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3,925
IV ganciclovir
Prolyl hydroxylase
Infectious vulvovaginitis
Coarctation of aorta
Tetralogy of Fallot (TOF)
0
A 48-year old man comes to the physician for the evaluation of an 8-month history of fatigue and profuse, watery, odorless diarrhea. He reports that he has had a 10.5-kg (23-lb) weight loss during this time. Physical examination shows conjunctival pallor and poor skin turgor. Laboratory studies show: Hemoglobin 9.8 ...
Further evaluation of this patient is most likely to show which of the following findings?"
An investigator is studying the principles of cell-to-cell signaling of the autonomic nervous system. It is found that the adrenal medulla has receptors that, when activated, result in the immediate opening of Na+, Ca2+, and K+ channels, which subsequently leads to the secretion of epinephrine and norepinephrine. These...
7,085
Reassurance
Exploratory laparoscopy
Liver disease
Colonoscopy
Complete blood count
2
A 53-year-old woman presents to her primary care physician with joint pain. She reports a 6-month history of progressive pain in her hands that is worse around her knuckles. The pain is symmetric bilaterally and seems to improve after she starts working in the morning at her job in a local grocery store. She has als...
These receptors are structurally most similar to which of the following receptors?
A 35-year-old woman presents to the ER with shortness of breath, cough, and severe lower limb enlargement. The dyspnea was of sudden onset, started a week ago, and increased with exercise but did not disappear with rest. Her cough was dry, persistent, and non-productive. She has a family history of maternal hypertensio...
3,718
HLA-B27
Coronary artery disease
Plain abdominal X-rays
Hypercoagulable state
IV vancomycin
3
A 36-year-old man is brought to the emergency department by his wife 20 minutes after having a seizure. Over the past 3 days, he has had a fever and worsening headaches. This morning, his wife noticed that he was irritable and demonstrated strange behavior; he put the back of his fork, the salt shaker, and the lid of...
Which of the following trinucleotide repeats is this child most likely to possess?
A 44-year-old with a past medical history significant for human immunodeficiency virus infection presents to the emergency department after he was found to be experiencing worsening confusion. The patient was noted to be disoriented by residents and staff at the homeless shelter where he resides. On presentation he rep...
9,469
Decreased urine osmolarity
↑ NAD+/NADH; ALT:AST ≥ 2:1; ß-oxidation ↑; ß-hydroxybutyrate, no change; lactic acid ↓
Medullary cystic disease
Posterior midline of the anal canal, proximal to the pectinate line
Cor pulmonale
1
A 42-year-old man presents for evaluation of vitamin D deficiency with possible osteomalacia. The patient had a pathologic fracture 3 weeks ago and was found to have dangerously low levels of vitamin D with normal serum calcium levels. Bone density has been drastically affected, leading to the fracture this patient e...
This patient’s condition is most strongly characterized by which of the following?
A 53-year-old woman presents to her primary care physician with joint pain. She reports a 6-month history of progressive pain in her hands that is worse around her knuckles. The pain is symmetric bilaterally and seems to improve after she starts working in the morning at her job in a local grocery store. She has also l...
8,768
Posterior midline of the anal canal, distal to the pectinate line
Decreased temperature
Hyperinsulinemia
Tinea capitis
Ependymoma
4
A 65-year-old man was picked up by the security personnel for voiding urine and defecating at an inappropriate place in the community. On questioning, he was making offensive remarks and behaving inappropriately. On physical examination, the physician observed an ataxic gait and amnesia. Initial urine drug screen is...
After a conversation with the child exploring his symptoms, which of the following is the next step in management for this child?
A 22-year-old man comes to the physician because of headaches and blurry vision for the past 6 months. He also reports frequent episodes of vomiting over the last month. His father has died of renal cell carcinoma at the age of 37 years. Examination shows 20/40 vision bilaterally. Fundoscopic examination shows bilatera...
9,107
Drug abuse
Small cell lung carcinoma
Decreased 2,3-bisphosphoglycerate
Neisseria meningitidis
Vaginal cancer
0
