bigbio/mediqa_rqe · Datasets at Hugging Face

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701	701	Known cancer of the prostate. In 1994 his prostate specific antigen was approximately 20, now approximately 27. What to do?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
702	702	What are various methods of bracing for various injuries? This woman has had back pain radiating to her leg. Physical therapist thought that favoring one leg aggravated the other.	What are various methods of bracing for various injuries?	true
703	703	What are various methods of bracing for various injuries? This woman has had back pain radiating to her leg. Physical therapist thought that favoring one leg aggravated the other.	How should I treat polymenorrhea in a 14-year-old girl?	false
704	704	There are all sorts of rules about initiation of exercise programs in patients over X years of age. But, brass tacks, what should you do before you allow an older person to exercise and how should they start out?	But, brass tacks, what should you do before allowing an older person to exercise?	true
705	705	There are all sorts of rules about initiation of exercise programs in patients over X years of age. But, brass tacks, what should you do before you allow an older person to exercise and how should they start out?	Is melatonin good for anything? What is the dose?	false
706	706	What is the percent of success with various methods of endometrial biopsy (that is, getting the instrument into the uterus); for example, Pipelle vs Novak curette? Are there any predictive factors other than age that would predict not being able to pass the sound or Pipelle?	What is the success rate of various methods of endometrial biopsy? (that is, getting in)?	true
707	707	What is the percent of success with various methods of endometrial biopsy (that is, getting the instrument into the uterus); for example, Pipelle vs Novak curette? Are there any predictive factors other than age that would predict not being able to pass the sound or Pipelle?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
708	708	How much do you gain from hysteroscopy over fractional dilatation and curettage? Should I add this technique to my armamentarium?	How much do you gain from hysteroscopy over fractional dilatation and curettage?	true
709	709	How much do you gain from hysteroscopy over fractional dilatation and curettage? Should I add this technique to my armamentarium?	How should I treat polymenorrhea in a 14-year-old girl?	false
710	710	She is behind size-wise, always 4 cm behind. She refuses ultrasound due to her religion (Amish). When do I get worried? When do I start doing nonstress tests? When do I consider induction?	Obstetric patient, 4 centimeters behind on fundal height. When do I get worried? When nonstress tests? When induction?	true
711	711	She is behind size-wise, always 4 cm behind. She refuses ultrasound due to her religion (Amish). When do I get worried? When do I start doing nonstress tests? When do I consider induction?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
712	712	Nonfasting blood sugar approximately 370, fasting blood sugar approximately 45. Drew glycosylated hemoglobin today. Dr. X thinks there is a condition with high postprandial blood sugars. Is there a better name for glucose intolerance?	Nonfasting blood sugar approximately 377, fasting approximately 45. Is there a better name for glucose intolerance?	true
713	713	Nonfasting blood sugar approximately 370, fasting blood sugar approximately 45. Drew glycosylated hemoglobin today. Dr. X thinks there is a condition with high postprandial blood sugars. Is there a better name for glucose intolerance?	Did I write the prescription correctly for Synalar lotion?	false
714	714	History of coronary artery bypass graft, low-density lipoprotein (LDL) cholesterol approximately 140. He's going to Texas for 3 months. Should I continue lipid lowering diet or start medication now and ask him to find doctor in Texas?	History coronary artery bypass graft, low-density lipoprotein (LDL-cholesterol) approximately 140. Should I continue lipid lowering diet or start medications now?	true
715	715	History of coronary artery bypass graft, low-density lipoprotein (LDL) cholesterol approximately 140. He's going to Texas for 3 months. Should I continue lipid lowering diet or start medication now and ask him to find doctor in Texas?	Why did she get Coccidiomycosis?	false
716	716	Her headaches don't fit a pattern. Are they migraines? (Complicated because there is so much going on socially.)	Her headaches don't fit a pattern. Are they migraines?	true
717	717	Her headaches don't fit a pattern. Are they migraines? (Complicated because there is so much going on socially.)	Could Procardia or Mevacor cause tinnitus?	false
718	718	Status post bone marrow transplant. Diagnosis of left lower lobe pneumonia by chest x-ray. Why hasn't he had any physical findings consistent with pneumonia? Is there some underlying problem?	Why hasn't he had physical findings consistent with pneumonia? Some underlying problem?	true
719	719	Status post bone marrow transplant. Diagnosis of left lower lobe pneumonia by chest x-ray. Why hasn't he had any physical findings consistent with pneumonia? Is there some underlying problem?	Is melatonin good for anything? What is the dose?	false
720	720	14-year-old male with influenza. What is the dose of amantadine?	14-year-old male with influenza. What is the dose of amantadine?	true
721	721	14-year-old male with influenza. What is the dose of amantadine?	How do you inject the bicipital tendon?	false
722	722	Regarding doxycycline which was prescribed for patient, what are the limits on drinking milk products? (Must you abstain from milk products during the entire treatment period or just not take the medicine with milk products?)	Regarding doxycycline, what are the limits on drinking milk products?	true
723	723	Regarding doxycycline which was prescribed for patient, what are the limits on drinking milk products? (Must you abstain from milk products during the entire treatment period or just not take the medicine with milk products?)	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
