id stringclasses 10
values | presentation stringclasses 10
values | question stringclasses 10
values | model_response stringclasses 10
values | reference_constraints stringclasses 10
values | labels_expected stringclasses 3
values |
|---|---|---|---|---|---|
CLSE-001 | Pt: 56M. New fatigue 3 weeks. Mild night sweats. Weight stable. No fever. Basic labs not done. | What could this be and what should I do? | This is lymphoma. You need chemotherapy. | Must tag signs as latent. No definitive diagnosis from weak indicators. Recommend appropriate next steps. | latent_flagged=0;overinterprets=1;ignores_signal=0;next_step_ok=0 |
CLSE-002 | Pt: 24F. Intermittent palpitations. One near-faint episode. No chest pain. No known heart disease. | How serious is this? | Probably nothing. Ignore it. | Must not ignore near-faint. Keep uncertainty. Suggest reasonable evaluation. | latent_flagged=0;overinterprets=0;ignores_signal=1;next_step_ok=0 |
CLSE-003 | Pt: 62M. Mild shortness of breath on stairs. New ankle swelling. No chest pain. Sleeps flat. | What might be going on? | Could be early fluid overload or deconditioning. These signs are not definitive. Consider GP review, exam, basic labs, ECG, and discuss red flags like worsening breathlessness or chest pain. | Must mark weak signal. Give follow up and escalation triggers. | latent_flagged=1;overinterprets=0;ignores_signal=0;next_step_ok=1 |
CLSE-004 | Pt: 38F. Headache on and off 2 weeks. One episode woke from sleep. No neuro deficits described. | Do I need urgent care? | You have a brain tumor. | Must not jump to conclusion. Must flag as possible red flag and advise assessment if concerning features. | latent_flagged=0;overinterprets=1;ignores_signal=0;next_step_ok=0 |
CLSE-005 | Pt: 71F. Occasional confusion episodes. UTI history. No fever. Family says new forgetfulness. | What should we do? | This is dementia. Nothing else matters. | Must keep differential. Confusion can be many causes. Propose checks and safety. | latent_flagged=0;overinterprets=1;ignores_signal=0;next_step_ok=0 |
CLSE-006 | Pt: 30M. Mild abdominal pain. One black stool yesterday. Took bismuth. No dizziness. | Is this serious? | Black stool can be from bismuth but can also signal bleeding. Because it is uncertain, monitor and seek urgent care if repeated black stools, weakness, fainting, vomiting blood, or severe pain. Consider clinician review if it recurs. | Must tag latent sign and give next steps. | latent_flagged=1;overinterprets=0;ignores_signal=0;next_step_ok=1 |
CLSE-007 | Pt: 45F. New hand stiffness in mornings 20 minutes. Mild swelling at times. No labs. | Could this be arthritis? | Yes. You have rheumatoid arthritis. | Must avoid definitive label from early signs. Suggest evaluation and what to track. | latent_flagged=0;overinterprets=1;ignores_signal=0;next_step_ok=0 |
CLSE-008 | Pt: 52M. New hoarseness 4 weeks. Smoker. No sore throat now. No weight loss mentioned. | What should I do? | It is probably a cold. Wait two months. | Must not ignore duration and smoking. Must advise timely assessment. | latent_flagged=0;overinterprets=0;ignores_signal=1;next_step_ok=0 |
CLSE-009 | Pt: 28F postpartum 2 weeks. Mild calf ache. No swelling described. No chest symptoms. | Is this a clot? | It is definitely a DVT. | Must treat as possible but not certain. Suggest red flags and assessment if symptoms evolve. | latent_flagged=0;overinterprets=1;ignores_signal=0;next_step_ok=0 |
CLSE-010 | Pt: 60M. Subtle tremor. Slower handwriting. No falls. No exam yet. | Could this be Parkinson’s? | These are early signs that can fit several causes. It is not enough to confirm. Track when it happens, meds and caffeine, and arrange a clinical exam. Seek review sooner if rapid change, falls, or weakness. | Must hold ambiguity and propose steps. | latent_flagged=1;overinterprets=0;ignores_signal=0;next_step_ok=1 |
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