id,text,labels
190_94,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '18', 'mois,', 'dont', 'le', 'calendrier', 'de', 'vaccination', 'était', 'complet', 'à', 'ce', 'jour,', 'a', 'consulté', 'le', 'service', 'des', 'urgences', 'pour', 'un', 'gonflement', 'du', 'genou', 'droit', 'après', 'avoir', 'joué', 'dans', 'un', 'parc,', 'sans', 'traumatisme', 'évident.'], ['Dans', ""l'anamnèse"", 'dirigée,', 'la', 'mère', 'mentionne', ""qu'un"", 'de', 'ses', 'oncles', 'a', 'eu', 'des', 'problèmes', 'similaires.'], [""L'examen"", 'échographique', 'était', 'compatible', 'avec', 'une', 'hémarthrose', 'et', ""l'analyse"", ""n'a"", 'montré', ""qu'un"", 'allongement', 'du', 'TCA', 'de', ""52''"", '(normal', ""25-35'').""], ['Quelle', 'est', ""l'hypothèse"", 'diagnostique', 'la', 'plus', 'probable', '?'], ['1-', 'Syndrome', 'de', 'Marfan.'], ['2-', 'La', 'maladie', 'de', 'Von-Willebrand.'], ['3-', 'La', 'maladie', ""d'Ehlers-Danlos.""], ['4-', ""L'hémophilie"", 'A.'], ['5-', 'La', 'maladie', 'de', 'Bernard-Soulier.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Bien', 'que', ""d'autres"", 'troubles', 'de', 'la', 'coagulation', 'puissent', 'entraîner', 'un', 'allongement', 'du', 'temps', 'de', 'thromboplastine,', 'sur', 'la', 'base', 'de', ""l'intensité"", 'de', 'la', 'lésion,', 'du', 'sexe', 'de', ""l'enfant"", 'et', 'de', 'ses', 'antécédents', 'familiaux,', 'le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'celui', 'de', ""l'hémophilie.""]]","[['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'], ['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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
150_201,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Nous', 'sommes', 'consultés', 'par', 'une', 'femme', 'de', '84', 'ans', 'qui', 'souffre', ""d'insomnies"", 'dues', 'à', ""l'équilibre"", 'entre', 'sa', 'vie', 'professionnelle', 'et', 'sa', 'vie', 'privée.'], ['Après', ""l'échec"", 'des', 'mesures', ""d'hygiène"", 'du', 'sommeil,', 'il', 'a', 'été', 'décidé', 'de', 'commencer', 'un', 'traitement', 'pharmacologique.'], ['Parmi', 'les', 'médicaments', 'suivants,', 'lequel', 'choisiriez-vous', 'pour', 'ce', 'patient', '?'], ['1-', 'Diazépam.'], ['2-', 'Lormetacepam.'], ['3-', 'Fénobarbital.'], ['4-', 'Chlordiazepoxide.'], ['5-', 'Chloracepate.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Sachant', 'que', 'nous', 'avons', 'pris', 'des', 'mesures', ""d'hygiène"", 'du', 'sommeil,', 'que', 'nous', 'avons', 'exploré', 'les', 'causes', 'de', 'son', 'insomnie,', ""qu'il"", 'ne', 'dort', 'pas', 'neuf', 'heures', 'et', ""qu'il"", 'souhaite', 'toujours', 'dormir', 'davantage,...', 'la', 'réponse', 'la', 'moins', 'préjudiciable', 'est', '2.'], ['Parce', ""qu'il"", 'a', 'la', 'demi-vie', 'la', 'plus', 'courte', 'et', 'que', 'vous', 'ne', 'voulez', 'pas', 'que', 'la', 'femme', 'tombe', 'le', 'lendemain.']]","[['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'], ['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'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', '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']]"
454_153,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '65', 'ans', 'consulte', 'pour', 'une', 'faiblesse', 'de', 'la', 'main', 'droite', 'qui', ""s'est"", 'étendue', 'en', 'quelques', 'mois', 'à', ""d'autres"", 'territoires', 'musculaires', 'des', 'deux', 'bras', 'et', 'des', 'deux', 'jambes,', 'principalement', 'distaux.'], ['À', ""l'examen,"", 'on', 'observe', 'une', 'atrophie', 'et', 'des', 'fasciculations', 'dans', 'différents', 'territoires', 'métamériques', 'avec', 'une', 'sensibilité', 'préservée.'], ['Le', 'signe', 'de', 'Babinski', 'est', 'bilatéral.', 'Quel', 'est', 'le', 'test', 'diagnostique', 'qui', 'confirmerait', 'le', 'diagnostic', 'suspecté', '?'], ['1-', 'Tomodensitométrie', 'cérébral.'], ['2-', 'Etude', 'électromyographique.'], ['3-', 'IRM', 'cérébrale.'], ['4-', 'Potentiels', 'évoqués', 'multimodaux.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'réponse', 'est', '2,', 'un', 'EMG,', 'qui', 'serait', 'le', 'test', 'diagnostique', 'pour', 'confirmer', 'le', 'diagnostic', 'suspect', 'de', 'SLA.', 'Les', 'tests', ""d'imagerie"", 'tels', 'que', 'le', 'scanner,', 'mais', 'surtout', ""l'IRM,"", 'nous', 'aideraient', 'à', 'écarter', 'la', 'possibilité', ""d'une"", 'SLA,', 'mais', 'ne', 'permettraient', 'pas', 'de', 'confirmer', 'le', 'diagnostic.']]","[['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'], ['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', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-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', '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']]"
541_5,,
602_112,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '61', 'ans,', 'administrative,', 'avec', 'des', 'antécédents', 'de', 'surpoids,', ""d'hypertension,"", 'de', 'dyslipidémie', 'et', 'de', 'syndrome', 'métabolique,', 'consulte', 'pour', 'des', 'douleurs', 'dans', 'les', 'deux', 'fesses,', 'la', 'région', 'trochantérienne', 'gauche,', 'la', 'face', 'latérale', 'de', 'la', 'cuisse', 'gauche', ""jusqu'au"", 'genou', 'et', 'la', 'jambe', 'gauche', ""jusqu'au"", 'tiers', 'moyen.'], ['La', 'douleur', 'survient', 'lorsque', 'le', 'membre', 'inférieur', 'est', 'soulevé', 'avec', 'le', 'genou', 'en', 'extension,', 'mais', 'elle', 'est', 'soulagée', 'par', 'la', 'flexion', 'du', 'genou.'], ['Quelle', 'est', 'la', 'première', 'suspicion', 'clinique', '?'], ['1-', 'Arthrite', 'goutteuse', 'de', 'la', 'hanche', 'gauche.'], ['2-', 'Arthrose', 'coxo-fémorale', 'gauche.'], ['3-', 'Lombalgie', 'irradiée', '/', 'lombosciatique.'], ['4-', 'Claudication', 'due', 'à', 'une', 'sténose', 'canalaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Dans', 'ce', 'cas,', ""lorsqu'ils"", 'parlent', 'de', '""réapparition', 'des', 'symptômes', ""lorsqu'on"", 'soulève', 'le', 'membre', 'inférieur', 'avec', 'le', 'genou', 'en', 'extension"",', 'ils', 'décrivent', 'la', 'manœuvre', 'de', 'Lasègue.'], ['Cette', 'manœuvre', 'est', 'positive', 'en', 'cas', 'de', 'lombosciatique,', 'car', 'elle', 'provoque', 'un', 'étirement', 'du', 'nerf', 'sciatique.', 'La', 'bonne', 'réponse', 'est', 'donc', 'le', 'numéro', '3.'], ['Les', 'autres', 'pathologies', ""n'ont"", 'pas', 'de', 'manœuvre', 'de', 'Lasègue', 'positive,', 'ces', 'options', 'ne', 'sont', 'donc', 'pas', 'correctes.']]","[['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'], ['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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-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'], ['O', 'B-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', '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'], ['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']]"
127_77,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'NEUROCHIRURGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'diabétique', 'de', '32', 'ans,', 'traité', 'à', ""l'insuline"", 'et', 'dont', 'la', 'glycémie', 'était', 'bien', 'contrôlée,', ""s'est"", 'présenté', 'à', 'la', 'clinique', 'avec', 'des', 'fourmillements', 'dans', 'les', 'deux', 'mains,', 'une', 'sensation', ""d'engourdissement"", 'et', 'une', 'insensibilité', 'thermique', 'qui', 'se', 'sont', 'développées', 'progressivement', 'au', 'cours', 'des', 'deux', 'dernières', 'semaines.'], ['Il', 'ne', 'signale', 'pas', 'de', 'troubles', 'visuels,', 'de', 'déficits', 'de', 'force,', 'de', 'maladresses', 'motrices', 'ou', ""d'autres"", 'symptômes.'], ['À', ""l'examen,"", 'il', 'a', 'constaté', 'une', 'anesthésie', 'de', 'la', 'douleur', 'et', 'de', 'la', 'température', 'dans', 'les', 'deux', 'mains', 'et', 'les', 'avant-bras', 'distaux', ';', 'la', 'sensibilité', 'positionnelle', 'et', 'vibratoire', 'était', 'préservée.'], ['Pas', ""d'atrophie"", 'musculaire', 'ni', 'de', 'déficit', 'de', 'force.'], ['Les', 'réflexes', 'musculaires', 'sont', 'normaux', 'et', 'symétriques.'], ['Pas', 'de', 'dysmétrie,', 'de', 'dysdiadochokinésie', 'ou', 'de', 'tremblement', 'intentionnel.'], ['Le', 'reste', 'de', ""l'examen"", 'neurologique', 'est', 'strictement', 'normal.'], ['Indiquez', 'le', 'diagnostic', 'le', 'plus', 'probable', 'dans', 'ce', 'cas', ':'], ['1-', 'Neuropathie', 'périphérique', 'sensitivo-symétrique', 'distale', ""d'origine"", 'diabétique.'], ['2-', 'Lésion', 'par', 'compression', 'de', 'la', 'moelle', 'épinière', 'cervicale.'], ['3-', 'Syndrome', 'du', 'canal', 'carpien', 'bilatéral.'], ['4-', 'Maladie', 'démyélinisante', 'de', 'type', 'sclérose', 'en', 'plaques.'], ['5-', 'Lésion', 'de', 'la', 'moelle', 'épinière', 'cervicale', 'centrale.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Cette', 'année,', 'la', 'question', 'de', 'la', 'chienne', 'de', 'la', 'section', 'Neurologie.'], ['Il', 'présente', 'un', 'patient', 'diabétique', 'traité', 'à', ""l'insuline"", 'avec', 'un', 'bon', 'contrôle', '(bien', 'que', 'les', 'neuropathies', 'diabétiques', 'ne', 'se', 'développent', 'pas', 'seulement', 'chez', 'les', 'patients', 'avec', 'un', 'mauvais', 'contrôle)', 'avec', 'des', 'symptômes', 'sensoriels', 'limités', 'aux', 'membres', 'supérieurs', 'et', 'de', 'courte', 'durée,', 'sans', 'symptômes', 'moteurs', 'ou', 'à', 'tout', 'autre', 'niveau.'], ['A', ""l'examen,"", 'il', 'y', 'a', 'une', 'dissociation', 'claire', 'avec', ""l'anesthésie"", 'thermoalgique', 'et', 'la', 'préservation', 'de', ""l'anesthésie"", 'arthrokinétique', 'et', 'vibratoire.'], ['Les', 'réflexes', 'sont', 'normaux,', 'ni', 'abolis', 'ni', 'exagérés.'], ['Le', 'reste', 'de', ""l'exploration"", 'est', 'tout', 'à', 'fait', 'normal.'], ['Je', 'pense', 'que', 'la', 'bonne', 'réponse', 'est', '5,', ""c'est-à-dire"", 'une', 'lésion', 'syringomyélique', 'dont', 'la', 'caractéristique', 'initiale', 'est', 'la', 'dissociation', 'sensorielle', 'avec', 'anesthésie', 'pour', 'la', 'thermoalgésie', 'et', 'préservation', 'des', 'chordae', 'postérieures.'], ['La', 'sclérose', 'en', 'plaques', 'et', ""d'autres"", 'lésions', 'de', 'la', 'moelle', 'épinière', ""s'accompagneraient"", ""d'autres"", 'signes', 'exploratoires', 'tels', 'que', ""l'exaltation"", 'des', 'réflexes,', 'pour', 'le', 'canal', 'carpien', ""l'exploration"", 'dépasse', 'le', 'territoire', 'distal', 'du', 'carpe,', 'et', 'comme', 'pour', 'la', 'réponse', '1,', 'bien', ""qu'il"", 'existe', 'des', 'formes', 'de', 'polyneuropathie', 'périphérique', '""pseudosyringomyélique"",', 'elles', 'sont', 'généralement', ""d'origine"", 'lombaire.'], ['Le', 'temps', ""d'évolution"", 'très', 'court', '(2', 'semaines),', 'le', 'respect', 'des', 'membres', 'inférieurs', 'et', 'la', 'préservation', 'des', 'réflexes', 'musculaires', 'me', 'font', 'écarter', 'cette', 'réponse', 'malgré', 'la', 'répartition', 'en', '""gants"".']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 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316_138,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '37', 'ans', 'présente', 'une', 'arthrite', 'des', 'articulations', 'métacarpophalangiennes', 'des', 'deux', 'mains', 'et', 'une', 'pleurite', 'droite.'], [""L'examen"", 'a', 'révélé', 'un', 'érythème', 'malaire', 'bilatéral.'], ['Des', 'anticorps', 'antinucléaires', 'positifs', 'sont', 'détectés', '(titre', '1/640),', 'avec', 'des', 'anticorps', 'anti-ADN', 'natif', 'également', 'positifs', ';', 'anti-Sm', 'négatif', 'Quel', 'serait', 'le', 'traitement', 'initial', 'de', 'choix', 'pour', 'ce', 'patient', '?'], ['1-', 'Glucocorticoïdes', 'à', 'haute', 'dose.'], ['2-', 'Glucocorticoïdes', 'et', 'mycophénolate.'], ['3-', 'Les', 'anti-inflammatoires', 'non', 'stéroïdiens', 'et', 'les', 'antipaludéens.'], ['4-', 'Le', 'cas', 'est', 'susceptible', 'de', 'se', 'resoudre', 'de', 'lui-même', 'et', 'ne', 'nécessite', 'pas', 'de', 'traitement.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['SLE', 'avec', 'atteinte', 'articulaire', 'et', 'cutanée', 'et', 'sérosité.'], ['Le', 'traitement', 'est', 'la', 'CE', 'à', 'des', 'doses', 'modérées-élevées.'], ['Le', 'mycophénolate', ""n'est"", 'jamais', 'un', 'traitement', 'de', 'la', 'phase', 'aiguë', 'mais', 'un', 'traitement', ""d'entretien,"", 'et', 'son', 'utilité', ""n'a"", 'pas', 'été', 'démontrée', 'en', 'cas', ""d'atteinte"", 'articulaire.']]","[['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'], ['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', 'B-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', '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'], ['O', 'O'], ['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', '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']]"
153_74,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '75', 'ans', 'a', 'consulté', 'pour', 'des', 'lésions', 'violacées', 'sur', 'les', 'mains', 'et', 'le', 'cou,', 'accompagnées', ""d'une"", 'faiblesse', 'musculaire', 'progressive', 'depuis', '3', 'mois.'], ['Quels', 'sont', 'les', 'tests', 'diagnostiques,', 'parmi', 'ceux', 'qui', 'sont', 'indiqués,', 'qui', 'peuvent', 'être', 'utiles', 'pour', 'le', 'diagnostic', '?'], ['1-', 'Détermination', 'de', ""l'aldolase"", 'sérique.'], ['2-', ""L'électroencéphalogramme.""], ['3-', 'Biopsie', 'du', 'tissu', 'cellulaire', 'sous-cutané.'], ['4-', 'Détermination', 'des', 'anticorps', 'anti-muscle', 'lisse.'], ['5-', 'Étude', 'génétique', 'de', 'leurs', 'descendants.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Compte', 'tenu', 'de', 'ce', 'tableau', 'clinique,', 'la', 'possibilité', ""d'une"", 'dermatomyosite', 'est', 'envisageable.'], ['Parmi', 'les', 'tests', 'proposés,', 'la', 'détermination', 'de', ""l'aldolase"", 'sérique', 'peut', 'être', 'utile.'], ['Son', 'élévation', 'est', 'caractéristique', 'de', 'la', 'maladie.'], ['La', 'biopsie', 'doit', 'être', 'musculaire', 'et', 'non', 'sous-cutanée.'], ['Les', 'anticorps', 'anti-muscle', 'lisse', 'ne', 'sont', 'pas', 'spécifiques', 'à', 'cette', 'maladie.']]","[['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'], ['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'], ['O', 'B-Claim'], ['O', 'B-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', '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'], ['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'], ['B-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']]"
369_122,,
413_68,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'CARDIOVASCULAIRE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '87', 'ans', 'ayant', 'des', 'antécédents', ""d'hypertension,"", 'admise', 'il', 'y', 'a', '48', 'heures', 'dans', ""l'unité"", 'coronaire', 'pour', 'un', 'infarctus', 'aigu', 'du', 'myocarde', 'avec', 'un', 'sus-décalage', 'du', 'segment', 'ST', 'en', 'position', 'antérieure.'], ['Met', 'en', 'garde', 'contre', 'la', 'dyspnée.'], [""L'examen"", 'a', 'révélé', 'un', 'souffle', 'systolique', 'avec', 'frémito,', 'irradiant', 'vers', 'le', 'bord', 'sternal', 'droit,', 'qui', ""n'était"", 'pas', 'présent', 'à', ""l'admission.""], ['Quelle', 'complication', 'suspectez-vous', '?'], ['1-', 'Insuffisance', 'cardiaque', 'due', 'à', 'une', 'nécrose', 'importante.'], ['2-', 'Anévrisme', 'antérieur.'], ['3-', 'Rupture', 'de', 'la', 'paroi', 'libre', 'du', 'ventricule', 'gauche.'], ['4-', 'Rupture', 'du', 'septum', 'interventriculaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Rupture', 'du', 'septum', 'interventriculaire.'], ['Les', 'complications', 'mécaniques', 'sont', 'typiques', 'des', 'infarctus', 'chez', 'les', 'femmes', 'âgées.'], ['De', 'même,', 'un', 'souffle', 'qui', ""n'était"", 'pas', 'présent', 'indique', 'une', 'circulation', 'sanguine', 'anormale', ':', 'les', 'complications', 'les', 'plus', 'courantes', 'sont', ""l'insuffisance"", 'mitrale,', 'qui', 'se', 'manifeste', 'par', 'un', 'souffle', 'musical', 'ou', 'de', 'piante,', 'et', 'la', 'VSD,', 'qui', 'se', 'manifeste', 'par', 'un', 'souffle', 'irradiant', 'vers', 'le', 'bord', 'droit', '(pensez', 'à', 'la', 'direction', 'de', 'la', 'circulation', 'sanguine).']]","[['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'], ['B-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'], ['O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-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', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O'], ['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'], ['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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
314_178,"[['QUESTION', 'TYPE:', 'ONCOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'adénocarcinome', 'pancréatique', 'de', 'stade', 'IV', 'a', 'été', 'diagnostiqué', 'il', 'y', 'a', '8', 'mois', 'chez', 'un', 'patient', 'de', '66', 'ans.'], ['Il', 'est', 'traité', 'avec', 'de', 'la', 'morphine', 'à', 'libération', 'retardée', '200', 'mg/12', 'heures', 'par', 'voie', 'orale,', 'de', 'la', 'paraffine', 'et', 'du', 'lactulose.'], ['Depuis', '15', 'jours,', 'elle', 'se', 'plaint', 'de', 'paresthésies', 'et', 'de', 'douleurs', 'lancinantes', 'occasionnelles', 'dans', 'la', 'région', 'lombaire', 'et', 'périombilicale', 'droite,', 'qui', 'ne', 'disparaissent', 'pas', 'avec', 'la', 'morphine', 'de', 'secours.'], [""L'examen"", 'neurologique', 'est', 'normal.'], ['Indiquez', 'quel', 'serait', 'le', 'traitement', 'le', 'plus', 'approprié', ':'], ['1-', 'Réaliser', 'une', 'tomodensitométrie', 'et', 'évaluer', 'la', 'compression', 'nerveuse', 'car', 'il', ""s'agit"", ""d'une"", 'douleur', 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616_119,"[['QUESTION', 'TYPE:', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '13', 'ans,', 'sans', 'antécédents', 'pertinents,', 'avec', 'ménarche', 'depuis', '3', 'mois,', 'suivie', 'depuis', ""l'âge"", 'de', '10', 'ans', 'pour', 'une', 'scoliose', 'idiopathique', 'qui', ""s'est"", 'aggravée.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'bosse', 'de', '7', 'degrés', 'au', 'test', ""d'Adams"", 'et,', 'sur', 'le', 'scoliogramme,', 'une', 'courbe', 'thoraco-lombaire', 'T4-L1', 'de', '35', 'degrés', 'de', 'Cobb', 'et', 'un', 'Risser', 'de', '0.'], [""L'attitude"", 'à', 'adopter', 'sera', 'la', 'suivante', ':'], ['1-', 'Recommander', 'la', 'natation', 'et', 'revoir', 'la', 'situation', 'dans', 'trois', 'mois.'], ['2-', 'Prescrire', 'une', 'orthèse', 'de', 'type', 'corset.'], ['3-', 'Consulter', 'un', 'kinésithérapeute', 'pour', ""l'élasticité"", 'de', 'la', 'colonne', 'vertébrale.'], ['4-', 'Réexamen', 'dans', '6', 'mois', 'avec', 'une', 'nouvelle', 'radiographie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Orthèses.'], ['Angle', 'de', 'Cobb', 'entre', '25º', 'et', '45º.'], ['Squelette', 'immature', '(Risser', '0).']]","[['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'], ['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'], ['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'], ['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', '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'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-Claim', 'I-Claim', 'B-Premise', 'I-Premise']]"
489_105,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Patient', 'de', '67', 'ans', 'qui,', 'au', 'cours', 'des', 'six', 'derniers', 'mois,', 'a', 'présenté', 'une', 'lymphocytose', 'progressive', 'lors', 'de', 'deux', 'analyses', 'de', 'routine.'], ['Chez', 'ces', 'derniers,', 'hémoglobine', '15,4', 'g/dl', ';', 'leucocytes', '18,5', 'x103/μL', 'avec', '82', '%', 'de', 'lymphocytes', 'matures', 'exprimant', 'les', 'antigènes', 'CD5/CD19/CD23', 'par', 'cytométrie', 'de', 'flux', 'et', 'plaquettes', '240', 'x103/μL.'], ['Quelle', 'attitude', 'pensez-vous', 'être', 'la', 'bonne', '?'], ['1-', 'Etude', 'des', 'mutations', 'TP53', 'pour', 'établir', 'le', 'pronostic.'], ['2-', 'Aspiration/biopsie', 'osseuse', 'pour', 'confirmer', 'le', 'diagnostic.'], ['3-', 'TEP/tomodensitométrie', 'pour', 'établir', ""l'approche"", 'thérapeutique.'], ['4-', 'Nouveau', 'contrôle', 'clinique', 'et', 'analytique', 'dans', 'les', '6', 'mois.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Le', 'patient', 'a', 'déjà', 'reçu', 'un', 'diagnostic', 'de', 'leucémie', 'lymphoïde', 'chronique', 'B', '(LLC-B),', 'présente', 'une', 'lymphocytose', 'qui', 'persiste', 'depuis', 'plus', 'de', '3', 'mois', 'et', 'a', 'un', 'phénotype', 'compatible', 'avec', 'cette', 'leucémie', 'par', 'cytométrie', 'de', 'flux.'], ['Par', 'conséquent,', 'nous', 'devons', ""d'abord"", 'connaître', 'les', 'facteurs', 'de', 'risque', 'qui', 'indiqueront', 'la', 'priorité', 'avec', 'laquelle', 'le', 'traitement', 'devra', 'être', 'initié,', ""l'intensité"", 'de', 'ces', 'facteurs', 'et', 'leur', 'pronostic,', 'dont', 'dépend', 'la', 'présence', 'de', 'mutations', 'TP53', 'ou', 'de', 'délétions', '17p.'], [""L'aspiration"", 'ou', 'la', 'biopsie', 'de', 'la', 'moelle', 'osseuse', ""n'est"", 'indiquée', 'que', ""s'il"", 'existe', ""d'autres"", 'cytopénies', 'associées', 'qui', 'ne', 'sont', 'pas', 'justifiées', 'par', 'la', 'LLC-B', 'elle-même,', 'la', 'TEP-TDM', ""n'est"", 'indiquée', 'que', 'si', ""l'on"", 'soupçonne', 'un', 'syndrome', 'de', 'Ritcher', 'et', 'que', 'les', 'données', 'sont', 'insuffisantes', 'pour', 'le', 'suspecter,', ""qu'il"", ""n'y"", 'a', 'pas', 'de', 'symptômes', 'B', 'et', ""qu'il"", ""n'est"", 'pas', 'fait', 'mention', ""d'une"", 'élévation', 'de', 'la', 'LDH.']]","[['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', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', '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', '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'], ['O', 'B-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', '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-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', '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', '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']]"
534_119,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '45', 'ans,', 'ayant', 'des', 'antécédents', 'de', 'reflux', 'gastro-œsophagien,', 'présente', 'depuis', 'un', 'an', 'des', 'épisodes', 'de', 'pâleur', 'de', 'certains', 'doigts', 'au', 'froid.'], ['On', 'lui', 'avait', 'récemment', 'prescrit', 'de', 'la', 'prednisone', 'à', 'raison', 'de', '20', 'mg/jour', 'pour', 'des', 'douleurs', 'articulaires', 'et', 'une', 'induration', 'cutanée', 'sur', 'les', 'mains', 'et', 'les', 'bras.'], ['Elle', 'se', 'sentait', 'mal', 'depuis', '48', 'heures', 'et', 'souffrait', 'de', 'violents', 'maux', 'de', 'tête,', 'ce', 'qui', ""l'a"", 'conduite', 'au', 'service', 'des', 'urgences.'], [""L'examen"", ""n'a"", 'révélé', ""qu'une"", 'tachycardie', 'rythmique', 'à', '100', 'bpm,', 'sans', 'focalité', 'neurologique.'], ['La', 'tension', 'artérielle', 'est', 'de', '200/110', 'mmHg.'], [""L'analyse"", 'de', 'sang', ""n'a"", 'révélé', ""qu'un"", 'taux', 'de', 'créatinine', 'de', '2,5', 'mg/dl.'], ['Indiquez', 'lequel', 'des', 'auto-anticorps', 'suivants', 'correspond', 'le', 'mieux', 'au', 'processus', 'décrit', ':'], ['1-', 'Anticorps', 'anti-ARN', 'polymérase', 'III.'], ['2-', 'Les', 'anticorps', 'anti-centromères.'], ['3-', 'Anticorps', 'anti-protéinase', '3.'], ['4-', 'Anticorps', 'anti-PM-Scl.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Il', ""s'agit"", ""d'un"", 'cas', 'clinique', 'clair', 'de', 'sclérose', 'systémique', '(Raynaud,', 'atteinte', 'de', ""l'œsophage,"", 'induration', 'cutanée)', 'présentant', 'une', 'crise', 'rénale.'], ['Outre', 'les', 'anticorps', 'anti-protéinase', '3,', 'qui', 'ne', 'sont', 'pas', 'associés', 'à', 'la', 'sclérodermie', '(réponse', 'incorrecte', '3),', 'les', 'anticorps', 'anti', 'ARN', 'polymérase', 'III,', 'qui', 'apparaissent', 'chez', 'les', 'jeunes', 'patients', 'présentant', 'des', 'crises', 'rénales,', 'sont', 'les', 'plus', 'probables.']]","[['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'], ['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'], ['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'], ['B-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'], ['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'], ['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-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