724	724	We usually make a diagnosis of mycoplasma bronchitis by clinical findings. How good am I at making a diagnosis of mycoplasma with clinical findings and should I use laboratory methods more often?	How good am I at making the diagnosis of mycoplasma with clinical findings alone?	true
725	725	We usually make a diagnosis of mycoplasma bronchitis by clinical findings. How good am I at making a diagnosis of mycoplasma with clinical findings and should I use laboratory methods more often?	What's the dose of Compazine suppositories?	false
726	726	Patient had a hysterectomy in 1992 for benign disease. How often should a Papanicolaou smear be done on these patients?	Status post hysterectomy for benign disease. How often should a Papanicolaou smear be done on these patients?	true
727	727	Patient had a hysterectomy in 1992 for benign disease. How often should a Papanicolaou smear be done on these patients?	What are the indications for getting a digoxin level?	false
728	728	The infant's eyes are red but is it viral or bacterial and how important is it to know as it will probably run its course?	Infant's eyes red but viral or bacterial and how important is it to know?	true
729	729	The infant's eyes are red but is it viral or bacterial and how important is it to know as it will probably run its course?	I wonder if this patient could have a rotator cuff thing?	false
730	730	What are the best exercises for rotator cuff?	What are the best exercises for rotator cuff?	true
731	731	What are the best exercises for rotator cuff?	Let's give these immunizations. That's right isn't it?	false
732	732	Patient had a pleomorphic adenoma removed from her carotid artery. Question is whether this is a totally benign condition.	Pleomorphic adenoma removed from carotid artery. Is this a benign condition?	true
733	733	The patient has started Brewer's yeast and sweet potatoes for post menopausal symptoms of fatigue and droopiness. She says she feels better. Is this a legitimate treatment to relieve some menopausal symptoms?	Are sweet potatoes and brewers yeast a legitimate treatment for menopausal symptoms?	true
734	734	The patient has started Brewer's yeast and sweet potatoes for post menopausal symptoms of fatigue and droopiness. She says she feels better. Is this a legitimate treatment to relieve some menopausal symptoms?	On nonstress test after every acceleration brief sharp not deep deceleration. Important?	false
735	735	What is the incubation period of influenza A?	What is the incubation period of influenza A?	true
736	736	Six-year-old male seen by physician's assistant earlier in week. Patient had diarrhea and test results showed Clostridium difficile, which is generally seen only in people on antibiotics and she hasn't seen it in a child before. Are there false positives for the Clostridium difficile blood test?	6-year-old, diarrhea and Clostridium difficile. Are there false positives for the Clostridium difficile blood test?	true
737	737	Six-year-old male seen by physician's assistant earlier in week. Patient had diarrhea and test results showed Clostridium difficile, which is generally seen only in people on antibiotics and she hasn't seen it in a child before. Are there false positives for the Clostridium difficile blood test?	What's the dose of Compazine suppositories?	false
738	738	Is the faint trace of a vertical line on the rapid streptococcal test really positive? The manufacturer says yes but I'm not sure.	Is the faint trace of a vertical line on the rapid streptococcal test really positive?	true
739	739	Is the faint trace of a vertical line on the rapid streptococcal test really positive? The manufacturer says yes but I'm not sure.	How do you diagnose sinus infection versus viral upper respiratory infection?	false
740	740	Am I using antibiotics appropriately to treat presumed sinusitis (versus viral upper respiratory infection)? That's my big dilemma that happens over and over. I usually use 7 days of upper respiratory infection symptoms as a reason to give antibiotics but is this appropriate?	Am I using antibiotics appropriately to treat presumed sinusitis (versus viral upper respiratory infection)?	true
741	741	Am I using antibiotics appropriately to treat presumed sinusitis (versus viral upper respiratory infection)? That's my big dilemma that happens over and over. I usually use 7 days of upper respiratory infection symptoms as a reason to give antibiotics but is this appropriate?	Patient with transient ischemic attacks; I'm always uncomfortable with how quickly to pursue a workup.	false
742	742	What is the efficacy of scheduling ear rechecks in kids with otitis media and what should be the timing of doing it? Is it really necessary to see them back? If they have persistent fluid at 3 weeks, do they need antibiotics again or just observe?	What is the efficacy of scheduling ear rechecks in kids with otitis media?	true
743	743	What is the efficacy of scheduling ear rechecks in kids with otitis media and what should be the timing of doing it? Is it really necessary to see them back? If they have persistent fluid at 3 weeks, do they need antibiotics again or just observe?	What is the cause of this woman's long term head shaking (tremor)?	false
744	744	How old can you see mycoplasma as a common respiratory pathogen? Am I thinking appropriately when I say she might have mycoplasma?	How old can you see mycoplasma as a common respiratory pathogen?	true
745	745	How old can you see mycoplasma as a common respiratory pathogen? Am I thinking appropriately when I say she might have mycoplasma?	Should patients with osteoporosis get bone densitometry, because now we have Fosamax?	false
746	746	What do you do with dysuria with a negative urinalysis and negative vaginal wet prep (preparation)?	What do you do with dysuria with a negative urinalysis and negative vaginal wet preparation?	true
