key
int64 0
1.23k
| questions
stringclasses 145
values | options
listlengths 2
26
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0 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Pneumonia"
},
{
"label": "D",
"disease": "Pulmonary embolism"
},
{
"label": "E",
"disease": "Tuberculosis"
},
{
"label": "F",
"disease": "Acute pulmonary edema"
},
{
"label": "G",
"disease": "Anaphylaxis"
},
{
"label": "H",
"disease": "Guillain-Barré syndrome"
},
{
"label": "I",
"disease": "Atrial fibrillation"
},
{
"label": "J",
"disease": "Myocarditis"
},
{
"label": "K",
"disease": "Bronchiectasis"
},
{
"label": "L",
"disease": "Acute dystonic reactions"
},
{
"label": "M",
"disease": "Myasthenia gravis"
},
{
"label": "N",
"disease": "Anemia"
},
{
"label": "O",
"disease": "Scombroid food poisoning"
},
{
"label": "P",
"disease": "PSVT"
},
{
"label": "Q",
"disease": "SLE"
}
] | A | [
"The patient is a 21-year-old young woman.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has family members who have asthma.",
"The patient has been diagnosed with chronic sinusitis.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient lives in a big city.",
"The patient has noticed a wheezing sound when they exhale."
] | [
1,
4,
8,
5,
3
] | [
0,
2,
6,
7
] |
1 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute dystonic reactions"
},
{
"label": "B",
"disease": "Pulmonary embolism"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Guillain-Barré syndrome"
},
{
"label": "E",
"disease": "Atrial fibrillation"
},
{
"label": "F",
"disease": "Myocarditis"
},
{
"label": "G",
"disease": "Anemia"
},
{
"label": "H",
"disease": "Anaphylaxis"
},
{
"label": "I",
"disease": "Scombroid food poisoning"
},
{
"label": "J",
"disease": "PSVT"
},
{
"label": "K",
"disease": "SLE"
},
{
"label": "L",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "M",
"disease": "Chagas"
}
] | A | [
"The patient is a 31-year-old man.",
"The patient regularly takes stimulant drugs.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has felt like they were suffocating for a very short time associated with an inability to breathe or speak.",
"The patient has been treated in hospital recently for nausea, agitation, intoxication, or aggressive behavior and received medication via an intravenous or intramuscular route.",
"The patient has trouble keeping their tongue in their mouth.",
"The patient is unable to control the direction of their eyes.",
"The patient feels that muscle spasms or soreness in the neck are keeping them from turning their head to one side.",
"The patient has annoying muscle spasms in the face, neck or other parts of the body.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
2,
3,
4,
9
] | [
5,
6,
7,
8
] |
2 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Chronic rhinosinusitis"
},
{
"label": "B",
"disease": "Acute rhinosinusitis"
},
{
"label": "C",
"disease": "Bronchitis"
},
{
"label": "D",
"disease": "Acute laryngitis"
},
{
"label": "E",
"disease": "Pneumonia"
},
{
"label": "F",
"disease": "Viral pharyngitis"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "Anemia"
}
] | A | [
"The patient is a 3-year-old girl.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\n * sharp\nThe locations of the patient's pain are: \n * mouth\n * forehead\n * cheek(R)\n * cheek(L)\n * nose\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain radiates to the following locations: \n * back of head\n * forehead\n * nose\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 4.",
"The patient smokes cigarettes.",
"The patient has lost their sense of smell.",
"The patient has had a cold in the last 2 weeks.",
"The patient has polyps in their nose.",
"The patient has a deviated nasal septum.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has been diagnosed with gastroesophageal reflux.",
"The patient has greenish or yellowish nasal discharge.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
1,
3,
4,
5,
6,
9,
10
] | [
2,
7,
8,
11,
12
] |
3 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "HIV (initial infection)"
},
{
"label": "B",
"disease": "Chagas"
},
{
"label": "C",
"disease": "Scombroid food poisoning"
}
] | A | [
"The patient is a 46-year-old woman.",
"The patient has had a sexually transmitted infection.",
"The patient has had significantly increased sweating.",
"The patient has had diarrhea or an increase in stool frequency.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * a pulse\n * exhausting\nThe locations of the patient's pain are: \n * cervical spine\n * top of the head\n * temple(L)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 2.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pale.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has lesions in the following regions: \n * lower gum\n * labia majora(L)\n * internal cheek(R)\n * internal cheek(L)\n * bottom lip(R)\nOn a scale of 10, the pain intensity caused by the rash is 2.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient has had an involuntary weight loss over the last 3 months.",
"The patient has had sexual intercourse with an HIV-positive partner in the past 12 months.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
9,
10
] | [
2,
3,
4,
5,
6,
7,
8
] |
4 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Panic attack"
},
{
"label": "B",
"disease": "PSVT"
},
{
"label": "C",
"disease": "Guillain-Barré syndrome"
},
{
"label": "D",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "E",
"disease": "Spontaneous pneumothorax"
},
{
"label": "F",
"disease": "Pericarditis"
},
{
"label": "G",
"disease": "Acute pulmonary edema"
},
{
"label": "H",
"disease": "Atrial fibrillation"
},
{
"label": "I",
"disease": "Anemia"
},
{
"label": "J",
"disease": "Anaphylaxis"
},
{
"label": "K",
"disease": "Unstable angina"
},
{
"label": "L",
"disease": "Pulmonary embolism"
},
{
"label": "M",
"disease": "Stable angina"
},
{
"label": "N",
"disease": "GERD"
},
{
"label": "O",
"disease": "Inguinal hernia"
},
{
"label": "P",
"disease": "Scombroid food poisoning"
},
{
"label": "Q",
"disease": "Acute dystonic reactions"
},
{
"label": "R",
"disease": "Myasthenia gravis"
},
{
"label": "S",
"disease": "Sarcoidosis"
},
{
"label": "T",
"disease": "SLE"
}
] | A | [
"The patient is a 72-year-old elderly woman.",
"The patient feels anxious.",
"The patient's immediate family includes members with a psychiatric illness.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a cramp\n * sharp\nThe locations of the patient's pain are: \n * lower chest\n * side of the chest(R)\n * flank(R)\n * iliac fossa(L)\n * breast(R)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 5.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels like they are or were choking or suffocating.",
"The patient has been diagnosed with depression before.",
"The patient suffers from chronic anxiety.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient has had a migraine or a member of their family is known to have migraines.",
"The patient feels like they are dying or were afraid they were about to die.",
"The patient suffers from fibromyalgia.",
"The patient feels their heart is beating fast, irregularly, or experiences palpitations.",
"The patient has recently experienced numbness, loss of sensation, or tingling in both arms and legs and around the mouth.",
"The patient feels detached from their own body or surroundings.",
"The patient has had a head trauma.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
4,
5,
6,
9,
11,
13,
14,
16
] | [
1,
2,
3,
7,
8,
10,
12,
15,
17
] |
5 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Viral pharyngitis"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Acute laryngitis"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "Stable angina"
}
] | A | [
"The patient is a 30-year-old young man.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient has been coughing up blood.",
"The patient lives with 4 or more people.",
"The patient attends or works in a daycare.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\nThe locations of the patient's pain are: \n * tonsil(R)\n * tonsil(L)\n * thyroid cartilage\n * palace\n * under the jaw\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 5.",
"The patient smokes cigarettes.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is immunosuppressed."
] | [
0,
1,
3,
4,
8
] | [
2,
5,
6,
7,
9
] |
6 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Myasthenia gravis"
},
{
"label": "B",
"disease": "Guillain-Barré syndrome"
},
{
"label": "C",
"disease": "Acute dystonic reactions"
},
{
"label": "D",
"disease": "Atrial fibrillation"
},
{
"label": "E",
"disease": "Myocarditis"
},
{
"label": "F",
"disease": "Anemia"
},
{
"label": "G",
"disease": "Anaphylaxis"
},
{
"label": "H",
"disease": "Chagas"
},
{
"label": "I",
"disease": "Scombroid food poisoning"
}
] | A | [
"The patient is a 0-year-old girl.",
"The patient has family members who have been diagnosed with myasthenia gravis.",
"The patient experiences pain or weakness in their jaw.",
"The patient experiences double vision.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels weakness in both arms and/or both legs.",
"The patient's symptoms of muscle weakness increase with fatigue and/or stress.",
"The patient has a hard time opening or raising one or both eyelids.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
8
] | [
2,
3,
4,
5,
6,
7
] |
7 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anemia"
},
{
"label": "B",
"disease": "Panic attack"
},
{
"label": "C",
"disease": "Guillain-Barré syndrome"
},
{
"label": "D",
"disease": "Pulmonary embolism"
},
{
"label": "E",
"disease": "GERD"
},
{
"label": "F",
"disease": "Inguinal hernia"
},
{
"label": "G",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "H",
"disease": "Anaphylaxis"
},
{
"label": "I",
"disease": "Scombroid food poisoning"
},
{
"label": "J",
"disease": "Acute dystonic reactions"
},
{
"label": "K",
"disease": "Chagas"
},
{
"label": "L",
"disease": "SLE"
},
{
"label": "M",
"disease": "Pulmonary neoplasm"
}
] | B | [
"The patient is a 60-year-old man.",
"The patient feels anxious.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a cramp\nThe locations of the patient's pain are: \n * flank(R)\n * iliac fossa(R)\n * iliac fossa(L)\n * hypochondrium(R)\n * pubis\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 6.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient has been diagnosed with depression before.",
"The patient suffers from chronic anxiety.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient has had a migraine or a member of their family is known to have migraines.",
"The patient suffers from fibromyalgia.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient has recently experienced numbness, loss of sensation, or tingling in both arms and legs and around the mouth.",
"The patient has had a head trauma.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
2,
3,
10,
11,
12,
13
] | [
0,
1,
4,
5,
6,
7,
8,
9
] |
8 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Croup"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Pneumonia"
},
{
"label": "D",
"disease": "Guillain-Barré syndrome"
},
{
"label": "E",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Myocarditis"
},
{
"label": "H",
"disease": "Acute dystonic reactions"
},
{
"label": "I",
"disease": "Myasthenia gravis"
},
{
"label": "J",
"disease": "Anemia"
},
{
"label": "K",
"disease": "Tuberculosis"
},
{
"label": "L",
"disease": "PSVT"
},
{
"label": "M",
"disease": "Chagas"
}
] | A | [
"The patient is a 2-year-old boy.",
"The patient or a member of the patient's family has had croup.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has noticed an increase in saliva production.",
"The patient has a whooping cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's symptoms are more prominent at night."
] | [
0,
5
] | [
1,
2,
3,
4,
6
] |
9 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute dystonic reactions"
},
{
"label": "B",
"disease": "Pulmonary embolism"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Guillain-Barré syndrome"
},
{
"label": "E",
"disease": "Atrial fibrillation"
},
{
"label": "F",
"disease": "Myocarditis"
},
{
"label": "G",
"disease": "Anemia"
},
{
"label": "H",
"disease": "Anaphylaxis"
},
{
"label": "I",
"disease": "Myasthenia gravis"
},
{
"label": "J",
"disease": "Scombroid food poisoning"
},
{
"label": "K",
"disease": "PSVT"
},
{
"label": "L",
"disease": "SLE"
}
] | A | [
"The patient is a 34-year-old woman.",
"The patient regularly takes stimulant drugs.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has felt like they were suffocating for a very short time associated with an inability to breathe or speak.",
"The patient has trouble keeping their tongue in their mouth.",
"The patient has a hard time opening or raising one or both eyelids.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient suddenly has difficulty or an inability to open their mouth or experiences jaw pain when opening it."
] | [
1,
2,
3,
6
] | [
0,
4,
5,
7
] |
10 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute dystonic reactions"
},
{
"label": "B",
"disease": "Myasthenia gravis"
},
{
"label": "C",
"disease": "Pulmonary embolism"
},
{
"label": "D",
"disease": "Acute pulmonary edema"
},
{
"label": "E",
"disease": "Guillain-Barré syndrome"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Myocarditis"
},
{
"label": "H",
"disease": "Anemia"
},
{
"label": "I",
"disease": "Anaphylaxis"
},
{
"label": "J",
"disease": "Scombroid food poisoning"
},
{
"label": "K",
"disease": "PSVT"
},
{
"label": "L",
"disease": "SLE"
}
] | A | [
"The patient is a 28-year-old young woman.",
"The patient has started or taken antipsychotic medication within the last 7 days.",
"The patient regularly takes stimulant drugs.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has felt like they were suffocating for a very short time associated with an inability to breathe or speak.",
"The patient has trouble keeping their tongue in their mouth.",
"The patient has a hard time opening or raising one or both eyelids.",
"The patient has annoying muscle spasms in the face, neck or other parts of the body.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient suddenly has difficulty or an inability to open their mouth or experiences jaw pain when opening it."
] | [
0,
1,
2,
8
] | [
3,
4,
5,
6,
7,
9
] |
11 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Cluster headache"
},
{
"label": "B",
"disease": "Chagas"
},
{
"label": "C",
"disease": "Anemia"
}
] | A | [
"The patient is a 74-year-old elderly woman.",
"The patient's family members have been diagnosed with cluster headaches.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * haunting\n * tugging\n * violent\n * sharp\nThe locations of the patient's pain are: \n * forehead\n * cheek(R)\n * eye(R)\n * eye(L)\n * temple(R)\nOn a scale of 10 , the pain intensity is 10.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 10.\nOn a scale of 10, the speed of onset is 9.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient feels that their eyes produce excessive tears.",
"The patient takes medication that dilates their blood vessels.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
3,
6
] | [
2,
4,
5
] |
12 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "HIV (initial infection)"
},
{
"label": "B",
"disease": "Chagas"
},
{
"label": "C",
"disease": "Scombroid food poisoning"
},
{
"label": "D",
"disease": "Sarcoidosis"
}
] | A | [
"The patient is a 6-year-old boy.",
"The patient has swollen or painful lymph nodes.",
"The patient has had a sexually transmitted infection.",
"The patient has had significantly increased sweating.",
"The patient has had diarrhea or an increase in stool frequency.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * a pulse\n * exhausting\nThe locations of the patient's pain are: \n * back of head\n * cervical spine\n * top of the head\n * forehead\n * temple(L)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 1.",
"The patient is currently using intravenous drugs.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pale.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has lesions in the following regions: \n * lower gum\n * internal cheek(R)\n * bottom lip(R)\n * palace\n * penis\nOn a scale of 10, the pain intensity caused by the rash is 7.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient has diffuse widespread muscle pain.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient has had sexual intercourse with an HIV-positive partner in the past 12 months.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
5,
7,
8,
9,
10
] | [
2,
3,
4,
6,
11,
12
] |
13 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "GERD"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Pericarditis"
},
{
"label": "D",
"disease": "Anemia"
},
{
"label": "E",
"disease": "Tuberculosis"
},
{
"label": "F",
"disease": "Anaphylaxis"
}
] | A | [
"The patient is a 10-year-old girl.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * a knife stroke\n * tugging\n * burning\n * sickening\nThe locations of the patient's pain are: \n * hypochondrium(R)\n * belly\n * epigastric\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain radiates to the following locations: \n * lower chest\n * upper chest\nOn a scale of 10, the precision of location is 2.\nOn a scale of 10, the speed of onset is 3.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient has recently had stools that were black like coal.",
"The patient has a burning sensation that starts in the stomach and goes up into the throat, and it can be associated with a bitter taste in the mouth.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that get worse after eating.",
"The patient's symptoms are worse when lying down and alleviated while sitting up."