273_71,"[['QUESTION', 'TYPE:', 'SYSTÈME', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Un', 'jeune', 'homme', 'de', '18', 'ans,', 'ayant', 'des', 'antécédents', ""d'asthme,"", ""d'allergie"", 'aux', 'pollens,', 'aux', 'acariens', 'et', 'aux', 'poils', 'de', 'chat,', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'en', 'se', 'plaignant', ""d'une"", 'sensation', ""d'impaction"", 'alimentaire', 'rétrosternale', 'avec', 'une', 'incapacité', 'pratique', 'à', 'avaler', 'sa', 'propre', 'salive.'], ['Il', 'fait', 'référence', 'à', 'des', 'épisodes', 'similaires', 'survenus', 'à', ""d'autres"", 'occasions', 'et', 'qui', 'se', 'sont', 'résorbés', 'spontanément', 'en', ""l'espace"", 'de', 'quelques', 'minutes.'], ['Lequel', 'des', 'diagnostics', 'suivants', 'est', 'le', 'plus', 'probable', '?'], ['1-', ""L'œsophage"", 'de', 'Barrett.'], ['2-', 'Anneau', 'œsophagien', 'distal', '(Schatzki).'], ['3-', ""L'oesophagite"", 'infectieuse.'], ['4-', ""L'oesophagite"", 'à', 'éosinophiles.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", ""d'une"", 'dysphagie', 'intermittente.'], [""L'œsophage"", 'de', 'Barrett', ""n'implique"", 'pas', 'nécessairement', 'un', 'rétrécissement', 'peptique,', 'mais', 'si', ""c'est"", 'le', 'cas,', 'il', 'est', 'progressif.'], [""L'œsophagite"", 'infectieuse', 'est', 'plus', 'fréquente', 'chez', 'les', 'patients', 'immunodéprimés.'], ['Il', 'reste', 'donc', ""l'anneau"", 'œsophagien', 'distal', 'et', ""l'œsophagite"", 'à', 'éosinophiles', ';', 'les', 'deux', 'sont', 'possibles,', 'mais', ""l'insistance"", 'sur', 'le', 'fardeau', 'atopique', 'du', 'patient', 'indique', 'la', 'probabilité', 'de', 'la', 'seconde', 'hypothèse.']]","[['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'], ['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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-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'], ['O', 'O'], ['O', 'O', 'O', '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'], ['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', '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']]"
56_76,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Fille', 'de', '14', 'ans', 'qui', 'consulte', 'pour', 'une', 'diminution', 'de', 'la', 'croissance', 'depuis', '2-3', 'ans', 'auparavant', 'normale', '(elle', 'fournit', 'des', 'données)', 'et', 'que', 'les', 'autres', 'filles', 'de', 'son', 'âge', 'ont', 'un', 'développement', 'physique', 'et', 'sexuel', 'plus', 'important.'], ['Depuis', 'peu,', 'il', 'souffre', 'de', 'maux', 'de', 'tête', 'et', 'de', 'troubles', 'visuels', ""qu'il"", 'remarque', 'en', 'classe', 'et', ""lorsqu'il"", 'étudie.'], [""N'a"", 'pas', 'eu', 'de', 'ménarche', 'ni', 'de', 'polydipsie', 'ou', 'de', 'polyurie.'], ['Parents', 'de', 'taille', 'normale.'], ['Examen', ':', 'petite', 'taille', 'à', '-2,1', 'écarts-types,', 'proportions', 'corporelles', 'normales,', 'peu', 'de', 'poils', 'pubiens', 'et', 'de', 'développement', 'mammaire.'], ['La', 'campimétrie', 'montre', 'une', 'hémianopsie', 'partielle', 'temporale', 'gauche.'], ['Âge', 'osseux', ':', 'retardé', 'de', '2', 'ans.'], ['NFS', 'normale.'], ['Faible', 'taux', 'de', 'gonadotrophines', '(FSH', 'et', 'LH)', 'et', ""d'œstradiol.""], ['Quelle', 'est,', 'selon', 'vous,', 'la', 'réponse', 'la', 'plus', 'appropriée', '?'], ['1-', 'Le', 'ralentissement', 'de', 'la', 'croissance', 'et', 'du', 'développement', 'sexuel,', 'le', 'retard', 'de', ""l'âge"", 'osseux,', 'les', 'céphalées', 'et', 'les', 'troubles', 'visuels', 'suggèrent', 'un', 'déficit', 'hormonal', 'et', 'une', 'atteinte', 'du', 'chiasma', 'optique.'], ['2-', 'Comme', 'il', ""s'agit"", ""d'une"", 'fille', 'en', 'âge', 'de', 'puberté,', 'il', 'est', 'très', 'probable', 'que', 'son', 'retard', 'de', 'croissance', 'et', 'son', 'retard', 'sexuel', 'soient', 'dus', 'au', 'syndrome', 'de', 'Turner.'], ['3-', 'Elle', 'ne', 'doit', 'pas', 'avoir', 'de', 'tumeur', 'hypothalamique', 'du', 'fait', 'de', ""l'absence"", 'de', 'polyurie', 'et', 'de', 'polydipsie.', 'Il', 'a', 'probablement', 'un', 'retard', 'constitutionnel', 'et', 'son', 'problème', 'visuel', 'est', 'un', 'problème', 'de', 'réfraction.'], ['4-', 'Un', 'déficit', 'en', 'hormone', 'de', 'croissance', 'peut', 'expliquer', 'le', 'retard', 'de', 'développement', 'et', 'le', 'faible', 'taux', ""d'oestradiol."", 'Déterminez', 'si', 'elle', 'a', 'besoin', 'de', 'lunettes,', 'en', 'raison', 'de', 'maux', 'de', 'tête', 'et', 'de', 'troubles', 'de', 'la', 'vue.'], ['5-', 'Elle', 'pourrait', 'avoir', 'un', 'craniopharyngiome,', 'mais', 'il', 'serait', 'étrange', ""qu'elle"", ""n'ait"", 'pas', 'présenté', 'de', 'symptômes', 'auparavant.', 'De', 'plus,', 'cela', 'ne', 'justifierait', 'pas', 'un', 'taux', 'de', 'gonadotrophines', 'et', ""d'œstradiol"", 'bas.'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'réponse', '2', 'est', 'fausse', '(syndrome', 'de', 'Turner', ':', 'oestradiol', 'bas', 'et', 'gonadotrophines', 'élevées),', 'les', 'tumeurs', 'cérébrales', 'affectant', ""l'hypothalamus-hypophyse"", 'ne', 'donnent', 'pas', 'de', 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409_191,"[['QUESTION', 'TYPE:', 'SOINS', 'PRIMAIRES'], ['CLINICAL', 'CASE:'], ['Il', 'se', 'rend', 'au', 'domicile', ""d'un"", 'patient', 'en', 'oncologie', 'dont', 'la', 'douleur', ""n'a"", 'pas', 'été', 'bien', 'contrôlée', 'ces', 'derniers', 'temps.'], [""L'examen"", 'physique', 'ne', 'montre', 'aucun', 'signe', 'de', 'progression', 'de', 'la', 'tumeur', 'et', 'ne', 'révèle', 'aucune', 'anomalie', 'antérieure', 'intéressante.'], ['Dans', ""l'anamnèse,"", ""l'aidant"", 'principal', 'déclare', 'que', 'le', 'patient', 'souffre', '8', 'heures', 'après', 'avoir', 'reçu', 'la', 'dose', 'de', 'base', 'prescrite', 'de', 'morphine', 'toutes', 'les', '12', 'heures.'], ['Cette', 'situation', 'clinique', 'est', 'appelée', ':'], ['1-', 'Tolérance'], ['2-', ""L'hyperalgésie""], ['3-', 'La', 'dépendance'], ['4-', ""L'inefficacité""], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'bonne', 'réponse', 'est', '1.'], ['Cet', 'énoncé', 'définit', 'parfaitement', 'un', 'phénomène', 'de', 'tolérance', 'où', 'le', 'patient', ""s'est"", '""habitué""', 'à', 'la', 'dose', 'et', 'a', 'besoin', ""d'une"", 'dose', 'plus', 'importante', 'pour', 'obtenir', 'le', 'même', 'effet', 'analgésique.']]","[['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'], ['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'], ['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-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'], ['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']]"
179_98,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '33', 'ans', 'consulte', 'pour', 'des', 'épistaxis', 'répétées,', 'des', 'pétéchies', 'et', 'des', 'ecchymoses.'], ['Les', 'examens', 'de', 'laboratoire', 'révèlent', 'une', 'thrombocytopénie', 'avec', 'une', 'numération', 'plaquettaire', 'de', '4', '000', 'plaquettes/microlitre.'], ['Le', 'diagnostic', 'initial', 'présumé', 'est', 'le', 'purpura', 'thrombocytopénique', 'immunitaire', '(PTI)', 'chronique.'], ['Laquelle', 'des', 'affirmations', 'suivantes', 'est', 'FAUSSE', 'concernant', 'le', 'diagnostic', 'du', 'PTI', '?'], ['1-', 'La', 'présence', ""d'une"", 'lymphadénopathie', 'ou', ""d'une"", 'splénomégalie', 'à', ""l'examen"", 'physique', 'suggère', 'un', 'diagnostic', 'autre', 'que', 'le', 'PTI.'], ['2-', ""L'analyse"", 'de', 'la', 'moelle', 'osseuse', 'montre', 'une', 'diminution', 'du', 'nombre', 'de', 'mégacaryocytes', 'sans', 'autre', 'altération.'], ['3-', ""L'hémogramme"", 'montre', 'une', 'thrombopénie', 'isolée', 'avec', 'des', 'plaquettes', 'souvent', 'abondantes,', 'sans', 'anémie', 'sauf', 'en', 'cas', ""d'hémorragie"", 'importante', 'ou', ""d'hémolyse"", 'auto-immune', 'associée', '(syndrome', ""d'Evans).""], ['4-', 'Le', 'diagnostic', 'de', 'PTI', 'est', 'établi', 'par', ""l'exclusion"", ""d'autres"", 'processus', 'causant', 'une', 'thrombocytopénie.'], ['5-', 'La', 'détermination', 'des', 'anticorps', 'anti-plaque', ""n'est"", 'pas', 'précise', 'pour', 'établir', 'le', 'diagnostic.'], ['BONNE', 'RÉPONSE', ':', '2'], ['En', 'cas', 'de', 'thrombopénie', 'isolée,', ""l'examen"", 'physique', 'ne', 'doit', 'pas', 'être', 'négligé', ';', 'la', 'présence', ""d'une"", 'lymphadénopathie,', 'par', 'exemple,', 'nous', 'oblige', 'à', 'exclure', 'la', 'présence', ""d'un"", 'lymphome.'], ['Le', 'point', '1', 'est', 'correct.'], ['Une', 'biopsie-aspiration', 'de', 'la', 'moelle', 'osseuse', 'montre', 'que', 'le', 'nombre', 'de', 'mégacaryocytes', 'est', 'normal', 'ou', 'même', 'augmenté,', 'la', 'faute', ""n'est"", 'pas', 'dans', 'la', 'moelle', 'mais', 'dans', 'le', 'sang', 'périphérique,', 'où', 'les', 'plaquettes', 'sont', 'détruites.'], ['Donc...'], ['La', 'fausse', 'réponse', 'est', '2.']]","[['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'], ['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-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', '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'], ['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'], ['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', '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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['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', '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']]"
353_161,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '27', 'ans', 'a', 'été', 'adressée', 'au', 'service', 'de', 'gynécologie', 'pour', 'évaluation,', 'signalant', 'une', 'dyspareunie', 'depuis', '8', 'mois,', 'ainsi', ""qu'une"", 'dyschésie', 'et', 'une', 'rectorragie', 'occasionnelle', 'coïncidant', 'avec', 'les', 'menstruations', 'depuis', '3-4', 'mois.'], ['Elle', 'souffre', 'également', 'de', 'dysménorrhée', 'depuis', 'des', 'années,', 'qui', 'est', 'bien', 'contrôlée', 'par', ""l'ibuprofène.""], ['Elle', 'essaie', 'de', 'tomber', 'enceinte', 'depuis', 'environ', '16', 'mois,', 'sans', 'succès.'], ['À', ""l'examen"", 'gynécologique,', 'seule', 'une', 'douleur', 'est', 'notée', 'à', 'la', 'pression', 'sur', 'le', 'fornix', 'vaginal', 'postérieur.'], ['Quel', 'examen', 'vous', 'permettrait', 'de', 'poser', 'un', 'diagnostic', 'de', 'certitude', 'sur', 'votre', 'pathologie', '?'], ['1-', 'Echographie', 'transvaginale.'], ['2-', 'La', 'laparoscopie', 'diagnostique.'], ['3-', 'Imagerie', 'par', 'résonance', 'magnétique.'], ['4-', 'Coloscopie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'laparoscopie', 'diagnostique.'], ['Il', ""s'agit"", ""d'un"", 'cas', 'typique', ""d'endométriose"", 'profonde,', 'avec', 'des', 'implants', 'dans', 'différentes', 'parties', 'du', 'bassin.'], ['Le', 'diagnostic', 'définitif', 'sera', 'établi', 'par', ""l'anatomie"", 'pathologique,', 'nous', 'devons', 'donc', 'faire', 'une', 'laparoscopie', 'et', ""l'envoyer"", 'à', ""l'AP.""]]","[['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'], ['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'], ['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', 'B-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['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'], ['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']]"
438_119,"[['QUESTION', 'TYPE:', 'ÉPIDÉMIOLOGIE', 'ET', 'MÉDECINE', 'PRÉVENTIVE'], ['CLINICAL', 'CASE:'], ['Femme', 'vétérinaire', 'de', '38', 'ans,', 'chargée', 'de', 'la', 'surveillance', 'des', 'animaux', 'sauvages', 'et', 'de', ""l'aide"", 'à', ""l'accouchement"", 'du', 'bétail', 'domestique.'], ['Il', 'commence', 'par', 'une', 'forte', 'fièvre', 'accompagnée', 'de', 'frissons,', 'de', 'maux', 'de', 'tête,', 'de', 'myalgies', 'et', ""d'une"", 'toux', 'non', 'productive,', ""qu'il"", 'interprète', 'comme', 'une', 'maladie', 'de', 'type', 'grippal.'], ['Elle', 'a', 'présenté', 'des', 'douleurs', 'thoraciques.'], ['La', 'radiographie', 'pulmonaire', 'montre', 'des', 'infiltrats', 'pulmonaires', 'bilatéraux', 'dans', 'les', 'champs', 'inférieurs.'], ['Un', 'test', 'sérologique', 'avec', 'des', 'titres', 'élevés', ""d'anticorps"", 'contre', 'les', 'antigènes', 'de', 'la', 'phase', 'II', 'est', 'effectué.'], ['Laquelle', 'des', 'affirmations', 'suivantes', 'est', 'VRAIE', '?'], ['1-', 'Le', 'mode', 'de', 'transmission', 'de', 'cette', 'maladie', 'est', 'la', 'tique.'], ['2-', 'La', 'doxycycline', 'et', ""l'hydroxychloroquine"", 'sont', 'efficaces', 'pour', 'traiter', 'les', 'formes', 'aiguës', 'de', 'la', 'maladie.'], ['3-', 'Dans', 'sa', 'forme', 'aiguë,', 'elle', 'présente', 'aussi', 'généralement', 'des', 'anticorps', 'élevés', 'contre', 'les', 'antigènes', 'de', 'la', 'phase', 'I.'], ['4-', 'La', 'mortalité', 'dans', 'les', 'formes', 'aiguës', 'est', 'quasi', 'inexistante.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Comme', 'maladie', 'possible,', ""j'envisagerais"", 'la', 'brucellose,', 'typique', 'des', 'bovins', '(lait,', 'avortement,', 'sécrétions', 'génitales...).'], ['Elle', 'se', 'manifeste', 'par', 'des', 'symptômes', 'de', 'type', 'grippal', '(céphalées,', 'arthralgies,', 'myalgies,', 'fièvre...)', 'et', ""d'autres"", 'symptômes', 'en', 'fonction', 'de', 'la', 'voie', ""d'entrée.""], ['Dans', 'notre', 'cas,', ""lorsqu'on"", 'assiste', 'à', 'la', 'naissance', ""d'un"", 'animal,', ""l'entrée"", 'se', 'fait', 'par', 'voie', 'respiratoire,', 'de', 'sorte', 'que', 'les', 'infiltrats', 'pulmonaires', 'et', 'les', 'douleurs', 'thoraciques', 'sont', 'dus', 'à', 'la', 'bactérie.'], ['Le', 'traitement', 'varie', 'en', 'fonction', 'de', ""l'implication"", 'et', 'la', 'mortalité', 'est', 'très', 'faible,', 'presque', 'nulle.'], ['La', 'morbidité', 'et', ""l'implication"", 'des', 'femmes', 'enceintes', 'sont', 'plus', 'préoccupantes.'], ['Important', ':', 'la', 'brucellose', 'est', 'très', 'fréquente', 'chez', 'les', 'travailleurs', 'du', 'secteur', 'de', ""l'élevage"", '(vétérinaires,', 'agriculteurs,', 'abattoirs...)', 'si', 'vous', 'lisez', 'quelque', 'chose', 'comme', '""aide', 'à', 'la', 'livraison', ""d'animaux"", 'd\'élevage"",', '""travaille', 'dans', 'une', 'ferme"",', '""est', 'vétérinaire"",', 'soupçonnez', 'la', 'brucellose.']]","[['O', 'O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 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579_108,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '49', 'ans', 'admis', 'aux', 'soins', 'intensifs', 'pour', 'un', 'traumatisme', 'crânien', 'consécutif', 'à', 'un', 'accident', 'de', 'travail.'], ['À', ""l'examen"", 'physique,', 'il', ""n'ouvre"", 'pas', 'les', 'yeux,', ""n'émet"", 'pas', 'de', 'sons', 'avant', ""l'intubation"", 'et', 'montre', 'une', 'extension', 'des', 'membres', 'au', 'stimulus', 'nociceptif.'], ['Un', 'capteur', 'de', 'pression', 'intracrânienne', 'est', 'placé', 'et', 'une', 'craniotomie', 'décompressive', 'doit', 'être', 'pratiquée', 'en', 'cas', ""d'hémorragie"", 'intraparenchymateuse.'], ['Laquelle', 'des', 'affirmations', 'suivantes', 'est', 'correcte', '?'], ['1-', 'A', 'son', 'arrivée,', 'il', 'est', 'dans', 'le', 'coma', 'sur', ""l'échelle"", 'de', 'Glasgow', 'à', '7.'], ['2-', 'La', 'pression', 'de', 'perfusion', 'cérébrale', 'est', 'la', 'pression', 'artérielle', 'moyenne', 'plus', 'la', 'pression', 'intracrânienne.'], ['3-', ""L'œdème"", 'cérébral', 'vasogénique', 'est', 'causé', 'par', ""l'œdème"", 'des', 'cellules,', 'la', 'rupture', 'de', 'la', 'membrane', 'et', 'la', 'mort', 'des', 'cellules.'], ['4-', 'Le', 'débit', 'vasculaire', 'cérébral', 'augmente', 'avec', ""l'hypercapnie"", 'et', ""l'acidose.""], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], [""L'hypercapnie"", 'et', ""l'acidose"", 'provoquent', 'une', 'vasodilatation', 'qui', 'entraîne', 'une', 'augmentation', 'du', 'flux', 'sanguin', 'cérébral.'], [""D'après"", ""l'examen"", 'décrit,', 'le', 'score', 'de', 'Glasgow', 'est', 'de', '4', '(O1V1M2).'], ['La', 'pression', 'de', 'perfusion', 'cérébrale', 'est', 'la', 'pression', 'artérielle', 'moyenne', 'moins', 'la', 'pression', 'intracrânienne.'], [""L'œdème"", 'cérébral', 'dans', 'lequel', ""l'œdème"", 'cellulaire', 'est', 'provoqué', 'par', ""l'introduction"", 'de', 'liquide', 'extracellulaire', 'dans', 'le', 'compartiment', 'intracellulaire', 'est', 'cytotoxique.']]","[['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'], ['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', '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', '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', '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'], ['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'], ['B-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'], ['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']]"
212_88,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'GÉNÉRALE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '45', 'ans', 'a', 'subi', 'une', 'vagotomie', 'tronculaire', 'et', 'une', 'antrectomie', 'avec', 'reconstruction', 'de', 'Billroth', 'II', 'pour', 'un', 'ulcère', 'gastroduodénal', 'chronique', 'avec', 'sténose', 'pyloro-duodénale.'], ['Six', 'semaines', 'après', ""l'intervention"", 'chirurgicale,', 'il', 'a', 'signalé', 'que', 'peu', 'de', 'temps', 'après', ""l'ingestion"", '(moins', ""d'une"", 'demi-heure),', 'il', 'a', 'ressenti', 'des', 'nausées,', 'une', 'asthénie', 'et', 'des', 'sueurs,', 'des', 'vertiges', 'et', 'des', 'crampes', 'abdominales', 'généralement', 'accompagnées', ""d'écoulements"", 'diarrhéiques.'], ['Laquelle', 'des', 'attitudes', 'suivantes', 'est', 'la', 'plus', 'appropriée', 'pour', 'la', 'prise', 'en', 'charge', 'initiale', '?'], ['1-', 'Traitement', 'par', 'un', 'inhibiteur', 'de', 'la', 'somatostatine', '(octréotide).'], ['2-', 'Suivre', 'des', 'mesures', 'diététiques', 'spécifiques.'], ['3-', 'Effectuer', 'un', 'traitement', ""d'essai"", 'avec', 'une', 'benzodiazépine.'], ['4-', 'Recherche', ""d'une"", 'probable', 'tumeur', 'neuroendocrine', '(ex', ':', 'carcinoïde).'], ['5-', 'Indiquer', 'le', 'traitement', 'chirurgical', 'pour', 'réaliser', 'une', 'gastrojéjunostomie', 'Roux-en-Y', 'antipéristaltique.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Les', 'réponses', '1,', '2', 'et', '5', 'sont', 'des', 'traitements', 'appropriés', 'pour', 'le', 'syndrome', 'de', 'dumping', 'ou', 'la', 'postgastrectomie,', 'mais', 'la', 'question', 'porte', 'sur', 'la', 'prise', 'en', 'charge', 'initiale,', 'de', 'sorte', 'que', 'la', 'réponse', 'la', 'plus', 'appropriée', 'semble', 'être', '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', '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'], ['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', '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', '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', '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', 'O', 'B-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']]"
507_89,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '46', 'ans', 'souffrant', 'de', 'troubles', 'bipolaires', 'est', 'amené', 'aux', 'urgences', 'après', 'une', 'overdose', 'de', 'carbonate', 'de', 'lithium.'], [""L'examen"", 'révèle', 'des', 'tremblements', 'intenses,', 'une', 'ataxie,', 'une', 'dysarthrie,', 'une', 'myoclonie', 'et', 'des', 'fasciculations.'], ['La', 'lithémie', 'est', 'de', '4,1', 'mEq/L', '(toxicité', '>', '1,6', 'mEq/L).'], ['Parmi', 'les', 'options', 'thérapeutiques', 'suivantes,', 'laquelle', 'serait', 'la', 'plus', 'appropriée', '?'], ['1-', ""L'aminophylline"", 'associée', 'à', 'un', 'cathartique.'], ['2-', 'Le', 'charbon', 'actif.'], ['3-', ""L'hémodialyse.""], ['4-', 'Diurèse', 'forcée.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Attention', 'au', 'lithium.'], ['Des', 'intoxications', 'ont', 'été', 'observées', 'en', 'cas', 'de', 'lithémie', 'normale.'], ['Ce', ""n'est"", 'pas', 'rare,', 'surtout', 'en', 'termes', ""d'interactions.""], ['Un', 'médicament', 'très', 'efficace', 'si', 'tout', 'le', 'monde', 'est', 'prévenu.']]","[['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'], ['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'], ['O', 'O', 'O', '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'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O'], ['O', 'O', 'O', 'O'], ['B-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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
552_89,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'fillette', 'de', '4', 'ans', 'présente', 'une', 'forte', 'fièvre', 'depuis', '6', 'jours.'], [""L'examen"", 'clinique', 'a', 'révélé', 'une', 'éruption', 'maculopapuleuse', 'érythémateuse', 'sur', 'le', 'tronc', 'et', 'la', 'région', 'génitale,', 'avec', 'une', 'tendance', 'à', 'la', 'confluence,', 'sans', 'devenir', 'scarlatiniforme', ';', 'une', 'injection', 'conjonctivale', 'sans', 'écoulement', 'et', 'des', 'lèvres', 'rouges', 'avec', 'une', 'langue', 'framboisée.'], ['Il', 'y', 'avait', 'également', 'un', 'érythème', 'avec', 'œdème', 'sur', 'les', 'mains', 'et', 'les', 'pieds', 'et', 'une', 'lymphadénopathie', 'cervicale', 'unilatérale', 'mesurant', '2', 'cm', 'de', 'diamètre.'], ['Le', 'diagnostic', 'clinique', 'le', 'plus', 'probable', 'est', 'le', 'suivant', ':'], ['1-', 'La', 'maladie', 'de', 'Kawasaki.'], ['2-', 'La', 'rougeole.'], ['3-', 'La', 'rubéole.'], ['4-', 'La', 'scarlatine.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Il', 'ne', 'fait', 'aucun', 'doute', ""qu'ils"", 'ne', 'répondent', 'pas', 'aux', 'critères', 'diagnostiques', 'de', 'la', 'maladie', 'de', 'Kawasaki', '(fièvre', 'de', 'plusieurs', 'jours,', 'éruption', 'cutanée,', 'injection', 'conjonctivale,', 'lèvres', 'rouges,', 'langue', 'framboisée,', 'œdème', 'des', 'parties', 'acrales', 'et', 'adénopathie).']]","[['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'], ['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', 'I-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-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', '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']]"
598_181,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '67', 'ans', ""s'est"", 'présenté', 'avec', '3', 'mois', ""d'asthénie"", 'et', 'de', 'fièvre', 'fébrile,', 'auxquels', ""s'est"", 'ajoutée', 'le', 'dernier', 'mois', 'une', 'obstruction', 'nasale', 'avec', 'émission', 'de', 'mucus', 'avec', 'quelques', 'caillots.'], ['Ces', 'derniers', 'jours,', 'il', 'a', 'remarqué', 'une', 'douleur', 'dans', ""l'œil"", 'droit', 'et', 'une', 'asymétrie', 'par', 'rapport', 'à', ""l'œil"", 'controlatéral.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'proptose', 'du', 'globe', 'oculaire', 'droit', 'et', ""l'inspection"", 'des', 'narines', 'a', 'révélé', 'une', 'muqueuse', 'érythémateuse', 'avec', 'des', 'croûtes', 'sérohématiques.'], ['Le', 'reste', 'de', ""l'examen"", 'est', 'normal.'], ['Les', 'analyses', 'sanguines', '(hémogramme,', 'fonctions', 'rénale', 'et', 'hépatique)', 'sont', 'normales,', 'à', ""l'exception"", ""d'une"", 'ESR', 'de', '65', 'mm/h', ';', ""l'analyse"", ""d'urine"", 'montre', 'une', 'microhématurie', 'et', 'une', 'protéinurie', 'de', '520', 'mg/24h.'], ['Quel', 'est', 'le', 'diagnostic', 'initial', 'le', 'plus', 'probable', '?'], ['1-', 'Granulomatose', 'éosinophile', 'avec', 'polyangéite.'], ['2-', 'Polyangéite', 'microscopique.'], ['3-', 'Granulomatose', 'avec', 'polyangéite.'], ['4-', 'La', 'polyartérite', 'noueuse.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Ce', 'patient', 'présente', 'une', 'granulomatose', 'avec', 'polyangéite,', 'anciennement', 'connue', 'sous', 'le', 'nom', 'de', 'granulomatose', 'de', 'Wegener.'], ['Dans', 'le', 'cas', 'clinique,', 'on', 'nous', 'parle', 'de', ""l'affectation"", 'oto-rhino-laryngologique', 'qui', 'est', 'présente', 'chez', '92%', 'des', 'patients.'], ['Au', 'niveau', 'pulmonaire,', 'il', 'a', 'déclaré', 'avoir', 'présenté', 'des', 'mucosités', 'avec', 'quelques', 'caillots', ';', 'ce', 'type', ""d'affectation"", 'est', 'présent', 'chez', '85%', 'des', 'patients.'], ['À', 'la', 'fin', 'du', 'cas,', ""l'analyse"", ""d'urine"", 'a', 'également', 'révélé', 'une', 'glomérulonéphrite,', 'présente', 'chez', '77', '%', 'des', 'patients.']]","[['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', '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'], ['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'], ['O', 'B-Claim', 'I-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', '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', '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'], ['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']]"
133_168,"[['QUESTION', 'TYPE:', 'OPHTHALMOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '75', 'ans', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'il', 'y', 'a', '3', 'ans', 'des', 'drusen', 'mous', 'dans', 'le', 'fond', ""d'œil.""], ['Au', 'cours', 'des', 'deux', 'dernières', 'semaines,', 'il', 'a', 'signalé', 'une', 'métamorphopsie', 'et', 'une', 'perte', 'visuelle', 'importante', 'de', ""l'œil"", 'droit,', 'qui', ""l'empêche"", 'de', 'lire.'], ['Indiquez', 'le', 'diagnostic', 'le', 'plus', 'probable', ':'], ['1-', 'Membrane', 'épirétinienne', 'maculaire.'], ['2-', 'Trou', 'maculaire.'], ['3-', 'Thrombose', 'de', 'la', 'veine', 'centrale', 'de', 'la', 'rétine.'], ['4-', 'Dégénérescence', 'maculaire', 'liée', 'à', ""l'âge.""], ['5-', 'Choriorétinopathie', 'séreuse', 'centrale.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Sur', 'les', 'cinq', 'options,', 'quatre', 'pourraient', 'être', 'compatibles', 'avec', 'la', 'clinique', 'visée.'], ['Dans', 'un', 'premier', 'temps,', 'nous', 'avons', 'pu', 'exclure', 'la', 'choriorétinopathie', 'séreuse', 'centrale', 'car,', 'par', 'définition,', 'elle', 'touche', 'des', 'personnes', 'jeunes', ""(jusqu'à"", '55', 'ans', 'environ).'], ['La', 'clé', 'pour', 'différencier', 'les', 'quatre', 'autres', 'est', ""qu'il"", 'avait', 'des', 'drusen', 'mous', 'dans', 'le', 'fond', ""d'œil.""], ['Bien', ""qu'il"", 'ne', ""s'agisse"", 'pas', ""d'un"", '""diagnostic""', '(la', 'question', 'aurait', 'pu', 'être', 'mieux', 'formulée),', 'il', ""s'agit"", ""d'une"", 'constatation', 'liée', 'à', 'la', 'dégénérescence', 'maculaire', 'liée', 'à', ""l'âge,"", 'ou', 'dégénérescence', 'maculaire', 'liée', 'à', ""l'âge.""], ['La', 'forme', 'sèche', 'ou', 'atrophique', 'se', 'caractérise', 'par', 'une', 'perte', 'de', 'vision', 'lentement', 'progressive.'], ['Mais', 'la', 'forme', 'humide', 'ou', 'exsudative', 'entraîne', 'une', 'perte', 'de', 'vision', 'sévère,', 'aiguë', 'ou', 'rapidement', 'progressive', '(généralement', 'due', 'à', 'une', 'hémorragie', 'sous-rétinienne', 'accompagnée', ""d'une"", 'métamorphopsie', '(distorsion', 'de', ""l'image"", 'due', 'au', 'soulèvement', 'de', 'la', 'rétine).'], ['Une', 'membrane', 'épirétinienne', 'évolue', 'généralement', 'plus', 'lentement.'], ['Dans', 'le', 'cas', ""d'un"", 'trou', 'maculaire,', 'la', 'perte', 'visuelle', 'est', 'plus', 'importante', '(une', 'métamorphopsie', 'peut', 'également', 'être', 'signalée,', 'mais', 'elle', 'est', 'moins', 'probable', 'dans', 'la', 'phase', 'aiguë).'], ['En', 'cas', 'de', 'thrombose', 'de', 'la', 'veine', 'centrale', 'de', 'la', 'rétine,', 'la', 'perte', 'visuelle', 'est', 'plus', 'importante', 'et', ""n'explique"", 'généralement', 'pas', 'la', 'métamorphopsie', '(mais', 'elle', 'peut', 'survenir', 'en', 'raison', ""d'un"", 'œdème', 'maculaire).']]","[['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', 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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'], ['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'], ['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'], ['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'], ['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'], ['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']]"
