17 extractive question-and-answer pairs built from Acute Rhinosinusitis, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include acute rhinosinusitis, standard treatment workflow, icd 10 j01.90, parenteral antibiotic therapy, intracranial complications, anterior rhinoscopy, nasal endoscopy, invasive fungal sinusitis. 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. Question types in the export: 8 list, 6 factual, 2 summary, 1 definition. 11 of the 17 pairs (64.7%) ask explanatory questions; the remaining 6 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 17 extractive question-and-answer pairs focused on acute rhinosinusitis, sourced from a single-page publication by icmr.gov.in. The questions address diagnostic criteria, treatment options, complications, and specific conditions like invasive fungal sinusitis. Each answer is a verbatim excerpt from the source document, ensuring traceability. The dataset includes explanatory, factual, and list-based questions, with 64.7% of the pairs addressing explanatory topics.
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# 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("www-icmr-gov-in-032361e3a7a26870d3c1bf00ddad9518")
df.head()First 10 of 17 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What is recurrent acute sinusitis characterized by? | episodes of acute sinusitis interspersed with symptom free intervals of more than 3 months in duration. | Usually a sequela of viral infection which causes ciliary impairment and bacterial superinfection Diagnosis- persistence of nasal blockage/ nasal discharge and facial pain/ hyposmia beyond 7 days (maximum upto 3 months) Recurrent acute sinusitis is episodes of acute sinusitis interspersed with symptom free intervals of more than 3 months in duration. Symptoms with duration less than 7 days are treated as viral upper respiratory infection. Invasive fungal sinusitis is suspected if in addition to above symptoms the following are present: facial hyposthesia, facial skin/palatal/ turbinate discoloration and proptosis/ diplopia/ reduced or loss of vision Children may present with acute febrile illness/cough associated with these symptoms. | 249 | definition | 0.980 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | Usually a sequela of viral infection which causes ciliary impairment and bacterial superinfection Diagnosis- persistence of nasal blockage/ nasal discharge and facial pain/ hyposmia beyond 7 days (maximum upto 3 months) Recurrent acute sinusitis is episodes of acute sinusitis interspersed with symptom free intervals of more than 3 months in duration. Symptoms with duration less than 7 days are treated as viral upper respiratory infection. | 1 | page=1,block=29 | 0.700 | valid |
| What is the purpose of normal saline nasal washes? | help in clearing secretions and improved effect of topical medications | PHC / PRIMARY LEVEL Duration of treatment 7-14 days ∙ Oral antibiotics- Amoxycillin/ Coamoxyclav for 7-10 days. Levofloxacin and Azithromycin can be opted for patients intolerant/ sensitive to penicillins. ∙ Topical budesonide/ mometasone nasal spray once/twice a day for 2 weeks provides earlier symptomatic relief. ∙ Normal saline nasal washes help in clearing secretions and improved effect of topical medications ∙ Topical/ oral decongestant (Oxymetazline/ pseudoephedrine) for 3-5 days relieves symptoms. ∙ Adequate hydration and steam inhation. ∙ Antihistaminics (patients with co-existing allergy). | 346 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | ∙ Normal saline nasal washes help in clearing secretions and improved effect of topical medications ∙ Topical/ oral decongestant (Oxymetazline/ pseudoephedrine) for 3-5 days relieves symptoms. | 1 | page=1,block=17 | 0.700 | valid |
| What is recommended for invasive fungal sinusitis? | start antifungal medications, control underlying immunocompromising co-morbidity and consider debridement | • Surgical interventions to manage: • Underlying anatomical conditions causing recurrent acute sinusitis like- DNS/ adenoid hypertrophy/ anatomical variations seen on CT • Ophthalmology referral for suspected intraorbital complications • Dental deferral for suspected dental origin infection. • Invasive fungal sinusitis- start antifungal medications, control underlying immunocompromising co-morbidity and consider debridement. | 322 | summary | 0.930 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | • Invasive fungal sinusitis- start antifungal medications, control underlying immunocompromising co-morbidity and consider debridement. | 1 | page=1,block=20 | 0.700 | valid |
| What anatomical conditions may require surgical intervention to manage recurrent acute sinusitis? | DNS/ adenoid hypertrophy/ anatomical variations seen on CT | • Surgical interventions to manage: • Underlying anatomical conditions causing recurrent acute sinusitis like- DNS/ adenoid hypertrophy/ anatomical variations seen on CT • Ophthalmology referral for suspected intraorbital complications • Dental deferral for suspected dental origin infection. • Invasive fungal sinusitis- start antifungal medications, control underlying immunocompromising co-morbidity and consider debridement. | 111 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | • Surgical interventions to manage: • Underlying anatomical conditions causing recurrent acute sinusitis like- DNS/ adenoid hypertrophy/ anatomical variations seen on CT • Ophthalmology referral for suspected intraorbital complications • Dental deferral for suspected dental origin infection. | 1 | page=1,block=20 | 0.700 | valid |
