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
7501	7501	"Is there any interaction between atenolol and methyldopa?"	Is there any interaction between atenolol and methyldopa?	true
7502	7502	"Is there any interaction between atenolol and methyldopa?"	Should we do a head CT (computerized tomography) with contrast tomorrow (Saturday) or MRI (magnetic resonance imaging) Monday?	false
7503	7503	40-year-old man with diabetes. He said, "I'm feeling dizzy and have a headache. Do you think it could be my medicine?" But it wasn't his medication. My (physician's) question was, "What is causing the dizziness?"	What is causing his dizziness (40-year-old diabetic)?	true
7504	7504	40-year-old man with diabetes. He said, "I'm feeling dizzy and have a headache. Do you think it could be my medicine?" But it wasn't his medication. My (physician's) question was, "What is causing the dizziness?"	What is the significance of an antinuclear antibody (ANA) of 1:40?	false
7505	7505	Yesterday I saw a 15-year-old girl with shingles. I sent her to the dermatologist because it was an atypical presentation, since she was only 15, so I was wondering whether it could be an immune deficiency.	Should you suspect immunodeficiency if a 15-year-old gets herpes zoster.	true
7506	7506	Yesterday I saw a 15-year-old girl with shingles. I sent her to the dermatologist because it was an atypical presentation, since she was only 15, so I was wondering whether it could be an immune deficiency.	What is the dose of Sporanox?	false
7507	7507	I saw a 40-year-old man with prostatitis. I had to look to see the duration of treatment.	What is the treatment duration for acute prostatitis?	true
7508	7508	I saw a 40-year-old man with prostatitis. I had to look to see the duration of treatment.	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
7509	7509	Lady in her 70's with an ileostomy noted increased ileostomy output and wondered if she could have a fistula and if it was urine. The question was why her ileostomy output was increased. Was this just diarrhea or something else and then how to find out if it was a fistula.	Why is her ileostomy output increasing?	true
7510	7510	Lady in her 70's with an ileostomy noted increased ileostomy output and wondered if she could have a fistula and if it was urine. The question was why her ileostomy output was increased. Was this just diarrhea or something else and then how to find out if it was a fistula.	What is the maximum dose of digoxin? (patient seen in emergency room, had digoxin level less than 0.03)	false
7511	7511	I had a pregnant patient on Synthroid and I called Dr. X (endocrinologist). He said to find out why she has hypothyroidism because it can make a difference to the baby. I (investigator) asked, "What was the question when you called Dr. X?" She said, "How do I manage thyroid replacement in pregnancy? What laboratory tests do I need to follow?	How do I manage thyroid replacement in pregnancy?	true
7512	7512	I had a pregnant patient on Synthroid and I called Dr. X (endocrinologist). He said to find out why she has hypothyroidism because it can make a difference to the baby. I (investigator) asked, "What was the question when you called Dr. X?" She said, "How do I manage thyroid replacement in pregnancy? What laboratory tests do I need to follow?	How to convince someone they are depressed when they don't want to accept it?	false
7513	7513	My patient was convinced she had hypothyroidism. Her labs were normal in August and I even checked antithyroid antibodies and they were negative. She asked another physician to check her thyroid antibodies again and her thyroid peroxidase antibody was two times the upper limit of normal, so I called an endocrinologist and said, "Now what do I do with this?"	What do you do with normal thyroid function studies but positive thyroid antibodies?	true
7514	7514	My patient was convinced she had hypothyroidism. Her labs were normal in August and I even checked antithyroid antibodies and they were negative. She asked another physician to check her thyroid antibodies again and her thyroid peroxidase antibody was two times the upper limit of normal, so I called an endocrinologist and said, "Now what do I do with this?"	Is melatonin good for anything? What is the dose?	false
7515	7515	Interesting patient (29-year-old woman), saw her as a gestational onset diabetic but now, post partum, she has Type I diabetes. Her c-peptide was about 0.5 nanograms/milliliter (normal 1-5) and her serum insulin was about 2 (normal 6 to 27). "Is this definite Type I diabetes?"	Does a low c-peptide definitely mean Type I diabetes?	true
7516	7516	Interesting patient (29-year-old woman), saw her as a gestational onset diabetic but now, post partum, she has Type I diabetes. Her c-peptide was about 0.5 nanograms/milliliter (normal 1-5) and her serum insulin was about 2 (normal 6 to 27). "Is this definite Type I diabetes?"	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
7517	7517	This guy is getting dental work and has a canker sore (aphthous ulcer). There's a cream for canker sores, Kenalog in Orabase. "How often do you use it?"	How often should a patient use Kenalog in Orabase?	true
7518	7518	This guy is getting dental work and has a canker sore (aphthous ulcer). There's a cream for canker sores, Kenalog in Orabase. "How often do you use it?"	Let's give these immunizations. That's right isn't it?	false
7519	7519	A patient had von Hippel-Lindau disease. "What is it? Is it cancer or a collection of blood vessels?"	What is von Hipple-Lindau disease?	true
7520	7520	What is the maximum dose of Zoloft?	What is the maximum dose of Zoloft?	true
7521	7521	What is the maximum dose of Zoloft?	How should I treat polymenorrhea in a 14-year-old girl?	false
