96 extractive question-and-answer pairs built from Standard Treatment Workflows of India on Paediatric and Extrapulmonary Tuberculosis, 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. 66 of the 96 pairs (68.8%) are explanatory questions and 30 restate a figure. 98.96% of rows pass the corpus quality gate.
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# One-time install: pip install desidata
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import desidata
df = desidata.load("standard-treatment-workflows-of-india-on-paediatric-and-extrapulmonary")
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Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 97 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What does Kussmaul's sign indicate in relation to jugular venous pressure? | lack of an inspiratory decline in jugular venous pressure | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 85 | definition | 1.000 | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 17 | page=17,block=3 | 0.700 | valid |
| What is pulsus paradoxus? | a decrease in systolic blood pressure by >10 mmHg on inspiration | March/2022 Cardiac tamponade: Clinical signs include • Sinus tachycardia • Hypotension with a narrow pulse pressure • Elevated JVP jugular venous pressure • Muffled heart sounds • Pulsus paradoxus (a decrease in systolic blood pressure by >10 mmHg on inspiration) • Ascites Other complications: • Myopericarditis: Abnormal ejection fraction with evidence of myocarditis and pericarditis (elevated cardiac enzymes & ST elevation on ECG) • Effusive constrictive pericarditis: Mixed clinical picture. Main clue is elevated JVP clinically & right atrial pressure on ECHO in spite of removal of pericardial fluid Essential tests: • Chest X-ray • ECG • Echocardiogram Desirable: • Cardiac enzymes • CT/MRI of Thorax • Pericardiocentesis • Pericardial biopsy | 198 | definition | 0.980 | March/2022 Cardiac tamponade: Clinical signs include • Sinus tachycardia • Hypotension with a narrow pulse pressure • Elevated JVP jugular venous pressure • Muffled heart sounds • Pulsus paradoxus (a decrease in systolic blood pressure by >10 mmHg on inspiration) • Ascites Other complications: • Myopericarditis: Abnormal ejection fraction with evidence of myocarditis and pericarditis (elevated cardiac enzymes & ST elevation on ECG) • Effusive constrictive pericarditis: Mixed clinical picture. | ||||
| What does NAAT stand for? | Nucleic Acid Amplification Tests-Xpert MTB/RIF/TrueNat | MUSCULOSKELETAL PLEURAL MENINGITIS LYMPHADENITIS UROGENITAL FEMALE GENITAL GASTROINTESTINAL FNA: Fine needle aspirate LJ medium: Lowenstein Jensen medium MGIT: Mycobacteria Growth Indicator tube (Liquid culture medium for mycobacteria) NAAT: Nucleic Acid Amplification Tests-Xpert MTB/RIF/TrueNat PHC: Primary health Centre TB: Tuberculosis IRL: Intermediate Reference laboratory | 242 | definition | 0.980 | MUSCULOSKELETAL PLEURAL MENINGITIS LYMPHADENITIS UROGENITAL FEMALE GENITAL GASTROINTESTINAL FNA: Fine needle aspirate LJ medium: Lowenstein Jensen medium MGIT: Mycobacteria Growth Indicator tube (Liquid culture medium for mycobacteria) NAAT: Nucleic Acid Amplification Tests-Xpert MTB/RIF/TrueNat PHC: Primary health Centre TB: Tuberculosis IRL: Intermediate Reference laboratory | 25 | page=25,block=26 | 0.700 | valid |
| What is the full form of CBNAAT? | Cartidge-based Nucleic Acid Amplification test | Km, Cm, Lzd) **LPA may be done directly if smear +ve else send for MGIT followed by FLPA to evaluate for H (inhA and/ or KatG mutn) and Eto (inhA) resistance ADA: Adenosine Deaminase BAL: Broncho-alveolar lavage CBNAAT: Cartidge-based Nucleic Acid Amplification test CECT: Contrast enhanced CT CP: Continuation phase CT: Computed tomography DRTB: Drug resistant TB DST: Drug sensitivity test EPTB: Extra-pulmonary TB ETO: Ethionamide FDC: Fixed dose combination FL-LPA: First line - Line probe assay FQ: Fluoroquinolones GA: Gastric aspirate H: Isoniazid HIV: Human Immunodeficiency virus HRZE: Isoniazid; Rifampicin; Pyrazinamide; Ethambutol