31 extractive question-and-answer pairs built from Left to Right shunt lesions, 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. 22 of the 31 pairs (71.0%) are explanatory questions and 9 restate a figure. 100.00% of rows pass the corpus quality gate.
Use the API URL with your free DD token in notebooks, scripts, and pipelines.
https://www.desidata.in/api/datasets/left-to-right-shunt-lesions-question-and-answer-dataset/downloadDataset downloads are free. For Python or API downloads, sign in once and create a free DD token; set it as DD_TOKEN or save it in your notebook's secrets. Requests are linked to your account so your download history and counts stay accurate.
# One-time install: pip install desidata
# Set DD_TOKEN in your environment first (create a free token in Profile & settings).
import desidata
df = desidata.load("left-to-right-shunt-lesions-question-and-answer-dataset")
df.head()Sign in with Google to download.
Usable for analysis, but expect some cleaning before you rely on it.
Consensus Document on Management of Pancreatic Cancer - Question and Answer Dataset
Economy · 268 rows
ICMR Standard Treatment Workflow for Cataract - Question and Answer Dataset
Economy · 27 rows
Neurology Questions from P a R T N E R S - Question and Answer Dataset
Economy · 107 rows
Beginner's Guide for Systematic Reviews - Question and Answer Dataset
Economy · 407 rows
Annual Report 2015-16 by agriwelfare.gov.in - Question and Answer Dataset
Economy · 1,013 rows
Higher Education in India - Question and Answer Dataset
Economy · 1,594 rows
Gender Policy of NABARD - Question and Answer Dataset
Economy · 14 rows
ICAR Annual Report 2025-26 - Question and Answer Dataset
Economy · 1,101 rows
First 10 of 31 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What happens if congenital heart defects are detected on time? | Majority of the lesions are easily correctable | • Most common type of congenital heart defects • One of the common causes of infant morbidity and mortality • Majority of the lesions are easily correctable if detected on time WHEN TO SUSPECT? 1. Failure to thrive (weight less than 3rd centile for age, drop in weight by more than 2 major centile lines) 2. Feeding difficulty (suck-rest-suck cycle) with forehead sweating (cold sweats) 3. Repeated chest infections/one life threatening infection 4. Baseline tachypnea with subcostal and intercostal retractions: • Rate > 60/min in less than 1 year old • Rate > 50/min between 1-2 year old 5. Tachycardia: • Rate > 160/min in less than 1 year old • Rate >140/min between 1-2 year old 6. Bounding (high volume) pulse (in PDA and APW) 7. Precordial bulge with active precordium 8. | 110 | relationship | 0.970 | • Most common type of congenital heart defects • One of the common causes of infant morbidity and mortality • Majority of the lesions are easily correctable if detected on time WHEN TO SUSPECT? 1. | 1 | page=1,block=7 | 0.700 | valid |
| What leads to most symptoms in shunt lesions? | over circulation of blood within the lungs and left side of the heart | • Pre-tricuspid shunts: ◦Atrial septal defect (ASD): Usually asymptomatic. Presents commonly as incidentally detected murmur • Post-tricuspid shunts: ◦Ventricular septal defect (VSD) ◦Patent ductus arteriosus (PDA) ◦Aorto-pulmonary window (APW) Large post-tricuspid shunts present early (usually by 1.5-2 months of age) with signs of cardiac failure like feeding and breathing difficulty along with failure to thrive • Left to right shunt lesions lead to passage of oxygenated blood from left side of heart to right side and into the lungs • As a result there is increased flow to the lungs and over circulation of blood within the lungs and left side of the heart • Majority of symptoms of shunt lesions are due to this over circulation Cardiomegaly & increased vascular markings in shunt lesion 12-lead ECG showing left axis deviation in a patient with AV septal defect | 595 | summary | 0.970 | Presents commonly as incidentally detected murmur • Post-tricuspid shunts: ◦Ventricular septal defect (VSD) ◦Patent ductus arteriosus (PDA) ◦Aorto-pulmonary window (APW) Large post-tricuspid shunts present early (usually by 1.5-2 months of age) with signs of cardiac failure like feeding and breathing difficulty along with failure to thrive • Left to right shunt lesions lead to passage of oxygenated blood from left side of heart to right side and into the lungs • As a result there is increased flow to the lungs and over circulation of blood within the lungs and left side of the heart • | ||||
