177 extractive question-and-answer pairs built from 1725952349 ent, published by icmr.gov.in. The source is a 17-page publication. Source-evidenced topics include standard treatment workflows, acute rhinosinusitis, chronic rhinosinusitis, epistaxis, universal health coverage, pmjay, ayushman bharat, icd 10 j01.90. 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: 96 factual, 43 list, 16 definition, 11 summary, 9 relationship, 2 comparison. 81 of the 177 pairs (45.8%) ask explanatory questions; the remaining 96 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 177 extractive question-and-answer pairs derived from a 17-page publication by icmr.gov.in. The questions cover topics such as standard treatment workflows, acute and chronic rhinosinusitis, epistaxis, and universal health coverage. Each answer is a verbatim excerpt from the source document, ensuring traceability. The dataset includes various question types, such as factual, list, definition, summary, and relationship questions, with explanatory questions making up 45.8% of the total. The sample rows provide insights into medical definitions, treatment protocols, and professional affiliations within the healthcare domain.
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# One-time install: pip install desidata
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import desidata
df = desidata.load("www-icmr-gov-in-501f003dceb9877d3b13b8695c5d9770")
df.head()First 10 of 178 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What condition is indicated by serous or purulent discharge with significant tenderness of the external ear amidst edema? | Acute otitis externa denoting Staph/ Pseudomonas infection | • Serous/purulent discharge with significant tenderness of external ear amidst edema (localized-pus: furunculosis or generalized: Acute otitis externa denoting Staph/ Pseudomonas infection) • Thick discharge with itching usually in hot/ humid climate: Otomycosis (Candida- white spores; Aspergillus- black spores) [Fig 2] • Scanty serous discharge & itching with desquamated debris in ear canal Eczematous otitis externa (EAC) | 130 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.pdf | • Serous/purulent discharge with significant tenderness of external ear amidst edema (localized-pus: furunculosis or generalized: Acute otitis externa denoting Staph/ Pseudomonas infection) • Thick discharge with itching usually in hot/ humid climate: Otomycosis (Candida- white spores; Aspergillus- black spores) [Fig 2] • Scanty serous discharge & itching with desquamated debris in ear canal Eczematous otitis externa (EAC) | 13 | page=13,block=23 | 0.700 | valid |
| What criteria define recurrent tonsillitis episodes needing evaluation for tonsillectomy? | more than 7 episodes in previuos year or 5/year in last two years or 3/year in last 3 years | Management of complication e.g. • Deep neck space infection • Diphtheria • Epiglottitis • Croup Recurrent (more than 7 episodes in previuos year or 5/year in last two years or 3/year in last 3 years) tonsillitis episodes need to be evaluated for tonsillectomy. | 107 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.pdf | • Deep neck space infection • Diphtheria • Epiglottitis • Croup Recurrent (more than 7 episodes in previuos year or 5/year in last two years or 3/year in last 3 years) tonsillitis episodes need to be evaluated for tonsillectomy. | 14 | page=14,block=42 | 0.700 | valid |
| What is the purpose of normal saline nasal washes in treatment? | help in clearing secretions and improved effect of topical medications | PHC / PRIMARY LEVEL Duration of treatment 7-14 days ∙ Oral antibiotics- Amoxycillin/ Co-amoxyclav 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). | 347 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.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. | 8 | page=8,block=17 | 0.700 | valid |
| What is Selective embolization? | an alternative to surgery 10 | 9. Selective embolization is an alternative to surgery 10. Address identified etiology, if any | 29 | definition | 0.980 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.pdf | Selective embolization is an alternative to surgery 10. | 10 | page=10,block=38 | 0.850 | valid |
| What is Steroid therapy? | not a replacement for surgery | 2. Steroid therapy is not a replacement for surgery. | 22 | definition | 0.980 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.pdf | Steroid therapy is not a replacement for surgery. | 9 | page=9,block=29 | 0.850 | valid |