IGRA: Interferon Gamma Release assay IS: Induced sputum LN: Lymph node MAC: Mid Arm Circumference MTB: Mycobacterium Tuberculosis NAAT: Nucleic acid amplification test PPD: Purified Protein Derivative RIF: Rifampicin SAM: Severe acute malnutrition SLI: Second line injectables SL-LPA: Second line - Line probe assay TST: Tuberculin skin test USG: Ultrasonography ZN: Ziehl Neelson | 220 | definition | 0.980 | Km, Cm, Lzd) **LPA may be done directly if smear +ve else send for MGIT followed by FLPA to evaluate for H (inhA and/ or KatG mutn) and Eto (inhA) resistance ADA: Adenosine Deaminase BAL: Broncho-alveolar lavage CBNAAT: Cartidge-based Nucleic Acid Amplification test CECT: Contrast enhanced CT CP: Continuation phase CT: Computed tomography DRTB: Drug resistant TB DST: Drug sensitivity test EPTB: Extra-pulmonary TB ETO: Ethionamide FDC: Fixed dose combination FL-LPA: First line - Line probe assay FQ: Fluoroquinolones GA: Gastric aspirate H: Isoniazid HIV: Human Immunodeficiency virus HRZE: | ||||
| What prior exposure is linked to the described symptoms? | history of exposure to infectious TB in past 2 years | • Fever with one or more of the following › Headache › Vomiting › Seizures › Irritability/Lethargy/ Drowsiness › Loss of function e.g. recent onset deviation of eyes/mouth and/or weakness of arm/leg and/or altered mentation › Malaise, Anorexia, Weight loss • Symptoms are usually of 5 to 7 days duration with insidious onset, particularly with history of exposure to infectious TB in past 2 years Standard Treatment Workflow (STW) for the Management of | 344 | relationship | 0.970 | recent onset deviation of eyes/mouth and/or weakness of arm/leg and/or altered mentation › Malaise, Anorexia, Weight loss • Symptoms are usually of 5 to 7 days duration with insidious onset, particularly with history of exposure to infectious TB in past 2 years Standard Treatment Workflow (STW) for the Management of | 12 | page=12,block=0 | 0.700 | valid |
| What is responsible for the prominent Y descent in jugular veins in cases of constrictive pericarditis? | diastolic inflow of blood into the right ventricle | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 267 | relationship | 0.970 | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 17 | page=17,block=3 | 0.700 | valid |
| What features of lymph nodes indicate tuberculosis is unlikely? | the lymphnodes are few, small (< 2 cm) and are persistent for a long time (months to years) without any systemic symptoms | Mtb or AFB detected Choose appropriate regimen based on NAAT result If chest x-ray abnormal: Get Sputum /Induced sputum/GA for NAAT and AFB TB is unlikely if: the lymphnodes are few, small (< 2 cm) and are persistent for a long time (months to years) without any systemic symptoms Peripheral Lymph node > 2cm in one or more sites | 159 | summary | 0.970 | Mtb or AFB detected Choose appropriate regimen based on NAAT result If chest x-ray abnormal: Get Sputum /Induced sputum/GA for NAAT and AFB TB is unlikely if: the lymphnodes are few, small (< 2 cm) and are persistent for a long time (months to years) without any systemic symptoms Peripheral Lymph node > 2cm in one or more sites | 10 | page=10,block=11 | 0.700 | valid |
| What should be done with samples of synovial fluid or cold abscess collected against gravity? | send samples for confirmation of TB in following 3 ways | • In case of synovial fluid or cold abscess aspiration (against gravity), send samples for confirmation of TB in following 3 ways › Two dry slide for demonstration of AFB (ZN staining) › Two samples in formalin for histopathological examination › Two samples in saline for culture* followed by DST and/or NAAT • Confirmed cases to undergo HIV/blood sugar testing/parent counselling *MGIT/LJ (if MGIT not available) Surgical Indications in Potts Spine • Progressive neurological deficit • Paraplegia of recent onset or severe paraplegia • Persistent pain with spinal instability • Spinal deformity-severe kyphotic deformity at presentation, or