26 extractive question-and-answer pairs built from RENAL AND UReteric STONES, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include recurrent stone former, bilateral stones, solitary kidney, cysteine stones, metabolic evaluation, 24-hour urinary levels, calcium, uric acid. 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: 13 factual, 11 list, 1 definition, 1 summary. 13 of the 26 pairs (50.0%) ask explanatory questions; the remaining 13 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 26 extractive question-and-answer pairs focused on renal and ureteric stones, sourced from a single-page publication by icmr.gov.in. The questions cover topics such as metabolic evaluation, imaging techniques, dietary recommendations, and medical therapies. Answers are verbatim excerpts from the source document, ensuring traceability. The dataset includes factual, list-based, summary, and definition questions, with half of the pairs providing explanatory insights.
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import desidata
df = desidata.load("www-icmr-gov-in-9dd7b7d385e41bb7f863fbb684439d6d")
df.head()First 10 of 26 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What preventive measure is recommended for patients with kidney or ureteric stones? | Counsel the patient for future preventive strategies | Urine Analysis Initial Metabolic screen + Single Stone > 5mm, Baseline investigation normal Renal Stone <1cm Uteric Stone >5mm <1cm Kidney/ ureteric stone >1cm Counsel the patient for future preventive strategies Medical expulsive therapy Alpha Blockers Potassium citrate | 160 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | Urine Analysis Initial Metabolic screen + Single Stone > 5mm, Baseline investigation normal Renal Stone <1cm Uteric Stone >5mm <1cm Kidney/ ureteric stone >1cm Counsel the patient for future preventive strategies Medical expulsive therapy Alpha Blockers Potassium citrate | 1 | page=1,block=51 | 0.700 | valid |
| What is the initial metabolic screen used for in the context of stones? | Urine Analysis | Urine Analysis Initial Metabolic screen + Single Stone > 5mm, Baseline investigation normal Renal Stone <1cm Uteric Stone >5mm <1cm Kidney/ ureteric stone >1cm Counsel the patient for future preventive strategies Medical expulsive therapy Alpha Blockers Potassium citrate | 0 | definition | 0.940 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | Urine Analysis Initial Metabolic screen + Single Stone > 5mm, Baseline investigation normal Renal Stone <1cm Uteric Stone >5mm <1cm Kidney/ ureteric stone >1cm Counsel the patient for future preventive strategies Medical expulsive therapy Alpha Blockers Potassium citrate | 1 | page=1,block=51 | 0.700 | valid |
| Under what conditions should Medical Expulsive Therapy (MET) be offered? | In Ureteric stones <10mm ◦In the absence of infection, obstruction or deranged renal function | • Increase daily fluid intake to ensure a urine output >2 lit/day • Restrict extra salt intake and increase dietary fibre. • Do not restrict calcium intake. • Increase citrate rich food such as lemon, orange juice etc. • Decrease consumption of food rich in oxalates like spinach, nuts, beet root, potato chips, French fries. • Avoid purine rich foods like animal protein, alcoholic drinks like beer Warning signs for immediate referral ∙ Anuria ∙ Fever with chills and rigors ∙ Suspected renal failure ∙ Persistent haematuria Medical Expulsive Therapy (MET) • Alpha blockers such as Tamsulosin(0.4mg/day) Alfuzosin (10mg/day); Silodosin(8mg/day) • MET should be offered ◦In Ureteric stones <10mm ◦In the absence of infection, obstruction or deranged renal function. • MET can be tried for upto 4 weeks Analgesics Hydration Flank Pain, Hematuria Fevers with chills & rigors/ Anuria Empiric Antibiotic/ hydration | 672 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | • Avoid purine rich foods like animal protein, alcoholic drinks like beer Warning signs for immediate referral ∙ Anuria ∙ Fever with chills and rigors ∙ Suspected renal failure ∙ Persistent haematuria Medical Expulsive Therapy (MET) • Alpha blockers such as Tamsulosin(0.4mg/day) Alfuzosin (10mg/day); Silodosin(8mg/day) • MET should be offered ◦In Ureteric stones <10mm ◦In the absence of infection, obstruction or deranged renal function. | ||||
