prompt stringlengths 5 2.03k | number_of_criteria int64 4 37 | rubrics listlengths 4 37 | total_weight int64 10 92 | domain stringclasses 2
values |
|---|---|---|---|---|
In a population of 1000 with 200 eligible couples, 30 use condoms, 20 use IUCD, 20 use OC pills, and 70 have undergone female sterilization. With the remaining couples not using any method, calculate the Couple Protection Rate. | 13 | [
{
"criterion": "The response correctly calculates the Couple Protection Rate as 70%.",
"weight": 3
},
{
"criterion": "The response uses only the four contraceptive methods provided in the prompt (condoms, IUCD, OC pills, female sterilization) when summing protected couples.",
"weight": 3
},
... | 29 | health |
What are two defining characteristics of Burkitt's lymphoma in terms of its cellular origin and presentation? | 9 | [
{
"criterion": "The response identifies Burkitt's lymphoma as originating from mature B-cells (B-lymphocytes) of germinal center origin.",
"weight": 3
},
{
"criterion": "The response describes a defining genetic feature of Burkitt's lymphoma as a chromosomal translocation involving the MYC gene (on ... | 19 | health |
What is the name of the classification proposed by the International Lymphoma Study Group for non-Hodgkin's lymphoma? | 10 | [
{
"criterion": "The response correctly identifies the classification proposed by the International Lymphoma Study Group as the 'Revised European-American Lymphoma (REAL) classification'.",
"weight": 3
},
{
"criterion": "The response uses the acronym 'REAL' when referring to the Revised European-Amer... | 23 | health |
What are the characteristic features of venoocclusive disease in the hepatic vein? | 20 | [
{
"criterion": "The response correctly states that veno-occlusive disease (VOD/SOS) involves obstruction of small intrahepatic venules and/or sinusoids, not the large hepatic veins.",
"weight": 3
},
{
"criterion": "The response explicitly distinguishes VOD/SOS from Budd-Chiari syndrome, including th... | 46 | health |
A 28-year-old female presents with 8 weeks of amenorrhea, vaginal bleeding, and lower abdominal pain. An ultrasound shows a gestational sac without fetal parts. What is the diagnosis? | 17 | [
{
"criterion": "The response identifies the most likely diagnosis as an anembryonic pregnancy (blighted ovum).",
"weight": 3
},
{
"criterion": "The response explains that an anembryonic pregnancy (blighted ovum) is a condition where a gestational sac develops without an embryo or fetal parts.",
... | 34 | health |
Halophilic vibrios are -a) V. choleraeb) V. vulnificusc) V. parhemolyticusd) V. mimicuse) V. alginolyticus
A. ab
B. bce
C. acd
D. ace | 13 | [
{
"criterion": "The response selects option B (bce) as the correct answer.",
"weight": 3
},
{
"criterion": "The response explicitly states that V. vulnificus (b) is halophilic.",
"weight": 3
},
{
"criterion": "The response explicitly states that V. parahaemolyticus (c) is halophilic.",
... | 29 | health |
For a 68-year-old woman with chronic idiopathic thrombocytopenic purpura (ITP) who is recommended to undergo splenectomy due to refractory ITP with persistent thrombocytopenia, what should be the timeline for administering vaccinations against encapsulated organisms and initiating penicillin prophylaxis? | 17 | [
{
"criterion": "The response states that vaccines against Streptococcus pneumoniae, Neisseria meningitidis (both MenACWY and MenB), and Haemophilus influenzae type b (Hib) are required for asplenic patients.",
"weight": 3
},
{
"criterion": "The response specifies that all required vaccines should id... | 39 | health |
A 45-year-old man started taking an anti-hypertensive medication to manage his elevated blood pressure. After 3 weeks, he developed swelling of the lips. Considering the common side effects of anti-hypertensive medications, which specific medication is most likely responsible for this reaction? | 15 | [
{
"criterion": "The response identifies ACE (Angiotensin-Converting Enzyme) inhibitors as the most likely class of medication responsible for the lip swelling.",
"weight": 3
},
{
"criterion": "The response explicitly names at least one specific ACE inhibitor (e.g., lisinopril, enalapril, ramipril, b... | 35 | health |
