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The dataset generation failed
Error code: DatasetGenerationError
Exception: TypeError
Message: Couldn't cast array of type
struct<idx: int64, correct: bool, proposition: string, justification: string>
to
{'idx': Value(dtype='int64', id=None), 'proposition': Value(dtype='string', id=None), 'correct': Value(dtype='bool', id=None), 'justification': Value(dtype='string', id=None), 'justfication': Value(dtype='string', id=None), 'jusification': Value(dtype='string', id=None)}
Traceback: Traceback (most recent call last):
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 2011, in _prepare_split_single
writer.write_table(table)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/arrow_writer.py", line 585, in write_table
pa_table = table_cast(pa_table, self._schema)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2302, in table_cast
return cast_table_to_schema(table, schema)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2261, in cast_table_to_schema
arrays = [cast_array_to_feature(table[name], feature) for name, feature in features.items()]
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2261, in <listcomp>
arrays = [cast_array_to_feature(table[name], feature) for name, feature in features.items()]
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1802, in wrapper
return pa.chunked_array([func(chunk, *args, **kwargs) for chunk in array.chunks])
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1802, in <listcomp>
return pa.chunked_array([func(chunk, *args, **kwargs) for chunk in array.chunks])
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2025, in cast_array_to_feature
casted_array_values = _c(array.values, feature[0])
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1804, in wrapper
return func(array, *args, **kwargs)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2122, in cast_array_to_feature
raise TypeError(f"Couldn't cast array of type\n{_short_str(array.type)}\nto\n{_short_str(feature)}")
TypeError: Couldn't cast array of type
struct<idx: int64, correct: bool, proposition: string, justification: string>
to
{'idx': Value(dtype='int64', id=None), 'proposition': Value(dtype='string', id=None), 'correct': Value(dtype='bool', id=None), 'justification': Value(dtype='string', id=None), 'justfication': Value(dtype='string', id=None), 'jusification': Value(dtype='string', id=None)}
The above exception was the direct cause of the following exception:
Traceback (most recent call last):
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1529, in compute_config_parquet_and_info_response
parquet_operations = convert_to_parquet(builder)
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1154, in convert_to_parquet
builder.download_and_prepare(
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1027, in download_and_prepare
self._download_and_prepare(
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1122, in _download_and_prepare
self._prepare_split(split_generator, **prepare_split_kwargs)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1882, in _prepare_split
for job_id, done, content in self._prepare_split_single(
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 2038, in _prepare_split_single
raise DatasetGenerationError("An error occurred while generating the dataset") from e
datasets.exceptions.DatasetGenerationError: An error occurred while generating the datasetNeed help to make the dataset viewer work? Make sure to review how to configure the dataset viewer, and open a discussion for direct support.
_id
string | item
string | matiere
string | enonce
string | propositions
list | type
string |
|---|---|---|---|---|---|
psygrossesse-psy-0 | psygrossesse | psy | General: | [
{
"idx": 0,
"proposition": "Perinatal psychiatric disorders are mainly characterized depressive episodes",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Seeking and preventing a risk of suicide and/or infanticide is an imperative",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "In cases of severe postpartum depressive episode, the use of a joint mother-child hospitalization unit is currently recommended.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "* In cases of depressive episodes with psychotic symptoms, management may be close outpatient",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "* In case of serious maternal failure or in case of immediate danger to the baby (risk of infanticide), hospitalization of both must be carried out urgently",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
psygrossesse-psy-1 | psygrossesse | psy | Regarding mental disorders of pregnancy and postpartum: | [
{
"idx": 0,
"proposition": "Postpartum blues is a condition that we do not know how to treat at present",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Psychotropic treatments should be prescribed with caution",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Pregnancy and the arrival of a child are essential stages in a woman's life and involve profound physiological and psycho-social changes, which are to be considered as major stressors.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The perinatal period is a period of particular vulnerability for psychiatric disorders",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "There are no known risk factors",
"correct": false,
"justification": "They exist and must be evaluated and detected as early as possible by the various partners in care in the perinatal period (attending physician, gynaecologist-obstetrician, midwife, maternal and child protection services, psychiatrist)",
"justfication": null,
"jusification": null
}
] | custom |
psygrossesse-psy-2 | psygrossesse | psy | Regarding the management of per-pregnancy disorders: | [
{
"idx": 0,
"proposition": "An \"early prenatal interview\" is systematically offered in the 4th month of pregnancy",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Every pregnant woman should be informed about the risks of taking addictive substances during pregnancy",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Blame for risky behaviour allows for more effective cessation and should be preferred in emergency cases such as pregnancy.",
"correct": false,
"justification": "We must avoid any guilt and stigmatization that only have opposite effects to those sought",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Treatment of a maternal addictive disorder involves evaluating the benefits of withdrawal versus psychotropic treatment",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The evaluation of associated psychiatric comorbidities must lead to a proposal for specialized follow-up",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
psygrossesse-psy-3 | psygrossesse | psy | Regarding the management of anxious trooubles: | [
{
"idx": 0,
"proposition": "Pregnancy anxiety disorders are often the expression of pre-existing anxiety disorders",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The postpartum period is a period conducive to the physiological compensation of anxiety disorders thanks to the major release of endorphins",
"correct": false,
"justification": "The postpartum period is a period conducive to their aggravation, especially regarding obsessive-compulsive disorder (OCD)",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Consultation with the Reference Centre for Teratogens will allow a safer prescription in case of need for psychotropic treatment",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Abrupt cessation of treatment upon discovery of pregnancy is not recommended",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The possible occurrence of transient neonatal disorders will be systematically taken into account when examining the newborn of each patient who has received psychotropic treatment during pregnancy.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
psygrossesse-psy-4 | psygrossesse | psy | Regarding the treatment of psychiatric disorders in pregnant women: | [
{
"idx": 0,
"proposition": "The prescription of benzodiazepines is totally contraindicated in pregnant women",
"correct": false,
"justification": "Anxiolytics The prescription of benzodiazepines is to be avoided if possible, but if the clinical situation requires it then benzodiazepines with short half-life are to be preferred in particular Oxazepam (Seresta®)",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Benzodiazepines also contraindicate breastfeeding",
"correct": false,
"justification": "Breastfeeding is possible with these molecules prescribed in low doses",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Serotonin reuptake inhibitors (SRIs) in pregnant women should be preferred over other anti-depressants",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Both first and second generation antipsychotics can be used",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "No thymoregulators can be prescribed in pregnant women",
"correct": false,
"justification": "The most documented thymoregulators, recommended and can be prescribed in pregnant women are: olanzapine (Zyprexa®) and lamotrigine (Lamictal®)",
"justfication": null,
"jusification": null
}
] | custom |
comportementadd-psy-0 | comportementadd | psy | Which of these proposals are behavioral addictions? | [
{
"idx": 0,
"proposition": "Compulsive shopping",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Sports addiction",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Aversion to TV series",
"correct": false,
"justification": "Behavioral addiction is not defined by a lack of behavior",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Gambling while travelling",
"correct": false,
"justification": "Simple gambling is not an addiction. It is the repetition of behavior despite negative consequences and the inability to control it that make it an addiction.",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Uncontrolled and negative sexual activities",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
comportementadd-psy-2 | comportementadd | psy | General information on behavioral addictions: | [
{
"idx": 0,
"proposition": "The only behavioral addiction found in the DSM-5 is sex addiction.",
"correct": false,
"justification": "Only one is officially defined in international classifications: gambling disorder also called \"pathological gambling\" (ICD-10, DSM-IV) or \"pathological gambling\" (DSM-5)",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The mechanisms of behavioural addiction share the pathophysiological basis described in illicit substance use disorders",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "One of the main systems involved in these disorders is the serotonin reward system.",
"correct": false,
"justification": "The dopaminergic reward system",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "In addictive disorders, the homeostasis of neurotransmission networks is disrupted",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Behavioral addictions are of multifactorial origin",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
comportementadd-psy-3 | comportementadd | psy | Regarding risk factors and the impact of behavioral addictions: | [
{
"idx": 0,
"proposition": "Behavioral addictions have a zero genetic component in view of the almost total impact of the environment",
"correct": false,
"justification": "There are genetic predisposing factors (estimated heritability of 40-60% for addictive disorders), but also other individual risk factors (gender, age, sensation-seeking personality traits or impulsivity)",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Psychiatric comorbidities are an important risk factor",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Anxiety disorders are a risk factor for behavioral addictions",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Attention deficit disorder predisposes to behavioral addictions only when there is hyperactivity",
"correct": false,
"justification": "Even without hyperactivity",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Definition Games of chance and gambling are games for which the subject irreversibly bets a good based on chance",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
comportementadd-psy-4 | comportementadd | psy | Regarding JHA: | [
