29 extractive question-and-answer pairs built from Acute Respiratory Infections, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include standard treatment workflow, acute respiratory infection, adults, clinical examination, laboratory investigation, symptomatic treatment, fever, myalgia. 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: 15 factual, 11 list, 2 relationship, 1 summary. 14 of the 29 pairs (48.3%) ask explanatory questions; the remaining 15 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 29 extractive question-and-answer pairs derived from a publication on acute respiratory infections by icmr.gov.in. The dataset covers topics such as clinical examination, laboratory investigations, symptomatic treatment, and referral criteria. Each answer is a verbatim excerpt from the source document, allowing for precise verification. Questions include factual, list-based, relationship, and summary types, with nearly half focusing on explanatory content. The dataset provides insights into standard treatment workflows and diagnostic criteria for conditions like asthma exacerbation, suspected tuberculosis, and respiratory failure.
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# One-time install: pip install desidata
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import desidata
df = desidata.load("www-icmr-gov-in-f5f6773975710762ae9b1570b0bbeb95")
df.head()First 10 of 29 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What conditions might be considered if there is a history of asthma or COPD along with fever, tachycardia, and wheeze? | acute exacerbation of asthma/ COPD | Frank haemoptysis, may suggest Pulmonary TB or malignancy • Fever, tachycardia, pharyngitis, suffusion of eyes, rhinitis, hoarse voice • Respiratory system examination: Normal • Fever, tachycardia • Respiratory system exam: Wheeze * Consider acute exacerbation of asthma/ COPD if there is a history of any of these 2 illnesses • Fever, tachycardia, tachypnea • Respiratory system exam: Crackles/bronchial breath sounds * Consider acute exacerbation of asthma/ COPD is there is a history of any of these 2 illnesses ADJUNCTIVE THERAPIES FOR THE MANAGEMENT OF CAP a. Steroids are not recommended for use in non-severe CAP b. Non-invasive ventilation may be used in patients with CAP and acute respiratory failure CONTRA INDICATIONS FOR NON-INVASIVE VENTILATION a. Cardiorespiratory arrest b. Presence of severe upper airway inflammation & edema c. Severe haemodynamic instability - hypotension d. | 242 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | Frank haemoptysis, may suggest Pulmonary TB or malignancy • Fever, tachycardia, pharyngitis, suffusion of eyes, rhinitis, hoarse voice • Respiratory system examination: Normal • Fever, tachycardia • Respiratory system exam: Wheeze * Consider acute exacerbation of asthma/ COPD if there is a history of any of these 2 illnesses • Fever, tachycardia, tachypnea • Respiratory system exam: Crackles/bronchial breath sounds * Consider acute exacerbation of asthma/ COPD is there is a history of any of these 2 illnesses ADJUNCTIVE THERAPIES FOR THE MANAGEMENT OF CAP a. | 1 | page=1,block=41 | 0.700 | valid |
| When is sputum microbiology recommended as a desirable investigation for outpatients? | In suspected PTB & non-response after 48 hours of antibiotics | Preliminary Chest radiogram Repeat if: i. Patient is not improving/ worsening clinically ii. Suspected underlying malignancy Desirable 1. Pulse oximetry in outpatients 2. Sputum microbiology: In suspected PTB & non-response after 48 hours of antibiotics | 192 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | Sputum microbiology: In suspected PTB & non-response after 48 hours of antibiotics | 1 | page=1,block=52 | 0.700 | valid |
| What action should be taken if a patient is drowsy and has copious secretions during a shift? | consider calling for help from the SUB-DISTRICT/DISTRICT hospital for endotracheal intubation and shifting on a transport ventilator | POINTS TO NOTE WHILE SHIFTING 1. If referring to a higher center, give the first dose of antibiotic (oral and if available, parenteral), secure an IV line and start 0.9% Normal saline and oxygen supplementation through face mask at 4-6 litres per minute during shift 2. If the patient is drowsy, has copious secretions, consider calling for help from the SUB-DISTRICT/DISTRICT hospital for endotracheal intubation and shifting on a transport ventilator | 320 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | If the patient is drowsy, has copious secretions, consider calling for help from the SUB-DISTRICT/DISTRICT hospital for endotracheal intubation and shifting on a transport ventilator | 1 | page=1,block=27 | 0.700 | valid |