Using the given data: aorta oxygen content of 20.0 vol%, femoral vein oxygen content of 16 vol%, coronary sinus oxygen content of 10 vol%, pulmonary artery oxygen content of 15 vol%, and a total body oxygen consumption of 400 ml/min, calculate the cardiac output for a 70 kg man. | 14 | [
{
"criterion": "The response explicitly identifies the Fick principle or provides the formula CO = VO2 / (CaO2 - CvO2) as the basis for the calculation.",
"weight": 3
},
{
"criterion": "The response correctly uses the total body oxygen consumption (VO2) value of 400 ml/min in the calculation.",
... | 35 | health |
For a tooth with an open apex that has been treated with calcium hydroxide for apexification, what is the most reliable clinical sign to assess its readiness for obturation? | 12 | [
{
"criterion": "The response identifies the tactile sensation of a hard tissue or calcific apical barrier (apical stop) as the most reliable clinical sign for readiness for obturation after calcium hydroxide apexification.",
"weight": 3
},
{
"criterion": "The response explicitly states that the tact... | 25 | health |
A 67-year-old woman comes to the physician because of intermittent chest pain and dizziness on exertion for 6 months. Her pulse is 76/min and blood pressure is 125/82 mm Hg. Cardiac examination shows a grade 3/6, late-peaking, crescendo-decrescendo murmur heard best at the right upper sternal border. An echocardiogram ... | 19 | [
{
"criterion": "The response correctly identifies C (Decreased left ventricular preload) as the answer to the question.",
"weight": 3
},
{
"criterion": "The response explicitly identifies the patient's underlying diagnosis as severe aortic stenosis (AS) based on the clinical presentation and physica... | 42 | health |
Newborn with APGAR score of 2 at 1 min. & 6 at 5 min. has respiratory distress & mediastinal shift diagnosis is -
A. Congenital adenomatoid lung disease
B. Pneumothorax
C. Diaphragmatic hernia
D. All | 12 | [
{
"criterion": "The response correctly identifies 'D. All' as the answer to the question.",
"weight": 3
},
{
"criterion": "The response explicitly states that each of the three conditions—Congenital adenomatoid lung disease (CPAM), Pneumothorax, and Diaphragmatic hernia—can independently cause respi... | 27 | health |
What class of neurotransmitter would be most affected if a toxin disrupted microtubules within neurons, impacting the transport mechanisms within these cells? | 14 | [
{
"criterion": "The response correctly identifies neuropeptides (peptide neurotransmitters) as the class most affected by microtubule disruption.",
"weight": 3
},
{
"criterion": "The response explains that neuropeptides are synthesized in the neuron's cell body (soma).",
"weight": 2
},
{
... | 29 | health |
A 44-year-old woman with rheumatoid arthritis develops painful oral ulcers and elevated liver enzymes several weeks after starting a new medication. The medication's side effect profile and the lab findings suggest a specific drug action. What is the primary mechanism of action of this drug used to treat her rheumatoid... | 14 | [
{
"criterion": "The response correctly identifies methotrexate as the drug implicated by the clinical scenario (rheumatoid arthritis, oral ulcers, elevated liver enzymes after new medication).",
"weight": 3
},
{
"criterion": "The response explicitly states that methotrexate's primary mechanism of ac... | 29 | health |
What is the most likely diagnosis for a patient presenting with tinnitus, loss of balance, hearing loss, and a cerebellopontine angle tumor on imaging? | 12 | [
{
"criterion": "The response identifies Vestibular Schwannoma as the most likely diagnosis for a patient with tinnitus, hearing loss, loss of balance, and a cerebellopontine angle tumor on imaging.",
"weight": 3
},
{
"criterion": "The response provides the common synonym for Vestibular Schwannoma, w... | 26 | health |
A 75-year-old man with mild dementia presents with acute-onset left loin pain and an old pathology report reveals negatively birefringent crystals in a synovial fluid aspirate. Based on these findings, what is the most likely substance that makes up the majority of his urinary calculus? | 12 | [
{
