44 extractive question-and-answer pairs built from Acute Respiratory Infections, published by icmr.gov.in. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. 30 of the 44 pairs (68.2%) are explanatory questions and 14 restate a figure. 100.00% of rows pass the corpus quality gate.
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import desidata
df = desidata.load("acute-respiratory-infections-question-and-answer-dataset")
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Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 44 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| Under what circumstances should the treatment duration be extended to 7-10 days? | if there is no response within 3 days of starting treatment and in (B). | 1. Targeted towards Streptococcus pneumoniae 2. Oral antibiotics after checking for comorbidities* (Diabetes, CVDs, CKD, CLD, Hepatic Pathology, Cancer, Alcohol Abuse, H/o antibiotics within last 3 months.) a. Without comorbidities: Cap. Amoxicillin (500 mg TDS) / Tab. Erythromycin 250mg QID/ Tab. Doxycycline 100mg BD b. With comorbidities: Cap. Amoxicillin 500mg TDS + Tab.Azithromycin 500 mg OD 3. Duration: 5 days in (A); extend to a 7-10 days course if there is no response within 3 days of starting treatment and in (B). 4. Do not give: a. Corticosteroids: unless other medical indications present b. Fluoroquinolones: as they have anti-tubercular activity. | 456 | relationship | 0.970 | Duration: 5 days in (A); extend to a 7-10 days course if there is no response within 3 days of starting treatment and in (B). 4. | 1 | page=1,block=55 | 0.700 | valid |
| Why are fluoroquinolones not recommended for treating Streptococcus pneumoniae? | as they have anti-tubercular activity | 1. Targeted towards Streptococcus pneumoniae 2. Oral antibiotics after checking for comorbidities* (Diabetes, CVDs, CKD, CLD, Hepatic Pathology, Cancer, Alcohol Abuse, H/o antibiotics within last 3 months.) a. Without comorbidities: Cap. Amoxicillin (500 mg TDS) / Tab. Erythromycin 250mg QID/ Tab. Doxycycline 100mg BD b. With comorbidities: Cap. Amoxicillin 500mg TDS + Tab.Azithromycin 500 mg OD 3. Duration: 5 days in (A); extend to a 7-10 days course if there is no response within 3 days of starting treatment and in (B). 4. Do not give: a. Corticosteroids: unless other medical indications present b. Fluoroquinolones: as they have anti-tubercular activity. | 626 | relationship | 0.970 | Fluoroquinolones: as they have anti-tubercular activity. | 1 | page=1,block=55 | 0.700 | valid |
| What action is advised if epidemic flu is suspected? | Refer to higher centre for diagnosis, notification and treatment | LABORATORY INVESTIGATION: • Total and differential count in suspected flu. TREATMENT • Symptomatic treatment for fever, myalgia (Paracetamol or other NSAID), • Rest, Oral fluids (plenty) • Oral antihistamines (Tab. CPM 4mg BD) for severe runny nose or sneezing • Antibiotics in acute follicular tonsillitis: Amoxicillin/ Ampicillin 500mg tid X 5 days In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X 5 days with food Suspect epidemic flu H/ o recent travel, symptoms of upper respiratory infection, diarrhoea, myalgia, breathlessness Refer to higher centre for diagnosis, notification and treatment. | 561 | summary | 0.970 | CPM 4mg BD) for severe runny nose or sneezing • Antibiotics in acute follicular tonsillitis: Amoxicillin/ Ampicillin 500mg tid X 5 days In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X 5 days with food Suspect epidemic flu H/ o recent travel, symptoms of upper respiratory infection, diarrhoea, myalgia, breathlessness Refer to higher centre for diagnosis, notification and treatment. | 1 | page=1,block=4 | 0.700 | |
