diff --git "a/fr/validation_fr_ordered.csv" "b/fr/validation_fr_ordered.csv"
new file mode 100644--- /dev/null
+++ "b/fr/validation_fr_ordered.csv"
@@ -0,0 +1,64 @@
+id,text,labels
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'en', 'cas', ""d'hémorragie"", 'massive', 'ou', ""d'hémorragie"", 'réfractaire', 'au', 'traitement', 'médical.']]","[['O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+233_104,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE', ':'], ['Une', 'femme', 'de', '29', 'ans', 'présente', 'les', 'paramètres', 'suivants', 'lors', ""d'une"", 'analyse', 'sanguine', 'de', 'routine', ':', 'Hb', '11,5', 'g/dL,', 'MCV', '70', 'fl,', 'MCH', '28', 'pg,', 'Ferritine', '10', 'ng/mL,', 'leucocytes', '5', '200/mm3,', 'plaquettes', '335', '000/mm3.'], [""L'examen"", 'physique', 'est', 'normal.'], [""L'examen"", 'le', 'plus', 'indiqué', 'dans', 'cette', 'situation', 'est', 'le', 'suivant', ':'], ['1-', 'Examen', 'gynécologique.'], ['2-', 'Test', 'de', 'sang', 'occulte', 'dans', 'les', 'selles.'], ['3-', 'Etude', 'radiologique', 'du', 'tube', 'digestif.'], ['4-', 'Electrophorèse', 'de', ""l'hémoglobine.""], ['5-', 'Test', 'de', 'Coombs.'], ['CORRECT', 'ANSWER', ':', '1'], ['La', 'cause', 'la', 'plus', 'fréquente', ""d'anémie"", 'ferriprive', 'microcytaire', 'chez', 'les', 'jeunes', 'femmes', 'est', 'la', 'fuite', 'gynécologique', 'chronique.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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+16_131,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE', ':'], ['Un', 'homme', 'de', '62', 'ans,', 'aux', 'antécédents', ""d'abus"", ""d'alcool"", 'importants,', 'porteur', 'du', 'virus', 'de', ""l'hépatite"", 'C,', 'traité', 'à', ""l'Ibuprofène"", 'pour', 'une', 'tendinite', 'de', ""l'épaule"", 'droite,', 'se', 'rend', 'chez', 'son', 'dermatologue', 'car', 'après', 'avoir', 'passé', 'deux', 'semaines', 'de', 'vacances', 'à', 'la', 'plage,', 'il', 'constate', ""l'apparition"", 'de', 'vésicules', 'tendues', 'sur', 'le', 'dos', 'de', 'ses', 'mains.'], ['A', ""l'examen,"", 'outre', 'la', 'localisation', 'et', 'une', 'légère', 'hypertrichose', 'malaire.'], ['Le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'le', 'suivant', ':'], ['1-', ""L'épidermolyse"", 'bulleuse', 'acquise.'], ['2-', 'Porphyrie', 'cutanée', 'tardive.'], ['3-', 'Réaction', 'phototoxique.'], ['4-', 'Dermatite', 'de', 'contact.'], ['5-', 'Porphyrie', 'aiguë', 'intermittente.'], ['CORRECT', 'ANSWER', ':', '2'], ['Porphyrie', 'cutanée', 'tardive', ':', '60%', 'des', 'patients', 'atteints', 'de', 'PCT', 'sont', 'des', 'hommes,', 'beaucoup', ""d'entre"", 'eux', 'consomment', 'de', ""l'alcool"", 'en', 'excès,', 'les', 'femmes', 'qui', 'développent', 'cette', 'maladie', 'sont', 'généralement', 'traitées', 'avec', 'des', 'médicaments', 'contenant', 'des', 'œstrogènes.'], ['La', 'plupart', 'sont', 'des', 'hommes', 'présentant', 'des', 'signes', 'de', 'surcharge', 'en', 'fer.', 'Cette', 'surcharge', 'réduit', ""l'activité"", 'de', ""l'enzyme"", 'uroporphyrinogène', 'décarboxylase,', 'ce', 'qui', 'entraîne', 'une', 'élévation', 'des', 'uroporphyrines.'], ['Les', 'infections', 'par', 'le', 'VHC', 'et', 'le', 'VIH', 'ont', 'été', 'impliquées', 'dans', 'la', 'précipitation', 'de', 'la', 'PCT', 'acquise.'], ['Il', 'existe', 'une', 'forme', 'héréditaire', 'de', 'la', 'maladie', ""d'Alzheimer.""], ['Les', 'patients', 'atteints', 'de', 'PCT', 'présentent', 'des', 'cloques', 'sur', 'la', 'peau', 'photoexposée,', 'le', 'plus', 'souvent', 'sur', 'le', 'dos', 'des', 'mains', 'et', 'le', 'cuir', 'chevelu.'], ['Outre', 'la', 'fragilité,', 'ils', 'peuvent', 'développer', 'une', 'hypertrichose,', 'une', 'hyperpigmentation,', 'une', 'alopécie', 'cicatricielle', 'et', 'une', 'induration', 'sclérodermique.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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+576_103,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE', ':'], ['Un', 'homme', 'de', '30', 'ans', 'consulte', 'pour', 'des', 'céphalées', 'périoculaires', 'unilatérales', 'qui', 'évoluent', 'rapidement', 'pour', 'devenir', 'très', 'intenses.'], ['Les', 'crises', 'de', 'douleur', 'durent', 'de', '30', 'à', '60', 'minutes,', 'surviennent', '2', 'à', '3', 'fois', 'par', 'jour', 'et', ""s'accompagnent"", ""d'un"", 'larmoiement', 'dans', ""l'œil"", 'douloureux', 'et', ""d'une"", 'rhinorrhée', 'unilatérale.'], ['Quel', 'est', 'le', 'traitement', 'préventif', 'le', 'plus', 'approprié', '?'], ['1-', 'La', 'prednisone', 'par', 'voie', 'orale', 'avec', 'un', 'sevrage', 'en', '2-3', 'mois.'], ['2-', 'Prednisone', 'orale', 'avec', 'sevrage', 'en', 'un', 'mois,', 'associée', 'à', 'du', 'vérapamil', 'oral', 'à', 'la', 'dose', 'de', '80-180', 'mg', 'toutes', 'les', '8', 'heures.'], ['3-', 'La', 'carbamazépine', 'à', 'des', 'doses', 'de', '600-1200', 'mg', 'par', 'jour.'], ['4-', 'Indométhacine', 'à', 'la', 'dose', 'de', '50', 'mg', 'toutes', 'les', '8', 'heures', 'pendant', 'un', 'mois.'], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '2'], ['Ils', 'décrivent', 'un', 'cas', 'caractéristique', 'de', 'céphalée', 'en', 'grappe.'], ['Elle', 'est', 'plus', 'fréquente', 'chez', 'les', 'hommes,', 'la', 'douleur', 'est', 'caractéristiquement', 'périoculaire', 'unilatérale', 'de', 'grande', 'intensité,', 'de', 'durée', 'variable,', 'généralement', 'quelques', 'minutes,', 'et', 'elle', 'associe', 'des', 'signes', 'trigémino-autonomiques', 'tels', 'que', 'la', 'rhinorrhée', 'et', ""l'injection"", 'conjonctivale', 'unilatérale.'], ['Le', 'traitement', 'préventif', 'par', 'excellence', 'est', 'le', 'vérapamil', 'associé', 'à', 'une', 'corticothérapie', 'descendante,', 'comme', 'décrit', 'dans', 'la', 'réponse', '2.