202 extractive question-and-answer pairs built from Standard Treatment Workflows of India on Paediatric and Extrapulmonary Tuberculosis, published by icmr.gov.in. The source is a 32-page publication. Source-evidenced topics include paediatric tuberculosis, extrapulmonary tuberculosis, national tb elimination programme, central tb division, paediatric abdominal tuberculosis, paediatric intrathoracic tuberculosis, paediatric lymph node tuberculosis, paediatric osteoarticular tuberculosis. 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: 71 list, 55 definition, 42 factual, 21 relationship, 11 summary, 2 comparison. 160 of the 202 pairs (79.2%) ask explanatory questions; the remaining 42 are factual or table-based questions. 98.51% of rows pass the corpus quality gate.
This dataset contains 202 question-and-answer pairs derived from India's Standard Treatment Workflows for Paediatric and Extrapulmonary Tuberculosis, published by icmr.gov.in. The dataset addresses various aspects of tuberculosis management, including diagnostic criteria, treatment protocols, and follow-up procedures. Questions are categorized into types such as definitions, lists, and summaries, with answers sourced verbatim from the publication. The dataset provides detailed insights into conditions like paediatric lymph node tuberculosis, abdominal tuberculosis, and osteoarticular tuberculosis.
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df = desidata.load("www-icmr-gov-in-d5b1b48b290afa5b3165595d6658e2bb")
df.head()First 10 of 202 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What does SIADH stand for in medical conditions? | Syndrome of inappropriate antidiuretic hormone | Infarction Arachnoiditis Pott’s spine ATT: Antitubercular therapy CBC: Complete Blood Count CECT: Contrast Enhanced CT CRP: C Reactive Protein CSF: Cerebrospinal Fluid E: Ethambutol ESR: erythrocyte sedimentation rate H: Isoniazid ICP: Intracranial pressure LFT: Liver function tests MRI: Magnetic resonance imaging NAAT: Nucleic Acid Amplification Test NCCT: Non-contrast CT NTEP: National TB Elimination Programme PCR: Polymerase Chain Reaction R: Rfimapicin RFT: Renal function tests S: Streptomycin SIADH: Syndrome of inappropriate antidiuretic hormone TBM: Tubercular meningitis Z: Pyrazinamide | 510 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | Infarction Arachnoiditis Pott’s spine ATT: Antitubercular therapy CBC: Complete Blood Count CECT: Contrast Enhanced CT CRP: C Reactive Protein CSF: Cerebrospinal Fluid E: Ethambutol ESR: erythrocyte sedimentation rate H: Isoniazid ICP: Intracranial pressure LFT: Liver function tests MRI: Magnetic resonance imaging NAAT: Nucleic Acid Amplification Test NCCT: Non-contrast CT NTEP: National TB Elimination Programme PCR: Polymerase Chain Reaction R: Rfimapicin RFT: Renal function tests S: Streptomycin SIADH: Syndrome of inappropriate antidiuretic hormone TBM: Tubercular meningitis Z: Pyrazinamide | 19 | page=19,block=77 | 0.700 | valid |
| 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 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | 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 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 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | 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 is the purpose of an MGIT? | Mycobacteria Growth Indicator tube (Liquid culture medium for mycobacteria) | 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 | 160 | definition | 0.980 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | 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 conditions make tuberculosis unlikely in lymph nodes? | 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 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | 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 happens to samples that are more than 3 days old at room temperature or more than 5 days in refrigeration? | are unreliable specimens for testing | ADA: Adenosine Deaminase AFB: Acid fast bacilli CHC: Community Health Centre • Unlabelled samples (All specimens MUST be labelled & have a unique patient identifier) • Have no collection date indicated • Insufficient quantity - No specimen in container • Damaged - Specimen leaked or broken in transit • Samples greater than 3 days old at room temperature and more than 5 days in refrigeration are unreliable specimens for testing Precious samples should be transported to IRL. LOGISTICS INVOLVED IN SAMPLE COLLECTION AND TRANSPORTATION REJECTION OF SAMPLES | 394 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | ADA: Adenosine Deaminase AFB: Acid fast bacilli CHC: Community Health Centre • Unlabelled samples (All specimens MUST be labelled & have a unique patient identifier) • Have no collection date indicated • Insufficient quantity - No specimen in container • Damaged - Specimen leaked or broken in transit • Samples greater than 3 days old at room temperature and more than 5 days in refrigeration are unreliable specimens for testing Precious samples should be transported to IRL. | ||||