| What is Streptococcal (GABHS) pharyngitis? | the commonest cause of bacterial pharyngitis Rhinitis, conjunctivitis, skin or mucosal rashes point towards a viral etiology | Acute onset of throat pain with or without – Fever, tonsillo-pharyngeal exudates, odynophagia and tender cervical lymphadenopathy is typically seen in bacterial pharyngitis. Streptococcal (GABHS) pharyngitis is the commonest cause of bacterial pharyngitis Rhinitis, conjunctivitis, skin or mucosal rashes point towards a viral etiology. Pharyngitis and sore throat may be the initial symptoms in epidemics of flu Sore throat followed by high grade fever, cough, drooling, lymphadenopathy, breathing difficulty suggest Epiglottitis or Laryngotracheobronchitis, especially in pediatric patients An adherent membrane extending beyond the tonsillar confines with toxaemia suggests Diphtheria Pharyngitis with generalized lymphadenopathy is consistent with Infectious Mononucleosis (IM) | 211 | definition | 0.980 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.pdf | Streptococcal (GABHS) pharyngitis is the commonest cause of bacterial pharyngitis Rhinitis, conjunctivitis, skin or mucosal rashes point towards a viral etiology. | 14 | page=14,block=11 | ||
| 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/1725952349_ent.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. | ||||
| What are Topical (oxymetazoline/ xylometazoline) and oral decongestants associated with? | cardiovascular risks and rebound phenomenon | Stretching exercises and yoga are very effective for nasal congestion 6. Topical (oxymetazoline/ xylometazoline) and oral decongestants are associated with cardiovascular risks and rebound phenomenon. Hence, careful patient selection and short course treatment to be followed. | 156 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.pdf | Topical (oxymetazoline/ xylometazoline) and oral decongestants are associated with cardiovascular risks and rebound phenomenon. | 9 | page=9,block=29 | 0.800 | valid |
| What can prolonged use of topical nasal decongestants beyond 5-7 days cause? | rebound congestion and rhinitis medicamentosa | October/ 2019 Identification of precipitating or exacerbating factors is the key to successful treatment outcome. Ensure adherence to nasal saline washes / regular physical activity / medications. Educate patients on correct technique of using steroid nasal sprays and nasal irrigation. Prolonged use of topical nasal decongestant beyond 5-7 days may cause rebound congestion and rhinitis medicamentosa and to be strongly discouraged. | 357 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.pdf | Prolonged use of topical nasal decongestant beyond 5-7 days may cause rebound congestion and rhinitis medicamentosa and to be strongly discouraged. | 9 | page=9,block=40 | 0.700 | valid |
| What condition is suggested by recurrent profuse nasal bleeding in teenage boys? | Consider JNA in teenage boys | 1. Continued nasal lubrication for 2 weeks with liquid paraffin 2. Repeat anterior rhinoscopy/ endoscopy to know/confim the cause of bleeding 3. Oral hematinics to be considered if needed CLINICAL SCENARIOS Acute bleeding from the nose after physical trauma/ barotrauma/ nose picking/ physical exertion. Acute bleeding from the nose in hypertensive / hematological disorders. Acute bleeding from the nose without any obvious cause. Features suggestive of neoplasia . Unilateral bleeding . Nasal obstruction .Visual/orbital symptoms . Obvious mass lesion Recurrent profuse bleeding - Consider JNA in teenage boys - Aneurysmal bleeding (specially following trauma) to be ruled out by DSA - To be managed by appropriate treatment at tertiary level Persistent bleeding despite nasal packing Altered blood counts/ coagulation profile | 583 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952349_ent.pdf | Obvious mass lesion Recurrent profuse bleeding - Consider JNA in teenage boys - Aneurysmal bleeding (specially following trauma) to be ruled out by DSA - To be managed by appropriate treatment at tertiary level Persistent bleeding despite nasal packing Altered blood counts/ coagulation profile |
Read straight from the file — download or use the API URL for the full dataset.
| 0.850 |
| valid |
| 8 |
| page=8,block=29 |
| 0.700 |
| valid |
| 10 |
| page=10,block=10 |
| 0.700 |
| valid |