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+504_87,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE', ':'], ['Compte', 'tenu', 'de', ""l'apparition"", 'soudaine', 'de', 'troubles', 'obsessionnels', 'compulsifs', '(TOC)', 'chez', 'un', 'garçon', 'de', '9', 'ans', 'qui', 'présente', 'également', 'des', 'tics', 'et', 'une', 'chorée', 'comme', 'manifestations', 'neurologiques,', 'il', 'convient', ""d'écarter"", 'la', 'possibilité', ""d'une"", 'infection', ':'], ['1-', 'Streptococcus', 'viridans.'], ['2-', 'Le', 'streptocoque', 'alpha-hémolytique.'], ['3-', 'Le', 'streptocoque', 'bêta-hémolytique', 'du', 'groupe', 'A.'], ['4-', 'Enterococcus.'], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '3'], ['Nous', 'présentons', 'un', 'cas', 'de', 'syndrome', 'PANDAS,', 'une', 'complication', 'rare', ""d'une"", 'infection', 'causée', 'par', 'un', 'streptocoque', 'bêta-hémolytique', 'du', 'groupe', 'A.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+367_119,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE', 'ET', 'CHIRURGIE', 'THORACIQUE'], ['CLINICAL', 'CASE', ':'], ['Une', 'femme', 'de', '38', 'ans,', 'non', 'fumeuse,', 'chez', 'qui', 'on', 'avait', 'diagnostiqué', 'une', 'rhinite', 'atopique,', 'présente', 'depuis', 'deux', 'mois', 'une', 'toux', 'intermittente', 'et', 'une', 'respiration', 'sifflante,', 'principalement', 'la', 'nuit.'], ['La', 'radiographie', 'pulmonaire', 'était', 'normale.'], ['Spirométrie', 'dans', 'les', 'limites', 'de', 'la', 'normale', 'avec', 'test', 'bronchodilatateur', 'négatif.'], ['Lequel', 'des', 'tests', 'suivants', 'demanderez-vous', 'ensuite', '?'], ['1-', 'Sinus', 'paranasal', 'Rx.'], ['2-', 'Scanner', 'thoracique.'], ['3-', 'Test', 'à', 'la', 'méthacholine.'], ['4-', 'Prick', 'test.'], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '3'], ['Une', 'spirométrie', 'normale', 'et', 'un', 'test', 'au', 'bronchodilatateur', 'négatif', ""n'excluent"", 'pas', ""l'asthme,"", 'et', 'le', 'cas', 'clinique', 'du', 'patient', 'est', 'très', 'évocateur', 'de', ""l'asthme,"", 'de', 'sorte', ""qu'un"", 'test', 'à', 'la', 'méthacholine', 'confirmerait', 'le', 'diagnostic,', 'au', 'moins', 'celui', ""d'une"", 'hyperréactivité', 'bronchique.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
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'(douleur', 'pleurétique)', 'et', 'progressivement', '(dyspnée).'], [""L'examen"", 'physique', 'suggère', 'un', 'pneumothorax', '(tachypnée,', 'tiraillement,', 'faible', 'saturation,', 'cyanose,', 'diaphorèse,', 'tachycardie,', 'trachée', 'déviée', 'et', 'absence', 'de', 'murmure', 'vésiculaire).'], ['Il', 'présente', 'une', 'sérologie', 'VIH', 'positive', 'et', 'un', 'taux', 'de', 'CD4', 'inférieur', 'à', '200', 'cellules/ml.'], ['La', 'radiographie', 'montre', 'une', 'hyperclarté', 'dans', 'le', 'champ', 'pulmonaire', 'gauche', 'avec', 'absence', 'de', 'vaisseaux', 'entre', 'le', 'bord', 'du', 'poumon', 'et', 'la', 'paroi', 'thoracique', 'du', 'côté', 'gauche,', 'un', 'déplacement', 'du', 'médiastin', 'et', 'de', 'la', 'trachée', 'vers', 'le', 'côté', 'droit,', 'et', 'un', 'moignon', 'dans', 'le', 'hile', 'pulmonaire', 'gauche', 'correspondant', 'au', 'poumon', 'affaissé.'], ['La', 'suspicion', 'de', 'VIH', 'est', 'élevée', 'et', 'bien', ""qu'elle"", 'soit', 'en', 'attente', 'de', 'confirmation,', 'dans', ""l'urgence,"", 'il', 'est', 'valable', ""d'assumer"", 'cette', 'option.'], ['Cela', 'dit,', 'je', 'recherche', 'des', 'pathologies', 'associées', 'à', 'ce', 'cas,', 'la', 'rupture', ""d'une"", 'bulle', 'bien', ""qu'elle"", 'soit', 'liée', 'à', ""l'apparition"", 'de', 'symptômes', 'brutaux', 'ne', 'va', 'pas', 'de', 'pair', 'avec', 'les', 'autres', 'symptômes', '(il', 'faut', 'chercher', 'quelque', 'chose', 'qui', 'explique', 'tout', 'ou', 'presque),', 'la', 'pneumonie', 'bien', ""qu'il"", 'soit', 'vrai', ""qu'elle"", 'puisse', 'être', 'liée', 'à', 'beaucoup', 'de', 'symptômes', ""n'est"", 'pas', 'en', 'corrélation', 'avec', 'la', 'description,', 'La', 'tuberculose', 'pulmonaire', 'pourrait', 'se', 'manifester', 'par', 'tous', 'les', 'symptômes', 'ci-dessus', 'et', 'provoquer', 'un', 'pneumothorax,', 'mais', 'ici,', 'chez', 'un', 'patient', 'présentant', 'un', 'cas', 'respiratoire', 'évoluant', 'depuis', 'plus', 'de', '7', 'jours', 'et', 'se', 'compliquant', 'brusquement,', 'chez', 'un', 'patient', 'présentant', 'une', 'forte', 'suspicion', ""d'infection"", 'par', 'le', 'VIH,', ""l'option"", 'la', 'plus', 'claire', 'est', 'celle', ""d'une"", 'pneumonie', 'due', 'à', 'P.', 'jirovecii.'], ['Chez', 'les', 'patients', 'atteints', 'de', 'Pneumocystis,', '10', '%', 'des', 'pneumatocèles', 'apparaissent', 'et', 'peuvent', 'parfois', ""s'ouvrir"", 'dans', ""l'espace"", 'pleural,', 'provoquant', 'un', 'pneumothorax', 'spontané.'], ['Pour', 'rappel,', 'les', 'germes', 'les', 'plus', 'fréquents', 'dans', 'les', 'atteintes', 'pulmonaires', 'chez', 'les', 'patients', 'infectés', 'par', 'le', 'VIH/SIDA', 'sont', 'P.', 'jiroveci', '(seul', 'ou', 'associé', 'à', 'la', 'tuberculose', 'ou', 'à', ""d'autres"", 'mycobactéries),', 'S.', 'pneumoniae,', 'H.', 'influenzae,', 'S.', 'aureus,', 'cytomégalovirus,', 'Legionella,', 'staphylocoques', 'et', 'bacilles', 'à', 'Gram', 'négatif', '(Pseudomonas).'], ['Les', 'patients', 'atteints', 'de', 'pneumonie', 'à', 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'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