7522	7522	37-year-old man. I looked up the smallest dose of Prinivil in the exam room, online.	What is the smallest dose of Prinivil?	true
7523	7523	73-year-old man with benign prostatic hypertrophy. I wanted to find a generic alpha 1 blocker.	Are there any generic alpha 1 blockers?	true
7524	7524	73-year-old man with benign prostatic hypertrophy. I wanted to find a generic alpha 1 blocker.	Let's give these immunizations. That's right isn't it?	false
7525	7525	35-year-old woman with insomnia. I looked up dosages of Celexa and Ambien online in the exam room.	What is the dose of Celexa?	true
7526	7526	35-year-old woman with insomnia. I looked up dosages of Celexa and Ambien online in the exam room.	Let's give these immunizations. That's right isn't it?	false
7527	7527	49-year-old with obsessive-compulsive disorder. She's on Luvox 100 milligrams. I looked on an online resource to see if it can cause someone to be "buzzed or juiced up" because she seemed overly animated today.	Can Luvox cause someone to be overly animated?	true
7528	7528	49-year-old with obsessive-compulsive disorder. She's on Luvox 100 milligrams. I looked on an online resource to see if it can cause someone to be "buzzed or juiced up" because she seemed overly animated today.	How should I treat polymenorrhea in a 14-year-old girl?	false
7529	7529	Tachypneic baby that didn't get tachypneic until day-of-life one. Nobody knew what was wrong.	What would cause tachypnea in a well-appearing newborn?	true
7530	7530	Tachypneic baby that didn't get tachypneic until day-of-life one. Nobody knew what was wrong.	Is the faint trace of a vertical line on the rapid streptococcal test really positive?	false
7531	7531	And then there is the 48-hour rule out. Some do 72 hours. What makes one baby a 48-hour rule out and another 72 hours?	What determines whether a possibly septic newborn receives 48 versus 72 hours of antibiotics?	true
7532	7532	And then there is the 48-hour rule out. Some do 72 hours. What makes one baby a 48-hour rule out and another 72 hours?	Is Serzone okay to give to with a partial gastrectomy; that is, will it be absorbed?	false
7533	7533	I don't know if you're doing this, but any baby born breech gets a hip ultrasound here. I should look this up. "Is this really necessary?"	Should all breech babies have hip ultrasounds?	true
7534	7534	I don't know if you're doing this, but any baby born breech gets a hip ultrasound here. I should look this up. "Is this really necessary?"	Let's give these immunizations. That's right isn't it?	false
7535	7535	13-year-old, former shaken baby with resultant spastic quadriplegia and cortically blind. The concern is that after a suppository he gets red in the face and squeezes out all these little pebbles. "Is an unprovoked stool every 3 days that bad?" Does it lead to perforation?	How common are surgical complications in disabled adolescents with constipation?	true
7536	7536	13-year-old, former shaken baby with resultant spastic quadriplegia and cortically blind. The concern is that after a suppository he gets red in the face and squeezes out all these little pebbles. "Is an unprovoked stool every 3 days that bad?" Does it lead to perforation?	How do you inject the bicipital tendon?	false
7537	7537	Ten-year-old male referred with developmental delay (age 4) and attention-deficit-hyperactivity disorder, on Strattera. "When do you use Strattera and why would you use that out of the gait (rather than a stimulant)?"	What are the indications for Strattera?	true
7538	7538	Ten-year-old male referred with developmental delay (age 4) and attention-deficit-hyperactivity disorder, on Strattera. "When do you use Strattera and why would you use that out of the gait (rather than a stimulant)?"	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
7539	7539	"What is the difference between gender identification disorder, gender dysphoria, and gender incongruent behaviors?"	What is the difference between gender identification disorder and gender dysphoria?"	true
7540	7540	49-year-old man with known diabetes had triglycerides above 7000. He never had pancreatitis. I hit the books to see how to treat that.	What is the treatment for hypertriglyceridemia when the triglycerides are above 7000?	true
7541	7541	49-year-old man with known diabetes had triglycerides above 7000. He never had pancreatitis. I hit the books to see how to treat that.	Is there a better way to introduce the subject of sexually transmitted disease?	false
7542	7542	44-year-old lady with a rash in the perineum. The question was whether it was bad yeast or herpes.	Is this monilia or herpes?	true
7543	7543	44-year-old lady with a rash in the perineum. The question was whether it was bad yeast or herpes.	Patient can't use inhaler, upsets her stomach. Can an inhaler cause upset stomach?	false
7544	7544	79-year-old woman with irritation in the vaginal area, probably atrophic vaginitis. I tried an estrogen pessary and cream but they were no help. The question was "what other approaches can we take?"	What is the treatment for atrophic vaginitis?	true
7545	7545	79-year-old woman with irritation in the vaginal area, probably atrophic vaginitis. I tried an estrogen pessary and cream but they were no help. The question was "what other approaches can we take?"	How old should a child be before they can switch from whole milk to 2% milk?	false
7546	7546	Man in his late 40's with bad Crohn's disease. Came in with pyoderma gangrenosum. We didn't know how to treat him.	What is the treatment for pyoderma gangrenosum?	true
7547	7547	Man in his late 40's with bad Crohn's disease. Came in with pyoderma gangrenosum. We didn't know how to treat him.	Can Staphylococcus or Haemophilus influenza sepsis give same clinical picture as streptococcal septicemia?	false