186_67,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '56', 'ans', 'a', 'consulté', 'pour', 'des', 'douleurs', 'dans', 'la', 'colonne', 'dorso-lombaire', 'et', 'une', 'difficulté', 'progressive', 'à', 'effectuer', 'des', 'tâches', 'normales.'], ['Au', 'cours', 'des', 'cinq', 'dernières', 'années,', 'il', 'a', 'pris', 'du', 'poids,', 'présente', 'facilement', 'des', 'ecchymoses', 'et', 'une', 'hypertension', 'artérielle', 'a', 'été', 'détectée.'], ['Examen', 'physique', ':', 'obésité', 'centrale', 'prédominante,', 'visage', 'arrondi,', 'augmentation', 'de', 'la', 'graisse', 'sus-claviculaire,', 'diminution', 'de', 'la', 'force', 'musculaire', 'proximale', 'et', 'quelques', 'stries', 'rougeâtres', 'sur', ""l'abdomen.""], ['Sa', 'glycémie', 'est', 'de', '136', 'mg/dL', 'et', ""l'étude"", 'radiologique', 'a', 'montré', 'une', 'ostéoporose', 'et', 'un', 'écrasement', 'vertébral.'], ['Quelle', 'est', ""l'interprétation"", 'et', ""l'attitude"", 'qui', 'vous', 'semblent', 'les', 'plus', 'cohérentes', '?'], ['1-', 'Ostéoporose', 'post-ménopausique,', 'diabète', 'de', 'type', '2', 'et', 'hypertension', 'essentielle,', 'avec', 'diminution', 'de', 'la', 'force', 'due', 'à', 'la', 'polyneuropathie', 'diabétique.'], ['2-', 'La', 'maladie', 'de', 'Cushing', 'doit', 'être', 'exclue', 'au', 'moyen', ""d'un"", 'test', 'de', 'suppression', 'de', 'la', 'dexaméthasone', 'et', ""d'une"", 'tomodensitométrie', 'crânienne.'], ['3-', 'Suggère', 'une', 'maladie', 'de', 'Cushing.'], ['Déterminer', 'le', 'cortisol', 'libre', 'urinaire', 'et', ""l'ACTH"", 'basale,', 'ce', 'qui', 'permet', ""d'orienter"", ""l'étiologie"", 'et', 'de', 'choisir', 'la', 'technique', ""d'imagerie"", 'la', 'plus', 'appropriée.'], ['4-', 'Il', 'ressemble', 'à', 'un', 'Cushing.'], ['Si', ""l'ACTH"", 'basale', 'est', 'élevée,', 'cela', 'peut', 'être', 'dû', 'à', ""l'utilisation"", 'de', 'corticostéroïdes', 'ou', 'à', 'une', 'tumeur', 'surrénalienne,', 'et', 'une', 'IRM', 'doit', 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458_126,"[['QUESTION', 'TYPE:', 'OTO-RHINO-LARYNGOLOGIE', 'ET', 'CHIRURGIE', 'MAXILLO-FACIALE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '47', 'ans,', 'aux', 'antécédents', ""d'adénome"", 'pléomorphe', 'de', 'la', 'parotide', 'droite,', 'traité', 'par', 'chirurgie', '(parotidectomie', 'extrafaciale)', 'il', 'y', 'a', '6', 'mois,', ""s'est"", 'présenté', 'à', 'notre', 'clinique', 'pour', 'des', 'douleurs', 'lors', 'de', 'la', 'mastication', 'avec', 'transpiration', 'et', 'rougissement', 'de', 'la', 'peau', 'dans', 'la', 'région', 'préauriculaire.'], ['Quel', 'serait', 'le', 'traitement', 'de', 'choix', '?'], ['1-', 'Parotidectomie', 'totale', 'élargie', 'en', 'cas', 'de', 'suspicion', 'de', 'récidive', 'tumorale.'], ['2-', 'La', 'prégabaline.'], ['3-', 'Injection', 'intradermique', 'de', 'toxine', 'botulique.'], ['4-', 'Antibiothérapie', 'à', 'large', 'spectre.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Ils', 'posent', 'des', 'questions', 'sur', 'le', 'syndrome', 'auriculotemporal', 'ou', 'le', 'syndrome', 'de', 'Frey.'], [""C'est"", ""l'expression"", 'clinique', ""d'une"", 'neuropathie', 'végétative', 'causée', 'par', 'une', 'lésion', 'mécanique', 'ou', 'irritative', 'des', 'fibres', 'végétatives', 'du', 'nerf', 'auriculotemporal', 'dans', 'son', 'trajet', 'infratemporal.'], ['Dans', 'notre', 'environnement,', 'la', 'cause', 'la', 'plus', 'fréquente', 'est', 'la', 'chirurgie', 'de', 'la', 'glande', 'fendue', 'avec', 'un', 'pourcentage', ""d'occurrence"", 'entre', '10', 'et', '80%.'], ['Le', 'traitement', 'conservateur', 'à', 'la', 'toxine', 'botulique', 'donne', 'de', 'bons', 'résultats.']]","[['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'], ['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'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', '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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
123_223,"[['QUESTION', 'TYPE:', 'MICROBIOLOGIE'], ['CLINICAL', 'CASE:'], ['Enceinte,', '27', 'ans,', '30', 'semaines', 'de', 'gestation.'], ['Elle', ""s'est"", 'présentée', 'aux', 'urgences', 'hier', 'après', 'avoir', 'ressenti', 'des', 'douleurs', 'dans', 'la', 'région', 'lombaire', 'gauche', 'et', 'une', 'dysurie.'], ['Pas', 'de', 'sensation', 'de', 'fièvre.'], ['Désigne', 'les', 'infections', 'urinaires', 'répétées.'], [""L'analyse"", ""d'urine"", 'montre', 'Hb', '3+,', 'leucocytes', '3+,', 'nitrites', '2+,', 'Sédiment', ':', '15-20', 'leucocytes', 'par', 'champ', 'et', '5-10', 'globules', 'rouges', 'par', 'champ.'], ['Parmi', 'les', 'micro-organismes', 'suivants,', 'lequel', 'est', 'la', 'cause', 'la', 'plus', 'fréquente', 'chez', 'les', 'femmes', 'enceintes', '?'], ['1-', 'Escherichia', 'coli.'], ['2-', 'Enterococcus', 'faecalis.'], ['3-', 'Streptococcus', 'agalactiae.'], ['4-', 'Proteus', 'mirabilis.'], ['5-', 'Satphylococcus', 'saprophyticus.'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'bonne', 'réponse', 'est', 'la', 'première.'], ['La', 'cause', 'la', 'plus', 'fréquente', 'des', 'infections', 'urinaires', 'est', 'Escherichia', 'coli,', 'y', 'compris', 'chez', 'les', 'femmes', 'enceintes.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-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'], ['B-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', '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'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['B-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']]"
522_165,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '66', 'ans', 'chez', 'qui', 'on', 'a', 'diagnostiqué', 'un', 'diabète', 'sucré', 'de', 'type', '2', 'il', 'y', 'a', 'trois', 'mois.'], ['Elle', 'a', 'un', 'IMC', 'de', '31', 'kg/m2', 'et', 'son', 'contrôle', 'glycémique', 'est', 'médiocre', 'malgré', 'un', 'programme', 'de', 'mesures', 'non', 'pharmacologiques', '(alimentation', 'saine,', 'exercice', 'physique).'], ['Lequel', 'des', 'médicaments', 'hypoglycémiants', 'suivants', 'est', 'associé', 'à', 'une', 'prise', 'de', 'poids', 'et', 'doit', 'être', 'évité', 'chez', 'ce', 'patient', '?'], ['1-', 'La', 'metformine', '(biguanide).'], ['2-', 'Pioglitazone', '(thiazolidinedione).'], ['3-', 'Canagliflozin', '(inhibiteur', 'du', 'sodium-glucose', 'cotransporteur', '2', '-', 'iSGLT2).'], ['4-', 'Liraglutide', '(agoniste', 'des', 'récepteurs', 'du', 'GLP-1).'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Une', 'question', 'un', 'peu', 'plus', 'compliquée', 'que', 'la', 'précédente.'], ['En', 'termes', 'de', 'poids,', 'la', 'metformine', 'dans', 'une', 'moindre', 'mesure,', 'les', 'inhibiteurs', 'du', 'SGLT-2', 'et', 'surtout', 'les', 'agonistes', 'du', 'GLP-1', 'ont', 'été', 'associés', 'à', 'une', 'diminution', 'significative', 'du', 'poids', 'chez', 'les', 'patients', 'atteints', 'de', 'DM-2', '(réponses', '1,', '3', 'et', '4', 'incorrectes).'], ['En', 'revanche,', 'la', 'pioglitazone,', 'comme', ""l'indique"", 'son', 'étiquette,', 'peut', 'entraîner', 'une', 'prise', 'de', 'poids', 'dose-dépendante,', 'principalement', 'due', 'à', 'une', 'accumulation', 'de', 'graisse', 'et,', 'dans', 'certains', 'cas,', 'à', 'une', 'rétention', ""d'eau.""]]","[['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'], ['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', 'O', 'O', 'O', 'O', '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', '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', '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', 'B-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']]"
209_185,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '32', 'ans', 'demande', 'un', 'conseil', 'préconceptionnel.'], ['La', 'patiente', 'déclare', 'avoir', 'subi', 'une', 'conisation', 'du', 'col', 'de', ""l'utérus"", 'pour', 'une', 'lésion', 'intraépithéliale', 'de', 'haut', 'grade', '(H-SIL)', 'et', 'avoir', 'ensuite', 'fait', 'trois', 'fausses', 'couches', 'entre', 'la', '20e', 'et', 'la', '22e', 'semaine', 'de', 'gestation.'], ['Il', ""n'a"", 'pas', ""d'enfant"", 'vivant.'], ['À', 'ces', 'trois', 'occasions,', 'elle', ""s'est"", 'présentée', 'au', 'service', 'des', 'urgences', 'avec', 'une', 'sensation', 'de', 'poids', 'dans', ""l'hypogastre,"", 'où', ""l'on"", 'a', 'constaté', ""qu'elle"", 'était', 'dilatée', 'de', '8', 'cm', 'et', 'que', 'les', 'membranes', 'amniotiques', 'étaient', 'proéminentes.'], ['Je', ""n'ai"", 'jamais', 'ressenti', 'de', 'contractions', 'auparavant.', 'Quels', 'conseils', 'lui', 'donneriez-vous', 'pour', 'sa', 'prochaine', 'grossesse', '?'], ['1-', 'Je', 'prescrirais', 'une', 'prophylaxie', 'orale', 'à', 'base', ""d'atosiban"", 'pendant', 'toute', 'la', 'durée', 'de', 'la', 'grossesse.'], ['2-', 'Je', 'proposerais', 'une', 'maturation', 'pulmonaire', 'avec', 'des', 'corticostéroïdes', 'à', 'partir', 'de', '19-20', 'semaines', 'de', 'gestation.'], ['3-', 'Je', 'recommanderais', 'un', 'cerclage', 'du', 'col', 'de', ""l'utérus"", 'à', '14', 'semaines', 'de', 'gestation.'], ['4-', 'Je', 'lui', 'conseillerais', 'de', 'ne', 'pas', 'tenter', ""d'autres"", 'grossesses', 'en', 'raison', 'du', 'risque', 'élevé', 'de', 'récidive.'], ['5-', 'Je', 'recommande', 'de', 'recourir', 'aux', 'techniques', 'de', 'procréation', 'assistée.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'un"", 'cas', 'typique', ""d'incompétence"", 'cervicale', '(et', 'cette', 'patiente', 'présente', 'une', 'conisation', 'comme', 'facteur', 'de', 'risque).'], ['Cette', 'pathologie', 'consiste', 'en', 'une', 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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'], ['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']]"
282_55,,
464_155,"[['QUESTION', 'TYPE:', 'SOINS', 'INTENSIFS', 'ET', 'URGENCES'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '58', 'ans,', 'trois', 'semaines', 'après', 'une', 'grave', 'entorse', 'de', 'la', 'cheville,', 'a', 'présenté', 'une', 'dyspnée', 'rapidement', 'progressive', 'au', 'repos,', 'des', 'vertiges', 'et', 'une', 'syncope.'], ['À', 'son', 'arrivée', 'à', ""l'hôpital,"", 'il', 'présente', 'une', 'hypotension', '(TA', 'systolique', '80', 'mmHg,', 'diastolique', '40', 'mmHg)', 'et', 'une', 'mauvaise', 'perfusion.'], ['Il', 'est', 'intubé', 'et', 'relié', 'à', 'la', 'ventilation', 'mécanique', 'et', 'la', 'noradrénaline', 'est', 'administrée.'], [""L'échocardiographie"", 'montre', 'des', 'signes', ""d'hypertension"", 'pulmonaire.'], [""L'angio-CT"", 'montre', 'de', 'multiples', 'défauts', 'de', 'réplétion', 'occupant', 'les', 'deux', 'artères', 'pulmonaires', 'principales.'], ['Parmi', 'les', 'traitements', 'suivants,', 'lequel', 'serait', 'associé', 'à', ""l'amélioration"", 'hémodynamique', 'la', 'plus', 'rapide', 'dans', 'ce', 'cas', '?'], ['1-', 'Perfusion', 'intraveineuse', ""d'héparine"", 'sodique.'], ['2-', 'Thromboendartectomie.'], ['3-', 'Fibrinolyse', 'systémique', 'au', 'rt-PA', '(alteplase)', '100', 'mg', 'intraveineux.'], ['4-', 'Filtre', 'de', 'la', 'veine', 'cave', 'inférieure.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Le', 'patient', 'a', 'présenté', 'une', 'thromboembolie', 'pulmonaire', 'qui,', 'en', 'plus', ""d'être"", 'bilatérale,', 'a', 'provoqué', 'une', 'grave', 'déficience', 'hémodynamique,', 'un', 'choc', 'et', 'a', 'nécessité', 'une', 'ventilation', 'mécanique.'], ['On', 'ne', 'nous', 'a', 'pas', 'dit', ""qu'il"", 'y', 'avait', 'des', 'contre-indications', 'à', 'la', 'fibrinolyse,', 'qui', 'serait', 'donc', ""l'option"", 'la', 'plus', 'appropriée', 'en', 'raison', 'de', 'sa', 'rapidité', ""d'administration"", 'et', ""d'action.""], [""L'héparine"", 'sodique', 'est', 'réservée', 'aux', 'cas', 'où', 'le', 'patient', 'est', 'stable.'], ['La', 'thromboendartériectomie', 'pourrait', 'être', 'pratiquée', 'en', 'urgence', 'dans', 'certains', 'centres', '(pas', 'dans', 'tous)', 'chez', 'les', 'patients', 'pour', 'lesquels', 'la', 'fibrinolyse', 'systémique', 'est', 'contre-indiquée,', 'ou', 'dans', 'les', 'centres', 'où', ""l'expérience"", 'de', 'cette', 'technique', 'est', 'avérée', 'et', 'où', 'elle', 'peut', 'être', 'pratiquée', 'rapidement.'], ['Le', 'filtre', 'de', 'la', 'veine', 'cave', 'inférieure', 'est', 'un', 'traitement', 'indiqué', 'en', 'phase', 'aiguë', 'chez', 'les', 'patients', 'stables,', 'lorsque', ""l'anticoagulation"", 'est', 'contre-indiquée,', 'ou', 'a', 'posteriori,', 'à', 'titre', 'prophylactique,', 'dans', 'ce', 'groupe', 'de', 'patients.'], ['Les', 'indications', 'pour', 'la', 'fibrinolyse', 'dans', 'le', 'dernier', 'document', 'de', 'consensus', 'SEPAR', 'comprenaient', 'les', 'patients', 'à', 'risque', 'intermédiaire', '(pouvant', 'bénéficier', 'de', 'la', 'fibrinolyse)', 'et', 'les', 'patients', 'à', 'haut', 'risque.'], ['Ils', 'classent', 'le', 'risque', 'intermédiaire', 'comme', 'PESI', '≥', '1', 'ou', 'PESI', 'III-IV.'], ['Dans', 'ce', 'sous-groupe,', 'les', 'patients', 'présentant', 'une', 'dysfonction', 'ventriculaire', 'droite,', 'un', 'taux', 'de', 'troponine', 'ou', 'de', 'BNP', 'supérieur', 'au', 'seuil', 'et', 'une', 'thrombose', 'veineuse', 'profonde', 'semblent', 'bénéficier', 'le', 'plus', 'de', 'la', 'fibrinolyse.'], ['Dans', 'le', 'sous-groupe', 'des', 'patients', 'à', 'haut', 'risque', '(défini', 'par', 'des', 'critères', ""d'hypotension"", 'ou', 'de', 'choc', 'cardiogénique),', ""l'utilisation"", 'de', 'la', 'fibrinolyse', 'systémique', 'est', 'beaucoup', 'plus', 'claire,', 'comme', 'dans', 'le', 'cas', 'présenté', 'dans', 'la', 'question.']]","[['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', 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'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'], ['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'], ['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'], ['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', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
502_77,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Nourrisson', 'de', '6', 'mois', 'se', 'présentant', 'aux', 'urgences', 'pour', 'détresse', 'respiratoire.'], ['Examen', ':', 'température', 'axillaire', '37,2°C,', 'fréquence', 'respiratoire', '40', 'rpm,', 'fréquence', 'cardiaque', '160', 'bpm,', 'pression', 'artérielle', '90/45', 'mmHg,', 'SatO2', '95', '%', 'à', ""l'air"", 'ambiant.'], ['Il', 'présente', 'une', 'détresse', 'respiratoire', 'modérée', 'avec', 'une', 'rétraction', 'intercostale', 'et', 'sous-costale.'], ['Auscultation', 'pulmonaire', ':', 'rhonchies', 'expiratoires', 'éparses,', 'expiration', 'allongée', 'et', 'entrée', ""d'air"", 'légèrement', 'diminuée', 'dans', 'les', 'deux', 'champs', 'pulmonaires.'], ['Auscultation', 'cardiaque', ':', 'pas', 'de', 'souffle.'], ['Il', 'est', 'décidé', 'de', 'garder', 'le', 'patient', 'en', 'observation', 'à', ""l'hôpital"", 'pendant', 'quelques', 'heures.'], ['Quelle', 'est,', 'selon', 'vous,', ""l'attitude"", 'la', 'plus', 'appropriée', 'à', ""l'heure"", 'actuelle', 'en', 'ce', 'qui', 'concerne', 'les', 'examens', 'complémentaires', '?'], ['1-', 'Ordonner', 'les', 'gaz', 'du', 'sang', 'veineux,', 'la', 'numération', 'des', 'globules', 'blancs', 'et', 'les', 'réactifs', 'de', 'phase', 'aiguë.'], ['2-', 'Demander', 'une', 'radiographie', 'pulmonaire.'], ['3-', 'Ordonner', 'les', 'gaz', 'du', 'sang', 'artériel', 'et', 'les', 'réactifs', 'de', 'phase', 'aiguë.'], ['4-', 'Ne', 'pas', 'demander', 'de', 'tests', 'complémentaires.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Le', 'patient', 'présente', 'probablement', 'une', 'bronchiolite.'], ['À', 'ce', 'stade,', 'aucun', 'autre', 'test', ""n'est"", 'nécessaire,', 'sauf', 'en', 'cas', ""d'aggravation"", 'clinique.']]","[['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', 'I-Premise', 'I-Premise', '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'], ['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'], ['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'], ['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'], ['O', 'B-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'], ['O', 'B-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'], ['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']]"
71_50,"[['QUESTION', 'TYPE:', 'ANESTHESIOLOGIE,', 'SOINS', 'INTENSIFS', 'ET', 'URGENCES'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'ayant', 'des', 'antécédents', 'de', 'maladie', 'fébrile', 'et', 'de', 'douleur', 'thoracique', 'se', 'présente', 'à', ""l'hôpital"", 'avec', 'une', 'dyspnée', 'et', 'une', 'tachypnée.'], ['À', ""l'examen"", 'physique,', 'la', 'tension', 'artérielle', 'est', 'basse,', 'la', 'pression', 'veineuse', 'jugulaire', 'est', 'élevée', 'avec', 'un', 'sinus', 'descendant', 'profond', 'X', 'et', 'il', 'a', 'un', 'pouls', 'paradoxal.'], ['Quelle', 'pathologie', 'faut-il', 'suspecter', '?'], ['1-', 'la', 'maladie', 'cardiaque', 'ischémique.'], ['2-', 'La', 'cardiomyopathie', 'dilatée.'], ['3-', 'Sténose', 'aortique', 'sévère.'], ['4-', 'Péricardite', 'constrictive.'], ['5-', 'Epanchement', 'péricardique', 'avec', 'tamponnade', 'cardiaque.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Une', 'tension', 'artérielle', 'basse', 'accompagnée', ""d'une"", 'pression', 'jugulaire', 'élevée', 'doit', 'toujours', 'faire', 'suspecter', 'une', 'tamponnade', 'cardiaque.'], ['La', 'fièvre', 'et', 'les', 'douleurs', 'thoraciques', 'accompagnées', ""d'une"", 'dyspnée', 'et', ""d'une"", 'tachypnée', 'doivent', 'faire', 'suspecter', 'un', 'épanchement', 'péricardique', 'accompagné', ""d'un"", 'trouble', 'hémodynamique.'], ['Le', 'pouls', 'paradoxal', 'est', 'une', 'manifestation', 'typique', 'de', 'la', 'tamponnade', 'cardiaque.'], ['La', 'réponse', 'correcte', 'est', 'donc', '5.']]","[['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'], ['O', 'O', 'O', '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', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['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'], ['O', 'B-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'], ['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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
486_45,"[['QUESTION', 'TYPE:', 'GENETIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'jeune', 'fille', 'de', '15', 'ans', 'avec', 'un', 'retard', 'de', 'la', 'ménarche', 'et', 'une', 'petite', 'taille.'], ['Pas', 'de', 'déficience', 'intellectuelle.'], ['Lequel', 'des', 'tests', 'génétiques', 'suivants', 'serait', 'systématiquement', 'utilisé', 'pour', 'le', 'diagnostic', 'de', 'ce', 'patient', '?'], ['1-', 'Le', 'séquençage', 'massif', '(NGS).'], ['2-', 'FISH.'], ['3-', 'Les', 'microréseaux', ""d'ADN"", 'et/ou', ""d'ARN.""], ['4-', 'Caryotype.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Cette', 'question', 'peut', 'être', 'un', 'peu', 'plus', 'difficile,', 'car', 'le', 'cas', 'clinique', 'qui', 'nous', 'est', 'présenté', 'est', 'très', 'vague.'], ['Une', 'adolescente', 'avec', 'un', 'retard', 'pubertaire', 'et', 'une', 'petite', 'taille,', 'rien', 'de', 'plus.'], ['Avec', 'ces', 'informations,', 'elle', 'pourrait', 'avoir', 'plusieurs', 'pathologies', ""d'origine"", 'génétique,', 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216_121,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '38', 'ans', 'a', 'consulté', 'pour', 'dyspnée', 'et', 'hémoptysie.'], ['Les', 'analyses', 'sanguines', 'révèlent', 'une', 'créatinine', 'de', '7', 'mg/dl,', 'une', 'urée', 'de', '250', 'mg/dl', 'et', 'un', 'titre', 'élevé', ""d'anticorps"", 'anti-MBG', '(anticorps', 'anti-membrane', 'basale', 'glomérulaire).'], ['La', 'biopsie', 'rénale', 'a', 'révélé', 'des', 'croissants', 'dans', '75', '%', 'des', 'glomérules', 'et', ""l'immunofluorescence"", 'a', 'montré', 'un', 'dépôt', 'linéaire', ""d'Ig.""], ['Laquelle', 'des', 'réponses', 'suivantes', 'est', 'la', 'bonne', '?'], ['1-', 'Il', ""s'agit"", ""d'une"", 'néphropathie', 'à', 'IgA', 'avec', 'insuffisance', 'rénale', 'aiguë.'], ['2-', 'Une', 'plasmaphérèse', 'serait', 'indiquée.'], ['3-', 'Il', ""s'agit"", ""d'une"", 'glomérulonéphrite', 'membraneuse.'], ['4-', 'Le', 'mycophénolate', 'mofétil', 'est', 'le', 'traitement', 'initial', 'de', 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238_145,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '40', 'ans', 'a', 'consulté', 'pour', 'une', 'vingtaine', ""d'épisodes"", 'par', 'jour', 'de', 'douleur', 'périoculaire', 'gauche', 'intense', 'durant', '15', 'minutes,', 'accompagnée', ""d'un"", 'larmoiement', 'intense', 'et', ""d'une"", 'rhinorrhée.'], ['Son', 'examen', 'et', 'son', 'IRM', 'sont', 'normaux.'], ['Leur', 'traitement', 'de', 'choix', 'serait', ':'], ['1-', 'Indometacine.'], ['2-', 'Lamotrigine.'], ['3-', 'Verapamil.'], ['4-', 'Prednisone.'], ['5-', 'Carbonate', 'de', 'lithium.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Dans', 'cette', 'question,', 'on', 'nous', 'présente', 'un', 'cas', 'pour', 'en', 'déduire', 'un', 'diagnostic', 'et', 'indiquer', 'le', 'traitement', 'de', 'choix.'], ['Les', 'caractéristiques', 'du', 'cas', 'et', 'les', 'réponses', 'suggèrent', ""qu'il"", ""s'agit"", ""d'une"", 'céphalée', 'trigémino-autonomique', '(douleur', 'intense', 'et', 'périoculaire', 'avec', 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47_157,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '6', 'ans', ""s'est"", 'présenté', 'à', 'la', 'clinique', 'accompagné', 'du', 'moniteur', ""d'un"", 'centre', ""d'accueil"", 'de', 'notre', 'quartier', 'en', 'raison', ""d'une"", 'tumeur', 'douloureuse', 'mesurant', '3', 'cm', 'de', 'diamètre', 'à', 'la', 'palpation', 'dans', 'la', 'zone', 'occipitale', 'droite', 'du', 'cuir', 'chevelu.'], ['Il', 'présente', 'une', 'alopécie', 'dans', 'cette', 'région', 'et', 'trois', 'lymphadénomégalies', 'de', 'consistance', 'assez', 'dure', 'dans', 'la', 'région', 'cervicale', 'postérieure', 'droite.'], ['Quel', 'serait', 'le', 'traitement', 'le', 'plus', 'approprié', '?'], ['1-', 'Incision', 'et', 'drainage.'], ['2-', 'Mupirocine', 'topique.'], ['3-', 'La', 'griséofulvine', 'par', 'voie', 'orale.'], ['4-', 'Céfazoline', 'intraveineuse.'], ['5-', 'Kétoconazole', 'topique.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', '3.'], ['Si', 'je', 'ne', 'me', 'trompe', 'pas,', 'il', 'décrit', 'un', 'kérion', 'de', 'Celso', 'pour', 'lequel', 'le', 'traitement', 'de', 'choix', 'est', 'la', 'griséofulvine', 'orale.']]","[['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'], ['O', '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', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'O', 'O', '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']]"
