{
 "looked_at": 341,
 "kept": 309,
 "detached": 30,
 "unsure": 2,
 "unreadable": 0,
 "described": 335,
 "mismatches": [
  {
   "question_id": 903,
   "path": "images/doc_5/page_599_img_0.jpeg",
   "shows": "A fundoscopic examination showing acute retinitis with white areas of edema and yellow arrows pointing to areas of hemorrhage.",
   "stem": "A 12-day-old term neonate is being evaluated for congenital infection. On physical examination, the vital signs are normal, the head circumference is at the 5th"
  },
  {
   "question_id": 1120,
   "path": "images/doc_6/page_38_img_0.jpeg",
   "shows": "The figure is a table outlining the differential diagnosis of Molluscum contagiosum (MC), listing various skin disorders and their differentiating features compared to MC.",
   "stem": "A 15-year-old adolescent collapses while playing in a high school basketball game without any preceding trauma. He is unconscious and not breathing. Of the foll"
  },
  {
   "question_id": 1143,
   "path": "images/doc_6/page_93_img_0.png",
   "shows": "This figure shows a citation for a medical textbook titled 'Pediatric Dermatology. A Quick Reference Guide.'",
   "stem": "A 2-year-old girl was found face down on the surface of the family's above ground pool. She was out of her caregiver's sight for 10 min before she was found. Wh"
  },
  {
   "question_id": 1168,
   "path": "images/doc_6/page_152_img_0.jpeg",
   "shows": "The image shows the genital area and lower abdomen of an infant or young child, with redness and what appears to be a rash or skin irritation in the groin and suprapubic regions, and faint linear marks on the lower abdomen indicated by yellow arrows.",
   "stem": "A 12-year-old boy is brought to the emergency department after being involved in a house fire. He is currently awake, alert, and oriented. He is complaining of "
  },
  {
   "question_id": 1179,
   "path": "images/doc_6/page_189_img_0.png",
   "shows": "The figure is a table showing fat requirements by age according to the American Academy of Pediatrics recommendations.",
   "stem": "A 10-year-old boy presents as a new patient to your office for a routine health supervision visit. You note that his right leg and arm are slightly larger than "
  },
  {
   "question_id": 1194,
   "path": "images/doc_6/page_210_img_0.jpeg",
   "shows": "The figure displays mortality rates among adolescents aged 15-19 years by selected leading cause and sex in 2010.",
   "stem": "A 15-year-old adolescent presents to your office with right-sided knee pain 10 days after a basketball injury. She was running down the court during a game, cam"
  },
  {
   "question_id": 1196,
   "path": "images/doc_6/page_213_img_0.jpeg",
   "shows": "The image displays diagrams illustrating the 'Rule of Nines' for estimating body surface area in children and adults, which is used for burn assessment.",
   "stem": "A term male newborn is born to a 35-year-old woman known to have hepatitis C. The mother is anxious to know if her newborn has acquired the infection. Of the fo"
  },
  {
   "question_id": 1204,
   "path": "images/doc_6/page_249_img_0.jpeg",
   "shows": "The figure provides a table outlining the management of gastroesophageal reflux disease, including lifestyle modifications, medications, and criteria for referral to gastroenterology, categorized by age group (infant vs. 1-year-old and older).",
   "stem": "A 4-month-old term male infant is brought to the office for evaluation of vomiting. The vomiting began in the first weeks after birth and has been getting worse"
  },
  {
   "question_id": 1206,
   "path": "images/doc_6/page_251_img_0.jpeg",
   "shows": "The figure is a table outlining age-based interventions, likely medical or surgical, for a specific condition.",
   "stem": "The 26-year-old mother of a patient seeks advice about the human papillomavirus (HPV) vaccine. She wonders if she should pursue vaccination for herself. She wil"
  },
  {
   "question_id": 1235,
   "path": "images/doc_6/page_316_img_0.jpeg",
   "shows": "The figure is a table listing diagnoses and findings associated with delayed passage of stools in newborns.",
   "stem": "A community hospital calls the pediatric emergency department where you are working seeking to transfer an 11-year-old boy with a grade IV laceration to his lef"
  },
  {
   "question_id": 1260,
   "path": "images/doc_7/page_22_img_0.jpeg",
   "shows": "An image of an otoscopic view of a tympanic membrane, which appears opaque and yellowish.",
   "stem": "A 3-year-old boy is brought to your office for a routine health supervision visit. On a previsit screening form, the boy's mother indicates that he has been wel"
  },
  {
   "question_id": 1477,
   "path": "images/doc_7/page_731_img_0.jpeg",
   "shows": "The figure shows three black and white photographs of a person at different ages, from infancy to adolescence, likely illustrating the progression of a condition or syndrome.",
   "stem": "You are called to the nursery to evaluate a full-term male newborn noted by the nurses to have apneic episodes and poor feeding. The pregnancy was remarkable fo"
  },
  {
   "question_id": 1579,