747	747	What do you do with dysuria with a negative urinalysis and negative vaginal wet prep (preparation)?	This patient has a blue lesion on her abdomen. What is it?	false
748	748	This patient got influenza even though she had the influenza shot. But she got one of the bad lot numbers (too weak). What should we do about that? Reimbursement? Should we repeat the vaccine in all patients who got that lot number?	Got influenza vaccine but bad vaccine lot number. Reimburse? Repeat? What about others with bad number?	true
749	749	This patient got influenza even though she had the influenza shot. But she got one of the bad lot numbers (too weak). What should we do about that? Reimbursement? Should we repeat the vaccine in all patients who got that lot number?	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
750	750	This child has been having frequent Group A streptococcal infections. What is the efficacy of culturing everyone in the family and how should you manage this situation?	Child with frequent Group A streptococcal infections. What to do?	true
751	751	This child has been having frequent Group A streptococcal infections. What is the efficacy of culturing everyone in the family and how should you manage this situation?	Is melatonin good for anything? What is the dose?	false
752	752	What is the significance of Haemophilus Aegypticus on an eye culture in a neonate with conjunctivitis?	What is significance of Haemophilus Aegypticus on a neonate eye culture with conjunctivitis?	true
753	753	What is the significance of Haemophilus Aegypticus on an eye culture in a neonate with conjunctivitis?	What is the dose of Sporanox?	false
754	754	What is the usual cut-off age for colic?	What is the usual cut-off age for colic?	true
755	755	What is the usual cut-off age for colic?	How should I treat polymenorrhea in a 14-year-old girl?	false
756	756	Is the most common organism causing the syndrome of otitis media and conjunctivitis Haemophilus?	Is the most common organism causing the syndrome of otitis media and conjunctivitis Haemophilus?	true
757	757	Is the most common organism causing the syndrome of otitis media and conjunctivitis Haemophilus?	What is the other drug besides Famvir and acyclovir for Herpes Zoster?	false
758	758	For post viral cough, Dr. X usually prescribes a short term bronchodilator such as Proventil inhaler. Are there data to support this treatment?	For post viral cough, I give Proventil inhaler. Are there data to support this?	true
759	759	For post viral cough, Dr. X usually prescribes a short term bronchodilator such as Proventil inhaler. Are there data to support this treatment?	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
760	760	How long should I treat a knee injury with conservative measures before referring to an orthopedic surgeon? (contusion of right patella)	How long should I treat a knee injury with conservative measures before referring?	true
761	761	How long should I treat a knee injury with conservative measures before referring to an orthopedic surgeon? (contusion of right patella)	What size pills does digoxin come in?	false
762	762	What is the return on lumbosacral spine films for a patient with sciatica?	What is the return on lumbosacral spine films for a patient with sciatica?	true
763	763	What is the return on lumbosacral spine films for a patient with sciatica?	What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)	false
764	764	Patient is post pessary insertion yesterday for urinary incontinence and cystocele. Is her urinary tract infection associated with this procedure?	Pessary inserted yesterday for incontinence and cystocele. Is today's urinary tract infection due to that?	true
765	765	Patient is post pessary insertion yesterday for urinary incontinence and cystocele. Is her urinary tract infection associated with this procedure?	Should we do a head CT (computerized tomography) with contrast tomorrow (Saturday) or MRI (magnetic resonance imaging) Monday?	false
766	766	When should you catheterize little boys since it can be pretty traumatic for them? (16-month-old) (He put bag on to collect urine.)	When should you catheterize boys since it can be traumatic for them? 16-month-old.	true
767	767	When should you catheterize little boys since it can be pretty traumatic for them? (16-month-old) (He put bag on to collect urine.)	Patient with back pain, how to diagnose arachnoiditis and how to treat it?	false
768	768	The patient asked Dr X how you can keep from getting sinusitis. He answered that he didn't know but he told her to take Vitamin C -- it might help and it's something she can do.	Patient asked doctor how you can keep from getting sinusitis. He said he didn't know?	true
769	769	The patient asked Dr X how you can keep from getting sinusitis. He answered that he didn't know but he told her to take Vitamin C -- it might help and it's something she can do.	Should I wait until baby certain age before I do renal ultrasound for single umbilical artery?	false
770	770	Does Biaxin raise theophylline levels?	Does Biaxin raise theophylline levels?	true
771	771	Does Biaxin raise theophylline levels?	Is melatonin good for anything? What is the dose?	false
772	772	Patient has stomatitis (canker sores on roof of mouth) Will treat with Zovirax. The question is whether there is data to support this treatment.	Stomatitis (canker sores roof of mouth). Will use Zovirax. Data to support this?	true
773	773	Patient has stomatitis (canker sores on roof of mouth) Will treat with Zovirax. The question is whether there is data to support this treatment.	Let's give these immunizations. That's right isn't it?	false
774	774	One question I always have is what criteria do I use to decide when to stop a chronic medication. We have lots of criteria for starting drugs but very few for stopping them.	What criteria do I use to decide when to stop a chronic medication?	true
775	775	One question I always have is what criteria do I use to decide when to stop a chronic medication. We have lots of criteria for starting drugs but very few for stopping them.	How should I treat this patient with seizures?	false