| What is the effect of left to right shunt lesions on blood flow? | passage of oxygenated blood from left side of heart to right side and into the lungs | • Pre-tricuspid shunts: ◦Atrial septal defect (ASD): Usually asymptomatic. Presents commonly as incidentally detected murmur • Post-tricuspid shunts: ◦Ventricular septal defect (VSD) ◦Patent ductus arteriosus (PDA) ◦Aorto-pulmonary window (APW) Large post-tricuspid shunts present early (usually by 1.5-2 months of age) with signs of cardiac failure like feeding and breathing difficulty along with failure to thrive • Left to right shunt lesions lead to passage of oxygenated blood from left side of heart to right side and into the lungs • As a result there is increased flow to the lungs and over circulation of blood within the lungs and left side of the heart • Majority of symptoms of shunt lesions are due to this over circulation Cardiomegaly & increased vascular markings in shunt lesion 12-lead ECG showing left axis deviation in a patient with AV septal defect | 455 | summary | 0.970 | Presents commonly as incidentally detected murmur • Post-tricuspid shunts: ◦Ventricular septal defect (VSD) ◦Patent ductus arteriosus (PDA) ◦Aorto-pulmonary window (APW) Large post-tricuspid shunts present early (usually by 1.5-2 months of age) with signs of cardiac failure like feeding and breathing difficulty along with failure to thrive • Left to right shunt lesions lead to passage of oxygenated blood from left side of heart to right side and into the lungs • As a result there is increased flow to the lungs and over circulation of blood within the lungs and left side of the heart • | ||||
| What is the result of left to right shunt lesions? | passage of oxygenated blood from left side of heart to right side and into the lungs | • Pre-tricuspid shunts: ◦Atrial septal defect (ASD): Usually asymptomatic. Presents commonly as incidentally detected murmur • Post-tricuspid shunts: ◦Ventricular septal defect (VSD) ◦Patent ductus arteriosus (PDA) ◦Aorto-pulmonary window (APW) Large post-tricuspid shunts present early (usually by 1.5-2 months of age) with signs of cardiac failure like feeding and breathing difficulty along with failure to thrive • Left to right shunt lesions lead to passage of oxygenated blood from left side of heart to right side and into the lungs • As a result there is increased flow to the lungs and over circulation of blood within the lungs and left side of the heart • Majority of symptoms of shunt lesions are due to this over circulation Cardiomegaly & increased vascular markings in shunt lesion 12-lead ECG showing left axis deviation in a patient with AV septal defect | 455 | summary | 0.970 | Presents commonly as incidentally detected murmur • Post-tricuspid shunts: ◦Ventricular septal defect (VSD) ◦Patent ductus arteriosus (PDA) ◦Aorto-pulmonary window (APW) Large post-tricuspid shunts present early (usually by 1.5-2 months of age) with signs of cardiac failure like feeding and breathing difficulty along with failure to thrive • Left to right shunt lesions lead to passage of oxygenated blood from left side of heart to right side and into the lungs • As a result there is increased flow to the lungs and over circulation of blood within the lungs and left side of the heart • | ||||
| What advice is given to parents regarding feeding for infants with left to right shunt lesions? | Promoting breastfeeding if tolerated. If breastfeeding is difficult then teach gavage/spoon feeding, preferably with expressed breast milk | So can be given as 0.1 ml/kg/dose twice or thrice daily • Add Spironolactone if Furosemide is administered more frequently than once daily • Digoxin: 5 microgram/kg/dose twice daily. Oral preparation contains 50 microgram/ml. So can be given as 0.1 ml/kg/dose twice daily General Advice • Educating parents about importance of maintaining hygiene to prevent infections • Promoting breastfeeding if tolerated. If breastfeeding is difficult then teach gavage/spoon feeding, preferably with expressed breast milk • Use top milk in case of reduced breastmilk output. Average volume intake should be approximately 120 mL/kg/day • Include energy dense weaning foods in those beyond 6 months of age • Continue vaccination as per Indian Academy of Pediatrics (IAP) schedule • Vitamin D3, calcium and iron supplementation to be continued as per IAP recommendations and clinical requirement | 371 | summary | 0.970 | So can be given as 0.1 ml/kg/dose twice daily General Advice • Educating parents about importance of maintaining hygiene to prevent infections • Promoting breastfeeding if tolerated. If breastfeeding is difficult then teach gavage/spoon feeding, preferably with expressed breast milk • Use top milk in case of reduced breastmilk output. | ||||
| What does the Standard Treatment Workflow provide? | broad guidelines | This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. Kindly visit the website of ICMR for more information: (icmr.gov.in) for more information. ©Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India. Standard Treatment Workflow (STW) LEFT TO RIGHT SHUNT LESIONS | 150 | definition | 0.900 | These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. | 1 | page=1,block=1 | 0.700 | valid |