| What antibiotics are recommended for ICU patients with suspected Pseudomonas aeruginosa? | IV Cefepime (1G BD) / IV Ceftazidime (2G TID) / Piperacillin–tazobactam | ANTIBIOTIC THERAPY IN THE HOSPITALIZED NON-ICU SETTING a. Single agent IV β-lactam b. If suspected atypical pathogens, other end organ disease, diabetes, malignancy, severe CAP, use of antibiotics in past 3 months: Combination of IV β-lactam (Cefotaxime 2 grams TID/ IV Ceftriaxone 1gram BD/ Amoxicillin–Clavulanic acid 1.2 grams TID ) + ORAL macrolide (Tab Azithromycin 500 mg PO OD/ Tab Clarithromycin 500 mg PO BD) ANTIBIOTIC THERAPY IN THE HOSPITALIZED ICU SETTING i. Patients without risk factors for Pseudomonas aeruginosa: Manage as above ii. Suspected P. aeruginosa (diabetes, chronic lung disease like bronchiectasis, chronic steroid therapy): IV Cefepime (1G BD) / IV Ceftazidime (2G TID) / Piperacillin–tazobactam(4. | 653 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | aeruginosa (diabetes, chronic lung disease like bronchiectasis, chronic steroid therapy): IV Cefepime (1G BD) / IV Ceftazidime (2G TID) / Piperacillin–tazobactam(4. | 1 | page=1,block=33 | ||
| What are some areas examined in the upper respiratory tract during a systemic examination? | nose & paranasal sinuses (frontal and maxillary sinus tenderness), throat examination ( pharynx and tonsils) | parameters: Sensorium, Pulse, Blood pressure, Respiratory rate, Temperature, Oxygen saturation by pulse oximetry 2. Systemic examination: a. Upper respiratory tract: nose & paranasal sinuses (frontal and maxillary sinus tenderness), throat examination ( pharynx and tonsils) b. Lower respiratory tract: breath sounds (type, intensity), added sounds (crackles, wheeze, pleural rub) Signs of respiratory failure: RR> 30/min, Abdomin othoracic paradox, cyanosis, speaks in short sentences. Refer Respiratory Failure STW. | 166 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | Upper respiratory tract: nose & paranasal sinuses (frontal and maxillary sinus tenderness), throat examination ( pharynx and tonsils) b. | 1 | page=1,block=41 | 0.700 | valid |
| What are some signs of respiratory failure mentioned in the systemic examination? | RR> 30/min, Abdomin othoracic paradox, cyanosis, speaks in short sentences. | parameters: Sensorium, Pulse, Blood pressure, Respiratory rate, Temperature, Oxygen saturation by pulse oximetry 2. Systemic examination: a. Upper respiratory tract: nose & paranasal sinuses (frontal and maxillary sinus tenderness), throat examination ( pharynx and tonsils) b. Lower respiratory tract: breath sounds (type, intensity), added sounds (crackles, wheeze, pleural rub) Signs of respiratory failure: RR> 30/min, Abdomin othoracic paradox, cyanosis, speaks in short sentences. Refer Respiratory Failure STW. | 411 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | Lower respiratory tract: breath sounds (type, intensity), added sounds (crackles, wheeze, pleural rub) Signs of respiratory failure: RR> 30/min, Abdomin othoracic paradox, cyanosis, speaks in short sentences. Refer Respiratory Failure STW. | 1 | page=1,block=41 | 0.700 | valid |
| What are the discharge criteria for a patient? | Accepting orally, Afebrile and Hemodynamically stable for a period of at least 48 h | Eu-capnic (normal PaCO2) coma e. Multiple organ dysfunction or severe psychomotor agitation DISCHARGE CRITERIA Accepting orally, Afebrile and Hemodynamically stable for a period of at least 48 h REFERRAL TO A HIGHER CENTRE : CLINICAL CRITERIA 1. Frank hemoptysis and /or Signs of respiratory failure [listed under in the history and evaluation sections] 2. CRB-65 score > 1 3. Oxygen saturation by pulse oximetry ≤ 92% (patients ≤ 50 yrs) OR <90% (patients > 50 yrs) 4. Multi-lobar consolidation on chest X-ray 5. Confusion/disorientation 6. Hypothermia (core temperature<360C) | 111 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | Multiple organ dysfunction or severe psychomotor agitation DISCHARGE CRITERIA Accepting orally, Afebrile and Hemodynamically stable for a period of at least 48 h REFERRAL TO A HIGHER CENTRE : CLINICAL CRITERIA 1. | 1 | page=1,block=41 | 0.700 | valid |