A 1-year-old boy is brought to the physician by his parents for the evaluation of recurrent seizures. He is at the 5th percentile for height and 10th percentile for weight. Examination shows coarse pale hair, inelastic hypopigmented skin, and generalized hypotonia. Laboratory studies show low serum ceruloplasmin lev...
Decreased activity of which of the following enzymes is most likely responsible for this patient's condition?
A 72-year-old man presents to the emergency department after a fall. The patient was found lying down on the floor in his room in his retirement community. The patient has a past medical history of Alzheimer dementia and a prosthetic valve. His current medications include donepezil and warfarin. His temperature is 97.7...
3,572
99mTc sestamibi scan with ultrasound of the neck
Pyrimethamine
Chronic obstructive pulmonary disease
Low urine sodium
Sestamibi scan only
0
A 65-year-old woman comes to the physician because of a 2-month history of persistent pain in her right shoulder. The pain is localized to the top of the shoulder and is worse with movement. She has stiffness in the right shoulder that is worse in the morning and usually lasts 20 minutes. The patient reports that sh...
Which of the following findings is most likely to be true in her condition?
A 79-year-old man is brought to the emergency department after he noted the abrupt onset of weakness accompanied by decreased sensation on his left side. His symptoms developed rapidly, peaked within 1 minute, and began to spontaneously resolve 10 minutes later. Upon arrival in the emergency room 40 minutes after the i...
4,147
Decreased pH
Glioblastoma
Respiratory bronchioles
Budd-chiari syndrome
Heartburn and regurgitation
3
A 40-year-old G1P0010 presents to the clinic with nausea and vomiting 8 weeks after a spontaneous abortion at 10 weeks gestation. She admits to heavy drinking (7–8 glasses of wine per day) for the last 20 years; however, after the pregnancy loss, she increased her drinking to 8–9 glasses per day. Hepatomegaly, right ...
What is the most likely diagnosis?
A 42-year-old man presents for evaluation of vitamin D deficiency with possible osteomalacia. The patient had a pathologic fracture 3 weeks ago and was found to have dangerously low levels of vitamin D with normal serum calcium levels. Bone density has been drastically affected, leading to the fracture this patient exp...
286
Pleural cavity
Rotator cuff tear
Perform a stool culture
Fresh frozen plasma
Lung adenocarcinoma
1
A 35-year-old woman presents to the ER with shortness of breath, cough, and severe lower limb enlargement. The dyspnea was of sudden onset, started a week ago, and increased with exercise but did not disappear with rest. Her cough was dry, persistent, and non-productive. She has a family history of maternal hyperten...
Which of the following is the most likely diagnosis?
A 30-year-old woman presents to the clinic for a 3-month history of painful hair loss. She was in her usual state of health until about 3 months ago when she started to develop some painfully itchy spots across her scalp. Since that time these spots have lost hair and scarred, with new spots continuing to form. On furt...
3,631
H2 receptors of the stomach
Atrophic vaginitis
Blanching vascular abnormalities
D2 receptors of the basal ganglia
NM receptors of the quadriceps femoris muscle
0
An 8-year-old boy is brought to the pediatrician because his mother is concerned about recent behavioral changes. His mother states that she has started to notice that he is slurring his speech and seems to be falling more than normal. On exam, the pediatrician observes the boy has pes cavus, hammer toes, and kyposco...
Which of the following is the best next step in management?
A 1-year-old boy is brought to the physician by his parents for the evaluation of recurrent seizures. He is at the 5th percentile for height and 10th percentile for weight. Examination shows coarse pale hair, inelastic hypopigmented skin, and generalized hypotonia. Laboratory studies show low serum ceruloplasmin levels...
6,952
Cryptococcus
HLA-B8
Bone scan (DEXA)
IV acyclovir
Increased partial pressure of oxygen
3
A 58-year-old man is brought to the emergency department after a witnessed tonic-clonic seizure. His wife says he has had a persistent dry cough for 6 months. During this time period, he has also had fatigue and a 4.5-kg (10-lb) weight loss. The patient has no history of serious illness and does not take any medicat...
Which is the most likely pathological finding present in this patient?
A 24-year-old professional athlete is advised to train in the mountains to enhance his performance. After 5 months of training at an altitude of 1.5 km (5,000 feet), he is able to increase his running pace while competing at sea-level venues. Which of the following changes would produce the same effect on the oxygen-he...