7548	7548	14-year-old girl with a lump on her thigh. I looked in an anatomy book. I just wanted to be sure there was nothing else in there besides the rectus muscle and the quadriceps.	What is the anatomy of the anterior thigh?	true
7549	7549	14-year-old girl with a lump on her thigh. I looked in an anatomy book. I just wanted to be sure there was nothing else in there besides the rectus muscle and the quadriceps.	Can I use low molecular weight heparin in pregnancy (patient with deep vein thrombosis last pregnancy)?	false
7550	7550	61-year-old man. Are there any competitors to Androgel? I looked it up in a reference in the exam room.	Are there other brands of transcutaneous testosterone besides Androgel?	true
7551	7551	61-year-old man. Are there any competitors to Androgel? I looked it up in a reference in the exam room.	Why did they cut out the Coccidiomycosis granuloma rather than treat it medically?	false
7552	7552	I looked up penile rashes in one of my references. I saw a 40-year-old man with a purplish rash on the shaft of his penis.	What would cause a purplish rash on the shaft of the penis?	true
7553	7553	I looked up penile rashes in one of my references. I saw a 40-year-old man with a purplish rash on the shaft of his penis.	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
7554	7554	I looked up the immunizations for an 18-month-old.	What are the immunizations for an 18-month-old?	true
7555	7555	I looked up the immunizations for an 18-month-old.	Let's give these immunizations. That's right isn't it?	false
7556	7556	What I'm looking up is if there is any association between iron overload and HIV (human-immunodeficiency virus).	Is there any association between iron and human immunodeficiency virus?	true
7557	7557	What I'm looking up is if there is any association between iron overload and HIV (human-immunodeficiency virus).	How should I treat polymenorrhea in a 14-year-old girl?	false
7558	7558	I looked up in this reference the definition of tubular adenoma, I was pretty sure it was benign but wanted to double check.	Is a tubular adenoma benign?	true
7559	7559	I looked up in this reference the definition of tubular adenoma, I was pretty sure it was benign but wanted to double check.	How should I treat polymenorrhea in a 14-year-old girl?	false
7560	7560	My last patient this morning is an 11-year-old boy. "Why would he be mildly anemic and have schistocytes?" "I'm not sure what causes schistocytes."	What would cause schistocytes in an 11-year-old?	true
7561	7561	My last patient this morning is an 11-year-old boy. "Why would he be mildly anemic and have schistocytes?" "I'm not sure what causes schistocytes."	It's not clear what's going on with her. I may treat her for diverticulitis.	false
7562	7562	44-year-old woman. No period since March (it is late June). So I asked Dr. X (family physician partner), "Is there a chance she could be pregnant and I asked about blood versus urine pregnancy test, whether either is better."	Which is better -- blood or urine pregnancy test?	true
7563	7563	44-year-old woman. No period since March (it is late June). So I asked Dr. X (family physician partner), "Is there a chance she could be pregnant and I asked about blood versus urine pregnancy test, whether either is better."	Could Procardia or Mevacor cause tinnitus?	false
7564	7564	She's a nurse and wanted to know the maximum dose of Celexa and the exact pregnancy category.	What is the maximum dose of Celexa?	true
7565	7565	She's a nurse and wanted to know the maximum dose of Celexa and the exact pregnancy category.	Why wasn't this patient very sick? (large empyema and Haemophilus influenza in sputum)	false
7566	7566	I asked him what he was looking up. He said, "whether to give drops or elixir acetaminophen to a 1-year-old for their immunizations and what dose."	Should you give drops or elixir acetaminophen to a one-year-old?	true
7567	7567	I asked him what he was looking up. He said, "whether to give drops or elixir acetaminophen to a 1-year-old for their immunizations and what dose."	What is the dose of Famvir?	false
7568	7568	Why does risperdal work for autistic regression and how do you know which cases it will work for?	Why does risperdal sometimes work for autistic regression?	true
7569	7569	Why does risperdal work for autistic regression and how do you know which cases it will work for?	How should I treat polymenorrhea in a 14-year-old girl?	false
7570	7570	Five-year-old boy with severe mental retardation. Parents had lots of questions about "sensory diet." "The general question is does sensory integration therapy work and how does it work?"	Does sensory integration therapy work?	true
7571	7571	Five-year-old boy with severe mental retardation. Parents had lots of questions about "sensory diet." "The general question is does sensory integration therapy work and how does it work?"	How do you use Redux? What are the indications?	false
7572	7572	Nine-month-old girl with lipomeningomyelocele, not classic meningomyelocele. The question that arose was how soon will she retether her cord.	How soon after repair of a lipomeningomyelocele can you see signs of a tethered cord?	true
7573	7573	Nine-month-old girl with lipomeningomyelocele, not classic meningomyelocele. The question that arose was how soon will she retether her cord.	How should I treat polymenorrhea in a 14-year-old girl?	false
7574	7574	The mother of this 9-month-old with lipomeningomyelocele wanted to know if she is at high risk for future pregnancies for meningomyelocele and if she should take mega-dose folic acid (4 milligrams per day).	Is having a child with lipomeningomyelocele a risk for having more affected children?	true
7575	7575	The mother of this 9-month-old with lipomeningomyelocele wanted to know if she is at high risk for future pregnancies for meningomyelocele and if she should take mega-dose folic acid (4 milligrams per day).	How do you use Redux? What are the indications?	false