| What are some pointers of invasive fungal sinusitis? | Facial hypoesthesia, facial skin/palatal/turbinate discoloration | ∙ Known diabetic/ immunocompromised ∙ Suspicion of complications viz. (A) Orbital involvement (Periorbital edema/ erythema, displaced globe, ophthalmoplegia, visual disturbance); (B) Meningitis/ altered sensorium; (C) Frontal fullness. ∙ Non-resolution with oral antibiotics for ten days ∙ Pointers of invasive fungal sinusitis (Facial hypoesthesia, facial skin/palatal/turbinate discoloration) | 329 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | ∙ Non-resolution with oral antibiotics for ten days ∙ Pointers of invasive fungal sinusitis (Facial hypoesthesia, facial skin/palatal/turbinate discoloration) | 1 | page=1,block=12 | 0.700 | valid |
| What are some signs of orbital involvement in suspected complications? | Periorbital edema/ erythema, displaced globe, ophthalmoplegia, visual disturbance | ∙ Known diabetic/ immunocompromised ∙ Suspicion of complications viz. (A) Orbital involvement (Periorbital edema/ erythema, displaced globe, ophthalmoplegia, visual disturbance); (B) Meningitis/ altered sensorium; (C) Frontal fullness. ∙ Non-resolution with oral antibiotics for ten days ∙ Pointers of invasive fungal sinusitis (Facial hypoesthesia, facial skin/palatal/turbinate discoloration) | 95 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | (A) Orbital involvement (Periorbital edema/ erythema, displaced globe, ophthalmoplegia, visual disturbance); (B) Meningitis/ altered sensorium; (C) Frontal fullness. | 1 | page=1,block=12 | 0.700 | valid |
| What factors should be ruled out as contributors to sinus-related conditions? | Allergy/ upper alveolar dental caries/ DNS/ LPR/ smoking. | ∙ Consider alternate diagnosis if: Unilateral symptoms/ Bleeding/ Crusting/ Cacosmia (foul smell) ∙ Rule out other contributory factors: Allergy/ upper alveolar dental caries/ DNS/ LPR/ smoking. ∙ Rhinorrhoea and nasal congestion in second trimester of pregnancy is considered hormonal in etiology and is to be managed with saline irrigation/ drops | 137 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | ∙ Consider alternate diagnosis if: Unilateral symptoms/ Bleeding/ Crusting/ Cacosmia (foul smell) ∙ Rule out other contributory factors: Allergy/ upper alveolar dental caries/ DNS/ LPR/ smoking. ∙ Rhinorrhoea and nasal congestion in second trimester of pregnancy is considered hormonal in etiology and is to be managed with saline irrigation/ drops | 1 | page=1,block=36 | 0.700 | valid |
| What nasal sprays are recommended for earlier symptomatic relief? | Topical budesonide/ mometasone nasal spray | PHC / PRIMARY LEVEL Duration of treatment 7-14 days ∙ Oral antibiotics- Amoxycillin/ Coamoxyclav for 7-10 days. Levofloxacin and Azithromycin can be opted for patients intolerant/ sensitive to penicillins. ∙ Topical budesonide/ mometasone nasal spray once/twice a day for 2 weeks provides earlier symptomatic relief. ∙ Normal saline nasal washes help in clearing secretions and improved effect of topical medications ∙ Topical/ oral decongestant (Oxymetazline/ pseudoephedrine) for 3-5 days relieves symptoms. ∙ Adequate hydration and steam inhation. ∙ Antihistaminics (patients with co-existing allergy). | 208 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | ∙ Topical budesonide/ mometasone nasal spray once/twice a day for 2 weeks provides earlier symptomatic relief. | 1 | page=1,block=17 | 0.700 | valid |
| What symptoms indicate invasive fungal sinusitis in addition to typical sinusitis symptoms? | facial hyposthesia, facial skin/palatal/ turbinate discoloration and proptosis/ diplopia/ reduced or loss of vision | Usually a sequela of viral infection which causes ciliary impairment and bacterial superinfection Diagnosis- persistence of nasal blockage/ nasal discharge and facial pain/ hyposmia beyond 7 days (maximum upto 3 months) Recurrent acute sinusitis is episodes of acute sinusitis interspersed with symptom free intervals of more than 3 months in duration. Symptoms with duration less than 7 days are treated as viral upper respiratory infection. Invasive fungal sinusitis is suspected if in addition to above symptoms the following are present: facial hyposthesia, facial skin/palatal/ turbinate discoloration and proptosis/ diplopia/ reduced or loss of vision Children may present with acute febrile illness/cough associated with these symptoms. | 542 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | Invasive fungal sinusitis is suspected if in addition to above symptoms the following are present: facial hyposthesia, facial skin/palatal/ turbinate discoloration and proptosis/ diplopia/ reduced or loss of vision Children may present with acute febrile illness/cough associated with these symptoms. | ||||
| What symptoms suggest an alternate diagnosis in sinus-related conditions? | Unilateral symptoms/ Bleeding/ Crusting/ Cacosmia (foul smell) | ∙ Consider alternate diagnosis if: Unilateral symptoms/ Bleeding/ Crusting/ Cacosmia (foul smell) ∙ Rule out other contributory factors: Allergy/ upper alveolar dental caries/ DNS/ LPR/ smoking. ∙ Rhinorrhoea and nasal congestion in second trimester of pregnancy is considered hormonal in etiology and is to be managed with saline irrigation/ drops | 35 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952292_ent_acute_rhinosinusitis.pdf | ∙ Consider alternate diagnosis if: Unilateral symptoms/ Bleeding/ Crusting/ Cacosmia (foul smell) ∙ Rule out other contributory factors: Allergy/ upper alveolar dental caries/ DNS/ LPR/ smoking. | 1 | page=1,block=36 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=29 |
| 0.700 |
| valid |