{
"idx": 0,
"proposition": "By definition, it is impossible to predict or control the outcome of a JHA.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "There are phenomenological similarities, neurocognitive, neurobiological and therapeutic similarities between pathological gambling and other addictive behaviors",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Gambling behavior is motivated solely by the hope of making money",
"correct": false,
"justification": "Gambling behavior is motivated by different reasons: hope to earn money, search for thrills (especially feeling the \"thrill\", or thrill), desire to relieve negative emotions, search for social connections",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "A pathological gambler is invaded by urge to play, called \"craving\"",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "JHA is very unpopular and not very present in France because it is associated with alcoholism",
"correct": false,
"justification": "In France, in 2014, three-quarters of French people between the ages of 15 and 75 said they had already played a JHA in their life, with just over half saying they had played it in the year.",
"justfication": null,
"jusification": null
}
] | custom |
comportementadd-psy-5 | comportementadd | psy | Regarding JHA: | [
{
"idx": 0,
"proposition": "Expenditures related to the practice of JHA represented 0.8% of annual household expenditures in 2012, in France",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "More than half of players spend less than 100 euros per year",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The most represented games are blackjack and poker",
"correct": false,
"justification": "Lottery games, \"hard\" (bars-tobacco)",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Online games are mainly about horse betting",
"correct": false,
"justification": "Online games (7.3% of players, a third of whom are mobile) are more concerned with poker and sports betting.",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The prevalence of pathological gambling in France is estimated to be 0.5% in the general population",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
anesth-anesth-0 | anesth | anesth | Regarding generalities: | [
{
"idx": 0,
"proposition": "The practice of anesthesia is governed by the decree of 5 December 1335",
"correct": false,
"justification": "December 5, 1994: it is a relatively recent specialty",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Anesthesia consultation, pre-anesthetic visit and immediate post-operative monitoring are mandatory",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "General anesthesia is defined by irreversible loss of consciousness",
"correct": false,
"justification": "The loss is reversible, otherwise it would be problematic x)",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "GA is broken down into 4 phases: falling asleep, unconscious, waking up, opening the eyes",
"correct": false,
"justification": "3 phases: induction, maintenance and awakening",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The purpose of locoregional anesthesia (ALR) is to transiently interrupt the transmission of nerve conduction while preserving the state of consciousness.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
anesth-anesth-1 | anesth | anesth | Which propositions are true? | [
{
"idx": 0,
"proposition": "ALRs are less regulated than MAs",
"correct": false,
"justification": "They are subject to the same regulatory obligations",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "A distinction is made between perimedullary ALR (around the peripheral nerve) or peripheral ALR (around the spinal cord)",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "IN ALR, the local anesthetic is injected by MI, SC or IV",
"correct": false,
"justification": "Local anesthesia is defined as the administration of a local anesthetic by infiltration or topically (by contact) in relation to the area to be operated or analgesive. IV injection is at risk of cardiology or neurological disorders.",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Transdural analgesia is the gold standard technique for ensuring quality analgesia during obstetric labour",
"correct": false,
"justification": "Epidural analgesia",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "In 2010, more than 11 million procedures of anaesthesia were recorded in France",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
anesth-anesth-2 | anesth | anesth | Regarding the consutlation: | [
{
"idx": 0,
"proposition": "About 2% of anhestesic procedures are treated on an outpatient basis",
"correct": false,
"justification": "43%, almost half",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "In case of unscheduled intervention (emergency), the pre-anesthetic visit replaces the consultation",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The purpose of the consultation is to carry out a medical evaluation of the patient",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Anaesthetic risk is assessed according to the ASA (American Society of Anesthesiologists) classification",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Patient information is an issue in consultation so that the patient can formulate informed consent",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
anesth-anesth-3 | anesth | anesth | Regarding the GA and the ALR: | [
{
"idx": 0,
"proposition": "The pre-anesthetic visit takes place a few days (maximum 7) before the scheduled procedure under anesthesia",
"correct": false,
"justification": "A few hours before. The objective is to confirm the information",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "General anesthesia (GA) is defined as a reversible loss of consciousness induced by the administration of a hypnotic often combined with an analgesic agent",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "A benzodiazepine is frequently used to cause muscle paralysis facilitating tracheal intubation and surgery.",
"correct": false,
"justification": "This is the role of curare most often",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "ALR techniques are indicated in the surgical setting only",
"correct": false,
"justification": "ALR techniques are indicated in the anesthetic context (allowing surgical intervention) but also for analgesic purposes (intraoperative, post-operative, obstetrical, etc.)",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Local anesthesia is defined by the administration of a local anesthetic either by infiltration (intradermal, subcutaneous or diusion plane) or topically (by contact) in relation to the area to be operated or analgesia",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
anesth-anesth-4 | anesth | anesth | Regarding general anesthesia: | [
{
"idx": 0,
"proposition": "A delay of a few hours is recommended between the anesthesia consultation and scheduled surgery",
"correct": false,
"justification": "A few days before (< 48h if possible)",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "There are 3 phases in general anesthesia: Maintenance -> Induction -> Awakening",
"correct": false,
"justification": "Well 3 phases, but the order is: Induction -> Maintenance -> Awakening",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Curare allows relaxation of all the muscles of the human body.",
"correct": false,
"justification": "Trap;) not of the heart (which is a skeletal muscle but not governed by the motor plate)",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "A passage to the SSPI is mandatory for any general anesthesia or regional loco, even if the patient was conscious",
"correct": true,
"justification": "According to decree, any surgical procedure with the use of an anesthetic product requires postoperative monitoring (AG and ALR included)",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "In general, morphine is THE drug used to put the patient to sleep during general anesthesia.",
"correct": false,
"justification": "It is the hypnotic that puts the patient to sleep in general (propofol IV / inhaled halogenated ...)",
"justfication": null,
"jusification": null
}
] | custom |
anesth-anesth-5 | anesth | anesth | A patient must undergo a scheduled endoscopy in 48 hours, but he goes on a trip in 24 hours, what are the true answers. | [
{
"idx": 0,
"proposition": "It is necessary to postpone endoscopy.",
"correct": true,
"justification": "Not within the deadline for the anesth consultation, postponement of the mandatory endoscopy",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "He can have his pre-anesthetic consultation now and have the endoscopy right after.",
"correct": false,
"justification": "Scheduled surgery. It would have been true in a hurry.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "He may have a pre-anesthetic visit before having his endoscopy right after",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "If he had had his anesthesia consultation 24 hours ago, he can do the endoscopy in 24 hours (48 hours after consultation) and directly jump on his plane just after the endoscopy",
"correct": false,
"justification": "Use of anesthetic products, so mandatory passage to SSPI",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "If he had been able to have his endoscopy, the patient would have had a pre-anesthetic visit a few hours before the endoscopy.",
"correct": true,
"justification": "Visit pre anesth qq hours before the act, to check that there have been no new events.",
"justfication": null,
"jusification": null
}
] | custom |
anesth-anesth-6 | anesth | anesth | What is the minimum conditioning in a patient who will undergo general anesthesia? | [
{
"idx": 0,
"proposition": "A peripheral venous route",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Venous saturation with O2",
"correct": false,
"justification": "False. It is a pulsed oxygen saturation (SpO2)",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "A measurement of the concentration of O2, CO2, NO and anesthetic gas of the inhaled and exhaled gases",
"correct": false,
"justification": "False. The fraction in NO is not measured",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Scope",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Conditioning in anesthesia is called multiparametric monitoring",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
voyagetrop-infectio-0 | voyagetrop | infectio | Which of these trips are considered to be very risky? | [
{
"idx": 0,
"proposition": "Young adults on an unorganized trip to India for 4 weeks",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Hitchhiking travellers in Eastern Europe",
"correct": false,
"justification": "3 types of travellers most at risk: young adults travelling unorganized to India or Sub-Saharan Africa for a stay of several weeks, immunocompromised people and people who have emigrated to France and stayed in their country of origin when it is a source of endemic",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Patients with diabetes",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "People over 75 years of age",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "People infected with hepatitis B",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
voyagetrop-infectio-1 | voyagetrop | infectio | Among these proposals, which are the first and second causes of medical repatriation or death during a stay in a tropical zone? | [
{
"idx": 0,
"proposition": "HIV infection",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Tuberculosis",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Cardiovascular events",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Traumatic events",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Terrorist attacks",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
voyagetrop-infectio-2 | voyagetrop | infectio | What are the main preventive measures? | [
{
"idx": 0,
"proposition": "Updating the vaccination schedule",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Travel to Australia requires yellow fever vaccine",
"correct": false,