381_139,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '70', 'ans', 'ayant', 'des', 'antécédents', ""d'anorexie,"", 'de', 'perte', 'de', 'poids,', 'de', 'gêne', 'au', 'niveau', 'de', 'la', 'musculature', 'et', 'des', 'articulations', 'proximales', 'et', 'de', 'douleur', 'dans', 'la', 'région', 'temporo-mandibulaire', 'se', 'présente', 'aux', 'urgences', 'pour', 'une', 'perte', 'unilatérale', 'de', 'la', 'vision', '(mouvement', 'de', 'la', 'main),', ""d'apparition"", 'soudaine', 'et', 'indolore', '(anomalie', 'pupillaire', 'afférente).', 'Quel', 'examen', 'demanderiez-vous', 'en', 'premier', 'lieu', 'à', 'des', 'fins', 'de', 'diagnostic', '?'], ['1-', 'Ponction', 'lombaire.'], ['2-', 'Protéine', 'C-Réactive.'], ['3-', 'Angiographie', 'par', 'résonance', 'magnétique.'], ['4-', 'Echographie', 'carotidienne.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Nous', 'sommes', 'en', 'présence', ""d'un"", 'cas', ""d'amaurose"", 'monoculaire', 'avec', 'un', 'profil', 'vasculaire,', 'également', 'chez', 'une', 'femme', 'âgée', 'avec', 'des', 'antécédents', 'de', 'perte', 'de', 'poids', 'et', 'ce', 'qui', 'semble', 'être', 'des', 'symptômes', 'de', 'claudication', 'mandibulaire', 'et', 'de', 'polymyalgie', 'rhumatismale,', 'donc', 'la', 'première', 'cause', 'à', 'envisager', 'est', ""l'artérite"", 'à', 'cellules', 'géantes', 'comme', 'cause', 'de', 'la', 'NOIA,', 'donc', 'parmi', 'les', 'options,', 'la', 'bonne', 'serait', ""l'option"", '2.'], ['Nous', 'envisagerions', 'le', 'chiffre', '4', 'si', ""l'on"", 'nous', 'parlait', ""d'une"", 'NOIA', 'mais', 'avec', 'des', 'caractéristiques', 'non', 'artéritiques', '(sans', 'toute', 'la', 'symptomatologie', 'qui', ""l'accompagne).""]]","[['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', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-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', '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', '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', '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'], ['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']]"
32_64,"[['QUESTION', 'TYPE:', 'NEUROLOGIE', 'ET', 'NEUROCHIRURGIE'], ['CLINICAL', 'CASE:'], ['Chez', 'un', 'patient', 'dont', ""l'épilepsie"", 'a', 'été', 'diagnostiquée', 'et', 'qui', 'présente', 'des', 'épisodes', ""d'insensibilité"", 'aux', 'stimuli', 'externes,', 'des', 'mouvements', 'irréguliers', 'des', 'quatre', 'membres,', 'des', 'yeux', 'fermés,', 'des', 'pleurs', 'et', 'des', 'mouvements', 'pelviens,', ""d'une"", 'durée', 'de', 'cinq', 'à', 'vingt', 'secondes', 'et', 'ne', 'répondant', 'pas', 'au', 'traitement', 'par', 'des', 'médicaments', 'antiépileptiques,', 'quelle', 'est', ""l'étude"", 'complémentaire', 'la', 'plus', 'susceptible', 'de', 'clarifier', 'le', 'diagnostic', '?'], ['1-', 'Surveillance', 'vidéo-EEG', 'pour', 'le', 'diagnostic', 'des', 'pseudo-crises', '(crises', 'psychogènes).'], ['2-', 'Holter', 'ECG', 'pour', 'le', 'diagnostic', 'des', 'maladies', 'cardiaques', 'arythmiques.'], ['3-', 'EEG', 'de', 'routine', 'pour', 'le', 'diagnostic', 'du', 'type', ""d'épilepsie"", '(généralisée', 'ou', 'focale).'], ['4-', 'IRM', 'cérébrale', 'pour', 'détecter', 'les', 'lésions', 'épileptogènes', '(dysplasie', 'corticale,', 'tumeur,', 'sclérose', 'temporale', 'médiane).'], ['5-', 'Détermination', 'de', 'la', 'glycémie', 'capillaire', 'pour', 'le', 'diagnostic', 'de', ""l'hypoglycémie.""], ['BONNE', 'RÉPONSE', ':', '1'], ['Réponse', 'correcte', '1', ':', 'Le', 'cas', 'décrit', 'est', 'très', 'évocateur', ""d'une"", 'pseudocrisie', 'avec', 'des', 'mouvements', 'asynchrones', 'des', 'membres,', 'des', 'mouvements', 'pelviens,', 'des', 'pleurs', 'et', 'une', 'faible', 'réponse', 'aux', 'médicaments', 'antiépileptiques.']]","[['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', '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'], ['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', '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', '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']]"
106_135,"[['QUESTION', 'TYPE:', 'GÉNÉTIQUE', 'ET', 'IMMUNOLOGIE'], ['CLINICAL', 'CASE:'], ['Enfant', 'de', '2', 'ans.'], ['Ses', 'antécédents', 'personnels', 'comprennent', ':', '3', 'épisodes', ""d'otite"", 'moyenne', 'aiguë,', '1', 'méningite', 'à', 'méningocoques', 'et', '2', 'pneumonies', '(une', 'du', 'lobe', 'moyen', 'et', 'une', 'du', 'lobe', 'supérieur', 'gauche).'], ['Il', 'a', 'été', 'admis', 'trois', 'fois', 'pour', 'un', 'purpura', 'thrombocytopénique', '(à', 'trois', 'reprises,', 'les', 'anticorps', 'antiplaquettaires', 'étaient', 'négatifs', 'et', 'la', 'moelle', 'osseuse', 'montrait', 'des', 'mégacaryocytes', 'normaux).'], ['Plusieurs', 'garçons', 'de', 'la', 'famille', 'maternelle', 'sont', 'morts', 'en', 'bas', 'âge', 'de', 'maladies', 'infectieuses.'], [""L'examen"", 'physique', 'a', 'révélé', 'des', 'lésions', 'typiques', 'de', 'la', 'dermatite', 'atopique.'], [""L'étude"", 'immunologique', 'a', 'montré', 'une', 'légère', 'diminution', 'des', 'sous-populations', 'de', 'lymphocytes', 'T,', 'une', 'élévation', 'des', 'IgA', 'et', 'des', 'IgE,', 'une', 'diminution', 'des', 'IgM', 'et', 'des', 'IgG', 'à', 'la', 'limite', 'inférieure', 'de', 'la', 'normale.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Syndrome', 'de', 'Wiskott-Aldrich.'], ['2-', 'Syndrome', ""d'hyper"", 'IgE.'], ['3-', 'Hypogammaglobulinémie', 'transitoire', 'du', 'nourrisson.'], ['4-', 'Déficit', 'immunitaire', 'combiné', 'sévère', 'lié', 'à', ""l'X.""], ['5-', 'Déficit', 'immunitaire', 'commun', 'variable.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Pour', 'répondre', 'correctement', 'à', 'cette', 'question,', 'il', 'convient', 'de', 'noter', 'que', 'les', 'symptômes', 'suivants', 'font', 'partie', 'des', 'symptômes', 'décrits', ':', '-', 'Enfant', 'de', '2', 'ans.'], ['-', 'Infections', 'ORL.'], ['-', 'Infections', 'pulmonaires.'], ['-', 'Admissions', 'à', ""l'hôpital.""], ['-', 'PTI.'], ['-', 'Antécédents', 'familiaux', ""d'infections"", 'avec', 'décès', 'dus', 'à', 'des', 'infections', 'chez', 'les', 'hommes', '(famille', 'maternelle).'], ['-', 'Dermatite', 'atopique.'], ['Toutes', 'ces', 'données,', 'ainsi', 'que', 'les', 'données', 'analytiques,', 'décrivent', 'un', 'déficit', 'immunitaire', 'qui,', ""d'après"", 'les', 'antécédents', 'familiaux', 'et', 'maternels,', 'semble', 'être', 'lié', 'au', 'chromosome', 'X,', 'car', 'plusieurs', 'hommes', 'sont', 'décédés', ""d'un"", 'état', 'clinique', 'similaire', '(le', 'père', 'du', 'patient', 'a', 'apporté', 'le', 'chromosome', 'Y,', 'la', 'mère', 'le', 'chromosome', 'X).'], ['Parmi', 'les', 'immunodéficiences', 'liées', 'à', ""l'X"", 'figure', 'le', 'syndrome', 'de', 'Wiskott-Aldrich,', 'une', 'entité', 'décrite', 'par', 'une', 'triade', 'initiale', 'de', 'symptômes', 'consistant', 'en', 'des', 'saignements', '(typiques', 'MAIS', 'absents', 'dans', 'le', 'cas', 'présent', ':', 'saignements', 'abondants', 'après', 'la', 'circoncision,', 'diarrhée', 'sanglante),', 'des', 'infections', 'récurrentes', 'et', 'de', ""l'eczéma.""], ['Outre', 'la', 'thrombocytopénie,', 'ils', 'présentent', 'un', 'risque', 'accru', 'de', 'phénomènes', 'auto-immuns', 'et', 'de', 'néoplasmes', 'lymphoïdes.'], [""L'option"", 'Hyper-IgE', 'ne', 'comporte', 'pas', 'de', 'données', 'cliniques', 'très', 'caractéristiques', 'telles', 'que', 'des', 'altérations', 'osseuses', 'et', 'des', 'lésions', 'cutanées', 'qui', 'ne', 'sont', 'pas', 'des', 'dermatites', 'atopiques,', 'car', 'elles', 'suivent', 'un', 'schéma', 'différent', '(éruption', 'papulo-pustuleuse', 'sur', 'le', 'visage', 'et', 'le', 'cuir', 'chevelu).'], [""L'option"", 'de', ""l'hypogammaglobulinémie"", 'transitoire', 'du', 'nourrisson', 'et', 'les', 'déficits', 'immunitaires', 'combinés', 'sévères', 'et', 'variables', 'courants', 'manquent,', 'entre', 'autres', 'caractéristiques,', 'la', 'détermination', 'des', 'immunoglobulines', 'G', 'et', 'M,', 'qui', 'sont', 'à', 'la', 'limite', 'inférieure,', 'mais', 'dans', 'la', 'plage', 'normale.']]","[['O', 'O', 'O', 'O', 'O'], ['O', 'O'], ['B-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'], ['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'], ['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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'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']]"
62_119,"[['QUESTION', 'TYPE:', 'ANESTHÉSIOLOGIE', 'ET', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Nous', 'sommes', 'consultés', 'pour', 'évaluer', 'une', 'femme', 'de', '83', 'ans', 'qui', 'a', 'été', 'admise', 'dans', 'le', 'service', 'de', 'traumatologie', 'pour', 'une', 'fracture', 'de', 'la', 'hanche', 'il', 'y', 'a', '6', 'heures.'], ['Il', 'souffre', ""d'une"", 'HTA,', ""d'une"", 'lombalgie,', ""d'une"", 'démence', 'modérée', 'et', 'vit', 'dans', 'une', 'maison', 'de', 'retraite.'], ['Son', 'traitement', 'habituel', 'est', 'composé', 'de', 'thiazide,', ""d'atorvastatine,"", 'de', 'donépézil,', 'de', 'calcium', 'et', 'de', 'vitamine', 'D.'], ['EF', ':', 'Patient', 'confus,', 'pouls', 'à', '90', 'bpm,', 'fréquence', 'respiratoire', 'à', '20', 'rpm,', 'T', 'art', '170/88,', 'pression', 'veineuse', 'jugulaire', 'normale.'], ['La', 'NFS', 'et', 'la', 'radiographie', 'pulmonaire', 'étaient', 'normales', 'et', ""l'ECG"", 'montrait', 'un', 'rythme', 'sinusal', 'sans', 'modifications', 'ischémiques.'], ['Laquelle', 'des', 'approches', 'thérapeutiques', 'suivantes', 'est', 'la', 'plus', 'correcte', '?'], ['1-', 'Retarder', ""l'intervention"", 'chirurgicale', ""jusqu'à"", 'ce', 'que', 'la', 'confusion', 'ait', 'disparu.'], ['2-', 'Retarder', ""l'intervention"", 'chirurgicale', 'et', 'réaliser', 'un', 'échocardiogramme.'], ['3-', 'Retarder', ""l'intervention"", 'chirurgicale', ""jusqu'à"", 'ce', 'que', 'la', 'tension', 'artérielle', 'soit', 'bien', 'contrôlée.'], ['4-', 'Mettre', 'en', 'place', 'un', 'bêta-bloquant', 'et', 'initier', ""l'intervention"", 'chirurgicale.'], ['5-', 'Réaliser', 'une', 'ostéosynthèse', 'fermée,', 'en', 'évitant', 'dans', 'tous', 'les', 'cas', ""l'implantation"", 'de', 'prothèses.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Le', 'cas', 'confusionnel', 'est', 'déterminé', 'par', 'la', 'démence', 'existante', 'du', 'patient,', 'de', 'sorte', 'que', 'si', 'nous', 'allons', 'retarder', ""l'intervention"", 'chirurgicale,', 'nous', 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592_76,"[['QUESTION', 'TYPE:', 'ONCOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '40', 'ans', 'a', 'consulté', 'parce', ""qu'elle"", 'avait', 'remarqué', 'une', 'grosseur', 'dans', 'le', 'quadrant', 'supérieur', 'externe', 'de', 'son', 'sein', 'droit', 'il', 'y', 'a', 'un', 'mois.'], ['Fournit', 'un', 'rapport', 'de', 'mammographie', 'décrivant', 'une', 'lésion', 'BIRADS', '3.'], ['Quelle', 'est', 'la', 'bonne', 'attitude', 'à', 'adopter', '?'], ['1-', 'Le', 'rassurer,', 'car', 'un', 'examen', ""d'imagerie"", 'a', 'déjà', 'été', 'effectué', 'et', 'une', 'tumeur', 'maligne', 'a', 'été', 'exclue.'], ['2-', 'Cette', 'classification', 'implique', 'probablement', 'une', 'intervention', 'chirurgicale', 'étant', 'donné', 'que', 'la', 'probabilité', 'de', 'cancer', 'est', 'supérieure', 'à', '10%.', 'Il', 'le', 'lui', 'explique', 'et', ""l'oriente"", 'préférentiellement', 'vers', ""l'unité"", 'du', 'sein.'], ['3-', 'Il', ""s'agit"", 'probablement', ""d'une"", 'découverte', 'bénigne,', 'car', 'il', 'y', 'a', 'moins', 'de', '2', '%', 'de', 'risque', 'de', 'cancer.', 'Il', 'explique', 'que', 'cela', 'nécessite', 'un', 'suivi', 'tous', 'les', '6-12', 'mois', ""jusqu'à"", '24', 'mois', 'ou', 'une', 'biopsie.'], ['4-', 'La', 'suspicion', 'de', 'cancer', 'est', 'faible', '(entre', '2', 'et', '10', '%)', 'mais', 'une', 'biopsie', 'est', 'nécessaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['BI-RADS', 'Breast', 'Imaging', 'Reporting', 'and', 'Data', 'System', '(système', 'de', 'rapports', 'et', 'de', 'données', 'sur', ""l'imagerie"", 'mammaire).'], ['BI-RADS', '3', 'est', 'défini', 'par', 'une', 'réponse', '3.']]","[['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'], ['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', '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', 'I-Claim', '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', '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', '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']]"
26_117,"[['QUESTION', 'TYPE:', 'INFECTIEUX'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'immunodéficient', 'présentant', 'une', 'pneumonie', 'à', 'la', 'radiographie', 'pulmonaire', 'ou', 'au', 'scanner', 'avec', 'un', 'halo', 'méniscal', 'ou', 'un', 'contour', 'croissant', 'suggère', 'une', 'infection', 'par..', ':'], ['1-', 'Staphylococcus', 'aureus.'], ['2-', 'Streptococcus', 'pneumoniae.'], ['3-', 'Candida', 'albicans.'], ['4-', 'Pseudomonas', 'aeruginosa.'], ['5-', 'Aspergillus', 'fumigatus.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Le', 'signe', 'du', 'halo', 'est', 'caractéristique', 'de', ""l'aspergillose"", 'pulmonaire,', 'en', 'particulier', 'chez', 'un', 'patient', 'immuodéprimé.'], ['Mais', 'elle', ""n'est"", 'pas', 'pathognomonique', ';', 'elle', 'a', 'également', 'été', 'associée', 'à', 'la', 'tuberculose,', 'à', 'certains', 'néoplasmes', 'et', 'à', 'la', 'granulomatose', 'de', 'Wegener.']]","[['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', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-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']]"
435_121,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES', 'ET', 'MICROBIOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '45', 'ans', 'a', 'consulté', 'pour', 'une', 'toux', 'productive,', 'une', 'douleur', 'pleurétique', 'au', 'flanc', 'droit', 'et', 'de', 'la', 'fièvre', 'depuis', '48', 'heures.'], ['Saturation', 'en', 'O2', 'de', 'base', 'de', '88%', 'et', 'râles', 'dans', 'la', 'base', 'droite.'], ['La', 'radiographie', 'du', 'thorax', 'montre', 'une', 'consolidation', 'basale', 'droite.'], ['Antécédents', ""d'infection"", 'par', 'le', 'VIH', 'bien', 'contrôlée', 'par', 'des', 'antirétroviraux', '(lymphocytes', 'CD4', '550', 'ce/uL', 'et', 'charge', 'virale', 'VIH', 'indétectable).'], ['Parmi', 'les', 'traitements', 'antimicrobiens', 'empiriques', 'suivants,', 'lequel', 'vous', 'semble', 'le', 'plus', 'approprié', '?'], ['1-', 'Cefiriaxone', '2', 'g', 'et', 'azithromycine', '500', 'mg', 'toutes', 'les', '24', 'heures.'], ['2-', 'Cefiriaxone', '2', 'g,', 'azithornicine', '500', 'mg', 'toutes', 'les', '24', 'heures', 'et', 'triméthoprime-sulfaméthoxazole', '5', 'mg/kg/8', 'h', '(sur', 'la', 'base', 'de', 'la', 'dose', 'de', 'triméthoprime).'], ['3-', 'Méthyl-prednisolone', '40', 'mg/jour,', 'céfiriaxone', '2', 'g', 'IV', '124', 'h', 'et', 'triméthoprime-sulfaméthoxazole', '5', 'mg/kg/8', 'h', '(sur', 'la', 'base', 'de', 'la', 'dose', 'de', 'triméthoprime).'], ['4-', 'Méropénem', 'I', 'g/8', 'h', 'et', 'vancomycine', 'I', 'g/l2', 'h.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['La', 'première', 'option', 'semble', 'être', 'la', 'bonne,', 'en', 'raison', 'de', 'la', 'faible', 'probabilité', ""d'infection"", 'par', 'P.', 'jirovecii', 'chez', 'les', 'patients', 'ayant', 'plus', 'de', '500', 'cellules', 'CD4', 'et', 'une', 'charge', 'virale', 'indétectable.'], ['Il', ""s'agit"", 'très', 'probablement', ""d'une"", 'infection', 'pneumococcique', 'que', 'nous', 'couvrons', 'avec', 'la', 'Ceftriaxone', 'et', 'avec', ""l'azithromycine"", 'pour', 'les', 'infections', 'dites', '""atypiques"".'], ['Le', 'méropénem', 'est', 'un', 'antibiotique', 'à', 'trop', 'large', 'spectre,', 'qui', 'pourrait', 'être', 'utilisé', 'en', 'cas', 'de', 'pneumonie', 'hospitalière', 'due', 'à', 'P.', 'aeruginosa,', 'un', 'agent', 'bactérien', 'qui', 'peut', 'également', 'provoquer', 'une', 'pneumonie', 'chez', 'les', 'patients', 'séropositifs,', 'mais', 'cette', 'situation', 'est', 'rare.']]","[['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'], ['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'], ['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'], ['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'], ['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'], ['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'], ['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'], ['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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 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474_142,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'ORTHOPÉDIQUE', 'ET', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '70', 'ans,', 'diabétique', 'et', 'hypertendue,', 'ayant', 'fait', 'une', 'chute', 'à', 'domicile,', 'présentant', 'une', 'plaie', 'de', '9', 'cm', 'communiquant', 'avec', 'une', 'fracture', 'du', 'tibia', 'droit.'], ['La', 'radiographie', 'montre', 'une', 'fracture', 'oblique', 'courte', 'du', 'tiers', 'distal', 'moyen', 'du', 'tibia.'], ['Opération', ""d'urgence"", 'par', 'nettoyage', '(Friederich)', 'et', 'insertion', ""d'un"", 'clou', 'endomédullaire', 'en', 'acier.'], ['À', ""l'âge"", 'de', '11', 'mois,', 'il', 'a', 'présenté', 'une', 'pseudarthrose', 'atrophique', 'du', 'tibia', 'avec', 'suppuration', 'dans', 'la', 'zone', 'de', 'la', 'plaie.'], ['Quelle', 'sera', 'votre', 'meilleure', 'option', 'thérapeutique', 'immédiate', '?'], ['1-', 'Triple', 'antibiothérapie', '(gram', 'positif,', 'gram', 'négatif', 'et', 'anaérobie)', 'et', 'nettoyage', 'de', 'la', 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17_137,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'patiente', 'de', '14', 'ans', 'en', 'bon', 'état', 'général', 'a', 'présenté', 'il', 'y', 'a', '4', 'jours', 'une', 'éruption', 'cutanée', 'généralisée', 'très', 'prurigineuse', 'consistant', 'en', 'des', 'plaques', 'érythémateuses', 'oedémateuses', 'de', '2', 'à', '15', 'cm', 'de', 'diamètre', 'sans', 'desquamation,', 'ayant', 'tendance', 'à', 'acquérir', 'une', 'morphologie', 'en', 'anneau,', 'qui', 'disparaissaient', 'individuellement', 'en', 'moins', 'de', '24', 'heures.'], ['Les', 'muqueuses', 'sont', 'respectées.'], ['Votre', 'première', 'impression', 'de', 'diagnostic', 'serait', 'la', 'suivante', ':'], ['1-', 'Urticaire.'], ['2-', 'La', 'rubéole.'], ['3-', 'Toxicodermie.'], ['4-', 'Choc', 'toxique', 'staphylococcique.'], ['5-', 'La', 'gale.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Urticaire', 'aiguë', ':', 'caractérisée', 'par', 'des', 'lésions', 'érythémateuses,', 'œdémateuses,', 'évanescentes,', 'prurigineuses,', 'érythémateuses-œdémateuses', 'durant', 'moins', 'de', '24', 'heures,', 'sans', 'desquamation.'], [""L'état"", 'général', 'est', 'généralement', 'préservé.'], ['Chez', 'les', 'enfants,', 'la', 'forme', 'annulaire', 'est', 'plus', 'fréquente.'], ['Dans', 'le', 'cas', 'de', 'la', 'rubéole', 'et', 'de', 'la', 'toxicodermie,', ""l'état"", 'général', ""n'est"", 'pas', 'préservé.'], ['Choc', 'staphylococcique,', 'avec', 'malaise', 'général', 'et', 'lésions', 'vésiculaires.'], ['Les', 'lésions', 'de', 'la', 'gale', 'sont', 'de', 'préférence', 'interdigitales,', 'sous', 'forme', 'de', 'papulocoses', 'qui', 'peuvent', 'suivre', 'des', 'trajectoires', 'linéaires.']]","[['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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-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', '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'], ['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'], ['B-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']]"
425_92,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '34', 'ans', 'a', 'été', 'admise', 'pour', 'une', 'étude', 'de', 'polyurie', 'et', 'de', 'polydipsie.'], ['Au', 'cours', 'des', '24', 'premières', 'heures', ""d'admission,"", 'une', 'diurèse', 'de', '8,2', 'litres', 'a', 'été', 'enregistrée', 'et', 'un', 'test', 'sanguin', 'a', 'révélé', 'une', 'glycémie', 'de', '96', 'mg/dL,', 'une', 'natrémie', 'de', '148', 'mEq/L', 'et', 'une', 'osmolalité', 'plasmatique', 'de', '309', 'mOsm/kg', 'avec', 'une', 'osmolalité', 'urinaire', 'de', '89', 'mOsmlkg.'], ['Quel', 'est', 'le', 'test', 'diagnostique', 'à', 'effectuer', 'ensuite', '?'], ['1-', 'Test', 'de', 'perfusion', 'de', 'solution', 'saline', 'hypertonique', 'pour', 'le', 'dosage', 'en', 'série', 'de', ""l'hormone"", 'antidiurétique.'], ['2-', 'Test', 'de', 'déshydratation', '(test', 'de', 'Miller).'], ['3-', 'Administration', 'de', 'desmopressine', 'avec', 'contrôle', 'en', 'série', 'de', ""l'osmolalité"", 'des', 'urines.'], ['4-', 'Détermination', 'de', ""l'hormone"", 'antidiurétique', 'dans', 'le', 'plasma.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Nous', 'nous', 'retrouvons', 'devant', 'la', 'poliuria.'], ['Dans', 'un', 'premier', 'temps,', 'nous', 'avons', 'écarté', ""l'hypothèse"", ""d'un"", 'diabète', 'sucré', '(notre', 'patient', 'a', 'une', 'glycémie', 'normale', 'de', '96', 'mgr/dl).'], ['Les', 'données', 'analytiques', 'suggèrent', 'un', 'diabète', 'insipide', '(osm', 'plasmatique', 'élevé', 'et', 'osm', 'urinaire', 'faible).'], ['Il', 'faut', 'maintenant', 'différencier', 'le', 'diabète', 'insipide', 'central', '(absence', ""d'ADH)"", 'du', 'diabète', 'insipide', 'néphrogénique', ""(l'ADH"", ""n'exerce"", 'pas', 'son', 'action', 'au', 'niveau', 'rénal).'], ['Pour', 'ce', 'faire,', 'on', 'utilise', 'le', 'test', 'à', 'la', 'vasopressine', '(administration', 'intraveineuse', ""d'ADH"", 'et', 'nouvelle', 'mesure', 'de', ""l'osmolarité"", 'urinaire).'], ['La', 'bonne', 'réponse', 'est', 'donc', ""l'option"", '3.']]","[['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'], ['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'], ['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'], ['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', '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', 'O'], ['O', 'O', 'O', 'O'], ['B-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', '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', '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'], ['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-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
8_232,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '52', 'ans', 'consulte', 'parce', ""qu'elle"", 'a', 'remarqué', 'une', 'coloration', 'jaunâtre', 'des', 'conjonctives', 'au', 'cours', 'de', 'la', 'semaine', 'précédente.'], ['Elle', 'ne', 'signale', 'aucun', 'comportement', 'sexuel', 'à', 'risque', 'ni', 'aucun', 'antécédent', 'épidémiologique', 'de', 'risque', ""d'hépatite"", 'virale.'], ['Ne', 'consomme', 'pas', ""d'alcool"", 'ni', 'de', 'médicaments', 'hépatotoxiques.'], ['Il', 'rapporte', 'une', 'histoire', ""d'un"", 'an', 'de', 'prurit', 'généralisé,', ""d'asthénie,"", 'de', 'bouche', 'sèche', 'et', ""d'absence"", 'de', 'larmoiement', 'de', 'cause', 'non', 'identifiée.'], ['Reste', 'de', ""l'anamnèse"", 'sans', 'données', 'pathologiques.'], [""L'examen"", 'physique', 'a', 'révélé', 'des', 'lésions', 'de', 'grattage,', 'un', 'ictère', 'conjonctival', 'et', 'une', 'hépatomégalie', 'non', 'douloureuse.'], ['Il', 'a', 'fourni', 'des', 'analyses', 'de', 'sang', 'effectuées', 'dans', 'son', 'entreprise', 'avec', 'les', 'résultats', 'pathologiques', 'suivants', ':', 'Bilirubine', '3', 'mg/dl,', 'FA', '400', 'UI/', 'VSG', '40mm', '1', 'heure.'], ['Indiquez', 'quelle', 'serait', 'la', 'recommandation', 'la', 'plus', 'appropriée', 'pour', 'établir', 'le', 'diagnostic', 'étiologique', 'de', ""l'état"", 'du', 'patient', ':'], ['1-', 'Anticorps', 'anti-mitochondriaux.'], ['2-', 'Étude', 'du', 'métabolisme', 'du', 'Fe.'], ['3-', 'Etude', 'du', 'métabolisme', 'du', 'cuivre.'], ['4-', 'Imagerie', 'par', 'résonance', 'magnétique', 'du', 'foie.'], ['5-', 'Sérologie', 'des', 'virus', 'B', 'et', 'C.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Cirrhose', 'biliaire', 'primitive', 'image', 'de', 'livre,', 'le', 'genre', 'qui', 'ne', 'se', 'produit', 'pas', 'dans', 'la', 'vie', 'réelle.'], ['Le', 'diagnostic', 'serait', 'pratiquement', 'posé', 'avec', ""l'AMA"", '(1).'], ['Avec', '2,', 'on', 'exclut', ""l'hémochromatose,"", 'avec', '3,', 'on', 'exclut', 'la', 'maladie', 'de', 'Wilson.'], ['La', 'réponse', '4', 'permet', ""d'exclure"", 'des', 'maladies', 'rares', 'telles', 'que', 'les', 'malformations', 'des', 'voies', 'biliaires', 'ou', 'la', 'maladie', 'de', 'Caroli,', 'et', ""l'option"", '5', 'permet', ""d'exclure"", ""l'hépatite"", 'virale.']]","[['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'], ['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'], ['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', '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'], ['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'], ['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', 'O', 'O', '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'], ['O', 'B-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', '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'], ['B-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', 'B-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', 'O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