6,667
Achlorhydria
CT scan of the neck
Low molecular weight heparin
Enterocele
↑ NADH/NAD+; ALT:AST ≥ 2:1; ß-oxidation ↓; ß-hydroxybutyrate ↓; lactic acid ↑
3
A 13-month-old girl is brought to the physician because of a pruritic rash for 2 days. The girl's mother says she noticed a few isolated skin lesions on her trunk two days ago that appear to be itching. The girl received her routine immunizations 18 days ago. Her mother has been giving her ibuprofen for her symptoms...
Which of the following is the most likely diagnosis?
A 48-year old man comes to the physician for the evaluation of an 8-month history of fatigue and profuse, watery, odorless diarrhea. He reports that he has had a 10.5-kg (23-lb) weight loss during this time. Physical examination shows conjunctival pallor and poor skin turgor. Laboratory studies show: Hemoglobin 9.8 g/d...
8,370
Patent ductus arteriosus (PDA)
Anterior midline of the anal canal, proximal to the pectinate line
Lewy bodies
↑ NAD+/NADH; AST:ALT ≥ 2:1; ß-oxidation ↑; ß-hydroxybutyrate ↓; lactic acid ↓
Bisphosphonate therapy "
1
A 34-year-old man presents to a clinic with complaints of abdominal discomfort and blood in the urine for 2 days. He has had similar abdominal discomfort during the past 5 years, although he does not remember passing blood in the urine. He has had hypertension for the past 2 years, for which he has been prescribed me...
The lack of what compound is most responsible for the formation of this disease?
A 8-month-old boy is brought to the physician for the evaluation of shortening of his arms and legs. The parents report that they have also noticed that their son's head is progressively enlarging. The patient was born at term via vaginal delivery. There is no personal or family history of serious illness. His immuniza...
1,854
Bartholin gland cyst
Growth hormone therapy
Anterior midline of the anal canal, distal to the pectinate line
HLA-DR3
25-hydroxycholecalciferol
3
A 72-year-old man presents to the emergency department after a fall. The patient was found lying down on the floor in his room in his retirement community. The patient has a past medical history of Alzheimer dementia and a prosthetic valve. His current medications include donepezil and warfarin. His temperature is ...
Which of the following is the most appropriate pharmacotherapy?"
A 40-year-old woman comes to the physician because of a 2-week history of anal pain that occurs during defecation and lasts for several hours. She reports that she often strains during defecation and sees bright red blood on toilet paper after wiping. She typically has 3 bowel movements per week. Physical examination s...
2,295
Immune complex formation and deposition
Cellular retention of sodium
Hematuria
CTG
Lateral aspect of the anal canal, distal to the pectinate line
1
A 8-month-old boy is brought to the physician for the evaluation of shortening of his arms and legs. The parents report that they have also noticed that their son's head is progressively enlarging. The patient was born at term via vaginal delivery. There is no personal or family history of serious illness. His immu...
This patient's symptoms are most likely being caused by inflammation of which of the following structures?
An 8-year-old boy is brought to the pediatrician because his mother is concerned about recent behavioral changes. His mother states that she has started to notice that he is slurring his speech and seems to be falling more than normal. On exam, the pediatrician observes the boy has pes cavus, hammer toes, and kyposcoli...
9,654
Calcifediol
Autosomal recessive polycystic kidney disease (ARPKD)
Vitamin D binding protein
Hemangioblastoma
Trichotillomania
4
A 35-year-old woman comes to your office with a variety of complaints. As part of her evaluation, she undergoes laboratory testing which reveals the presence of anti-centromere antibodies.
Which of the following changes would produce the same effect on the oxygen-hemoglobin dissociation curve as this athlete's training did?
A 5-year-old boy is brought in by his parents for recurrent abdominal pain. The child has been taken out of class 5 times this past week for abdominal pain that resulted in him being sent home. The mother reports that her son's stools have remained unchanged during this time and are brown in color, without blood, and w...
3,594
Increase oral hydration and fiber intake
Discoid lupus erythematosus (DLE)
Ventricular septal defect (VSD)
PTH
Terminal bronchioles
0
A 24-year-old professional athlete is advised to train in the mountains to enhance his performance. After 5 months of training at an altitude of 1.5 km (5,000 feet), he is able to increase his running pace while competing at sea-level venues.