"justification": "The endemic areas of yellow fever are intertropical Africa, South America and the Amazon region. In this case, the vaccine is recommended",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Vector protection measures are advised in malaria prevention",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Food hygiene helps limit the risk of turista and faecal diseases",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Traveller education during consultation is essential",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
HBP-uro-1 | HBP | uro | Abstention/monitoring is indicated in case of: | [
{
"idx": 0,
"proposition": "Uncomplicated BPH",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Moderate SBAU with return on quality of life",
"correct": false,
"justification": "Medical or surgical treatment",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "SBAU severe",
"correct": false,
"justification": "Surgical treatment",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Moderate SBAUs with no clear impact on quality of life",
"correct": true,
"justification": "And patient preference",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Minimal SBAUs without impaired quality of life",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
HBP-uro-2 | HBP | uro | Regarding BPH management: | [
{
"idx": 0,
"proposition": "α-blockers are effective after 6 months of treatment",
"correct": false,
"justification": "This is the case for 5-alpha reductase inhibitors. A-blockers are effective in 48 hours",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "After TURP or AVH, the prostate adenoma should be sent to anatomical pathology in search of prostate cancer",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The main side effect of surgical management is the spread of cancer",
"correct": false,
"justification": "The main side effect is retrograde ejaculation",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Prostate cancer screening by TR and annual PSA is recommended in patients aged 30 to 50 years in the general population",
"correct": false,
"justification": "Screening for prostate cancer by TR and an annual PSA is recommended in patients aged 50 to 75 years or from 45 years in case of risk factors (Afro-Caribbean origin, family history)",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Benign prostatic hyperplasia (BPH) is a subvesical obstacle to urine flow",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
HBP-uro-3 | HBP | uro | Regarding BPH: | [
{
"idx": 0,
"proposition": "BPH is a common benign condition",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "BPH is hyperplasia of the glands in the marginal zone of the prostate",
"correct": false,
"justification": "It corresponds to hyperplasia of the glands of the periurethral prostate (transition zone of the prostate)",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The symptomatology may be stable or worsen more or less rapidly",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "There is a clear parallelism between the volume of BPH and the severity of SBAUs",
"correct": false,
"justification": "There is no parallelism between the volume of BPH and the severity of SBAUs",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "BPH is hyperplasia of the transition zone of the prostate surrounding the subbladder urethra",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
HBP-uro-4 | HBP | uro | Regarding BPH: | [
{
"idx": 0,
"proposition": "The evolution of a prostate adenoma does not systematically lead to the appearance of complications",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "BPH cannot be latent, it is always symptomatic, especially from the age of 70",
"correct": false,
"justification": "BPH may be latent and responsible only for functional discomfort",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "BPH never escalates into prostate cancer",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Prostate cancer is developed from the transition zone of the prostate",
"correct": false,
"justification": "Prostate cancer, developed from the peripheral area of the prostate, is therefore often sought when diagnosed with BPH.",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "BPH is multifactorial",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
autonomiegeria-mpr-0 | autonomiegeria | mpr | For the following definitions, check the correct answer(s): | [
{
"idx": 0,
"proposition": "Autonomy and dependence are two opposite terms",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Autonomy is the person's ability to move",
"correct": false,
"justification": "Autonomy refers to the person's ability to make a free choice.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Addiction is defined by the need for human help",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The assessment of dependence in the elderly must be systematic during its management",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The assessment of dependence in the elderly is part of the personalized health project",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
tbnutrigeria-nutri-0 | tbnutrigeria | nutri | Which propositions are true? | [
{
"idx": 0,
"proposition": "A person is said to be \"old\" after the age of 50 or 55",
"correct": false,
"justification": "A person is said to be \"old\" after the age of 70 or 75",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Sarcopenic obesity is defined by BMI ≥ 30 and sarcopenia\n",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "An undernourished obese is defined by a BMI ≥ 30 and a criterion of undernutrition",
"correct": false,
"justification": "Obese undernourished BMI ≥ 30 and a criterion of undernutrition",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Decreased muscle performance signs probable sarcopenia",
"correct": false,
"justification": "Severe sarcopenia (see Table 11.1, page 155, College of Nutrition, 3rd edition)",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Entry into an institution is one of the criteria of fragility",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
tbnutrigeria-nutri-1 | tbnutrigeria | nutri | Which of these proposals make it possible to define undernutrition? | [
{
"idx": 0,
"proposition": "Weight loss greater than or equal to 15% in 3 months",
"correct": false,
"justification": "Weight loss greater than or equal to 5% in 1 month or 10% in 6 months",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Weight loss greater than or equal to 15% in 6 months",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Weight loss greater than or equal to 5% in 1 month",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "A BMI < 21 kg/m2",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "An albuminemia < 35 g/L",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
tbnutrigeria-nutri-2 | tbnutrigeria | nutri | Which of these proposals make it possible to define severe undernutrition? | [
{
"idx": 0,
"proposition": "Weight loss greater than or equal to 15% in 3 months",
"correct": false,
"justification": "Weight loss greater than or equal to 10% in 1 month or 15% in 6 months",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "A BMI < 19 kg/m2",
"correct": false,
"justification": "BMI< 17kg/m2",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "A global NAM < 17",
"correct": false,
"justification": "Undernutrition criterion",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Weight loss greater than or equal to 15% in 6 months",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Weight loss greater than or equal to 5% in 1 month",
"correct": false,
"justification": "Undernutrition criterion",
"justfication": null,
"jusification": null
}
] | custom |
tbnutrigeria-nutri-3 | tbnutrigeria | nutri | Which propositions are true? | [
{
"idx": 0,
"proposition": "BMI increases with age, reaching about 26–27 on average between the ages of 70 and 80",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "There are changes in body composition during aging: fat mass increases, muscle mass decreases.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Muscle mass decreases by about 40% between the ages of 20 and 80",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Energy consumption increases as we age",
"correct": false,
"justification": "It decreases",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The prevalence of obesity increases with age with a peak of 20–23% at age 55–65 years, then gradually decreases.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
tbnutrigeria-nutri-4 | tbnutrigeria | nutri | Among these proposals, which are pathologies of which obesity could be a protective factor? | [
{
"idx": 0,
"proposition": "Osteroporosis",
"correct": true,
"justification": "Decreased risk of fracture (mechanical protective role of adipose tissue in case of trauma, stimulating pressure of weight on bone structure and hormonal effect related to the transformation of adrenal androgens into estrogens by adipose tissue)",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Adrenal insufficiency",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Type 2 diabetes",
"correct": false,
"justification": "Risk factor",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Respiratory failure",
"correct": false,
"justification": "Risk factor",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Arthrosis",
"correct": false,
"justification": "Risk factor",
"justfication": null,
"jusification": null
}
] | custom |
hemangiome-dermato-0 | hemangiome | dermato | Regarding angiomas: | [
{
"idx": 0,
"proposition": "vascular tumors are most often capillary",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The term 'angioma' is a generic term for vascular tumours such as hemangiomas and vascular malformations such as CAVs.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The main vascular tumor is angiocarcinoma of the elderly",
"correct": false,
"justification": "Hemangiomas in infants",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The prevalence of infant hemangiomas is 0.01%",
"correct": false,
"justification": "Most common childhood tumours, with a prevalence of 10%",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Hemangioma is a malignant tumor and a diagnostic emergency",
"correct": false,
"justification": "Benign skin proliferations of vascular endothelial cells, non-congenital, more common in girls, premature infants and low birth weight infants",
"justfication": null,
"jusification": null
}
] | custom |
hemangiome-dermato-1 | hemangiome | dermato | Which propositions are true? | [
{
"idx": 0,
"proposition": "The origin of infant hemangiomas is unknown",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The endothelium is proliferating in malformations",
"correct": false,
"justification": "Quiescant",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Biopsy is usually unnecessary in typical uncomplicated hemangioma",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Hemangioma is often present at birth",
"correct": false,
"justification": "Often absent",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The hemangioma is non-blowing on auscultation",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
hemangiome-dermato-2 | hemangiome | dermato | Regarding hemangiomas: | [
{
"idx": 0,
"proposition": "Hemangiomas are the most common tumours in children, with a prevalence of 10%",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Deep hemangiomas are arterial and present with bright red swelling",
"correct": false,
"justification": "bluish swelling or normal skin colour",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Deep hemangiomas are more elastic in consistency than superficial forms",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Subcutaneous hemangiomas are always clinically diagnosed only",
"correct": false,
"justification": "The clinic is sometimes non-specific: imaging may be necessary",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Doppler ultrasound shows a richly vascularized tumor",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
hemangiome-dermato-3 | hemangiome | dermato | Regarding the evolution of hemangiomas: | [
{
"idx": 0,
"proposition": "Management of hemangiomas is surgical",
"correct": false,