621_60,"[['QUESTION', 'TYPE:', 'OPHTALMOLOGIE', '(ECTOPIQUE)'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '20', 'ans', ""s'est"", 'présenté', 'aux', 'urgences', 'après', 'un', 'accident', 'de', 'vélo', 'avec', 'traumatisme', 'facial.'], ['Un', 'scanner', 'crânien', 'a', 'été', 'réalisé,', 'montrant', 'une', 'fracture', 'du', 'tiers', 'moyen', 'de', 'la', 'face', 'affectant', 'la', 'région', 'orbito-malaire.'], [""L'une"", 'des', 'complications', 'les', 'plus', 'fréquentes', 'de', 'ce', 'type', 'de', 'fracture', 'est', 'la', 'suivante', ':'], ['1-', 'Ankylose', 'temporo-mandibulaire.'], ['2-', 'Malocclusion', 'dentaire.'], ['3-', 'Pseudarthrose', 'naso-ethmoïdale.'], ['4-', 'Enophtalmie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Les', 'fractures', 'de', 'la', 'face', 'moyenne', 'dans', 'la', 'région', 'orbito-malaire', 'peuvent', 'toucher', 'le', 'plancher', 'et,', 'dans', 'une', 'moindre', 'mesure,', 'la', 'paroi', 'latérale', 'de', ""l'orbite.""], ['En', 'supposant', 'donc', 'que', ""l'on"", 'nous', 'demande', 'quelle', 'est', ""l'une"", 'des', 'complications', 'les', 'plus', 'fréquentes', 'du', 'plancher', 'de', ""l'orbite,"", 'il', 'faut', 'toujours', 'souligner', 'deux', 'complications', 'qui', 'peuvent', 'indiquer', 'un', 'traitement', 'chirurgical,', 'même', 'urgent', ':', 'la', 'diplopie,', 'due', 'à', 'la', 'dislocation', 'du', 'muscle', 'droit', 'inférieur', 'vers', 'le', 'sinus', 'maxillaire', 'sous-jacent', '(et', 'même', 'son', 'piégeage)', ';', 'et', ""l'énophtalmie,"", 'qui', 'peut', 'entraîner', ""d'autres"", 'complications', 'associées', 'à', 'moyen', 'et', 'à', 'long', 'terme,', 'comme', 'la', 'pseudo-ptose', 'palpébrale', 'supérieure', 'due', 'à', 'la', 'perte', 'de', 'volume', 'orbitaire', '(option', '4', 'correcte).'], [""L'ankylose"", 'temporo-mandibulaire', ""n'est"", 'pas', 'prise', 'en', 'compte', 'car,', 'bien', 'que', 'relativement', 'proche', 'de', 'la', 'cavité', 'orbitaire,', 'elle', 'ne', 'fait', 'pas', 'partie', 'du', 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470_138,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'ORTHOPÉDIQUE', 'ET', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '73', 'ans', 'ayant', 'des', 'antécédents', ""d'obésité,"", 'de', 'diabète', 'sucré', 'de', 'type', '2,', ""d'hypertension"", 'et', 'de', 'dyslipidémie.'], ['Consultation', 'pour', 'une', 'douleur', 'insupportable', 'au', 'genou', 'droit', 'évoluant', 'depuis', '5', 'jours,', 'sans', 'traumatisme', 'antérieur.'], ['Examen', ':', 'genou', 'globuleux,', 'varus', 'modéré,', 'extension', 'et', 'flexion', 'limitées', 'par', 'la', 'douleur,', 'douleur', 'médiane', 'diffuse.'], ['La', 'radiographie', 'montre', 'des', 'ostéophytes', 'et', 'une', 'légère', 'impaction', 'de', ""l'interligne"", 'médial.'], ['Quelle', 'serait', 'leur', 'réaction', 'initiale', '?'], ['1-', 'Explication', 'du', 'diagnostic,', 'repos', 'relatif,', 'paracétamol', '1g/8h', 'plus', 'métamizole', '500', 'mg/', '8', 'h', 'naproxen', 'en', 'cas', ""d'urgence.""], ['2-', 'Orientation', 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365_100,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE', 'ET', 'CHIRURGIE', 'THORACIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'agriculteur', 'de', '64', 'ans,', 'ex-fumeur', '(5', 'ans),', 'atteint', 'de', 'BPCO', 'et', 'de', 'polyarthrite', 'rhumatoïde', 'sous', 'traitement', 'aux', 'corticostéroïdes.'], ['Consultation', 'aux', 'urgences', 'pour', 'des', 'céphalées', 'sévères', 'évoluant', 'depuis', '2', 'jours', 'avec', 'déviation', 'du', 'coin', 'de', 'la', 'bouche.'], ['Il', 'signale', ""qu'après"", 'un', 'syndrome', 'grippal', 'survenu', 'il', 'y', 'a', 'un', 'mois,', 'il', 'continue', 'à', 'tousser,', 'à', 'avoir', 'une', 'expectoration', 'purulente', 'et', 'parfois', 'hémoptotique,', 'une', 'fièvre', 'fébrile,', 'de', ""l'anorexie,"", 'de', ""l'asthénie"", 'et', 'une', 'perte', 'de', 'poids.'], ['À', ""l'arrivée,"", 'fièvre', 'à', '38,2', 'ºC,', 'multiples', 'abcès', 'cutanés', 'sur', 'les', 'mains,', 'le', 'dos', 'et', 'les', 'fesses', '(certains', 'avec', 'des', 'voies', 'fistuleuses)', 'et', 'paralysie', 'faciale', 'centrale', 'droite,', 'infiltrats', 'apicaux', 'avec', 'petit', 'épanchement', 'pleural', 'associé', 'sur', 'la', 'radiographie', 'thoracique', 'et', 'leucocytose', 'avec', 'neutrophilie.'], ['Parmi', 'les', 'diagnostics', 'présumés', 'suivants,', 'je', 'considérerais', ""qu'ils"", 'sont', 'les', 'plus', 'probables', ':'], ['1-', 'Tumeur', 'pulmonaire', 'avec', 'métastases', 'cérébrales.'], ['2-', 'La', 'tuberculose', 'disséminée.'], ['3-', 'Nocardiose.'], ['4-', ""L'aspergilose.""], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Nocardia', 'affecte', 'généralement', 'les', 'personnes', 'immunodéprimées,', 'en', 'particulier', 'celles', 'dont', ""l'immunité"", 'à', 'médiation', 'cellulaire', 'est', 'altérée,', 'comme', 'celle', 'produite', 'par', 'les', 'stéroïdes,', 'et', 'peut', 'se', 'manifester', 'par', 'une', 'atteinte', 'pulmonaire,', 'des', 'abcès', 'cérébraux', 'et', 'des', 'abcès', 'cutanés.'], ['La', 'tuberculose', 'peut', 'affecter', 'les', 'poumons', 'et', 'le', 'cerveau,', 'mais', 'pas', 'les', 'abcès', 'cutanés.'], [""L'aspergillus"", ""n'affecte"", 'pas', 'non', 'plus', 'la', 'peau.']]","[['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'], ['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', '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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'B-Claim', 'I-Claim'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', '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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
392_223,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '68', 'ans,', 'ayant', 'déjà', 'connu', 'deux', 'épisodes', 'dépressifs', 'majeurs', 'dans', 'sa', 'vie,', 'consulte', 'pour', 'des', 'symptômes', 'de', 'tristesse,', 'de', 'dépression,', ""d'anhédonie,"", ""d'asthénie"", 'et', ""d'anorexie"", 'compatibles', 'avec', 'un', 'nouvel', 'épisode', 'dépressif.'], [""L'escitalopram"", '10', 'mg', 'est', 'prescrit', 'et', 'évalué', '2', 'semaines', 'plus', 'tard.'], ['Lors', 'de', 'cette', 'visite', 'de', 'contrôle,', 'la', 'patiente', 'déclare', 'se', 'sentir', 'très', 'bien,', 'se', 'réveiller', 'tôt,', 'très', 'hyperactive', 'et', '""très', 'désireuse', 'de', 'faire', 'des', 'choses"",', 'elle', 'dit', ""qu'elle"", 'a', 'beaucoup', ""d'énergie"", 'et', ""qu'elle"", 'est', 'plus', 'bavarde', ""qu'à"", ""l'accoutumée.""], ['Il', 'ne', 'se', 'dit', 'pas', 'irritable', 'et', 'peut', 'dormir', '6', 'heures', 'sans', 'interruption.'], ['Dans', 'cette', 'situation,', 'que', 'pensez-vous', 'que', 'le', 'patient', 'ait', '?'], ['1-', 'Trouble', 'bipolaire', 'de', 'type', 'I.'], ['2-', ""L'hypomanie"", 'induite', 'par', 'les', 'médicaments.'], ['3-', 'Réponse', 'normale', 'à', ""l'escitalopram.""], ['4-', 'Démence', 'frontale.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Dans', 'cette', 'question,', 'on', 'pourrait', 'soupçonner', 'la', 'possibilité', ""d'un"", 'revirement', 'affectif', 'après', ""l'introduction"", 'de', ""l'antidépresseur,"", 'sur', 'la', 'base', 'de', 'ce', 'que', 'le', 'patient', 'mentionne,', 'mais', 'si', ""l'on"", 'y', 'regarde', 'de', 'plus', 'près,', 'il', 'y', 'a', 'une', 'donnée', 'claire', 'qui', '""exclut""', 'le', 'revirement', 'hypo/maniaque,', 'et', ""c'est"", 'la', 'capacité', 'à', 'maintenir', 'le', 'sommeil.'], ['Deux', 'semaines,', ""c'est"", 'trop', 'court', 'pour', 'que', 'le', 'médicament', 'ait', 'un', 'effet', 'complet', 'sur', ""l'humeur,"", 'mais', 'il', 'peut', 'y', 'avoir', 'une', 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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', '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'], ['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', '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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
285_59,,
301_232,"[['QUESTION', 'TYPE:', 'MALADIES', 'INFECTIEUSES'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '24', 'ans', 'a', 'consulté', 'après', 'avoir', 'remarqué', 'des', 'adénopathies', 'inguinales.'], [""L'interrogatoire"", ""n'a"", 'pas', 'révélé', 'la', 'présence', ""d'un"", 'quelconque', 'malaise', 'local', 'ou', 'de', 'données', 'suggérant', 'une', 'infection', 'sexuellement', 'transmissible.'], [""L'examen"", 'a', 'révélé', 'la', 'présence', 'de', 'deux', 'ganglions', 'lymphatiques,', 'un', 'dans', 'chaque', 'aine,', ""d'un"", 'diamètre', 'de', '1', 'cm,', 'mous,', 'mobiles', 'et', 'non', 'douloureux.'], ['Aucune', 'lésion', 'cutanée', ""n'est"", 'visible', 'sur', 'les', 'membres', 'inférieurs,', ""l'anus"", 'ou', 'le', 'périnée.'], ['Quelles', 'sont', 'les', 'preuves', 'que', 'vous', 'considérez', 'comme', 'essentielles', '?'], ['1-', 'Une', 'sérologie', 'de', 'la', 'syphilis', 'car', 'il', ""s'agit"", 'très', 'probablement', ""d'une"", 'infection', 'à', 'Treponema', 'pallidum.'], ['2-', 'Un', 'examen', 'gynécologique', 'pour', 'écarter', 'la', 'possibilité', ""d'un"", 'cancer', 'de', ""l'ovaire.""], ['3-', ""D'après"", 'les', 'caractéristiques', 'cliniques,', 'il', 'semble', 'que', 'les', 'ganglions', 'lymphatiques', 'soient', 'normaux', 'et', ""qu'il"", ""n'y"", 'ait', 'pas', 'lieu', 'de', 'procéder', 'à', ""d'autres"", 'examens.'], ['4-', 'Un', 'test', 'de', 'Paul-Bunnell', 'doit', 'être', 'réalisé', 'pour', 'éliminer', 'une', 'mononucléose', 'infectieuse.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Chez', ""l'adulte"", 'en', 'bonne', 'santé,', 'des', 'ganglions', 'inguinaux', 'palpables', ""d'une"", 'taille', 'allant', ""jusqu'à"", '2', 'centimètres', 'peuvent', 'être', 'présents', 'et', 'considérés', 'comme', 'normaux.'], ['Une', 'étude', 'plus', 'approfondie', 'de', 'ces', 'ganglions', 'lymphatiques', 'normaux', ""n'est"", 'pas', 'justifiée.']]","[['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'], ['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'], ['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'], ['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'], ['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', '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'], ['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']]"
23_113,"[['QUESTION', 'TYPE:', 'INFECTIEUX'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '71', 'ans', 'ayant', 'des', 'antécédents', 'de', 'polyarthrite', 'rhumatoïde', 'sous', 'traitement', 'par', 'sulfasalazine,', 'prednisone', 'et', 'étanercept.'], ['Il', 'a', 'consulté', 'le', 'service', 'des', 'urgences', 'pendant', '72', 'heures', 'avec', 'des', 'symptômes', 'cliniques', 'compatibles', 'avec', 'un', 'zona', 'facial', 'touchant', 'le', 'côté', 'droit', 'du', 'visage,', 'le', 'pavillon', 'de', ""l'oreille,"", 'le', 'front', 'et', 'un', 'chémosis', 'conjonctival.'], ['Quel', 'serait', 'le', 'traitement', 'approprié', '?'], ['1-', 'Traitement', 'symptomatique', 'de', 'la', 'douleur', 'uniquement.'], ['2-', 'Traitement', 'topique', 'à', ""l'acyclovir.""], ['3-', 'Traitement', 'ambulatoire', 'par', 'acyclovir,', 'valacyclovir', 'ou', 'famciclovir', 'oral.'], ['4-', 'Admission', 'à', ""l'hôpital"", 'et', 'traitement', 'par', 'acyclovir', 'ou', 'famciclovir', 'iv.'], ['5-', 'Ig', 'parentérale', 'et', 'vaccination.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Je', 'pense', 'que', 'cette', 'question', 'ne', 'figure', 'pas', 'clairement', 'dans', 'le', 'programme', 'des', 'maladies', 'infectieuses', 'et', ""qu'elle"", 'peut', 'faire', 'double', 'emploi', 'avec', 'OFT', 'et', 'DERMA,', 'mais', 'si', 'je', 'comprends', 'bien,', 'chez', 'un', 'patient', 'immunodéprimé', 'et', 'avec', 'des', 'données', 'sur', ""l'atteinte"", 'oculaire,', ""l'admission"", 'pour', 'un', 'traitement', 'intraveineux', 'serait', 'indiquée', 'en', 'raison', 'du', 'risque', 'élevé', 'de', 'complications', 'possibles.']]","[['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', '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', 'B-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', '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'], ['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', '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']]"
564_126,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '58', 'ans,', 'souffrant', ""d'hypertension"", 'depuis', '6', 'ans,', 'consulte', 'pour', 'un', 'mauvais', 'contrôle', 'de', 'sa', 'tension', 'artérielle', 'malgré', 'un', 'traitement', 'par', 'inhibiteur', 'de', ""l'enzyme"", 'de', 'conversion', 'de', ""l'angiotensine,"", 'diurétique', 'et', 'antagoniste', 'du', 'calcium.'], ['Lors', 'de', 'la', 'consultation,', 'il', 'a', 'présenté', 'une', 'tension', 'artérielle', 'de', '149/100', 'mmHg.'], ['NFS', ':', 'créatinine', '1,2', 'mg/dl,', 'potassium', '2,2', 'mEq/l', 'et', 'alcalose', 'métabolique', 'compensée', ';', 'le', 'reste', 'de', ""l'étude"", 'biochimique,', ""l'hémogramme,"", 'la', 'coagulation', 'et', 'le', 'sédiment', 'urinaire', 'sont', 'normaux.'], ['Veuillez', 'cocher', ""l'affirmation"", 'correcte', ':'], ['1-', ""L'origine"", 'de', ""l'hypertension"", 'dans', 'ce', 'cas', 'est', 'une', 'sécrétion', 'excessive', ""d'aldostérone"", 'causée', 'par', 'un', 'hyperfonctionnement', 'autonome', 'de', 'la', 'médullosurrénale.'], ['2-', 'Dans', 'la', 'plupart', 'des', 'cas,', 'le', 'substrat', 'anatomique', 'est', 'une', 'hyperplasie', 'bilatérale', 'du', 'cortex', 'surrénalien.'], ['3-', 'La', 'tomodensitométrie', 'fait', 'partie', 'du', 'bilan', 'diagnostique', 'en', 'cas', 'de', 'confirmation', 'biochimique.'], ['4-', 'La', 'spironolactone', 'est', 'contre-indiquée', 'dans', 'la', 'prise', 'en', 'charge', 'de', 'cette', 'pathologie.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Nous', 'présentons', 'un', 'patient', 'souffrant', ""d'hypertension"", 'artérielle', 'résistante,', 'supposant', 'un', 'hyperaldostéronisme', 'primaire', 'dû', 'à', 'une', 'alcalose', 'métabolique', 'hypokaliémique.'], ['Lorsque', 'le', 'diagnostic', 'est', 'confirmé', 'sur', 'le', 'plan', 'biochimique,', 'le', 'test', 'suivant', 'à', 'effectuer', 'est', 'un', 'scanner', 'pour', 'déterminer', 'le', 'sous-type', 'et', 'exclure', 'la', 'présence', ""d'un"", 'carcinome', 'surrénalien', '(option', '3', 'correcte).'], ['Il', 'est', 'donc', 'nécessaire', ""d'attendre"", ""l'examen"", ""d'imagerie"", 'pour', 'confirmer', ""l'étiologie"", '(option', '1', 'incorrecte).'], ['La', 'cause', 'la', 'plus', 'fréquente', 'est', 'un', 'adénome', 'produisant', 'de', ""l'aldostérone"", '(option', '2', 'incorrecte).'], ['La', 'spironolactone', 'est', 'le', 'traitement', 'médical', 'de', 'choix', '(option', '4', 'incorrecte).']]","[['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', 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292_213,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE,', 'VÉNÉRÉOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE:'], ['Gustavo', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'avec', 'des', 'lésions', 'cutanées', 'et', 'un', 'malaise', 'général', 'depuis', 'plusieurs', 'jours.'], ['Elle', 'présente', 'des', 'lésions', 'psoriasiformes', 'sur', 'le', 'tronc', 'avec', 'une', 'atteinte', 'de', 'la', 'paume', 'des', 'mains', 'et', 'de', 'la', 'plante', 'des', 'pieds.'], ['Il', 'présente', 'également', 'un', 'gonflement', 'asymétrique', 'et', 'non', 'suppuratif', 'des', 'articulations,', 'ainsi', ""qu'une"", 'rougeur', 'oculaire', 'bilatérale', 'et', 'des', 'érosions', 'sur', 'le', 'gland', 'du', 'pénis.'], ['Dans', ""l'anamnèse"", 'qui', 'suit,', 'Gustavo', 'reconnaît', 'un', 'contact', 'sexuel', 'à', 'risque', '20', 'jours', 'plus', 'tôt.'], ['Quel', 'est', 'votre', 'diagnostic', '?'], ['1-', ""L'infection"", 'par', 'le', 'VIH.'], ['2-', 'La', 'syphilis', 'secondaire.'], ['3-', 'Le', 'syndrome', 'de', 'Reiter.'], ['4-', 'Erythème', 'polymorphe.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', 'décrit', 'un', 'syndrome', 'de', 'Reiter', 'classique', ':', 'kératodermie', 'palmo-plantaire,', 'arthrite', 'et', 'manifestations', 'oculaires,', 'ainsi', ""qu'une"", 'urétrite', 'probablement', 'à', 'chlamydia,', 'peut-être', 'asymptomatique', '(pas', ""d'explication"", 'pour', ""l'exsudat"", 'urétral).'], ['Bien', 'entendu,', 'le', 'patient', 'peut', 'également', 'être', 'atteint', ""d'une"", 'infection', 'par', 'le', 'VIH', 'ou', 'même', ""d'une"", 'syphilis', 'secondaire', '(en', 'plus', 'de', 'la', 'maladie', 'de', 'Reiter).']]","[['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'], ['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'], ['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'], ['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', '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'], ['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']]"
477_128,"[['QUESTION', 'TYPE:', 'SOINS', 'INTENSIFS'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '35', 'ans,', 'admis', 'pour', 'un', 'grave', 'traumatisme', 'thoracique', 'avec', 'de', 'multiples', 'fractures', 'de', 'côtes.'], ['Après', 'avoir', 'répondu', 'favorablement', 'au', 'traitement', 'par', 'analgésiques', 'et', 'oxygène,', 'il', 'a', 'commencé', 'à', 'développer', 'une', 'hypoxémie', 'sévère.'], ['Quelle', 'est', 'la', 'cause', 'la', 'plus', 'probable', 'de', 'cette', 'détérioration', '?'], ['1-', 'Instabilité', 'de', 'la', 'paroi', 'thoracique', 'due', 'à', 'des', 'fractures', 'multiples.'], ['2-', 'Infection', 'respiratoire', 'par', 'aspiration.'], ['3-', 'Altération', 'des', 'échanges', 'gazeux', 'due', 'à', 'une', 'contusion', 'pulmonaire.'], ['4-', ""L'hypovolémie"", 'post-traumatique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'contusion', 'pulmonaire', 'est', 'la', 'lésion', 'la', 'plus', 'grave', 'et', 'celle', 'dont', 'le', 'pronostic', 'est', 'le', 'plus', 'sombre', 'lors', ""d'un"", 'traumatisme', 'thoracique.'], [""C'est"", 'aussi', 'la', 'lésion', 'qui', 'provoque', 'le', 'plus', 'tôt', 'une', 'hypoxémie.'], ['Contrairement', 'à', 'ce', 'que', ""l'on"", 'pourrait', 'penser,', 'un', 'thorax', 'instable', 'dû', 'à', 'de', 'multiples', 'fractures', 'de', 'côtes', '(volet', 'costal)', 'provoquerait', 'une', 'hypoventilation', 'progressive', 'avec', 'atélectasie', 'du', 'parenchyme', 'pulmonaire,', 'évoluant', ""d'une"", 'part', 'vers', 'une', 'hypercapnie', 'et', 'une', 'acidose', 'respiratoire,', 'et', ""d'autre"", 'part', 'vers', 'une', 'hypoxémie', 'ultérieure', 'due', 'à', ""l'infection"", 'associée', 'à', ""l'atélectasie.""], [""L'infection"", 'respiratoire', 'par', 'aspiration', 'survient', 'également', 'plus', 'tardivement,', 'et', ""n'apparaît"", 'pas', 'dans', 'tous', 'les', 'cas', 'de', 'traumatisme', 'thoracique', 'grave,', 'seulement', ""s'il"", 'y', 'a', 'eu', 'une', 'diminution', 'du', 'niveau', 'de', 'conscience', '(TBI', 'associé,', 'intubation', 'incontrôlée', 'avec', 'bronchoaspiration...).'], [""L'hypovolémie"", 'post-traumatique', '(dans', 'ce', 'cas,', 'en', 'raison', 'des', 'multiples', 'fractures', 'des', 'côtes,', 'elle', 'pourrait', 'être', 'due', 'à', 'un', 'hémothorax)', 'surviendrait', 'plus', 'tôt', 'et', 'serait', 'associée', 'en', 'premier', 'lieu', 'à', 'une', 'instabilité', 'hémodynamique.']]","[['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'], ['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', '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'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-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'], ['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', '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'], ['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']]"
572_195,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '66', 'ans', 'atteinte', 'de', 'diabète', 'sucré', 'de', 'type', '2.'], ['Sa', 'fonction', 'rénale', 'a', 'été', 'évaluée', 'à', 'G3a/A1.'], ['A', 'quelles', 'valeurs', 'correspond', 'ce', 'stade,', 'le', 'plus', 'fréquent', 'chez', 'les', 'patients', 'atteints', 'de', 'néphropathie', 'diabétique', '?'], ['1-', 'Débit', 'de', 'filtration', 'glomérulaire', '45-59', 'ml/min/1,73', 'm²', 'et', 'albuminurie', '<30', 'mg/ml.'], ['2-', 'Débit', 'de', 'filtration', 'glomérulaire', '30-44', 'ml/min/1,73', 'm²', 'et', 'albuminurie', '<30', 'mg/ml.'], ['3-', 'Débit', 'de', 'filtration', 'glomérulaire', '45-59', 'ml/min/1,73', 'm²', 'et', 'albuminurie', '30-300', 'mg/ml.'], ['4-', 'Débit', 'de', 'filtration', 'glomérulaire', '15-29', 'ml/min/1,73', 'm²', 'et', 'albuminurie', '<30', 'mg/ml.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Question', 'facile.'], ['Le', 'stade', 'G3a', 'correspond', 'à', 'un', 'taux', 'de', 'filtration', 'compris', 'entre', '45', 'et', '59', 'ml/min.'], ['Le', 'stade', 'A1', 'correspond', 'à', 'une', 'albuminurie', 'inférieure', 'à', '30', 'mg/ml.'], [""L'option"", 'correcte', 'est', 'donc', '1.']]","[['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'], ['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'], ['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'], ['O', 'B-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'], ['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', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
180_232,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '29', 'ans', 'se', 'présente', 'à', 'votre', 'cabinet', 'avec', 'un', 'diagnostic', ""d'aplasie"", 'médullaire', 'sévère.'], ['Quel', 'est', 'le', 'traitement', 'de', 'choix', '?'], ['1-', 'Transfusions', 'périodiques', 'et', 'antibiotiques.'], ['2-', 'Androgènes', 'et', 'transfusions', 'de', 'plaquettes.'], ['3-', 'Greffe', 'de', 'moelle', 'osseuse', 'allogénique', 'si', 'frère', 'ou', 'sœur', 'HLA-identique.'], ['4-', 'Greffe', 'de', 'moelle', 'osseuse', 'autologue', 'pour', 'éviter', 'le', 'rejet.'], ['5-', 'Cyclosporine', 'A', 'et', 'globuline', 'antithymocyte.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Transfuser', 'ce', 'patient', 'et', 'le', 'bourrer', ""d'antibiotiques,"", ""c'est"", 'lui', 'donner', 'du', 'pain', 'pour', ""aujourd'hui"", 'et', 'de', 'la', 'nourriture', 'pour', 'demain.'], ['Nous', 'voulons', 'quelque', 'chose', 'de', 'plus', 'durable.'], ['Les', 'androgènes', 'et', 'les', 'transfusions', 'de', 'plaquettes', 'ne', 'règlent', 'pas', 'non', 'plus', 'le', 'problème.'], ['Il', 'nous', 'reste', 'les', 'trois', 'autres', 'options.'], ['Une', 'greffe', 'autologue', ""n'est"", 'pas', 'raisonnable,', 'car', 'la', 'moelle', 'osseuse', ""d'un"", 'patient', 'atteint', ""d'aplasie"", 'médullaire', 'est', 'inférieure', 'à', '25', '%,', 'de', 'sorte', 'que', ""l'on"", 'ne', 'peut', 'en', 'obtenir', 'que', 'très', 'peu.'], ['Par', 'conséquent,', 'nous', 'penchons', 'pour', 'une', 'greffe', 'de', 'moelle', 'osseuse', 'allogénique', 'si', 'vous', 'avez', 'un', 'frère', 'ou', 'une', 'sœur', 'HLA-identique,', 'car', ""c'est"", 'le', 'traitement', 'de', 'choix', 'selon', 'le', 'protocole', 'de', 'la', 'Société', 'espagnole', ""d'hématologie"", 'et', ""d'hémothérapie"", 'pour', 'les', 'patients', 'de', 'moins', 'de', '40', 'ans', 'souffrant', ""d'aplasie"", 'médullaire', 'sévère.'], ['Réponse', 'correcte,', '3.']]","[['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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-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', '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'], ['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'], ['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'], ['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'], ['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', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim']]"
270_135,"[['QUESTION', 'TYPE:', 'DERMATOLOGIE', 'ET', 'CHIRURGIE', 'PLASTIQUE'], ['CLINICAL', 'CASE:'], ['Un', 'jeune', 'homme', ""s'est"", 'présenté', 'aux', 'urgences', 'pour', 'une', 'brûlure', 'par', 'flamme', 'du', 'deuxième', 'degré', 'sur', '10', '%', 'de', 'la', 'surface', 'corporelle,', 'affectant', 'le', 'bras', 'droit', 'de', 'manière', 'étendue', 'et', 'circulaire.'], ['Aucun', 'pouls', 'artériel', ""n'est"", 'détecté', 'dans', 'la', 'main', 'mesurée', 'par', 'doppler.'], ['Quel', 'est', 'le', 'traitement', 'de', 'choix', '?'], ['1-', 'Cures', 'occlusives', 'de', 'sulfadiazine-arginine', 'et', 'évaluation', 'de', 'la', 'profondeur', 'après', 'une', 'semaine.'], ['2-', 'Drainage', 'lymphatique', 'et', 'évaluation', ""d'une"", 'dérivation', 'vasculaire.'], ['3-', 'Incisions', ""d'escarotomie"", 'ou', 'de', 'décompression', ""d'urgence.""], ['4-', 'Gestion', 'de', ""l'attente.""], ['5-', 'Amputation', 'du', 'membre.'], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'question', 'est', 'délicate', ':', 'il', 'est', 'question', ""d'une"", 'brûlure', 'de', '10', '%', 'de', 'la', 'surface', 'corporelle', 'et', 'le', 'traitement', 'de', 'choix', 'pour', 'les', 'brûlures', 'du', 'second', 'degré', 'de', 'moins', 'de', '20', '%', 'de', 'la', 'surface', 'corporelle', 'doit', 'être', 'topique', 'et', 'surveillé.'], ['Il', 'existe', 'cependant', 'un', 'signe', ""d'alerte"", ':', 'il', ""n'y"", 'a', 'pas', 'de', 'pouls', 'artériel', 'et', 'la', 'brûlure', 'est', 'circonférentielle', 'au', 'membre.'], ['Il', ""s'agit"", ""d'une"", 'urgence', 'qui,', 'si', 'on', 'la', 'laisse', 'se', 'développer,', 'compromettra', 'la', 'viabilité', 'du', 'membre', 'affecté', 'et', 'conduira', 'à', ""l'amputation"", ':', 'une', 'escarotomie', ""d'urgence"", 'doit', 'être', 'pratiquée', 'afin', 'de', 'soulager', 'la', 'pression', 'du', 'troisième', 'espace', 'sur', 'le', 'tronc', 'vasculaire', 'artériel.']]","[['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', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['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'], ['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', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-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', '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'], ['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-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', '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']]"