+76_87,"[['QUESTION', 'TYPE:', 'ANESTHESIOLOGIE,', 'SOINS', 'INTENSIFS', 'ET', 'URGENCES'], ['CLINICAL', 'CASE', ':'], ['Femme', 'de', '76', 'ans', 'souffrant', ""d'obésité"", 'et', 'de', 'diabète', 'de', 'type', '2', 'sous', 'metformine.'], ['Elle', 'vient', 'aux', 'urgences', 'car', 'elle', 'présente', 'depuis', '3', 'jours', 'une', 'fièvre', 'de', '38ºC,', 'une', 'polyurie,', 'une', 'dysurie,', 'une', 'soif', 'intense', 'et', 'une', 'diminution', 'progressive', 'de', ""l'état"", 'de', 'conscience.'], [""L'examen"", 'physique', 'a', 'révélé', 'des', 'signes', 'de', 'déshydratation,', 'une', 'tension', 'artérielle', 'de', '95/54', 'mm', 'Hg', 'et', 'aucun', 'signe', 'de', 'localisation', 'neurologique.'], [""L'hémogramme"", 'montre', 'une', 'leucocytose,', 'une', 'créatinine', 'de', '1,8', 'mg/dL', 'et', 'une', 'glycémie', 'de', '855', 'mg/dL.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Coma', 'hyperglycémique', 'hyperosmolaire', 'non', 'cétosique.'], ['2-', 'Insuffisance', 'cardiaque.'], ['3-', 'Hématome', 'sous-dural.'], ['4-', 'Insuffisance', 'rénale', 'obstructive.'], ['5-', 'Acidocétose', 'diabétique', 'avec', 'coma.'], ['CORRECT', 'ANSWER', ':', '1'], ['La', 'question', 'porte', 'sur', 'le', 'cas', ""d'un"", 'patient', 'diabétique', 'de', 'type', '2', 'présentant', 'une', 'hyperglycémie', 'et', 'une', 'diminution', 'de', ""l'état"", 'de', 'conscience', 'sans', 'focalité', 'neurologique', 'dans', 'le', 'contexte', ""d'une"", 'infection', 'urinaire', 'et', 'qui', 'a', 'développé', 'une', 'insuffisance', 'rénale', 'aiguë', ""d'origine"", 'pré-rénale', 'probable.'], [""L'option"", '2', 'est', 'immédiatement', 'écartée', 'car', 'le', 'cas', 'clinique', ""n'est"", 'pas', 'celui', ""d'une"", 'insuffisance', 'cardiaque.'], [""L'option"", '3', 'est', 'également', 'écartée', 'parce', ""qu'elle"", 'ne', 'correspond', 'pas', 'à', 'la', 'description', 'clinique', 'et', ""qu'en"", 'outre,', ""l'HSD"", 'donnerait', 'des', 'symptômes', 'neurologiques', 'avec', 'la', 'localité.'], [""L'option"", '4', 'est', 'écartée', 'car', ""l'insuffisance"", 'rénale', 'obstructive', ""n'entraîne"", 'ni', 'polyurie,', 'ni', 'dysurie,', 'ni', 'le', 'reste', 'du', 'cas', 'clinique.'], [""L'option"", '5', 'est', 'moins', 'probable', 'car', ""l'acidocétose"", 'diabétique', 'est', 'plus', 'typique', 'du', 'diabète', 'de', 'type', '1.'], [""L'option"", 'correcte', 'est', 'donc', '1.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'mixte', 'non', 'plus,', 'mais', 'principalement', 'respiratoire.'], ['La', 'patiente', 'est', 'probablement', 'en', 'train', ""d'hyperventiler"", 'en', 'raison', 'de', 'son', 'insuffisance', 'respiratoire,', 'et', 'le', 'rein,', 'qui', 'compense', 'toujours', 'plus', 'tard,', 'commence', 'à', 'retenir', ""l'HCO3"", 'pour', 'compenser', 'et', 'maintenir', 'le', 'pH.'], ['Je', 'pense', 'donc', 'que', 'la', 'réponse', 'correcte', 'est', '1.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+460_174,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE', 'ET', 'ORTHOPÉDIE'], ['CLINICAL', 'CASE', ':'], ['Une', 'femme', 'de', '60', 'ans,', 'diabétique', 'insulinodépendante,', 'présente', 'une', 'omalgie', 'nocturne', 'prédominante', 'du', 'côté', 'droit', 'depuis', 'plusieurs', 'semaines.'], ['Elle', 'ne', 'signale', 'aucun', 'traumatisme.'], [""L'examen"", 'physique', 'montre', 'une', 'limitation', 'active', 'et', 'passive', 'de', 'tous', 'les', 'arcs', 'de', 'mouvement', 'de', ""l'épaule.""], ['Quel', 'est', 'le', 'tableau', 'clinique', 'que', 'vous', 'considérez', 'comme', 'la', 'première', 'possibilité', 'de', 'diagnostic', '?'], ['1-', 'Tumeur', 'maligne', 'située', 'dans', ""l'épiphyse"", 'proximale', 'de', ""l'humérus.""], ['2-', 'Arthrite', 'septique', 'de', ""l'épaule.""], ['3-', 'Capsulite', 'adhésive.'], ['4-', 'Un', 'processus', ""d'arthrose"", 'acromio-claviculaire', 'dégénérative.'], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '3'], ['Tout', 'porte', 'à', 'croire', ""qu'il"", ""s'agit"", ""d'une"", 'capsulite', 'adhésive,', 'comme', 'vous', 'le', 'dites.'], [""L'âge,"", 'le', 'sexe,', 'la', 'clinique...', 'le', 'DM....']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+333_90,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE', ':'], ['Une', 'femme', 'de', '35', 'ans', 'consulte', 'pour', 'un', 'nodule', 'thyroïdien', 'droit', 'détecté', 'fortuitement', 'un', 'matin', 'où', 'elle', 'a', 'observé', 'dans', 'le', 'miroir', 'une', 'grosseur', 'sur', 'la', 'face', 'antérieure', 'du', 'cou.'], ['Après', 'les', 'études', 'pertinentes,', 'il', 'a', 'été', 'décidé', ""d'opérer"", 'la', 'patiente,', 'en', 'réalisant', 'une', 'thyroïdectomie', 'totale', 'avec', 'vidange', 'du', 'ganglion', 'lymphatique', 'central.'], ['Le', 'rapport', 'du', 'pathologiste', 'indique', 'que', 'le', 'nodule', 'thyroïdien', 'de', '2,3', 'cm', 'était', 'entièrement', 'occupé', 'par', 'un', 'carcinome', 'papillaire', 'de', 'la', 'thyroïde,', 'variante', 'à', 'cellules', 'hautes,', 'sans', 'infiltration', 'vasculaire', 'mais', 'avec', 'une', 'infiltration', 'capsulaire.'], ['Les', 'concentrations', 'de', 'thyroglobuline', '24', 'heures', 