"justification": "Hemangiomas regress completely and the majority require no treatment",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The variation in the evolution of hemangiomas is important depending on the individual",
"correct": false,
"justification": "Their natural history is stereotyped and is an important part of the diagnosis",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Hemangiomas are absent at birth",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The growth phase begins between the 3rd and 6th month of life",
"correct": false,
"justification": "A beginning in the first days/weeks of life",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The increase in size is quite rapid during the first 5 to 6 months",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
polytrauma-urg-0 | polytrauma | urg | Regarding the key points: | [
{
"idx": 0,
"proposition": "The life-threatening prognosis of severe trauma is still at stake",
"correct": true,
"justification": "By definition, a severely traumatized person is a trauma patient whose violence or mechanism of trauma may result in life-threatening injuries.",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The first 15 minutes in the hospital are spent performing standard X-rays and a biological work-up",
"correct": false,
"justification": "The first fifteen minutes of hospital care are devoted to clinical assessment and conditioning",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The first 30 minutes in the hospital are devoted to the radiographic assessment including the CT scan",
"correct": false,
"justification": "TDM does not enter the process of the first 30 minutes",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Whole body computed tomography with contrast injection should be performed in all severe trauma patients whose haemodynamic status has been stabilized",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Pre-hospital management includes an assessment of the haemodynamic, infectious, urinary and orthopaedic impact of lesions",
"correct": false,
"justification": "What interests us urgently is the hemodynamic, ventilatory and neurological repercussions",
"justfication": null,
"jusification": null
}
] | custom |
polytrauma-urg-1 | polytrauma | urg | Regarding the management of polytrauma patients: | [
{
"idx": 0,
"proposition": "Coagulopathy must be managed early",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Hemodynamic failure is managed by the treatment of hemorrhagic shock",
"correct": true,
"justification": "Mostly",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Surgical management prioritizes bleeding lesions",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Treatment of ventilatory failure involves orotracheal intubation",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Treatment of neurological failure involves orotracheal intubation",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
polytrauma-urg-2 | polytrauma | urg | What are the roles of the witness of an accident? | [
{
"idx": 0,
"proposition": "Protect",
"correct": true,
"justification": "avoid the \"super-accident\", protect yourself, remove the injured person(s) from the traumatic agent",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Treat",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Alert",
"correct": true,
"justification": "call 15 (Samu-SMUR), 18 (Firefighters), look for help around you.",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Rescue",
"correct": true,
"justification": "compression of active bleeding, lateral safety position (PLS), basic cardiopulmonary resuscitation (CPR)",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Accompany",
"correct": false,
"justification": "The 3 essential roles of the first link in the chain of survival are: Protect, Alert, Rescue",
"justfication": null,
"jusification": null
}
] | custom |
PECKc-urg-0 | PECKc | urg | Which of the following propositions concerning pre-eclampsia are true? | [
{
"idx": 0,
"proposition": "Pre-eclampsia is defined by the combination of blood pressure ≥140/90 mmHg and proteinuria ≥ 300 mg/24h occurring at any time during pregnancy",
"correct": false,
"justification": "False, occurring from 20SA",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Pre-eclampsia is said to be early when it occurs before 34 SA",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "In the majority of cases, pre-eclampsia disappears before the end of the 6th postpartum week",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Pre-eclampsia affects less than 1% of pregnancies",
"correct": false,
"justification": "False, 3 to 10% of pregnancies",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "A woman who has already had pre-eclampsia will have a decreased risk of pre-eclampsia for a later pregnancy.",
"correct": false,
"justification": "False, increased risk",
"justfication": null,
"jusification": null
}
] | custom |
PECKc-urg-1 | PECKc | urg | Which of the following proposals for the treatment of pre-eclampsia are true? | [
{
"idx": 0,
"proposition": "The only effective treatment is delivery of the placenta.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "It is recommended to use calcium sulfate during the appearance of severe neurosensory signs and during eclampsia.",
"correct": false,
"justification": "False, magnesium sulfate",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "IV nicardipine is the attack treatment for pre-eclampsia with a SBP of 190 mmHg.",
"correct": true,
"justification": "True, for a SBP > 180 mmHg or a > 140mmHg MPA, the attack treatment is Nicardipine IV bolus of 0.5 to 1 mg, then infusion of 4-7 mg over 30 min. Evaluation of the efficacy and safety of the treatment after 30 min.",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Blood pressure objectives are a PAD between 80 and 105 mmHg.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Perindopril is part of the antihypertensive therapeutic arsenal in pre-eclampsia",
"correct": false,
"justification": "False. All ACE inhibitors and angiotensin II receptor antagonists (sartans or ARA II) are contraindicated in the 2nd and 3rd trimesters of pregnancy!! Perindopril is an ACE inhibitor, and therefore contraindicated! They are contraindicated because they can induce acute renal failure in the fetus, resulting in oligo-amnios.",
"justfication": null,
"jusification": null
}
] | custom |
APMP-mdt-0 | APMP | mdt | Concerning accidents at work: | [
{
"idx": 0,
"proposition": "It is an accident caused by work",
"correct": true,
"justification": "Any accident at the workplace is considered a TA, it also concerns the home-to-work journey or accidents in common areas (toilets, cafeteria)",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The TA only concerns the company's employees",
"correct": false,
"justification": "It also concerns stagaire pupils, people under contract, temporary workers, etc.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "TA is defined by its suddenness",
"correct": true,
"justification": "This is particularly relevant for differentiation with PD",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The maternality of the accidental event refers to the material that caused the accident",
"correct": false,
"justification": "These are the precise conditions, localizable in time and space, in which TA occurs.",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Accidents occurring during strikes are TAs",
"correct": false,
"justification": "There is suspension of the employment contract, so it is not a TA",
"justfication": null,
"jusification": null
}
] | custom |
APMP-mdt-1 | APMP | mdt | Regarding accountability: | [
{
"idx": 0,
"proposition": "The insured must provide proof of this in the TAs",
"correct": false,
"justification": "There is a presumption of accountability",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The insured must provide proof in the PM",
"correct": true,
"justification": "Via the classification tables for example which will determine the minimum exposure times",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "In the TA, imputability is established by the occupational physician",
"correct": false,
"justification": "The CPAM medical officer is responsible for determining accountability",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Relapses and late complications of TAs are covered by the presumption of initial imputability",
"correct": false,
"justification": "The presumption of imputability applies only to initial injuries and direct complications",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "No one can dispute a TA and its accountability",
"correct": false,
"justification": "Within the time limits, the employer and the CPAM may contest the imputability of a TA",
"justfication": null,
"jusification": null
}
] | custom |
APMP-mdt-2 | APMP | mdt | Concerning occupational diseases: | [
{
"idx": 0,
"proposition": "The installation of PM is often brutal",
"correct": false,
"justification": "Progressive and insidious unlike TAs which are sudden",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The only way to recognize PM is the array system",
"correct": false,
"justification": "There is an ancillary system with the Regional Committee for the Recognition of Occupational Diseases which will in particular recognize as PM pathologies in workers who do not meet the criteria set out in the tables",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "There are 362 PM tables",
"correct": false,
"justification": "114",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The CMI has 5 components",
"correct": false,
"justification": "3 components",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "It is the victim who must notify the employer",
"correct": true,
"justification": "Unlike the AT, it is not the employer but the employee who must send the declaration of PM to the CPAM within 15 days of the finding of the disease.",
"justfication": null,
"jusification": null
}
] | custom |
Kcoeso-onco-0 | Kcoeso | onco | Which of the following are true? | [
{
"idx": 0,
"proposition": "Esophageal cancers are the most common digestive cancers",
"correct": false,
"justification": "This is the 4th digestive cancer after colorectal, pancreatic and stomach cancer",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Esophageal cancers are most often excellent prognosis",
"correct": false,
"justification": "The prognosis is often poor",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Esophageal cancers affect 75% of men",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Esophageal cancers more common in the northwest",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "None of the propositions are true",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
}
] | custom |
Kcoeso-onco-1 | Kcoeso | onco | What is the risk of malignant transformation of an endobrachyoesophagus (EBO) during life? | [
{
"idx": 0,
"proposition": "0%",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "10%",
"correct": true,
"justification": "True. College of HGE (4th edition)",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "50%",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "80%",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "100%",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
}
] | custom |
Kcoeso-onco-2 | Kcoeso | onco | Which of the following are true about Plummer-Vinson syndrome? | [
{
"idx": 0,
"proposition": "It has hypochromic microcytic anemia",
"correct": true,
"justification": "True, ferriprive",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "It has koilonychia",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "It affects humans 🕺 more often",
"correct": false,
"justification": "It affects women 💃 more often",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "It has glossitis",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "It is also called \"Kelly-Paterson syndrome\"",
"correct": true,
"justification": "True. It is a risk factor for squamous cell cancer of the esophagus",
"justfication": null,
"jusification": null
}
] | custom |
Kcoeso-onco-3 | Kcoeso | onco | Which of the following are true about endobrachyoesophagus? | [
{
"idx": 0,
"proposition": "Its other name is Barrett's esophagus",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Monitoring is done, in the absence of dysplasia, every year",