7576	7576	Eleven-year-old boy with Down syndrome. Sleep apnea can increase the thyroid stimulating hormone but by how much and is that because night time growth hormone suppresses and overlaps somehow with the rest of the pituitary? "I wanted to know if there was a special antibody I should get."	What thyroid antibodies should be ordered when the thyroid stimulating hormone is high?	true
7577	7577	Eleven-year-old boy with Down syndrome. Sleep apnea can increase the thyroid stimulating hormone but by how much and is that because night time growth hormone suppresses and overlaps somehow with the rest of the pituitary? "I wanted to know if there was a special antibody I should get."	Let's give these immunizations. That's right isn't it?	false
7578	7578	45-year-old woman. "I looked up the definition for malignant hypertension following a request from a patient. They emailed wanting to know if they had it.	What is the definition of malignant hypertension?	true
7579	7579	45-year-old woman. "I looked up the definition for malignant hypertension following a request from a patient. They emailed wanting to know if they had it.	Patient got sore breasts from Premarin 0.625 milligrams. Is there a smaller pill?	false
7580	7580	How well does biofeedback work for rectal incontinence?	Does biofeedback work for rectal incontinence?	true
7581	7581	Thirty-five-year-old woman. Two days ago she had some local anesthesia for minor surgery. Yesterday she had some fullness in her ankles and fingers and she says everything feels stiff. No arthralgias, just edema. She has a little lymphopenia so it may be viral but . . . . "What would cause this?"	What would cause acute edema in hands and feet?	true
7582	7582	Thirty-five-year-old woman. Two days ago she had some local anesthesia for minor surgery. Yesterday she had some fullness in her ankles and fingers and she says everything feels stiff. No arthralgias, just edema. She has a little lymphopenia so it may be viral but . . . . "What would cause this?"	Is Paxil associated with sleep apnea?	false
7583	7583	New congenital cataracts in a child. When should you be able to pick that up?	At what age should congenital cataracts be detected?	true
7584	7584	New congenital cataracts in a child. When should you be able to pick that up?	In patients with colds and coughs and hemoptysis, who should be worked up?	false
7585	7585	What is the generic name of Protonix?	What is the generic name of Protonix?	true
7586	7586	What is the generic name of Protonix?	How should I treat polymenorrhea in a 14-year-old girl?	false
7587	7587	I'm going to ask you (investigator). Is that legal? Which antibiotic would you use for an infected toe with poor circulation?	Which antibiotic should be used for an infected toe with poor circulation?	true
7588	7588	I'm going to ask you (investigator). Is that legal? Which antibiotic would you use for an infected toe with poor circulation?	Why is this otherwise healthy 28-year-old woman short of breath?	false
7589	7589	"Von Willebrand's is autosomal dominant but what is the penetrance?"	What is the penetrance of von Willebrand's disease?	true
7590	7590	"Von Willebrand's is autosomal dominant but what is the penetrance?"	Let's give these immunizations. That's right isn't it?	false
7591	7591	Two-day-old. Why are infants of diabetic mothers more likely to have polycythemia?	Why are infants of diabetic mothers more likely to have polycythemia?	true
7592	7592	Two-day-old. Why are infants of diabetic mothers more likely to have polycythemia?	How do you inject the bicipital tendon?	false
7593	7593	Newborn. Question from resident to study physician. Why are oral hypoglycemics contraindicated in diabetic mothers during pregnancy and why was this mother on glyburide and everyone thought that was OK?	Why are oral hypoglycemics contraindicated in diabetic mothers?	true
7594	7594	Newborn. Question from resident to study physician. Why are oral hypoglycemics contraindicated in diabetic mothers during pregnancy and why was this mother on glyburide and everyone thought that was OK?	Should we switch to Ancef for this diabetic foot ulcer? Improvement adequate?	false
7595	7595	Since epidural anesthesia can cause low-grade maternal fevers, do we need separate criteria for sepsis workup in infants whose mothers got an epidural? Separate laboratory and rupture of membrane criteria?	Do we need separate criteria for sepsis workup in infants whose mothers got an epidural?	true
7596	7596	Since epidural anesthesia can cause low-grade maternal fevers, do we need separate criteria for sepsis workup in infants whose mothers got an epidural? Separate laboratory and rupture of membrane criteria?	Can you use Prozac along with lithium?	false
7597	7597	"One thing I did look up last week was the definitions for the New York Heart Association Heart Failure classification. I needed it to complete some paperwork for one of my patients."	What are the levels of the New York State Heart Association Heart Failure Classification?	true
7598	7598	"One thing I did look up last week was the definitions for the New York Heart Association Heart Failure classification. I needed it to complete some paperwork for one of my patients."	Boys' father has Marfan's Syndrome. Do these boys need further evaluation?	false
7599	7599	I looked up the diagnosis and therapy of hyperthyroidism in this reference. The question was how to differentiate the different causes of hyperthyroidism.	What is the recommended workup for hyperthyroidism?	true
7600	7600	I looked up the diagnosis and therapy of hyperthyroidism in this reference. The question was how to differentiate the different causes of hyperthyroidism.	What is the other drug besides Famvir and acyclovir for Herpes Zoster?	false