'après', 'la', 'thyroïdectomie', 'sont', 'de', '14', 'ng/mL.'], ['Quelle', 'serait', 'la', 'prochaine', 'étape', 'pour', 'ce', 'patient', '?'], ['1-', 'Renvoyer', 'la', 'patiente', 'au', 'chirurgien', 'pour', 'un', 'curage', 'ganglionnaire', 'latérocervical', 'droit.'], ['2-', 'Initier', 'le', 'traitement', 'avec', 'une', 'dose', 'de', 'lévothyroxine', 'suppresseur', 'la', 'TSH', 'et', 'programmer', 'une', 'révision', '6', 'mois', 'plus', 'tard', 'avec', 'un', 'nouveau', 'dosage', 'analytique', 'de', 'la', 'thyroglobuline', 'et', 'une', 'échographie', 'du', 'col', 'de', ""l'utérus.""], ['3-', 'Demander', 'un', 'PET', 'scaner', 'pour', ""l'atteinte"", 'des', 'ganglions', 'lymphatiques.'], ['4-', 'Retarder', ""l'instauration"", 'du', 'traitement', 'substitutif', 'de', 'la', 'TSH', 'par', 'la', 'lévothyroxine', 'et', 'adresser', 'le', 'patient', 'au', 'service', 'de', 'médecine', 'nucléaire', 'pour', ""l'administration"", ""d'une"", 'dose', 'ablative', 'de', '100', 'mCi', ""d'I131.""], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '4'], ['La', 'vérification', 'de', 'la', 'présence', 'de', 'thyroglobuline', 'dans', 'le', 'sang', 'et', 'le', 'développement', 'de', 'techniques', 'permettant', 'de', 'la', 'déterminer', 'ont', 'fourni', 'une', 'nouvelle', 'procédure', 'pour', 'le', 'suivi', 'des', 'patients', 'atteints', 'de', 'carcinome', 'papillaire', 'ou', 'folliculaire', 'de', 'la', 'thyroïde.'], ['La', 'thyroglobuline', 'est', 'synthétisée', 'dans', 'les', 'cellules', 'folliculaires', 'et', 'ensuite', 'sécrétée', 'dans', 'la', 'circulation.', 'Par', 'conséquent,', 'après', 'une', 'thyroïdectomie', 'totale,', 'elle', 'devrait', 'disparaître,', 'si', 'ce', ""n'est"", 'pas', 'le', 'cas,', 'il', 'faut', 'penser', 'à', ""l'existence"", 'de', 'restes', 'de', 'tissus', 'métastatiques.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+185_66,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE', ':'], ['Un', 'patient', 'de', '74', 'ans', 'ayant', 'subi', 'une', 'résection', 'intestinale', 'à', 'la', 'suite', ""d'une"", 'thrombose', 'mésentérique', 'vient', 'consulter', 'pour', 'fatigue', 'et', 'douleurs', 'osseuses.'], ['Il', 'avait', 'subi', 'une', 'fracture', 'de', 'Colles', 'trois', 'mois', 'plus', 'tôt.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'montré', 'une', 'anémie', 'de', '9,5', 'g/dl,', 'microcytaire,', 'une', 'albumine', 'de', '3,5', 'g/di,', 'un', 'calcium', 'de', '7,5', 'mg/dl,', 'un', 'phosphate', 'de', '2,0', 'mg/dl', 'et', 'une', 'phosphatase', 'alcaline', 'de', '224', 'UI', '(normale', ""jusqu'à"", '120', 'UI).'], ['Les', 'radiographies', 'du', 'fémur', 'montrent', 'des', 'bandes', 'radiotransparentes', 'perpendiculaires', 'à', 'la', 'corticale', 'sur', 'la', 'face', 'interne', 'de', ""l'extrémité"", 'supérieure', 'du', 'fémur.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', ""L'ostéoporose.""], ['2-', 'La', 'maladie', 'de', 'Paget.'], ['3-', ""L'ostéite"", 'fibrosante.'], ['4-', 'Les', 'métastases', 'du', 'cancer', 'de', 'la', 'prostate.'], ['5-', 'Ostéomalacie.'], ['CORRECT', 'ANSWER', ':', '5'], ['Bien', 'que', 'celui-ci', 'ne', ""m'ait"", 'pas', 'été', 'attribué,', ""j'y"", 'réponds', 'également', ""puisqu'il"", 'traite', ""d'un"", 'sujet', ""d'endocrinologie"", ':', 'la', 'vitamine', 'D.'], ['Dans', 'ce', 'cas,', 'il', 'y', 'a', 'des', 'données', 'importantes', 'comme', ""l'histoire"", 'de', 'la', 'résection', 'intestinale,', ""l'hypocalcémie"", 'et', ""l'hypophosphorémie"", ';', 'cela', 'devrait', 'nous', 'amener', 'à', 'penser', 'à', 'un', 'déficit', 'en', 'vitamine', 'D', 'dû', 'à', 'la', 'malabsorption', 'et,', 'par', 'conséquent,', 'à', 'une', 'ostéomalacie.'], ['Le', 'reste', 'des', 'données', ':', 'fracture', 'antérieure,', 'douleur', 'et', 'radiographie', 'confirment', 'le', 'diagnostic.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+107_206,"[['QUESTION', 'TYPE:', 'GÉNÉTIQUE', 'ET', 'IMMUNOLOGIE'], ['CLINICAL', 'CASE', ':'], ['Une', 'fillette', 'de', '8', 'ans', '(cas', 'index)', 'est', 'diagnostiquée', 'cliniquement', 'comme', 'ayant', 'une', 'neurofibromatose', 'de', 'type', '1', '(NF1)', 'ou', 'maladie', 'de', 'Von', 'Recklinghausen', 'avec', 'de', 'multiples', 'neurofibromes,', 'des', 'taches', 'café-au-lait', 'et', 'des', 'nodules', 'de', 'Lisch.'], ['Son', 'père', '(dont', 'la', 'NF1', ""n'a"", 'pas', 'été', 'diagnostiquée)', 'est', 'décédé', 'dans', 'un', 'accident', 'de', 'la', 'route', 'à', ""l'âge"", 'de', '38', 'ans.'], ['À', ""l'examen,"", 'la', 'mère', 'présente', 'deux', 'taches', 'café-au-lait', 'et', 'se', 'rend', 'à', 'la', 'consultation', 'de', 'conseil', 'génétique', 'avec', 'son', 'nouveau', 'compagnon', 'où', 'un', 'diagnostic', 'génétique', 'préimplantatoire', '(DPI)', 'est', 'proposé.'], ['Le', 'DPI', 'est-il', 'indiqué', 'dans', 'ce', 'cas', '?'], ['1-', 'Oui,', 'comme', 'la', 'mère', 'a', '2', 'taches', 'café-au-lait,', 'elle', 'est', 'porteuse', 'et', 'le', 'DPI', 'est', 'indiqué', 'avec', 'ces', 'données.'], ['2-', 'Elle', 'est', 'indiquée', 'après', 'détection', 'de', 'la', 'mutation', 'causale', 'chez', 'le', 'cas', 'index', 'et', 'éventuellement', 'chez', 'sa', 'mère.'], ['3-', 'Elle', ""n'est"", 'pas', 'indiquée', 'car', 'la', 'NF1', 'répond', 'à', 'des', 'mutations', 'du', 'gène', 'de', 'la', 'neurofibromine', '(17q11.2),', 'avec', 'une', 'hérédité', 'récessive.'], ['4-', 'Non,', 'deux', 'taches', 'café-au-lait', 'ne', 'sont', 'pas', 'diagnostiques', 'et', 'il', 'est', 'très', 'peu', 'probable', 'que', 'votre', 'nouveau', 'partenaire', 'soit', 'porteur', '(la', 'NF1', 'est', 'une', 'maladie', 'rare).'], ['5-', 'Avec', 'ces', 'données,', 'le', 'DPI', 'est', 'indiqué,', 'consistant', 'à', 'sélectionner', 'des', 'embryons', 'in', 'vitro,', 'pour', 'implanter', 'dans', ""l'utérus"", 'maternel', 'ceux', 'qui', 'ne', 'présentent', 'pas', 'la', 'mutation.'], ['CORRECT', 'ANSWER', ':', '2'], ['La', 'première', 'étape', 'consiste', 'à', 'détecter', 'la', 'mutation', 'et,', 'une', 'fois', 'celle-ci', 'détectée,', 'si', 'la', 'mère', 'est', 'porteuse,', 'à', 'procéder', 'à', 'un', 'DPI.