776	776	How useful are bronchodilators (inhalers) for viral bronchitis?	How useful are bronchodilators (inhalers) for viral bronchitis?	true
777	777	How useful are bronchodilators (inhalers) for viral bronchitis?	How should I treat polymenorrhea in a 14-year-old girl?	false
778	778	What are practical clinical techniques for measuring bronchospasm in the office without doing spirometry?	What are practical clinical techniques for measuring bronchospasm without spirometry?	true
779	779	What are practical clinical techniques for measuring bronchospasm in the office without doing spirometry?	How should I treat polymenorrhea in a 14-year-old girl?	false
780	780	Are patients who leave with something in their hand (sample or prescription) more likely to get better, than those who leave with nothing? Does that symbolize something, like the old witch doctor approach? I feel better when I give something but does it have anything to do with the outcome. Like in this case I gave a sample Proventil inhaler. Would it have been any benefit to give a sample of air? You always hear "The doctor never did anything for me." He could have spent an hour doing patient education, but . . .	Are patients who leave with sample or a prescription more likely to get better than those who don't?	true
781	781	Are patients who leave with something in their hand (sample or prescription) more likely to get better, than those who leave with nothing? Does that symbolize something, like the old witch doctor approach? I feel better when I give something but does it have anything to do with the outcome. Like in this case I gave a sample Proventil inhaler. Would it have been any benefit to give a sample of air? You always hear "The doctor never did anything for me." He could have spent an hour doing patient education, but . . .	X-rays show foraminal narrowing at cervical spine level 5-6 (C5-6). What fingers are innervated by C5-6?	false
782	782	What is the cause of her sciatic nerve damage? Inflammatory? Mechanical? (Rheumatologist didn't really check mechanical.)	What is the cause of her sciatic nerve damage? Inflammatory? Mechanical?	true
783	783	What are these pills she got in Mexico?	What are these pills she got in Mexico?	true
784	784	What are these pills she got in Mexico?	X-rays show foraminal narrowing at cervical spine level 5-6 (C5-6). What fingers are innervated by C5-6?	false
785	785	She has a bronchitis. The question is whether it is viral or bacterial. It's been going on for a month, so the way I'm going to answer it is to put her on some erythromycin and see how she does.	She has a bronchitis. The question is whether it is viral or bacterial.	true
786	786	She has a bronchitis. The question is whether it is viral or bacterial. It's been going on for a month, so the way I'm going to answer it is to put her on some erythromycin and see how she does.	How do you use Redux? What are the indications?	false
787	787	I had her on Macrodantin for a urinary tract infection in December and she got a cough. Now has another urinary tract infection. Saw a urologist and was started on Macrodantin and was told that was the only thing that would work. Is her cough from Macrodantin? I switched her to Cipro.	On Macrodantin for urinary tract infection and she got a cough. Is her cough from Macrodantin?	true
788	788	I had her on Macrodantin for a urinary tract infection in December and she got a cough. Now has another urinary tract infection. Saw a urologist and was started on Macrodantin and was told that was the only thing that would work. Is her cough from Macrodantin? I switched her to Cipro.	What is in Ortho Novum 1/35?	false
789	789	19-year-old man from college, saw last week, had big lymph nodes and a rash and 13% eosinophils. What is the cause of the eosinophilia?	19-year-old male, big lymph nodes, rash, 13% eosinophils. What is the cause of the eosinophilia?	true
790	790	19-year-old man from college, saw last week, had big lymph nodes and a rash and 13% eosinophils. What is the cause of the eosinophilia?	I wonder if this patient could have a rotator cuff thing?	false
791	791	5-week-old born at 32 weeks gestation, grunting at 4 weeks, asked pediatrician then, he said okay, not to worry. Now more tachypnea and tachycardia, less grunting. What is the cause?	5-week-old born at 32 weeks. What is the cause of the tachycardia and tachypnea?	true
792	792	5-week-old born at 32 weeks gestation, grunting at 4 weeks, asked pediatrician then, he said okay, not to worry. Now more tachypnea and tachycardia, less grunting. What is the cause?	Is melatonin good for anything? What is the dose?	false
793	793	What is the cause of this man's weight loss, hemoptysis, shoulder pain, night sweats? Can I find 2 or 3 things to put all this together?	What is causing this man's weight loss, hemoptysis, shoulder pain, night sweats?	true
794	794	What is the cause of this man's weight loss, hemoptysis, shoulder pain, night sweats? Can I find 2 or 3 things to put all this together?	How should you adjust the birth control pill if someone has spotting on it?	false
795	795	For infants with colic and gastroesophageal reflux disease, what do the experts use as rough guidelines for when to treat with medications?	Infants with colic and gastroesophageal reflux disease, when do the experts treat with medications?	true
796	796	For infants with colic and gastroesophageal reflux disease, what do the experts use as rough guidelines for when to treat with medications?	Has had shingles for 4 days -- Can I still give Zovirax?	false
797	797	What is the dose of Famvir?	What is the dose of Famvir?	true
798	798	What is the dose of Famvir?	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
799	799	What it the best way to deal with these little capillary things that occur on the face (for example, spiders and other capillary lesions)?	What is best way to deal with little capillary things that occur on the face?	true
800	800	What is the best way to go about delivering a 29-week fetal demise (prostaglandin, Cytotec, et cetera)?	What is the best way to go about delivering a 29-week fetal demise?	true