| What additional tests are preferable during metabolic evaluation if not done earlier? | intact parathyroid hormone (if not done earlier)and urinary oxalate and citrate levels | To be done in recurrent stone former, stone in children, bilateral stones, family history of stone, history of gut surgery, solitary kidney and cysteine stones. Typically to be done at 3-4 weeks after stone clearance Should include initial metabolic evaluation plus 24-hour urinary levels of calcium, uric acid, and creatinine. Preferable to do intact parathyroid hormone (if not done earlier)and urinary oxalate and citrate levels | 345 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | Preferable to do intact parathyroid hormone (if not done earlier)and urinary oxalate and citrate levels | 1 | page=1,block=0 | 0.700 | valid |
| What are the advantages of ultrasound in detecting renal stones? | Readily available, no radiation, safe test in pregnancy, detects radiolucent stones, high sensitivity for hydronephrosis | Readily available, no radiation, safe test in pregnancy, detects radiolucent stones, high sensitivity for hydronephrosis. Can miss a ureteric calulus Anatomical and functional imaging, aids in planning surgery but high radiation and needs preparation. Not useful in poor renal function No contrast required, highly sensitive and specific, detect radiolucent stones, detect other causes of flank pain, but risks higher radiation and cost | 0 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | Readily available, no radiation, safe test in pregnancy, detects radiolucent stones, high sensitivity for hydronephrosis. | 1 | page=1,block=26 | 0.700 | valid |
| What are the warning signs for immediate referral in renal conditions? | Anuria ∙ Fever with chills and rigors ∙ Suspected renal failure ∙ Persistent haematuria | • Increase daily fluid intake to ensure a urine output >2 lit/day • Restrict extra salt intake and increase dietary fibre. • Do not restrict calcium intake. • Increase citrate rich food such as lemon, orange juice etc. • Decrease consumption of food rich in oxalates like spinach, nuts, beet root, potato chips, French fries. • Avoid purine rich foods like animal protein, alcoholic drinks like beer Warning signs for immediate referral ∙ Anuria ∙ Fever with chills and rigors ∙ Suspected renal failure ∙ Persistent haematuria Medical Expulsive Therapy (MET) • Alpha blockers such as Tamsulosin(0.4mg/day) Alfuzosin (10mg/day); Silodosin(8mg/day) • MET should be offered ◦In Ureteric stones <10mm ◦In the absence of infection, obstruction or deranged renal function. • MET can be tried for upto 4 weeks Analgesics Hydration Flank Pain, Hematuria Fevers with chills & rigors/ Anuria Empiric Antibiotic/ hydration | 439 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | • Avoid purine rich foods like animal protein, alcoholic drinks like beer Warning signs for immediate referral ∙ Anuria ∙ Fever with chills and rigors ∙ Suspected renal failure ∙ Persistent haematuria Medical Expulsive Therapy (MET) • Alpha blockers such as Tamsulosin(0.4mg/day) Alfuzosin (10mg/day); Silodosin(8mg/day) • MET should be offered ◦In Ureteric stones <10mm ◦In the absence of infection, obstruction or deranged renal function. | ||||
| What conditions warrant metabolic evaluation after stone clearance? | recurrent stone former, stone in children, bilateral stones, family history of stone, history of gut surgery, solitary kidney and cysteine stones | To be done in recurrent stone former, stone in children, bilateral stones, family history of stone, history of gut surgery, solitary kidney and cysteine stones. Typically to be done at 3-4 weeks after stone clearance Should include initial metabolic evaluation plus 24-hour urinary levels of calcium, uric acid, and creatinine. Preferable to do intact parathyroid hormone (if not done earlier)and urinary oxalate and citrate levels | 14 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | To be done in recurrent stone former, stone in children, bilateral stones, family history of stone, history of gut surgery, solitary kidney and cysteine stones. | 1 | page=1,block=0 | 0.700 | valid |