] | [
0,
2,
3,
6
] | [
1,
4,
5,
7,
8
] |
14 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Unstable angina"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Stable angina"
},
{
"label": "D",
"disease": "Myocarditis"
},
{
"label": "E",
"disease": "GERD"
},
{
"label": "F",
"disease": "Acute pulmonary edema"
},
{
"label": "G",
"disease": "Guillain-Barré syndrome"
},
{
"label": "H",
"disease": "Acute dystonic reactions"
},
{
"label": "I",
"disease": "Myasthenia gravis"
},
{
"label": "J",
"disease": "Anemia"
},
{
"label": "K",
"disease": "Sarcoidosis"
},
{
"label": "L",
"disease": "Pancreatic neoplasm"
},
{
"label": "M",
"disease": "Scombroid food poisoning"
},
{
"label": "N",
"disease": "Pulmonary embolism"
}
] | C | [
"The patient is a 23-year-old young man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * heavy\n * exhausting\nThe locations of the patient's pain are: \n * side of the chest(R)\n * side of the chest(L)\n * upper chest\n * breast(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain radiates to the following locations: \n * biceps(L)\n * thoracic spine\n * under the jaw\n * shoulder(R)\n * shoulder(L)\nOn a scale of 10, the precision of location is 6.\nOn a scale of 10, the speed of onset is 7.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has high cholesterol or takes medications to treat high cholesterol.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient smokes cigarettes.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient exercises regularly, 4 times per week or more.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest.",
"The patient has close family members who had a cardiovascular disease problem before the age of 50."
] | [
0,
1,
2,
9
] | [
3,
4,
5,
6,
7,
8,
10
] |
15 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Unstable angina"
},
{
"label": "B",
"disease": "Stable angina"
},
{
"label": "C",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "D",
"disease": "Pericarditis"
},
{
"label": "E",
"disease": "Atrial fibrillation"
},
{
"label": "F",
"disease": "Spontaneous pneumothorax"
},
{
"label": "G",
"disease": "Myocarditis"
}
] | G | [
"The patient is a 37-year-old man.",
"The patient has recently had a viral infection.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\nThe locations of the patient's pain are: \n * side of the chest(L)\n * breast(L)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 1.\nOn a scale of 10, the speed of onset is 1.",
"The patient feels out of breath with minimal physical effort.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest."
] | [
1,
4
] | [
0,
2,
3,
5
] |
16 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Chronic rhinosinusitis"
},
{
"label": "C",
"disease": "Cluster headache"
},
{
"label": "D",
"disease": "Chagas"
},
{
"label": "E",
"disease": "Anemia"
},
{
"label": "F",
"disease": "Acute rhinosinusitis"
}
] | B | [
"The patient is a 38-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\nThe locations of the patient's pain are: \n * cheek(L)\n * nose\n * eye(R)\n * eye(L)\n * temple(R)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain radiates to the following locations: \n * temple(R)\n * temple(L)\nOn a scale of 10, the precision of location is 2.\nOn a scale of 10, the speed of onset is 3.",
"The patient smokes cigarettes.",
"The patient has lost their sense of smell.",
"The patient has had a cold in the last 2 weeks.",
"The patient has had pneumonia before.",
"The patient has polyps in their nose.",
"The patient has a deviated nasal septum.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has greenish or yellowish nasal discharge.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
1,
3,
8,
9
] | [
2,
4,
5,
6,
7,
10,
11,
12
] |
17 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "B",
"disease": "Pancreatic neoplasm"
}
] | B | [
"The patient is a 42-year-old woman.",
"The patient has chronic pancreatitis.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * a cramp\nThe locations of the patient's pain are: \n * belly\n * epigastric\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 1.",
"The patient is significantly overweight compared to people of the same height.",
"The patient smokes cigarettes.",
"The color of the rash is not available.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has no lesions.\nOn a scale of 10, the pain intensity caused by the rash is 0.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient has pale stools and dark urine.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has family members who have been diagnosed with pancreatic cancer."
] | [
0,
3,
4,
5,
7
] | [
1,
2,
6,
8
] |
18 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Unstable angina"
},
{
"label": "B",
"disease": "Stable angina"
},
{
"label": "C",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "D",
"disease": "Atrial fibrillation"
},
{
"label": "E",
"disease": "Panic attack"
},
{
"label": "F",
"disease": "Myocarditis"
},
{
"label": "G",
"disease": "GERD"
},
{
"label": "H",
"disease": "Acute pulmonary edema"
},
{
"label": "I",
"disease": "Guillain-Barré syndrome"
},
{
"label": "J",
"disease": "Anaphylaxis"
},
{
"label": "K",
"disease": "Acute dystonic reactions"
},
{
"label": "L",
"disease": "Scombroid food poisoning"
},
{
"label": "M",
"disease": "PSVT"
},
{
"label": "N",
"disease": "Pulmonary embolism"
}
] | B | [
"The patient is a 47-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * exhausting\nThe locations of the patient's pain are: \n * side of the chest(R)\n * side of the chest(L)\n * breast(R)\n * breast(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain radiates to the following locations: \n * biceps(R)\n * biceps(L)\n * thyroid cartilage\n * thoracic spine\n * shoulder(R)\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 7.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has diabetes.",
"The patient is significantly overweight compared to people of the same height.",
"The patient smokes cigarettes.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient has had a heart attack or has angina (chest pain).",
"The patient exercises regularly, 4 times per week or more.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest.",
"The patient has close family members who had a cardiovascular disease problem before the age of 50."
] | [
0,
1,
2,
10
] | [
3,
4,
5,
6,
7,
8,
9,
11
] |
19 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Boerhaave"
},
{
"label": "B",
"disease": "Pancreatic neoplasm"
},
{
"label": "C",
"disease": "GERD"
}
] | A | [
"The patient is a 33-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * heartbreaking\n * haunting\n * a knife stroke\n * violent\n * sickening\nThe locations of the patient's pain are: \n * lower chest\n * flank(R)\n * upper chest\n * belly\n * epigastric\nOn a scale of 10 , the pain intensity is 9.\nThe patient's pain radiates to the following locations: \n * thoracic spine\n * scapula(L)\nOn a scale of 10, the precision of location is 6.\nOn a scale of 10, the speed of onset is 8.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has recently thrown up blood or something resembling coffee beans.",
"The patient has vomited several times or made several efforts to vomit."
] | [
0,
1,
4
] | [
2,
3,
5,
6
] |
20 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute otitis media"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "URTI"
}
] | A | [
"The patient is a 41-year-old woman.",
"The patient is currently being treated or has recently been treated with an oral antibiotic for an ear infection.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * sharp\nThe locations of the patient's pain are: \n * ear(R)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 7.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's vaccinations are up to date."
] | [
0,
1,
2
] | [
3,
4,
5,
6
] |
21 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Viral pharyngitis"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Unstable angina"
},
{
"label": "D",
"disease": "URTI"
},
{
"label": "E",
"disease": "Acute laryngitis"
},
{
"label": "F",
"disease": "Stable angina"
}
] | A | [
"The patient is a 20-year-old young woman.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient has been coughing up blood.",
"The patient lives with 4 or more people.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\nThe locations of the patient's pain are: \n * thyroid cartilage\nOn a scale of 10 , the pain intensity is 9.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 6.\nOn a scale of 10, the speed of onset is 2.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
2,
4,
7
] | [
0,
1,
3,
5,
6,
8
] |
22 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "B",
"disease": "Unstable angina"
},
{
"label": "C",
"disease": "Boerhaave"
},
{
"label": "D",
"disease": "GERD"
},
{
"label": "E",
"disease": "Anaphylaxis"
},
{
"label": "F",
"disease": "Guillain-Barré syndrome"
},
{
"label": "G",
"disease": "Atrial fibrillation"
},
{
"label": "H",
"disease": "Panic attack"
},
{
"label": "I",
"disease": "Acute dystonic reactions"
},
{
"label": "J",
"disease": "Myasthenia gravis"
},
{
"label": "K",
"disease": "Anemia"
},
{
"label": "L",
"disease": "Acute pulmonary edema"
},
{
"label": "M",
"disease": "Scombroid food poisoning"
},
{
"label": "N",
"disease": "HIV (initial infection)"
},
{
"label": "O",
"disease": "Pericarditis"
},
{
"label": "P",
"disease": "Pancreatic neoplasm"
},
{
"label": "Q",
"disease": "Chagas"
},
{
"label": "R",
"disease": "PSVT"
}
] | B | [
"The patient is a 37-year-old man.",
"The patient has chest pain even at rest.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * exhausting\nThe locations of the patient's pain are: \n * lower chest\n * upper chest\n * breast(R)\n * breast(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain radiates to the following locations: \n * biceps(R)\n * thyroid cartilage\n * thoracic spine\n * shoulder(R)\n * shoulder(L)\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 4.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has diabetes.",
"The patient is significantly overweight compared to people of the same height.",
"The patient smokes cigarettes.",
"The patient has had a heart attack or has angina (chest pain).",
"The patient exercises regularly, 4 times per week or more.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has close family members who had a cardiovascular disease problem before the age of 50."
] | [
1,
2,
3,
4,
8,
10,
12
] | [
0,
5,
6,
7,
9,
11
] |
23 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "PSVT"
},
{
"label": "B",
"disease": "Myocarditis"
},
{
"label": "C",
"disease": "Panic attack"
},
{
"label": "D",
"disease": "Atrial fibrillation"
},
{
"label": "E",
"disease": "Scombroid food poisoning"
},
{
"label": "F",
"disease": "Acute dystonic reactions"
},
{
"label": "G",
"disease": "Anemia"
},
{
"label": "H",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "I",
"disease": "Pulmonary neoplasm"
},
{
"label": "J",
"disease": "Pulmonary embolism"
}
] | D | [
"The patient is a 41-year-old man.",
"The patient has been diagnosed with hyperthyroidism.",
"The patient has a known issue with one of their heart valves.",
"The patient has severe Chronic Obstructive Pulmonary Disease (COPD).",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has diabetes.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient feels their heart is beating fast, irregularly, or experiences palpitations.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest."
] | [
0,
8,
9
] | [
1,
2,
3,
4,
5,
6,
7
] |
24 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute COPD exacerbation / infection"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Bronchiectasis"
},
{
"label": "D",
"disease": "Pneumonia"
},
{
"label": "E",
"disease": "Pulmonary neoplasm"
},
{
"label": "F",
"disease": "Guillain-Barré syndrome"
},
{
"label": "G",
"disease": "Atrial fibrillation"
},
{
"label": "H",
"disease": "Myocarditis"
},
{
"label": "I",
"disease": "Pulmonary embolism"
},
{
"label": "J",
"disease": "Acute dystonic reactions"
},
{
"label": "K",
"disease": "Myasthenia gravis"
},
{
"label": "L",
"disease": "Anemia"
},
{
"label": "M",
"disease": "Tuberculosis"
},
{
"label": "N",
"disease": "PSVT"
},
{
"label": "O",
"disease": "Chagas"
}
] | A | [
"The patient is a 59-year-old woman.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has had one or several flare ups of chronic obstructive pulmonary disease in the past year.",
"The patient has a cough that produces colored or more abundant sputum than usual.",
"The patient smokes cigarettes.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has been diagnosed with gastroesophageal reflux.",
"The patient works in agriculture.",
"The patient works in construction.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed a wheezing sound when they exhale."
] | [
0,
6,
7,
8,
10
] | [
1,
2,
3,
4,
5,
9,
11
] |
25 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Epiglottitis"
},
{
"label": "B",
"disease": "Acute laryngitis"
},
{
"label": "C",
"disease": "Chagas"
},
{
"label": "D",
"disease": "HIV (initial infection)"
},
{
"label": "E",
"disease": "Viral pharyngitis"
}
] | A | [
"The patient is a 21-year-old young woman.",
"The patient has pain that improves when they lean forward.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\n * sharp\nThe locations of the patient's pain are: \n * tonsil(R)\n * tonsil(L)\n * back of the neck\n * side of the neck(R)\n * side of the neck(L)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 3.",
"The patient regularly takes stimulant drugs.",
"The patient has diabetes.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient has noticed an increase in saliva production.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed that the tone of their voice has become deeper, softer or hoarse."
] | [
0,
1,
2,
8,
10
] | [
3,
4,
5,
6,
7,
9
] |
26 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute rhinosinusitis"
},
{
"label": "B",
"disease": "Chronic rhinosinusitis"
},
{
"label": "C",
"disease": "Bronchitis"
},
{
"label": "D",
"disease": "Acute laryngitis"
},
{
"label": "E",
"disease": "Viral pharyngitis"
},
{
"label": "F",
"disease": "Cluster headache"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "Anemia"
}
] | A | [
"The patient is a 47-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\n * sharp\nThe locations of the patient's pain are: \n * mouth\n * forehead\n * cheek(R)\n * cheek(L)\n * nose\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain radiates to the following locations: \n * forehead\n * nose\n * temple(R)\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 4.",
"The patient has lost their sense of smell.",
"The patient has had a cold in the last 2 weeks.",
"The patient has had pneumonia before.",
"The patient has a deviated nasal septum.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has greenish or yellowish nasal discharge.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
1,
2,
5,
7
] | [
3,
4,
6,
8,
9,
10
] |
27 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute pulmonary edema"
},
{
"label": "B",
"disease": "Unstable angina"
},
{
"label": "C",
"disease": "Pericarditis"
},
{
"label": "D",
"disease": "Myocarditis"
},
{
"label": "E",
"disease": "Pulmonary embolism"
},
{
"label": "F",
"disease": "Stable angina"
},
{
"label": "G",
"disease": "Anaphylaxis"
},
{
"label": "H",
"disease": "Spontaneous pneumothorax"
},
{
"label": "I",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "J",
"disease": "GERD"
},
{
"label": "K",
"disease": "Panic attack"
},
{
"label": "L",
"disease": "Boerhaave"
},
{
"label": "M",
"disease": "Atrial fibrillation"
},
{
"label": "N",
"disease": "Guillain-Barré syndrome"
},
{
"label": "O",
"disease": "Chagas"
},
{
"label": "P",
"disease": "SLE"
},
{
"label": "Q",
"disease": "Acute dystonic reactions"
},
{
"label": "R",
"disease": "Myasthenia gravis"
},
{
"label": "S",
"disease": "Anemia"
},
{
"label": "T",
"disease": "Sarcoidosis"
},
{
"label": "U",
"disease": "Scombroid food poisoning"
}
] | A | [
"The patient is a 31-year-old woman.",
"The patient has had fluid in their lungs before.",
"The patient currently undergoes dialysis.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * tugging\nThe locations of the patient's pain are: \n * side of the chest(R)\n * side of the chest(L)\n * upper chest\n * breast(R)\n * posterior chest wall(R)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain radiates to the following locations: \n * biceps(L)\n * jaw\n * scapula(R)\n * shoulder(R)\n * shoulder(L)\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 3.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient experiences bouts of choking or shortness of breath that wake them up at night.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient has had a heart attack or has angina (chest pain).",
"The patient has heart failure.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * ankle(L)\n * calf(R)\n * calf(L)\n * tibia(R)\n * tibia(L)",
"The patient has noticed new fatigue, generalized discomfort, widespread muscle aches, or a change in general well-being related to their consultation today.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's symptoms are worse when lying down and alleviated while sitting up.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest."