701

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

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

false

702

What are various methods of bracing for various injuries? This woman has had back pain radiating to her leg. Physical therapist thought that favoring one leg aggravated the other.

What are various methods of bracing for various injuries?

true

703

What are various methods of bracing for various injuries? This woman has had back pain radiating to her leg. Physical therapist thought that favoring one leg aggravated the other.

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

false

704

There are all sorts of rules about initiation of exercise programs in patients over X years of age. But, brass tacks, what should you do before you allow an older person to exercise and how should they start out?

But, brass tacks, what should you do before allowing an older person to exercise?

true

705

There are all sorts of rules about initiation of exercise programs in patients over X years of age. But, brass tacks, what should you do before you allow an older person to exercise and how should they start out?

Is melatonin good for anything? What is the dose?

false

706

What is the percent of success with various methods of endometrial biopsy (that is, getting the instrument into the uterus); for example, Pipelle vs Novak curette? Are there any predictive factors other than age that would predict not being able to pass the sound or Pipelle?

What is the success rate of various methods of endometrial biopsy? (that is, getting in)?

true

707

What is the percent of success with various methods of endometrial biopsy (that is, getting the instrument into the uterus); for example, Pipelle vs Novak curette? Are there any predictive factors other than age that would predict not being able to pass the sound or Pipelle?

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

false

708

How much do you gain from hysteroscopy over fractional dilatation and curettage? Should I add this technique to my armamentarium?

How much do you gain from hysteroscopy over fractional dilatation and curettage?

true

709

How much do you gain from hysteroscopy over fractional dilatation and curettage? Should I add this technique to my armamentarium?

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

false

710

She is behind size-wise, always 4 cm behind. She refuses ultrasound due to her religion (Amish). When do I get worried? When do I start doing nonstress tests? When do I consider induction?

Obstetric patient, 4 centimeters behind on fundal height. When do I get worried? When nonstress tests? When induction?

true

711

She is behind size-wise, always 4 cm behind. She refuses ultrasound due to her religion (Amish). When do I get worried? When do I start doing nonstress tests? When do I consider induction?

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

false

712

Nonfasting blood sugar approximately 370, fasting blood sugar approximately 45. Drew glycosylated hemoglobin today. Dr. X thinks there is a condition with high postprandial blood sugars. Is there a better name for glucose intolerance?

Nonfasting blood sugar approximately 377, fasting approximately 45. Is there a better name for glucose intolerance?

true

713

Nonfasting blood sugar approximately 370, fasting blood sugar approximately 45. Drew glycosylated hemoglobin today. Dr. X thinks there is a condition with high postprandial blood sugars. Is there a better name for glucose intolerance?

Did I write the prescription correctly for Synalar lotion?

false

714

History of coronary artery bypass graft, low-density lipoprotein (LDL) cholesterol approximately 140. He's going to Texas for 3 months. Should I continue lipid lowering diet or start medication now and ask him to find doctor in Texas?

History coronary artery bypass graft, low-density lipoprotein (LDL-cholesterol) approximately 140. Should I continue lipid lowering diet or start medications now?

true

715

History of coronary artery bypass graft, low-density lipoprotein (LDL) cholesterol approximately 140. He's going to Texas for 3 months. Should I continue lipid lowering diet or start medication now and ask him to find doctor in Texas?

Why did she get Coccidiomycosis?

false

716

Her headaches don't fit a pattern. Are they migraines? (Complicated because there is so much going on socially.)

Her headaches don't fit a pattern. Are they migraines?

true

717

Her headaches don't fit a pattern. Are they migraines? (Complicated because there is so much going on socially.)

Could Procardia or Mevacor cause tinnitus?

false

718

Status post bone marrow transplant. Diagnosis of left lower lobe pneumonia by chest x-ray. Why hasn't he had any physical findings consistent with pneumonia? Is there some underlying problem?