| What is the recommended oral antibiotic treatment for patients without comorbidities? | Cap. Amoxicillin (500 mg TDS) / Tab. Erythromycin 250mg QID/ Tab. Doxycycline 100mg BD | 1. Targeted towards Streptococcus pneumoniae 2. Oral antibiotics after checking for comorbidities* (Diabetes, CVDs, CKD, CLD, Hepatic Pathology, Cancer, Alcohol Abuse, H/o antibiotics within last 3 months.) a. Without comorbidities: Cap. Amoxicillin (500 mg TDS) / Tab. Erythromycin 250mg QID/ Tab. Doxycycline 100mg BD b. With comorbidities: Cap. Amoxicillin 500mg TDS + Tab.Azithromycin 500 mg OD 3. Duration: 5 days in (A); extend to a 7-10 days course if there is no response within 3 days of starting treatment and in (B). 4. Do not give: a. Corticosteroids: unless other medical indications present b. Fluoroquinolones: as they have anti-tubercular activity. | 233 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | Without comorbidities: Cap. Amoxicillin (500 mg TDS) / Tab. Erythromycin 250mg QID/ Tab. Doxycycline 100mg BD b. | 1 | page=1,block=55 | 0.700 | valid |
| What symptoms might indicate epidemic flu and warrant referral to a higher center? | H/ o recent travel, symptoms of upper respiratory infection, diarrhoea, myalgia, breathlessness | LABORATORY INVESTIGATION: • Total and differential count in suspected flu. TREATMENT • Symptomatic treatment for fever, myalgia (Paracetamol or other NSAID), • Rest, Oral fluids (plenty) • Oral antihistamines (Tab. CPM 4mg BD) for severe runny nose or sneezing • Antibiotics in acute follicular tonsillitis: Amoxicillin/ Ampicillin 500mg tid X 5 days In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X 5 days with food Suspect epidemic flu H/ o recent travel, symptoms of upper respiratory infection, diarrhoea, myalgia, breathlessness Refer to higher centre for diagnosis, notification and treatment. | 465 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | CPM 4mg BD) for severe runny nose or sneezing • Antibiotics in acute follicular tonsillitis: Amoxicillin/ Ampicillin 500mg tid X 5 days In penicillin sensitive individuals: Erythromycin estolate 250mg q 6 hrly X 5 days with food Suspect epidemic flu H/ o recent travel, symptoms of upper respiratory infection, diarrhoea, myalgia, breathlessness Refer to higher centre for diagnosis, notification and treatment. | ||||
| What are some contraindications for non-invasive ventilation? | a. Cardiorespiratory arrest b. Presence of severe upper airway inflammation & edema c. Severe haemodynamic instability - hypotension | Frank haemoptysis, may suggest Pulmonary TB or malignancy • Fever, tachycardia, pharyngitis, suffusion of eyes, rhinitis, hoarse voice • Respiratory system examination: Normal • Fever, tachycardia • Respiratory system exam: Wheeze * Consider acute exacerbation of asthma/ COPD if there is a history of any of these 2 illnesses • Fever, tachycardia, tachypnea • Respiratory system exam: Crackles/bronchial breath sounds * Consider acute exacerbation of asthma/ COPD is there is a history of any of these 2 illnesses ADJUNCTIVE THERAPIES FOR THE MANAGEMENT OF CAP a. Steroids are not recommended for use in non-severe CAP b. Non-invasive ventilation may be used in patients with CAP and acute respiratory failure CONTRA INDICATIONS FOR NON-INVASIVE VENTILATION a. Cardiorespiratory arrest b. Presence of severe upper airway inflammation & edema c. Severe haemodynamic instability - hypotension d. | 759 | list | 0.780 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725963734_pulmonology_acute_respiratory_infections.pdf | Non-invasive ventilation may be used in patients with CAP and acute respiratory failure CONTRA INDICATIONS FOR NON-INVASIVE VENTILATION a. Cardiorespiratory arrest b. Presence of severe upper airway inflammation & edema c. Severe haemodynamic instability - hypotension d. |
Read straight from the file — download or use the API URL for the full dataset.
| 0.700 |
| valid |
| 1 |
| page=1,block=4 |
| 0.700 |
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| 1 |
| page=1,block=41 |
| 0.700 |
| valid |