neginr/multisubject_rlvr_medicine_eval_2 · Datasets at Hugging Face

query listlengths 2 2	label stringlengths 2 145	subject stringclasses 1 value	subset stringclasses 1 value	gpt_subject stringclasses 1 value	__original_row_idx int64 227 200k
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The drug used for the local treatment of various skin and mucosal infections caused by sensitive bacteria is", "role": "user" } ]	Neomycin	None	None	<Clinical Medicine>	129,311
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "During the retention period of pediatric PICC, measuring the upper arm circumference for any increase, an early indication of thrombosis is", "role": "user" } ]	Increase in circumference by 2cm	None	None	<Clinical Medicine>	48,207
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Main manifestations of Guillain-Barré syndrome in the first week of onset", "role": "user" } ]	Significant autonomic dysfunction	None	None	<Clinical Medicine>	84,416
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main reason for the decrease in blood volume in extensive burns", "role": "user" } ]	Large amount of water evaporation	None	None	<Clinical Medicine>	9,646
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A person died from kidney disease, and the autopsy found that the kidney volume was reduced, the surface had irregular scars, the boundary between the cortex and medulla was unclear, the renal papillae were atrophied, and the renal pelvis and calyces were deformed. Microscopic examination showed irregular distribution of interstitial fibrosis and infiltration of inflammatory cells in the renal tissue. What disease did this patient die from?", "role": "user" } ]	Chronic pyelonephritis	None	None	<Clinical Medicine>	149,328
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What type of administration does an ointment belong to?", "role": "user" } ]	Topical administration	None	None	<Clinical Medicine>	134,456
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "In the late stage of inflammation, the tissue in the lesion is repaired by the same type of cells, referred to as ______", "role": "user" } ]	Regeneration	None	None	<Clinical Medicine>	143,933
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The patient is a 53-year-old female with fever, anemia, petechiae under the skin, splenomegaly filling the abdomen, and dull pain in the sternum. The care for her high fever should not include", "role": "user" } ]	alcohol sponge bath	None	None	<Clinical Medicine>	163,314
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main cause of left heart failure in uremia ( )", "role": "user" } ]	Volume overload	None	None	<Clinical Medicine>	198,861
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Omeprazole treats peptic ulcers, its action is ( )", "role": "user" } ]	Inhibit the proton pump function of gastric parietal cells, reducing gastric acid secretion	None	None	<Clinical Medicine>	188,434
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patients with upper gastrointestinal bleeding have thirst, restlessness, decreased urine output, and pale skin, and their blood loss is", "role": "user" } ]	300～500ml	None	None	<Clinical Medicine>	187,835
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Children with femoral shaft fractures treated with vertical suspension skin traction should be under", "role": "user" } ]	3 years old	None	None	<Clinical Medicine>	77,863
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The most common complication during multiple pregnancy is", "role": "user" } ]	Premature birth	None	None	<Clinical Medicine>	58,211
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 68 years old. Skin and sclera jaundice for 2 weeks. No abdominal pain or fever. Physical examination: significant jaundice of the skin and sclera, enlarged gallbladder palpable in the right lower abdomen, tense, no tenderness. The most likely diagnosis is ______", "role": "user" } ]	Pancreatic head cancer	None	None	<Clinical Medicine>	2,827
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The appropriate test items for suspected hemoglobinopathy-related anemia are", "role": "user" } ]	Hemoglobin electrophoresis	None	None	<Clinical Medicine>	152,108
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Which heart sound is the strongest at the apex of the heart ( )", "role": "user" } ]	S1	None	None	<Clinical Medicine>	155,218
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Manifesting as chalky lesions, with a smooth surface, while chalky lesions can appear on any part of the tooth surface", "role": "user" } ]	Enamel hypocalcification	None	None	<Clinical Medicine>	84,860
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Mr. Liu, 55 years old, has a long history of smoking, has been coughing and producing phlegm for over 10 years, and has been diagnosed with chronic bronchitis. In the past year, he has felt short of breath after activity and came to the hospital for diagnosis. The most appropriate examination to facilitate diagnosis is", "role": "user" } ]	Pulmonary function test	None	None	<Clinical Medicine>	9,044
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Gastrointestinal lesions and deep abdominal masses", "role": "user" } ]	Deep sliding palpation method	None	None	<Clinical Medicine>	175,297
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "As a carrier of the hepatitis B virus, the most important indicator detected in serum is", "role": "user" } ]	HBsAS	None	None	<Clinical Medicine>	78,796
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The murmur produced by mitral valve posterior leaflet insufficiency can be transmitted to", "role": "user" } ]	left sternal border and cardiac base	None	None	<Clinical Medicine>	112,919
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 40 years old, has had duodenal ulcer for more than 20 years. Recently, after taking 4 tablets of 'Zheng Tong Pian' for toothache, he experienced upper abdominal pain, which is irregular, accompanied by nausea and vomiting. Upon examination, the patient has tense abdominal muscles, tenderness and rebound tenderness throughout the abdomen, and positive shifting dullness. The diagnosis should be", "role": "user" } ]	Duodenal ulcer perforation	None	None	<Clinical Medicine>	26,757
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The entity that determines the medication directory and prescription manual for medical institutions is", "role": "user" } ]	Pharmacy Management Committee	None	None	<Clinical Medicine>	105,611
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Pain at the occiput, forced head position, dizziness, and hearing loss are seen in ______.", "role": "user" } ]	Foramen magnum herniation	None	None	<Clinical Medicine>	172,533
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 45 years old, with dull pain in the right upper abdomen and jaundice for 2 months. Physical examination: mild jaundice, tenderness in the right upper abdomen, liver palpable about 3cm below the costal margin. Ultrasound shows the common bile duct diameter is about 2cm. The preferred examination to clarify the diagnosis is", "role": "user" } ]	ERCP	None	None	<Clinical Medicine>	57,083