"criterion": "The response identifies uric acid as the most likely substance composing the urinary calculus.",
"weight": 3
},
{
"criterion": "The response explicitly links negatively birefringent crystals in synovial fluid to a diagnosis of gout.",
"weight": 3
},
{
"criterion": "The re... | 25 | health |
A pregnant woman demonstrates a positive Clinitest reaction in her urine screening despite normal blood glucose levels and negative results on specific urine glucose tests. She has no known metabolic disorders and leads a normal life. What enzyme deficiency is most likely responsible for this finding? | 13 | [
{
"criterion": "The response correctly identifies fructokinase deficiency as the most likely enzyme deficiency responsible for the findings.",
"weight": 3
},
{
"criterion": "The response names essential fructosuria as the clinical condition associated with fructokinase deficiency.",
"weight": 2
... | 27 | health |
What is the concentration of vitamin A in IU per milliliter used in the 'Prevention of nutritional blindness in children programme'? | 12 | [
{
"criterion": "The response correctly states that the concentration of the Vitamin A solution used in the 'Prevention of nutritional blindness in children programme' is 200,000 IU per milliliter (IU/mL).",
"weight": 3
},
{
"criterion": "The response explicitly links the stated concentration to the ... | 26 | health |
A 31-year-old man presents with increasing fatigue, recurrent nausea, weight loss, and postural lightheadedness over a 9-month period. He has a history of alopecia areata and darkened palm creases on examination. Serum studies show hyponatremia, hyperkalemia, and low cortisol levels that do not adequately rise after co... | 17 | [
{
"criterion": "The response identifies the diagnosis as primary adrenal insufficiency (Addison's disease).",
"weight": 3
},
{
"criterion": "The response identifies the most likely underlying mechanism as autoimmune destruction of the adrenal cortex (autoimmune adrenalitis).",
"weight": 3
},
... | 41 | health |
A 45-year-old patient presents with arthritis characterized by involvement of the proximal interphalangeal joints, distal interphalangeal joints, and metacarpophalangeal joints, with sparing of the wrist and ankle. What is the most likely diagnosis? | 13 | [
{
"criterion": "The response identifies Psoriatic Arthritis (PsA) as the most likely diagnosis based on the described joint involvement.",
"weight": 3
},
{
"criterion": "The response explicitly states that involvement of the distal interphalangeal (DIP) joints is a key distinguishing feature support... | 27 | health |
A 3-year-old boy presents with normal developmental milestones but exhibits delayed speech, difficulty in communication and concentration, and challenges in making friends. What is the most probable diagnosis for this child? | 17 | [
{
"criterion": "The response explicitly identifies Autism Spectrum Disorder (ASD) as the most probable diagnosis for the described symptoms.",
"weight": 3
},
{
"criterion": "The response provides a clear, logical rationale linking the child's delayed speech, difficulty in communication, and challeng... | 33 | health |
What is the measurement of anatomical dead space in mL per pound of ideal body weight? | 10 | [
{
"criterion": "The response states that anatomical dead space is approximately 1 mL per pound of ideal body weight.",
"weight": 3
},
{
"criterion": "The response specifies that the measurement is based on ideal body weight, not actual body weight.",
"weight": 3
},
{
"criterion": "The re... | 19 | health |
A 21-year-old female with major depressive disorder, who has not responded to cognitive behavioral therapy or selective serotonin reuptake inhibitors and wishes to quit smoking, is prescribed a medication by her psychiatrist that targets both depression and smoking cessation. What specific condition in the patient's hi... | 12 | [
{
"criterion": "The response identifies Bupropion (or its brand names Wellbutrin or Zyban) as the most likely prescribed medication for a patient with major depressive disorder unresponsive to SSRIs and CBT who wishes to quit smoking.",
"weight": 3
},
{
"criterion": "The response explicitly names a ... | 29 | health |
