15 extractive question-and-answer pairs built from Acute Paralysis, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include standard treatment workflow, acute paralysis, icd 10 g82, paraplegia, quadriplegia, upper motor neuron, lower motor neuron, acute myelopathy. 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: 10 list, 2 factual, 2 summary, 1 relationship. 13 of the 15 pairs (86.7%) ask explanatory questions; the remaining 2 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 15 extractive question-and-answer pairs derived from a publication on acute paralysis by icmr.gov.in. The questions address diagnostic criteria, treatment workflows, and follow-up care for conditions like paraplegia, quadriplegia, and acute myelopathy. Answers are verbatim excerpts from the source, ensuring alignment with the original text. The dataset emphasizes explanatory questions, with a focus on clinical signs, diagnostic tests, and referral protocols.
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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-2b5cb3aaff4ca4e918d1e59fa6775d00")
df.head()First 10 of 15 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What should be done if a patient with fatigable weakness has poor chest expansion and low breath holding time? | Intubate if unable to complete sentences, single breath count low and breath holding time low and chest expansion poor | If the weakness is fatigable or If extra ocular movements are affected • Check pulse, BP and respiration • Intubate if unable to complete sentences, single breath count low and breath holding time low and chest expansion poor • Transfer/ refer to nearest district hospital/ medical college with facility for doing NCS, plasma exchange or giving IVIg and presence of ventilator. • After treatment follow up at CHC for medications and rehabilitation | 107 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | If the weakness is fatigable or If extra ocular movements are affected • Check pulse, BP and respiration • Intubate if unable to complete sentences, single breath count low and breath holding time low and chest expansion poor • Transfer/ refer to nearest district hospital/ medical college with facility for doing NCS, plasma exchange or giving IVIg and presence of ventilator. | 1 | page=1,block=28 | 0.700 | valid |
| What follow-up care is recommended after treatment? | follow up at CHC for medications and rehabilitation | • Transfer/ refer to nearest district hospital/ medical college with NCS and EMG facilities. • CSF for cells and biochemistry • Treatment as per diagnosis • After treatment follow up at CHC for medications and rehabilitation | 173 | summary | 0.930 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | • CSF for cells and biochemistry • Treatment as per diagnosis • After treatment follow up at CHC for medications and rehabilitation | 1 | page=1,block=18 | 0.700 | valid |
| What will treatment depend on for a patient referred for an MRI? | MRI and other investigation | • Check pulse, BP and respiration • If retention of urine present then catheterize • Transfer/ refer to nearest district hospital/ medical college with MRI facility • Treatment will depend on MRI and other investigation • After treatment follow up at CHC for medications and rehabilitation | 192 | relationship | 0.890 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | • Check pulse, BP and respiration • If retention of urine present then catheterize • Transfer/ refer to nearest district hospital/ medical college with MRI facility • Treatment will depend on MRI and other investigation • After treatment follow up at CHC for medications and rehabilitation | 1 | page=1,block=26 | 0.700 | valid |
| What are signs of respiratory distress in a patient with progressive weakness? | unable to complete sentences, falling serial single breath count, respiratory rate >20 or SaO2 levels < 95% | • Any progressive weakness • Unable to walk • Unable to swallow or choking while drinking water • Evidence of respiratory distress like unable to complete sentences, falling serial single breath count, respiratory rate >20 or SaO2 levels < 95% • Persistent tachycardia >100 • Fever • Bowel and bladder involvement | 136 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | • Any progressive weakness • Unable to walk • Unable to swallow or choking while drinking water • Evidence of respiratory distress like unable to complete sentences, falling serial single breath count, respiratory rate >20 or SaO2 levels < 95% • Persistent tachycardia >100 • Fever • Bowel and bladder involvement | 1 | page=1,block=40 | 0.700 | valid |
| What are some signs of upper motor neuron involvement? | Brisk reflexes • Extensor plantar • Increased tone • Sensory level • Bladder or bowel incontinence | Are There Any Signs Of Upper Motor Neuron (UMN) Involvement? • Brisk reflexes • Extensor plantar • Increased tone • Sensory level • Bladder or bowel incontinence NO YES Is the weakness predominantly proximal or distal? Likely to be : ∙ Acute myelopathy like tuberculosis ∙ Trauma ∙ Tumor ∙ Transverse myelitis ∙ Epidural abscess ∙ Spinal cord stroke | 63 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | Are There Any Signs Of Upper Motor Neuron (UMN) Involvement? • Brisk reflexes • Extensor plantar • Increased tone • Sensory level • Bladder or bowel incontinence NO YES Is the weakness predominantly proximal or distal? Likely to be : ∙ Acute myelopathy like tuberculosis ∙ Trauma ∙ Tumor ∙ Transverse myelitis ∙ Epidural abscess ∙ Spinal cord stroke | 1 | page=1,block=4 | 0.700 | valid |