"correct": false,
"justification": "Every 2, 3 or 5 years depending on the length of metaplasia",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Monitoring involves only a clinical examination",
"correct": false,
"justification": "Fibroscopy with biopsies",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Suspected low-grade dysplasia involves fibroscopic control after 6 months of PPI",
"correct": false,
"justification": "Low-grade dysplasia involves fibroscopic control after 2-3 months of double-dose PPI",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "It is an important risk factor for adenocarcinoma of the esophagus",
"correct": true,
"justification": "True. And no squamous cell carcinoma",
"justfication": null,
"jusification": null
}
] | custom |
Kcoeso-onco-4 | Kcoeso | onco | Which of the following are risk factors for squamous cell cancer of the esophagus? | [
{
"idx": 0,
"proposition": "Tobacco 🚬",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Alcohol 🥃",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Cold 🧊 drinks ",
"correct": false,
"justification": "Hot 🥵 drinks",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Infection par HPV",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Caustic esophagitis after several decades of evolution",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
Kcoeso-onco-5 | Kcoeso | onco | What is the 5-year survival of esophageal tumors? | [
{
"idx": 0,
"proposition": "15%",
"correct": true,
"justification": "True, it is a tumor of poor prognosis 😕",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "50%",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "80%",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "90%",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "95%",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
}
] | custom |
Kcovaire-onco-0 | Kcovaire | onco | Which of the following are true? | [
{
"idx": 0,
"proposition": "About 10% of ovarian cancers occur in a context of genetic predisposition",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "It ranks 5th in cancer deaths in women",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": " About 5-10% of women will have an ovarian tumor in their lifetime, and it is most often a benign ovarian cyst.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The ovary is a complex organ that is home to many different cell types ",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Mature dermoid cysts or teratomas derive from a highly differentiated cell",
"correct": false,
"justification": "Mature dermoid or teratoma cysts derive from a multipotent cell that can be the source of different tissues present within the cyst",
"justfication": null,
"jusification": null
}
] | custom |
Kcovaire-onco-1 | Kcovaire | onco | Which of the following are formal contraindications in case of suspicion of ovarian cancer? | [
{
"idx": 0,
"proposition": "Transparietal biopsy of the ovary",
"correct": true,
"justification": "True, Risk of Dissemination",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Transvaginal ovarian biopsy",
"correct": true,
"justification": "True, Risk of Dissemination",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Transureteral biopsy of the ovary",
"correct": true,
"justification": "True, impossible to do",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Exploratory coeolioscopy",
"correct": false,
"justification": "This is what is done in the first line",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Diagnostic and therapeutic abstention",
"correct": true,
"justification": "True, except in very special cases (end of life), it is necessary to explore urgently because the prognosis is very poor",
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-0 | CCR | onco | Which of the following proposals fall within the scope of Lynch syndrome? | [
{
"idx": 0,
"proposition": "Liver",
"correct": false,
"justification": "No but possible for the bile ducts",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Colon",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Lung",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "ENT",
"correct": false,
"justification": "Lynch syndrome: mainly colon, endometrium, small intestine and excretory urinary tract",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Excretory urinary tract",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-1 | CCR | onco | Which of the following proposals are part of the assessment of the extension of adenocarcinoma of the cecum? | [
{
"idx": 0,
"proposition": "Colonic endoscopic ultrasound",
"correct": false,
"justification": "Not in the extension balance sheet",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Thoracoab-abdominopelvic CT angiography",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Positron emission tomography",
"correct": false,
"justification": "Not in the first intention. Can be done in case of an increase in CEB",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Dosage of CEA",
"correct": true,
"justification": "True. An elevation of the CEA suggests a metastasis that will be sought by PET-CT",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Cerebral magnetic resonance imaging",
"correct": false,
"justification": "However, a liver MRI injected with gadolinium can be performed with a chest CT scan without injection, if an injected TDP-TAP is contraindicated (renal failure for example)",
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-2 | CCR | onco | Which of the following are true for preoperative measures in a patient with adenocarcinoma of the cecum? | [
{
"idx": 0,
"proposition": "Information with informed consent",
"correct": true,
"justification": "True, as always",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Preoperative immunonutrition",
"correct": true,
"justification": "True because all surgical procedures are at risk of malnutrition. In case of oncological digestive surgery, a supply of micronutrients to begin 7 days before the intervention, is recommended to limit infectious complications and postoperative mortality.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Colic preparation",
"correct": false,
"justification": "Unnecessary in the case of laparotomy or laparoscopy.",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Ad consultation",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "ALD Application",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-3 | CCR | onco | Which of the following propositions are true regarding the monitoring of Lynch syndrome-prone patients who have previously had resected colonic adenocarcinoma? | [
{
"idx": 0,
"proposition": "A gynecological examination",
"correct": true,
"justification": "True, for Lynch syndrome (endometrial cancer)",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "A carcinoembryonic antigen assay",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "A colonoscopy with chromoendoscopy",
"correct": true,
"justification": "True, for Lynch syndrome",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "A thoraco-abdomino-pelvic CT scan",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "A urine strip",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-4 | CCR | onco | Which of the following are true about Lynch syndrome? | [
{
"idx": 0,
"proposition": "There are more polyps in the lining of the colon than in Familial Adenomatous Polyposis (FAP)",
"correct": false,
"justification": "No, there are fewer",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The risk of developing CRC during life is about 70% in humans",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The risk of developing CRC during life is about 70% in women",
"correct": false,
"justification": "About 50%",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "In the majority of cases, cancer develops in the sigmoid",
"correct": false,
"justification": "At the level of the right colon",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The positive relative risk is only for colon tumours",
"correct": false,
"justification": "Also cancer of the urinary tract, small intestine, endometrium. Also from the ovary, stomach, bile ducts, pancreas and brain",
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-5 | CCR | onco | In case of stage T3 N+ stage T3 N+ lieberkühnian adenocarcinoma surgically resected, what postoperative treatment(s) do you prescribe? | [
{
"idx": 0,
"proposition": "External beam radiation therapy",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Radiochemotherapy",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Chemotherapy",
"correct": true,
"justification": "True, this is the only adjuvant therapy in stage 3 colonic adenocarcinoma (i.e., which are N+). 5-FU and oxaliplatin are preferred",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "None of the answers are accurate",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "No adjuvant therapy",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-6 | CCR | onco | Which of the following are true in cases of adenocarcinoma of the cecum with negative extension assessment? | [
{
"idx": 0,
"proposition": "Surgical removal of colonic tumor",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "None of these proposals",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Radiochemotherapy alone",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Endoscopic resection",
"correct": false,
"justification": "The cecum is far too far.",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Radio frequency",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-7 | CCR | onco | Which of the following are true about Lynch syndrome? | [
{
"idx": 0,
"proposition": "There are more polyps in the lining of the colon than in Familial Adenomatous Polyposis (FAP)",
"correct": false,
"justification": "No, there are fewer",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The risk of developing CRC during life is about 70% in humans",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The risk of developing CRC during life is about 70% in women",
"correct": false,
"justification": "About 50%",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "In the majority of cases, cancer develops in the sigmoid",
"correct": false,
"justification": "At the level of the right colon",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The positive relative risk is only for colon tumours",
"correct": false,
"justification": "Also cancer of the urinary tract, small intestine, endometrium. Also from the ovary, stomach, bile ducts, pancreas and brain",
"justfication": null,
"jusification": null
}
] | custom |
CCR-onco-8 | CCR | onco | Which of the following are true about Lynch syndrome? | [
{
"idx": 0,
"proposition": "It is also called HNPCC Syndrome",
"correct": true,
"justification": "True, for Hereditary Non Polyposis Colorectal Cancer",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "It is responsible for 25% of colorectal cancers",
"correct": false,
"justification": "4% of CRC, it is the most common form of hereditary cancers",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The abnormality is expressed on the genes of the mismatch repair proteins",
"correct": true,
"justification": "True, MMR (MisMatch Repair) genes. Mainly MLH1 and MSH2",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Its transmission is autosomal dominant",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Replication errors are mostly found on chromosome 6 and 18",
"correct": false,
"justification": "They are found at the level of micro-satellite sequences (DNA sequences formed by a repetition of patterns), which themselves are found in all chromosomes",
"justfication": null,
"jusification": null
}
] | custom |
lithiaseU-nephro-0 | lithiaseU | nephro | Among these proposals, which favor the occurrence of renal colic? | [
{
"idx": 0,
"proposition": "Long-term travel",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Immobilization",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The cold",
"correct": false,
"justification": "Heat, on the other hand, is a contributing factor",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Renal failure",
"correct": false,