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patient, male, 23 years old. In the past week, food intake has decreased, breath is foul, abdomen feels distended upon palpation, frequent flatulence, foul taste, stool is difficult, tongue coating is thick, greasy, and slightly yellow, pulse is slippery. The diagnosis is", "role": "user" } ]	Food stagnation in the stomach	None	None	<Clinical Medicine>	174,998
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Acute cholangitis combined with biliary obstruction and septic shock, the key to treatment is: （）", "role": "user" } ]	Relieve biliary obstruction, decompress and drain	None	None	<Clinical Medicine>	61,079
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patient, male, 68 years old. History of hypertension for 20 years, recently sudden loss of consciousness, deep coma, with three signs of hemiplegia, accompanied by high fever and hematemesis. The first consideration should be", "role": "user" } ]	Internal capsule basal ganglia hemorrhage (medial type)	None	None	<Clinical Medicine>	71,281
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Among the pathogens resistant to β-lactam antibiotics, the main mechanism involving changes in the structure of penicillin-binding proteins is", "role": "user" } ]	Streptococcus pneumoniae	None	None	<Clinical Medicine>	110,681
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "During a normal tour, a tourist needs to be hospitalized for timely treatment due to a recurrence of an old illness. The expenses for the hospitalization procedures handled by the tour guide ( ).", "role": "user" } ]	Paid by the patient	None	None	<Clinical Medicine>	176,622
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The typical clinical manifestation of herpes zoster in the facial area is", "role": "user" } ]	Clustered erythema, with vesicles along one side of the trigeminal nerve distribution, severe pain	None	None	<Clinical Medicine>	103,677
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When working in snow or during aviation and navigation operations, exposure to a large amount of ______ radiation can cause corneal and conjunctival damage similar to photokeratitis, known as solar keratitis or snow blindness.", "role": "user" } ]	Ultraviolet	None	None	<Clinical Medicine>	116,006
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "For a child who is 28 days old, the age item on the prescription should be filled in as", "role": "user" } ]	Days old	None	None	<Clinical Medicine>	164,497
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Where does the blood come from when vomiting blood?", "role": "user" } ]	Stomach	None	None	<Clinical Medicine>	196,440
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The cold boiled water for soaking dentures should be changed ( 　　 ) once.", "role": "user" } ]	daily	None	None	<Clinical Medicine>	40,461
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 28 years old. After a car accident, he experienced a brief loss of consciousness, woke up with mild headache, which gradually progressed to severe headache and frequent vomiting, and lost consciousness 3 hours after the injury. Physical examination: coma, right pupil dilated, light reflex absent, left limb paralysis. Skull X-ray shows a fracture of the right temporal bone extending towards the base of the skull. The main clinical diagnosis is ______", "role": "user" } ]	Brain herniation	None	None	<Clinical Medicine>	120,572
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The examination index parallel to the degree of hepatic encephalopathy is", "role": "user" } ]	Blood γ-aminobutyric acid level	None	None	<Clinical Medicine>	82,789
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A 55-year-old man. He has had chronic diarrhea that does not improve. Every morning, he has to go to the toilet, with loose stools mixed with undigested food, accompanied by poor appetite, abdominal pain, soreness in the lower back and knees, cold limbs, fatigue, a pale tongue, thin white coating, and a deep, slow pulse. The first choice for treatment should be", "role": "user" } ]	Four Gods Pill	None	None	<Clinical Medicine>	112,257
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A 25-year-old woman, who had cervical lymph node tuberculosis 5 years ago, experienced high fever after overwork 5 days ago, with a temperature of 39-40℃, showing a significant afternoon fever, night sweats, inability to eat, and bedridden. The liver and spleen are palpable at the lower rib margin, WBC 11×10^9/L, with normal classification. Chest X-ray shows no abnormalities in the heart and lungs. The most likely clinical diagnosis is", "role": "user" } ]	Acute miliary tuberculosis	None	None	<Clinical Medicine>	86,502
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main treatment measure for progressive hemothorax is", "role": "user" } ]	Thoracotomy for exploration and hemostasis	None	None	<Clinical Medicine>	129,623
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "QRs wave group widening, ventricular rate faster than atrial rate", "role": "user" } ]	Paroxysmal ventricular tachycardia	None	None	<Clinical Medicine>	146,105
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Regarding the nursing care of patients after gynecological abdominal surgery, which should be excluded", "role": "user" } ]	The patient can have a semi-liquid diet one day after surgery	None	None	<Clinical Medicine>	80,082
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A male patient, 11 years old. Painless swelling in the posterior mandible, progressing slowly: X-ray occlusal film shows focal subperiosteal bone hyperplasia of the outer cortical plate. Microscopy shows reactive new bone formation of dense bone under the periosteum, with a small amount of lymphocyte and plasma cell infiltration, without suppuration or necrotic bone formation. The most likely disease is ______", "role": "user" } ]	Garre's osteomyelitis	None	None	<Clinical Medicine>	2,773
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Sudden fever, abdominal pain, diarrhea, and purulent bloody stools belong to", "role": "user" } ]	Acute bacterial dysentery ordinary type	None	None	<Clinical Medicine>	166,692
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Polyuria refers to a urine output that is maintained at", "role": "user" } ]	Above 2500ml/24h	None	None	<Clinical Medicine>	13,471
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Sudden onset, frequent diarrhea, accompanied by vomiting, stools are watery or resemble egg drop soup, no white blood cells found in microscopy, often leads to dehydration, electrolyte, and acid-base disorders. It should be", "role": "user" } ]	Enterotoxigenic Escherichia coli enteritis	None	None	<Clinical Medicine>	6,073
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The item that supports chronic intravascular hemolysis is", "role": "user" } ]	Urine positive for hemosiderin	None	None	<Clinical Medicine>	186,390
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What method should be used to treat simple lower limb superficial varicose veins in pregnant women or those with generally poor conditions and organic lesions in important vital organs?", "role": "user" } ]	Compression therapy with elastic stockings	None	None	<Clinical Medicine>	157,132
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What is the most likely appearance of the stool in patients with acute bacterial dysentery?", "role": "user" } ]	pus and blood stool	None	None	<Clinical Medicine>	79,742