| What are two possible conditions indicated by acute onset peripheral neuropathy due to toxin or drug? | Myasthenia gravis or • Snake bite | • Check pulse, BP and respiration • Check serum electrolytes, creatine kinase • Transfer/ refer to nearest district hospital/ medical college with facility for NCS & EMG • After treatment follow up at CHC for medications and rehabilitation Likely to be : • Myasthenia gravis or • Snake bite Likely to be : Acute onset peripheral neuropathy (due to toxin/drug) | 257 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | • Check pulse, BP and respiration • Check serum electrolytes, creatine kinase • Transfer/ refer to nearest district hospital/ medical college with facility for NCS & EMG • After treatment follow up at CHC for medications and rehabilitation Likely to be : • Myasthenia gravis or • Snake bite Likely to be : Acute onset peripheral neuropathy (due to toxin/drug) | 1 | page=1,block=35 | 0.700 | valid |
| What are two symptoms related to swallowing that may occur in a patient with progressive weakness? | Unable to swallow or choking while drinking water | • Any progressive weakness • Unable to walk • Unable to swallow or choking while drinking water • Evidence of respiratory distress like unable to complete sentences, falling serial single breath count, respiratory rate >20 or SaO2 levels < 95% • Persistent tachycardia >100 • Fever • Bowel and bladder involvement | 46 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | • Any progressive weakness • Unable to walk • Unable to swallow or choking while drinking water • Evidence of respiratory distress like unable to complete sentences, falling serial single breath count, respiratory rate >20 or SaO2 levels < 95% • Persistent tachycardia >100 • Fever • Bowel and bladder involvement | 1 | page=1,block=40 | 0.700 | valid |
| What conditions are likely in cases of predominantly proximal or distal weakness? | Acute myelopathy like tuberculosis ∙ Trauma ∙ Tumor ∙ Transverse myelitis ∙ Epidural abscess ∙ Spinal cord stroke | Are There Any Signs Of Upper Motor Neuron (UMN) Involvement? • Brisk reflexes • Extensor plantar • Increased tone • Sensory level • Bladder or bowel incontinence NO YES Is the weakness predominantly proximal or distal? Likely to be : ∙ Acute myelopathy like tuberculosis ∙ Trauma ∙ Tumor ∙ Transverse myelitis ∙ Epidural abscess ∙ Spinal cord stroke | 236 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | Are There Any Signs Of Upper Motor Neuron (UMN) Involvement? • Brisk reflexes • Extensor plantar • Increased tone • Sensory level • Bladder or bowel incontinence NO YES Is the weakness predominantly proximal or distal? Likely to be : ∙ Acute myelopathy like tuberculosis ∙ Trauma ∙ Tumor ∙ Transverse myelitis ∙ Epidural abscess ∙ Spinal cord stroke | 1 | page=1,block=4 | 0.700 | valid |
| What diagnostic tests should be performed for a patient with suspected acute onset peripheral neuropathy? | Check serum electrolytes, creatine kinase | • Check pulse, BP and respiration • Check serum electrolytes, creatine kinase • Transfer/ refer to nearest district hospital/ medical college with facility for NCS & EMG • After treatment follow up at CHC for medications and rehabilitation Likely to be : • Myasthenia gravis or • Snake bite Likely to be : Acute onset peripheral neuropathy (due to toxin/drug) | 36 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | • Check pulse, BP and respiration • Check serum electrolytes, creatine kinase • Transfer/ refer to nearest district hospital/ medical college with facility for NCS & EMG • After treatment follow up at CHC for medications and rehabilitation Likely to be : • Myasthenia gravis or • Snake bite Likely to be : Acute onset peripheral neuropathy (due to toxin/drug) | 1 | page=1,block=35 | 0.700 | valid |
| What facilities should the referred hospital have for a patient needing plasma exchange or IVIg? | facility for doing plasma exchange or giving IVIg and presence of ventilator | • Check pulse BP and respiration • Check serum K+ levels • Intubate if unable to complete sentences, single breath count low and breath holding time low and chest expansion poor • Transfer/ refer to nearest District Hospital/ medical college with facility for doing plasma exchange or giving IVIg and presence of ventilator. • After treatment follow up at CHC for medications and rehabilitation | 247 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952346_neurology_acute_paralysis.pdf | • Check pulse BP and respiration • Check serum K+ levels • Intubate if unable to complete sentences, single breath count low and breath holding time low and chest expansion poor • Transfer/ refer to nearest District Hospital/ medical college with facility for doing plasma exchange or giving IVIg and presence of ventilator. | 1 | page=1,block=24 | 0.700 | valid |
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