| What action should be taken if a patient is drowsy and has excessive secretions during transfer? | calling for help from the SUB-DISTRICT/DISTRICT hospital for endotracheal intubation and shifting on a transport ventilator | POINTS TO NOTE WHILE SHIFTING 1. If referring to a higher center, give the first dose of antibiotic (oral and if available, parenteral), secure an IV line and start 0.9% Normal saline and oxygen supplementation through face mask at 4-6 litres per minute during shift 2. If the patient is drowsy, has copious secretions, consider calling for help from the SUB-DISTRICT/DISTRICT hospital for endotracheal intubation and shifting on a transport ventilator | 329 | summary | 0.970 | If the patient is drowsy, has copious secretions, consider calling for help from the SUB-DISTRICT/DISTRICT hospital for endotracheal intubation and shifting on a transport ventilator | 1 | page=1,block=27 | 0.700 | valid |
| What conditions might frank haemoptysis suggest? | Pulmonary TB or malignancy | Frank haemoptysis, may suggest Pulmonary TB or malignancy • Fever, tachycardia, pharyngitis, suffusion of eyes, rhinitis, hoarse voice • Respiratory system examination: Normal • Fever, tachycardia • Respiratory system exam: Wheeze * Consider acute exacerbation of asthma/ COPD if there is a history of any of these 2 illnesses • Fever, tachycardia, tachypnea • Respiratory system exam: Crackles/bronchial breath sounds * Consider acute exacerbation of asthma/ COPD is there is a history of any of these 2 illnesses ADJUNCTIVE THERAPIES FOR THE MANAGEMENT OF CAP a. Steroids are not recommended for use in non-severe CAP b. Non-invasive ventilation may be used in patients with CAP and acute respiratory failure CONTRA INDICATIONS FOR NON-INVASIVE VENTILATION a. Cardiorespiratory arrest b. Presence of severe upper airway inflammation & edema c. Severe haemodynamic instability - hypotension d. | 31 | relationship | 0.850 | Frank haemoptysis, may suggest Pulmonary TB or malignancy • Fever, tachycardia, pharyngitis, suffusion of eyes, rhinitis, hoarse voice • Respiratory system examination: Normal • Fever, tachycardia • Respiratory system exam: Wheeze * Consider acute exacerbation of asthma/ COPD if there is a history of any of these 2 illnesses • Fever, tachycardia, tachypnea • Respiratory system exam: Crackles/bronchial breath sounds * Consider acute exacerbation of asthma/ COPD is there is a history of any of these 2 illnesses ADJUNCTIVE THERAPIES FOR THE MANAGEMENT OF CAP a. | ||||
| What score is used for mortality risk assessment in primary care? | CRB-65 | LABORATORY INVESTIGATION: • Total and differential count if sputum is purulent, • X-ray chest PA view TREATMENT • Symptomatic treatment for fever (Paracetamol or other NSAID), Oral fluids (plenty) • Inhaled bronchodilators: Salbutamol nebulization (5mg/2.5ml ) 6-8 hourly • Antibiotics if there is purulent sputum and polymorphonuclear leukocytosis • Amoxicillin 500mg tidX 5 days • In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X5 days with food • If asthma is suspected refer to asthma STW SEVERITY ASSESSMENT • X-ray • Use CRB-65* score for mortality risk assessment in primary care Give 1 point for each of the following Prognostic features: • Confusion • Respiratory rate ≥30/ min • Low BP (DBP ≤60 mm Hg or SBP ≤90 mm Hg) • Age ≥65 years | 554 | definition | 0.820 | LABORATORY INVESTIGATION: • Total and differential count if sputum is purulent, • X-ray chest PA view TREATMENT • Symptomatic treatment for fever (Paracetamol or other NSAID), Oral fluids (plenty) • Inhaled bronchodilators: Salbutamol nebulization (5mg/2.5ml ) 6-8 hourly • Antibiotics if there is purulent sputum and polymorphonuclear leukocytosis • Amoxicillin 500mg tidX 5 days • In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X5 days with food • If asthma is suspected refer to asthma STW SEVERITY ASSESSMENT • X-ray • Use CRB-65* score for mortality risk assessment | ||||
| What scoring system is used for mortality risk assessment in primary care? | CRB-65* score | LABORATORY INVESTIGATION: • Total and differential count if sputum is purulent, • X-ray chest PA view TREATMENT • Symptomatic treatment for fever (Paracetamol or other NSAID), Oral fluids (plenty) • Inhaled bronchodilators: Salbutamol nebulization (5mg/2.5ml ) 6-8 hourly • Antibiotics if there is purulent sputum and polymorphonuclear leukocytosis • Amoxicillin 500mg tidX 5 days • In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X5 days with food • If asthma is suspected refer to asthma STW SEVERITY ASSESSMENT • X-ray • Use