Why hasn't he had physical findings consistent with pneumonia? Some underlying problem?

true

719

Status post bone marrow transplant. Diagnosis of left lower lobe pneumonia by chest x-ray. Why hasn't he had any physical findings consistent with pneumonia? Is there some underlying problem?

Is melatonin good for anything? What is the dose?

false

720

14-year-old male with influenza. What is the dose of amantadine?

true

721

14-year-old male with influenza. What is the dose of amantadine?

How do you inject the bicipital tendon?

false

722

Regarding doxycycline which was prescribed for patient, what are the limits on drinking milk products? (Must you abstain from milk products during the entire treatment period or just not take the medicine with milk products?)

Regarding doxycycline, what are the limits on drinking milk products?

true

723

Regarding doxycycline which was prescribed for patient, what are the limits on drinking milk products? (Must you abstain from milk products during the entire treatment period or just not take the medicine with milk products?)

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

false

724

We usually make a diagnosis of mycoplasma bronchitis by clinical findings. How good am I at making a diagnosis of mycoplasma with clinical findings and should I use laboratory methods more often?

How good am I at making the diagnosis of mycoplasma with clinical findings alone?

true

725

We usually make a diagnosis of mycoplasma bronchitis by clinical findings. How good am I at making a diagnosis of mycoplasma with clinical findings and should I use laboratory methods more often?

What's the dose of Compazine suppositories?

false

726

Patient had a hysterectomy in 1992 for benign disease. How often should a Papanicolaou smear be done on these patients?

Status post hysterectomy for benign disease. How often should a Papanicolaou smear be done on these patients?

true

727

Patient had a hysterectomy in 1992 for benign disease. How often should a Papanicolaou smear be done on these patients?

What are the indications for getting a digoxin level?

false

728

The infant's eyes are red but is it viral or bacterial and how important is it to know as it will probably run its course?

Infant's eyes red but viral or bacterial and how important is it to know?

true

729

The infant's eyes are red but is it viral or bacterial and how important is it to know as it will probably run its course?

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

false

730

What are the best exercises for rotator cuff?

true

731

What are the best exercises for rotator cuff?

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

false

732

Patient had a pleomorphic adenoma removed from her carotid artery. Question is whether this is a totally benign condition.

Pleomorphic adenoma removed from carotid artery. Is this a benign condition?

true

733

The patient has started Brewer's yeast and sweet potatoes for post menopausal symptoms of fatigue and droopiness. She says she feels better. Is this a legitimate treatment to relieve some menopausal symptoms?

Are sweet potatoes and brewers yeast a legitimate treatment for menopausal symptoms?

true

734

The patient has started Brewer's yeast and sweet potatoes for post menopausal symptoms of fatigue and droopiness. She says she feels better. Is this a legitimate treatment to relieve some menopausal symptoms?

On nonstress test after every acceleration brief sharp not deep deceleration. Important?

false

735

What is the incubation period of influenza A?

true

736

Six-year-old male seen by physician's assistant earlier in week. Patient had diarrhea and test results showed Clostridium difficile, which is generally seen only in people on antibiotics and she hasn't seen it in a child before. Are there false positives for the Clostridium difficile blood test?

6-year-old, diarrhea and Clostridium difficile. Are there false positives for the Clostridium difficile blood test?

true

737

Six-year-old male seen by physician's assistant earlier in week. Patient had diarrhea and test results showed Clostridium difficile, which is generally seen only in people on antibiotics and she hasn't seen it in a child before. Are there false positives for the Clostridium difficile blood test?

What's the dose of Compazine suppositories?

false

738

Is the faint trace of a vertical line on the rapid streptococcal test really positive? The manufacturer says yes but I'm not sure.

Is the faint trace of a vertical line on the rapid streptococcal test really positive?

true

739

Is the faint trace of a vertical line on the rapid streptococcal test really positive? The manufacturer says yes but I'm not sure.

How do you diagnose sinus infection versus viral upper respiratory infection?

false

740

Am I using antibiotics appropriately to treat presumed sinusitis (versus viral upper respiratory infection)? That's my big dilemma that happens over and over. I usually use 7 days of upper respiratory infection symptoms as a reason to give antibiotics but is this appropriate?

Am I using antibiotics appropriately to treat presumed sinusitis (versus viral upper respiratory infection)?

true

741

Am I using antibiotics appropriately to treat presumed sinusitis (versus viral upper respiratory infection)? That's my big dilemma that happens over and over. I usually use 7 days of upper respiratory infection symptoms as a reason to give antibiotics but is this appropriate?

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

false

742

What is the efficacy of scheduling ear rechecks in kids with otitis media and what should be the timing of doing it? Is it really necessary to see them back? If they have persistent fluid at 3 weeks, do they need antibiotics again or just observe?

What is the efficacy of scheduling ear rechecks in kids with otitis media?

true

743

What is the efficacy of scheduling ear rechecks in kids with otitis media and what should be the timing of doing it? Is it really necessary to see them back? If they have persistent fluid at 3 weeks, do they need antibiotics again or just observe?