] | [
0,
3,
10,
11,
13
] | [
1,
2,
4,
5,
6,
7,
8,
9,
12
] |
28 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Viral pharyngitis"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Acute laryngitis"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "Stable angina"
}
] | A | [
"The patient is a 44-year-old woman.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient has been coughing up blood.",
"The patient lives with 4 or more people.",
"The patient attends or works in a daycare.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * burning\nThe locations of the patient's pain are: \n * tonsil(R)\n * tonsil(L)\n * thyroid cartilage\n * pharynx\nOn a scale of 10 , the pain intensity is 8.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 1.",
"The patient smokes cigarettes.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is immunosuppressed."
] | [
2,
5,
7
] | [
0,
1,
3,
4,
6,
8,
9
] |
29 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "B",
"disease": "Panic attack"
},
{
"label": "C",
"disease": "Boerhaave"
},
{
"label": "D",
"disease": "Anaphylaxis"
},
{
"label": "E",
"disease": "Inguinal hernia"
},
{
"label": "F",
"disease": "Acute dystonic reactions"
},
{
"label": "G",
"disease": "Myasthenia gravis"
},
{
"label": "H",
"disease": "Anemia"
},
{
"label": "I",
"disease": "Scombroid food poisoning"
},
{
"label": "J",
"disease": "Guillain-Barré syndrome"
},
{
"label": "K",
"disease": "Sarcoidosis"
},
{
"label": "L",
"disease": "Chagas"
},
{
"label": "M",
"disease": "Unstable angina"
},
{
"label": "N",
"disease": "SLE"
}
] | B | [
"The patient is a 65-year-old elderly woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a cramp\n * sharp\nThe locations of the patient's pain are: \n * side of the chest(L)\n * flank(R)\n * iliac fossa(R)\n * pubis\n * breast(R)\nOn a scale of 10 , the pain intensity is 2.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 10.\nOn a scale of 10, the speed of onset is 5.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient has been diagnosed with depression before.",
"The patient suffers from chronic anxiety.",
"The patient feels like they are dying or were afraid they were about to die.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient suffers from fibromyalgia.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient feels detached from their own body or surroundings.",
"The patient has had a head trauma.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
1,
2,
6,
7,
9,
12
] | [
0,
3,
4,
5,
8,
10,
11
] |
30 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Viral pharyngitis"
},
{
"label": "B",
"disease": "URTI"
},
{
"label": "C",
"disease": "Tuberculosis"
},
{
"label": "D",
"disease": "Bronchitis"
},
{
"label": "E",
"disease": "Acute laryngitis"
},
{
"label": "F",
"disease": "Influenza"
},
{
"label": "G",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "H",
"disease": "Unstable angina"
}
] | A | [
"The patient is a 45-year-old man.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient has been coughing up blood.",
"The patient lives with 4 or more people.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * burning\nThe locations of the patient's pain are: \n * tonsil(R)\n * thyroid cartilage\n * pharynx\n * under the jaw\nOn a scale of 10 , the pain intensity is 9.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 1.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is immunosuppressed."
] | [
0,
1,
3,
5,
9
] | [
2,
4,
6,
7,
8,
10
] |
31 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Pulmonary embolism"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Guillain-Barré syndrome"
},
{
"label": "E",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Myocarditis"
},
{
"label": "H",
"disease": "Bronchiectasis"
},
{
"label": "I",
"disease": "Acute dystonic reactions"
},
{
"label": "J",
"disease": "Myasthenia gravis"
},
{
"label": "K",
"disease": "Anemia"
},
{
"label": "L",
"disease": "Anaphylaxis"
},
{
"label": "M",
"disease": "Pneumonia"
},
{
"label": "N",
"disease": "Scombroid food poisoning"
},
{
"label": "O",
"disease": "PSVT"
},
{
"label": "P",
"disease": "SLE"
},
{
"label": "Q",
"disease": "Pulmonary neoplasm"
},
{
"label": "R",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "S",
"disease": "Tuberculosis"
},
{
"label": "T",
"disease": "Chagas"
}
] | E | [
"The patient is a 48-year-old man.",
"The patient has had 2 or more asthma attacks in the past year.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has family members who have asthma.",
"The patient has had a cold in the last 2 weeks.",
"The patient has been diagnosed with chronic sinusitis.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient lives in a big city.",
"The patient is more likely to develop common allergies than the general population."
] | [
1,
2,
3,
6,
5,
7
] | [
0,
4,
8,
9,
10
] |
32 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Pneumonia"
},
{
"label": "C",
"disease": "URTI"
},
{
"label": "D",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "E",
"disease": "HIV (initial infection)"
},
{
"label": "F",
"disease": "Influenza"
},
{
"label": "G",
"disease": "Unstable angina"
},
{
"label": "H",
"disease": "Tuberculosis"
},
{
"label": "I",
"disease": "Stable angina"
},
{
"label": "J",
"disease": "Bronchiectasis"
},
{
"label": "K",
"disease": "Chagas"
},
{
"label": "L",
"disease": "Scombroid food poisoning"
},
{
"label": "M",
"disease": "Pulmonary neoplasm"
},
{
"label": "N",
"disease": "Pancreatic neoplasm"
}
] | B | [
"The patient is a 47-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sharp\nThe locations of the patient's pain are: \n * side of the chest(R)\n * posterior chest wall(R)\n * posterior chest wall(L)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 6.",
"The patient has a cough that produces colored or more abundant sputum than usual.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has Parkinson's disease.",
"The patient has had a stroke in the past.",
"The patient has had pneumonia before.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions peel off.\nOn a scale of 10, the swelling intensity of the rash is 1.\nThe patient has lesions in the following regions: \n * back of the neck\n * lumbar spine\n * commissure(R)\n * side of the neck(R)\n * buttock(L)\nOn a scale of 10, the pain intensity caused by the rash is 2.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 1.",
"The patient has diffuse widespread muscle pain.",
"The patient has recently experienced a loss of appetite or gets full more quickly than usual.",
"The patient has noticed new fatigue, generalized discomfort, widespread muscle aches, or a change in general well-being related to their consultation today.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's BMI is less than 18.5, or the patient is underweight.",
"The patient's symptoms are more prominent at night.",
"The patient has pain that is increased when they breathe in deeply."
] | [
0,
3,
4,
6,
7,
9,
10,
12,
13,
18
] | [
1,
2,
5,
8,
11,
14,
15,
16,
17,
19,
20
] |
33 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Viral pharyngitis"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Chronic rhinosinusitis"
},
{
"label": "D",
"disease": "URTI"
},
{
"label": "E",
"disease": "Acute laryngitis"
},
{
"label": "F",
"disease": "Cluster headache"
},
{
"label": "G",
"disease": "Acute rhinosinusitis"
},
{
"label": "H",
"disease": "Chagas"
},
{
"label": "I",
"disease": "Anemia"
}
] | C | [
"The patient is a 32-year-old man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\n * sharp\nThe locations of the patient's pain are: \n * mouth\n * forehead\n * cheek(R)\n * nose\n * temple(R)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain radiates to the following locations: \n * back of head\n * forehead\n * temple(R)\n * temple(L)\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 0.",
"The patient has had a cold in the last 2 weeks.",
"The patient has had pneumonia before.",
"The patient has a deviated nasal septum.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has been diagnosed with gastroesophageal reflux.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
1,
2,
4,
7
] | [
3,
5,
6,
8,
9,
10
] |
34 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "URTI"
},
{
"label": "C",
"disease": "Cluster headache"
},
{
"label": "D",
"disease": "Chagas"
},
{
"label": "E",
"disease": "Anemia"
}
] | B | [
"The patient is a 36-year-old woman.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient lives with 4 or more people.",
"The patient attends or works in a daycare.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\nThe locations of the patient's pain are: \n * top of the head\n * cheek(R)\n * cheek(L)\n * occiput\n * temple(R)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 0.",
"The patient smokes cigarettes.",
"The patient has a sore throat.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
4,
5,
7,
8
] | [
0,
1,
2,
3,
6,
9
] |
35 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Unstable angina"
},
{
"label": "B",
"disease": "Stable angina"
},
{
"label": "C",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "D",
"disease": "Anemia"
},
{
"label": "E",
"disease": "Pericarditis"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "Pancreatic neoplasm"
},
{
"label": "I",
"disease": "Myocarditis"
},
{
"label": "J",
"disease": "Spontaneous pneumothorax"
}
] | B | [
"The patient is a 71-year-old elderly woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * exhausting\nThe locations of the patient's pain are: \n * lower chest\n * biceps(R)\n * side of the chest(R)\n * breast(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain radiates to the following locations: \n * biceps(R)\n * biceps(L)\n * triceps(R)\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 5.",
"The patient is significantly overweight compared to people of the same height.",
"The patient has high cholesterol or takes medications to treat high cholesterol.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient constantly feels fatigued or has non-restful sleep.",
"The patient has had a heart attack or has angina (chest pain).",
"The patient exercises regularly, 4 times per week or more.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest.",
"The patient has close family members who had a cardiovascular disease problem before the age of 50."
] | [
0,
1,
6,
9,
10
] | [
2,
3,
4,
5,
7,
8
] |
36 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anaphylaxis"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "Boerhaave"
},
{
"label": "F",
"disease": "Acute pulmonary edema"
},
{
"label": "G",
"disease": "Pulmonary embolism"
},
{
"label": "H",
"disease": "GERD"
},
{
"label": "I",
"disease": "Scombroid food poisoning"
},
{
"label": "J",
"disease": "Anemia"
},
{
"label": "K",
"disease": "Stable angina"
},
{
"label": "L",
"disease": "Inguinal hernia"
},
{
"label": "M",
"disease": "Panic attack"
},
{
"label": "N",
"disease": "PSVT"
},
{
"label": "O",
"disease": "Pericarditis"
},
{
"label": "P",
"disease": "Guillain-Barré syndrome"
},
{
"label": "Q",
"disease": "Atrial fibrillation"
},
{
"label": "R",
"disease": "Chagas"
},
{
"label": "S",
"disease": "SLE"
},
{
"label": "T",
"disease": "Acute dystonic reactions"
},
{
"label": "U",
"disease": "Myasthenia gravis"
}
] | A | [
"The patient is a 24-year-old young man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\nThe locations of the patient's pain are: \n * flank(L)\n * iliac fossa(R)\n * iliac fossa(L)\n * hypochondrium(R)\n * epigastric\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 7.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 6.\nThe patient has lesions in the following regions: \n * back of the neck\n * biceps(R)\n * biceps(L)\n * mouth\n * thyroid cartilage\nOn a scale of 10, the pain intensity caused by the rash is 0.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 7.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * cheek(R)\n * cheek(L)",
"The patient lost consciousness.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed a wheezing sound when they exhale."
] | [
0,
1,
4,
6,
8
] | [
2,
3,
5,
7,
9
] |
37 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "B",
"disease": "Pulmonary embolism"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Anaphylaxis"
},
{
"label": "E",
"disease": "Guillain-Barré syndrome"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Myocarditis"
},
{
"label": "H",
"disease": "Acute dystonic reactions"
},
{
"label": "I",
"disease": "Myasthenia gravis"
},
{
"label": "J",
"disease": "Anemia"
},
{
"label": "K",
"disease": "Scombroid food poisoning"
},
{
"label": "L",
"disease": "PSVT"
},
{
"label": "M",
"disease": "SLE"
}
] | A | [
"The patient is a 21-year-old young woman.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has been hospitalized for an asthma attack in the past year.",
"The patient has had a cold in the last 2 weeks.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed a wheezing sound when they exhale.",
"The patient is more likely to develop common allergies than the general population."
] | [
1,
2,
3,
4,
6
] | [
0,
5,
7
] |
38 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "URTI"
},
{
"label": "B",
"disease": "Influenza"
},
{
"label": "C",
"disease": "HIV (initial infection)"
},
{
"label": "D",
"disease": "Bronchitis"
},
{
"label": "E",
"disease": "Tuberculosis"
},
{
"label": "F",
"disease": "Chronic rhinosinusitis"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "Acute rhinosinusitis"
}
] | A | [
"The patient is a 23-year-old young woman.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient attends or works in a daycare.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * sensitive\n * heavy\nThe locations of the patient's pain are: \n * top of the head\n * cheek(L)\n * temple(L)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 1.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has a sore throat.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
2,
9
] | [
3,
4,
5,
6,
7,
8
] |
39 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "GERD"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Spontaneous rib fracture"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "Anemia"
},
{
"label": "F",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "G",
"disease": "Tuberculosis"
},
{
"label": "H",
"disease": "Stable angina"
},
{
"label": "I",
"disease": "Pancreatic neoplasm"
}
] | A | [
"The patient is a 56-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * tugging\nThe locations of the patient's pain are: \n * lower chest\n * hypochondrium(R)\n * hypochondrium(L)\n * belly\n * epigastric\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain radiates to the following locations: \n * upper chest\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 2.",
"The patient is significantly overweight compared to people of the same height.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient smokes cigarettes.",
"The patient has a hiatal hernia.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has recently had stools that were black like coal.",
"The patient thinks they are pregnant or is currently pregnant.",
"The patient has a burning sensation that starts in the stomach and goes up into the throat, and it can be associated with a bitter taste in the mouth.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that get worse after eating."
] | [
0,
1,
5,
7,
8,
9,
12
] | [
2,
3,
4,
6,
10,
11
] |
40 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Sarcoidosis"
},
{
"label": "B",
"disease": "Acute dystonic reactions"
},
{
"label": "C",
"disease": "Myocarditis"
},
{
"label": "D",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "E",
"disease": "Pulmonary neoplasm"
},
{
"label": "F",
"disease": "Pulmonary embolism"
}
] | A | [
"The patient is a 55-year-old man.",
"The patient has swollen or painful lymph nodes.",
"The patient has lost consciousness associated with violent and sustained muscle contractions or had an absence episode.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\n * sharp\nThe locations of the patient's pain are: \n * finger (ring finger)(R)\n * finger (ring finger)(L)\n * finger (index)(R)\n * finger (middle)(R)\n * finger (middle)(L)\nOn a scale of 10 , the pain intensity is 8.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 4.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient is significantly overweight compared to people of the same height.",
"The patient has noticed a diffuse redness in one or both eyes.",
"The color of the rash is not available.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has no lesions.\nOn a scale of 10, the pain intensity caused by the rash is 0.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
1,
4,
6
] | [
0,
2,
3,
5,
7,
8
] |
41 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pancreatic neoplasm"
},
{
"label": "B",
"disease": "Pulmonary neoplasm"
},
{
"label": "C",
"disease": "Anaphylaxis"
},
{
"label": "D",
"disease": "Chagas"
},
{
"label": "E",
"disease": "Bronchitis"
},
{
"label": "F",
"disease": "Anemia"
},
{
"label": "G",
"disease": "GERD"
}
] | A | [
"The patient is a 53-year-old woman.",
"The patient has had diarrhea or an increase in stool frequency.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a cramp\nThe locations of the patient's pain are: \n * hypochondrium(L)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 2.",
"The patient has diabetes.",
"The patient smokes cigarettes.",
"The patient constantly feels fatigued or has non-restful sleep.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is yellow.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has lesions in the following regions: \n * epigastric\nOn a scale of 10, the pain intensity caused by the rash is 2.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 4.",
"The patient has had an involuntary weight loss over the last 3 months.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has family members who have been diagnosed with pancreatic cancer."