"justification": "It can, however, cause kidney failure, in very rare cases",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Dehydration",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
lithiaseU-nephro-1 | lithiaseU | nephro | Regarding epidemiology: | [
{
"idx": 0,
"proposition": "Urolithiasis affects 50% of the population in France",
"correct": false,
"justification": "Between 5 and 10%. It is a common disease",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "She never reoffends",
"correct": false,
"justification": "It recurs in 50% of cases if preventive treatment is not put in place",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Uric acid calculus is the most common",
"correct": false,
"justification": "Calcium lithiasis is the most common. It represents 80% of urolithiasis",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Infectious stones account for 5% of urolithiasis",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Calcium lithiasis is usually idiopathic",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
lithiaseU-nephro-2 | lithiaseU | nephro | What are the elements of gravity to look for? | [
{
"idx": 0,
"proposition": "Anuria",
"correct": true,
"justification": "It is then a question of acute obstructive renal failure",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Pregnancy",
"correct": true,
"justification": "It is one of the three risk areas: pregnancy, kidney transplantation and kidney failure.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The epileptic field",
"correct": false,
"justification": "Is not a particular terrain",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Fever",
"correct": true,
"justification": "Sign obstructive pyelonephritis",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Pollakiuria",
"correct": false,
"justification": "Doesn't matter. It is a normal sign associated with",
"justfication": null,
"jusification": null
}
] | custom |
Kcdermato-onco-0 | Kcdermato | onco | Which of the following are true about melanoma? | [
{
"idx": 0,
"proposition": "The incidence is increasing",
"correct": true,
"justification": "True, the incidence of melanoma doubles almost every 10 years 😱",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Mortality is on the rise",
"correct": true,
"justification": "True, mortality increases less than incidence, which can be attributed to earlier 😊 diagnosis.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The clear phenotype ⚪ is not a risk factor",
"correct": false,
"justification": "False, it is indeed a risk factor",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The main prognostic index is the Breslow index",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The main prognostic index is the Clark index",
"correct": false,
"justification": "This is the Breslow index",
"justfication": null,
"jusification": null
}
] | custom |
Kcdermato-onco-1 | Kcdermato | onco | Which of the following propositions are true about the halo nevus? | [
{
"idx": 0,
"proposition": "Its other name is the nevus of Ota",
"correct": false,
"justification": "The Ota nevus is a birth nevus 👼 with a distribution in unilateral rule, superimposed on the territories of the two upper branches of the trigeminal. The other name for the halo nevus is the Sutton nevus",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "There is a development of an achromic halo (white)",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The halo observed is due to cytotoxic inflammatory infiltrate",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "This nevus remains for life",
"correct": false,
"justification": "It disappears completely",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "It occurs at birth",
"correct": false,
"justification": "It occurs mostly around the second decade and on the trunk. A later onset or irregular appearance of the halo should lead to fear of melanoma. (cf College of Dermatology, 7th edition, page 305). It is the Ota nevus or Mongolian blue spot that occurs from birth 👼",
"justfication": null,
"jusification": null
}
] | custom |
Kcdermato-onco-4 | Kcdermato | onco | Which skin carcinoma should suggest a budding, ulcerated and crusty lesion in an elderly person who has worked outdoors all his life? | [
{
"idx": 0,
"proposition": "Squamous cell carcinoma",
"correct": true,
"justification": "True. These are the 3 characteristics that make you think of a squamous cell tumor",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Basal cell carcinoma",
"correct": false,
"justification": "Raised skin nodule. We think about it especially in front of a short and intense sun ☀ exposure",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Melanoma",
"correct": false,
"justification": "It is not cutaneous carcinoma. Melanoma is developed from melanocytes",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Wart",
"correct": false,
"justification": "False, it is not a carcinoma",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Nevus",
"correct": false,
"justification": "False, it is not a carcinoma",
"justfication": null,
"jusification": null
}
] | custom |
Kcdermato-onco-5 | Kcdermato | onco | Which of the following are true? | [
{
"idx": 0,
"proposition": "Bowen's disease is invasive squamous cell carcinoma",
"correct": false,
"justification": "It is a squamous cell carcinoma in situ",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Squamous cell carcinoma is squamous cell carcinoma in situ",
"correct": false,
"justification": "Epidermoid and squamous cell are synonymous 😊",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Basal cell carcinoma does not have a precancerous lesion",
"correct": true,
"justification": "True, unlike squamous cell carcinoma",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The evolution of invasive squamous cell carcinoma is first done in the lymph nodes",
"correct": true,
"justification": "True. Stereotyped evolution: lung blood ➡ ➡ nodes ➡ then other organs",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Hematogenous metastatic course is more common for cutaneous squamous cell carcinomas than for mucosal squamous cell carcinomas",
"correct": false,
"justification": "It is more common for mucosal squamous cell carcinomas",
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-0 | souffleped | cardio | Regarding heart murmurs in children | [
{
"idx": 0,
"proposition": "The discovery of a heart murmur is a very common possibility in children",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "A third noise or B3 is common at the apex in children (50% of cases), it is physiological",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "There is a correlation between the intensity of a breath and the severity of the underlying disease",
"correct": false,
"justification": "It should be noted that there is often no correlation between the intensity of a breath and the severity of the underlying disease.",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Often there is no functional sign",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Exertional dyspnea is the most common symptom",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-1 | souffleped | cardio | Regarding heart murmurs in children | [
{
"idx": 0,
"proposition": "Chest pain is exceptionally of cardiac origin in children, unlike in adults",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Abnormalities of physical examination, such as hypertension and absence of femoral pulse, immediately point to aortic coarctation",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The heart rate is all the faster the older the child is",
"correct": false,
"justification": "The heart rate is all the faster the younger the child is",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The QRS axis is straighter than in adults, the PR delay is shorter",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The echocardiogram-Doppler is the key diagnostic test",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-2 | souffleped | cardio | Regarding heart murmurs in children | [
{
"idx": 0,
"proposition": "In newborns (from birth to the end of the 2nd month), a very early breath is less pathological than when it is heard after a few days",
"correct": false,
"justification": "In newborns (from birth to the end of the 2nd month) 1 Isolated breath in a newborn A very early murmur is more pathological than when it is heard after a few days",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "It is necessary to perform a cardiac ultrasound before leaving the maternity in case of breath heard on Day 1 or Day 2",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Transposition of the great vessels is the most common cause of neonatal cyanosis",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Transposition of the large vessels represents the very type of neonatal cardiology emergency",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Regarding the transposition of the large vessels, anatomical correction surgery must be performed in the first 15 days of life",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-3 | souffleped | cardio | Regarding heart murmurs in children | [
{
"idx": 0,
"proposition": "Early surgery is imperative for infants with large shunts, especially IVC",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Anorganic or innocent breaths are very common in children",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "In case of innocent breathing, no therapy, or supervision, or restriction of activity, is justified, and these children can lead a strictly normal life.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "In case of innocent breath it is useful to see the child periodically in consultation",
"correct": false,
"justification": "It is useless and even harmful to see the child periodically in consultation",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Asymptomatic systolic murmurs discovered in infancy most often correspond to anorganic murmurs, or \"innocent\" or \"functional\" murmurs.",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-5 | souffleped | cardio | What are the two physiological shunts in the fetal circulation? | [
{
"idx": 0,
"proposition": "Foramen oval",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Round Foramen",
"correct": false,
"justification": "False. The round foramen is a round foramen is a foramen of the middle stage of the base of the skull.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Ventricular septal defect",
"correct": false,
"justification": "False. It is pathological",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Pulmonary canal",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Ductus arteriosus",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-6 | souffleped | cardio | Which of the following are cyanogenic heart diseases? | [
{
"idx": 0,
"proposition": "Transposition of the large vessels",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Tetralogy of Fallot",
"correct": true,
"justification": "True, the leading cause of cyanogenic heart disease in children according to the College of Pediatrics",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Pulmonary stenosis",
"correct": false,
"justification": "Non-cyanogen",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Persistent ductus arteriosus",
"correct": false,
"justification": "Non-cyanogen",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Coarctation of the aorta",
"correct": false,
"justification": "Non-cyanogen",
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-8 | souffleped | cardio | What heart defects form a left-right shunt? | [
{
"idx": 0,
"proposition": "Ventricular septal defect",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Tetralogy of Fallot",
"correct": false,
"justification": "False. It causes an obstacle of the right heart.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Transposition of the large vessels",
"correct": false,
"justification": "False. It causes poor connections in the heart.",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Patent ductus arteriosus",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Pulmonary valve stenosis",
"correct": false,
"justification": "False. It causes an obstacle of the right heart.",