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+114_96,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE', ':'], ['Une', 'femme', 'de', '43', 'ans', 'consulte', 'son', 'médecin', 'traitant', 'pour', 'fatigue,', 'gingivorrhée', 'et', 'pétéchies.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'révélé', 'une', 'anémie', 'de', '8', 'g/dL,', 'une', 'thrombopénie', 'de', '4000/microlitre', 'et', 'une', 'leucopénie', 'de', '1200/microlitre', 'avec', 'une', 'neutropénie', 'absolue.'], [""L'étude"", 'de', 'la', 'coagulation', 'a', 'montré', 'un', 'allongement', 'du', 'TCA', '(43″),', 'une', 'diminution', 'de', ""l'activité"", 'prothrombinique', '(55%),', 'une', 'hypofibrinogénémie', '(98', 'mg/dl)', 'et', 'la', 'présence', ""d'une"", 'forte', 'concentration', 'de', 'D-Dimères', 'et', 'de', 'monomères', 'de', 'fibrine.'], ['Elle', 'est', 'adressée', 'pour', 'un', 'bilan', 'hématologique', 'urgent', 'et', 'une', 'aspiration', 'de', 'moelle', 'osseuse', 'est', 'effectuée,', 'montrant', 'une', 'infiltration', 'massive', 'par', 'des', 'éléments', 'immatures', 'avec', 'des', 'noyaux', 'clivés', 'et', 'des', 'bâtonnets', ""d'Auer"", 'dans', 'le', 'cytoplasme.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', 'chez', 'ce', 'patient', '?'], ['1-', 'Leucémie', 'myéloïde', 'chronique.'], ['2-', 'Leucémie', 'promyélocytaire', 'aiguë.'], ['3-', 'Leucémie', 'monoblastique', 'aiguë.'], ['4-', 'La', 'leucémie', 'lymphoïde', 'chronique.'], ['5-', 'Leucémie', 'lymphoïde', 'aiguë.'], ['CORRECT', 'ANSWER', ':', '2'], ['Après', 'avoir', 'lu', 'une', 'si', 'longue', 'déclaration,', ""s'être"", 'essoufflé,', ""l'avoir"", 'parcourue', 'et', ""s'être"", 'laissé', 'submerger,', 'il', 'est', 'temps', ""d'y"", 'jeter', 'un', 'coup', ""d'œil"", 'et', 'de', 'saisir', 'quelque', 'chose', 'de', 'très', 'caractéristique.'], ['Une', 'femme', 'atteinte', 'de', 'pancytopénie.'], ['Une', 'moelle', 'osseuse', 'présentant', 'une', 'infiltration', 'massive', 'par', 'des', 'éléments', 'immatures', 'qui', 'prolifèrent', 'sans', 'arrêt...', 'avec', 'des', 'cannes', ""d'Auer"", '?'], ['Leucémie', 'promyélocytaire', 'aiguë.'], ['Ces', 'bâtonnets', 'sont', 'la', 'fusion', 'des', 'granules', 'primaires', 'des', 'myélocytes', 'en', 'développement.'], ['Robin&Cotran', 'le', 'disent', 'à', 'la', 'page', '696', 'de', 'leur', 'livre', '""General', 'Pathology""', '[1].'], [""C'est"", 'également', 'ce', 'que', 'disent', 'Carr', 'et', 'Rodak', 'dans', 'leur', 'livre', '""Atlas', 'of', 'clinical', 'hematology""', 'à', 'la', 'page', '157', '[2].']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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+61_92,"[['QUESTION', 'TYPE:', 'ANESTHÉSIOLOGIE', 'ET', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE', ':'], ['Un', 'homme', 'de', '30', 'ans', 'est', 'victime', ""d'une"", 'chute', ""d'une"", 'hauteur', 'de', '2', 'mètres.'], ['A', 'son', 'arrivée', 'aux', 'urgences,', 'il', 'est', 'cyanosé,', 'cathétérisé', 'avec', 'des', 'urines', 'claires.'], ['Il', 'présente', 'un', 'gonflement', 'du', 'talon', 'gauche,', 'ainsi', 'que', 'de', 'légers', 'picotements', 'dans', 'la', 'partie', 'antérieure', 'de', 'la', 'cuisse', 'droite', 'et', 'du', 'scrotum,', 'et', 'une', 'dysesthésie', 'dans', 'les', 'deux', 'pieds.'], ['Le', 'patient', 'dit', 'au', 'revoir', 'au', 'brancardier', 'en', 'lui', 'serrant', 'la', 'main', 'et', 'en', 'lui', 'tapotant', 'simultanément', ""l'épaule.""], ['La', 'rotation', 'du', 'MMII', 'sur', 'le', 'brancard', 'saisi', 'par', 'les', 'chevilles', 'est', 'indolore', 'et', 'la', 'compression', 'du', 'bassin', 'est', 'asymptomatique.'], ['Suivant', ':'], ['1-', 'Nous', 'allons', ""l'asseoir"", 'sur', 'le', 'brancard', 'pour', 'pouvoir', 'explorer', 'le', 'rachis', 'cervical.'], ['2-', 'Nous', 'nous', 'référerons', 'à', 'la', 'Rx', 'pour', 'effectuer', ""l'étude"", 'des', 'extrémités', 'inférieures.'], ['3-', 'Palper', ""l'abdomen"", 'et', 'le', 'tourner', 'en', 'bloc', 'pour', 'palper', 'la', 'colonne', 'thoraco-lombaire.'], ['4-', 'Mettre', 'en', 'place', 'un', 'collier', 'cervical', 'et', 'référer', 'à', 'la', 'radiologie', 'pour', ""l'imagerie"", 'du', 'rachis', 'cervical', 'et', 'des', 'membres', 'inférieurs.'], ['5-', 'Nous', 'demanderons', 'une', 'échographie', 'abdominale.'], ['CORRECT', 'ANSWER', ':', '3'], [""D'après"", 'les', 'symptômes', 'rapportés,', 'fourmillements', 'dans', 'la', 'partie', 'antérieure', 'de', 'la', 'cuisse,', 'dans', 'le', 'scrotum', 'et', 'dysesthésie', 'dans', 'les', 'pieds,', 'il', 'semble', 'y', 'avoir', 'une', 'atteinte', 'vertébrale', 'au', 'niveau', 'de', 'L2-3', 'et', 'des', 'racines', 'sacrées,', 'de', 'sorte', 'que', 'la', 'bonne', 'chose', 'à', 'faire', 'serait', ""d'effectuer"", 'un', 'examen', 'radiologique', 'sans', 'mobiliser', 'le', 'patient.'], ['Mais', 'il', 'faut', 'le', 'mobiliser', 'pour', ""l'explorer,"", 'évidemment,', 'en', 'bloc.'], ['La', 'colonne', 'cervicale', 'ne', 'semble', 'pas', 'endommagée', 'car', 'le', 'patient', 'mobilise', 'ses', 'deux', 'bras', 'de', 'manière', 'adéquate,', 'sans', 'paresthésie.