] | [
1,
2,
6,
9
] | [
0,
3,
4,
5,
7,
8,
10
] |
42 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Viral pharyngitis"
},
{
"label": "B",
"disease": "Cluster headache"
},
{
"label": "C",
"disease": "Bronchitis"
},
{
"label": "D",
"disease": "URTI"
},
{
"label": "E",
"disease": "Acute laryngitis"
},
{
"label": "F",
"disease": "Acute rhinosinusitis"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "Anemia"
},
{
"label": "I",
"disease": "Chronic rhinosinusitis"
}
] | I | [
"The patient is a 36-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\nThe locations of the patient's pain are: \n * mouth\n * forehead\n * cheek(R)\n * cheek(L)\n * nose\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain radiates to the following locations: \n * back of head\n * forehead\n * temple(R)\n * temple(L)\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 0.",
"The patient smokes cigarettes.",
"The patient has had a cold in the last 2 weeks.",
"The patient has had pneumonia before.",
"The patient has polyps in their nose.",
"The patient has a deviated nasal septum.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has been diagnosed with gastroesophageal reflux.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
1
] | [
2,
3,
4,
5,
6,
7,
8,
9,
10,
11,
12
] |
43 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pancreatic neoplasm"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Anaphylaxis"
},
{
"label": "D",
"disease": "GERD"
},
{
"label": "E",
"disease": "Pulmonary neoplasm"
},
{
"label": "F",
"disease": "Scombroid food poisoning"
},
{
"label": "G",
"disease": "Boerhaave"
},
{
"label": "H",
"disease": "Chagas"
},
{
"label": "I",
"disease": "Anemia"
},
{
"label": "J",
"disease": "HIV (initial infection)"
}
] | A | [
"The patient is a 34-year-old man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * a cramp\nThe locations of the patient's pain are: \n * flank(L)\n * hypochondrium(L)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain radiates to the following locations: \n * thoracic spine\nOn a scale of 10, the precision of location is 2.\nOn a scale of 10, the speed of onset is 1.",
"The patient has diabetes.",
"The patient is significantly overweight compared to people of the same height.",
"The patient smokes cigarettes.",
"The patient constantly feels fatigued or has non-restful sleep.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is yellow.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 1.\nThe patient has lesions in the following regions: \n * epigastric\nOn a scale of 10, the pain intensity caused by the rash is 0.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient has had an involuntary weight loss over the last 3 months.",
"The patient has pale stools and dark urine.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
6,
7,
10
] | [
2,
3,
4,
5,
8,
9,
11
] |
44 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "HIV (initial infection)"
},
{
"label": "B",
"disease": "Chagas"
},
{
"label": "C",
"disease": "Anemia"
},
{
"label": "D",
"disease": "Sarcoidosis"
}
] | A | [
"The patient is a 73-year-old elderly woman.",
"The patient has swollen or painful lymph nodes.",
"The patient has had a sexually transmitted infection.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a pulse\n * exhausting\nThe locations of the patient's pain are: \n * back of the neck\n * top of the head\n * forehead\n * occiput\n * temple(R)\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 6.",
"The patient feels so tired that they are unable to do their usual activities and are stuck in bed all day long.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has had unprotected sex with more than one partner in the last 6 months.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pale.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has lesions in the following regions: \n * lower gum\n * labia majora(R)\n * labia majora(L)\n * internal cheek(R)\n * bottom lip(R)\nOn a scale of 10, the pain intensity caused by the rash is 5.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
3,
4,
8
] | [
1,
2,
5,
6,
7
] |
45 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "B",
"disease": "Myocarditis"
},
{
"label": "C",
"disease": "PSVT"
},
{
"label": "D",
"disease": "Guillain-Barré syndrome"
},
{
"label": "E",
"disease": "Atrial fibrillation"
},
{
"label": "F",
"disease": "Panic attack"
},
{
"label": "G",
"disease": "GERD"
},
{
"label": "H",
"disease": "Scombroid food poisoning"
},
{
"label": "I",
"disease": "Acute dystonic reactions"
},
{
"label": "J",
"disease": "Myasthenia gravis"
},
{
"label": "K",
"disease": "Anaphylaxis"
},
{
"label": "L",
"disease": "Chagas"
},
{
"label": "M",
"disease": "Sarcoidosis"
},
{
"label": "N",
"disease": "SLE"
},
{
"label": "O",
"disease": "Stable angina"
}
] | B | [
"The patient is a 49-year-old man.",
"The patient has recently had a viral infection.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\nThe locations of the patient's pain are: \n * side of the chest(R)\n * upper chest\n * breast(R)\n * breast(L)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 2.",
"The patient feels out of breath with minimal physical effort.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels their heart is beating fast, irregularly, or experiences palpitations.",
"The patient has noticed new fatigue, generalized discomfort, widespread muscle aches, or a change in general well-being related to their consultation today.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
2,
3,
4,
5
] | [
0,
1,
6,
7
] |
46 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pneumonia"
},
{
"label": "B",
"disease": "Influenza"
},
{
"label": "C",
"disease": "Bronchitis"
},
{
"label": "D",
"disease": "URTI"
},
{
"label": "E",
"disease": "HIV (initial infection)"
},
{
"label": "F",
"disease": "Tuberculosis"
},
{
"label": "G",
"disease": "Bronchiectasis"
},
{
"label": "H",
"disease": "Chronic rhinosinusitis"
},
{
"label": "I",
"disease": "Chagas"
},
{
"label": "J",
"disease": "Acute rhinosinusitis"
}
] | D | [
"The patient is a 29-year-old young woman.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\nThe locations of the patient's pain are: \n * cheek(L)\n * temple(R)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 6.\nOn a scale of 10, the speed of onset is 1.",
"The patient has a cough that produces colored or more abundant sputum than usual.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has diffuse widespread muscle pain.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
2,
4,
9
] | [
3,
5,
6,
7,
8
] |
47 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "URTI"
},
{
"label": "C",
"disease": "Influenza"
},
{
"label": "D",
"disease": "Chagas"
}
] | B | [
"The patient is a 20-year-old young woman.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\nThe locations of the patient's pain are: \n * occiput\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 5.",
"The patient has a sore throat.",
"The patient has diffuse widespread muscle pain.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is exposed to secondhand cigarette smoke on a daily basis."
] | [
0,
1,
7,
8
] | [
2,
3,
4,
5,
6
] |
48 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "GERD"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
}
] | A | [
"The patient is a 58-year-old man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * haunting\n * sensitive\n * tugging\n * burning\n * sickening\n * scary\nThe locations of the patient's pain are: \n * hypochondrium(R)\n * hypochondrium(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain radiates to the following locations: \n * lower chest\n * upper chest\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 5.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient has a hiatal hernia.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that get worse after eating."
] | [
0,
1,
3,
5
] | [
2,
4
] |
49 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute rhinosinusitis"
},
{
"label": "B",
"disease": "Chronic rhinosinusitis"
},
{
"label": "C",
"disease": "Bronchitis"
},
{
"label": "D",
"disease": "Cluster headache"
},
{
"label": "E",
"disease": "Chagas"
},
{
"label": "F",
"disease": "Anemia"
}
] | B | [
"The patient is a 45-year-old man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\nThe locations of the patient's pain are: \n * forehead\n * cheek(R)\n * cheek(L)\n * nose\n * eye(R)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain radiates to the following locations: \n * forehead\n * nose\n * temple(R)\n * temple(L)\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 1.",
"The patient smokes cigarettes.",
"The patient has lost their sense of smell.",
"The patient has had a cold in the last 2 weeks.",
"The patient has polyps in their nose.",
"The patient has a deviated nasal septum.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has greenish or yellowish nasal discharge.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
1,
3,
4,
8,
9
] | [
2,
5,
6,
7,
10,
11
] |
50 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "URTI"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "D",
"disease": "Tuberculosis"
},
{
"label": "E",
"disease": "GERD"
},
{
"label": "F",
"disease": "Pericarditis"
},
{
"label": "G",
"disease": "Unstable angina"
},
{
"label": "H",
"disease": "Panic attack"
},
{
"label": "I",
"disease": "Boerhaave"
},
{
"label": "J",
"disease": "Influenza"
},
{
"label": "K",
"disease": "Stable angina"
},
{
"label": "L",
"disease": "Atrial fibrillation"
},
{
"label": "M",
"disease": "Myocarditis"
},
{
"label": "N",
"disease": "Pneumonia"
},
{
"label": "O",
"disease": "HIV (initial infection)"
},
{
"label": "P",
"disease": "Bronchiectasis"
},
{
"label": "Q",
"disease": "Guillain-Barré syndrome"
},
{
"label": "R",
"disease": "Acute dystonic reactions"
},
{
"label": "S",
"disease": "Myasthenia gravis"
},
{
"label": "T",
"disease": "Scombroid food poisoning"
},
{
"label": "U",
"disease": "Sarcoidosis"
},
{
"label": "V",
"disease": "Chagas"
},
{
"label": "W",
"disease": "PSVT"
},
{
"label": "X",
"disease": "SLE"
},
{
"label": "Y",
"disease": "Anaphylaxis"
},
{
"label": "Z",
"disease": "Spontaneous pneumothorax"
}
] | B | [
"The patient is a 21-year-old young man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\nThe locations of the patient's pain are: \n * lower chest\n * posterior chest wall(L)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 1.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has a sore throat.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed a wheezing sound when they exhale."
] | [
0,
1,
2,
6,
3,
10
] | [
4,
5,
7,
8,
9
] |
51 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pulmonary neoplasm"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Allergic sinusitis"
},
{
"label": "D",
"disease": "Spontaneous pneumothorax"
},
{
"label": "E",
"disease": "GERD"
},
{
"label": "F",
"disease": "Panic attack"
},
{
"label": "G",
"disease": "Pneumonia"
},
{
"label": "H",
"disease": "Acute pulmonary edema"
},
{
"label": "I",
"disease": "Unstable angina"
},
{
"label": "J",
"disease": "Pericarditis"
},
{
"label": "K",
"disease": "Myocarditis"
},
{
"label": "L",
"disease": "URTI"
},
{
"label": "M",
"disease": "Tuberculosis"
},
{
"label": "N",
"disease": "Bronchitis"
},
{
"label": "O",
"disease": "Boerhaave"
},
{
"label": "P",
"disease": "Bronchiectasis"
},
{
"label": "Q",
"disease": "Stable angina"
},
{
"label": "R",
"disease": "Guillain-Barré syndrome"
},
{
"label": "S",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "T",
"disease": "Atrial fibrillation"
},
{
"label": "U",
"disease": "Spontaneous rib fracture"
},
{
"label": "V",
"disease": "Acute dystonic reactions"
},
{
"label": "W",
"disease": "Myasthenia gravis"
},
{
"label": "X",
"disease": "PSVT"
}
] | G | [
"The patient is a 76-year-old elderly woman.",
"The patient has been coughing up blood.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sharp\nThe locations of the patient's pain are: \n * side of the chest(L)\n * upper chest\n * posterior chest wall(R)\n * posterior chest wall(L)\nOn a scale of 10 , the pain intensity is 1.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 1.\nOn a scale of 10, the speed of onset is 1.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient smokes cigarettes.",
"The patient has experienced chills or shivers.",
"The patient has Parkinson's disease.",
"The patient has had a stroke in the past.",
"The patient has had pneumonia before.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has lesions in the following regions: \n * back of the neck\n * flank(R)\n * flank(L)\n * shoulder(R)\n * shoulder(L)\nOn a scale of 10, the pain intensity caused by the rash is 4.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 2.",
"The patient has diffuse widespread muscle pain.",
"The patient has recently experienced a loss of appetite or gets full more quickly than usual.",
"The patient has noticed new fatigue, generalized discomfort, widespread muscle aches, or a change in general well-being related to their consultation today.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's vaccinations are up to date."
] | [
1,
2,
3,
4,
5,
8,
9,
10,
15,
16
] | [
0,
6,
7,
11,
12,
13,
14,
17,
18
] |
52 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Viral pharyngitis"
},
{
"label": "C",
"disease": "Chronic rhinosinusitis"
},
{
"label": "D",
"disease": "Cluster headache"
}
] | C | [
"The patient is a 69-year-old elderly man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\n * sharp\nThe locations of the patient's pain are: \n * mouth\n * cheek(R)\n * cheek(L)\n * nose\n * eye(R)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain radiates to the following locations: \n * back of head\n * forehead\n * nose\n * temple(L)\nOn a scale of 10, the precision of location is 2.\nOn a scale of 10, the speed of onset is 4.",
"The patient has lost their sense of smell.",
"The patient has had a cold in the last 2 weeks.",
"The patient has had pneumonia before.",
"The patient has polyps in their nose.",
"The patient has a deviated nasal septum.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has been diagnosed with gastroesophageal reflux.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
1,
2,
3,
9
] | [
4,
5,
6,
7,
8,
10,
11
] |
53 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anemia"
},
{
"label": "B",
"disease": "Atrial fibrillation"
},
{
"label": "C",
"disease": "Pulmonary embolism"
},
{
"label": "D",
"disease": "Myocarditis"
},
{
"label": "E",
"disease": "Acute pulmonary edema"
},
{
"label": "F",
"disease": "Guillain-Barré syndrome"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "HIV (initial infection)"
},
{
"label": "I",
"disease": "SLE"
},
{
"label": "J",
"disease": "Acute dystonic reactions"
},
{
"label": "K",
"disease": "Myasthenia gravis"
},
{
"label": "L",
"disease": "Anaphylaxis"
},
{
"label": "M",
"disease": "Cluster headache"
},
{
"label": "N",
"disease": "Scombroid food poisoning"
}
] | A | [
"The patient is a 20-year-old young man.",
"The patient has had a diagnosis of anemia.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * tugging\n * a cramp\n * exhausting\nThe locations of the patient's pain are: \n * forehead\n * temple(R)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 5.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels slightly dizzy or lightheaded.",
"The patient feels so tired that they are unable to do their usual activities and are stuck in bed all day long.",
"The patient constantly feels fatigued or has non-restful sleep.",
"The patient is taking new oral anticoagulants (NOACs).",
"The patient's skin is much paler than usual.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's BMI is less than 18.5, or the patient is underweight."
] | [
1,
7,
8,
10
] | [
0,
2,
3,
4,
5,
6,
9
] |
54 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Pneumonia"
},
{
"label": "C",
"disease": "URTI"
},
{
"label": "D",
"disease": "Cluster headache"
},
{
"label": "E",
"disease": "Bronchiectasis"
},
{
"label": "F",
"disease": "Chronic rhinosinusitis"
},
{
"label": "G",
"disease": "Influenza"
},
{
"label": "H",
"disease": "Acute rhinosinusitis"
},
{
"label": "I",
"disease": "Chagas"
},
{
"label": "J",
"disease": "Anemia"
}
] | C | [
"The patient is a 30-year-old young woman.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient lives with 4 or more people.",
"The patient attends or works in a daycare.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * heavy\nThe locations of the patient's pain are: \n * top of the head\n * forehead\n * cheek(R)\n * cheek(L)\n * temple(R)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 5.",
"The patient has a cough that produces colored or more abundant sputum than usual.",
"The patient has diffuse widespread muscle pain.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is exposed to secondhand cigarette smoke on a daily basis."