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The three sites recommended by WHO for measuring skinfold thickness are ()", "role": "user" } ]	Triceps, subscapular, and periumbilical	None	None	<Clinical Medicine>	137,281
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main measure to delay the deterioration of kidney function is", "role": "user" } ]	High-quality, low-protein diet with sufficient calories and low salt	None	None	<Clinical Medicine>	68,662
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Clinical treatment of habitual abortion and threatened abortion should choose", "role": "user" } ]	Vitamin E	None	None	<Clinical Medicine>	164,146
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Mucosal surface anesthesia before tracheal intubation ______", "role": "user" } ]	Surface anesthesia	None	None	<Clinical Medicine>	147,515
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The patient has occlusal pain in the upper right first molar. X-ray shows periapical radiolucency, suggesting that the alveolar bone with periapical resorption and destruction has", "role": "user" } ]	cortical bone, cancellous bone	None	None	<Clinical Medicine>	94,484
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Electrical injury is damage to the human body caused by the action of electric current converting into heat energy, mechanical energy, and other forms of energy. The most dangerous electrical injury is ( ).", "role": "user" } ]	Arc burns	None	None	<Clinical Medicine>	180,611
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A 25-year-old female patient was found to have a deviation in the trajectory of the coronal plane's contact points to the right side during the examination of the mandibular movement trajectory at the end of mouth closure, from the start of contact to complete occlusion. The most likely reason for this abnormal mandibular movement trajectory is", "role": "user" } ]	Certain teeth in the mouth making contact earlier than other teeth	None	None	<Clinical Medicine>	27,917
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The screening/exclusion test for pyruvate kinase deficiency is", "role": "user" } ]	Heinz body generation test	None	None	<Clinical Medicine>	194,007
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Which method is not suitable for treating common warts:", "role": "user" } ]	Excision therapy	None	None	<Clinical Medicine>	59,060
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "For patients with clinical manifestations such as lymphatic edema, elephantiasis, hydrocele, chyluria, or recurrent lymphatic system inflammation, the first basis for diagnosing filariasis is to collect", "role": "user" } ]	History of residence in endemic areas during the transmission season or for a long time	None	None	<Clinical Medicine>	101,494
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "First-line medication for long-term treatment of asthma", "role": "user" } ]	Fluticasone	None	None	<Clinical Medicine>	92,776
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Pathological kyphosis is commonly seen in _________", "role": "user" } ]	Rickets	None	None	<Clinical Medicine>	66,691
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Which of the following has the lowest sound wave attenuation in human body fluids: blood, urine, bile, or ascitic fluid?", "role": "user" } ]	Ascitic fluid	None	None	<Clinical Medicine>	98,186
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The poor hemostatic effect of combining vitamin K1 and low molecular weight dextran is due to", "role": "user" } ]	Dextran prevents the aggregation of red blood cells and platelets, reducing blood viscosity	None	None	<Clinical Medicine>	186,665
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "In rural, ethnic minority town, and town medical institutions, occupational assistant physicians ______.", "role": "user" } ]	can independently engage in general professional activities	None	None	<Clinical Medicine>	40,197
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Vasodilators primarily expanding small arteries should be used with caution in", "role": "user" } ]	severe mitral stenosis	None	None	<Clinical Medicine>	40,837
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 75 years old, has recently often been resting in bed due to numbness in the right hand and poor spirits. This morning, upon waking, he found it difficult to move his right hand, and his right foot felt heavy when standing. Over the next few hours, the symptoms gradually worsened, with difficulty moving the right limb, clear consciousness, and no other discomfort reported. He has a history of mild hypertension. The possible diagnosis is", "role": "user" } ]	Cerebral thrombosis	None	None	<Clinical Medicine>	183,958
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When observing patients with cerebral hemorrhage, which situation often indicates that the bleeding has stopped?", "role": "user" } ]	Decreased level of consciousness	None	None	<Clinical Medicine>	164,437
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Accidental injection of anesthetic into the parotid gland can lead to", "role": "user" } ]	temporary facial paralysis	None	None	<Clinical Medicine>	97,534
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The retention effect of third and fourth generation bonding agents on dentin arises from", "role": "user" } ]	Micro-mechanical interlocking	None	None	<Clinical Medicine>	17,954
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When a hemolytic reaction occurs, the first thing the nurse should do is ( )", "role": "user" } ]	Stop the transfusion, give the patient oxygen, and retain the remaining blood	None	None	<Clinical Medicine>	141,608
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What should be considered in the formulation of the 'National Basic Medical Insurance Drug List' ( )", "role": "user" } ]	The safety, efficacy, and economy of the drug	None	None	<Clinical Medicine>	74,380
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The patient has a persistent cough and has recently suffered from abdominal pain due to roundworms. The treatment should choose", "role": "user" } ]	Mume	None	None	<Clinical Medicine>	36,725
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "During a cranial ultrasound examination, the examination window that can better display the midline of the brain, lateral ventricles, thalamus, third ventricle, and related structures of the cerebral hemispheres is", "role": "user" } ]	parietal window	None	None	<Clinical Medicine>	19,512
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When acute leukemia is in complete remission, the estimated number of leukemia cells in the body is", "role": "user" } ]	10^6 to 10^8	None	None	<Clinical Medicine>	119,506
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Early graying of hair, tooth loss, and weakness in the feet are commonly seen in", "role": "user" } ]	Kidney Essence Deficiency Syndrome	None	None	<Clinical Medicine>	153,152
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Main X-ray manifestations of meconium aspiration syndrome", "role": "user" } ]	Increased lung transparency with segmental atelectasis	None	None	<Clinical Medicine>	54,427