A 15-year-old male presents with nominal aphasia and a history of scanty, foul-smelling ear discharge. The patient also experiences some bleeding when cleaning the ear. Considering these symptoms, what is the most likely diagnosis? | 14 | [
{
"criterion": "The response identifies temporal lobe abscess (or brain abscess) as the most likely diagnosis for the neurological symptoms.",
"weight": 3
},
{
"criterion": "The response identifies cholesteatoma as the underlying ear pathology responsible for the ear symptoms.",
"weight": 3
},... | 30 | health |
What is the most likely hepatitis B virus serological profile of a mother who is a known carrier, given that her 2-month-old baby developed encephalopathy 48 hours after an acute viral hepatitis-like illness? | 18 | [
{
"criterion": "The response states that the mother's HBsAg (Hepatitis B surface antigen) is positive.",
"weight": 3
},
{
"criterion": "The response states that the mother's Anti-HBs (antibody to HBsAg) is negative.",
"weight": 3
},
{
"criterion": "The response states that the mother's t... | 43 | health |
What type of finish line is typically recommended for the preparation of proximal boxes of onlays and inlays? | 18 | [
{
"criterion": "The response identifies a heavy chamfer or 90-degree shoulder (butt joint) as the recommended finish line for the proximal box of inlays/onlays when using ceramic materials.",
"weight": 3
},
{
"criterion": "The response identifies a heavy chamfer or 90-degree shoulder (butt joint) as... | 40 | health |
When compacting the restorative material for pit and fissure caries in tooth 16, how should the surface be shaped during condensation to ensure proper restoration? | 21 | [
{
"criterion": "The response states that the primary goal during condensation/placement is to recreate the natural occlusal anatomy of maxillary first molar tooth 16, including cusps, grooves, and ridges.",
"weight": 3
},
{
"criterion": "The response identifies and names the four major cusps of toot... | 39 | health |
In the context of transient tachypnea of the newborn, which two features are not typically observed on a chest X-ray? | 11 | [
{
"criterion": "The response identifies exactly two distinct features that are NOT typically observed on a TTN chest X-ray.",
"weight": 3
},
{
"criterion": "The response correctly identifies 'diffuse ground-glass opacities with air bronchograms' (or equivalent wording) as one of the two features not... | 24 | health |
A 55-year-old man, who recently had a kidney transplant and is on transplant rejection prophylaxis, presents with chest and back pain, frequent coughing, loose stools, occasional vomiting, pallor, pitting edema, and laboratory findings of low hemoglobin, leukocyte count, and platelet count. What is the most likely unde... | 22 | [
{
"criterion": "The response identifies drug-induced myelosuppression (bone marrow suppression) as the most likely underlying cause of the patient's symptoms.",
"weight": 3
},
{
"criterion": "The response explicitly states that the laboratory findings of low hemoglobin, leukocyte count, and platelet... | 51 | health |
A 46-year-old Caucasian male with past medical history of HIV (CD4: 77/mm^3), hypertension, hyperlipidemia, and osteoarthritis presents to the emergency department with sudden weakness of his right hand. He reports that the weakness has gradually been getting worse and that this morning he dropped his cup of coffee. He... | 18 | [
{
"criterion": "The response correctly identifies B (Head CT) as the best next step in management.",
"weight": 3
},
{
"criterion": "The response explicitly states that immediate neuroimaging is indicated for any patient with a new focal neurological deficit.",
"weight": 3
},
{
"criterion... | 38 | health |
Following is true of eventration of diaphragm -a) It is a developmental defectb) Early surgery is treatmentc) Defect is usually musculard) Diagnosed mostly clinically
A. a
B. ac
C. ad
D. b | 14 | [
{
"criterion": "The response correctly identifies option B (ac) as the correct answer to the prompt.",
"weight": 3
},
{
"criterion": "The response explicitly states that statement 'a' (It is a developmental defect) is true.",
"weight": 3
},
{
"criterion": "The response explicitly states ... | 30 | health |
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