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], 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+231_180,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE', ':'], ['Un', 'nourrisson', ""d'un"", 'mois', 'se', 'présente', 'aux', 'urgences', 'de', ""l'hôpital,"", 'adressé', 'par', 'son', 'pédiatre', 'pour', 'une', 'jaunisse.'], ['Il', 'présente', 'une', 'jaunisse', 'depuis', '10', 'jours,', 'qui', 'va', 'en', 'augmentant.'], [""L'analyse"", 'de', 'sang', 'a', 'révélé', 'une', 'bilirubine', 'totale', 'de', '7', 'mg/dl', 'et', 'une', 'bilirubine', 'indirecte', 'de', '1,5', 'mg/dl.'], ['La', 'cause', 'la', 'plus', 'probable,', 'parmi', 'les', 'suivantes,', 'de', 'cette', 'jaunisse', 'est', ':'], ['1-', 'Atrésie', 'des', 'voies', 'biliaires.'], ['2-', 'La', 'jaunisse', ""d'allaitement.""], ['3-', 'Iso-immunisation', '0-A', 'tardive.'], ['4-', 'La', 'maladie', 'de', 'Gilbert.'], ['5-', 'Sphérocytose', 'héréditaire.'], ['CORRECT', 'ANSWER', ':', '1'], [""L'augmentation"", 'de', 'la', 'bilirubine', 'directe', 'exclut', 'immédiatement', 'les', 'autres', 'options', 'où', ""l'augmentation"", 'de', 'la', 'bilirubine', 'totale', 'se', 'ferait', 'au', 'détriment', 'de', 'la', 'bilirubine', 'indirecte.'], [""L'atrésie"", 'des', 'voies', 'biliaires', 'est', 'la', 'principale', 'indication', 'de', 'la', 'transplantation', 'hépatique', 'chez', ""l'enfant.""]]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+87_54,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'VASCULAIRE'], ['CLINICAL', 'CASE', ':'], ['Un', 'patient', 'de', '81', 'ans', 'consulte', 'pour', 'un', 'épisode', 'de', 'syncope.'], ['Il', 'signale', 'une', 'dyspnée', 'à', ""l'effort"", 'depuis', 'un', 'an.'], ['À', ""l'auscultation"", 'cardiaque,', 'on', 'observe', 'un', 'souffle', 'systolique', '3/6', 'sur', 'le', 'bord', 'sternal', 'gauche,', 'irradiant', 'vers', 'les', 'carotides', 'et', 'la', 'pointe.'], ['Quelle', 'est', 'la', 'pathologie', 'la', 'plus', 'probable', '?'], ['1-', 'Bloc', 'auriculo-ventriculaire', 'du', 'troisième', 'degré.'], ['2-', 'Sténose', 'aortique', 'dégénérative.'], ['3-', 'Insuffisance', 'de', 'la', 'valve', 'mitrale.'], ['4-', 'La', 'cardiomyopathie', 'hypertrophique.'], ['5-', 'Cardiomyopathie', 'dilatée.'], ['CORRECT', 'ANSWER', ':', '2'], ['Question', 'très', 'simple.'], ['Ils', 'décrivent', 'le', '""portrait""', ""d'une"", 'sténose', 'aortique', 'dégénérative...'], ['Patient', 'âgé', 'présentant', 'une', 'dyspnée', 'clinique', 'et', 'une', 'syncope,', 'ainsi', ""qu'un"", 'souffle', 'systolique', 'irradiant', 'vers', 'les', 'carotides', 'et', 'la', 'pointe,', 'tous', 'typiques', 'de', 'cette', 'maladie.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
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+354_166,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE', ':'], ['Une', 'femme', 'enceinte', 'de', '10', 'semaines', 'se', 'présente', 'aux', 'urgences', 'avec', 'une', 'tension', 'artérielle', 'de', '160/105', 'mmHg.'], ['Elle', 'était', 'en', 'bon', 'état', 'général,', 'avec', 'seulement', 'de', 'légers', 'maux', 'de', 'tête,', 'ce', 'qui', 'a', 'motivé', 'la', 'prise', 'de', 'sa', 'tension', 'artérielle.'], ['Après', '4', 'heures', 'de', 'repos,', 'elle', 'a', 'présenté', 'une', 'tension', 'artérielle', 'de', '150/95', 'mmHg.'], [""L'hémogramme"", 'est', 'normal', 'et', 'la', 'protéinurie', 'est', 'négative.'], ['Quel', 'est', 'le', 'type', ""d'hypertension"", 'présent', '?'], ['1-', 'Pré-éclampsie', 'modérée.'], ['2-', ""L'hypertension"", 'induite', 'par', 'la', 'grossesse.'], ['3-', ""L'hypertension"", 'chronique.'], ['4-', ""L'éclampsie.""], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '3'], [""L'hypertension"", 'chronique', 'est', 'définie', 'comme', 'une', 'hypertension', 'présente', 'avant', 'la', 'grossesse', 'ou', 'diagnostiquée', 'avant', 'la', '20e', 'semaine', 'de', 'gestation.'], ['Dans', 'ce', 'cas,', 'la', 'patiente', 'est', 'enceinte', 'de', '10', 'semaines,', 'la', 'réponse', 'correcte', 'est', 'donc', '3.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+531_58,"[['QUESTION', 'TYPE:', 'ONCOLOGIE'], ['CLINICAL', 'CASE', ':'], ['Face', 'à', 'un', 'patient', 'présentant', 'une', 'lésion', 'ulcérovégétante', 'de', 'la', 'gencive', 'mandibulaire', 'au', 'niveau', 'de', 'la', 'région', 'molaire', 'de', '5', 'mois', ""d'évolution,"", ""l'apparition"", ""d'une"", 'hypoesthésie', 'dans', 'la', 'région', 'mentonnière', 'doit', 'être', 'écartée', ':'], ['1-', 'Neuropathie', 'paranéoplasique.'], ['2-', 'Diagnostic', 'de', 'sarcoïdose', 'avec', 'paralysie', 'faciale', '""sur', 'l\'échelle"".'], ['3-', ""L'infection"", 'par', 'le', 'virus', 'de', ""l'herpès"", 'chez', 'le', 'patient', 'immunodéprimé.'], ['4-', 'Diagnostic', 'de', 'carcinome', 'avec', 'infiltration', 'du', 'canal', 'mandibulaire.'], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '4'], ['Les', 'paresthésies', 'mentonnières', '(signe', 'de', 'Roger)', 'sont', 'associées', 'à', 'des', 'métastases', 'osseuses', '(il', 'ne', ""s'agit"", 'pas', ""d'une"", 'paranéoplasie', 'mais', ""d'une"", 'infiltration', 'directe).'], ['Dans', 'ce', 'cas,', 'vous', 'décrivez', 'une', 'tumeur', 'buccale', 'se', 'développant', 'localement', 'et', 'infiltrant', 'le', 'canal', 'mandibulaire,', 'je', 'crois.