| Which syndrome is associated with Atrioventricular septal defect (AVSD)? | Down syndrome | Loud second heart sound, gallop rhythm, ejection systolic murmur, mid-diastolic murmur (Large shunts may not have loud murmurs) 9. Hepatomegaly 10.Dysmorphic features: Down syndrome are known to be associated with Atrioventricular septal defect(AVSD) 11. Abnormal peripheral pulses especially feeble lower limb pulses INVESTIGATIONS Essential • X-ray Chest, Echo • ECG - To watch for unexpected abnormal axis, rate, rhythm and QRS complex • CBC, Electrolytes - Depending on clinical conditions and specific clinical circumstances Timely referral to higher centre with pediatric cardiac facility • Shunt lesions are confirmed by echocardiography • Large post tricuspid shunts require early referral Drugs • Furosemide: 1-2 mg/kg/dose twice or thrice daily (reduce or temporarily stop during diarrhea or vomiting). Oral suspension contains 10 mg/ml. | 168 | relationship | 0.890 | Hepatomegaly 10.Dysmorphic features: Down syndrome are known to be associated with Atrioventricular septal defect(AVSD) 11. | 1 | page=1,block=7 | 0.700 | valid |
| What is one of the common causes of infant morbidity and mortality? | congenital heart defects | • Most common type of congenital heart defects • One of the common causes of infant morbidity and mortality • Majority of the lesions are easily correctable if detected on time WHEN TO SUSPECT? 1. Failure to thrive (weight less than 3rd centile for age, drop in weight by more than 2 major centile lines) 2. Feeding difficulty (suck-rest-suck cycle) with forehead sweating (cold sweats) 3. Repeated chest infections/one life threatening infection 4. Baseline tachypnea with subcostal and intercostal retractions: • Rate > 60/min in less than 1 year old • Rate > 50/min between 1-2 year old 5. Tachycardia: • Rate > 160/min in less than 1 year old • Rate >140/min between 1-2 year old 6. Bounding (high volume) pulse (in PDA and APW) 7. Precordial bulge with active precordium 8. | 22 | relationship | 0.890 | • Most common type of congenital heart defects • One of the common causes of infant morbidity and mortality • Majority of the lesions are easily correctable if detected on time WHEN TO SUSPECT? 1. | 1 | page=1,block=7 | 0.700 | valid |
| What condition is associated with Atrioventricular septal defect (AVSD)? | Down syndrome | Loud second heart sound, gallop rhythm, ejection systolic murmur, mid-diastolic murmur (Large shunts may not have loud murmurs) 9. Hepatomegaly 10.Dysmorphic features: Down syndrome are known to be associated with Atrioventricular septal defect(AVSD) 11. Abnormal peripheral pulses especially feeble lower limb pulses INVESTIGATIONS Essential • X-ray Chest, Echo • ECG - To watch for unexpected abnormal axis, rate, rhythm and QRS complex • CBC, Electrolytes - Depending on clinical conditions and specific clinical circumstances Timely referral to higher centre with pediatric cardiac facility • Shunt lesions are confirmed by echocardiography • Large post tricuspid shunts require early referral Drugs • Furosemide: 1-2 mg/kg/dose twice or thrice daily (reduce or temporarily stop during diarrhea or vomiting). Oral suspension contains 10 mg/ml. | 168 | relationship | 0.890 | Hepatomegaly 10.Dysmorphic features: Down syndrome are known to be associated with Atrioventricular septal defect(AVSD) 11. | 1 | page=1,block=7 | 0.700 | valid |
| What is an indicator of failure to thrive in infants? | weight less than 3rd centile for age, drop in weight by more than 2 major centile lines | • Most common type of congenital heart defects • One of the common causes of infant morbidity and mortality • Majority of the lesions are easily correctable if detected on time WHEN TO SUSPECT? 1. Failure to thrive (weight less than 3rd centile for age, drop in weight by more than 2 major centile lines) 2. Feeding difficulty (suck-rest-suck cycle) with forehead sweating (cold sweats) 3. Repeated chest infections/one life threatening infection 4. Baseline tachypnea with subcostal and intercostal retractions: • Rate > 60/min in less than 1 year old • Rate > 50/min between 1-2 year old 5. Tachycardia: • Rate > 160/min in less than 1 year old • Rate >140/min between 1-2 year old 6. Bounding (high volume) pulse (in PDA and APW) 7. Precordial bulge with active precordium 8. | 216 | list | 0.820 | Failure to thrive (weight less than 3rd centile for age, drop in weight by more than 2 major centile lines) 2. | 1 | page=1,block=7 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=14 |
| 0.700 |
| valid |
| 1 |
| page=1,block=14 |
| 0.700 |
| valid |
| 1 |
| page=1,block=14 |
| 0.700 |
| valid |
| 1 |
| page=1,block=7 |
| 0.700 |
| valid |