368_121,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE', 'ET', 'CHIRURGIE', 'THORACIQUE'], ['CLINICAL', 'CASE:'], ['Alors', 'que', 'vous', 'êtes', 'de', 'garde', 'au', 'service', 'des', 'urgences', 'de', 'votre', 'hôpital,', 'vous', 'devez', 'vous', 'occuper', ""d'un"", 'patient', 'de', '64', 'ans', 'souffrant', ""d'insuffisance"", 'respiratoire', 'aiguë.'], ['Son', 'état', 'clinique', 'est', 'critique,', 'avec', 'une', 'faible', 'saturation', 'en', 'oxygène', 'et', 'une', 'instabilité', 'hémodynamique.'], ['Une', 'radiographie', 'pulmonaire', 'urgente', 'a', 'montré', 'une', 'atélectasie', 'des', '2/3', 'du', 'poumon', 'droit.'], ['Intubation', 'orotrachéale', 'et', 'ventilation', 'assistée', 'avec', 'Fi02', 'de', '1,0.'], [""L'analyse"", 'ultérieure', 'des', 'gaz', 'du', 'sang', 'artériel', 'a', 'montré', 'les', 'valeurs', 'suivantes', ':', 'pH', '7,23', ';', 'Pa02', '60', 'mmHg', 'et', 'PaC02', '30', 'mmHg.'], ['Quelle', 'est', 'la', 'cause', 'de', ""l'hypoxémie"", '?'], ['1-', 'Court-circuit.'], ['2-', ""L'hypoventilation.""], ['3-', 'Faible', 'pression', 'inspirée', '02.'], ['4-', 'Maladie', 'neuromusculaire.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Une', 'FiO2', 'de', '1', 'et', 'une', 'hyperventilation', 'par', 'ventilation', 'mécanique,', 'démontrée', 'par', 'une', 'PCO2', 'basse,', 'ne', 'parviennent', 'pas', 'à', 'augmenter', 'suffisamment', 'la', 'PO2,', 'en', 'raison', ""d'un"", 'trouble', 'V/Q,', 'avec', 'un', 'shunt', 'probable', 'dans', 'la', 'zone', ""d'atélectasie"", 'pulmonaire,', 'probablement', 'aiguë,', 'car', 'le', 'poumon', ""n'a"", 'pas', 'pu', 'créer', 'des', 'mécanismes', 'compensatoires', 'pour', 'limiter', 'la', 'perfusion', 'dans', 'les', 'zones', 'mal', 'ventilées.']]","[['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', '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'], ['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'], ['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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
167_85,"[['QUESTION', 'TYPE:', 'CARDIOLOGIE', 'ET', 'CHIRURGIE', 'CARDIOVASCULAIRE'], ['CLINICAL', 'CASE:'], ['Si,', 'chez', 'un', 'patient', 'souffrant', ""d'insuffisance"", 'cardiaque', 'chronique,', 'nous', 'détectons', 'des', 'ondes', 'v', 'proéminentes', 'dans', 'le', 'pouls', 'veineux', 'jugulaire', 'et', 'si,', 'à', ""l'auscultation"", 'cardiaque,', 'nous', 'décelons', 'un', 'souffle', 'holosystolique', 'dans', 'la', 'région', 'de', ""l'appendice"", 'xiphoïde,', 'accentué', 'par', ""l'inspiration"", 'profonde.'], ['Quelle', 'est', 'la', 'maladie', 'valvulaire', 'responsable', 'de', 'cet', 'examen', 'physique', '?'], ['1-', 'Insuffisance', 'mitrale.'], ['2-', 'Insuffisance', 'pulmonaire.'], ['3-', 'Insuffisance', 'tricuspidienne.'], ['4-', 'Insuffisance', 'aortique.'], ['5-', 'Sténose', 'aortique.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Sémiologie', 'de', 'base.'], ['Cependant,', 'raisonnement', ""d'urgence"", ':', 'souffle', 'systolique,', 'quelque', 'chose', 'qui,', 'en', 'systole,', 'devrait', 'être', 'fermé', 'et', 'ne', ""l'est"", 'pas,', 'ou', 'qui', 'devrait', ""s'ouvrir"", 'et', 'ne', 'le', 'fait', 'pas', ':', 'options', '1,', '3', 'et', '5.'], ['Et', 'si', ""l'on"", 'voit', 'des', 'répercussions', 'dans', 'le', 'pouls', 'jugulaire,', ""c'est"", ""qu'il"", 'doit', 'y', 'avoir', 'des', 'répercussions', 'dans', 'les', 'bonnes', 'cavités.'], ['Outre', 'le', 'fait', 'que', ""l'onde"", 'v', 'apparaît', 'pendant', 'la', 'systole,', 'alors', 'que', 'les', 'oreillettes', 'se', 'remplissent', ':', 'si', 'le', 'débit', 'du', 'VR', 'augmente', ""jusqu'au"", 'RA,', ""l'onde"", 'v', 'sera', 'très', 'importante...']]","[['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', '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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', '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'], ['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']]"
154_75,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '42', 'ans', 'signale', 'une', 'douleur', 'avec', 'des', 'caractéristiques', 'inflammatoires', 'et', 'un', 'gonflement', 'des', 'deux', 'poignets,', 'des', '2e', 'et', '3e', 'articulations', 'métacarpophalangiennes', 'et', 'interphalangiennes', 'proximales', 'bilatérales', 'et', 'de', 'la', 'cheville', 'gauche', 'depuis', '4', 'mois,', 'accompagnés', ""d'une"", 'raideur', 'matinale', 'de', 'plus', ""d'une"", 'heure.'], ['La', 'radiographie', 'des', 'mains', 'montre', 'une', 'érosion', 'de', ""l'apophyse"", 'styloïde', 'du', 'cubitus', 'au', 'niveau', 'du', 'carpe', 'droit.'], [""L'analyse"", 'de', 'sang', 'a', 'montré', 'une', 'Hb', ':', '10', 'g/dL', 'avec', 'une', 'ESR', 'de', '45', 'mm', 'dans', 'la', 'première', 'heure,', 'une', 'CRP', 'de', '16', 'mg/L,', 'un', 'facteur', 'rhumatoïde', 'de', '160', 'UI/ML.'], ['Après', '6', 'mois', 'de', 'traitement', 'à', ""l'indométhacine"", 'et', 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191_125,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'nourrisson', 'de', '13', 'mois', ""s'est"", 'présenté', 'au', 'service', 'des', 'urgences', 'avec', 'une', 'fièvre', 'allant', ""jusqu'à"", '39', 'ºC', 'après', '48', 'heures', ""d'évolution,"", 'sans', 'autre', 'symptôme', 'associé.'], [""L'examen"", 'des', 'organes', 'et', 'des', 'appareils', ""n'a"", 'révélé', 'aucune', 'anomalie', 'significative,', 'soulignant', 'le', 'bon', 'état', 'général.'], ['Vous', 'alliez', 'le', 'renvoyer', 'chez', 'lui,', 'mais', 'le', 'pédiatre', 'de', 'garde', 'demande', 'une', 'analyse', 'systématique', 'des', 'urines', 'et', 'une', 'culture', ""d'urine"", 'par', 'cathétérisme.'], [""L'urine"", 'présente', 'une', 'leucocyturie', '++,', 'une', 'hématurie', '++', 'et', 'des', 'nitrites', '++', 'et', ""l'urine"", 'des', 'bacilles', 'Gram', 'négatif.'], [""L'analyse"", 'de', 'sang', 'ne', 'révèle', 'pas', 'de', 'leucocytose', 'et', 'la', 'protéine', 'C-réactive', 'est', 'de', '50', 'mg/l.'], ['Le', 'médecin', 'traitant', 'vous', 'dit', 'maintenant', ""qu'il"", ""n'est"", 'pas', 'nécessaire', ""d'hospitaliser"", ""l'enfant"", 'et', 'de', 'lui', 'prescrire', 'un', 'antibiotique', 'par', 'voie', 'orale.'], ['Indiquez', 'le', 'traitement', 'antibiotique', 'empirique', 'le', 'moins', 'approprié', 'dans', 'ce', 'cas', ':'], ['1-', 'Amoxiciline.'], ['2-', 'Amoxicilline-acide', 'clavulanique.'], ['3-', 'Céfuroxime-axétil.'], ['4-', 'Cotrimoxazole.'], ['5-', 'Cefixime.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Tous', 'les', 'autres', 'médicaments', 'constituent', 'un', 'bon', 'choix', 'dans', 'les', 'infections', 'urinaires', 'à', 'bacilles', 'largement', 'négatifs', '(le', 'plus', 'souvent', 'E.', 'coli).'], ['La', 'présence', 'de', 'leucocytes', 'et', 'de', 'nitrites', 'dans', ""l'urine"", 'est', 'très', 'évocatrice', ""d'une"", 'infection', 'urinaire.'], ['Et', 'si', 'le', 'test', 'de', 'Gram', 'de', ""l'urine"", 'détecte', 'des', 'bactéries', 'G-,', 'il', ""s'agit"", 'probablement', ""d'une"", 'infection', 'urinaire', 'à', 'E', 'coli.'], ['De', 'nombreux', 'E.', 'coli', 'sont', 'résistants', 'à', ""l'amoxicilline.""]]","[['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'], ['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'], ['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', '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'], ['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', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-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'], ['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', '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']]"
323_150,"[['QUESTION', 'TYPE:', 'UROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '12', 'mois', 'qui,', 'lors', 'des', 'examens', 'de', 'santé', 'effectués', 'depuis', 'la', 'naissance,', 'présente', 'un', 'testicule', 'droit', 'dans', 'le', 'canal', 'inguinal', 'qui', 'ne', 'peut', 'être', 'descendu', 'dans', 'le', 'scrotum.'], ['Veuillez', 'cocher', 'la', 'bonne', 'réponse', ':'], ['1-', 'Le', 'diagnostic', 'le', 'plus', 'probable', 'est', 'celui', ""d'un"", 'testicule', 'rétractile.'], ['2-', 'La', 'descente', 'spontanée', 'doit', 'attendre', ""l'âge"", 'de', 'deux', 'ans', 'pour', 'que', 'la', 'descente', 'spontanée', 'se', 'produise.'], ['3-', 'La', 'gonadotrophine', 'chorionique', 'humaine', 'est', 'le', 'traitement', 'de', 'premier', 'choix.'], ['4-', ""L'indication"", 'de', ""l'orchidopexie"", 'ne', 'doit', 'pas', 'être', 'différée.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '4'], ['Il', ""s'agit"", 'de', 'la', 'cryptorchidie.'], ['Elle', 'doit', 'être', 'traitée', 'avant', ""l'âge"", 'de', '2', 'ans,', 'et', 'le', 'traitement', 'hormonal', ""n'est"", 'actuellement', 'plus', 'utilisé.'], ['Le', 'traitement', 'de', 'premier', 'choix', 'est', ""l'orchidopexie.""]]","[['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'], ['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'], ['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'], ['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'], ['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', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
311_217,"[['QUESTION', 'TYPE:', 'OPHTHALMOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '84', 'ans', ""s'est"", 'présentée', 'avec', 'une', 'perte', 'de', 'vision', 'de', ""l'œil"", 'gauche', 'évoluant', 'depuis', '4', 'jours', 'et', 'accompagnée', ""d'une"", 'métamorphopsie.'], ['La', 'macula', 'présente', ""d'abondants"", 'exsudats', 'durs,', 'deux', 'petites', 'hémorragies', 'profondes', 'et', 'un', 'décollement', 'de', 'rétine', 'neurosensoriel', 'localisé.'], [""L'œil"", 'controlatéral', 'présente', ""d'abondants"", 'drusen', 'mous.'], ['Parmi', 'les', 'diagnostics', 'suivants,', 'lequel', 'vous', 'semble', 'le', 'plus', 'probable', '?'], ['1-', 'Décollement', 'postérieur', 'aigu', 'du', 'vitré.'], ['2-', 'Dégénérescence', 'maculaire', 'liée', 'à', ""l'âge"", '(DMLA)', 'exsudative.'], ['3-', 'Obstruction', 'de', ""l'artère"", 'centrale', 'de', 'la', 'rétine.'], ['4-', 'Neuropathie', 'optique', 'ischémique', 'antérieure', 'non', 'artéritique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Aucune', 'des', 'trois', 'autres', 'options', 'ne', 'présente', 'un', 'tel', 'cas', 'clinique', '(la', 'MVDP', 'est', 'généralement', 'asymptomatique,', ""l'OVCR"", 'entraîne', 'une', 'perte', 'brutale', 'et', 'totale', 'ou', 'quasi-totale', 'de', 'la', 'vision', 'avec', 'la', '""tache', 'rouge', 'cerise""', 'typique', 'au', 'fond', ""d'œil,"", 'et', ""l'AINO"", 'artéritique', 'et', 'non', 'artéritique', 'produit', 'un', 'œdème', 'papillaire', 'généralement', 'accompagné', ""d'hémorragies"", 'péripapillaires', 'mais', 'non', 'maculaires,', 'et', 'aucune', 'de', 'ces', 'trois', 'options', ""n'est"", 'associée', 'à', 'des', 'drusen', 'dans', ""l'œil"", 'controlatéral).'], ['La', 'DMLA', 'dans', 'sa', 'forme', 'exsudative', 'présente', 'à', 'la', 'fois', 'ce', 'tableau', 'clinique', '(perte', 'de', 'vision', 'et', 'métamorphopsie)', 'et', 'le', 'fond', ""d'œil"", 'caractéristique', 'décrit', 'dans', 'la', 'question,', 'et', 'des', 'drusen', 'sont', 'généralement', 'observés', 'dans', ""l'œil"", 'controlatéral.']]","[['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', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise'], ['B-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'], ['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', 'I-Claim', 'I-Claim'], ['O', 'B-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', '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', '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'], ['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']]"
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279_32,"[['QUESTION', 'TYPE:', 'ANATOMIE', 'PATHOLOGIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '59', 'ans', 'a', 'présenté', 'une', 'diarrhée', 'aqueuse', 'chronique', 'depuis', '4', 'mois.'], ['À', ""l'endoscopie,"", 'la', 'muqueuse', 'ne', 'présentait', 'aucun', 'signe', 'particulier.'], ['En', 'particulier,', 'aucun', 'ulcère', 'ou', 'zone', 'friable', ""n'a"", 'été', 'observé.'], ['Une', 'biopsie', 'du', 'côlon', 'transverse', 'a', 'été', 'réalisée.'], [""L'histopathologie"", 'a', 'révélé', 'une', 'zone', 'épaissie', 'sous', ""l'épithélium"", 'de', 'revêtement', 'superficiel,', 'qui', 'était', 'plus', 'évidente', 'par', 'la', 'technique', 'du', 'trichrome', 'de', 'Masson', 'et', 'impliquait', 'une', 'atrophie', 'et', 'une', 'dénudation', 'de', ""l'épithélium.""], ['On', 'a', 'également', 'observé', 'une', 'nette', 'augmentation', 'de', 'la', 'densité', 'des', 'lymphocytes', 'intra-épithéliaux.'], ['Le', 'diagnostic', 'de', 'la', 'lésion', 'intestinale', 'est', '?'], ['1-', 'Colite', 'ulcéreuse', 'chronique.'], ['2-', 'La', 'colite', 'pseudomembraneuse.'], ['3-', 'Colite', 'collagénique.'], ['4-', 'Maladie', 'de', 'Crohn', 'fibreuse.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Dans', 'ce', 'cas,', 'la', 'présence', ""d'un"", 'épaississement', 'de', 'la', 'couche', 'de', 'collagène', 'sous-épithéliale,', 'plus', 'évident', 'au', 'trichrome', 'de', 'Masson', '(une', 'coloration', 'spéciale', 'qui', 'permet', 'de', 'différencier', 'les', 'fibres', 'de', 'collagène),', 'est', 'pathognomonique', 'de', 'la', 'colite', 'collagénique.'], [""L'atrophie"", 'et', 'la', 'dénudation', 'épithéliale', 'sont', 'caractéristiques', 'de', 'cette', 'maladie,', 'qui', 'ne', 'provoque', 'généralement', 'pas', ""d'altérations"", 'macroscopiques', 'de', 'la', 'muqueuse.'], ['Une', 'densité', 'accrue', 'de', 'lymphocytes', 'intra-épithéliaux', 'et', ""l'absence"", ""d'altérations"", 'architecturales', 'des', 'cryptes', '(caractéristiques', 'de', 'la', 'colite', 'ulcéreuse', 'et', 'de', 'la', 'maladie', 'de', 'Crohn)', 'étayent', 'ce', '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'], ['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'], ['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', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', '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'], ['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', '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', 'I-Claim', 'I-Claim', '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-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise']]"
437_118,"[['QUESTION', 'TYPE:', 'ÉPIDÉMIOLOGIE', 'ET', 'MÉDECINE', 'PRÉVENTIVE'], ['CLINICAL', 'CASE:'], ['Luis', 'est', 'un', 'jeune', 'homme', 'de', '25', 'ans', 'qui', 'a', 'subi', 'une', 'splénectomie', 'après', 'un', 'accident', 'de', 'vélo', 'il', 'y', 'a', 'un', 'an.'], ['Il', 'a', 'un', 'chien', 'qui', ""l'a"", 'mordu', 'il', 'y', 'a', '24', 'heures', 'et', 'qui', 'lui', 'a', 'causé', 'une', 'petite', 'blessure', 'à', 'la', 'main', 'droite.'], ['Elle', 'se', 'rend', 'au', 'centre', 'de', 'santé', '(situé', 'à', '3', 'heures', 'de', ""l'hôpital"", 'le', 'plus', 'proche)', 'pour', 'une', 'fièvre', 'de', '39°C,', 'une', 'douleur', 'à', 'la', 'plaie', 'et', 'un', 'malaise', 'général.'], ['À', ""l'examen,"", 'la', 'tension', 'artérielle', 'est', 'de', '100/60', 'mm', 'Hg,', 'la', 'fréquence', 'cardiaque', 'est', 'de', '110', 'battements', 'par', 'minute,', 'la', 'plaie', 'est', 'légèrement', 'enflée,', 'sans', 'pus.'], ['Laquelle', 'des', 'actions', 'suivantes', 'est', 'la', 'plus', 'appropriée', 'à', 'ce', 'stade', '?'], ['1-', 'Envoyer', ""l'animal"", 'à', ""l'hôpital"", 'pour', 'le', 'faire', 'vacciner', 'contre', 'la', 'rage', 'et', 'le', 'tétanos', 'et', 'le', 'garder', 'en', 'observation.'], ['2-', 'Nettoyer', 'la', 'plaie', 'et', 'administrer', 'de', 'la', 'ganunaglobuline', 'non', 'spécifique', 'par', 'voie', 'intramusculaire.'], ['3-', 'Donner', '400', 'mg', 'de', 'moxifloxacine', 'par', 'voie', 'orale', 'et', 'envoyer', 'à', ""l'hôpital.""], ['4-', 'Administrer', '600', 'mg', 'de', 'clindamycine', 'par', 'voie', 'orale', 'toutes', 'les', '8', 'heures', 'et', 'observer.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Un', 'patient', 'splénectomisé', 'étant', 'considéré', 'comme', 'un', 'patient', '""spécial"",', 'il', 'recevra', 'un', 'traitement', 'antibiotique', 'dès', 'que', 'possible,', 'même', 'si', 'la', 'plaie', 'ne', 'semble', 'pas', 'infectée.'], ['Vous', 'devez', 'vous', 'assurer', 'que', 'le', 'chien', 'vous', 'appartient', '(vous', 'devez', 'demander', 'si', ""l'animal"", 'est', 'correctement', 'vacciné)', 'et', 'que', 'le', 'patient', 'est', 'correctement', 'vacciné', '(5', 'doses', 'de', 'tétanos,', 'aucun', 'tétanos', 'ne', 'serait', 'nécessaire)', ';', 'faire', 'un', 'rapport', ""d'agression"", 'animale,', 'pour', ""l'observation"", 'de', ""l'animal"", 'et', 'prendre', 'des', 'mesures', 'si', 'cela', ""s'avère"", 'nécessaire.']]","[['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'], ['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', 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'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', '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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', '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', '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']]"
112_154,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Patiente', 'de', '67', 'ans', 'avec', 'des', 'antécédents', 'de', 'ménopause', 'à', '55', 'ans,', '3', 'grossesses', 'avec', '3', 'accouchements', 'euthectiques,', 'diabète', 'de', 'type', '2', 'avec', '6', 'ans', ""d'évolution,"", 'traitement', 'par', 'nifedipone', 'pour', ""l'hypertension.""], ['Consultation', 'pour', 'métrorragies', 'intermittentes', 'et', 'peu', 'abondantes', 'évoluant', 'depuis', '2', 'mois.'], [""L'examen"", 'gynécologique', 'a', 'révélé', 'des', 'organes', 'génitaux', 'externes', 'sans', 'lésions,', 'un', 'col', 'atrophié,', 'un', 'utérus', 'et', 'des', 'annexes', 'normaux', 'à', 'la', 'palpation', 'et', 'une', 'étude', 'cytologique', 'normale', 'du', 'col.'], [""L'échographie"", 'transvaginale', 'a', 'montré', 'un', 'endomètre', 'hyperéchogène', 'de', '7', 'mm.'], ['Lequel', 'des', 'tests', 'suivants', 'est', 'le', 'plus', 'approprié', 'et', 'le', 'plus', 'sensible', 'pour', 'établir', 'un', 'diagnostic', '?'], ['1-', 'Conisation', 'du', 'col', 'de', ""l'utérus.""], ['2-', 'Cytologie', 'de', ""l'endomètre.""], ['3-', 'Hystéroscopie', 'et', 'biopsie', 'de', ""l'endomètre.""], ['4-', 'Imagerie', 'par', 'résonance', 'magnétique', 'du', 'bassin.'], ['5-', 'Examen', 'sous', 'anesthésie', 'de', ""l'appareil"", 'génital', 'et', 'biopsie', 'du', 'col', 'de', ""l'utérus"", 'et', 'de', ""l'endomètre.""], ['BONNE', 'RÉPONSE', ':', '3'], ['La', 'bonne', 'réponse', 'est', '3.'], [""L'étude"", 'qui', 'nous', 'fournit', 'le', 'plus', ""d'informations"", 'sur', 'la', 'pathologie', 'endométriale', 'est', ""l'hystéroscopie,"", 'qui', 'permet', 'de', 'réaliser', 'une', 'biopsie', 'endométriale', 'ciblée.'], ['La', 'cytologie', 'endométriale', 'est', 'réalisée', 'en', 'aveugle', 'et', 'comporte', 'un', 'grand', 'nombre', 'de', 'faux', 'négatifs.'], [""L'IRM"", 'nous', 'aidera', 'à', 'déterminer', 'le', 'stade', 'du', 'cancer', 'de', ""l'endomètre.""]]","[['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', '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'], ['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'], ['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', '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'], ['O', 'O', 'O', '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'], ['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', 'I-Claim']]"
374_101,"[['QUESTION', 'TYPE:', 'NEUROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '52', 'ans', ""s'est"", 'présenté', 'aux', 'urgences', 'avec', 'des', 'maux', 'de', 'tête', 'et', 'de', 'la', 'fièvre', '(37,8°C)', 'depuis', '2', 'jours.'], ['Au', 'cours', 'des', 'dernières', 'heures,', 'il', 'a', 'également', 'associé', 'des', 'difficultés', 'de', 'nomination', 'et', 'de', 'compréhension.'], [""L'examen"", ""n'a"", 'pas', 'révélé', 'de', 'raideur', 'de', 'la', 'nuque,', 'la', 'caractéristique', 'la', 'plus', 'frappante', 'étant', 'la', 'présence', ""d'une"", 'aphasie', 'mixte,', ""l'examen"", 'du', 'fond', ""d'œil"", 'était', 'normal.'], ['La', 'tomodensitométrie', 'crânienne', 'montre', 'une', 'faible', 'hypodensité', 'du', 'lobe', 'temporal', 'gauche', 'sans', 'effet', 'de', 'masse', 'et', 'sans', 'prise', 'de', 'contraste.'], ['Laquelle', 'des', 'affirmations', 'suivantes', 'est', 'correcte', '?'], ['1-', 'La', 'méningite', 'bactérienne', 'est', 'la', 'première', 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210_187,,
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406_33,"[['QUESTION', 'TYPE:', 'ONCOLOGIE', '(ECTOPIQUE)'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '67', 'ans', 'à', 'qui', ""l'on"", 'a', 'diagnostiqué', 'un', 'carcinome', 'canalaire', 'infiltrant', 'du', 'sein', 'sans', 'antécédents', 'familiaux', 'de', 'néoplasie.'], ['Quelles', 'sont', 'les', 'études', 'complémentaires', 'à', 'réaliser', 'sur', 'la', 'tumeur', 'pour', 'ses', 'implications', 'clinico-thérapeutiques', '?'], ['1-', 'Etude', 'phénotypique', 'complète', 'par', 'cytométrie', 'de', 'flux.'], ['2-', 'Etude', 'des', 'récepteurs', 'hormonaux', 'et', 'HER2.'], ['3-', 'Etude', 'des', 'récepteurs', 'hormonaux,', 'de', ""l'ecadhérine"", 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['4-', 'Étude', 'BRCA', 'l-2', 'et', 'étude', 'des', 'parents', 'au', 'premier', 'degré.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Actuellement,', 'la', 'classification', 'moléculaire', 'du', 'cancer', 'du', 'sein', 'est', 'basée', 'sur', ""l'étude"", 'des', 'récepteurs', 'hormonaux,', 'de', 'HER2', 'et', 'de', ""l'indice"", 'de', 'prolifération', 'des', 'cellules', 'tumorales', '(Ki67).'], ['Nous', 'avons', 'quatre', 'types', 'principaux', ':', 'Luminal', '(A', ':', 'HR+,', 'HER2-', 'et', 'Ki67', 'bas', 'et', 'B', ':', 'HR+,', 'HER2+/', '-', 'et', 'Ki67', 'élevé),', 'HER2', '+', '(HR', '-,', 'HER2', '+', 'et', 'Ki67', 'élevé)', 'et', 'Basal', 'Like', 'ou', 'triple', 'négatif', '(HR', '-,', 'HER2', '-', 'et', 'Ki67', 'élevé).']]","[['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'], ['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'], ['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', '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', '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'], ['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']]"
526_54,"[['QUESTION', 'TYPE:', 'MÉDECINE', 'PRÉVENTIVE'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '86', 'ans', 'présentant', 'une', 'fibrillation', 'auriculaire', 'non', 'valvulaire.'], ['Le', 'score', 'CHADS2', 'est', 'de', '3', 'points.'], ['Dans', 'la', 'littérature,', 'des', 'patients', 'similaires', 'sous', 'warfarine', 'ont', 'un', 'risque', ""d'accident"", 'vasculaire', 'cérébral', 'de', '2,2', '%', 'contre', '5,2', '%', 'chez', 'les', 'patients', 'sans', 'warfarine.'], ['Quel', 'serait', 'le', 'nombre', 'nécessaire', 'à', 'traiter', '(NNT)', 'pour', 'prévenir', 'les', 'accidents', 'vasculaires', 'cérébraux', 'emboliques', 'grâce', 'à', 'un', 'traitement', 'anticoagulant', '?'], ['1-', '3.'], ['2-', '19,2.'], ['3-', '33,3.'], ['4-', '49,5.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Le', 'NNT', '(nombre', 'nécessaire', 'à', 'traiter)', 'indique', 'le', 'nombre', 'de', 'patients', ""qu'il"", 'faudrait', 'traiter', 'avec', 'une', 'intervention', 'pour', 'obtenir', 'un', 'bénéfice', ';', 'dans', 'cette', 'question,', 'combien', 'de', 'patients', 'devrions-nous', 'traiter', 'avec', 'de', 'la', 'warfarine', 'pour', 'prévenir', 'les', 'accidents', 'vasculaires', 'cérébraux', '?'], ['Pour', 'le', 'calculer,', 'nous', 'utilisons', 'la', 'formule', 'suivante', ':', 'NNT=', '1/RRA', '(RRA', ':', 'réduction', 'absolue', 'du', 'risque).'], ['ARR=', 'Io', '-', 'Ie', '(Io', ':', 'incidence', 'chez', 'les', 'personnes', 'non', 'exposées', 'à', 'la', 'warfarine', ';', 'Ie', ':', 'incidence', 'chez', 'les', 'personnes', 'exposées', 'à', 'la', 'warfarine).'], ['RRA', ':', '5,2%-', '2,2%=', '3=', '0,03.'], ['NNT', ':', '1/0,03=', '33,3']]","[['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'], ['B-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', 'I-Claim', 'I-Claim', 'I-Claim'], ['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'], ['O', 'B-Claim'], ['O', 'B-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', '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'], ['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'], ['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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
6_45,,