Which of the following is the most likely diagnosis in this patient?
A 65-year-old woman comes to the physician because of a 2-month history of persistent pain in her right shoulder. The pain is localized to the top of the shoulder and is worse with movement. She has stiffness in the right shoulder that is worse in the morning and usually lasts 20 minutes. The patient reports that she i...
5,122
Medulloblastoma
Calcitriol
IV ceftriaxone
Ultrasound of the neck only
HLA-DR4
4
A 68-year-old man is admitted to the intensive care unit after open abdominal aortic aneurysm repair. The patient has received 4 units of packed red blood cells during the surgery. During the first 24 hours following the procedure, he has only passed 200 mL of urine. He has congestive heart failure and hypertension....
Which of the following is the most appropriate next step in management?
A 35-year-old man presents to pulmonary function clinic for preoperative evaluation for a right pneumonectomy. His arterial blood gas at room air is as follows: pH: 7.34 PaCO2: 68 mmHg PaO2: 56 mmHg Base excess: +1 O2 saturation: 89% What underlying condition most likely explains these findings?
2,397
CT scan
Alveoli
Exploratory laparotomy
Deep vein thrombosis
Urgent blood transfusion
4
A 70-year-old woman, gravida 5, para 5, comes to the physician for the evaluation of sensation of vaginal fullness for the last six months. During this period, she has had lower back and pelvic pain that is worse with prolonged standing or walking. The patient underwent a hysterectomy at the age of 35 years because o...
Which of the following is the most likely explanation for these findings?
A 70-year-old woman, gravida 5, para 5, comes to the physician for the evaluation of sensation of vaginal fullness for the last six months. During this period, she has had lower back and pelvic pain that is worse with prolonged standing or walking. The patient underwent a hysterectomy at the age of 35 years because of ...
4,202
Mesenteric angiography
Alpha 1 receptors of the bladder neck
Lysyl oxidase
Distal trachea
Begin cognitive behavioral therapy
2
A 5-year-old boy is brought in by his parents for recurrent abdominal pain. The child has been taken out of class 5 times this past week for abdominal pain that resulted in him being sent home. The mother reports that her son's stools have remained unchanged during this time and are brown in color, without blood, and...
All of the following symptoms and signs would be expected to be present EXCEPT:
A 74-year-old man presents to the emergency department with sudden-onset abdominal pain that is most painful around the umbilicus. The pain began 16 hours ago and has no association with meals. He has not been vomiting, but he has had several episodes of bloody loose bowel movements. He was hospitalized 1 week ago for ...
1,754
CGG
CT scanning
Herpes simplex virus
Crosslinking of preformed IgE antibodies
Tuberculosis
0
A 2-year-old boy is presented to the pediatrician due to poor weight gain and easy fatigability. His mother states that the patient barely engages in any physical activity as he becomes short of breath easily. The prenatal and birth histories are insignificant. Past medical history includes a few episodes of upper r...
What is the most likely diagnosis?
A 5-day-old male newborn is brought to the emergency department 1 hour after having a seizure. It lasted approximately 1 minute, and involved blinking and lip-smacking movements as well as left-sided jerking of the hand and foot. His mother says she measured a temperature of 38.2°C (100.7°F) at that time. He has had in...
2,622
↑ NADH/NAD+; AST:ALT ≥ 2:1; ß-oxidation ↓; ß-hydroxybutyrate ↑; lactic acid ↑
Calcium deposits on digits
HLA-DR2
Pick bodies
Hypercoagulability studies
3
A 74-year-old man presents to the emergency department with sudden-onset abdominal pain that is most painful around the umbilicus. The pain began 16 hours ago and has no association with meals. He has not been vomiting, but he has had several episodes of bloody loose bowel movements. He was hospitalized 1 week ago f...
Which of the following is most likely the primary mechanism of the development of edema in this patient?
An 8-year-old boy is brought to the emergency department because of shortness of breath and dry cough for 2 days. His symptoms began after he helped his father clean the basement. He is allergic to shellfish. Respirations are 26/min. Physical examination shows diffuse end-expiratory wheezing and decreased inspiratory-t...
7,839
Left-sided heart failure
Warfarin
↑ NADH/NAD+; ALT:AST ≥ 2:1; ß-oxidation ↓; ß-hydroxybutyrate ↓; lactic acid ↓