7501

"Is there any interaction between atenolol and methyldopa?"

Is there any interaction between atenolol and methyldopa?

true

7502

"Is there any interaction between atenolol and methyldopa?"

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

false

7503

40-year-old man with diabetes. He said, "I'm feeling dizzy and have a headache. Do you think it could be my medicine?" But it wasn't his medication. My (physician's) question was, "What is causing the dizziness?"

What is causing his dizziness (40-year-old diabetic)?

true

7504

40-year-old man with diabetes. He said, "I'm feeling dizzy and have a headache. Do you think it could be my medicine?" But it wasn't his medication. My (physician's) question was, "What is causing the dizziness?"

What is the significance of an antinuclear antibody (ANA) of 1:40?

false

7505

Yesterday I saw a 15-year-old girl with shingles. I sent her to the dermatologist because it was an atypical presentation, since she was only 15, so I was wondering whether it could be an immune deficiency.

Should you suspect immunodeficiency if a 15-year-old gets herpes zoster.

true

7506

Yesterday I saw a 15-year-old girl with shingles. I sent her to the dermatologist because it was an atypical presentation, since she was only 15, so I was wondering whether it could be an immune deficiency.

What is the dose of Sporanox?

false

7507

I saw a 40-year-old man with prostatitis. I had to look to see the duration of treatment.

What is the treatment duration for acute prostatitis?

true

7508

I saw a 40-year-old man with prostatitis. I had to look to see the duration of treatment.

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

false

7509

Lady in her 70's with an ileostomy noted increased ileostomy output and wondered if she could have a fistula and if it was urine. The question was why her ileostomy output was increased. Was this just diarrhea or something else and then how to find out if it was a fistula.

Why is her ileostomy output increasing?

true

7510

Lady in her 70's with an ileostomy noted increased ileostomy output and wondered if she could have a fistula and if it was urine. The question was why her ileostomy output was increased. Was this just diarrhea or something else and then how to find out if it was a fistula.

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

false

7511

I had a pregnant patient on Synthroid and I called Dr. X (endocrinologist). He said to find out why she has hypothyroidism because it can make a difference to the baby. I (investigator) asked, "What was the question when you called Dr. X?" She said, "How do I manage thyroid replacement in pregnancy? What laboratory tests do I need to follow?

How do I manage thyroid replacement in pregnancy?

true

7512

I had a pregnant patient on Synthroid and I called Dr. X (endocrinologist). He said to find out why she has hypothyroidism because it can make a difference to the baby. I (investigator) asked, "What was the question when you called Dr. X?" She said, "How do I manage thyroid replacement in pregnancy? What laboratory tests do I need to follow?

How to convince someone they are depressed when they don't want to accept it?

false

7513

My patient was convinced she had hypothyroidism. Her labs were normal in August and I even checked antithyroid antibodies and they were negative. She asked another physician to check her thyroid antibodies again and her thyroid peroxidase antibody was two times the upper limit of normal, so I called an endocrinologist and said, "Now what do I do with this?"

What do you do with normal thyroid function studies but positive thyroid antibodies?

true

7514

My patient was convinced she had hypothyroidism. Her labs were normal in August and I even checked antithyroid antibodies and they were negative. She asked another physician to check her thyroid antibodies again and her thyroid peroxidase antibody was two times the upper limit of normal, so I called an endocrinologist and said, "Now what do I do with this?"

Is melatonin good for anything? What is the dose?

false

7515

Interesting patient (29-year-old woman), saw her as a gestational onset diabetic but now, post partum, she has Type I diabetes. Her c-peptide was about 0.5 nanograms/milliliter (normal 1-5) and her serum insulin was about 2 (normal 6 to 27). "Is this definite Type I diabetes?"