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-9 | souffleped | cardio | Which of the following are non-cyanogenic heart diseases? | [
{
"idx": 0,
"proposition": "Tetralogy of Fallot",
"correct": false,
"justification": "Cyanogen",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Transposition of the large vessels",
"correct": false,
"justification": "Cyanogen",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Persistent ductus arteriosus",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Ventricular septal defect",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Inter-atrial communication",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
souffleped-cardio-10 | souffleped | cardio | What is the prevalence of congenital heart disease in live births? | [
{
"idx": 0,
"proposition": "0,08%",
"correct": false,
"justification": "None",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "0,8%",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "2%",
"correct": false,
"justification": "None",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "4%",
"correct": false,
"justification": "None",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "6%",
"correct": false,
"justification": "None",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-0 | contraception | gyn | Which of the following are true? | [
{
"idx": 0,
"proposition": "The Pearl Index (PI) is the number of pregnancies that occurred in 100 women exposed to the method studied for 1 year",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The higher the Pearl Index (PI), the more effective the contraceptive method concerned",
"correct": false,
"justification": "It's the other way around. The lower it is, the more effective the contraceptive method.",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The patch is a progestin-only contraception",
"correct": false,
"justification": "Oestro-progestin",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The ring is an estrogen-progestin contraception",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Macro-progestogens have no MA for contraception",
"correct": true,
"justification": "Their prescription is off-label. No study has calculated a Pearl index.",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-1 | contraception | gyn | Which of the following proposals are part of the follow-up assessment in a woman on an estrogen-progestogen contraceptive? | [
{
"idx": 0,
"proposition": "Fasting blood glucose",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Total cholesterol",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "HDL cholesterol",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Creatinine",
"correct": false,
"justification": "No impact on kidney function",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Triglycerides",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-3 | contraception | gyn | After unprotected sex, how soon should levonorgestrel be taken? | [
{
"idx": 0,
"proposition": "Within 24 hours",
"correct": false,
"justification": "Within 72 hours",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Within 48 hours",
"correct": false,
"justification": "Within 72 hours",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Within 72 hours",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Within 5 days",
"correct": false,
"justification": "This is true for EllaOne®, Ulipristal Acetate",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "It is not emergency contraception",
"correct": false,
"justification": "Norlevo® is an emergency contraception consisting of a 2nd generation progestin (levonorgestrel 1.5 mg)",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-4 | contraception | gyn | What is the concentration of ethinyl estradiol (EE) of a so-called "normodosed" contraception (in micrograms)? | [
{
"idx": 0,
"proposition": "10",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "20",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "30",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "40",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "50",
"correct": true,
"justification": "True: the pill is called \"normo-dosed\" if it contains 50 μg of EE",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-5 | contraception | gyn | What emergency contraception is administered 4 days after sexual intercourse? | [
{
"idx": 0,
"proposition": "EllaOne®",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Norlevo®",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Levonorgestrel ",
"correct": false,
"justification": "max within 72h",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Ulipristal Acetate",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Copper IUDs",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-6 | contraception | gyn | Which of the following are absolute contraindications (ICs) of estrogen-progestogen contraceptives (OCCs)? | [
{
"idx": 0,
"proposition": "Severe unbalanced hypertension",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Family history of VTE",
"correct": false,
"justification": "Not an absolute CI if it is family, personal only. Family = relative (we will not CI a COP to a patient because her older sister had phlebitis at 65 years after 8 hours of plane returning from Reunion ^^)",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Obesity",
"correct": false,
"justification": "It is a relative IC",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Migraine with aura",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "All propositions are true",
"correct": false,
"justification": "The absolute ICs of COP are: ischemic heart disease, complicated valvular heart disease, ischemic stroke ATCD, migraine with aura, porphyrias / connective tissue (lupus are hormone-dependent),\r\nPersonal ATCD or venous (DVT or PE) or arterial TED accident\r\nmajor surgery with prolonged immobilization, hereditary or acquired predisposition to thrombosis (AV), tobacco > 15 cigarettes / day if > 35 years, severe unbalanced hypertension or FdR CV, confirmed or suspected pregnancy, breastfeeding < 6S postpartum, severe dyslipidemia, active viral hepatitis, severe or recent liver disease (including cirrhosis), benign hepatic tumor, malignant or suspected breast tumor, uterus, meningioma, pituitary tumor (on a case-by-case basis) and non-genital hemorrhages Diagnosed.",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-7 | contraception | gyn | Which of the following have a Pearl Index (PI) of less than 1? | [
{
"idx": 0,
"proposition": "Condom",
"correct": false,
"justification": "IP to 2",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Progestin-only subcutaneous implant",
"correct": true,
"justification": "True, one of the contraceptives with the lowest Pearl index",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Progrestin only",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "\"Withdraw\"",
"correct": false,
"justification": "Does not work/little. Not recommended",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Intrauterine device (IUD)",
"correct": true,
"justification": "True. IP = 0.6 for classics. IP = 0.2 for impregnated IUDs",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-8 | contraception | gyn | How soon should ulipristal be taken after unprotected sex? | [
{
"idx": 0,
"proposition": "24h",
"correct": false,
"justification": "5 days",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "48h",
"correct": false,
"justification": "5 days",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "5 days",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "10 days",
"correct": false,
"justification": "5 days",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "It is a progesterone receptor antagonist",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-9 | contraception | gyn | Among the following proposals, which are part of the biological assessment to be prescribed essential before starting estrogen-progestin contraception in a woman without personal or family history of metabolic or thromboembolic disease, who does not smoke and whose clinical examination is normal? | [
{
"idx": 0,
"proposition": "No assessment is essential",
"correct": true,
"justification": "True. In a person with no personal or family history of metabolic or thromboembolic disease, who does not smoke and whose clinical examination is normal, the laboratory assessment can be performed 3 to 6 months after prescription.",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "NFS-P",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Assessment of renal function",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Cholesterol",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Fasting blood glucose",
"correct": false,
"justification": "False",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-10 | contraception | gyn | Which of the following are true about emergency contraception? (one or more exact propositions) | [
{
"idx": 0,
"proposition": "It is free",
"correct": false,
"justification": "Free only for minors. Reimbursed at 65% for adults, if medical prescription.",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "It can be issued to minors free of charge, anonymously and without a doctor's prescription, regardless of the medication used.",
"correct": true,
"justification": null,
"justfication": "Contrairement à ce que l'on peut trouver dans certaines sources, l'ulipristal est bien disponible sans ordonnance d'après cette fiche de la HAS (mise à jour en 2019) : https://webzine.has-sante.fr/upload/docs/application/pdf/2015-07/contraception_urgence_officine_maj_juillet2015.pdf Si elle n'est plus valide, n'hésitez pas à nous prévenir en signalant la QI :)",
"jusification": null
},
{
"idx": 2,
"proposition": "They are only dispensed in pharmacies",
"correct": false,
"justification": "Or in a CeGIDD, in a family planning or education center, with the school nurse or academic medicine",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Ulipristal has no contraindication (CI)",
"correct": false,
"justification": "Two ICs: Allergy to one of the components and pregnancy. In addition, it is not recommended in cases of severe hepatic impairment and severe asthma insufficiently controlled by oral glucocorticoid. After taking UPA, breastfeeding not recommended for one week (during this period, express and discard breast milk in order to maintain lactation stimulation). (according to HAS)",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "None of the propositions are true",
"correct": false,
"justification": "Almost none 😜",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-11 | contraception | gyn | Which of the following are true for intrauterine devices (IUDs)? | [
{
"idx": 0,
"proposition": "It is a long-acting contraception",
"correct": true,
"justification": "True, about 5 years",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "It can be placed by a midwife",
"correct": true,
"justification": "True, L-5134 of the CSP: \"The insertion of intrauterine contraceptives can only be performed by a doctor or midwife.\"",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Wilson's disease is a contraindication to the copper IUD",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Monitoring is every six months",
"correct": false,
"justification": "Annual monitoring",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "It is not refunded",
"correct": false,
"justification": "It is refunded. It is proposed as a first-line treatment for multiparous women with stable sex lives",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-12 | contraception | gyn | Which of the following are true for intrauterine devices (IUDs)? | [
{
"idx": 0,
"proposition": "The Pearl Index of the progesterone IUD is less than 0.5",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The Pearl number of the copper IUD is less than 0.5",
"correct": false,
"justification": "IP = 0.6",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "It is a mechanical contraception",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "A history of ectopic pregnancy is a contraindication (CI)",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Taking chronic NSAIDs is a contraindication (CI)",
"correct": false,
"justification": "Not an IC",
"justfication": null,
"jusification": null
}
] | custom |