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Painless, progressive enlargement of the left cervical lymph nodes, the first disease to consider is", "role": "user" } ]	Lymphoma	None	None	<Clinical Medicine>	56,139
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The child's crying is prolonged, with a sucking motion of the mouth, often due to ______", "role": "user" } ]	hunger	None	None	<Clinical Medicine>	68,953
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "How long after birth can a newborn start breastfeeding ( )", "role": "user" } ]	As soon as possible	None	None	<Clinical Medicine>	67,617
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The disease characterized by rigidity of the back, limb spasms, and arching of the back as the main clinical manifestations is ( )", "role": "user" } ]	Convulsion	None	None	<Clinical Medicine>	14,596
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "In a study of 400 obese patients using Qigong therapy for weight loss, after six months of follow-up, 60% of them had their weight reduced to normal. What is your conclusion about this study?", "role": "user" } ]	No conclusion can be made because there was no control group	None	None	<Clinical Medicine>	21,022
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The basis for diagnosing subacute infective endocarditis through echocardiography is", "role": "user" } ]	Detection of vegetations on the valves	None	None	<Clinical Medicine>	105,097
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "For oral administration, in order to quickly reach the plateau value and maintain its efficacy, the dosing regimen that should be adopted is", "role": "user" } ]	Double the first dose (2D), with the dosage and dosing interval being D-t1/2	None	None	<Clinical Medicine>	133,349
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 58 years old, right buttock mass, diameter 8 cm, fixed to deep tissue, the mass is irregularly nodular, soft in texture, without obvious capsule, cut surface gray-yellow to gray-white, resembling fish meat. Under the microscope, tumor cells are bizarre in shape, with single nuclei, multinucleated, giant nuclei, large deeply stained nuclei, containing 1-2 eosinophilic nucleoli, mitotic figures are easily seen, and the cytoplasm is granular, eosinophilic flocculent or foamy. The diagnosis should first consider: ()", "role": "user" } ]	Pleomorphic liposarcoma	None	None	<Clinical Medicine>	73,679
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The blood pressure characteristics of renal artery stenosis are", "role": "user" } ]	Increased systolic and diastolic blood pressure	None	None	<Clinical Medicine>	19,196
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What is the current recommendation from the FDA regarding the combined use of clopidogrel and PPIs?", "role": "user" } ]	Patients currently using clopidogrel should carefully assess the necessity of starting or continuing PPIs.	None	None	<Clinical Medicine>	71,483
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "For patients with pleural effusion, if foul-smelling turbid fluid is extracted during thoracentesis, what examination should be performed on the pleural fluid to determine the cause?", "role": "user" } ]	Anaerobic bacteria culture	None	None	<Clinical Medicine>	188,154
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A pregnant woman, 31 years old, G2P1. Currently 37 weeks pregnant, she was admitted to the emergency department due to abdominal pain and vaginal bleeding for 1 hour. After ultrasound examination, it was indicated as 'placental abruption'. The primary nursing measure that the emergency nurse should implement is", "role": "user" } ]	Immediately establish an intravenous access	None	None	<Clinical Medicine>	151,436
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Female, 80 years old, suffered a fracture of the right humeral lateral condyle neck due to a fall, accompanied by hypertension and pulmonary heart disease. The best treatment method is", "role": "user" } ]	sling suspension	None	None	<Clinical Medicine>	111,122
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The time required for intracranial hypertension or early brain herniation symptoms caused by intracranial hematoma is referred to as acute hematoma: （）", "role": "user" } ]	<3 days	None	None	<Clinical Medicine>	9,688
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Disposable items used for home healthcare, such as blood-sucking and applying medicine", "role": "user" } ]	Medical gauze	None	None	<Clinical Medicine>	46,569
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The apical seal of the post crown should be no less than", "role": "user" } ]	4mm	None	None	<Clinical Medicine>	194,566
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patient, male, 45 years old. Sudden pain below the xiphoid process for 1 day, accompanied by chills, high fever, nausea, and vomiting. Physical examination: scleral icterus, body temperature 39.5℃, blood routine examination showed white blood cells 15×10^9/L, neutrophils 92%. The preferred auxiliary examination to further clarify the diagnosis is", "role": "user" } ]	Ultrasound	None	None	<Clinical Medicine>	125,829
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patient, female, 22 years old, abdominal external hernia. In the preoperative preparation, what is significant for preventing incision infection?", "role": "user" } ]	Strict skin preparation	None	None	<Clinical Medicine>	165,099
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When collecting routine stool samples from elderly patients with diarrhea, the ( ) part should be taken.", "role": "user" } ]	pus	None	None	<Clinical Medicine>	227
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The patient has irregular menstruation, with vaginal bleeding that has lasted for months, the blood is bright red and slightly thick; symptoms include dizziness, tinnitus, weakness in the lower back and knees, five hearts feeling hot, and restless sleep at night; the tongue is red with little coating, and the pulse is thin and rapid. The diagnosis should be ( )", "role": "user" } ]	Kidney Yin Deficiency with Abnormal Uterine Bleeding	None	None	<Clinical Medicine>	33,235
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main factor determining the secretion of pituitary thyroid-stimulating hormone is", "role": "user" } ]	Negative feedback regulation of T3 and T4	None	None	<Clinical Medicine>	12,412
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Which is better for treating liver and gallbladder diseases?", "role": "user" } ]	Erythromycin	None	None	<Clinical Medicine>	160,347
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A patient has burns on both upper limbs, which healed after 26 days with slight scarring. The most likely diagnosis at that time is", "role": "user" } ]	Deep second-degree burn	None	None	<Clinical Medicine>	96,459
[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The child, 5 years old, has had a persistent fever for 4 days, is in a coma, has neck stiffness, limb convulsions, wheezing in the throat, difficulty breathing, is thirsty and drinks a lot, has constipation, has a red tongue with a yellow coating, and a rapid pulse. Diagnosed with epidemic type B encephalitis, the first choice of treatment formula is ( )", "role": "user" } ]	Qing Wen Bai Du Yin	None	None	<Clinical Medicine>	194,517