| What foods should be avoided to reduce oxalate consumption? | spinach, nuts, beet root, potato chips, French fries | • Increase daily fluid intake to ensure a urine output >2 lit/day • Restrict extra salt intake and increase dietary fibre. • Do not restrict calcium intake. • Increase citrate rich food such as lemon, orange juice etc. • Decrease consumption of food rich in oxalates like spinach, nuts, beet root, potato chips, French fries. • Avoid purine rich foods like animal protein, alcoholic drinks like beer Warning signs for immediate referral ∙ Anuria ∙ Fever with chills and rigors ∙ Suspected renal failure ∙ Persistent haematuria Medical Expulsive Therapy (MET) • Alpha blockers such as Tamsulosin(0.4mg/day) Alfuzosin (10mg/day); Silodosin(8mg/day) • MET should be offered ◦In Ureteric stones <10mm ◦In the absence of infection, obstruction or deranged renal function. • MET can be tried for upto 4 weeks Analgesics Hydration Flank Pain, Hematuria Fevers with chills & rigors/ Anuria Empiric Antibiotic/ hydration | 272 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | • Decrease consumption of food rich in oxalates like spinach, nuts, beet root, potato chips, French fries. | 1 | |||
| What medications are used in Medical Expulsive Therapy (MET) for ureteric stones? | Alpha blockers such as Tamsulosin(0.4mg/day) Alfuzosin (10mg/day); Silodosin(8mg/day) | • Increase daily fluid intake to ensure a urine output >2 lit/day • Restrict extra salt intake and increase dietary fibre. • Do not restrict calcium intake. • Increase citrate rich food such as lemon, orange juice etc. • Decrease consumption of food rich in oxalates like spinach, nuts, beet root, potato chips, French fries. • Avoid purine rich foods like animal protein, alcoholic drinks like beer Warning signs for immediate referral ∙ Anuria ∙ Fever with chills and rigors ∙ Suspected renal failure ∙ Persistent haematuria Medical Expulsive Therapy (MET) • Alpha blockers such as Tamsulosin(0.4mg/day) Alfuzosin (10mg/day); Silodosin(8mg/day) • MET should be offered ◦In Ureteric stones <10mm ◦In the absence of infection, obstruction or deranged renal function. • MET can be tried for upto 4 weeks Analgesics Hydration Flank Pain, Hematuria Fevers with chills & rigors/ Anuria Empiric Antibiotic/ hydration | 561 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | • Avoid purine rich foods like animal protein, alcoholic drinks like beer Warning signs for immediate referral ∙ Anuria ∙ Fever with chills and rigors ∙ Suspected renal failure ∙ Persistent haematuria Medical Expulsive Therapy (MET) • Alpha blockers such as Tamsulosin(0.4mg/day) Alfuzosin (10mg/day); Silodosin(8mg/day) • MET should be offered ◦In Ureteric stones <10mm ◦In the absence of infection, obstruction or deranged renal function. | ||||
| What urinary levels are included in the initial metabolic evaluation? | 24-hour urinary levels of calcium, uric acid, and creatinine | To be done in recurrent stone former, stone in children, bilateral stones, family history of stone, history of gut surgery, solitary kidney and cysteine stones. Typically to be done at 3-4 weeks after stone clearance Should include initial metabolic evaluation plus 24-hour urinary levels of calcium, uric acid, and creatinine. Preferable to do intact parathyroid hormone (if not done earlier)and urinary oxalate and citrate levels | 266 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768800256_renalanduretericstones3.pdf | Typically to be done at 3-4 weeks after stone clearance Should include initial metabolic evaluation plus 24-hour urinary levels of calcium, uric acid, and creatinine. | 1 | page=1,block=0 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=33 |
| 0.700 |
| valid |
| 1 |
| page=1,block=33 |
| 0.700 |
| valid |
| page=1,block=33 |
| 0.700 |
| valid |
| 1 |
| page=1,block=33 |
| 0.700 |
| valid |