy again?	I wonder if this patient could have a rotator cuff thing?	false
700	700	Known cancer of the prostate. In 1994 his prostate specific antigen was approximately 20, now approximately 27. What to do?	Known cancer prostate. In 1994, prostate specific antigen was approximately 20, now approximately 27. What to do?	true

601

What is the dose of Reglan?

true

602

His nurse's grandmother called in for a prescription for Novahistine. What is Novahistine elixir and what is the dose?

What is Novahistine elixir and what is the dose?

true

603

His nurse's grandmother called in for a prescription for Novahistine. What is Novahistine elixir and what is the dose?

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

false

604

One month ago I did a physical exam, his alkaline phosphatase was elevated. Had a questionable prostatic nodule, prostate specific antigen was normal. I discussed with my partner, bowlegged, question Pagets, fractionated alkaline phosphatase and both liver and bone were high, got x-rays of skull and pelvis, which were normal. Do I really want to go chasing after this elevated alkaline phosphatase?

Alkaline phosphatase elevated. Do I really want to go chasing after this?

true

605

One month ago I did a physical exam, his alkaline phosphatase was elevated. Had a questionable prostatic nodule, prostate specific antigen was normal. I discussed with my partner, bowlegged, question Pagets, fractionated alkaline phosphatase and both liver and bone were high, got x-rays of skull and pelvis, which were normal. Do I really want to go chasing after this elevated alkaline phosphatase?

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

false

606

What is causing the elevated liver function tests?

true

607

What is causing the elevated liver function tests?

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

false

608

Patient going to Viet Nam. What immunizations are needed?

true

609

Patient going to Viet Nam. What immunizations are needed?

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

false

610

Patient going to Cancun. Does he need Hepatitis A vaccine?

true

611

Patient going to Cancun. Does he need Hepatitis A vaccine?

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

false

612

Would melatonin be indicated for insomnia?

true

613

Would melatonin be indicated for insomnia?

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

false

614

How can I politely say "I don't have time to see your kids too" when a mother brings them along?

How can I politely say to the mother "I don't have time to see your kids too"?

true

615

How can I politely say "I don't have time to see your kids too" when a mother brings them along?

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

false

616

Should I charge her child for an office visit (not scheduled just brought her in as an add on)?

Should I charge her child for office visit? Not scheduled, just brought her in.

true

617

Should I charge her child for an office visit (not scheduled just brought her in as an add on)?

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

false

618

This young woman has atypical chest pain. Can you ignore it? She has a strong family history of coronary disease. Our young police chief just had a coronary artery bypass graft.

Young woman with atypical chest pain. Can you ignore it?

true

619

This young woman has atypical chest pain. Can you ignore it? She has a strong family history of coronary disease. Our young police chief just had a coronary artery bypass graft.

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

false

620

I normally give amoxicillin for tonsillitis. Mother said it didn't work last time. How far should I push it (the amoxicillin that I wanted to use)?

How far should I push it? (The amoxicillin that I want to use.)

true

621

I normally give amoxicillin for tonsillitis. Mother said it didn't work last time. How far should I push it (the amoxicillin that I wanted to use)?

What is the cause and treatment of this old man's stomatitis?

false

622

Why does this lady get so short of breath even though her pulmonary function tests are normal? I really think she has asthma with normal pulmonary function tests. How do I investigate further?

Why does this lady get so short of breath even though her pulmonary function tests are normal?

true

623

Why does this lady get so short of breath even though her pulmonary function tests are normal? I really think she has asthma with normal pulmonary function tests. How do I investigate further?

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

false

624

How to stop somebody when she comes in with five problems, but her appointment time is only long enough for one?

How to stop somebody, with 5 problems, but appointment only long enough for one?

true

625

How to stop somebody when she comes in with five problems, but her appointment time is only long enough for one?

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

false

626

What is the most effective, but easiest (considering her busy life) thing to do with temporomandibular joint syndrome?