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The drug used for the local treatment of various skin and mucosal infections caused by sensitive bacteria is", "role": "user" } ]

Neomycin

None

129,311

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "During the retention period of pediatric PICC, measuring the upper arm circumference for any increase, an early indication of thrombosis is", "role": "user" } ]

Increase in circumference by 2cm

None

48,207

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Main manifestations of Guillain-Barré syndrome in the first week of onset", "role": "user" } ]

Significant autonomic dysfunction

None

84,416

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main reason for the decrease in blood volume in extensive burns", "role": "user" } ]

Large amount of water evaporation

None

9,646

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A person died from kidney disease, and the autopsy found that the kidney volume was reduced, the surface had irregular scars, the boundary between the cortex and medulla was unclear, the renal papillae were atrophied, and the renal pelvis and calyces were deformed. Microscopic examination showed irregular distribution of interstitial fibrosis and infiltration of inflammatory cells in the renal tissue. What disease did this patient die from?", "role": "user" } ]

Chronic pyelonephritis

None

149,328

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What type of administration does an ointment belong to?", "role": "user" } ]

Topical administration

None

134,456

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "In the late stage of inflammation, the tissue in the lesion is repaired by the same type of cells, referred to as ______", "role": "user" } ]

Regeneration

None

143,933

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The patient is a 53-year-old female with fever, anemia, petechiae under the skin, splenomegaly filling the abdomen, and dull pain in the sternum. The care for her high fever should not include", "role": "user" } ]

alcohol sponge bath

None

163,314

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main cause of left heart failure in uremia ( )", "role": "user" } ]

Volume overload

None

198,861

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Omeprazole treats peptic ulcers, its action is ( )", "role": "user" } ]

Inhibit the proton pump function of gastric parietal cells, reducing gastric acid secretion

None

188,434

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patients with upper gastrointestinal bleeding have thirst, restlessness, decreased urine output, and pale skin, and their blood loss is", "role": "user" } ]

300～500ml

None

187,835

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Children with femoral shaft fractures treated with vertical suspension skin traction should be under", "role": "user" } ]

3 years old

None

77,863

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The most common complication during multiple pregnancy is", "role": "user" } ]

Premature birth

None

58,211

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 68 years old. Skin and sclera jaundice for 2 weeks. No abdominal pain or fever. Physical examination: significant jaundice of the skin and sclera, enlarged gallbladder palpable in the right lower abdomen, tense, no tenderness. The most likely diagnosis is ______", "role": "user" } ]

Pancreatic head cancer

None

2,827

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The appropriate test items for suspected hemoglobinopathy-related anemia are", "role": "user" } ]

Hemoglobin electrophoresis

None

152,108

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Which heart sound is the strongest at the apex of the heart ( )", "role": "user" } ]

S1

None

155,218

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Manifesting as chalky lesions, with a smooth surface, while chalky lesions can appear on any part of the tooth surface", "role": "user" } ]

Enamel hypocalcification

None

84,860

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Mr. Liu, 55 years old, has a long history of smoking, has been coughing and producing phlegm for over 10 years, and has been diagnosed with chronic bronchitis. In the past year, he has felt short of breath after activity and came to the hospital for diagnosis. The most appropriate examination to facilitate diagnosis is", "role": "user" } ]

Pulmonary function test

None

9,044

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Gastrointestinal lesions and deep abdominal masses", "role": "user" } ]

Deep sliding palpation method

None

175,297

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "As a carrier of the hepatitis B virus, the most important indicator detected in serum is", "role": "user" } ]

HBsAS

None

78,796

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The murmur produced by mitral valve posterior leaflet insufficiency can be transmitted to", "role": "user" } ]

left sternal border and cardiac base

None

112,919

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 40 years old, has had duodenal ulcer for more than 20 years. Recently, after taking 4 tablets of 'Zheng Tong Pian' for toothache, he experienced upper abdominal pain, which is irregular, accompanied by nausea and vomiting. Upon examination, the patient has tense abdominal muscles, tenderness and rebound tenderness throughout the abdomen, and positive shifting dullness. The diagnosis should be", "role": "user" } ]