Does a low c-peptide definitely mean Type I diabetes?

true

7516

Interesting patient (29-year-old woman), saw her as a gestational onset diabetic but now, post partum, she has Type I diabetes. Her c-peptide was about 0.5 nanograms/milliliter (normal 1-5) and her serum insulin was about 2 (normal 6 to 27). "Is this definite Type I diabetes?"

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

false

7517

This guy is getting dental work and has a canker sore (aphthous ulcer). There's a cream for canker sores, Kenalog in Orabase. "How often do you use it?"

How often should a patient use Kenalog in Orabase?

true

7518

This guy is getting dental work and has a canker sore (aphthous ulcer). There's a cream for canker sores, Kenalog in Orabase. "How often do you use it?"

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

false

7519

A patient had von Hippel-Lindau disease. "What is it? Is it cancer or a collection of blood vessels?"

What is von Hipple-Lindau disease?

true

7520

What is the maximum dose of Zoloft?

true

7521

What is the maximum dose of Zoloft?

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

false

7522

37-year-old man. I looked up the smallest dose of Prinivil in the exam room, online.

What is the smallest dose of Prinivil?

true

7523

73-year-old man with benign prostatic hypertrophy. I wanted to find a generic alpha 1 blocker.

Are there any generic alpha 1 blockers?

true

7524

73-year-old man with benign prostatic hypertrophy. I wanted to find a generic alpha 1 blocker.

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

false

7525

35-year-old woman with insomnia. I looked up dosages of Celexa and Ambien online in the exam room.

What is the dose of Celexa?

true

7526

35-year-old woman with insomnia. I looked up dosages of Celexa and Ambien online in the exam room.

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

false

7527

49-year-old with obsessive-compulsive disorder. She's on Luvox 100 milligrams. I looked on an online resource to see if it can cause someone to be "buzzed or juiced up" because she seemed overly animated today.

Can Luvox cause someone to be overly animated?

true

7528

49-year-old with obsessive-compulsive disorder. She's on Luvox 100 milligrams. I looked on an online resource to see if it can cause someone to be "buzzed or juiced up" because she seemed overly animated today.

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

false

7529

Tachypneic baby that didn't get tachypneic until day-of-life one. Nobody knew what was wrong.

What would cause tachypnea in a well-appearing newborn?

true

7530

Tachypneic baby that didn't get tachypneic until day-of-life one. Nobody knew what was wrong.

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

false

7531

And then there is the 48-hour rule out. Some do 72 hours. What makes one baby a 48-hour rule out and another 72 hours?

What determines whether a possibly septic newborn receives 48 versus 72 hours of antibiotics?

true

7532

And then there is the 48-hour rule out. Some do 72 hours. What makes one baby a 48-hour rule out and another 72 hours?

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

false

7533

I don't know if you're doing this, but any baby born breech gets a hip ultrasound here. I should look this up. "Is this really necessary?"

Should all breech babies have hip ultrasounds?

true

7534

I don't know if you're doing this, but any baby born breech gets a hip ultrasound here. I should look this up. "Is this really necessary?"

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

false

7535

13-year-old, former shaken baby with resultant spastic quadriplegia and cortically blind. The concern is that after a suppository he gets red in the face and squeezes out all these little pebbles. "Is an unprovoked stool every 3 days that bad?" Does it lead to perforation?

How common are surgical complications in disabled adolescents with constipation?

true

7536

13-year-old, former shaken baby with resultant spastic quadriplegia and cortically blind. The concern is that after a suppository he gets red in the face and squeezes out all these little pebbles. "Is an unprovoked stool every 3 days that bad?" Does it lead to perforation?

How do you inject the bicipital tendon?

false

7537

Ten-year-old male referred with developmental delay (age 4) and attention-deficit-hyperactivity disorder, on Strattera. "When do you use Strattera and why would you use that out of the gait (rather than a stimulant)?"

What are the indications for Strattera?

true

7538

Ten-year-old male referred with developmental delay (age 4) and attention-deficit-hyperactivity disorder, on Strattera. "When do you use Strattera and why would you use that out of the gait (rather than a stimulant)?"

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

false

7539

"What is the difference between gender identification disorder, gender dysphoria, and gender incongruent behaviors?"

What is the difference between gender identification disorder and gender dysphoria?"

true

7540

49-year-old man with known diabetes had triglycerides above 7000. He never had pancreatitis. I hit the books to see how to treat that.

What is the treatment for hypertriglyceridemia when the triglycerides are above 7000?

true

7541

49-year-old man with known diabetes had triglycerides above 7000. He never had pancreatitis. I hit the books to see how to treat that.

Is there a better way to introduce the subject of sexually transmitted disease?

false

7542

44-year-old lady with a rash in the perineum. The question was whether it was bad yeast or herpes.

Is this monilia or herpes?

true

7543

44-year-old lady with a rash in the perineum. The question was whether it was bad yeast or herpes.

Patient can't use inhaler, upsets her stomach. Can an inhaler cause upset stomach?

false

7544

79-year-old woman with irritation in the vaginal area, probably atrophic vaginitis. I tried an estrogen pessary and cream but they were no help. The question was "what other approaches can we take?"