What is most effective, but easy (considering busy life) thing to do with temporomandibular joint syndrome?

true

627

What is the most effective, but easiest (considering her busy life) thing to do with temporomandibular joint syndrome?

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

false

628

How much should I be pushing hepatitis vaccine and chickenpox vaccine since they're optional?

How much should I push hepatitis B and chickenpox vaccine since they're optional?

true

629

How much should I be pushing hepatitis vaccine and chickenpox vaccine since they're optional?

Is melatonin good for anything? What is the dose?

false

630

What is the best and most cost effective way to diagnose sinusitis (acute vs. chronic)? I don't want to do a CT.

What is the best and most cost effective way to diagnose sinusitis?

true

631

What is the best and most cost effective way to diagnose sinusitis (acute vs. chronic)? I don't want to do a CT.

What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)

false

632

What causes fibroids and what would cause them to enlarge rapidly (patient asked Dr. X and she didn't know)?

What causes fibroids and what would cause them to enlarge rapidly?

true

633

What causes fibroids and what would cause them to enlarge rapidly (patient asked Dr. X and she didn't know)?

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

false

634

Why is there an increasing incidence of asthma, just in general?

true

635

Why is there an increasing incidence of asthma, just in general?

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

false

636

I got an order to sign from the nursing home for a lady who wants Vicks VapoRub. Is Vicks VapoRub effective? Has research been done?

Is Vicks VapoRub effective? Has research been done?

true

637

Why do we get so much junk mail?

true

638

Is this a viral or a bacterial infection?

true

639

Is this a viral or a bacterial infection?

Boys' father has Marfan's Syndrome. Do these boys need further evaluation?

false

640

Is erythromycin adequate treatment for sinusitis?

true

641

Is erythromycin adequate treatment for sinusitis?

What is the dose of Famvir?

false

642

How old should a patient be before I quit doing prostate specific antigens (PSA's)?

How old should a patient be before I quit doing prostate specific antigens?

true

643

How old should a patient be before I quit doing prostate specific antigens (PSA's)?

Why did she get Coccidiomycosis?

false

644

Does Synthroid come in 175 microgram pills? (His thyroid stimulating hormone was approximately 7.0.)

Does Synthroid come in 175 microgram pills (his thyroid stimulating hormone was approximately 7.0)?

true

645

Does Synthroid come in 175 microgram pills? (His thyroid stimulating hormone was approximately 7.0.)

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

false

646

Is it worth it to get a cholesterol on an 82-year-old man? (Total cholesterol approximately 220, low-density lipoprotein (LDL-cholesterol) approximately 160.)

Is it worth getting a cholesterol on an 82-year-old man?

true

647

Is it worth it to get a cholesterol on an 82-year-old man? (Total cholesterol approximately 220, low-density lipoprotein (LDL-cholesterol) approximately 160.)

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

false

648

Are there any resources here so that we could get the hearing test here on this 2-month old?

Are resources here so we could get the hearing test here on this 2-month-old?

true

649

At what point do I start him on something prophylactic for his asthma, rather than just as-needed Proventil metered-dose inhaler?

At what point do I start him on something prophylactic for his asthma?

true

650

At what point do I start him on something prophylactic for his asthma, rather than just as-needed Proventil metered-dose inhaler?

What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)

false

651

Would Fosamax help the osteoporosis that comes from chronic steroid use? He's on chronic steroids for his chronic obstructive pulmonary disease.

Would Fosamax help the osteoporosis that comes from chronic steroid use?

true

652

Would Fosamax help the osteoporosis that comes from chronic steroid use? He's on chronic steroids for his chronic obstructive pulmonary disease.

What is the dose of Neurontin?

false

653

He's already on hydrocodone. I prescribed a Duragesic patch. The question is using narcotics for noncancer pain. How legitimate is that?

I'm using narcotics for noncancer pain. How legitimate is that?

true

654

He's already on hydrocodone. I prescribed a Duragesic patch. The question is using narcotics for noncancer pain. How legitimate is that?

What are the causes of tinnitus?

false

655

Should I use Serevent (long acting beta agonist) or an inhaled steroid? Which would be the more effective?