Duodenal ulcer perforation

None

26,757

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The entity that determines the medication directory and prescription manual for medical institutions is", "role": "user" } ]

Pharmacy Management Committee

None

105,611

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Pain at the occiput, forced head position, dizziness, and hearing loss are seen in ______.", "role": "user" } ]

Foramen magnum herniation

None

172,533

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 45 years old, with dull pain in the right upper abdomen and jaundice for 2 months. Physical examination: mild jaundice, tenderness in the right upper abdomen, liver palpable about 3cm below the costal margin. Ultrasound shows the common bile duct diameter is about 2cm. The preferred examination to clarify the diagnosis is", "role": "user" } ]

ERCP

None

57,083

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patient, male, 23 years old. In the past week, food intake has decreased, breath is foul, abdomen feels distended upon palpation, frequent flatulence, foul taste, stool is difficult, tongue coating is thick, greasy, and slightly yellow, pulse is slippery. The diagnosis is", "role": "user" } ]

Food stagnation in the stomach

None

174,998

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Acute cholangitis combined with biliary obstruction and septic shock, the key to treatment is: （）", "role": "user" } ]

Relieve biliary obstruction, decompress and drain

None

61,079

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patient, male, 68 years old. History of hypertension for 20 years, recently sudden loss of consciousness, deep coma, with three signs of hemiplegia, accompanied by high fever and hematemesis. The first consideration should be", "role": "user" } ]

Internal capsule basal ganglia hemorrhage (medial type)

None

71,281

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Among the pathogens resistant to β-lactam antibiotics, the main mechanism involving changes in the structure of penicillin-binding proteins is", "role": "user" } ]

Streptococcus pneumoniae

None

110,681

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "During a normal tour, a tourist needs to be hospitalized for timely treatment due to a recurrence of an old illness. The expenses for the hospitalization procedures handled by the tour guide ( ).", "role": "user" } ]

Paid by the patient

None

176,622

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The typical clinical manifestation of herpes zoster in the facial area is", "role": "user" } ]

Clustered erythema, with vesicles along one side of the trigeminal nerve distribution, severe pain

None

103,677

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When working in snow or during aviation and navigation operations, exposure to a large amount of ______ radiation can cause corneal and conjunctival damage similar to photokeratitis, known as solar keratitis or snow blindness.", "role": "user" } ]

Ultraviolet

None

116,006

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "For a child who is 28 days old, the age item on the prescription should be filled in as", "role": "user" } ]

Days old

None

164,497

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Where does the blood come from when vomiting blood?", "role": "user" } ]

Stomach

None

196,440

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The cold boiled water for soaking dentures should be changed ( 　　 ) once.", "role": "user" } ]

daily

None

40,461

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 28 years old. After a car accident, he experienced a brief loss of consciousness, woke up with mild headache, which gradually progressed to severe headache and frequent vomiting, and lost consciousness 3 hours after the injury. Physical examination: coma, right pupil dilated, light reflex absent, left limb paralysis. Skull X-ray shows a fracture of the right temporal bone extending towards the base of the skull. The main clinical diagnosis is ______", "role": "user" } ]

Brain herniation

None

120,572

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The examination index parallel to the degree of hepatic encephalopathy is", "role": "user" } ]

Blood γ-aminobutyric acid level

None

82,789

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A 55-year-old man. He has had chronic diarrhea that does not improve. Every morning, he has to go to the toilet, with loose stools mixed with undigested food, accompanied by poor appetite, abdominal pain, soreness in the lower back and knees, cold limbs, fatigue, a pale tongue, thin white coating, and a deep, slow pulse. The first choice for treatment should be", "role": "user" } ]

Four Gods Pill

None

112,257

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A 25-year-old woman, who had cervical lymph node tuberculosis 5 years ago, experienced high fever after overwork 5 days ago, with a temperature of 39-40℃, showing a significant afternoon fever, night sweats, inability to eat, and bedridden. The liver and spleen are palpable at the lower rib margin, WBC 11×10^9/L, with normal classification. Chest X-ray shows no abnormalities in the heart and lungs. The most likely clinical diagnosis is", "role": "user" } ]

Acute miliary tuberculosis

None

86,502

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main treatment measure for progressive hemothorax is", "role": "user" } ]

Thoracotomy for exploration and hemostasis

None

129,623

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "QRs wave group widening, ventricular rate faster than atrial rate", "role": "user" } ]

Paroxysmal ventricular tachycardia

None

146,105

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Regarding the nursing care of patients after gynecological abdominal surgery, which should be excluded", "role": "user" } ]

The patient can have a semi-liquid diet one day after surgery

None

80,082

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A male patient, 11 years old. Painless swelling in the posterior mandible, progressing slowly: X-ray occlusal film shows focal subperiosteal bone hyperplasia of the outer cortical plate. Microscopy shows reactive new bone formation of dense bone under the periosteum, with a small amount of lymphocyte and plasma cell infiltration, without suppuration or necrotic bone formation. The most likely disease is ______", "role": "user" } ]

Garre's osteomyelitis

None

2,773

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Sudden fever, abdominal pain, diarrhea, and purulent bloody stools belong to", "role": "user" } ]

Acute bacterial dysentery ordinary type

None

166,692

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Polyuria refers to a urine output that is maintained at", "role": "user" } ]