What is the treatment for atrophic vaginitis?

true

7545

79-year-old woman with irritation in the vaginal area, probably atrophic vaginitis. I tried an estrogen pessary and cream but they were no help. The question was "what other approaches can we take?"

How old should a child be before they can switch from whole milk to 2% milk?

false

7546

Man in his late 40's with bad Crohn's disease. Came in with pyoderma gangrenosum. We didn't know how to treat him.

What is the treatment for pyoderma gangrenosum?

true

7547

Man in his late 40's with bad Crohn's disease. Came in with pyoderma gangrenosum. We didn't know how to treat him.

Can Staphylococcus or Haemophilus influenza sepsis give same clinical picture as streptococcal septicemia?

false

7548

14-year-old girl with a lump on her thigh. I looked in an anatomy book. I just wanted to be sure there was nothing else in there besides the rectus muscle and the quadriceps.

What is the anatomy of the anterior thigh?

true

7549

14-year-old girl with a lump on her thigh. I looked in an anatomy book. I just wanted to be sure there was nothing else in there besides the rectus muscle and the quadriceps.

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

false

7550

61-year-old man. Are there any competitors to Androgel? I looked it up in a reference in the exam room.

Are there other brands of transcutaneous testosterone besides Androgel?

true

7551

61-year-old man. Are there any competitors to Androgel? I looked it up in a reference in the exam room.

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

false

7552

I looked up penile rashes in one of my references. I saw a 40-year-old man with a purplish rash on the shaft of his penis.

What would cause a purplish rash on the shaft of the penis?

true

7553

I looked up penile rashes in one of my references. I saw a 40-year-old man with a purplish rash on the shaft of his penis.

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

false

7554

I looked up the immunizations for an 18-month-old.

What are the immunizations for an 18-month-old?

true

7555

I looked up the immunizations for an 18-month-old.

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

false

7556

What I'm looking up is if there is any association between iron overload and HIV (human-immunodeficiency virus).

Is there any association between iron and human immunodeficiency virus?

true

7557

What I'm looking up is if there is any association between iron overload and HIV (human-immunodeficiency virus).

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

false

7558

I looked up in this reference the definition of tubular adenoma, I was pretty sure it was benign but wanted to double check.

Is a tubular adenoma benign?

true

7559

I looked up in this reference the definition of tubular adenoma, I was pretty sure it was benign but wanted to double check.

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

false

7560

My last patient this morning is an 11-year-old boy. "Why would he be mildly anemic and have schistocytes?" "I'm not sure what causes schistocytes."

What would cause schistocytes in an 11-year-old?

true

7561

My last patient this morning is an 11-year-old boy. "Why would he be mildly anemic and have schistocytes?" "I'm not sure what causes schistocytes."

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

false

7562

44-year-old woman. No period since March (it is late June). So I asked Dr. X (family physician partner), "Is there a chance she could be pregnant and I asked about blood versus urine pregnancy test, whether either is better."

Which is better -- blood or urine pregnancy test?

true

7563

44-year-old woman. No period since March (it is late June). So I asked Dr. X (family physician partner), "Is there a chance she could be pregnant and I asked about blood versus urine pregnancy test, whether either is better."

Could Procardia or Mevacor cause tinnitus?

false

7564

She's a nurse and wanted to know the maximum dose of Celexa and the exact pregnancy category.

What is the maximum dose of Celexa?

true

7565

She's a nurse and wanted to know the maximum dose of Celexa and the exact pregnancy category.

Why wasn't this patient very sick? (large empyema and Haemophilus influenza in sputum)

false

7566

I asked him what he was looking up. He said, "whether to give drops or elixir acetaminophen to a 1-year-old for their immunizations and what dose."

Should you give drops or elixir acetaminophen to a one-year-old?

true

7567

I asked him what he was looking up. He said, "whether to give drops or elixir acetaminophen to a 1-year-old for their immunizations and what dose."

What is the dose of Famvir?

false

7568

Why does risperdal work for autistic regression and how do you know which cases it will work for?

Why does risperdal sometimes work for autistic regression?

true

7569

Why does risperdal work for autistic regression and how do you know which cases it will work for?

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

false

7570

Five-year-old boy with severe mental retardation. Parents had lots of questions about "sensory diet." "The general question is does sensory integration therapy work and how does it work?"

Does sensory integration therapy work?

true

7571

Five-year-old boy with severe mental retardation. Parents had lots of questions about "sensory diet." "The general question is does sensory integration therapy work and how does it work?"

How do you use Redux? What are the indications?

false

7572

Nine-month-old girl with lipomeningomyelocele, not classic meningomyelocele. The question that arose was how soon will she retether her cord.

How soon after repair of a lipomeningomyelocele can you see signs of a tethered cord?

true

7573

Nine-month-old girl with lipomeningomyelocele, not classic meningomyelocele. The question that arose was how soon will she retether her cord.

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

false

7574

The mother of this 9-month-old with lipomeningomyelocele wanted to know if she is at high risk for future pregnancies for meningomyelocele and if she should take mega-dose folic acid (4 milligrams per day).

