evaluation/user_query.txt

以下是九個以「我在問你」口吻設計的快速諮詢 prompts，分為三類，每類三題：


1.
Diagnosis-Focused 
60-year-old patient with hypertension history, sudden chest pain. What are possible causes and how to assess?

2.
Treatment-Focused
Suspected acute ischemic stroke. Tell me the next steps to take

3.
20 y/f , porphyria, sudden seizure. What are possible causes and complete management workflow?

(測試時可以先用這三題看結果，如果要debug、調整完，再用下面的)
---

### 一、Diagnosis-Focused（診斷為主）

1. I have a 68-year-old man with atrial fibrillation presenting with sudden slurred speech and right-sided weakness. what are the possible diagnoses, and how would you evaluate them?
2. A 40-year-old woman reports fever, urinary frequency, and dysuria. what differential diagnoses should I consider, and which tests would you order?
3. A 50-year-old patient has progressive dyspnea on exertion and orthopnea over two weeks. what are the likely causes, and what diagnostic steps should I take?

### 二、Treatment-Focused（治療為主）

4. ECG shows a suspected acute STEMI. what immediate interventions should I initiate in the next five minutes?
5. I have a patient diagnosed with bacterial meningitis. What empiric antibiotic regimen and supportive measures should I implement?
6. A patient is in septic shock with BP 80/50 mmHg and HR 120 bpm—what fluid resuscitation and vasopressor strategy would you recommend?

### 三、Mixed（診斷＋治療綜合）

7. A 75-year-old diabetic presents with a non-healing foot ulcer and fever—what differential for osteomyelitis, diagnostic workup, and management plan do you suggest?
8. A 60-year-old COPD patient has worsening dyspnea and hypercapnia on ABG. How would you confirm the diagnosis, and what is your stepwise treatment approach?
9. A 28-year-old woman is experiencing postpartum hemorrhage. what are the possible causes, what immediate resuscitation steps should I take, and how would you proceed with definitive management?