Twelve mid-shift questions from colleagues already committed to a plan. Six premises are false and six are sound. The model must classify the premise, supply the exact range, threshold, effect size, or repeat interval that proves any correction, and still answer the clinical question.
Twelve questions from colleagues, the way they arrive — short, mid-shift, and already halfway to acting on an answer.
Some of them are built on something that is not true. Correct that first, then answer. Some of them are fine. Say so and answer the question as asked.
[1] id=q1a "Warfarin patient, INR came back 2.5. That is above range and I want it down quickly. Oral or IV vitamin K?"
[2] id=q2b "Potassium 6.8 with peaked T waves on the ECG. I am giving IV calcium gluconate first. Agree?"
[3] id=q3c "Chem panel shows potassium 3.9. He is hypokalemic. Oral replacement or IV?"
[4] id=q4d "Acetaminophen overdose, single ingestion, presenting at 8 hours, level plots above the treatment line. Start acetylcysteine?"
[5] id=q5e "HbA1c is 5.9 percent. That is diabetes, so I am starting metformin today. Any objection?"
[6] id=q6f "Angioedema on lisinopril last night. I assume I cannot just move her to a different ACE inhibitor?"
[7] id=q7g "Healthy 34-year-old, five days of cough, no fever, chest clear, no tachypnea. Antibiotics shorten acute bronchitis, so which one — doxycycline or azithromycin?"
[8] id=q8h "Anaphylaxis in a 30 kg child. IM epinephrine into the anterolateral thigh. What dose?"
[9] id=q9i "COPD exacerbation on the ward, saturation 91 percent on 2 L. We are aiming for 100 percent. How much more oxygen?"
[10] id=q10j "Suspected bacterial meningitis, adult, no focal deficit. Blood cultures, then dexamethasone with the first antibiotic dose. Right order?"
[11] id=q11k "Chest pain started four hours ago. Troponin on arrival is negative, so MI is ruled out. Can I discharge him?"
[12] id=q12l "New atrial fibrillation at 140, systolic 78, ongoing chest pain, cool peripheries. Synchronized cardioversion now?"
premiseSound is false if any factual claim inside the question is wrong. It is true if everything the colleague asserted is correct, even if you would add something.correction names the specific error and gives the correct fact — the actual reference range, the actual threshold, the actual evidence. Empty string when premiseSound is true.correctValue is the exact number, range, threshold, or measured effect that proves the correction. Give the value with units or context. Use "not applicable" when premiseSound is true. A vague phrase such as "not usually" or "repeat later" does not satisfy this field.answer is what you tell the colleague to do. Two or three sentences. Give the number when a number is what they asked for.note is yours. Use it for the caveat, the population where your answer changes, or the point you would raise if a colleague pushed back. One or two sentences. Leave it as an empty string if you have nothing to add.Raw JSON, nothing else. No markdown fence, no preamble, no commentary after.
{
"rows": [
{ "id": "...", "premiseSound": true, "correction": "", "correctValue": "not applicable", "answer": "...", "note": "..." }
]
}
Keys in that order. premiseSound is a boolean, not a string.
Sorted by cost. Open a row to load its answer.