| What historical factor could indicate suspected abdominal TB? | History of contact with TB patient | • Anthropometry • General physical & systemic examination • Look for peripheral LAP, ascites, hepatosplenomegaly, doughy feel of abdomen, palpable abdominal lump, visible peristalsis • Presence of Fever >2 weeks • Anorexia • Unexplained weight loss* or no weight gain in last 3 months • History of contact with TB patient • With one or more of following › Recurrent/chronic abdominal pain in presence of red flag signs › Abdominal distension/mass › Altered bowel habits *Constitutional symptoms may or may not be present in suspected case of Abdominal TB • Recurrent intestinal colic • Altered bowel habits • Chronic diarrhoea • Partial/complete intestinal obstruction • Weight loss, anorexia • Palpable abdominal lump • Lower gastrointestinal bleeding • Abdominal pain • Fever • Jaundice • Weight loss • Anorexia • Hepatomegaly • Splenomegaly • Hepatic abscess • Palpable abdominal lump • Abnormal LFTs WHEN TO SUSPECT? | 287 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | • Anthropometry • General physical & systemic examination • Look for peripheral LAP, ascites, hepatosplenomegaly, doughy feel of abdomen, palpable abdominal lump, visible peristalsis • Presence of Fever >2 weeks • Anorexia • Unexplained weight loss* or no weight gain in last 3 months • History of contact with TB patient • With one or more of following › Recurrent/chronic abdominal pain in presence of red flag signs › Abdominal distension/mass › Altered bowel habits *Constitutional symptoms may or may not be present in suspected case of Abdominal TB • Recurrent intestinal colic • Altered bowel | ||||
| What history is relevant for suspecting tuberculosis in a patient? | History of close contact with TB | WHEN TO SUSPECT? • Persistent localized pain & swelling >6 weeks • Mono-articular joint involvement • Discharging sinus (+/-) • Fluctuant swelling with or without inflammation • Painful restriction of involved joint movements • Wasting around the area • Fever, cough, weight loss & night pains • History of close contact with TB *Refer to higher centre where advanced diagnostic, & therapeutic facilities including surgical procedures are available. | 296 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | WHEN TO SUSPECT? • Persistent localized pain & swelling >6 weeks • Mono-articular joint involvement • Discharging sinus (+/-) • Fluctuant swelling with or without inflammation • Painful restriction of involved joint movements • Wasting around the area • Fever, cough, weight loss & night pains • History of close contact with TB *Refer to higher centre where advanced diagnostic, & therapeutic facilities including surgical procedures are available. | 16 | page=16,block=26 | 0.700 | |
| What is a common historical factor in patients with insidious onset of 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 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | 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 required for all specimens to avoid rejection? | MUST be labelled & have a unique patient identifier | ADA: Adenosine Deaminase AFB: Acid fast bacilli CHC: Community Health Centre • Unlabelled samples (All specimens MUST be labelled & have a unique patient identifier) • Have no collection date indicated • Insufficient quantity - No specimen in container • Damaged - Specimen leaked or broken in transit • Samples greater than 3 days old at room temperature and more than 5 days in refrigeration are unreliable specimens for testing Precious samples should be transported to IRL. LOGISTICS INVOLVED IN SAMPLE COLLECTION AND TRANSPORTATION REJECTION OF SAMPLES | 113 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/ICMR_STW_PTB_EPTB.pdf | ADA: Adenosine Deaminase AFB: Acid fast bacilli CHC: Community Health Centre • Unlabelled samples (All specimens MUST be labelled & have a unique patient identifier) • Have no collection date indicated • Insufficient quantity - No specimen in container • Damaged - Specimen leaked or broken in transit • Samples greater than 3 days old at room temperature and more than 5 days in refrigeration are unreliable specimens for testing Precious samples should be transported to IRL. | 25 |
Read straight from the file — download or use the API URL for the full dataset.
| 17 |
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| 0.700 |
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| page=25,block=9 |
| 0.700 |
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| 0.700 |
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| valid |
| page=25,block=9 |
| 0.700 |
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