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+93_31,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE,', 'VÉNÉRÉOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE', ':'], ['Un', 'garçon', 'de', '17', 'ans', 'atteint', ""d'une"", 'maladie', 'de', 'Crohn', 'avec', 'atteinte', 'colique', 'depuis', '2', 'ans', ""d'évolution,"", 'en', 'traitement', ""d'entretien"", 'par', 'azathioprine,', 'consulte', 'pour', ""l'apparition"", 'depuis', '5', 'jours', 'de', 'nodules', 'sous-cutanés', 'rouge', 'violacé,', 'chauds,', 'douloureux,', 'bilatéraux,', 'de', 'localisation', 'prétibiale,', 'associés', 'à', 'une', 'augmentation', 'du', 'nombre', 'de', 'selles', 'et', 'à', 'des', 'douleurs', 'abdominales.'], [""L'approche"", 'la', 'plus', 'appropriée', 'dans', 'ce', 'cas', 'est', 'la', 'suivante', ':'], ['1-', 'Recommander', 'un', 'repos', 'relatif', 'et', 'des', 'linges', 'chauds', 'sur', 'les', 'deux', 'jambes', 'et', 'ajouter', 'un', 'traitement', 'antidépresseur.'], ['2-', 'Faire', 'une', 'biopsie', 'des', 'zones', 'cutanées', 'éloignées', 'des', 'zones', 'lésées', 'et', 'prescrire', 'des', 'analgésiques', 'opioïdes', ""d'entrée.""], ['3-', 'Suspecter', ""l'existence"", ""d'une"", 'lésion', 'tumorale', 'intestinale', 'maligne', 'comme', 'facteur', 'déclenchant', 'du', 'processus', 'cutané.'], ['4-', 'Suspecter', 'une', 'ischémie', 'bilatérale', 'des', 'membres', 'inférieurs', ""d'origine"", 'médicamenteuse.'], ['5-', 'Ajustement', 'du', 'traitement', 'des', 'maladies', 'intestinales.'], ['CORRECT', 'ANSWER', ':', '5'], ['Les', 'numéros', '2', 'et', '4', 'sont', 'rejetés', 'seuls.'], ['Ils', 'expliquent', ""l'érythème"", 'nodosum,', 'et', 'nous', 'recommandons', 'donc', 'un', 'repos', 'relatif', '(mais', 'les', 'antidépresseurs', ""n'ont"", 'pas', 'de', 'sens,', 'et', 'nous', 'excluons', 'donc', 'également', '(1)).'], ['Bien', 'que', ""l'érythème"", 'nodosum', 'puisse', 'être', 'secondaire', 'à', 'un', 'processus', 'malin,', 'il', 'est', 'plus', 'fréquent', ""qu'il"", 'soit', 'dû', 'à', 'la', 'maladie', 'de', 'Crohn', 'elle-même', '(de', 'plus,', 'chez', 'un', 'garçon', 'de', '17', 'ans,', 'ce', 'serait', 'extrêmement', 'rare),', 'donc', 'si', 'le', 'cas', 'est', 'également', 'accompagné', ""d'une"", 'exacerbation', 'de', 'maladie', 'inflammatoire', 'de', ""l'intestin,"", 'la', 'dernière', 'option', '(5)', 'semble', 'la', 'plus', 'correcte.']]","[['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+390_188,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE', ':'], ['Un', 'homme', 'de', '80', 'ans', 'est', 'amené', 'aux', 'urgences', 'par', 'la', 'police', 'qui', 'le', 'retrouve', 'la', 'nuit,', 'dans', 'la', 'rue,', 'à', 'plusieurs', 'pâtés', 'de', 'maisons', 'de', 'son', 'domicile,', 'quelque', 'peu', 'perdu.'], ['Il', 'dit', 'au', 'médecin', 'urgentiste', ':', '""Je', 'me', 'sens', 'bien,', 'je', 'marchais', 'et', 'je', 'me', 'suis', 'perdu"".'], [""L'examen,"", 'par', 'système,', 'est', 'anodin.'], ['Interrogé', 'sur', 'ses', 'médicaments,', 'il', 'ne', ""s'en"", 'souvient', 'pas.'], ['Ses', 'antécédents', 'comprennent', 'le', 'glipizide,', ""l'aténolol"", 'et', ""l'acénocoumarol.""], ['Elle', ""s'est"", 'rendue', 'trois', 'fois', 'aux', 'urgences', 'au', 'cours', 'des', 'trois', 'derniers', 'mois', 'pour', 'des', '""vertiges"",', 'des', 'douleurs', 'lombaires', 'et', 'un', 'INR', 'de', '5.'], ['Elle', 'fait', 'état', ""d'une"", 'indépendance', 'dans', 'les', 'activités', 'de', 'base', 'et', 'instrumentales', 'de', 'la', 'vie', 'quotidienne.'], ['Il', ""n'y"", 'a', 'aucune', 'preuve', 'de', ""l'existence"", ""d'une"", 'famille', 'ou', ""d'amis"", 'proches.'], ['Plusieurs', 'références', 'du', 'travail', 'social', 'dans', 'la', 'région', 'indiquent', ""qu'elle"", 'refuse', 'les', 'aides', 'ou', 'les', 'visites', 'médicales', 'ou', 'infirmières.'], ['Lors', 'de', ""l'examen"", 'physique,', 'seuls', 'une', 'température', 'de', '37,7,', 'un', 'IMC', 'de', '16,', 'une', 'TA', 'de', '160/90,', 'une', 'FC', 'de', '90', 'et', 'un', 'SO2', 'de', '99', '%', 'ressortent.'], ['Il', 'présente', 'une', 'perte', 'globale', 'de', 'masse', 'musculaire.'], ['Il', 'est', 'vêtu', 'de', 'sa', 'robe', 'de', 'chambre', 'et', 'sent', ""l'urine.""], ['Il', 'refuse', 'de', 'répondre', 'aux', 'questions', 'de', 'Minimental.'], ['Les', 'tests', 'de', 'laboratoire', 'comprennent', '13', '000', 'leucocytes,', 'une', 'glycémie', 'de', '300,', 'une', 'hémoglobine', 'glycosylée', 'de', '11', '%,', 'un', 'INR', 'de', '0,9,', 'une', 'urine', 'contenant', 'plus', 'de', '50', 'leucocytes/champ,', 'des', 'nitrites+', 'et', 'une', 'culture', ""d'urine"", '>', '100', '000', 'bacilles', 'Gram', 'négatifs.'], ['Il', 'est', 'admis', 'à', ""l'hôpital,"", 'reçoit', 'des', 'antibiotiques,', 'de', ""l'insuline"", 'et', 'recommence', 'à', 'prendre', 'de', ""l'acénocoumarol"", 'avec', 'une', 'bonne', 'évolution.'], ['Il', 'est', 'stable', 'et', 'veut', 'rentrer', 'chez', 'lui.'], [""L'infirmière"", 'du', 'service', 'dit', ""qu'il"", 'est', 'incapable', 'de', ""s'administrer"", 'lui-même', 'de', ""l'insuline.""], ['Lequel', 'des', 'éléments', 'suivants', 'est', ""l'étape"", 'suivante', 'pour', 'déterminer', 'la', 'sécurité', 'du', 'patient', 'à', 'son', 'domicile', '?'], ['1-', 'Consulter', 'les', 'services', 'de', 