] | [
0,
1,
2,
3,
10,
11
] | [
4,
5,
6,
7,
8,
9
] |
55 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pulmonary embolism"
},
{
"label": "B",
"disease": "Myocarditis"
},
{
"label": "C",
"disease": "GERD"
},
{
"label": "D",
"disease": "Atrial fibrillation"
},
{
"label": "E",
"disease": "Sarcoidosis"
},
{
"label": "F",
"disease": "Spontaneous pneumothorax"
},
{
"label": "G",
"disease": "Guillain-Barré syndrome"
},
{
"label": "H",
"disease": "Acute dystonic reactions"
},
{
"label": "I",
"disease": "Myasthenia gravis"
},
{
"label": "J",
"disease": "Croup"
},
{
"label": "K",
"disease": "Pneumonia"
},
{
"label": "L",
"disease": "HIV (initial infection)"
},
{
"label": "M",
"disease": "PSVT"
}
] | K | [
"The patient is a 7-year-old boy.",
"The patient has been coughing up blood.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\nThe locations of the patient's pain are: \n * lower chest\n * side of the chest(R)\n * side of the chest(L)\n * posterior chest wall(R)\n * posterior chest wall(L)\nOn a scale of 10 , the pain intensity is 1.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 1.\nOn a scale of 10, the speed of onset is 0.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has Parkinson's disease.",
"The patient has heart failure.",
"The patient has had pneumonia before.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions peel off.\nOn a scale of 10, the swelling intensity of the rash is 5.\nThe patient has lesions in the following regions: \n * commissure(L)\n * buttock(L)\n * posterior chest wall(L)\nOn a scale of 10, the pain intensity caused by the rash is 1.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 5.",
"The patient has diffuse widespread muscle pain.",
"The patient has noticed new fatigue, generalized discomfort, widespread muscle aches, or a change in general well-being related to their consultation today.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's BMI is less than 18.5, or the patient is underweight.",
"The patient's vaccinations are up to date.",
"The patient has pain that is increased when they breathe in deeply."
] | [
0,
4,
5,
7,
8,
10,
11,
15,
16,
17
] | [
1,
2,
3,
6,
9,
12,
13,
14,
18
] |
56 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute rhinosinusitis"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Viral pharyngitis"
},
{
"label": "D",
"disease": "Tuberculosis"
},
{
"label": "E",
"disease": "Chronic rhinosinusitis"
},
{
"label": "F",
"disease": "Influenza"
},
{
"label": "G",
"disease": "Chagas"
}
] | A | [
"The patient is a 32-year-old man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\n * sharp\nThe locations of the patient's pain are: \n * mouth\n * forehead\n * cheek(R)\n * cheek(L)\n * nose\nOn a scale of 10 , the pain intensity is 8.\nThe patient's pain radiates to the following locations: \n * forehead\n * nose\n * temple(R)\n * temple(L)\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 4.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has had a cold in the last 2 weeks.",
"The patient has had pneumonia before.",
"The patient has polyps in their nose.",
"The patient has a deviated nasal septum.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has greenish or yellowish nasal discharge.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
1,
9,
3,
4,
6,
7
] | [
2,
5,
8,
10,
11,
12
] |
57 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anemia"
},
{
"label": "B",
"disease": "Atrial fibrillation"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Anaphylaxis"
},
{
"label": "E",
"disease": "Myocarditis"
},
{
"label": "F",
"disease": "Panic attack"
},
{
"label": "G",
"disease": "Guillain-Barré syndrome"
},
{
"label": "H",
"disease": "Chagas"
},
{
"label": "I",
"disease": "Cluster headache"
},
{
"label": "J",
"disease": "HIV (initial infection)"
},
{
"label": "K",
"disease": "PSVT"
},
{
"label": "L",
"disease": "SLE"
},
{
"label": "M",
"disease": "Pulmonary neoplasm"
},
{
"label": "N",
"disease": "Acute dystonic reactions"
},
{
"label": "O",
"disease": "Myasthenia gravis"
},
{
"label": "P",
"disease": "Scombroid food poisoning"
}
] | A | [
"The patient is a 57-year-old woman.",
"The patient has a poor diet.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * exhausting\nThe locations of the patient's pain are: \n * temple(R)\n * temple(L)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 5.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels slightly dizzy or lightheaded.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient feels so tired that they are unable to do their usual activities and are stuck in bed all day long.",
"The patient constantly feels fatigued or has non-restful sleep.",
"The patient has chronic kidney failure.",
"The patient's skin is much paler than usual.",
"The patient thinks they are pregnant or is currently pregnant.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's BMI is less than 18.5, or the patient is underweight."
] | [
0,
1,
2,
8,
10,
11,
12
] | [
3,
4,
5,
6,
7,
9
] |
58 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "URTI"
},
{
"label": "B",
"disease": "Influenza"
},
{
"label": "C",
"disease": "HIV (initial infection)"
},
{
"label": "D",
"disease": "Bronchitis"
},
{
"label": "E",
"disease": "Tuberculosis"
},
{
"label": "F",
"disease": "Chronic rhinosinusitis"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "Acute rhinosinusitis"
}
] | A | [
"The patient is a 52-year-old woman.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient lives with 4 or more people.",
"The patient attends or works in a daycare.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * sensitive\n * heavy\nThe locations of the patient's pain are: \n * top of the head\n * cheek(R)\n * occiput\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 5.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has a sore throat.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is exposed to secondhand cigarette smoke on a daily basis."
] | [
0,
1,
2,
3,
10,
11
] | [
4,
5,
6,
7,
8,
9
] |
59 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Allergic sinusitis"
}
] | B | [
"The patient is a 62-year-old elderly man.",
"The patient has close family members who suffer from allergies, hay fever, or eczema.",
"The patient has family members who have asthma.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient's nose or the back of their throat is itchy.",
"The patient has severe itching in one or both eyes.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient lives in a big city.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
7,
8
] | [
1,
2,
3,
4,
5,
6,
9
] |
60 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anaphylaxis"
},
{
"label": "B",
"disease": "Localized edema"
},
{
"label": "C",
"disease": "GERD"
},
{
"label": "D",
"disease": "Larygospasm"
},
{
"label": "E",
"disease": "Anemia"
},
{
"label": "F",
"disease": "PSVT"
},
{
"label": "G",
"disease": "Epiglottitis"
},
{
"label": "H",
"disease": "Chagas"
},
{
"label": "I",
"disease": "Pancreatic neoplasm"
},
{
"label": "J",
"disease": "Pulmonary embolism"
}
] | A | [
"The patient is a 31-year-old woman.",
"The patient has a known severe food allergy.",
"The patient has been in contact with or eaten something to which they have an allergy.",
"The patient has had diarrhea or an increase in stool frequency.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\n * a cramp\nThe locations of the patient's pain are: \n * hypochondrium(R)\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 6.\nOn a scale of 10, the speed of onset is 2.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 1.\nThe patient has lesions in the following regions: \n * biceps(R)\n * biceps(L)\n * mouth\n * thyroid cartilage\n * ankle(R)\nOn a scale of 10, the pain intensity caused by the rash is 3.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 10.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * forehead\n * cheek(R)\n * cheek(L)",
"The patient lost consciousness.",
"The patient has noticed a high-pitched sound when breathing in.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed a wheezing sound when they exhale.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
10,
4,
3
] | [
1,
2,
5,
6,
7,
8,
9,
11,
12
] |
61 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anemia"
},
{
"label": "B",
"disease": "Ebola"
},
{
"label": "C",
"disease": "Myocarditis"
},
{
"label": "D",
"disease": "Acute pulmonary edema"
},
{
"label": "E",
"disease": "Panic attack"
},
{
"label": "F",
"disease": "Guillain-Barré syndrome"
},
{
"label": "G",
"disease": "Atrial fibrillation"
},
{
"label": "H",
"disease": "Cluster headache"
},
{
"label": "I",
"disease": "Acute dystonic reactions"
},
{
"label": "J",
"disease": "Myasthenia gravis"
}
] | A | [
"The patient is a 26-year-old young woman.",
"The patient has a poor diet.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * exhausting\nThe locations of the patient's pain are: \n * back of head\n * top of the head\n * forehead\n * temple(R)\n * temple(L)\nOn a scale of 10 , the pain intensity is 2.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 4.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient feels so tired that they are unable to do their usual activities and are stuck in bed all day long.",
"The patient has recently had stools that were black like coal.",
"The patient is taking new oral anticoagulants (NOACs).",
"The patient thinks they are pregnant or is currently pregnant.",
"The patient has noticed light red blood or blood clots in their stool.",
"The patient has traveled to South East Asia in the last 4 weeks.",
"The patient's BMI is less than 18.5, or the patient is underweight."
] | [
0,
1,
2,
5,
11
] | [
3,
4,
6,
7,
8,
9,
10
] |
62 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Sarcoidosis"
},
{
"label": "B",
"disease": "Myocarditis"
},
{
"label": "C",
"disease": "Pulmonary embolism"
}
] | A | [
"The patient is a 2-year-old boy.",
"The patient has swollen or painful lymph nodes.",
"The patient has lost consciousness associated with violent and sustained muscle contractions or had an absence episode.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * burning\n * sharp\nThe locations of the patient's pain are: \n * finger (ring finger)(L)\n * finger (index)(R)\n * finger (index)(L)\n * palmar face of the wrist(R)\n * shoulder(L)\nOn a scale of 10 , the pain intensity is 2.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 9.\nOn a scale of 10, the speed of onset is 4.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has noticed a diffuse redness in one or both eyes.",
"The color of the rash is not available.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has no lesions.\nOn a scale of 10, the pain intensity caused by the rash is 0.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
2,
4
] | [
3,
5,
6,
7
] |
63 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "PSVT"
},
{
"label": "B",
"disease": "Pulmonary embolism"
},
{
"label": "C",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "Pancreatic neoplasm"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Stable angina"
},
{
"label": "H",
"disease": "Scombroid food poisoning"
},
{
"label": "I",
"disease": "Spontaneous pneumothorax"
},
{
"label": "J",
"disease": "Panic attack"
},
{
"label": "K",
"disease": "Pericarditis"
}
] | K | [
"The patient is a 30-year-old young man.",
"The patient has recently had a viral infection.",
"The patient has had pericarditis before.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\n * sharp\nThe locations of the patient's pain are: \n * upper chest\n * breast(R)\n * breast(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 8.\nThe patient's pain radiates to the following locations: \n * thoracic spine\n * posterior chest wall(R)\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 8.",
"The patient feels their heart is beating fast, irregularly, or experiences palpitations.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has pain that is increased when they breathe in deeply."
] | [
0,
1,
2,
4
] | [
3,
5,
6
] |
64 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute rhinosinusitis"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Chronic rhinosinusitis"
},
{
"label": "D",
"disease": "Acute laryngitis"
},
{
"label": "E",
"disease": "Viral pharyngitis"
},
{
"label": "F",
"disease": "Cluster headache"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "Anemia"
}
] | C | [
"The patient is a 31-year-old man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * burning\n * sharp\nThe locations of the patient's pain are: \n * mouth\n * forehead\n * cheek(R)\n * cheek(L)\n * nose\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain radiates to the following locations: \n * temple(R)\n * temple(L)\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 4.",
"The patient smokes cigarettes.",
"The patient has polyps in their nose.",
"The patient has a deviated nasal septum.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has been diagnosed with gastroesophageal reflux.",
"The patient has greenish or yellowish nasal discharge.",
"The patient has a cough.",
"The patient has traveled to North America in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
1,
7,
3,
4,
8
] | [
0,
2,
5,
6,
9,
10
] |
65 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute pulmonary edema"
},
{
"label": "B",
"disease": "Anaphylaxis"
},
{
"label": "C",
"disease": "Guillain-Barré syndrome"
},
{
"label": "D",
"disease": "Atrial fibrillation"
},
{
"label": "E",
"disease": "Myocarditis"
},
{
"label": "F",
"disease": "Acute COPD exacerbation / infection"
},
{
"label": "G",
"disease": "Pulmonary embolism"
},
{
"label": "H",
"disease": "Acute dystonic reactions"
},
{
"label": "I",
"disease": "Myasthenia gravis"
},
{
"label": "J",
"disease": "Anemia"
},
{
"label": "K",
"disease": "Scombroid food poisoning"
},
{
"label": "L",
"disease": "PSVT"
},
{
"label": "M",
"disease": "SLE"
},
{
"label": "N",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "O",
"disease": "Chagas"
}
] | F | [
"The patient is a 57-year-old man.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has had one or several flare ups of chronic obstructive pulmonary disease in the past year.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has been diagnosed with gastroesophageal reflux.",
"The patient works in construction.",
"The patient works in the mining sector.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed a wheezing sound when they exhale."
] | [
1,
2,
3,
8
] | [
0,
4,
5,
6,
7
] |
66 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Epiglottitis"
},
{
"label": "B",
"disease": "HIV (initial infection)"
},
{
"label": "C",
"disease": "Myasthenia gravis"
},
{
"label": "D",
"disease": "Acute laryngitis"
},
{
"label": "E",
"disease": "Acute pulmonary edema"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Chagas"
},
{
"label": "H",
"disease": "Guillain-Barré syndrome"
},
{
"label": "I",
"disease": "Acute dystonic reactions"
},
{
"label": "J",
"disease": "Myocarditis"
},
{
"label": "K",
"disease": "Pulmonary embolism"
},
{
"label": "L",
"disease": "Scombroid food poisoning"
},
{
"label": "M",
"disease": "PSVT"
},
{
"label": "N",
"disease": "SLE"
},
{
"label": "O",
"disease": "Viral pharyngitis"
}
] | A | [
"The patient is a 37-year-old man.",
"The patient has pain that improves when they lean forward.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\n * sharp\nThe locations of the patient's pain are: \n * tonsil(R)\n * tonsil(L)\n * back of the neck\n * side of the neck(R)\n * side of the neck(L)\nOn a scale of 10 , the pain intensity is 10.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 6.",
"The patient has difficulty swallowing or a feeling of discomfort/blockage when swallowing.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has noticed an increase in saliva production.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's vaccinations are up to date.",
"The patient has noticed that the tone of their voice has become deeper, softer or hoarse."