Carotid stenting
Episodic hypertension
4
A 35-year-old man presents to pulmonary function clinic for preoperative evaluation for a right pneumonectomy.
Which of the following is the most likely diagnosis?
A 65-year-old man was picked up by the security personnel for voiding urine and defecating at an inappropriate place in the community. On questioning, he was making offensive remarks and behaving inappropriately. On physical examination, the physician observed an ataxic gait and amnesia. Initial urine drug screen is ne...
9,045
Phenylalanine hydroxylase
Antigen contact with presensitized T-lymphocytes
Levothyroxine therapy
Degranulation of eosinophils
GCC
2
An 8-year-old boy is brought to the emergency department because of shortness of breath and dry cough for 2 days. His symptoms began after he helped his father clean the basement. He is allergic to shellfish. Respirations are 26/min. Physical examination shows diffuse end-expiratory wheezing and decreased inspirato...
His arterial blood gas at room air is as follows: pH: 7.34 PaCO2: 68 mmHg PaO2: 56 mmHg Base excess: +1 O2 saturation: 89% What underlying condition most likely explains these findings?
A 36-year-old man is brought to the emergency department by his wife 20 minutes after having a seizure. Over the past 3 days, he has had a fever and worsening headaches. This morning, his wife noticed that he was irritable and demonstrated strange behavior; he put the back of his fork, the salt shaker, and the lid of t...
9,525
Aspirin and clopidogrel
Leukocyte casts
Reactivation of virus dormant in dorsal root ganglion
Begin treatment with ciprofloxacin
Increased hydrostatic pressure
1
A 40-year-old woman comes to the physician because of a 2-week history of anal pain that occurs during defecation and lasts for several hours. She reports that she often strains during defecation and sees bright red blood on toilet paper after wiping. She typically has 3 bowel movements per week. Physical examinatio...
Which of the following is the definitive test to assess the patient condition?
A 55-year-old man presents to the physician with tiredness, lethargy, bone pain, and colicky right abdominal pain for 1 month. He has no comorbidities. He does not have any significant past medical history. His height is 176 cm (5 ft 7 in), weight is 88 kg (194 lb), and his BMI is 28.47 kg/m2. The physical examination ...
7,637
Alopecia areata
Group B streptococcus
Oligodendroglioma
Glucocerebrosidase
Obesity
0
A 44-year-old with a past medical history significant for human immunodeficiency virus infection presents to the emergency department after he was found to be experiencing worsening confusion. The patient was noted to be disoriented by residents and staff at the homeless shelter where he resides. On presentation he r...
Further evaluation of this patient is most likely to reveal which of the following findings?
A 68-year-old man is admitted to the intensive care unit after open abdominal aortic aneurysm repair. The patient has received 4 units of packed red blood cells during the surgery. During the first 24 hours following the procedure, he has only passed 200 mL of urine. He has congestive heart failure and hypertension. Cu...
9,953
Autosomal dominant polycystic kidney disease (ADPKD)
PrPSC Sheets
Large cell lung carcinoma
Subacromial bursitis
Homogentisate oxidase
0
An investigator is studying the principles of cell-to-cell signaling of the autonomic nervous system. It is found that the adrenal medulla has receptors that, when activated, result in the immediate opening of Na+, Ca2+, and K+ channels, which subsequently leads to the secretion of epinephrine and norepinephrine.
This patient's symptoms are most likely caused by tissue injury in which of the following locations?
A 58-year-old man is brought to the emergency department after a witnessed tonic-clonic seizure. His wife says he has had a persistent dry cough for 6 months. During this time period, he has also had fatigue and a 4.5-kg (10-lb) weight loss. The patient has no history of serious illness and does not take any medication...
1,838
Release of vascular endothelial growth factor
Check the stool for fecal red blood cells and leukocytes
Calcific tendinitis
CT scan of the head
Biceps tendinitis
2
A 22-year-old man comes to the physician because of headaches and blurry vision for the past 6 months. He also reports frequent episodes of vomiting over the last month. His father has died of renal cell carcinoma at the age of 37 years. Examination shows 20/40 vision bilaterally. Fundoscopic examination shows bila...
Microscopic examination of this density is most likely to confirm which of the following diagnoses?