Above 2500ml/24h

None

13,471

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Sudden onset, frequent diarrhea, accompanied by vomiting, stools are watery or resemble egg drop soup, no white blood cells found in microscopy, often leads to dehydration, electrolyte, and acid-base disorders. It should be", "role": "user" } ]

Enterotoxigenic Escherichia coli enteritis

None

6,073

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The item that supports chronic intravascular hemolysis is", "role": "user" } ]

Urine positive for hemosiderin

None

186,390

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What method should be used to treat simple lower limb superficial varicose veins in pregnant women or those with generally poor conditions and organic lesions in important vital organs?", "role": "user" } ]

Compression therapy with elastic stockings

None

157,132

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What is the most likely appearance of the stool in patients with acute bacterial dysentery?", "role": "user" } ]

pus and blood stool

None

79,742

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The three sites recommended by WHO for measuring skinfold thickness are ()", "role": "user" } ]

Triceps, subscapular, and periumbilical

None

137,281

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main measure to delay the deterioration of kidney function is", "role": "user" } ]

High-quality, low-protein diet with sufficient calories and low salt

None

68,662

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Clinical treatment of habitual abortion and threatened abortion should choose", "role": "user" } ]

Vitamin E

None

164,146

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Mucosal surface anesthesia before tracheal intubation ______", "role": "user" } ]

Surface anesthesia

None

147,515

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The patient has occlusal pain in the upper right first molar. X-ray shows periapical radiolucency, suggesting that the alveolar bone with periapical resorption and destruction has", "role": "user" } ]

cortical bone, cancellous bone

None

94,484

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Electrical injury is damage to the human body caused by the action of electric current converting into heat energy, mechanical energy, and other forms of energy. The most dangerous electrical injury is ( ).", "role": "user" } ]

Arc burns

None

180,611

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A 25-year-old female patient was found to have a deviation in the trajectory of the coronal plane's contact points to the right side during the examination of the mandibular movement trajectory at the end of mouth closure, from the start of contact to complete occlusion. The most likely reason for this abnormal mandibular movement trajectory is", "role": "user" } ]

Certain teeth in the mouth making contact earlier than other teeth

None

27,917

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The screening/exclusion test for pyruvate kinase deficiency is", "role": "user" } ]

Heinz body generation test

None

194,007

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Which method is not suitable for treating common warts:", "role": "user" } ]

Excision therapy

None

59,060

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "For patients with clinical manifestations such as lymphatic edema, elephantiasis, hydrocele, chyluria, or recurrent lymphatic system inflammation, the first basis for diagnosing filariasis is to collect", "role": "user" } ]

History of residence in endemic areas during the transmission season or for a long time

None

101,494

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "First-line medication for long-term treatment of asthma", "role": "user" } ]

Fluticasone

None

92,776

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Pathological kyphosis is commonly seen in _________", "role": "user" } ]

Rickets

None

66,691

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Which of the following has the lowest sound wave attenuation in human body fluids: blood, urine, bile, or ascitic fluid?", "role": "user" } ]

Ascitic fluid

None

98,186

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The poor hemostatic effect of combining vitamin K1 and low molecular weight dextran is due to", "role": "user" } ]

Dextran prevents the aggregation of red blood cells and platelets, reducing blood viscosity

None

186,665

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "In rural, ethnic minority town, and town medical institutions, occupational assistant physicians ______.", "role": "user" } ]

can independently engage in general professional activities

None

40,197

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Vasodilators primarily expanding small arteries should be used with caution in", "role": "user" } ]

severe mitral stenosis

None

40,837

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 75 years old, has recently often been resting in bed due to numbness in the right hand and poor spirits. This morning, upon waking, he found it difficult to move his right hand, and his right foot felt heavy when standing. Over the next few hours, the symptoms gradually worsened, with difficulty moving the right limb, clear consciousness, and no other discomfort reported. He has a history of mild hypertension. The possible diagnosis is", "role": "user" } ]

Cerebral thrombosis

None

183,958

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When observing patients with cerebral hemorrhage, which situation often indicates that the bleeding has stopped?", "role": "user" } ]

Decreased level of consciousness

None

164,437

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Accidental injection of anesthetic into the parotid gland can lead to", "role": "user" } ]

temporary facial paralysis

None

97,534

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The retention effect of third and fourth generation bonding agents on dentin arises from", "role": "user" } ]

Micro-mechanical interlocking

None

17,954

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When a hemolytic reaction occurs, the first thing the nurse should do is ( )", "role": "user" } ]

Stop the transfusion, give the patient oxygen, and retain the remaining blood

None

141,608

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What should be considered in the formulation of the 'National Basic Medical Insurance Drug List' ( )", "role": "user" } ]

The safety, efficacy, and economy of the drug

None

74,380

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The patient has a persistent cough and has recently suffered from abdominal pain due to roundworms. The treatment should choose", "role": "user" } ]

Mume

None

36,725

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "During a cranial ultrasound examination, the examination window that can better display the midline of the brain, lateral ventricles, thalamus, third ventricle, and related structures of the cerebral hemispheres is", "role": "user" } ]

parietal window

None

19,512

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When acute leukemia is in complete remission, the estimated number of leukemia cells in the body is", "role": "user" } ]

10^6 to 10^8

None

119,506

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Early graying of hair, tooth loss, and weakness in the feet are commonly seen in", "role": "user" } ]

Kidney Essence Deficiency Syndrome

None

153,152

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Main X-ray manifestations of meconium aspiration syndrome", "role": "user" } ]