contraception-gyn-13 | contraception | gyn | Which of the following are true about progestin-only contraception? | [
{
"idx": 0,
"proposition": "They have the same contraindications (CI) as estrogen-progestogens",
"correct": false,
"justification": "No metabolic or cardiovascular IC",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The cycle disorders they can cause are sometimes poorly tolerated",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Their tolerance to forgetfulness is 12 hours",
"correct": false,
"justification": "3 hours for progestin-based contraceptives",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The micropill should be taken every day",
"correct": true,
"justification": "True, even during menstruation",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Personal history of ectopic pregnancy (GEU) is part of the contraindications (CI)",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
contraception-endoc-0 | contraception | endoc | Which of the following proposals concerning estrogen-progestogen is (are) correct? | [
{
"idx": 0,
"proposition": "They are also called combined oral contraceptives or combination pills and are composed of a synthetic or natural estrogen and a progestin",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Ethinyl-estradiol is a synthetic estrogen",
"correct": true,
"justification": "It can be replaced by 17β-estradiol",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The dosage of synthetic estrogen ranges from 15 to 50 μg",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Estrogens and progestins may contain a natural estrogen, estradiol",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The dose of estradiol in estrogen-progestogens is conventionally 1.5 mg",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
contraception-endoc-1 | contraception | endoc | Which of the following is (are) correct? | [
{
"idx": 0,
"proposition": "The first generation progestinfs are levonorgestrel and norgstrel",
"correct": false,
"justification": "1st generation = norethisterone and lynestrenol",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The third generation progestogens are gestodene and norgestimate",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Chlormadinone acetate is a toxic element contraindicated in humans",
"correct": false,
"justification": "Chlormadinone acetate is not toxic at all and is used in combination pills",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Nomegestrol acetate is in combination with levonorgestrel most often",
"correct": false,
"justification": "It is a progestin in combination with estradiol most often in estrogen-progestin pills",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Cyproterone acetate is a progestin used in combination pills",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
contraception-endoc-2 | contraception | endoc | Which of the following proposals regarding progestogens is (are) accurate? | [
{
"idx": 0,
"proposition": "The first generation progestins were obtained from the testosterone molecule",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Second-generation progestogens are gonans",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Third-generation progestogens have a very high affinity for the progesterone receptor and a lower affinity for the androgen receptor",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "3rd generation progestogens have very minor antigonadotropic activity",
"correct": false,
"justification": "Their antigonadotropic activity is very high and has reduced the dose of ethinylloestradiol used",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The androgenic effect of 3rd generation progestins is major",
"correct": false,
"justification": "They have a lesser androgenic effect, on the contrary",
"justfication": null,
"jusification": null
}
] | custom |
dlrabdogrossesse-gyn-0 | dlrabdogrossesse | gyn | Among these proposals, which fall into the triad of symptoms of retroplacental hematoma: | [
{
"idx": 0,
"proposition": "Vomiting",
"correct": false,
"justification": "Abdominal pain in stabbing, uterine contracture, metrorrhagia",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Abdominal defense",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Metrorrhagia",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Palpitations",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Balance disorders",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
dlrabdogrossesse-gyn-1 | dlrabdogrossesse | gyn | Regarding acute abdominal pain in pregnant women: | [
{
"idx": 0,
"proposition": "Abdominopelvic pain without metrorrhagia in the 1st trimester may be a telltale sign of an ectopic pregnancy",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "The severity argument suggests a retroplacental hematoma in the 2nd and 3rd trimesters",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Retroplacental hematoma is to be evoked systematically in the 2nd half of pregnancy",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Retroplacental hematoma is life-threatening for the fetus",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The HELLP Syndrome is to be evoked in case of epigatric pain or right hypochondrium",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
dlrabdogrossesse-gyn-2 | dlrabdogrossesse | gyn | Which propositions are true? | [
{
"idx": 0,
"proposition": "HELLP syndrome is life-threatening for mother and fetus",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Pregnancy can mask an abdominal defense",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Salpingitis is a common and relatively benign algic etiology in pregnant women",
"correct": false,
"justification": "Salpingitis and endometritis DO NOT exist in pregnant women!",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Diagnostic criteria for UTI are extremely different in pregnant women compared to non-pregnant women",
"correct": false,
"justification": "The diagnostic criteria are identical",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Urinary pathologies have no impact on pregnancy",
"correct": false,
"justification": "Careful! Urinary pathologies can trigger a threat of premature delivery",
"justfication": null,
"jusification": null
}
] | custom |
dlrabdogrossesse-gyn-3 | dlrabdogrossesse | gyn | Which of these propositions are true? | [
{
"idx": 0,
"proposition": "Pregnancy drastically reduces the frequency of urinary tract infections",
"correct": false,
"justification": "Caution: Pregnancy increases the frequency of urinary tract infections",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "PAD and UTI is a common association",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Uro-scanner is contraindicated in pregnant women",
"correct": false,
"justification": "Renal colic: The uro-scanner is possible if the ultrasound is not contributory",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "A pyelocalicial dilation of 100 mm is physiological and frequent in pregnant women, especially on the left",
"correct": false,
"justification": "Be careful, a physiological moderate pyelocalicial dilation (< 20 mm) is common in pregnant women, especially on the right because of the physiological dextrorotation of the uterus",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Injected abdominal CT scan is strictly contraindicated during pregnancy",
"correct": false,
"justification": "Ultrasound is not always very effective because of pregnancy and injected abdominal CT is possible at any age of pregnancy (benefit/risk ratio)\"",
"justfication": null,
"jusification": null
}
] | custom |
dlrabdogrossesse-gyn-4 | dlrabdogrossesse | gyn | Which statements are true? | [
{
"idx": 0,
"proposition": "Digestive pathologies can trigger a threat of premature delivery",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Uterine palpation is looking for uterine contracture or deformity of the uterus",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Cardiotocographic recording is done from 25 SA",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Retroplacental hematoma is ultrasound diagnosis",
"correct": false,
"justification": "Retroplacental hematoma is exceptionally seen in ultrasound, the diagnosis is clinical",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "The BU always shows the presence of blood in case of metrorrhagia",
"correct": true,
"justification": "TRUE\"",
"justfication": null,
"jusification": null
}
] | custom |
dlrabdogrossesse-gyn-5 | dlrabdogrossesse | gyn | Regarding acute abdominopelvic pain in pregnant women: | [
{
"idx": 0,
"proposition": "Ultrasound of the cervix is indicated only in case of imminent threat of delivery",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Renal and abdominal ultrasounds are made difficult by pregnancy",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "In the absence of an identified etiology, the patient is redirected to her general practitioner with a close consultation.",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "The 4 major etiological families are obstetrical, urinary, gynecological and digestive",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Urinary causes are only very rarely due to pain of this type",
"correct": false,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
dlrabdogrossesse-gyn-6 | dlrabdogrossesse | gyn | Which of the following are signs or symptoms of uterine rupture? | [
{
"idx": 0,
"proposition": "It is especially to be evoked in a nulliparous woman",
"correct": false,
"justification": "Especially in case of uterine scars (history of caesarean section in particular)",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Red-blooded metrorrhagia",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Pain outside of work",
"correct": false,
"justification": "Exceptional outside of work, it is especially during work that we evoke a uterine rupture",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Brutal pain",
"correct": true,
"justification": "True ++",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Uterine deformity",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
}
] | custom |
dlrabdogrossesse-gyn-7 | dlrabdogrossesse | gyn | Which of the following proposals is(are) possible cause(s) of acute abdominal pain in pregnant women? | [
{
"idx": 0,
"proposition": "Endometritis ",
"correct": false,
"justification": "rather in the postpartum period",
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "Salpingitis",
"correct": false,
"justification": "not found in pregnant women",
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "Ectopic pregnancy ",
"correct": true,
"justification": "True, especially in the first trimester, to evoke systematically",
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "HELPP Syndrome",
"correct": true,
"justification": "True especially in the context of hypertension or preeclampsia",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Uterine rupture ",
"correct": true,
"justification": "True, especially in cases of sudden pain, red blood metrorrhagia and uterine deformity",
"justfication": null,
"jusification": null
}
] | custom |
dlrbuccale-neuro-0 | dlrbuccale | neuro | Regarding primary headaches: | [
{
"idx": 0,
"proposition": "Primary headaches are far more common than secondary headaches",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 1,
"proposition": "They often evolve by paroxysmal crises and less often in a continuous and daily mode",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 2,
"proposition": "The diagnosis of a primary headache is clinical, based on questioning in particular",
"correct": true,
"justification": null,
"justfication": null,
"jusification": null
},
{
"idx": 3,
"proposition": "Additional examinations show an inflammatory syndrome in 60% of cases",
"correct": false,
"justification": "Complementary examinations are by definition normal",
"justfication": null,
"jusification": null
},
{
"idx": 4,
"proposition": "Primary headaches are mild and do not require management",
"correct": false,
"justification": "Although benign, primary headaches and essential facial neuralgia have a significant impact on quality of life",
"justfication": null,
"jusification": null
}
] | custom |
End of preview.