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164_123,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '80', 'ans,', 'ayant', 'des', 'antécédents', ""d'hypertension"", 'et', 'traité', 'à', ""l'énalapril"", 'et', 'à', 'la', 'spironolactone,', 'se', 'présente', 'à', ""l'hôpital"", 'avec', 'une', 'asthénie', 'et', 'une', 'faiblesse', 'musculaire', 'sévère.'], ['La', 'tension', 'artérielle', 'est', 'de', '110/70', 'mmHg.'], [""L'ECG"", 'montre', 'des', 'ondes', 'T', 'en', 'relief', 'et', 'en', 'pointes,', 'des', 'extrasystoles', 'ventriculaires', 'et', 'un', 'QT', 'court.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Hypercalcémie.'], ['2-', 'Hyperkaliémie.'], ['3-', 'Hypomagnésémie.'], ['4-', 'Hypocalcémie.'], ['5-', 'Hypernatrémie.'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'bonne', 'réponse', 'est', ':', '2.'], ['Hyperkaliémie.'], ['La', 'spironolactone,', 'en', 'tant', 'que', 'diurétique', ""d'épargne"", 'potassique,', 'inhibe', ""l'action"", 'de', ""l'aldostérone"", 'au', 'niveau', 'rénal', 'et', 'est', 'responsable', ""d'une"", 'diminution', 'de', ""l'excrétion"", 'de', 'potassium.'], [""L'hyperkaliémie"", 'provoque', 'des', 'troubles', 'de', 'la', 'repolarisation', 'qui', 'se', 'traduisent', 'par', ""l'apparition"", ""d'un"", 'T', 'large,', 'symétrique,', 'à', 'base', 'étroite,', 'visible', 'dans', 'les', 'dérivations', 'précordiales.'], [""L'espace"", 'QT', 'raccourci.'], ['Ces', 'anomalies', 'apparaissent', 'avec', 'une', 'kaliémie', ""d'environ"", '5,5', 'à', '6', 'mmol/l.'], ['Au-delà', 'de', '6,5', 'mmol/l,', 'les', 'modifications', 'électrocardiographiques', 'sont', 'constantes', 'et', 'dominées', 'par', 'des', 'troubles', 'de', 'la', 'conduction', '(rendant', 'possibles', 'des', 'extrasystoles', 'ventriculaires).']]","[['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', 'I-Premise', 'I-Premise'], ['B-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', 'O', 'B-Premise', 'I-Premise', 'I-Premise'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-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'], ['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']]"
208_183,"[['QUESTION', 'TYPE:', 'GYNÉCOLOGIE', 'ET', 'OBSTÉTRIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'enceinte', 'de', '40', 'semaines', 'est', 'en', 'train', ""d'accoucher"", 'avec', 'une', 'dilatation', 'de', '6', 'cm.'], ['Elle', 'présentait', 'un', 'schéma', 'fœtal', 'décélératif', 'dans', 'les', 'enregistrements', 'cardiotocographiques,', 'et', 'il', 'a', 'donc', 'été', 'décidé', 'de', 'réaliser', 'un', 'frottis', 'sanguin', 'fœtal', 'pour', 'évaluer', ""l'état"", 'du', 'fœtus.', 'Résultat', '7.22.'], ['La', 'conduite', 'à', 'tenir', 'est', 'la', 'suivante', ':'], ['1-', 'Acidose', 'sévère.', 'Césarienne', 'urgente.'], ['2-', 'Valeur', 'prépathologique', 'répétition', 'du', 'microtome', '15-20', 'minutes.'], ['3-', 'Acidose', 'modérée.', 'Répéter', 'le', 'microtome', 'dans', '1', 'à', '2', 'heures.'], ['4-', 'Valeur', 'dans', 'les', 'limites', 'normales,', 'laisser', ""l'évolution"", 'naturelle', 'de', 'la', 'naissance.'], ['5-', 'Répéter', 'en', 'cas', ""d'erreur"", 'possible', 'dans', ""l'obtention"", 'du', 'cliché.'], ['BONNE', 'RÉPONSE', ':', '2'], ['-', 'pH', 'inférieur', 'à', '7,20', 'Valeur', 'pathologique.'], ['Indication', ""d'extraction"", 'du', 'fœtus', 'par', 'la', 'voie', 'la', 'plus', 'rapide,', 'en', ""l'occurrence"", 'une', 'césarienne.'], ['-', 'pH', 'entre', '7,20', 'et', '7,25', 'Valeur', 'prépathologique.'], ['Répéter', 'le', 'microtome', 'dans', '15-20', 'min.'], ['-', 'pH', 'supérieur', 'à', '7,25', '.'], ['Valeur', 'dans', 'les', 'limites', 'de', 'la', 'normalité.', 'Remarque.']]","[['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'], ['B-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', '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'], ['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', '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'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'O', 'O', 'O'], ['O', 'B-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'], ['O', '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'], ['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']]"
232_103,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'jeune', 'fille', 'de', '19', 'ans,', 'sans', 'antécédents', 'médicaux', 'particuliers,', 'à', ""l'exception"", ""d'une"", 'grippe', 'autolimitée', 'survenue', 'trois', 'semaines', 'auparavant,', ""s'est"", 'présentée', 'aux', 'urgences', 'avec', 'des', 'pétéchies', 'et', 'des', 'ecchymoses', ""d'apparition"", 'spontanée.'], ['À', ""l'examen"", 'physique,', 'le', 'patient', 'était', 'en', 'bon', 'état', 'général,', 'afébrile,', 'normotendu', 'et', 'orienté', 'dans', 'le', 'temps', 'et', ""l'espace.""], ['Pétéchies', 'éparses', 'dans', 'le', 'LES', 'et', ""l'abdomen"", 'et', 'petites', 'ecchymoses', 'dans', 'les', 'zones', 'de', 'décubitus.'], ['Aucune', 'lymphadénopathie', 'ou', 'splénomégalie', ""n'est"", 'palpable.'], ['Les', 'examens', 'de', 'laboratoire', 'ont', 'donné', 'les', 'résultats', 'suivants', ':', 'Hb', '12,6', 'g/dL,', 'leucocytes', '5', '500/mm3,', 'plaquettes', '7', '000/mm3.'], ['Le', 'frottis', 'du', 'sang', 'périphérique', 'a', 'montré', 'une', 'morphologie', 'normale', 'des', 'érythrocytes,', 'une', 'numération', 'différentielle', 'normale', 'des', 'leucocytes', 'et', 'une', 'numération', 'planétaire', 'conforme', 'à', 'la', 'figure', 'de', ""l'autoanalysateur,"", 'sans', ""qu'aucun"", 'agrégat', 'plaquettaire', ""n'ait"", 'été', 'observé.'], ['Biochimie', 'et', 'protéinogramme,', 'bêta', '2', 'microglobuline', 'et', 'LDH', 'normaux.'], ['Quel', 'est,', 'selon', 'vous,', 'le', 'traitement', 'initial', 'le', 'plus', 'approprié', '?'], ['1-', 'Transfusion', 'de', 'plaquettes.'], ['2-', 'Rituximab', 'hebdomadaire.'], ['3-', 'Cyclophosphamide', 'en', 'impulsions', 'de', '4', 'jours', 'tous', 'les', '21', 'jours.'], ['4-', 'Plasmaphérèse', 'quotidienne.'], ['5-', 'Prednisone', 'à', '1', 'mg/jour', 'pendant', '2', 'à', '3', 'semaines.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Purpura', 'thrombocytopénique', 'idiopathique,', 'mais', 'avec', 'un', 'taux', 'de', 'plaquettes', 'très', 'bas,', 'ce', 'qui', 'nécessite', 'une', 'reconstitution.'], ['La', 'dose', 'de', 'stéroïdes', 'proposée', 'est', 'trop', 'faible.']]","[['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', '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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'B-Premise', 'I-Premise', 'I-Premise', 'B-Premise', 'I-Premise', 'I-Premise', 'B-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'], ['B-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'], ['O', 'B-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'], ['O', 'B-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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
64_210,"[['QUESTION', 'TYPE:', 'ANATOMIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '42', 'ans', 'atteinte', ""d'un"", 'cancer', 'du', 'sein', 'présente', 'des', 'métastases', 'au', 'niveau', 'des', 'foramina', 'intervertébraux', 'entre', 'les', '4e', 'et', '5e', 'vertèbres', 'cervicales', 'et', 'entre', 'les', '4e', 'et', '5e', 'vertèbres', 'thoraciques.'], ['Quels', 'sont', 'les', 'nerfs', 'rachidiens', 'qui', 'seront', 'lésés', '?'], ['1-', 'Quatrième', 'nerf', 'cervical', 'et', 'quatrième', 'nerf', 'thoracique.'], ['2-', 'Cinquième', 'nerf', 'cervical', 'et', 'cinquième', 'nerf', 'thoracique.'], ['3-', 'Quatrième', 'nerf', 'cervical', 'et', 'cinquième', 'nerf', 'thoracique.'], ['4-', 'Cinquième', 'nerf', 'cervical', 'et', 'quatrième', 'nerf', 'thoracique.'], ['5-', 'Troisième', 'nerf', 'cervical', 'et', 'quatrième', 'nerf', 'thoracique.'], ['BONNE', 'RÉPONSE', ':', '4'], [""L'astuce"", 'de', 'cette', 'question', 'est', ""qu'il"", 'y', 'a', '8', 'racines', 'cervicales', 'pour', '7', 'vertèbres,', 'donc', 'la', 'racine', 'C1', 'sort', 'au-dessus', 'de', ""l'atlas,"", 'et', 'ainsi', 'de', 'suite', ""jusqu'à"", 'C8', 'qui', 'se', 'trouve', 'ENTRE', 'C7', 'et', 'T1.'], ['Les', 'racines', 'thoraciques', 'sortent', 'respectivement', 'sous', 'les', 'vertèbres', 'avec', 'la', 'même', 'numérotation', '(nerf', 'T1', 'sous', 'T1,', 'T2', 'sous', 'T2,', 'etc.).'], ['Ainsi,', 'entre', 'C4', 'et', 'C5', 'sort', 'le', '5e', 'nerf', 'cervical,', 'et', 'entre', 'T4', 'et', 'T5', 'sort', 'le', '4e', 'nerf', 'thoracique.'], ['La', 'bonne', 'réponse', 'est', '4.']]","[['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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['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', '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', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-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', '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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
280_32,"[['QUESTION', 'TYPE:', 'ANATOMIE', 'PATHOLOGIQUE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '59', 'ans', 'a', 'présenté', 'une', 'diarrhée', 'aqueuse', 'chronique', 'depuis', '4', 'mois.'], ['À', ""l'endoscopie,"", 'la', 'muqueuse', 'ne', 'présentait', 'aucun', 'signe', 'particulier.'], ['En', 'particulier,', 'aucun', 'ulcère', 'ou', 'zone', 'friable', ""n'a"", 'été', 'observé.'], ['Une', 'biopsie', 'du', 'côlon', 'transverse', 'a', 'été', 'réalisée.'], [""L'histopathologie"", 'a', 'révélé', 'une', 'zone', 'épaissie', 'sous', ""l'épithélium"", 'de', 'revêtement', 'superficiel,', 'qui', 'était', 'plus', 'évidente', 'par', 'la', 'technique', 'du', 'trichrome', 'de', 'Masson', 'et', 'impliquait', 'une', 'atrophie', 'et', 'une', 'dénudation', 'de', ""l'épithélium.""], ['On', 'a', 'également', 'observé', 'une', 'nette', 'augmentation', 'de', 'la', 'densité', 'des', 'lymphocytes', 'intra-épithéliaux.'], ['Le', 'diagnostic', 'de', 'la', 'lésion', 'intestinale', 'est', '?'], ['1-', 'Colite', 'ulcéreuse', 'chronique.'], ['2-', 'La', 'colite', 'pseudomembraneuse.'], ['3-', 'Colite', 'collagénique.'], ['4-', 'Maladie', 'de', 'Crohn', 'fibreuse.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Tout', 'ce', 'qui', 'nous', 'est', 'dit', 'dans', 'ce', 'cas', 'est', 'typique', 'de', 'la', 'COLITE', 'COLANGALE.'], ['En', 'principe,', 'les', 'résultats', 'cliniques', 'et', 'endoscopiques', 'peuvent', 'nous', 'laisser', 'un', 'peu', 'comme', 'au', 'début,', 'mais', ""l'histologie"", ""n'est"", 'guère', 'plus', 'que', 'la', 'définition', 'de', 'cette', 'pathologie.'], ['Le', 'critère', 'spécifique', 'pour', 'le', 'diagnostic', 'de', 'colite', 'collagénique', 'est', 'la', 'présence', 'supplémentaire', ""d'une"", 'bande', 'irrégulière', 'de', 'collagène', 'juste', 'sous', ""l'épithélium"", 'de', 'surface', 'de', 'la', 'muqueuse', 'colique', 'en', 'continuité', 'avec', 'la', 'membrane', 'basale,', 'visible', 'avec', 'la', 'coloration', 'trichrome', '(coloration', 'des', 'fibres', 'de', 'collagène', 'de', 'type', 'I),', 'qui', 'emprisonne', 'les', 'capillaires', 'superficiels', 'produisant', 'des', 'lésions', 'dans', ""l'épithélium"", 'de', 'surface.'], ['En', 'outre,', 'elle', ""s'accompagne"", ""d'un"", 'infiltrat', 'inflammatoire', 'chronique', 'dans', 'la', 'lamina', 'propria,', 'composé', 'principalement', 'de', 'lymphocytes,', 'de', 'plasmocytes', 'et', ""d'éosinophiles.""]]","[['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'], ['B-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', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', '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'], ['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', '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'], ['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'], ['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', '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']]"
545_122,,
257_95,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'patiente', 'de', '30', 'ans', 'présente', 'un', 'taux', 'de', 'calcium', 'de', '11', 'mg/dl', '(normale', 'inférieure', 'à', '10,5', 'mg/dl)', 'lors', ""d'un"", 'examen', 'de', 'routine', 'de', ""l'entreprise.""], ['La', 'détermination', 'de', 'la', 'PTH', 'était', 'de', '45', 'pg/ml', '(VN', '10-55', 'pg/ml).'], ['Les', 'antécédents', 'sont', 'sans', 'particularité,', 'à', ""l'exception"", 'du', 'fait', 'que', 'la', 'mère', 'et', 'le', 'grand-père', 'paternel', 'ont', 'été', 'diagnostiqués', 'avec', 'une', 'hyperparathyroïdie', 'et', 'ont', 'subi', 'une', 'intervention', 'chirurgicale,', 'bien', ""qu'ils"", 'soient', 'restés', 'hypercalcémiques.'], ['Quel', 'est', 'le', 'test', 'le', 'plus', 'utile', 'pour', 'confirmer', 'le', 'diagnostic', '?'], ['1-', '25-OH', 'D.'], ['2-', '1,25-OH', '2D.'], ['3-', 'Rapport', 'calcium/créatinine', 'dans', 'les', 'urines.'], ['4-', 'Réabsorption', 'tubulaire', 'du', 'phosphate.'], ['5-', 'PTHrP.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Calcium/créatinine', 'dans', ""l'urine.""], ['Il', ""s'agit"", 'de', ""l'hypercalcémie"", 'hypocalciurique', 'familiale', 'ou', 'hypercalcémie', 'familiale', 'bénigne.'], ['Trouble', 'autosomique', 'dominant.'], ['Asymptomatique.'], ['Non', 'curable', 'après', 'traitement', 'chirurgical', ';', 'due', 'à', 'une', 'mutation', 'du', 'récepteur', 'sensible', 'au', 'calcium.'], ['Il', ""s'agit"", ""d'une"", 'question', 'difficile,', 'car', 'il', 'est', 'nécessaire', 'de', 'connaître', 'des', 'données', 'sur', 'une', 'maladie', 'qui', ""n'est"", 'pas', 'habituellement', 'demandée', 'dans', 'le', 'MIR.']]","[['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'], ['B-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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'O', 'O', 'O'], ['B-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'], ['B-Premise'], ['B-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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O']]"
548_126,,
318_140,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Vous', 'évaluez', 'un', 'patient', 'de', '66', 'ans', 'qui', 'présente', 'des', 'douleurs', 'à', ""l'aine"", 'accentuées', 'par', 'une', 'station', 'debout', 'prolongée', 'quelques', 'jours', 'par', 'mois.'], ['Une', 'radiographie', 'simple', 'des', 'hanches', 'montre', 'un', 'rétrécissement', 'de', ""l'espace"", 'articulaire', 'fémoro-acétabulaire,', 'une', 'sclérose', 'et', 'des', 'ostéophytes', 'Quelle', 'est', 'votre', 'attitude', '?'], ['1-', 'Je', 'diagnostique', 'une', 'coxarthrose', 'et', ""j'envoie"", 'le', 'traumatologue', 'poser', 'une', 'prothèse', 'de', 'hanche.'], ['2-', 'Initiation', ""d'un"", 'traitement', 'avec', 'des', 'opioïdes', 'faibles', 'qui', 'ont', 'démontré', 'leur', 'capacité', 'à', 'stopper', 'la', 'progression', 'de', 'la', 'maladie.'], ['3-', ""J'ai"", 'commencé', 'le', 'traitement', 'avec', 'du', 'paracétamol,', ""j'ai"", 'expliqué', 'que', ""l'évolution"", 'est', 'très', 'variable', 'et', 'que', ""l'indication"", 'de', 'la', 'chirurgie', 'dépend', 'de', 'la', 'fonctionnalité', 'et', 'du', 'contrôle', 'de', 'la', 'douleur.'], ['4-', 'Compte', 'tenu', 'des', 'caractéristiques', 'radiologiques', 'décrites,', 'je', 'dois', 'réaliser', 'une', 'IRM', 'de', 'la', 'hanche', 'avant', 'de', 'prendre', 'une', 'décision', 'thérapeutique.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Il', ""s'agit"", ""d'une"", 'coxarthrose.'], ['Les', 'critères', 'chirurgicaux', 'dépendent', 'de', 'la', 'symptomatologie', 'du', 'patient', 'et', 'de', ""l'échec"", 'du', 'traitement', 'médical.'], ['Aucun', 'médicament', 'ne', 'ralentit', 'ou', 'ne', 'modifie', ""l'évolution"", 'de', 'la', 'maladie.'], [""L'IRM"", ""n'est"", 'pas', 'nécessaire,', 'elle', ""n'apporte"", 'rien.'], ['Le', 'traitement', 'est', 'médical', 'et', 'séquentiel,', 'commençant', 'par', 'la', 'première', 'étape', 'analgésique', 'de', ""l'OMS.""]]","[['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'], ['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'], ['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', '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', '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'], ['O', 'O'], ['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'], ['B-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'], ['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']]"
147_157,"[['QUESTION', 'TYPE:', 'PSYCHIATRIE'], ['CLINICAL', 'CASE:'], ['Une', 'étudiante', 'universitaire', 'de', '19', 'ans', 'se', 'présente', 'à', 'la', 'clinique', 'accompagnée', 'de', 'ses', 'parents', 'et', 'déclare', 'se', 'sentir', 'de', 'plus', 'en', 'plus', 'asthénique', 'depuis', 'deux', 'mois,', 'avec', 'une', 'perte', ""d'appétit"", 'et', 'de', 'poids', 'et', 'une', 'plus', 'grande', 'difficulté', 'à', 'se', 'concentrer', 'sur', 'ses', 'études.'], [""L'anamnèse"", 'souligne', 'également', ""qu'elle"", 'a', 'perdu', ""l'envie"", 'de', 'sortir', 'avec', 'ses', 'amis,', ""qu'elle"", 'a', 'des', 'idées', 'de', 'mort', 'sans', 'idées', ""d'automutilation"", 'et', ""qu'elle"", 'a', 'des', 'idées', 'pessimistes', 'sur', ""l'avenir.""], ['Leur', 'poids', 'correspond', 'à', '90', '%', 'de', 'ce', 'qui', 'est', 'considéré', 'comme', 'idéal', 'pour', 'leur', 'âge', 'et', 'leur', 'sexe.'], ['Pas', 'de', 'phobie', 'du', 'poids', 'ni', 'de', 'distorsion', 'de', ""l'image"", 'corporelle.'], ['Le', 'diagnostic', 'le', 'plus', 'approprié', 'est', 'le', 'suivant', ':'], ['1-', 'Anorexie', 'nerveuse.'], ['2-', 'Les', 'troubles', 'anxieux.'], ['3-', 'Le', 'trouble', 'de', 'la', 'personnalité', 'limite.'], ['4-', 'La', 'dysthymie.'], ['5-', 'Trouble', 'dépressif', 'majeur.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Dès', 'que', ""l'on"", 'entend', 'le', 'mot', '""poids"",', 'on', ""s'oriente"", 'vers', ""l'anorexie"", 'mentale,', 'mais', 'celle-ci', 'présente', 'trois', 'caractéristiques', ':', 'une', 'perte', 'de', 'poids', 'importante', 'auto-induite,', 'une', 'distorsion', 'de', ""l'image"", 'corporelle', 'et', 'une', 'aménorrhée.'], ['Nous', 'supprimons', 'donc', '1.'], ['On', 'perd', 'du', 'poids', 'quand', 'on', 'est', 'triste,', 'inquiet,', 'etc...', 'Le', '3', ""n'a"", 'pas', 'de', 'sens', 'dans', 'le', 'MIR', 'à', 'cause', 'de', 'la', 'clinique', '-dans', 'la', 'réalité', ""l'histoire"", 'est', 'différente', 'et', 'en', 'psychiatrie', 'tout', 'est', 'évolution-.'], ['4', 'doit', 'répondre', 'à', 'des', 'critères', 'de', 'temps', 'qui', 'ne', 'sont', 'pas', 'remplis', 'ici.'], ['Nous', 'nous', 'situons', 'donc', 'entre', '2', 'et', '5.'], ['Dépression', 'ou', 'anxiété', '?'], ['Il', 'ne', 'présente', 'aucun', 'signe', 'clinique', ""d'anxiété"", 'et', 'répond', 'également', 'aux', 'critères', 'de', 'dépression.'], ['La', 'pauvre', 'fille', 'a', 'été', 'diagnostiquée', 'comme', 'souffrant', 'de', 'dépression.'], ['La', 'réponse', 'est', '5', '(une', 'autre', 'option', 'est', ""qu'il"", 'étudiait', 'le', 'MIR).']]","[['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'], ['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'], ['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', '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', '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', 'I-Claim', 'I-Claim', 'I-Claim', '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'], ['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'], ['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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
530_167,"[['QUESTION', 'TYPE:', 'NEPHROLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'atteint', ""d'une"", 'maladie', 'rénale', 'chronique', 'avancée', 'connue', '(CKD', 'G4,', 'eGFR', '20', 'ml/min),', 'qui', 'se', 'présente', 'au', 'service', 'des', 'urgences', 'pour', 'une', 'faiblesse', 'générale', 'et', 'qui', 'présente', 'une', 'hyperkaliémie', 'sévère', '(K', '7', 'mEq/l)', 'avec', 'des', 'altérations', 'électrocardiographiques.'], ['Quelle', 'serait', 'la', 'première', 'mesure', 'à', 'prendre', '?'], ['1-', 'Administration', 'de', 'résines', 'échangeuses', 'de', 'cations.'], ['2-', 'Mise', 'en', 'place', ""d'un"", 'cathéter', 'pour', 'initier', 'la', 'dialyse.'], ['3-', 'Administration', 'de', 'gluconate', 'de', 'calcium', 'par', 'voie', 'intraveineuse.'], ['4-', 'Administration', 'de', 'furosémide', 'par', 'voie', 'orale.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Nous', 'décrivons', 'le', 'cas', ""d'un"", 'patient', 'présentant', 'une', 'urgence', 'hyperkaliémique', '(potassium', '>6,5', 'mmol/l', 'avec', 'altérations', 'de', ""l'ECG).""], ['La', 'première', 'étape', 'consiste', 'à', 'administrer', 'du', 'gluconate', 'de', 'calcium', 'par', 'voie', 'intraveineuse', 'pour', 'contrer', 'la', 'toxicité', 'cardiaque', 'de', ""l'hyperkaliémie"", '(option', '3', 'correcte),', 'ce', 'qui', 'nous', 'donne', 'plus', 'de', 'temps', 'pour', 'commencer', 'les', 'traitements', 'hypokaliémiques', '(initialement', 'du', 'glucose', 'salin', 'avec', 'de', ""l'insuline,"", 'du', 'salbutamol,', 'du', 'furosémide,', 'et', 'évaluer', 'la', 'dialyse', ""s'il"", ""n'y"", 'a', 'pas', 'de', 'bonne', 'réponse).']]","[['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'], ['O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['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', 'I-Claim', 'I-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'], ['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', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
494_157,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '26', 'ans', 'consulte', 'pour', 'une', 'sensation', 'de', 'faiblesse', 'généralisée', 'qui', ""s'est"", 'progressivement', 'développée', 'au', 'cours', 'des', 'trois', 'dernières', 'semaines,', 'devenant', 'particulièrement', 'intense', 'au', 'cours', 'des', 'deux', 'derniers', 'jours.'], ['Au', 'cours', 'des', 'deux', 'dernières', 'années,', 'elle', 'a', 'signalé', 'des', 'épisodes', 'de', 'douleurs', 'articulaires', 'dans', 'les', 'mains', 'qui', 'ont', 'nécessité', 'la', 'prise', ""d'anti-inflammatoires,"", 'ainsi', 'que', ""l'apparition"", ""d'une"", 'lésion', 'érythémateuse', 'de', 'cause', 'incertaine', 'dans', 'la', 'région', 'du', 'décolleté,', 'principalement', 'en', 'été.'], [""L'examen"", 'physique', ""n'a"", 'révélé', ""qu'une"", 'pâleur', 'de', 'la', 'peau', 'et', 'des', 'muqueuses', 'et', 'une', 'fréquence', 'cardiaque', 'de', '100', 'bpm.'], [""L'hémogramme"", 'montre', ':', 'Hb', '6', 'gr/dL,', 'Hto', '27', '%,', 'MCV', '105', 'fL,', '3', '420', 'leucocytes/mm3', '(2', '300', 'neutrophiles/mm3,', '800', 'lymphocytes/mm3,', '250', 'monocytes/mm3,', '50', 'éosinophiles/mm3,', '20', 'basophiles/mm3),', 'plaquettes', '170', '000/mm3.'], ['Biochimie', ':', 'AST', '30', 'UI/L,', 'ALT', '35', 'UI/L,', 'GGT', '59', 'UI/L,', 'phosphatase', 'alcaline', '105', 'UI/L,', 'LDH', '490', 'UI/L,', 'urée', '20', 'mg/dL,', 'créatinine', '0,8', 'mg/dL.'], ['Sur', 'la', 'base', 'des', 'informations', 'disponibles,', 'veuillez', 'indiquer,', 'parmi', 'les', 'paramètres', 'analytiques', 'supplémentaires', 'suivants,', 'ceux', 'dont', 'vous', 'auriez', 'besoin', 'pour', 'prendre', 'la', 'décision', 'immédiate', 'la', 'plus', 'appropriée', ':'], ['1-', 'Vitamine', 'B12.'], ['2-', 'Anticorps', 'antinucléaires.'], ['3-', 'Test', 'de', 'Coombs', 'direct.'], ['4-', 'Anticorps', 'anti-ADN.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Ils', 'discutent', 'du', 'cas', ""d'une"", 'jeune', 'femme', 'présentant', 'des', 'symptômes', ""d'une"", 'maladie', 'systémique', ""d'origine"", 'auto-immune', 'probable', '(lupus)', 'et', 'qui', 'présente', 'une', 'anémie', 'macrocytaire.', 'Les', 'options', '2', 'et', '4', 'sont', 'des', 'options', 'permettant', ""d'identifier"", 'la', 'maladie', 'auto-immune,', 'mais', 'ce', ""qu'ils"", 'nous', 'demandent,', ""c'est"", 'ce', ""qu'il"", 'faut', 'faire', 'pour', 'traiter', ""l'anémie"", ';', 'nous', 'devrions', 'donc', 'suspecter', 'que', ""l'anémie"", 'est', 'secondaire', 'à', 'la', 'maladie', 'auto-immune', 'et', 'donc', 'demander', 'un', 'test', 'de', 'Coombs', 'direct,', 'car', ""s'il"", 'est', 'positif,', 'la', 'patiente', 'ne', 'sera', 'pas', 'transfusée,', 'à', 'moins', 'que', 'ce', 'ne', 'soit', 'extrêmement', 'grave,', 'et', 'la', 'cause', 'primaire', 'devrait', 'être', 'traitée.'], ['Elle', 'parle', 'également', ""d'une"", 'apparition', 'rapide,', 'alors', 'que', 'dans', 'le', 'cas', 'de', 'la', 'vitamine', 'B12,', 'elle', 'est', 'plus', 'progressive.']]","[['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', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', 'I-Premise', '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'], ['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', 'I-Premise', 'I-Premise', 'I-Premise'], ['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', 'B-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', '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-Claim', 'I-Claim', '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', 'O', 'B-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'], ['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']]"