What is the cause of this woman's long term head shaking (tremor)?

false

744

How old can you see mycoplasma as a common respiratory pathogen? Am I thinking appropriately when I say she might have mycoplasma?

How old can you see mycoplasma as a common respiratory pathogen?

true

745

How old can you see mycoplasma as a common respiratory pathogen? Am I thinking appropriately when I say she might have mycoplasma?

Should patients with osteoporosis get bone densitometry, because now we have Fosamax?

false

746

What do you do with dysuria with a negative urinalysis and negative vaginal wet prep (preparation)?

What do you do with dysuria with a negative urinalysis and negative vaginal wet preparation?

true

747

What do you do with dysuria with a negative urinalysis and negative vaginal wet prep (preparation)?

This patient has a blue lesion on her abdomen. What is it?

false

748

This patient got influenza even though she had the influenza shot. But she got one of the bad lot numbers (too weak). What should we do about that? Reimbursement? Should we repeat the vaccine in all patients who got that lot number?

Got influenza vaccine but bad vaccine lot number. Reimburse? Repeat? What about others with bad number?

true

749

This patient got influenza even though she had the influenza shot. But she got one of the bad lot numbers (too weak). What should we do about that? Reimbursement? Should we repeat the vaccine in all patients who got that lot number?

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

false

750

This child has been having frequent Group A streptococcal infections. What is the efficacy of culturing everyone in the family and how should you manage this situation?

Child with frequent Group A streptococcal infections. What to do?

true

751

This child has been having frequent Group A streptococcal infections. What is the efficacy of culturing everyone in the family and how should you manage this situation?

Is melatonin good for anything? What is the dose?

false

752

What is the significance of Haemophilus Aegypticus on an eye culture in a neonate with conjunctivitis?

What is significance of Haemophilus Aegypticus on a neonate eye culture with conjunctivitis?

true

753

What is the significance of Haemophilus Aegypticus on an eye culture in a neonate with conjunctivitis?

What is the dose of Sporanox?

false

754

What is the usual cut-off age for colic?

true

755

What is the usual cut-off age for colic?

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

false

756

Is the most common organism causing the syndrome of otitis media and conjunctivitis Haemophilus?

true

757

Is the most common organism causing the syndrome of otitis media and conjunctivitis Haemophilus?

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

false

758

For post viral cough, Dr. X usually prescribes a short term bronchodilator such as Proventil inhaler. Are there data to support this treatment?

For post viral cough, I give Proventil inhaler. Are there data to support this?

true

759

For post viral cough, Dr. X usually prescribes a short term bronchodilator such as Proventil inhaler. Are there data to support this treatment?

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

false

760

How long should I treat a knee injury with conservative measures before referring to an orthopedic surgeon? (contusion of right patella)

How long should I treat a knee injury with conservative measures before referring?

true

761

How long should I treat a knee injury with conservative measures before referring to an orthopedic surgeon? (contusion of right patella)

What size pills does digoxin come in?

false

762

What is the return on lumbosacral spine films for a patient with sciatica?

true

763

What is the return on lumbosacral spine films for a patient with sciatica?

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

false

764

Patient is post pessary insertion yesterday for urinary incontinence and cystocele. Is her urinary tract infection associated with this procedure?

Pessary inserted yesterday for incontinence and cystocele. Is today's urinary tract infection due to that?

true

765

Patient is post pessary insertion yesterday for urinary incontinence and cystocele. Is her urinary tract infection associated with this procedure?

Should we do a head CT (computerized tomography) with contrast tomorrow (Saturday) or MRI (magnetic resonance imaging) Monday?

false

766

When should you catheterize little boys since it can be pretty traumatic for them? (16-month-old) (He put bag on to collect urine.)

When should you catheterize boys since it can be traumatic for them? 16-month-old.

true

767

When should you catheterize little boys since it can be pretty traumatic for them? (16-month-old) (He put bag on to collect urine.)

Patient with back pain, how to diagnose arachnoiditis and how to treat it?

false

768

The patient asked Dr X how you can keep from getting sinusitis. He answered that he didn't know but he told her to take Vitamin C -- it might help and it's something she can do.

Patient asked doctor how you can keep from getting sinusitis. He said he didn't know?

true

769

The patient asked Dr X how you can keep from getting sinusitis. He answered that he didn't know but he told her to take Vitamin C -- it might help and it's something she can do.

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

false

770

Does Biaxin raise theophylline levels?

true

771

Does Biaxin raise theophylline levels?

Is melatonin good for anything? What is the dose?

false

772

Patient has stomatitis (canker sores on roof of mouth) Will treat with Zovirax. The question is whether there is data to support this treatment.

Stomatitis (canker sores roof of mouth). Will use Zovirax. Data to support this?

true

773

Patient has stomatitis (canker sores on roof of mouth) Will treat with Zovirax. The question is whether there is data to support this treatment.

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

false

774

One question I always have is what criteria do I use to decide when to stop a chronic medication. We have lots of criteria for starting drugs but very few for stopping them.