Should I use Serevent (long acting beta agonist) or an inhaled steroid?

true

656

Should I use Serevent (long acting beta agonist) or an inhaled steroid? Which would be the more effective?

How should I workup this baby with a single umbilical artery?

false

657

What class of antihypertensives have the least effect on male sexual function?

true

658

What class of antihypertensives have the least effect on male sexual function?

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

false

659

How much of a workup should I do in view of his age (84) particularly since he's eating well? He's lost approximately 10 pounds in the last 15 months.

How much of a workup for weight loss should I do in view of his age (84)?

true

660

How much of a workup should I do in view of his age (84) particularly since he's eating well? He's lost approximately 10 pounds in the last 15 months.

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

false

661

Would it be better to put her on a potassium sparing diuretic or just potassium?

Would it be better to put her on a potassium-sparing diuretic or just potassium?

true

662

Would it be better to put her on a potassium sparing diuretic or just potassium?

Boys' father has Marfan's Syndrome. Do these boys need further evaluation?

false

663

Is there something like a screening test for diabetic neuropathy that's practical for family physicians? I'd probably lose those nylon things. I just touch their feet with my finger.

Is there a screening test for diabetic neuropathy that's practical for family physicians?

true

664

Is there something like a screening test for diabetic neuropathy that's practical for family physicians? I'd probably lose those nylon things. I just touch their feet with my finger.

Obstetric patient, 39 weeks had a little sore, ? herpes. How long after she heals is it safe to do a vaginal delivery?

false

665

She has an upper respiratory infection. Is it viral or bacterial?

true

666

She has an upper respiratory infection. Is it viral or bacterial?

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

false

667

What is the incidence of hypothyroidism in a 13-year-old girl? Should I check a thyroid level because of her fatigue or not?

Should I check a thyroid level because of her fatigue or not?

true

668

What is the incidence of hypothyroidism in a 13-year-old girl? Should I check a thyroid level because of her fatigue or not?

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

false

669

Is this upper respiratory infection viral or bacterial?

true

670

Is this upper respiratory infection viral or bacterial?

How do you use Redux? What are the indications?

false

671

Does she have pneumonia?

true

672

Does she have pneumonia?

Maneuver mentioned at continuing medical education course for vertigo, couldn't remember how to do it or name of it.

false

673

History of cancer of the colon 20 years ago at age 70 when cause of anemia was followed up. Her hemoglobin still falls but he doesn't think she has any more cancer. She takes iron supplements daily. Question is what causes hemoglobin to fall? Hemoglobin today 10.5 (lower).

What is causing her hemoglobin to fall (10.5 today)?

true

674

History of cancer of the colon 20 years ago at age 70 when cause of anemia was followed up. Her hemoglobin still falls but he doesn't think she has any more cancer. She takes iron supplements daily. Question is what causes hemoglobin to fall? Hemoglobin today 10.5 (lower).

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

false

675

Can her walker which is an old one without wheels, have wheels put on it and will Medicare cover the cost?

Can her walker have wheels put on it and will Medicare cover the cost?

true

676

Dr. X said Tagamet has been used successfully for treatment of warts--recommended by a dermatology professor. Question is, what is appropriate dosage?

What is dose of Tagamet when used for warts?

true

677

Dr. X said Tagamet has been used successfully for treatment of warts--recommended by a dermatology professor. Question is, what is appropriate dosage?

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

false

678

52-year-old female. Patient asked Dr. X why she has painful orgasms? "She feels that these may be like her uterus is contracting."

52-year-old female. Patient asked doctor why she has painful orgasms.

true

679

52-year-old female. Patient asked Dr. X why she has painful orgasms? "She feels that these may be like her uterus is contracting."

Should I wait until baby certain age before I do renal ultrasound for single umbilical artery?

false

680

Patient (parent) education: Is there a textbook I can show this patient's mother to help explain hand foot and mouth disease?