in children (<10 years of age) at high risk of progression of kyphosis with growth after healing of disease ESSENTIAL • Plain X-ray of involved parts › Diaphyseal expansile lesion › Periosteal reaction is uncommon › Healing is by sclerosis (usually gradual) • X-ray film of chest › Sputum/GA for NAAT & MGIT/LJ, if CXR abnormal • FNAC (if peripheral lymphnodes enlarged) for Cytology, NAAT & MGIT/LJ | 74 | summary | 0.970 | • In case of synovial fluid or cold abscess aspiration (against gravity), send samples for confirmation of TB in following 3 ways › Two dry slide for demonstration of AFB (ZN staining) › Two samples in formalin for histopathological examination › Two samples in saline for culture* followed by DST and/or NAAT • Confirmed cases to undergo HIV/blood sugar testing/parent counselling *MGIT/LJ (if MGIT not available) Surgical Indications in Potts Spine • Progressive neurological deficit • Paraplegia of recent onset or severe paraplegia • Persistent pain with spinal instability • Spinal | ||||
| What is suggested for patient follow-up after treatment? | Follow-up of the patient should be flexible depending on the clinical presentation and response to ATT | • Patients requiring specific treatment such as infertility, Asherman syndrome & tubo-ovarian mass etc. should be referred to higher centres FOLLOW UP Follow-up of the patient should be flexible depending on the clinical presentation and response to ATT • 1 month : Clinical Evaluation (General & Gynaecological) • 3 months : Clinical Evaluation (General & Gynaecological) • 6 months : Clinical Evaluation & Investigations (endometrial biopsy, hystero-laparoscopy & USG as needed) | 151 | summary | 0.970 | should be referred to higher centres FOLLOW UP Follow-up of the patient should be flexible depending on the clinical presentation and response to ATT • 1 month : Clinical Evaluation (General & Gynaecological) • 3 months : Clinical Evaluation (General & Gynaecological) • 6 months : Clinical Evaluation & Investigations (endometrial biopsy, hystero-laparoscopy & USG as needed) | 21 | page=21,block=38 | 0.700 | valid |
| What is the purpose of imaging the eye? | Ascertaining diagnosis, extent of disease & follow up, teleconsultation | Investigations to rule out other causes of clinical presentation Refer to Ophthalmologist for detailed examination Eye Care facility should have: Mandatory: Slit lamp, ophthalmoscope (direct or indirect), intraocular pressure assessment device Preferred: Fundus camera, Fundus fluorescein angiongram(FFA), Optical Coherence Tomography (OCT) Imaging of eye: Ascertaining diagnosis, extent of disease & follow up, teleconsultation Essential: CXR for healed/ active pulmonary TB TREATMENT REFERRAL TO HIGHER CENTRE Optional: CT Chest (if available) for healed/active pulmonary TB Desirable: Mantoux Test (standardised tuberculin units): l0 mm induration considered positive Retinal photographs using fundus camera Optical coherence tomography scans (if available) Fluorescein angiograms (if available) • Not confident to treat • Vision threatening • Non-response to treatment • Side effects due to treatment • Atypical reaction | 357 | summary | 0.970 | Investigations to rule out other causes of clinical presentation Refer to Ophthalmologist for detailed examination Eye Care facility should have: Mandatory: Slit lamp, ophthalmoscope (direct or indirect), intraocular pressure assessment device Preferred: Fundus camera, Fundus fluorescein angiongram(FFA), Optical Coherence Tomography (OCT) Imaging of eye: Ascertaining diagnosis, extent of disease & follow up, teleconsultation Essential: CXR for healed/ active pulmonary TB TREATMENT REFERRAL TO HIGHER CENTRE Optional: CT Chest (if available) for healed/active pulmonary TB Desirable: Mantoux |
Read straight from the file — download or use the API URL for the full dataset.
| 17 |
| page=17,block=14 |
| 0.700 |
| valid |
| 9 |
| page=9,block=153 |
| 0.700 |
| valid |
| 11 |
| page=11,block=40 |
| 0.700 |
| valid |
| 23 |
| page=23,block=12 |
| 0.700 |
| valid |