A 13-month-old girl is brought to the physician because of a pruritic rash for 2 days. The girl's mother says she noticed a few isolated skin lesions on her trunk two days ago that appear to be itching. The girl received her routine immunizations 18 days ago. Her mother has been giving her ibuprofen for her symptoms. T...
9,425
Acute respiratory distress syndrome
Cholelithiasis
CAG
Simple renal cysts
Amyloid plaques
2
A 55-year-old man presents to the physician with tiredness, lethargy, bone pain, and colicky right abdominal pain for 1 month. He has no comorbidities. He does not have any significant past medical history. His height is 176 cm (5 ft 7 in), weight is 88 kg (194 lb), and his BMI is 28.47 kg/m2. The physical examinat...
Which of the following interventions is most appropriate for this patient's condition?
A 34-year-old man presents to a clinic with complaints of abdominal discomfort and blood in the urine for 2 days. He has had similar abdominal discomfort during the past 5 years, although he does not remember passing blood in the urine. He has had hypertension for the past 2 years, for which he has been prescribed medi...
5,978
Cervical radiculopathy
Bronchiectasis
Secondary syphilis
Bronchial carcinoid tumor
Replication of the attenuated vaccine strain
3
A 30-year-old woman presents to the clinic for a 3-month history of painful hair loss. She was in her usual state of health until about 3 months ago when she started to develop some painfully itchy spots across her scalp. Since that time these spots have lost hair and scarred, with new spots continuing to form. On f...
A lumbar puncture is performed with the following results: Opening pressure: Normal Fluid color: Clear Cell count: Increased lymphocytes Protein: Slightly elevated Which of the following is the most likely cause of this patient's symptoms?
A 2-year-old boy is presented to the pediatrician due to poor weight gain and easy fatigability. His mother states that the patient barely engages in any physical activity as he becomes short of breath easily. The prenatal and birth histories are insignificant. Past medical history includes a few episodes of upper resp...
9,781
Pallor, cyanosis, and erythema of the hands
GAA
M2 receptors of heart
Cystic fibrosis
Acquired cystic kidney disease
4
A 5-day-old male newborn is brought to the emergency department 1 hour after having a seizure. It lasted approximately 1 minute, and involved blinking and lip-smacking movements as well as left-sided jerking of the hand and foot. His mother says she measured a temperature of 38.2°C (100.7°F) at that time. He has had...
Which of the following is the most likely diagnosis?
A 40-year-old G1P0010 presents to the clinic with nausea and vomiting 8 weeks after a spontaneous abortion at 10 weeks gestation. She admits to heavy drinking (7–8 glasses of wine per day) for the last 20 years; however, after the pregnancy loss, she increased her drinking to 8–9 glasses per day. Hepatomegaly, right up...
4,833
Squamous cell lung carcinoma
Atrial septal defect (ASD)
Breakdown of endothelial tight junctions
Increased carbon monoxide inhalation
Proteinuria
3
A 79-year-old man is brought to the emergency department after he noted the abrupt onset of weakness accompanied by decreased sensation on his left side. His symptoms developed rapidly, peaked within 1 minute, and began to spontaneously resolve 10 minutes later. Upon arrival in the emergency room 40 minutes after the...
What is the most appropriate next step in his management?
A 35-year-old woman comes to your office with a variety of complaints. As part of her evaluation, she undergoes laboratory testing which reveals the presence of anti-centromere antibodies. All of the following symptoms and signs would be expected to be present EXCEPT:

edition_2898_lavita-medical-qa-shared-task-v1-toy-readymade

A Readymade by TheFactoryX

Original Dataset

lavita/medical-qa-shared-task-v1-toy

Process

This dataset is a "readymade" - inspired by Marcel Duchamp's concept of taking everyday objects and recontextualizing them as art.

What we did:

  1. Selected the original dataset from Hugging Face
  2. Shuffled each column independently
  3. Destroyed all row-wise relationships
  4. Preserved structure, removed meaning

The result: Same data. Wrong order. New meaning. No meaning.

Purpose

This is art. This is not useful. This is the point.

Column relationships have been completely destroyed. The data maintains its types and values, but all semantic meaning has been removed.


Part of the Readymades project by TheFactoryX.

"I am a machine." — Andy Warhol

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