Is there a textbook I can show mother to help explain hand foot and mouth disease?

true

681

Patient (parent) education: Is there a textbook I can show this patient's mother to help explain hand foot and mouth disease?

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

false

682

Woman thought to be 4 weeks gestation having bright red vaginal bleeding, gravida 3 para 0. Question: Is she having a miscarriage and what steps should be taken?

Is she having a miscarriage and what steps should be taken?

true

683

Woman thought to be 4 weeks gestation having bright red vaginal bleeding, gravida 3 para 0. Question: Is she having a miscarriage and what steps should be taken?

What is the cause and treatment of this old man's stomatitis?

false

684

66-year-old woman. What to do about patient who is not taking prescribed Coumadin? She says she is taking it but lab work leads Dr. X to feel quite positively that she is not.

66-year-old female. What to do about patient who is not taking prescribed Coumadin?

true

685

66-year-old woman. What to do about patient who is not taking prescribed Coumadin? She says she is taking it but lab work leads Dr. X to feel quite positively that she is not.

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

false

686

What is causing this child's shakiness which only presents in the morning?

true

687

What is causing this child's shakiness which only presents in the morning?

Why did she get Coccidiomycosis?

false

688

This 52-year-old woman had a sister who died at age 34 of breast cancer. This patient is now menopausal. Should she be on hormone replacement therapy?

52-year-old female, sister died of breast cancer at age 34. Should she be on hormone replacement therapy?

true

689

This 52-year-old woman had a sister who died at age 34 of breast cancer. This patient is now menopausal. Should she be on hormone replacement therapy?

Patient with transient ischemic attacks; I'm always uncomfortable with how quickly to pursue a workup.

false

690

77-year-old woman. Should I put her on a cholesterol lowering drug? What benefit would it be at her age, other than a financial burden?

77-year-old female. Should I put her on a cholesterol lowering drug?

true

691

77-year-old woman. Should I put her on a cholesterol lowering drug? What benefit would it be at her age, other than a financial burden?

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

false

692

What is Betamol eye drops?

What are Betamol eye drops?

true

693

What is Xalatan eye drops?

What are Xalatan eye drops?

true

694

Should she be started on hormone replacement? She's 71 so is it too late to benefit her? I'm doing it due to coronary disease risk factors. I've heard that after 75 it doesn't do much good but at least we'll get 4-5 years.

Should she be started on hormone replacement therapy? She's 71 so is it too late to benefit her?

true

695

Should she be started on hormone replacement? She's 71 so is it too late to benefit her? I'm doing it due to coronary disease risk factors. I've heard that after 75 it doesn't do much good but at least we'll get 4-5 years.

How should I workup this baby with a single umbilical artery?

false

696

Does she have any underlying inflammation of her kidneys? Creatinine approximately 1.0, 3+ albumin on urinalysis, just over 500 milligrams protein/ 24 hrs, normal intravenous pyelogram.

Does she have kidney inflammation? Creatinine approximately 1.0, 3+ albumin, just over 500 milligrams protein/24 hours, normal intravenous pyelogram.

true

697

Does she have any underlying inflammation of her kidneys? Creatinine approximately 1.0, 3+ albumin on urinalysis, just over 500 milligrams protein/ 24 hrs, normal intravenous pyelogram.

How do you use Redux? What are the indications?

false

698

No symptoms, previous prostate biopsy. Prostate specific antigen in 1994= approximately 4; 1995= approximately 4; 1996=approximately 6.5. What to do? Should you biopsy again?

Prostate specific antigen in 1994= approximately 4; 1995= approximately 4; 1996= approximately 6.5. What to do? Should you biopsy again?

true

699

No symptoms, previous prostate biopsy. Prostate specific antigen in 1994= approximately 4; 1995= approximately 4; 1996=approximately 6.5. What to do? Should you biopsy again?

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

false

700

Known cancer of the prostate. In 1994 his prostate specific antigen was approximately 20, now approximately 27. What to do?

Known cancer prostate. In 1994, prostate specific antigen was approximately 20, now approximately 27. What to do?

true