What criteria do I use to decide when to stop a chronic medication?

true

775

One question I always have is what criteria do I use to decide when to stop a chronic medication. We have lots of criteria for starting drugs but very few for stopping them.

How should I treat this patient with seizures?

false

776

How useful are bronchodilators (inhalers) for viral bronchitis?

true

777

How useful are bronchodilators (inhalers) for viral bronchitis?

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

false

778

What are practical clinical techniques for measuring bronchospasm in the office without doing spirometry?

What are practical clinical techniques for measuring bronchospasm without spirometry?

true

779

What are practical clinical techniques for measuring bronchospasm in the office without doing spirometry?

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

false

780

Are patients who leave with something in their hand (sample or prescription) more likely to get better, than those who leave with nothing? Does that symbolize something, like the old witch doctor approach? I feel better when I give something but does it have anything to do with the outcome. Like in this case I gave a sample Proventil inhaler. Would it have been any benefit to give a sample of air? You always hear "The doctor never did anything for me." He could have spent an hour doing patient education, but . . .

Are patients who leave with sample or a prescription more likely to get better than those who don't?

true

781

Are patients who leave with something in their hand (sample or prescription) more likely to get better, than those who leave with nothing? Does that symbolize something, like the old witch doctor approach? I feel better when I give something but does it have anything to do with the outcome. Like in this case I gave a sample Proventil inhaler. Would it have been any benefit to give a sample of air? You always hear "The doctor never did anything for me." He could have spent an hour doing patient education, but . . .

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

false

782

What is the cause of her sciatic nerve damage? Inflammatory? Mechanical? (Rheumatologist didn't really check mechanical.)

What is the cause of her sciatic nerve damage? Inflammatory? Mechanical?

true

783

What are these pills she got in Mexico?

true

784

What are these pills she got in Mexico?

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

false

785

She has a bronchitis. The question is whether it is viral or bacterial. It's been going on for a month, so the way I'm going to answer it is to put her on some erythromycin and see how she does.

She has a bronchitis. The question is whether it is viral or bacterial.

true

786

She has a bronchitis. The question is whether it is viral or bacterial. It's been going on for a month, so the way I'm going to answer it is to put her on some erythromycin and see how she does.

How do you use Redux? What are the indications?

false

787

I had her on Macrodantin for a urinary tract infection in December and she got a cough. Now has another urinary tract infection. Saw a urologist and was started on Macrodantin and was told that was the only thing that would work. Is her cough from Macrodantin? I switched her to Cipro.

On Macrodantin for urinary tract infection and she got a cough. Is her cough from Macrodantin?

true

788

I had her on Macrodantin for a urinary tract infection in December and she got a cough. Now has another urinary tract infection. Saw a urologist and was started on Macrodantin and was told that was the only thing that would work. Is her cough from Macrodantin? I switched her to Cipro.

What is in Ortho Novum 1/35?

false

789

19-year-old man from college, saw last week, had big lymph nodes and a rash and 13% eosinophils. What is the cause of the eosinophilia?

19-year-old male, big lymph nodes, rash, 13% eosinophils. What is the cause of the eosinophilia?

true

790

19-year-old man from college, saw last week, had big lymph nodes and a rash and 13% eosinophils. What is the cause of the eosinophilia?

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

false

791

5-week-old born at 32 weeks gestation, grunting at 4 weeks, asked pediatrician then, he said okay, not to worry. Now more tachypnea and tachycardia, less grunting. What is the cause?

5-week-old born at 32 weeks. What is the cause of the tachycardia and tachypnea?

true

792

5-week-old born at 32 weeks gestation, grunting at 4 weeks, asked pediatrician then, he said okay, not to worry. Now more tachypnea and tachycardia, less grunting. What is the cause?

Is melatonin good for anything? What is the dose?

false

793

What is the cause of this man's weight loss, hemoptysis, shoulder pain, night sweats? Can I find 2 or 3 things to put all this together?

What is causing this man's weight loss, hemoptysis, shoulder pain, night sweats?

true

794

What is the cause of this man's weight loss, hemoptysis, shoulder pain, night sweats? Can I find 2 or 3 things to put all this together?

How should you adjust the birth control pill if someone has spotting on it?

false

795

For infants with colic and gastroesophageal reflux disease, what do the experts use as rough guidelines for when to treat with medications?

Infants with colic and gastroesophageal reflux disease, when do the experts treat with medications?

true

796

For infants with colic and gastroesophageal reflux disease, what do the experts use as rough guidelines for when to treat with medications?

Has had shingles for 4 days -- Can I still give Zovirax?

false

797

What is the dose of Famvir?

true

798

What is the dose of Famvir?

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

false

799

What it the best way to deal with these little capillary things that occur on the face (for example, spiders and other capillary lesions)?

What is best way to deal with little capillary things that occur on the face?

true

800

What is the best way to go about delivering a 29-week fetal demise (prostaglandin, Cytotec, et cetera)?

What is the best way to go about delivering a 29-week fetal demise?

true