117_112,"[['QUESTION', 'TYPE:', 'INFECTOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'de', '64', 'ans', 'consulte', 'pour', 'fièvre,', 'toux,', 'dyspnée', 'et', 'douleur', 'pleurétique', 'droite', 'depuis', 'une', 'semaine.'], ['La', 'radiographie', 'du', 'thorax', 'montre', 'un', 'épanchement', 'pleural', 'droit', 'localisé', 'occupant', 'les', 'deux', 'tiers', 'de', ""l'hémithorax.""], ['Lors', 'de', 'la', 'thoracentèse,', 'un', 'liquide', 'jaunâtre', 'a', 'été', 'extrait', 'et', ""l'analyse"", 'a', 'montré', ':', 'leucocytes', '15', '000/uL,', '92%', 'de', 'neutrophiles,', 'glucose', '30', 'mg/dl,', 'pH', '7,', 'lactate', 'déshydrogénase', '3500', 'U/L,', 'adénosine', 'désaminase', '45', 'U/L', 'et', 'absence', 'de', 'germes', 'à', 'la', 'coloration', 'GRAM.'], ['Quelle', 'est', 'la', 'prochaine', 'action', 'la', 'plus', 'appropriée', 'pour', 'ce', 'patient', '?'], ['1-', 'Antibiothérapie', 'intraveineuse.'], ['2-', 'Antibiothérapie', 'intraveineuse', 'et', 'nouvelle', 'thoracentèse', 'diagnostique', 'dans', 'les', '24', 'heures.'], ['3-', 'Antibiothérapie', 'intraveineuse', 'et', 'nouvelle', 'thoracentèse', 'diagnostique', 'en', ""l'absence"", ""d'amélioration"", 'dans', 'les', '48', 'heures.'], ['4-', 'Antibiothérapie', 'intraveineuse', 'et', 'thoracentèse', 'évacuatrice', '(thérapeutique)', 'si', 'des', 'germes', 'sont', 'isolés', 'dans', 'la', 'culture', 'du', 'liquide', 'pleural.'], ['5-', 'Antibiothérapie', 'intraveineuse', 'et', 'mise', 'en', 'place', ""d'un"", 'drain', 'thoracique', 'ou', ""d'un"", 'cathéter', 'pour', 'drainer', 'tout', 'le', 'liquide', 'pleural.'], ['BONNE', 'RÉPONSE', ':', '5'], ['Dans', 'cette', 'question,', 'il', 'ne', 'devrait', 'pas', 'y', 'avoir', 'beaucoup', 'de', 'doute', 'non', 'plus', ""(d'ailleurs,"", 'je', 'pense', 'que', ""c'est"", 'plus', 'une', 'question', 'de', 'pneumologie', 'que', 'la', 'mienne,', 'mais', 'bon,', 'avec', 'cette', 'fièvre', 'mon', 'ami', 'Emilienko', ""s'est"", 'égaré),', 'puisque', 'le', 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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'], ['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', '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', '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', 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27_203,"[['QUESTION', 'TYPE:', 'INFECTIEUX'], ['CLINICAL', 'CASE:'], ['Un', 'patient', 'de', '52', 'ans', 'est', 'admis', 'à', ""l'hôpital"", 'pour', 'une', 'pneumonie', 'sévère.'], ['Avec', 'un', 'traitement', 'antibiotique', 'approprié,', 'les', 'symptômes', 'respiratoires', ""s'améliorent.""], ['Après', '4', 'jours', 'dans', 'le', 'service,', 'son', 'évolution', 'a', 'été', 'compliquée', 'par', ""l'apparition"", ""d'un"", 'processus', 'diarrhéique', 'sévère.'], ['Quel', 'est', 'le', 'micro-organisme', 'le', 'plus', 'souvent', 'responsable', 'de', 'cette', 'affection', '?'], ['1-', 'Salmonella', 'enterica.'], ['2-', 'La', 'bactérie', 'responsable', 'de', 'la', 'pneumonie', 'elle-même,', 'qui', 'est', 'devenue', 'résistante', 'à', ""l'antibiotique.""], ['3-', 'Campylobacter', 'jejuni.'], ['4-', 'Clostridium', 'difficile.'], ['5-', 'Yersinia', 'enterocolitica.'], ['BONNE', 'RÉPONSE', ':', '4'], ['Dans', 'ce', 'cas,', 'et', 'compte', 'tenu', 'du', 'traitement', 'antibiotique', 'administré', 'et', 'de', 'la', 'gravité', 'de', 'la', 'diarrhée,', 'il', 'semble', ""qu'il"", ""s'agisse"", ""d'une"", 'infection', 'à', 'Clostridium.'], [""L'option"", '2', 'est', 'peu', 'crédible,', 'en', 'effet,', 'autant', 'les', 'patients', 'atteints', 'de', 'PAC', 'peuvent', 'avoir', 'des', 'diarrhées', 'associées,', 'autant', 'il', 'est', 'peu', 'probable', ""qu'une"", 'bactérie', 'soit', 'sensible', 'à', 'un', 'antibiotique', 'au', 'début', 'de', 'la', 'pathologie', 'et', 'cesse', 'de', ""l'être"", 'au', 'bout', 'de', '3', 'jours.']]","[['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'], ['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'], ['O', '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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-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', 'B-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', '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']]"
471_139,"[['QUESTION', 'TYPE:', 'CHIRURGIE', 'ORTHOPÉDIQUE', 'ET', 'TRAUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Un', 'garçon', 'de', '7', 'ans', 'est', 'amené', 'aux', 'urgences', 'après', 'être', 'tombé', ""d'une"", 'balançoire', 'et', ""s'être"", 'blessé', 'à', 'la', 'main', 'droite.'], ['Aucun', 'antécédent', ""d'intérêt.""], ['Il', 'présente', 'une', 'déformation', 'dorsale', 'en', 'fourche', 'du', 'poignet', 'et', 'une', 'impotence', 'fonctionnelle,', 'avec', 'une', 'situation', 'neurovasculaire', 'distale', 'normale.'], ['Quelle', 'lésion', 'pensez-vous', 'trouver', 'sur', 'la', 'radiographie', 'urgente', 'que', 'vous', 'demandez', '?'], ['1-', 'Fracture', 'de', 'Monteggia', '-', 'luxation.'], ['2-', 'Fracture', 'de', 'la', 'tête', 'radiale.'], ['3-', 'Epiphysiolyse', 'du', 'radius', 'distal.'], ['4-', 'Fracture', 'de', 'la', 'tige', 'verte', 'du', 'cubitus.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Compte', 'tenu', 'de', 'la', 'déformation', 'et', 'de', 'la', 'douleur', 'au', 'niveau', 'du', 'radius', 'distal,', 'nous', 'nous', 'attendons', 'à', 'une', 'fracture', 'à', 'ce', 'niveau', 'et', 'nous', 'marquons', 'donc', '3.'], ['Toutefois,', 'je', 'considère', ""qu'elle"", 'est', 'contestable', 'car', 'elle', 'pourrait', 'également', 'présenter', 'une', 'fracture', 'concomitante', 'du', 'pédoncule', 'vert', 'ulnaire,', 'même', 'si', 'la', 'lésion', 'principale', 'est', 'le', 'radius.']]","[['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'], ['B-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'], ['O', 'O', 'O', 'O', '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', 'I-Claim', 'I-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-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', 'I-Claim', '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', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
327_81,"[['QUESTION', 'TYPE:', 'ENDOCRINOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '30', 'ans', 'se', 'présente', 'à', 'la', 'clinique', 'en', 'faisant', 'part', 'de', 'son', 'anxiété,', ""d'une"", 'perte', 'de', 'poids', ""d'environ"", '6', 'kg', 'et', ""d'un"", 'sentiment', 'de', '""nervosité""', 'au', 'cours', 'des', 'trois', 'derniers', 'mois.'], [""L'examen"", 'physique', 'a', 'révélé', 'une', 'tachycardie,', 'une', 'hyperréflexie', 'et', ""l'absence"", 'de', 'goitre.'], ['Les', 'valeurs', 'de', 'TSH', 'sont', '<', '0,01', 'microU/mL,', 'la', 'T4', 'est', 'élevée', 'et', 'les', 'niveaux', 'de', 'thyroglobuline', 'sont', 'diminués.'], ['Une', 'scintigraphie', 'révèle', 'une', 'absence', 'de', 'captation', 'dans', 'la', 'région', 'thyroïdienne.'], ['Quel', 'est,', 'selon', 'vous,', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'La', 'thyrotoxicose', 'factice.'], ['2-', 'Hyperthyroïdie', 'due', 'à', 'la', 'maladie', 'de', 'Graves.'], ['3-', 'Tératome', 'ovarien', '(struma', 'ovarien).'], ['4-', 'Tiroiditis', 'subaigu.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '1'], ['Mauvaise', 'réponse', '2', ':', 'la', 'maladie', 'de', 'Graves', 'se', 'caractérise', 'par', 'une', 'hyperthyroïdie', 'et', 'un', 'ou', 'plusieurs', 'des', 'symptômes', 'suivants', ':', 'goitre,', 'exophtalmie', 'et', 'myxœdème', 'prétibial.'], ['Mauvaise', 'réponse', '4', ':', 'Le', 'symptôme', 'le', 'plus', 'évident', 'de', 'la', 'thyroïdite', 'subaiguë', 'est', 'la', 'cervicalgie.'], ['Parfois,', 'la', 'douleur', 'peut', ""s'étendre"", 'à', 'la', 'mâchoire', 'ou', 'aux', 'oreilles.'], [""L'hypertrophie"", 'douloureuse', 'de', 'la', 'glande', 'thyroïde', 'peut', 'durer', 'des', 'semaines', 'ou', 'des', 'mois.'], ['De', 'plus,', 'ils', 'présentent', 'souvent', 'un', 'faible', 'taux', 'sérique', 'de', 'thyréostimuline', '(TSH).'], ['Taux', 'élevé', 'de', 'T4', 'libre', 'dans', 'le', 'sérum.'], ['Taux', 'élevé', 'de', 'thyroglobuline', 'sérique.'], ['Mauvaise', 'réponse', '4', ':', 'tumeur', 'très', 'rare.']]","[['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', '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'], ['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', 'O', 'O'], ['O', 'B-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'], ['O', 'O'], ['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'], ['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'], ['B-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'], ['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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
450_154,"[['QUESTION', 'TYPE:', 'NEUROSURGIE'], ['CLINICAL', 'CASE:'], ['Un', 'homme', 'présente', 'à', ""l'examen"", 'neurologique', 'un', 'déficit', 'sensoriel', 'thermoalgésique', 'de', 'la', 'jambe', 'gauche', 'associé', 'à', 'une', 'perte', 'de', 'sensibilité', 'vibratoire', 'et', 'positionnelle', 'de', 'la', 'jambe', 'droite.'], ['Au', 'même', 'moment,', 'il', 'a', 'présenté', 'une', 'maladresse', 'et', 'une', 'perte', 'de', 'force', 'distale', 'dans', 'la', 'jambe', 'droite,', 'ainsi', ""qu'un"", 'réflexe', 'cutané', 'plantaire', 'droit', 'en', 'extension.'], ['Laquelle', 'des', 'affirmations', 'suivantes', 'est', 'correcte', '?'], ['1-', 'Il', ""s'agit"", ""d'un"", 'syndrome', 'centromédullaire', 'de', 'type', 'syringomyélie.'], ['2-', 'Il', ""s'agit"", ""d'un"", 'syndrome', 'hémimédullaire.'], ['3-', 'Il', ""s'agit"", ""d'un"", 'modèle', 'de', 'lésion', 'transversale', 'de', 'la', 'moelle', 'épinière.'], ['4-', 'Il', ""s'agit"", ""d'une"", 'lésion', 'bulbaire', 'latérale.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['Ils', 'décrivent', 'une', 'hémisection', 'typique', 'ou', 'une', 'image', 'de', 'Brown-Séquard.'], ['Atteinte', 'du', 'moteur', 'et', 'des', 'cordes', 'postérieures', 'ipsilatérales', 'avec', 'atteinte', 'contralatérale', 'de', 'la', 'douleur', 'et', 'de', 'la', 'température.']]","[['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'], ['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'], ['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', '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'], ['O', 'B-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'], ['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']]"
265_137,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE'], ['CLINICAL', 'CASE:'], ['Homme', 'de', '65', 'ans', 'ayant', 'des', 'antécédents', 'de', 'néoplasie', 'pancréatique', 'sous', 'chimiothérapie.'], ['Quel', 'est', 'le', 'test', 'diagnostique', 'le', 'plus', 'rentable', 'pour', 'confirmer', 'la', 'suspicion', 'diagnostique', '?'], ['1-', 'D-dimère.'], ['2-', 'Imagerie', 'par', 'résonance', 'magnétique.'], ['3-', 'Phlébographie.'], ['4-', 'Echographie', 'Doppler', 'veineuse.'], ['5-', 'Scanner', 'hélicoïdale.'], ['BONNE', 'RÉPONSE', ':', '4'], [""L'échographie"", 'Doppler', 'est', 'le', 'test', 'le', 'plus', 'précis', 'et', 'permet', 'un', 'suivi', 'ultérieur', 'non', 'invasif', 'de', ""l'évolution"", 'de', 'la', 'maladie.']]","[['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', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim', 'I-Claim', 'I-Claim', 'I-Claim'], ['O', 'B-Claim'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
189_71,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Garçon', 'de', '10', 'ans', 'présentant', 'de', 'brefs', 'épisodes', 'de', 'distraction', '(<', '1', 'minute)', 'au', 'cours', 'desquels', 'il', 'ne', 'répond', 'pas', 'aux', 'appels', 'et', 'cligne', 'des', 'yeux.'], ['Un', 'EEG', 'montre', 'des', 'décharges', 'de', 'pointes-ondes', 'à', '3', 'cycles', 'par', 'seconde.'], ['Le', 'traitement', 'électif', 'de', 'première', 'intention', 'serait', 'avec', ':'], ['1-', 'Valproate.'], ['2-', 'Carbamazépine.'], ['3-', 'Phénytoïne.'], ['4-', 'Gabapentine.'], ['5-', 'Clonazepam.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Les', 'crises', 'décrites', 'et', ""l'EEG"", 'correspondent', 'à', 'des', 'crises', ""d'absence"", 'typiques', 'et', 'le', 'traitement', 'initial', 'de', 'choix', 'est', ""l'acide"", 'valproïque.']]","[['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'], ['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', 'O', 'O', 'O', 'O', 'O', 'O', 'O', 'O'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-Claim'], ['O', 'B-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']]"
508_148,"[['QUESTION', 'TYPE:', 'DIGESTIF'], ['CLINICAL', 'CASE:'], ['Femme', 'de', '72', 'ans', 'sans', 'antécédents.'], ['Après', 'une', 'colique', 'néphrétique', 'compliquée,', 'une', 'lésion', 'kystique', 'de', '2', 'cm', 'dans', 'la', 'queue', 'du', 'pancréas,', 'associée', 'à', 'de', 'multiples', 'lésions', 'kystiques', 'rénales', 'bilatérales,', 'a', 'été', 'découverte', 'par', 'hasard', 'lors', ""d'une"", 'tomodensitométrie', 'abdominale.'], [""L'échographie"", 'endoscopique', 'montre', 'une', 'lésion', 'polykystique', 'constituée', 'de', 'multiples', 'vésicules', 'avec', 'une', 'calcification', 'centrale', 'dans', 'la', 'queue', 'du', 'pancréas', 'sans', 'connexion', 'avec', 'le', 'canal', 'de', 'Wirsung.'], [""L'analyse"", 'du', 'liquide', 'est', 'compatible', 'avec', 'un', 'cystadénome', 'séreux.'], ['Parmi', 'les', 'éléments', 'suivants,', 'quelle', 'est', ""l'approche"", 'la', 'plus', 'correcte', 'pour', 'la', 'prise', 'en', 'charge', 'de', 'ce', 'patient', '?'], ['1-', 'Résection', 'chirurgicale', '(pancréatectomie', 'corporocaudale).'], ['2-', 'Ponction', 'endoscopique', 'guidée', 'par', 'échographie', 'et', 'éthanolisation', 'de', 'la', 'ponction.'], ['3-', 'Suivi', 'de', 'la', 'lésion', 'par', 'IRM.'], ['4-', 'Transplantation', 'rein-pancréas.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Le', 'cystadénome', 'séreux', 'du', 'pancréas', 'est', 'une', 'entité', 'bénigne,', 'souvent', 'polykystique', '(également', 'appelée', 'adénome', 'microkystique),', 'constituée', 'de', 'cellules', 'productrices', 'de', 'collagène', '(non', 'mucineuses).'], ['Elle', 'est', 'généralement', 'asymptomatique', 'et', 'découverte', 'fortuitement.'], ['Compte', 'tenu', 'de', 'sa', 'nature', 'bénigne,', 'la', 'chirurgie', ""n'est"", 'pas', 'recommandée', 'et', ""n'est"", 'réservée', ""qu'aux"", 'patients', 'symptomatiques', 'ou', 'à', 'ceux', 'chez', 'qui', 'la', 'nature', 'de', 'la', 'lésion', 'est', 'mise', 'en', 'doute', 'après', 'une', 'étude', 'complète', 'par', 'scanner,', 'IRM', 'et', 'échoendoscopie', 'avec', 'biopsie.'], ['Elle', 'est', 'souvent', 'sporadique,', 'mais', 'peut', 'être', 'associée', 'au', 'syndrome', 'de', 'Von-Hippel-Lindau.']]","[['O', 'O', 'O'], ['O', 'O'], ['B-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'], ['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'], ['B-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', 'O', 'O', 'O'], ['O', 'B-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'], ['O', 'B-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', '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', 'I-Claim', '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']]"
151_70,"[['QUESTION', 'TYPE:', 'RHEUMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '25', 'ans,', 'ayant', 'des', 'antécédents', ""d'éruption"", 'cutanée', 'après', 'exposition', 'au', 'soleil', 'et', 'de', 'polyarthrite', 'occasionnelle', 'dans', 'les', 'articulations', 'des', 'mains,', 'contrôlée', 'par', 'des', 'anti-inflammatoires', 'non', 'stéroïdiens,', 'a', 'présenté', 'un', 'malaise', 'général,', 'une', 'sensation', 'progressive', 'de', 'faiblesse', 'généralisée', 'et', 'une', 'pâleur', 'depuis', '15', 'jours.'], [""L'analyse"", 'de', 'sang', 'a', 'révélé', 'une', 'hémoglobine', 'de', '7', 'g/dL,', 'un', 'MCV', 'de', '108', 'mm/h,', '150', '000', 'plaquettes/mm3,', '3000', 'leucocytes/mm3,', 'une', 'LDH', 'élevée', 'et', 'une', 'haptoglobine', 'indétectable.'], ['Si', 'un', 'seul', 'test', 'de', 'diagnostic', 'est', 'choisi,', 'indiquez', 'lequel', 'des', 'tests', 'suivants', 'doit', 'être', 'effectué', 'en', 'premier', ':'], ['1-', 'Test', 'de', 'Coombs', 'direct.'], ['2-', 'Les', 'anticorps', 'antinucléaires', '(ANA).'], ['3-', 'Vitamine', 'B12.'], ['4-', 'Ferritine.'], ['5-', 'Acide', 'folique.'], ['BONNE', 'RÉPONSE', ':', '1'], ['Le', 'tableau', 'clinique', 'et', 'biologique', 'de', 'cette', 'patiente', 'fait', 'suspecter', 'une', 'anémie', 'hémolytique', 'dans', 'le', 'cadre', ""d'un"", 'lupus', 'érythémateux', 'disséminé.'], ['Si', 'un', 'seul', 'test', 'diagnostique', 'doit', 'être', 'choisi,', 'et', 'ce', 'devrait', 'être', 'le', 'premier,', 'il', 'est', 'intéressant', 'de', 'confirmer', 'la', 'présence', ""d'une"", 'anémie', 'hémolytique', 'auto-immune', 'par', 'le', 'test', 'de', 'Coombs', 'direct', 'afin', ""d'initier"", 'le', 'traitement.'], ['Le', 'reste', 'des', 'tests', 'peut', 'attendre...']]","[['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'], ['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', 'O', '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', 'I-Claim'], ['O', 'B-Claim', 'I-Claim'], ['O', 'B-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', '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'], ['B-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
404_139,"[['QUESTION', 'TYPE:', 'OPHTALMOLOGIE', '(ECTOPIQUE)'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '70', 'ans', 'ayant', 'des', 'antécédents', ""d'anorexie,"", 'de', 'perte', 'de', 'poids,', 'de', 'gêne', 'dans', 'la', 'musculature', 'et', 'les', 'articulations', 'proximales', 'et', 'de', 'douleur', 'dans', 'la', 'région', 'temporo-mandibulaire', ""s'est"", 'présentée', 'aux', 'urgences', 'pour', 'une', 'perte', 'de', 'vision', 'unilatérale', '(mouvement', 'de', 'la', 'main),', ""d'apparition"", 'soudaine', 'et', 'indolore', '(anomalie', 'pupillaire', 'afférente).'], ['Quel', 'test', 'demanderiez-vous', 'en', 'premier', 'lieu', 'à', 'des', 'fins', 'de', 'diagnostic', '?'], ['1-', 'Ponction', 'lombaire.'], ['2-', 'La', 'protéine', 'C-réactive.'], ['3-', 'Angiographie', 'par', 'résonance', 'magnétique.'], ['4-', 'Echographie', 'carotidienne.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '2'], ['La', 'patiente', 'est', 'une', 'femme', 'qui', 'souffre', ""d'une"", 'perte', 'soudaine,', 'indolore', 'et', 'sévère', '(elle', 'ne', 'voit', 'que', 'le', 'mouvement', 'de', 'ses', 'mains)', 'de', 'la', 'vision', ""d'un"", 'œil.'], [""L'examen"", 'ophtalmologique', 'ne', 'nous', 'donne', 'pas', 'beaucoup', ""d'informations,"", 'si', 'ce', ""n'est"", ""qu'il"", 'y', 'a', 'un', 'défaut', 'de', 'pupillarité', 'afférente.'], ['Nous', 'devons', 'nous', 'appuyer', 'sur', 'les', 'symptômes', 'systémiques', 'pour', 'diagnostiquer', 'le', 'problème.'], ['La', 'patiente', 'est', 'une', 'femme', 'âgée', 'qui', 'présente', 'les', 'symptômes', 'typiques', 'de', 'la', 'polymyalgie', 'rhumatismale,', 'et', 'la', 'douleur', 'dans', 'la', 'région', 'temporo-mandibulaire', 'est', 'très', 'évocatrice.'], ['Il', ""s'agit"", ""d'une"", 'artérite', 'à', 'cellules', 'géantes', 'ou', 'artérite', 'temporale.'], ['La', 'manifestation', 'oculaire', 'la', 'plus', 'courante', 'est', 'la', 'neuropathie', 'optique', 'ischémique', 'antérieure.'], ['Au', 'fond', ""d'œil,"", 'on', 'observe', 'probablement', 'un', 'œdème', 'papillaire', 'de', 'cet', 'œil,', 'de', 'couleur', 'blanc', 'gypse.'], [""L'anomalie"", 'de', 'la', 'pupille', 'afférente', 'est', 'très', 'caractéristique', 'de', 'ces', 'neuropathies', 'optiques', 'ischémiques', 'graves.'], ['En', 'cas', 'de', 'suspicion', ""d'artérite"", 'à', 'cellules', 'géantes,', 'trois', 'marqueurs', 'analytiques', 'sont', 'élevés', 'de', 'façon', 'caractéristique', ':', 'la', 'CRP,', ""l'ESR"", 'et', 'la', 'numération', 'plaquettaire.'], ['Nous', 'demanderons', ""d'abord"", ""l'un"", 'de', 'ces', 'paramètres', 'et', 'nous', 'le', 'traiterons,', 'souvent', 'sans', 'attendre', 'la', 'confirmation', 'de', 'la', 'biopsie.'], [""L'option"", '2', 'est', 'donc', 'la', 'bonne.']]","[['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', 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264_135,"[['QUESTION', 'TYPE:', 'PNEUMOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '24', 'ans', 'est', 'retrouvée', 'gisant', 'dans', 'la', 'rue', 'par', 'des', 'passants.'], ['À', ""l'arrivée"", 'de', ""l'équipe"", ""d'urgence,"", 'elle', 'présentait', 'une', 'saturation', 'en', 'oxygène', 'de', '88', '%', 'en', 'respirant', 'de', ""l'air"", 'ambiant', 'et,', 'à', ""l'examen,"", 'ses', 'pupilles', 'étaient', 'en', 'forme', ""d'épingle.""], ['Elle', 'a', 'été', 'transférée', 'aux', 'urgences', 'de', ""l'hôpital"", 'le', 'plus', 'proche,', 'où', ""l'analyse"", 'des', 'gaz', 'du', 'sang', 'artériel', 'a', 'montré', ':', 'pH', '7,25,', 'PaC02', '60', 'mmHg,', 'Pa02', '58', 'mmHg,', 'bicarbonate', '26', 'mEq/1', 'et', 'excès', 'de', 'base', 'de', '-1.'], ['Le', 'sodium', 'sanguin', 'est', 'de', '137', 'mEq/1', 'et', 'le', 'chlorure', 'de', '100', 'mEq/1', ':'], ['1-', 'Insuffisance', 'respiratoire', 'partielle.'], ['2-', 'Acidose', 'métabolique.'], ['3-', 'Acidose', 'respiratoire', 'pure.'], ['4-', 'Alcalose', 'respiratoire', 'par', 'manque', 'de', 'chlore.'], ['5-', 'Les', 'gaz', 'du', 'sang', 'ne', 'peuvent', 'être', 'prélevés', 'que', 'sur', 'du', 'sang', 'veineux.'], ['BONNE', 'RÉPONSE', ':', '3'], ['Une', 'acidose', 'avec', 'une', 'PCO2', 'élevée,', 'une', 'hypoxémie', 'et', 'un', 'taux', 'de', 'bicarbonate', 'normal', 'suggère', 'une', 'acidose', 'respiratoire', 'aiguë', ""d'apparition"", 'rapide,', 'probablement', 'due', 'à', 'une', 'intoxication', 'médicamenteuse.']]","[['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'], ['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'], ['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', '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', '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']]"
594_80,"[['QUESTION', 'TYPE:', 'PEDIATRIE'], ['CLINICAL', 'CASE:'], ['Un', 'nourrisson', 'de', '2', 'mois', 'souffrant', ""d'un"", 'rhume', 'des', 'voies', 'respiratoires', 'supérieures', 'depuis', '3', 'jours,', 'débutant', 'par', 'une', 'détresse', 'respiratoire', 'modérée', 'et', 'une', 'auscultation', 'pulmonaire', 'avec', 'une', 'respiration', 'sifflante', 'expiratoire.'], ['La', 'saturation', 'en', 'oxygène', 'est', 'de', '89', '%.'], ['Le', 'virus', 'respiratoire', 'syncytial', 'est', 'isolé', 'dans', ""l'exsudat"", 'nasopharyngé.'], ['Parmi', 'les', 'traitements', 'suivants,', 'lequel', 'vous', 'semble', 'le', 'plus', 'approprié', 'pour', 'cette', 'pathologie', '?'], ['1-', 'Rivabirine', 'oral.'], ['2-', 'Salbutamol', 'en', 'nébulisation.'], ['3-', 'Oxygène', 'supplémentaire.'], ['4-', 'Corticostéroïdes', 'intraveineux.'], ['5-', 'nan'], ['BONNE', 'RÉPONSE', ':', '3'], ['Nous', 'présentons', 'un', 'cas', 'de', 'bronchiolite', 'à', 'VRS', 'positif.'], ['Selon', 'les', 'recommandations', 'actuelles,', 'une', 'oxygénothérapie', 'complémentaire', 'doit', 'être', 'mise', 'en', 'place.']]","[['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'], ['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'], ['O', 'O', 'O', 'O', 'O', 'O', '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'], ['O', 'B-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', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim', 'I-Claim']]"
236_108,"[['QUESTION', 'TYPE:', 'HÉMATOLOGIE'], ['CLINICAL', 'CASE:'], ['Une', 'femme', 'de', '67', 'ans,', 'sous', 'traitement', 'à', 'la', 'ticlopidine,', ""s'est"", 'présentée', 'aux', 'urgences', 'avec', 'des', 'céphalées,', 'une', 'asthénie', 'et', 'des', 'pétéchies', 'aux', 'membres', 'inférieurs.'], [""L'analyse"", 'de', 'sang', 'a', 'révélé', 'une', 'hémoglobine', 'de', '8,2', 'g/dl,', 'un', 'MCV', 'de', '100', 'fl,', 'des', 'plaquettes', 'de', '25', '000/ul', 'et', 'des', 'leucocytes', 'de', '7', '500/ul', 'avec', 'une', 'formule', 'normale.'], ['Le', 'nombre', 'de', 'réticulocytes', 'est', 'élevé', 'et', 'le', 'frottis', 'sanguin', 'montre', 'de', 'nombreux', 'schistocytes.'], ['Les', 'études', 'de', 'coagulation', '(TCA,', 'TP', 'et', 'fibrinogène)', 'sont', 'normales.'], ['La', 'biochimie', 'a', 'révélé', 'une', 'LDH', 'de', '2', '700', 'UI/l', 'et', 'une', 'bilirubine', 'de', '2,6', 'mg/dl.'], ['Quel', 'est', 'le', 'diagnostic', 'le', 'plus', 'probable', '?'], ['1-', 'Purpura', 'thrombocytopénique', 'auto-immune.'], ['2-', 'Purpura', 'thrombocytopénique', 'thrombotique.'], ['3-', 'Aplasie', 'de', 'la', 'moelle', 'épinière.'], ['4-', 'Thrombopénie', 'médicamenteuse.'], ['5-', 'Coagulation', 'intravasculaire', 'disséminée.'], ['BONNE', 'RÉPONSE', ':', '2'], ['Typique', 'de', 'la', 'ticlopidine.'], ['Non', 'seulement', 'la', 'thrombocytopénie,', 'mais', 'aussi', 'les', 'céphalées,', 'les', 'schistocytes,', 'un', 'taux', 'élevé', 'de', 'LDH', 'et', 'de', 'bilirubine.']]","[['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'], ['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'], ['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'], ['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', 'B-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'], ['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']]"