CRB-65* score for mortality risk assessment in primary care Give 1 point for each of the following Prognostic features: • Confusion • Respiratory rate ≥30/ min • Low BP (DBP ≤60 mm Hg or SBP ≤90 mm Hg) • Age ≥65 years | 554 | definition | 0.820 | LABORATORY INVESTIGATION: • Total and differential count if sputum is purulent, • X-ray chest PA view TREATMENT • Symptomatic treatment for fever (Paracetamol or other NSAID), Oral fluids (plenty) • Inhaled bronchodilators: Salbutamol nebulization (5mg/2.5ml ) 6-8 hourly • Antibiotics if there is purulent sputum and polymorphonuclear leukocytosis • Amoxicillin 500mg tidX 5 days • In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X5 days with food • If asthma is suspected refer to asthma STW SEVERITY ASSESSMENT • X-ray • Use CRB-65* score for mortality risk assessment | ||||
| What signs could indicate the presence of epidemic flu? | H/ o recent travel, symptoms of upper respiratory infection, diarrhoea, myalgia, breathlessness | LABORATORY INVESTIGATION: • Total and differential count in suspected flu. TREATMENT • Symptomatic treatment for fever, myalgia (Paracetamol or other NSAID), • Rest, Oral fluids (plenty) • Oral antihistamines (Tab. CPM 4mg BD) for severe runny nose or sneezing • Antibiotics in acute follicular tonsillitis: Amoxicillin/ Ampicillin 500mg tid X 5 days In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X 5 days with food Suspect epidemic flu H/ o recent travel, symptoms of upper respiratory infection, diarrhoea, myalgia, breathlessness Refer to higher centre for diagnosis, notification and treatment. | 465 | list | 0.820 | CPM 4mg BD) for severe runny nose or sneezing • Antibiotics in acute follicular tonsillitis: Amoxicillin/ Ampicillin 500mg tid X 5 days In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X 5 days with food Suspect epidemic flu H/ o recent travel, symptoms of upper respiratory infection, diarrhoea, myalgia, breathlessness Refer to higher centre for diagnosis, notification and treatment. | 1 | page=1,block=4 | ||
| What antibiotics are suggested for patients with suspected Pseudomonas aeruginosa? | IV Cefepime (1G BD) / IV Ceftazidime (2G TID) / Piperacillin–tazobactam | ANTIBIOTIC THERAPY IN THE HOSPITALIZED NON-ICU SETTING a. Single agent IV β-lactam b. If suspected atypical pathogens, other end organ disease, diabetes, malignancy, severe CAP, use of antibiotics in past 3 months: Combination of IV β-lactam (Cefotaxime 2 grams TID/ IV Ceftriaxone 1gram BD/ Amoxicillin–Clavulanic acid 1.2 grams TID ) + ORAL macrolide (Tab Azithromycin 500 mg PO OD/ Tab Clarithromycin 500 mg PO BD) ANTIBIOTIC THERAPY IN THE HOSPITALIZED ICU SETTING i. Patients without risk factors for Pseudomonas aeruginosa: Manage as above ii. Suspected P. aeruginosa (diabetes, chronic lung disease like bronchiectasis, chronic steroid therapy): IV Cefepime (1G BD) / IV Ceftazidime (2G TID) / Piperacillin–tazobactam(4. | 653 | list | 0.820 | aeruginosa (diabetes, chronic lung disease like bronchiectasis, chronic steroid therapy): IV Cefepime (1G BD) / IV Ceftazidime (2G TID) / Piperacillin–tazobactam(4. | 1 | page=1,block=33 | 0.700 | valid |
| What is assessed in the upper respiratory tract during a systemic examination? | nose & paranasal sinuses (frontal and maxillary sinus tenderness), throat examination ( pharynx and tonsils) | parameters: Sensorium, Pulse, Blood pressure, Respiratory rate, Temperature, Oxygen saturation by pulse oximetry 2. Systemic examination: a. Upper respiratory tract: nose & paranasal sinuses (frontal and maxillary sinus tenderness), throat examination ( pharynx and tonsils) b. Lower respiratory tract: breath sounds (type, intensity), added sounds (crackles, wheeze, pleural rub) Signs of respiratory failure: RR> 30/min, Abdomin othoracic paradox, cyanosis, speaks in short sentences. Refer Respiratory Failure STW. | 166 | list | 0.820 | Upper respiratory tract: nose & paranasal sinuses (frontal and maxillary sinus tenderness), throat examination ( pharynx and tonsils) b. | 1 | page=1,block=41 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
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