'soins', 'primaires', 'et', 'les', 'services', 'sociaux', 'de', 'la', 'région', 'pour', 'déterminer', 'si', 'le', 'patient', 'est', 'en', 'sécurité', 'à', 'la', 'maison.'], ['2-', 'Évaluation', 'formelle', 'de', 'la', 'capacité', 'à', 'prendre', 'des', 'décisions', 'concernant', 'sa', 'santé.'], ['3-', 'Évaluation', 'pour', 'exclure', 'la', 'démence.'], ['4-', 'Évaluation', 'pour', 'écarter', 'la', 'possibilité', ""d'une"", 'dépression.'], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '2'], [""L'évaluation"", 'de', 'la', 'capacité', 'ne', 'consiste', 'pas', 'à', 'priver', 'le', 'patient', 'de', 'son', 'autonomie,', 'mais', 'à', ""s'assurer"", ""qu'il"", 'comprend', 'et', 'est', 'conscient', 'des', 'conséquences', 'de', 'ses', 'décisions.'], ['En', 'effet,', 'il', ""s'agit"", ""d'une"", 'mesure', 'de', 'protection', 'pour', 'les', 'patients', 'les', 'plus', 'fragiles', 'afin', 'de', 'leur', 'assurer', 'les', 'meilleurs', 'soins.'], ['Ce', ""n'est"", 'pas', 'un', 'psychiatre', 'qui', ""s'en"", 'charge,', 'mais', 'le', 'médecin', 'traitant.'], ['Il', 'existe', 'plusieurs', 'tests', 'ou', 'entretiens', 'semi-structurés', 'permettant', ""d'évaluer"", 'la', 'capacité', 'des', 'patients,', 'et', 'tous', 'les', 'médecins', 'devraient', 'être', 'familiarisés', 'avec', 'ces', 'instruments.'], ['Il', 'est', 'important', 'que', 'ce', 'soit', 'le', 'médecin', 'traitant', 'qui', 'effectue', 'cette', 'évaluation,', 'car', ""c'est"", 'lui', 'qui', 'informe', 'préalablement', 'le', 'patient', '(consentement', 'éclairé)', 'du', 'plan', 'thérapeutique', 'et', 'qui', 'est', 'le', 'mieux', 'à', 'même', ""d'évaluer"", 'si', 'le', 'patient', 'a', 'tout', 'compris', ':', 'quel', 'est', 'le', 'problème', 'médical,', 'quel', 'est', 'le', 'traitement', 'proposé,', 'quelles', 'sont', 'les', 'alternatives', 'éventuelles,', ""s'il"", 'faut', 'les', 'accepter', 'ou', 'les', 'rejeter', 'et', 'pourquoi,', 'quelles', 'sont', 'les', 'conséquences', 'de', 'ces', 'décisions', '(ainsi', 'que', 'celles', 'du', 'refus', 'du', 'traitement),', 'et', 'même', ""l'évaluation"", 'de', 'la', 'psychopathologie', 'susceptible', 'de', 'faire', ""l'objet"", ""d'une"", 'PCI', 'à', 'la', 'psychiatrie.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 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+577_105,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE', ':'], ['Un', 'homme', 'de', '45', 'ans', 'est', 'amené', 'à', 'la', 'consultation', 'par', 'ses', 'proches', 'pour', 'une', 'perte', 'de', 'mémoire', 'qui', 'dure', 'depuis', 'un', 'an', 'et', 'qui', 'a', 'progressé', 'au', 'point', 'de', 'nécessiter', 'une', 'aide', 'pour', 'certaines', 'activités', 'de', 'la', 'vie', 'quotidienne.'], ['Il', 'a', 'des', 'antécédents', 'de', 'migraines', 'et', 'de', 'quelques', 'épisodes', 'de', 'troubles', 'neurologiques', 'autolimités', 'pour', 'lesquels', 'il', ""n'a"", 'jamais', 'consulté.'], [""L'examen"", 'neuropsychologique', 'est', 'compatible', 'avec', 'une', 'démence', 'initiale', 'et', ""l'IRM"", 'cérébrale', 'montre', 'une', 'leucoencéphalopathie', 'sévère.'], ['Quel', 'test', 'faut-il', 'demander', '?'], ['1-', 'Ponction', 'lombaire', 'pour', 'analyser', 'les', 'protéines', 'amyloïdes', 'et', 'protéines', 'tau', 'dans', 'le', 'LCR.'], ['2-', 'Etude', 'génétique', 'de', 'la', 'préséniline', '1', '(PSEN1).'], ['3-', 'Etude', 'génétique', 'pour', 'NOTCH3.'], ['4-', 'Etude', 'génétique', 'de', 'la', 'progranuline.'], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '3'], ['Ils', 'décrivent', 'un', 'cas', 'caractéristique', 'de', 'CADASIL', '(Cerebral', 'Autosomal', 'Dominant', 'Arteriopathy', 'with', 'Sub-cortical', 'Infarcts', 'and', 'Leukoencephalopathy).'], ['Il', ""s'agit"", ""d'une"", 'maladie', 'génétique', 'à', 'transmission', 'autosomique', 'dominante', 'due', 'à', 'une', 'mutation', 'du', 'gène', 'NOTCH3.'], ['Cette', 'mutation', 'provoque', 'une', 'atteinte', 'vasculaire', 'des', 'petits', 'vaisseaux', 'qui', 'génère', 'une', 'leucoencéphalopathie', 'sévère', 'précoce,', 'à', ""l'origine"", 'de', 'divers', 'symptômes.'], ['Les', 'migraines,', 'les', 'maladies', 'cérébrovasculaires', 'et', 'les', 'troubles', 'cognitifs', 'à', 'un', 'âge', 'précoce', 'se', 'distinguent,', 'comme', 'le', 'montre', 'le', 'cas', 'clinique', 'de', 'la', 'question.']]","[['O', 'O', 'O'], ['O', 'O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
+615_118,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE', ':'], ['Un', 'homme', 'de', '41', 'ans', 'consulte', 'pour', 'des', 'gonalgies', 'évoluant', 'depuis', 'plusieurs', 'jours.'], ['Au', 'cours', 'de', ""l'examen,"", 'le', 'test', 'de', 'Thessaly', 'est', 'effectué', '(douleur', 'lors', 'des', 'mouvements', 'de', 'rotation', 'interne', 'et', 'externe', 'avec', 'le', 'genou', 'fléchi),', 'qui', 'est', 'positif.'], ['Laquelle', 'des', 'lésions', 'suivantes', 'est', 'la', 'plus', 'probable', '?'], ['1-', 'Lésion', 'méniscale.'], ['2-', 'Blessure', 'par', 'rupture', 'du', 'ligament', 'croisé', 'antérieur.'], ['3-', 'Blessure', 'par', 'rupture', 'du', 'ligament', 'croisé', 'postérieur.'], ['4-', 'Lésion', 'due', 'à', 'une', 'arthropathie', 'dégénérative.'], ['5-', 'nan'], ['CORRECT', 'ANSWER', ':', '1'], ['Réponse', '1', 'correcte', ':', 'Le', 'test', 'de', 'Thessaly', 'est', 'une', 'manœuvre', ""d'exploration"", 'méniscale.'], ['La', 'déclaration', 'se', 'concentre', 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