] | [
1,
2,
3,
4,
6,
7,
10
] | [
0,
5,
8,
9
] |
67 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anaphylaxis"
},
{
"label": "B",
"disease": "GERD"
},
{
"label": "C",
"disease": "Localized edema"
},
{
"label": "D",
"disease": "Inguinal hernia"
},
{
"label": "E",
"disease": "Larygospasm"
},
{
"label": "F",
"disease": "Pancreatic neoplasm"
},
{
"label": "G",
"disease": "Unstable angina"
},
{
"label": "H",
"disease": "Stable angina"
},
{
"label": "I",
"disease": "Chagas"
},
{
"label": "J",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "K",
"disease": "Pericarditis"
}
] | A | [
"The patient is a 62-year-old elderly woman.",
"The patient has a known severe food allergy.",
"The patient has been in contact with or eaten something to which they have an allergy.",
"The patient has had diarrhea or an increase in stool frequency.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\n * a cramp\n * sharp\nThe locations of the patient's pain are: \n * iliac fossa(L)\n * hypochondrium(R)\n * hypochondrium(L)\n * pubis\n * epigastric\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 2.\nOn a scale of 10, the speed of onset is 4.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 4.\nThe patient has lesions in the following regions: \n * biceps(R)\n * biceps(L)\n * mouth\n * thyroid cartilage\n * cervical spine\nOn a scale of 10, the pain intensity caused by the rash is 3.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 9.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * forehead\n * cheek(L)\n * nose",
"The patient lost consciousness.",
"The patient has noticed a high-pitched sound when breathing in.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed a wheezing sound when they exhale.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
4,
5,
3,
6,
9
] | [
1,
2,
7,
8,
10,
11
] |
68 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Pulmonary embolism"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Guillain-Barré syndrome"
},
{
"label": "E",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Myocarditis"
},
{
"label": "H",
"disease": "Bronchiectasis"
},
{
"label": "I",
"disease": "Acute dystonic reactions"
},
{
"label": "J",
"disease": "Myasthenia gravis"
},
{
"label": "K",
"disease": "Anemia"
},
{
"label": "L",
"disease": "Anaphylaxis"
},
{
"label": "M",
"disease": "Pneumonia"
},
{
"label": "N",
"disease": "Scombroid food poisoning"
},
{
"label": "O",
"disease": "PSVT"
},
{
"label": "P",
"disease": "SLE"
},
{
"label": "Q",
"disease": "Pulmonary neoplasm"
},
{
"label": "R",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "S",
"disease": "Tuberculosis"
},
{
"label": "T",
"disease": "Chagas"
}
] | E | [
"The patient is a 36-year-old man.",
"The patient has had 2 or more asthma attacks in the past year.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has had a cold in the last 2 weeks.",
"The patient has been diagnosed with chronic sinusitis.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is exposed to secondhand cigarette smoke on a daily basis.",
"The patient is more likely to develop common allergies than the general population."
] | [
1,
2,
4,
5,
6,
9
] | [
0,
3,
7,
8
] |
69 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Pulmonary embolism"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Guillain-Barré syndrome"
},
{
"label": "E",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "F",
"disease": "Atrial fibrillation"
},
{
"label": "G",
"disease": "Myocarditis"
},
{
"label": "H",
"disease": "Bronchiectasis"
},
{
"label": "I",
"disease": "Acute dystonic reactions"
},
{
"label": "J",
"disease": "Myasthenia gravis"
},
{
"label": "K",
"disease": "Anemia"
},
{
"label": "L",
"disease": "Anaphylaxis"
},
{
"label": "M",
"disease": "Tuberculosis"
},
{
"label": "N",
"disease": "Pneumonia"
},
{
"label": "O",
"disease": "Scombroid food poisoning"
},
{
"label": "P",
"disease": "PSVT"
},
{
"label": "Q",
"disease": "SLE"
},
{
"label": "R",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "S",
"disease": "Chagas"
}
] | E | [
"The patient is a 20-year-old young man.",
"The patient has had 2 or more asthma attacks in the past year.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has been hospitalized for an asthma attack in the past year.",
"The patient has had a cold in the last 2 weeks.",
"The patient has been diagnosed with chronic sinusitis.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient lives in a big city.",
"The patient is exposed to secondhand cigarette smoke on a daily basis.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
4,
8,
9,
10,
11
] | [
1,
2,
3,
5,
6,
7
] |
70 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pulmonary embolism"
},
{
"label": "B",
"disease": "Spontaneous pneumothorax"
},
{
"label": "C",
"disease": "Guillain-Barré syndrome"
},
{
"label": "D",
"disease": "Atrial fibrillation"
},
{
"label": "E",
"disease": "Myocarditis"
},
{
"label": "F",
"disease": "Acute dystonic reactions"
},
{
"label": "G",
"disease": "Myasthenia gravis"
},
{
"label": "H",
"disease": "Anemia"
},
{
"label": "I",
"disease": "Sarcoidosis"
},
{
"label": "J",
"disease": "Scombroid food poisoning"
},
{
"label": "K",
"disease": "PSVT"
}
] | A | [
"The patient is a 2-year-old girl.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * a knife stroke\nThe locations of the patient's pain are: \n * side of the chest(L)\n * scapula(R)\n * breast(R)\n * posterior chest wall(R)\n * posterior chest wall(L)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain radiates to the following locations: \n * side of the chest(R)\n * side of the chest(L)\n * scapula(R)\n * scapula(L)\n * posterior chest wall(L)\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 1.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has had deep vein thrombosis (DVT).",
"The patient has been unable to move or get up for more than 3 consecutive days within the last 4 weeks.",
"The patient has no swelling at any location.",
"The patient has had surgery within the last month.",
"The patient has traveled to North America in the last 4 weeks.",
"The patient has pain that is increased when they breathe in deeply."
] | [
0,
1,
2,
8
] | [
3,
4,
5,
6,
7
] |
71 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "B",
"disease": "Acute laryngitis"
},
{
"label": "C",
"disease": "Unstable angina"
},
{
"label": "D",
"disease": "Chagas"
},
{
"label": "E",
"disease": "Stable angina"
}
] | B | [
"The patient is a 47-year-old woman.",
"The patient attends or works in a daycare.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * burning\nThe locations of the patient's pain are: \n * tonsil(R)\n * palace\n * pharynx\n * under the jaw\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 4.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
3,
5
] | [
2,
4
] |
72 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pulmonary neoplasm"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Tuberculosis"
},
{
"label": "D",
"disease": "Pulmonary embolism"
}
] | A | [
"The patient is a 80-year-old elderly woman.",
"The patient has been coughing up blood.",
"The patient does not have pain.\nThe patient does not feel pain anywhere.\nOn a scale of 10 , the pain intensity is 0.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 0.\nOn a scale of 10, the speed of onset is 0.",
"The patient smokes cigarettes.",
"The patient has recently experienced a loss of appetite or gets full more quickly than usual.",
"The patient has had an involuntary weight loss over the last 3 months.",
"The patient is a former smoker.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is exposed to secondhand cigarette smoke on a daily basis."
] | [
1,
4,
5,
7
] | [
0,
2,
3,
6,
8,
9
] |
73 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute pulmonary edema"
},
{
"label": "B",
"disease": "Unstable angina"
},
{
"label": "C",
"disease": "Myocarditis"
},
{
"label": "D",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "E",
"disease": "Stable angina"
},
{
"label": "F",
"disease": "Anaphylaxis"
},
{
"label": "G",
"disease": "Pericarditis"
},
{
"label": "H",
"disease": "Pulmonary embolism"
},
{
"label": "I",
"disease": "Atrial fibrillation"
},
{
"label": "J",
"disease": "Panic attack"
},
{
"label": "K",
"disease": "Pulmonary neoplasm"
},
{
"label": "L",
"disease": "Guillain-Barré syndrome"
},
{
"label": "M",
"disease": "Chagas"
},
{
"label": "N",
"disease": "SLE"
},
{
"label": "O",
"disease": "Acute dystonic reactions"
},
{
"label": "P",
"disease": "Myasthenia gravis"
},
{
"label": "Q",
"disease": "Anemia"
},
{
"label": "R",
"disease": "Sarcoidosis"
},
{
"label": "S",
"disease": "Scombroid food poisoning"
}
] | A | [
"The patient is a 49-year-old man.",
"The patient has had fluid in their lungs before.",
"The patient currently undergoes dialysis.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * sensitive\n * tugging\nThe locations of the patient's pain are: \n * side of the chest(R)\n * side of the chest(L)\n * breast(R)\n * posterior chest wall(R)\n * posterior chest wall(L)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain radiates to the following locations: \n * biceps(R)\n * biceps(L)\n * triceps(R)\n * shoulder(L)\nOn a scale of 10, the precision of location is 2.\nOn a scale of 10, the speed of onset is 1.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient has had a heart attack or has angina (chest pain).",
"The patient has heart failure.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * ankle(L)\n * calf(R)\n * calf(L)",
"The patient has noticed new fatigue, generalized discomfort, widespread muscle aches, or a change in general well-being related to their consultation today.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's symptoms are worse when lying down and alleviated while sitting up.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest."
] | [
0,
3,
9,
10
] | [
1,
2,
4,
5,
6,
7,
8,
11,
12
] |
74 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pulmonary neoplasm"
},
{
"label": "B",
"disease": "Tuberculosis"
},
{
"label": "C",
"disease": "Bronchitis"
},
{
"label": "D",
"disease": "Pneumonia"
},
{
"label": "E",
"disease": "Pulmonary embolism"
},
{
"label": "F",
"disease": "Bronchiectasis"
},
{
"label": "G",
"disease": "Acute pulmonary edema"
},
{
"label": "H",
"disease": "Guillain-Barré syndrome"
},
{
"label": "I",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "J",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "K",
"disease": "Atrial fibrillation"
},
{
"label": "L",
"disease": "Acute dystonic reactions"
},
{
"label": "M",
"disease": "Myocarditis"
},
{
"label": "N",
"disease": "PSVT"
}
] | A | [
"The patient is a 76-year-old elderly man.",
"The patient has been coughing up blood.",
"The patient does not have pain.\nThe patient does not feel pain anywhere.\nOn a scale of 10 , the pain intensity is 0.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 0.\nOn a scale of 10, the speed of onset is 0.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient smokes cigarettes.",
"The patient has recently experienced a loss of appetite or gets full more quickly than usual.",
"The patient has had an involuntary weight loss over the last 3 months.",
"The patient is a former smoker.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is exposed to secondhand cigarette smoke on a daily basis.",
"The patient has family members who have had lung cancer."
] | [
0,
2,
9
] | [
1,
3,
4,
5,
6,
7,
8,
10,
11
] |
75 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "URTI"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Tuberculosis"
},
{
"label": "D",
"disease": "Influenza"
},
{
"label": "E",
"disease": "HIV (initial infection)"
},
{
"label": "F",
"disease": "Chagas"
}
] | A | [
"The patient is a 28-year-old young woman.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient lives with 4 or more people.",
"The patient attends or works in a daycare.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * heavy\nThe locations of the patient's pain are: \n * top of the head\n * cheek(R)\n * cheek(L)\n * occiput\n * temple(R)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 1.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has a sore throat.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is exposed to secondhand cigarette smoke on a daily basis."
] | [
0,
1,
2,
3,
9,
10
] | [
4,
5,
6,
7,
8
] |
76 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "SLE"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Pulmonary embolism"
},
{
"label": "D",
"disease": "Pneumonia"
},
{
"label": "E",
"disease": "Anemia"
},
{
"label": "F",
"disease": "Bronchiectasis"
},
{
"label": "G",
"disease": "Guillain-Barré syndrome"
},
{
"label": "H",
"disease": "Atrial fibrillation"
},
{
"label": "I",
"disease": "Myocarditis"
},
{
"label": "J",
"disease": "Anaphylaxis"
},
{
"label": "K",
"disease": "Acute dystonic reactions"
},
{
"label": "L",
"disease": "Myasthenia gravis"
},
{
"label": "M",
"disease": "Stable angina"
},
{
"label": "N",
"disease": "Pancreatic neoplasm"
},
{
"label": "O",
"disease": "Bronchitis"
},
{
"label": "P",
"disease": "Tuberculosis"
},
{
"label": "Q",
"disease": "Unstable angina"
},
{
"label": "R",
"disease": "PSVT"
},
{
"label": "S",
"disease": "HIV (initial infection)"
},
{
"label": "T",
"disease": "Chagas"
}
] | A | [
"The patient is a 22-year-old young woman.",
"The patient has had pericarditis before.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sharp\nThe locations of the patient's pain are: \n * back of the neck\n * ankle(R)\n * dorsal aspect of the wrist(R)\n * dorsal aspect of the wrist(L)\n * shoulder(R)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 6.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient constantly feels fatigued or has non-restful sleep.",
"The patient is consulting because they have high blood pressure.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is red.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 3.\nThe patient has lesions in the following regions: \n * cheek(R)\n * nose\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 2.",
"The patient had her first menstrual period before the age of 12.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
2,
3,
5
] | [
4,
6,
7,
8
] |
77 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "GERD"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "Pericarditis"
},
{
"label": "F",
"disease": "Tuberculosis"
},
{
"label": "G",
"disease": "Stable angina"
},
{
"label": "H",
"disease": "Pancreatic neoplasm"
}
] | A | [
"The patient is a 56-year-old man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * a knife stroke\n * tugging\n * sickening\n * scary\nThe locations of the patient's pain are: \n * lower chest\n * hypochondrium(R)\n * belly\n * epigastric\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain radiates to the following locations: \n * lower chest\n * upper chest\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 6.",
"The patient has a hiatal hernia.",
"The patient has a burning sensation that starts in the stomach and goes up into the throat, and it can be associated with a bitter taste in the mouth.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's symptoms are worse when lying down and alleviated while sitting up."
] | [
0,
5
] | [
1,
2,
3,
4,
6
] |
78 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anaphylaxis"
},
{
"label": "B",
"disease": "Panic attack"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "GERD"
},
{
"label": "F",
"disease": "Stable angina"
},
{
"label": "G",
"disease": "Pulmonary embolism"
},
{
"label": "H",
"disease": "Epiglottitis"
},
{
"label": "I",
"disease": "Anemia"
},
{
"label": "J",
"disease": "Inguinal hernia"
},
{
"label": "K",
"disease": "Larygospasm"
},
{
"label": "L",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "M",
"disease": "Pancreatic neoplasm"
},
{
"label": "N",
"disease": "Pericarditis"
},
{
"label": "O",
"disease": "PSVT"
},
{
"label": "P",
"disease": "Guillain-Barré syndrome"
},
{
"label": "Q",
"disease": "Atrial fibrillation"
},
{
"label": "R",
"disease": "Myocarditis"
},
{
"label": "S",
"disease": "Chagas"
},
{
"label": "T",
"disease": "Acute dystonic reactions"
},
{
"label": "U",
"disease": "Myasthenia gravis"
}
] | A | [
"The patient is a 95-year-old elderly woman.",
"The patient has been in contact with or eaten something to which they have an allergy.",
"The patient has had diarrhea or an increase in stool frequency.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\nThe locations of the patient's pain are: \n * iliac fossa(R)\n * hypochondrium(R)\n * pubis\n * belly\n * epigastric\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 3.\nOn a scale of 10, the speed of onset is 8.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 1.\nThe patient has lesions in the following regions: \n * back of the neck\n * biceps(L)\n * mouth\n * ankle(R)\n * ankle(L)\nOn a scale of 10, the pain intensity caused by the rash is 3.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 9.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * cheek(R)\n * cheek(L)\n * nose",
"The patient lost consciousness.",
"The patient has noticed a high-pitched sound when breathing in.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is more likely to develop common allergies than the general population."