Increased lung transparency with segmental atelectasis

None

54,427

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Painless, progressive enlargement of the left cervical lymph nodes, the first disease to consider is", "role": "user" } ]

Lymphoma

None

56,139

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The child's crying is prolonged, with a sucking motion of the mouth, often due to ______", "role": "user" } ]

hunger

None

68,953

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "How long after birth can a newborn start breastfeeding ( )", "role": "user" } ]

As soon as possible

None

67,617

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The disease characterized by rigidity of the back, limb spasms, and arching of the back as the main clinical manifestations is ( )", "role": "user" } ]

Convulsion

None

14,596

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "In a study of 400 obese patients using Qigong therapy for weight loss, after six months of follow-up, 60% of them had their weight reduced to normal. What is your conclusion about this study?", "role": "user" } ]

No conclusion can be made because there was no control group

None

21,022

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The basis for diagnosing subacute infective endocarditis through echocardiography is", "role": "user" } ]

Detection of vegetations on the valves

None

105,097

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "For oral administration, in order to quickly reach the plateau value and maintain its efficacy, the dosing regimen that should be adopted is", "role": "user" } ]

Double the first dose (2D), with the dosage and dosing interval being D-t1/2

None

133,349

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Male, 58 years old, right buttock mass, diameter 8 cm, fixed to deep tissue, the mass is irregularly nodular, soft in texture, without obvious capsule, cut surface gray-yellow to gray-white, resembling fish meat. Under the microscope, tumor cells are bizarre in shape, with single nuclei, multinucleated, giant nuclei, large deeply stained nuclei, containing 1-2 eosinophilic nucleoli, mitotic figures are easily seen, and the cytoplasm is granular, eosinophilic flocculent or foamy. The diagnosis should first consider: ()", "role": "user" } ]

Pleomorphic liposarcoma

None

73,679

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The blood pressure characteristics of renal artery stenosis are", "role": "user" } ]

Increased systolic and diastolic blood pressure

None

19,196

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "What is the current recommendation from the FDA regarding the combined use of clopidogrel and PPIs?", "role": "user" } ]

Patients currently using clopidogrel should carefully assess the necessity of starting or continuing PPIs.

None

71,483

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "For patients with pleural effusion, if foul-smelling turbid fluid is extracted during thoracentesis, what examination should be performed on the pleural fluid to determine the cause?", "role": "user" } ]

Anaerobic bacteria culture

None

188,154

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A pregnant woman, 31 years old, G2P1. Currently 37 weeks pregnant, she was admitted to the emergency department due to abdominal pain and vaginal bleeding for 1 hour. After ultrasound examination, it was indicated as 'placental abruption'. The primary nursing measure that the emergency nurse should implement is", "role": "user" } ]

Immediately establish an intravenous access

None

151,436

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Female, 80 years old, suffered a fracture of the right humeral lateral condyle neck due to a fall, accompanied by hypertension and pulmonary heart disease. The best treatment method is", "role": "user" } ]

sling suspension

None

111,122

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The time required for intracranial hypertension or early brain herniation symptoms caused by intracranial hematoma is referred to as acute hematoma: （）", "role": "user" } ]

<3 days

None

9,688

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Disposable items used for home healthcare, such as blood-sucking and applying medicine", "role": "user" } ]

Medical gauze

None

46,569

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The apical seal of the post crown should be no less than", "role": "user" } ]

4mm

None

194,566

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patient, male, 45 years old. Sudden pain below the xiphoid process for 1 day, accompanied by chills, high fever, nausea, and vomiting. Physical examination: scleral icterus, body temperature 39.5℃, blood routine examination showed white blood cells 15×10^9/L, neutrophils 92%. The preferred auxiliary examination to further clarify the diagnosis is", "role": "user" } ]

Ultrasound

None

125,829

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Patient, female, 22 years old, abdominal external hernia. In the preoperative preparation, what is significant for preventing incision infection?", "role": "user" } ]

Strict skin preparation

None

165,099

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "When collecting routine stool samples from elderly patients with diarrhea, the ( ) part should be taken.", "role": "user" } ]

pus

None

227

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The patient has irregular menstruation, with vaginal bleeding that has lasted for months, the blood is bright red and slightly thick; symptoms include dizziness, tinnitus, weakness in the lower back and knees, five hearts feeling hot, and restless sleep at night; the tongue is red with little coating, and the pulse is thin and rapid. The diagnosis should be ( )", "role": "user" } ]

Kidney Yin Deficiency with Abnormal Uterine Bleeding

None

33,235

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The main factor determining the secretion of pituitary thyroid-stimulating hormone is", "role": "user" } ]

Negative feedback regulation of T3 and T4

None

12,412

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "Which is better for treating liver and gallbladder diseases?", "role": "user" } ]

Erythromycin

None

160,347

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "A patient has burns on both upper limbs, which healed after 26 days with slight scarring. The most likely diagnosis at that time is", "role": "user" } ]

Deep second-degree burn

None

96,459

[ { "content": "You are a chatbot who can solve problems. Please solve the following problem and give your thought process. Before giving the final result, you should output \"Therefore, the answer is\", and then give your final answer.", "role": "system" }, { "content": "The child, 5 years old, has had a persistent fever for 4 days, is in a coma, has neck stiffness, limb convulsions, wheezing in the throat, difficulty breathing, is thirsty and drinks a lot, has constipation, has a red tongue with a yellow coating, and a rapid pulse. Diagnosed with epidemic type B encephalitis, the first choice of treatment formula is ( )", "role": "user" } ]

Qing Wen Bai Du Yin

None

194,517