Is having a child with lipomeningomyelocele a risk for having more affected children?

true

7575

The mother of this 9-month-old with lipomeningomyelocele wanted to know if she is at high risk for future pregnancies for meningomyelocele and if she should take mega-dose folic acid (4 milligrams per day).

How do you use Redux? What are the indications?

false

7576

Eleven-year-old boy with Down syndrome. Sleep apnea can increase the thyroid stimulating hormone but by how much and is that because night time growth hormone suppresses and overlaps somehow with the rest of the pituitary? "I wanted to know if there was a special antibody I should get."

What thyroid antibodies should be ordered when the thyroid stimulating hormone is high?

true

7577

Eleven-year-old boy with Down syndrome. Sleep apnea can increase the thyroid stimulating hormone but by how much and is that because night time growth hormone suppresses and overlaps somehow with the rest of the pituitary? "I wanted to know if there was a special antibody I should get."

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

false

7578

45-year-old woman. "I looked up the definition for malignant hypertension following a request from a patient. They emailed wanting to know if they had it.

What is the definition of malignant hypertension?

true

7579

45-year-old woman. "I looked up the definition for malignant hypertension following a request from a patient. They emailed wanting to know if they had it.

Patient got sore breasts from Premarin 0.625 milligrams. Is there a smaller pill?

false

7580

How well does biofeedback work for rectal incontinence?

Does biofeedback work for rectal incontinence?

true

7581

Thirty-five-year-old woman. Two days ago she had some local anesthesia for minor surgery. Yesterday she had some fullness in her ankles and fingers and she says everything feels stiff. No arthralgias, just edema. She has a little lymphopenia so it may be viral but . . . . "What would cause this?"

What would cause acute edema in hands and feet?

true

7582

Thirty-five-year-old woman. Two days ago she had some local anesthesia for minor surgery. Yesterday she had some fullness in her ankles and fingers and she says everything feels stiff. No arthralgias, just edema. She has a little lymphopenia so it may be viral but . . . . "What would cause this?"

Is Paxil associated with sleep apnea?

false

7583

New congenital cataracts in a child. When should you be able to pick that up?

At what age should congenital cataracts be detected?

true

7584

New congenital cataracts in a child. When should you be able to pick that up?

In patients with colds and coughs and hemoptysis, who should be worked up?

false

7585

What is the generic name of Protonix?

true

7586

What is the generic name of Protonix?

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

false

7587

I'm going to ask you (investigator). Is that legal? Which antibiotic would you use for an infected toe with poor circulation?

Which antibiotic should be used for an infected toe with poor circulation?

true

7588

I'm going to ask you (investigator). Is that legal? Which antibiotic would you use for an infected toe with poor circulation?

Why is this otherwise healthy 28-year-old woman short of breath?

false

7589

"Von Willebrand's is autosomal dominant but what is the penetrance?"

What is the penetrance of von Willebrand's disease?

true

7590

"Von Willebrand's is autosomal dominant but what is the penetrance?"

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

false

7591

Two-day-old. Why are infants of diabetic mothers more likely to have polycythemia?

Why are infants of diabetic mothers more likely to have polycythemia?

true

7592

Two-day-old. Why are infants of diabetic mothers more likely to have polycythemia?

How do you inject the bicipital tendon?

false

7593

Newborn. Question from resident to study physician. Why are oral hypoglycemics contraindicated in diabetic mothers during pregnancy and why was this mother on glyburide and everyone thought that was OK?

Why are oral hypoglycemics contraindicated in diabetic mothers?

true

7594

Newborn. Question from resident to study physician. Why are oral hypoglycemics contraindicated in diabetic mothers during pregnancy and why was this mother on glyburide and everyone thought that was OK?

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

false

7595

Since epidural anesthesia can cause low-grade maternal fevers, do we need separate criteria for sepsis workup in infants whose mothers got an epidural? Separate laboratory and rupture of membrane criteria?

Do we need separate criteria for sepsis workup in infants whose mothers got an epidural?

true

7596

Since epidural anesthesia can cause low-grade maternal fevers, do we need separate criteria for sepsis workup in infants whose mothers got an epidural? Separate laboratory and rupture of membrane criteria?

Can you use Prozac along with lithium?

false

7597

"One thing I did look up last week was the definitions for the New York Heart Association Heart Failure classification. I needed it to complete some paperwork for one of my patients."

What are the levels of the New York State Heart Association Heart Failure Classification?

true

7598

"One thing I did look up last week was the definitions for the New York Heart Association Heart Failure classification. I needed it to complete some paperwork for one of my patients."

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

false

7599

I looked up the diagnosis and therapy of hyperthyroidism in this reference. The question was how to differentiate the different causes of hyperthyroidism.

What is the recommended workup for hyperthyroidism?

true

7600

I looked up the diagnosis and therapy of hyperthyroidism in this reference. The question was how to differentiate the different causes of hyperthyroidism.

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

false