] | [
0,
3,
5,
8,
9
] | [
1,
2,
4,
6,
7,
10,
11
] |
79 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "B",
"disease": "Unstable angina"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Panic attack"
},
{
"label": "E",
"disease": "Stable angina"
},
{
"label": "F",
"disease": "Myocarditis"
},
{
"label": "G",
"disease": "Pulmonary embolism"
},
{
"label": "H",
"disease": "Atrial fibrillation"
},
{
"label": "I",
"disease": "GERD"
},
{
"label": "J",
"disease": "Chagas"
},
{
"label": "K",
"disease": "Anaphylaxis"
},
{
"label": "L",
"disease": "Acute dystonic reactions"
},
{
"label": "M",
"disease": "Myasthenia gravis"
},
{
"label": "N",
"disease": "Pulmonary neoplasm"
},
{
"label": "O",
"disease": "Guillain-Barré syndrome"
},
{
"label": "P",
"disease": "Sarcoidosis"
},
{
"label": "Q",
"disease": "Scombroid food poisoning"
}
] | C | [
"The patient is a 91-year-old elderly man.",
"The patient has had fluid in their lungs before.",
"The patient currently undergoes dialysis.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * sensitive\n * tugging\nThe locations of the patient's pain are: \n * lower chest\n * calf(R)\n * posterior chest wall(L)\n * tibia(R)\n * tibia(L)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain radiates to the following locations: \n * chin\n * scapula(R)\n * shoulder(R)\n * shoulder(L)\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 1.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient has had a heart attack or has angina (chest pain).",
"The patient has heart failure.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * tibia(L)",
"The patient has noticed new fatigue, generalized discomfort, widespread muscle aches, or a change in general well-being related to their consultation today.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest."
] | [
0,
3,
10,
11
] | [
1,
2,
4,
5,
6,
7,
8,
9,
12
] |
80 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Panic attack"
},
{
"label": "B",
"disease": "Anaphylaxis"
},
{
"label": "C",
"disease": "Anemia"
},
{
"label": "D",
"disease": "Boerhaave"
},
{
"label": "E",
"disease": "GERD"
},
{
"label": "F",
"disease": "Inguinal hernia"
},
{
"label": "G",
"disease": "HIV (initial infection)"
},
{
"label": "H",
"disease": "Scombroid food poisoning"
},
{
"label": "I",
"disease": "Chagas"
}
] | A | [
"The patient is a 13-year-old male teenager.",
"The patient feels anxious.",
"The patient's immediate family includes members with a psychiatric illness.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a cramp\nThe locations of the patient's pain are: \n * flank(R)\n * flank(L)\n * iliac fossa(L)\n * hypochondrium(R)\n * belly\nOn a scale of 10 , the pain intensity is 8.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 10.\nOn a scale of 10, the speed of onset is 8.",
"The patient feels like they are or were choking or suffocating.",
"The patient has been diagnosed with depression before.",
"The patient suffers from chronic anxiety.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient feels like they are dying or were afraid they were about to die.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient feels detached from their own body or surroundings.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
3,
4,
10,
11,
13
] | [
1,
2,
5,
6,
7,
8,
9,
12
] |
81 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Atrial fibrillation"
},
{
"label": "B",
"disease": "PSVT"
},
{
"label": "C",
"disease": "Anemia"
},
{
"label": "D",
"disease": "Scombroid food poisoning"
}
] | A | [
"The patient is a 56-year-old woman.",
"The patient has a known issue with one of their heart valves.",
"The patient has severe Chronic Obstructive Pulmonary Disease (COPD).",
"The patient has diabetes.",
"The patient is significantly overweight compared to people of the same height.",
"The patient feels slightly dizzy or lightheaded.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient has a known heart defect.",
"The patient feels their heart is beating fast, irregularly, or experiences palpitations.",
"The patient feels their heart is beating very irregularly or in a disorganized pattern.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest."
] | [
0,
10
] | [
1,
2,
3,
4,
5,
6,
7,
8,
9,
11
] |
82 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Influenza"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Viral pharyngitis"
},
{
"label": "D",
"disease": "Anaphylaxis"
},
{
"label": "E",
"disease": "Chagas"
},
{
"label": "F",
"disease": "Anemia"
},
{
"label": "G",
"disease": "Cluster headache"
},
{
"label": "H",
"disease": "Pneumonia"
},
{
"label": "I",
"disease": "Scombroid food poisoning"
},
{
"label": "J",
"disease": "Chronic rhinosinusitis"
},
{
"label": "K",
"disease": "HIV (initial infection)"
},
{
"label": "L",
"disease": "Acute rhinosinusitis"
}
] | A | [
"The patient is a 64-year-old elderly woman.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\nThe locations of the patient's pain are: \n * back of the neck\n * forehead\n * occiput\n * pharynx\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 2.\nOn a scale of 10, the speed of onset is 5.",
"The patient smokes cigarettes.",
"The patient feels so tired that they are unable to do their usual activities and are stuck in bed all day long.",
"The patient has experienced chills or shivers.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 2.\nThe patient has lesions in the following regions: \n * back of the neck\nOn a scale of 10, the pain intensity caused by the rash is 2.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 1.",
"The patient has diffuse widespread muscle pain.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is immunosuppressed."
] | [
0,
2,
3,
4,
6,
7
] | [
1,
5,
8,
9,
10
] |
83 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Acute dystonic reactions"
},
{
"label": "B",
"disease": "Pulmonary embolism"
},
{
"label": "C",
"disease": "Acute pulmonary edema"
},
{
"label": "D",
"disease": "Guillain-Barré syndrome"
},
{
"label": "E",
"disease": "Atrial fibrillation"
},
{
"label": "F",
"disease": "Myocarditis"
},
{
"label": "G",
"disease": "Anemia"
},
{
"label": "H",
"disease": "Anaphylaxis"
},
{
"label": "I",
"disease": "Scombroid food poisoning"
},
{
"label": "J",
"disease": "PSVT"
},
{
"label": "K",
"disease": "SLE"
},
{
"label": "L",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "M",
"disease": "Chagas"
}
] | A | [
"The patient is a 30-year-old young man.",
"The patient has started or taken antipsychotic medication within the last 7 days.",
"The patient regularly takes stimulant drugs.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has felt like they were suffocating for a very short time associated with an inability to breathe or speak.",
"The patient has trouble keeping their tongue in their mouth.",
"The patient is unable to control the direction of their eyes.",
"The patient feels that muscle spasms or soreness in the neck are keeping them from turning their head to one side.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient suddenly has difficulty or an inability to open their mouth or experiences jaw pain when opening it."
] | [
0,
1,
2,
8
] | [
3,
4,
5,
6,
7,
9
] |
84 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pneumonia"
},
{
"label": "B",
"disease": "URTI"
},
{
"label": "C",
"disease": "Influenza"
},
{
"label": "D",
"disease": "Bronchitis"
},
{
"label": "E",
"disease": "Tuberculosis"
},
{
"label": "F",
"disease": "HIV (initial infection)"
},
{
"label": "G",
"disease": "Chagas"
}
] | B | [
"The patient is a 9-year-old boy.",
"The patient has been in contact with a person with similar symptoms in the past 2 weeks.",
"The patient attends or works in a daycare.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * sensitive\n * heavy\nThe locations of the patient's pain are: \n * top of the head\n * forehead\n * cheek(L)\n * temple(R)\n * temple(L)\nOn a scale of 10 , the pain intensity is 8.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 4.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has a sore throat.",
"The patient has diffuse widespread muscle pain.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
2,
9
] | [
3,
4,
5,
6,
7,
8
] |
85 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "URTI"
}
] | A | [
"The patient is a 54-year-old man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * burning\nThe locations of the patient's pain are: \n * side of the chest(R)\n * posterior chest wall(R)\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 5.\nOn a scale of 10, the speed of onset is 0.",
"The patient smokes cigarettes.",
"The patient has a sore throat.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's vaccinations are up to date.",
"The patient's symptoms are more prominent at night."
] | [
0,
2,
6,
7
] | [
1,
3,
4,
5,
8
] |
86 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Tuberculosis"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Pneumonia"
},
{
"label": "D",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "E",
"disease": "Pulmonary embolism"
},
{
"label": "F",
"disease": "Unstable angina"
},
{
"label": "G",
"disease": "Pericarditis"
},
{
"label": "H",
"disease": "Panic attack"
},
{
"label": "I",
"disease": "Stable angina"
},
{
"label": "J",
"disease": "Bronchiectasis"
},
{
"label": "K",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "L",
"disease": "Atrial fibrillation"
},
{
"label": "M",
"disease": "GERD"
},
{
"label": "N",
"disease": "Myocarditis"
},
{
"label": "O",
"disease": "Spontaneous pneumothorax"
},
{
"label": "P",
"disease": "Guillain-Barré syndrome"
},
{
"label": "Q",
"disease": "Acute dystonic reactions"
},
{
"label": "R",
"disease": "Myasthenia gravis"
},
{
"label": "S",
"disease": "Sarcoidosis"
},
{
"label": "T",
"disease": "Influenza"
},
{
"label": "U",
"disease": "PSVT"
}
] | C | [
"The patient is a 31-year-old woman.",
"The patient has been coughing up blood.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\n * sharp\nThe locations of the patient's pain are: \n * lower chest\n * upper chest\n * posterior chest wall(R)\n * posterior chest wall(L)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 0.\nOn a scale of 10, the speed of onset is 6.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has experienced chills or shivers.",
"The patient has had a stroke in the past.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions peel off.\nOn a scale of 10, the swelling intensity of the rash is 4.\nThe patient has lesions in the following regions: \n * thoracic spine\n * buttock(R)\n * flank(R)\n * flank(L)\n * shoulder(R)\nOn a scale of 10, the pain intensity caused by the rash is 4.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient has recently experienced a loss of appetite or gets full more quickly than usual.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's symptoms are more prominent at night.",
"The patient has pain that is increased when they breathe in deeply."
] | [
0,
1,
2,
3,
4,
5,
11,
13,
14
] | [
6,
7,
8,
9,
10,
12
] |
87 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "HIV (initial infection)"
},
{
"label": "B",
"disease": "Chagas"
},
{
"label": "C",
"disease": "Influenza"
},
{
"label": "D",
"disease": "Anemia"
},
{
"label": "E",
"disease": "Pancreatic neoplasm"
},
{
"label": "F",
"disease": "Scombroid food poisoning"
}
] | A | [
"The patient is a 73-year-old elderly woman.",
"The patient has had a sexually transmitted infection.",
"The patient has had diarrhea or an increase in stool frequency.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * sensitive\n * a pulse\n * exhausting\nThe locations of the patient's pain are: \n * back of head\n * back of the neck\n * top of the head\n * forehead\n * occiput\nOn a scale of 10 , the pain intensity is 2.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 6.",
"The patient is currently using intravenous drugs.",
"The patient feels so tired that they are unable to do their usual activities and are stuck in bed all day long.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has a sore throat.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pale.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 2.\nThe patient has lesions in the following regions: \n * upper gum\n * labia majora(R)\n * labia majora(L)\n * internal cheek(R)\n * internal cheek(L)\nOn a scale of 10, the pain intensity caused by the rash is 6.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient has diffuse widespread muscle pain.",
"The patient has had an involuntary weight loss over the last 3 months.",
"The patient has had sexual intercourse with an HIV-positive partner in the past 12 months.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
3,
5,
6,
7,
8,
9
] | [
1,
2,
4,
10,
11,
12
] |
88 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "GERD"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Pericarditis"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "Pancreatic neoplasm"
},
{
"label": "F",
"disease": "Stable angina"
}
] | A | [
"The patient is a 45-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * haunting\n * sensitive\n * burning\n * sickening\n * scary\nThe locations of the patient's pain are: \n * upper chest\n * hypochondrium(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain radiates to the following locations: \n * lower chest\n * upper chest\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 0.",
"The patient has a hiatal hernia.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has a burning sensation that starts in the stomach and goes up into the throat, and it can be associated with a bitter taste in the mouth.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's symptoms are worse when lying down and alleviated while sitting up."
] | [
0,
1,
5
] | [
2,
3,
4,
6
] |
89 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Influenza"
},
{
"label": "B",
"disease": "URTI"
},
{
"label": "C",
"disease": "HIV (initial infection)"
},
{
"label": "D",
"disease": "Pneumonia"
},
{
"label": "E",
"disease": "Bronchitis"
},
{
"label": "F",
"disease": "Chagas"
},
{
"label": "G",
"disease": "Acute rhinosinusitis"
},
{
"label": "H",
"disease": "Tuberculosis"
},
{
"label": "I",
"disease": "Chronic rhinosinusitis"
},
{
"label": "J",
"disease": "Scombroid food poisoning"
},
{
"label": "K",
"disease": "Anemia"
}
] | A | [
"The patient is a 22-year-old young woman.",
"The patient has had significantly increased sweating.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\nThe locations of the patient's pain are: \n * back of the neck\n * side of the neck(R)\n * side of the neck(L)\n * top of the head\n * forehead\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 4.\nOn a scale of 10, the speed of onset is 4.",
"The patient smokes cigarettes.",
"The patient feels so tired that they are unable to do their usual activities and are stuck in bed all day long.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has experienced chills or shivers.",
"The patient has a sore throat.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 0.\nThe patient has lesions in the following regions: \n * side of the neck(R)\n * forehead\nOn a scale of 10, the pain intensity caused by the rash is 3.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 4.",
"The patient has diffuse widespread muscle pain.",
"The patient has recently experienced a loss of appetite or gets full more quickly than usual.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
1,
2,
8,
9
] | [
0,
3,
4,
5,
6,
7,
10,
11,
12,
13
] |
90 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Unstable angina"
},
{
"label": "B",
"disease": "Stable angina"
},
{
"label": "C",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "D",
"disease": "Pancreatic neoplasm"
},
{
"label": "E",
"disease": "Anemia"
},
{
"label": "F",
"disease": "Pericarditis"
},
{
"label": "G",
"disease": "Atrial fibrillation"
},
{
"label": "H",
"disease": "Chagas"
},
{
"label": "I",
"disease": "Myocarditis"
}
] | B | [
"The patient is a 31-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * exhausting\nThe locations of the patient's pain are: \n * side of the chest(L)\n * upper chest\n * breast(R)\n * breast(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain radiates to the following locations: \n * biceps(R)\n * thyroid cartilage\n * thoracic spine\n * under the jaw\n * shoulder(R)\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 3.",
"The patient has diabetes.",
"The patient has high cholesterol or takes medications to treat high cholesterol.",
"The patient smokes cigarettes.",
"The patient constantly feels fatigued or has non-restful sleep.",
"The patient has high blood pressure or takes medications to treat high blood pressure.",
"The patient has had a heart attack or has angina (chest pain).",
"The patient exercises regularly, 4 times per week or more.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has symptoms that are increased with physical exertion but alleviated with rest.",
"The patient has close family members who had a cardiovascular disease problem before the age of 50."
] | [
0,
1,
8,
9
] | [
2,
3,
4,
5,
6,
7,
10,
11
] |
91 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "B",
"disease": "Unstable angina"
},
{
"label": "C",
"disease": "Anaphylaxis"
},
{
"label": "D",
"disease": "Pericarditis"
},
{
"label": "E",
"disease": "Scombroid food poisoning"
}
] | B | [
"The patient is a 61-year-old elderly man.",
"The patient finds that their symptoms have worsened over the last 2 weeks and that progressively less effort is required to cause the symptoms.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * heavy\n * exhausting\nThe locations of the patient's pain are: \n * lower chest\n * upper chest\n * scapula(R)\n * breast(R)\n * epigastric\nOn a scale of 10 , the pain intensity is 8.\nThe patient's pain radiates to the following locations: \n * thyroid cartilage\n * under the jaw\n * trachea\n * shoulder(R)\n * shoulder(L)\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 7.",
"The patient is significantly overweight compared to people of the same height.",
"The patient has high cholesterol or takes medications to treat high cholesterol.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient smokes cigarettes.",
"The patient has had a heart attack or has angina (chest pain).",
"The patient exercises regularly, 4 times per week or more.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
1,
2,
7,
9
] | [
3,
4,
5,
6,
8,
10
] |
92 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Viral pharyngitis"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Acute laryngitis"
},
{
"label": "D",
"disease": "URTI"
},
{
"label": "E",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "F",
"disease": "Unstable angina"
},
{
"label": "G",
"disease": "Stable angina"
}
] | A | [
"The patient is a 40-year-old woman.",
"The patient lives with 4 or more people.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sensitive\n * burning\nThe locations of the patient's pain are: \n * tonsil(R)\n * tonsil(L)\n * thyroid cartilage\n * pharynx\n * under the jaw\nOn a scale of 10 , the pain intensity is 3.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 1.",
"The patient smokes cigarettes.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient is immunosuppressed."
] | [
0,
1,
6,
7
] | [
2,
3,
4,
5
] |
93 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pneumonia"
},
{
"label": "B",
"disease": "Bronchitis"
},
{
"label": "C",
"disease": "Influenza"
},
{
"label": "D",
"disease": "Bronchiectasis"
},
{
"label": "E",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "F",
"disease": "GERD"
},
{
"label": "G",
"disease": "URTI"
},
{
"label": "H",
"disease": "Panic attack"
},
{
"label": "I",
"disease": "HIV (initial infection)"
},
{
"label": "J",
"disease": "Unstable angina"
},
{
"label": "K",
"disease": "Tuberculosis"
},
{
"label": "L",
"disease": "Stable angina"
},
{
"label": "M",
"disease": "Pericarditis"
},
{
"label": "N",
"disease": "Scombroid food poisoning"
},
{
"label": "O",
"disease": "Boerhaave"
},
{
"label": "P",
"disease": "Myocarditis"
},
{
"label": "Q",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "R",
"disease": "Atrial fibrillation"
},
{
"label": "S",
"disease": "Pancreatic neoplasm"
},
{
"label": "T",
"disease": "Guillain-Barré syndrome"
},
{
"label": "U",
"disease": "Acute dystonic reactions"
},
{
"label": "V",
"disease": "Myasthenia gravis"
},
{
"label": "W",
"disease": "Sarcoidosis"
},
{
"label": "X",
"disease": "Chagas"
},
{
"label": "Y",
"disease": "PSVT"
}
] | A | [
"The patient is a 22-year-old young man.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\nThe locations of the patient's pain are: \n * lower chest\n * posterior chest wall(L)\nOn a scale of 10 , the pain intensity is 2.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 6.\nOn a scale of 10, the speed of onset is 3.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient has a cough that produces colored or more abundant sputum than usual.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has experienced chills or shivers.",
"The patient has had pneumonia before.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions peel off.\nOn a scale of 10, the swelling intensity of the rash is 4.\nThe patient has lesions in the following regions: \n * back of the neck\n * thoracic spine\n * buttock(L)\nOn a scale of 10, the pain intensity caused by the rash is 0.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 1.",
"The patient has diffuse widespread muscle pain.",
"The patient has recently experienced a loss of appetite or gets full more quickly than usual.",
"The patient has nasal congestion or a clear runny nose.",
"The patient has had surgery within the last month.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's BMI is less than 18.5, or the patient is underweight.",
"The patient's symptoms are more prominent at night."
] | [
1,
2,
3,
4,
5,
8,
13,
14
] | [
0,
6,
7,
9,
10,
11,
12,
15,
16,
17
] |
94 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "B",
"disease": "Pericarditis"
},
{
"label": "C",
"disease": "GERD"
},
{
"label": "D",
"disease": "Myocarditis"
},
{
"label": "E",
"disease": "PSVT"
},
{
"label": "F",
"disease": "Guillain-Barré syndrome"
},
{
"label": "G",
"disease": "Atrial fibrillation"
},
{
"label": "H",
"disease": "Panic attack"
},
{
"label": "I",
"disease": "Scombroid food poisoning"
},
{
"label": "J",
"disease": "Acute dystonic reactions"
},
{
"label": "K",
"disease": "Myasthenia gravis"
},
{
"label": "L",
"disease": "Anaphylaxis"
},
{
"label": "M",
"disease": "Sarcoidosis"
},
{
"label": "N",
"disease": "SLE"
},
{
"label": "O",
"disease": "Stable angina"
},
{
"label": "P",
"disease": "Chagas"
}
] | B | [
"The patient is a 23-year-old young man.",
"The patient has recently had a viral infection.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\n * sharp\nThe locations of the patient's pain are: \n * lower chest\n * upper chest\n * breast(R)\n * breast(L)\nOn a scale of 10 , the pain intensity is 4.\nThe patient's pain radiates to the following locations: \n * thoracic spine\n * posterior chest wall(L)\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 7.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels their heart is beating fast, irregularly, or experiences palpitations.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's symptoms are worse when lying down and alleviated while sitting up."
] | [
1,
2,
3,
4,
6
] | [
0,
5
] |
95 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Localized edema"
},
{
"label": "B",
"disease": "Chagas"
},
{
"label": "C",
"disease": "Anaphylaxis"
}
] | A | [
"The patient is a 5-year-old girl.",
"The patient has a known issue with one of their heart valves.",
"The patient takes corticosteroids.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * tedious\n * sensitive\nThe locations of the patient's pain are: \n * lateral side of the foot(L)\n * thigh(R)\n * dorsal aspect of the foot(L)\n * calf(R)\n * toe (1)(R)\nOn a scale of 10 , the pain intensity is 7.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 8.\nOn a scale of 10, the speed of onset is 6.",
"The patient has gained weight recently.",
"The patient has heart failure.",
"The patient has liver cirrhosis.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * ankle(R)\n * ankle(L)\n * thigh(R)\n * thigh(L)\n * dorsal aspect of the foot(R)",
"The patient has been diagnosed with obstructive sleep apnea (OSA).",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
0,
3,
9
] | [
1,
2,
4,
5,
6,
7,
8
] |
96 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Panic attack"
},
{
"label": "B",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "C",
"disease": "Spontaneous pneumothorax"
},
{
"label": "D",
"disease": "Unstable angina"
},
{
"label": "E",
"disease": "Boerhaave"
},
{
"label": "F",
"disease": "Acute pulmonary edema"
},
{
"label": "G",
"disease": "PSVT"
},
{
"label": "H",
"disease": "Pulmonary embolism"
},
{
"label": "I",
"disease": "Anaphylaxis"
},
{
"label": "J",
"disease": "Atrial fibrillation"
},
{
"label": "K",
"disease": "GERD"
},
{
"label": "L",
"disease": "Inguinal hernia"
},
{
"label": "M",
"disease": "Scombroid food poisoning"
},
{
"label": "N",
"disease": "Stable angina"
},
{
"label": "O",
"disease": "Acute dystonic reactions"
},
{
"label": "P",
"disease": "Guillain-Barré syndrome"
},
{
"label": "Q",
"disease": "Sarcoidosis"
},
{
"label": "R",
"disease": "Chagas"
}
] | A | [
"The patient is a 59-year-old man.",
"The patient feels anxious.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a cramp\nThe locations of the patient's pain are: \n * side of the chest(L)\n * iliac fossa(R)\n * hypochondrium(R)\n * hypochondrium(L)\n * belly\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 7.\nOn a scale of 10, the speed of onset is 9.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient has been diagnosed with depression before.",
"The patient suffers from chronic anxiety.",
"The patient has had a migraine or a member of their family is known to have migraines.",
"The patient feels like they are dying or were afraid they were about to die.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient suffers from fibromyalgia.",
"The patient is feeling nauseous or feels like vomiting.",
"The patient feels their heart is beating fast, irregularly, or experiences palpitations.",
"The patient has had a head trauma.",
"The patient has not traveled out of the country in the last 4 weeks."
] | [
2,
3,
9,
11,
12,
13,
14
] | [
0,
1,
4,
5,
6,
7,
8,
10
] |
97 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Pneumonia"
},
{
"label": "B",
"disease": "Pulmonary neoplasm"
},
{
"label": "C",
"disease": "Tuberculosis"
},
{
"label": "D",
"disease": "Pulmonary embolism"
},
{
"label": "E",
"disease": "Bronchitis"
},
{
"label": "F",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "G",
"disease": "Unstable angina"
},
{
"label": "H",
"disease": "Pericarditis"
},
{
"label": "I",
"disease": "Panic attack"
},
{
"label": "J",
"disease": "Stable angina"
},
{
"label": "K",
"disease": "Boerhaave"
},
{
"label": "L",
"disease": "Influenza"
},
{
"label": "M",
"disease": "GERD"
},
{
"label": "N",
"disease": "Myocarditis"
},
{
"label": "O",
"disease": "Bronchiectasis"
},
{
"label": "P",
"disease": "Acute pulmonary edema"
},
{
"label": "Q",
"disease": "Spontaneous pneumothorax"
},
{
"label": "R",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "S",
"disease": "Atrial fibrillation"
},
{
"label": "T",
"disease": "Guillain-Barré syndrome"
},
{
"label": "U",
"disease": "Acute dystonic reactions"
},
{
"label": "V",
"disease": "Myasthenia gravis"
},
{
"label": "W",
"disease": "HIV (initial infection)"
},
{
"label": "X",
"disease": "PSVT"
}
] | A | [
"The patient is a 60-year-old man.",
"The patient has been coughing up blood.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * sharp\nThe locations of the patient's pain are: \n * lower chest\n * side of the chest(R)\n * side of the chest(L)\n * upper chest\n * breast(L)\nOn a scale of 10 , the pain intensity is 5.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 6.\nOn a scale of 10, the speed of onset is 3.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient smokes cigarettes.",
"The patient has a fever, either felt or measured with a thermometer.",
"The patient has experienced chills or shivers.",
"The patient has Parkinson's disease.",
"The patient has had a stroke in the past.",
"The patient has chronic obstructive pulmonary disease (COPD).",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions peel off.\nOn a scale of 10, the swelling intensity of the rash is 2.\nThe patient has lesions in the following regions: \n * thoracic spine\n * commissure(R)\n * commissure(L)\n * side of the neck(R)\n * buttock(L)\nOn a scale of 10, the pain intensity caused by the rash is 5.\nThe patient’s lesion (or lesions) is not larger than 1 cm.\nOn a scale of 10, the itching severity is 0.",
"The patient has diffuse widespread muscle pain.",
"The patient has recently experienced a loss of appetite or gets full more quickly than usual.",
"The patient has noticed new fatigue, generalized discomfort, widespread muscle aches, or a change in general well-being related to their consultation today.",
"The patient has had surgery within the last month.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's vaccinations are up to date.",
"The patient's symptoms are more prominent at night.",
"The patient has pain that is increased when they breathe in deeply."
] | [
1,
3,
4,
5,
6,
9,
10,
16,
20
] | [
0,
2,
7,
8,
11,
12,
13,
14,
15,
17,
18,
19
] |
98 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Anaphylaxis"
},
{
"label": "B",
"disease": "Panic attack"
},
{
"label": "C",
"disease": "Bronchospasm / acute asthma exacerbation"
},
{
"label": "D",
"disease": "Acute pulmonary edema"
},
{
"label": "E",
"disease": "Unstable angina"
},
{
"label": "F",
"disease": "Pancreatic neoplasm"
},
{
"label": "G",
"disease": "GERD"
},
{
"label": "H",
"disease": "Pulmonary embolism"
},
{
"label": "I",
"disease": "Stable angina"
},
{
"label": "J",
"disease": "Anemia"
},
{
"label": "K",
"disease": "Inguinal hernia"
},
{
"label": "L",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "M",
"disease": "Larygospasm"
},
{
"label": "N",
"disease": "Pericarditis"
},
{
"label": "O",
"disease": "PSVT"
},
{
"label": "P",
"disease": "Guillain-Barré syndrome"
},
{
"label": "Q",
"disease": "Atrial fibrillation"
},
{
"label": "R",
"disease": "Myocarditis"
},
{
"label": "S",
"disease": "Acute COPD exacerbation / infection"
},
{
"label": "T",
"disease": "Chagas"
},
{
"label": "U",
"disease": "Acute dystonic reactions"
},
{
"label": "V",
"disease": "Myasthenia gravis"
}
] | A | [
"The patient is a 63-year-old elderly man.",
"The patient has a known severe food allergy.",
"The patient has been in contact with or eaten something to which they have an allergy.",
"The patient has had diarrhea or an increase in stool frequency.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * a knife stroke\nThe locations of the patient's pain are: \n * flank(R)\n * iliac fossa(R)\n * hypochondrium(L)\n * epigastric\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain does not radiate anywhere.\nOn a scale of 10, the precision of location is 1.\nOn a scale of 10, the speed of onset is 5.",
"The patient is experiencing shortness of breath or difficulty breathing in a significant way.",
"The patient feels lightheaded and dizzy, and feels like they are about to faint.",
"The patient has lesions, redness, or problems on the skin believed to be related to the condition consulted for.\nThe color of the rash is pink.\nThe patient’s lesions do not peel off.\nOn a scale of 10, the swelling intensity of the rash is 6.\nThe patient has lesions in the following regions: \n * back of the neck\n * biceps(R)\n * biceps(L)\n * mouth\n * thyroid cartilage\nOn a scale of 10, the pain intensity caused by the rash is 1.\nThe patient’s lesion (or lesions) is larger than 1 cm.\nOn a scale of 10, the itching severity is 7.",
"The patient has swelling in one or more areas of their body.\nThe patient's swelling is located at: \n * forehead\n * cheek(R)\n * cheek(L)",
"The patient lost consciousness.",
"The patient has noticed a high-pitched sound when breathing in.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient has noticed a wheezing sound when they exhale."
] | [
1,
2,
5,
6,
7,
8,
9,
10,
12
] | [
0,
3,
4,
11
] |
99 | Which of the following is the most likely diagnosis? | [
{
"label": "A",
"disease": "Bronchitis"
},
{
"label": "B",
"disease": "GERD"
},
{
"label": "C",
"disease": "Pericarditis"
},
{
"label": "D",
"disease": "Possible NSTEMI / STEMI"
},
{
"label": "E",
"disease": "Spontaneous rib fracture"
},
{
"label": "F",
"disease": "Anemia"
},
{
"label": "G",
"disease": "Pancreatic neoplasm"
}
] | B | [
"The patient is a 32-year-old woman.",
"The patient has pain somewhere related to their reason for consulting.\nThe patient's pain is: \n * haunting\n * sensitive\n * tugging\n * burning\n * sickening\n * scary\nThe locations of the patient's pain are: \n * lower chest\n * hypochondrium(R)\n * epigastric\nOn a scale of 10 , the pain intensity is 6.\nThe patient's pain radiates to the following locations: \n * lower chest\n * upper chest\nOn a scale of 10, the precision of location is 6.\nOn a scale of 10, the speed of onset is 4.",
"The patient is significantly overweight compared to people of the same height.",
"The patient drinks alcohol excessively or has an addiction to alcohol.",
"The patient smokes cigarettes.",
"The patient has a hiatal hernia.",
"The patient has asthma or has used a bronchodilator in the past.",
"The patient has recently had stools that were black like coal.",
"The patient has a burning sensation that starts in the stomach and goes up into the throat, and it can be associated with a bitter taste in the mouth.",
"The patient has a cough.",
"The patient has not traveled out of the country in the last 4 weeks.",
"The patient's symptoms are worse when lying down and alleviated while sitting up."
] | [
1,
5,
7,
8,
11
] | [
0,
2,
3,
4,
6,
9,
10
] |
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