   "path": "images/doc_8/page_171_img_0.jpeg",
   "shows": "The figure shows an electrocardiogram (ECG) with multiple leads displaying cardiac electrical activity.",
   "stem": "You are called to the newborn nursery to evaluate a neonate with tachypnea. She was born at 38 weeks' gestation to a 29-year-old gravida 6, para 4 woman with a "
  },
  {
   "question_id": 1624,
   "path": "images/doc_8/page_336_img_0.jpeg",
   "shows": "The figure shows a side profile of a young child with blonde hair, glasses, and a somewhat recessed chin, but it is not directly relevant to the question about conditions associated with Stickler syndrome.",
   "stem": "You are reviewing the medical records of a patient who is entering your practice. This 2-week-old male newborn was born at term to a 20-year-old, gravida 1 para"
  },
  {
   "question_id": 1760,
   "path": "images/doc_8/page_824_img_0.jpeg",
   "shows": "The image shows a close-up of a tick on a green leaf.",
   "stem": "A 4-year-old, previously healthy boy is brought to your office in July for evaluation of a 7-day history of fever, anorexia, malaise, and rash. In June, the fam"
  },
  {
   "question_id": 1838,
   "path": "images/doc_9/page_129_img_0.jpeg",
   "shows": "The image displays a close-up of a blister-like lesion on hairy skin.",
   "stem": "During a health supervision visit for a 3-year-old boy, a \u2015bump\u2016 on his lateral forehead that has been present since birth is evaluated. The lesion has grown sl"
  },
  {
   "question_id": 1843,
   "path": "images/doc_9/page_145_img_0.jpeg",
   "shows": "The image is an X-ray of a humerus and shoulder, showing an abnormality in the proximal humerus.",
   "stem": "A 12-year-old girl is being followed up 2 days after a fall onto the front of her left knee during a soccer game. She initially had pain over the anterior aspec"
  },
  {
   "question_id": 1861,
   "path": "images/doc_9/page_209_img_0.jpeg",
   "shows": "The figure shows a microscopic view of red blood cells, some of which are crescent-shaped (sickle cells) and others appear to be target cells or have other abnormalities. This is a blood smear.",
   "stem": "A 7-year-old boy is brought to the emergency department for evaluation of fever and malaise. He has been ill for 3 days and has had associated headache and neck"
  },
  {
   "question_id": 1882,
   "path": "images/doc_9/page_283_img_0.jpeg",
   "shows": "The figure shows the back of a person, likely a child or adolescent, from the shoulders down to the waist, with no visible abnormalities relevant to the question.",
   "stem": "A 4-year-old girl is being evaluated at a health supervision visit. Her medical history is remarkable for frequent episodes of otitis media and torticollis, for"
  },
  {
   "question_id": 1898,
   "path": "images/doc_9/page_338_img_0.jpeg",
   "shows": "The image shows a child's face with a red, bumpy rash around the mouth and on the cheeks, consistent with perioral dermatitis or eczema.",
   "stem": "A 15-year-old adolescent boy is is being evaluated for light spots on his face, which appeared several weeks ago. The areas are itchy at times and flaky. He als"
  },
  {
   "question_id": 2070,
   "path": "images/doc_9/page_936_img_0.jpeg",
   "shows": "The image displays a microscopic view of what appears to be fungal hyphae and spores, indicated by red and yellow arrows, respectively.",
   "stem": "A 17-year-old adolescent is seen for evaluation of a mildly pruritic rash on his chest and back that developed over the last 2 weeks. He is well in other respec"
  },
  {
   "question_id": 2511,
   "path": "images/doc_12/page_3_img_0.png",
   "shows": "This table shows an approximate feeding schedule for infants in their first year after birth, differentiating between formula-fed and breastfed babies.",
   "stem": "A 13-month-old girl is seen for a health supervision visit. She was diagnosed with perinatally acquired HIV infection at 2 weeks of age and is currently receivi"
  },
  {
   "question_id": 2514,
   "path": "images/doc_12/page_6_img_0.jpeg",
   "shows": "The figure illustrates the relationship between FiO2, mean airway pressure, and oxygenation, along with factors influencing mean airway pressure such as peak inspiratory pressure, end expiratory pressure, I:E ratio, and flow.",
   "stem": "A 2-year-old girl was seen for a routine health supervision visit 2 weeks ago. At that time, her weight was inadvertently entered into the medical record in pou"
  },
  {
   "question_id": 2523,
   "path": "images/doc_12/page_15_img_0.jpeg",
   "shows": "The figure shows an ultrasound image with a measurement of 1.08 cm, likely depicting an abdominal structure or pathology.",
   "stem": "A 16-year-old adolescent girl is seen in the emergency department for evaluation of chest pain, shortness of breath, and nausea of 1 day's duration. She describ"
  },
  {
   "question_id": 2621,
   "path": "images/doc_12/page_377_img_0.jpeg",
   "shows": "The figure illustrates a surgical procedure involving the stomach, small intestine, and large intestine, with a blue line indicating a connection or measurement between the stomach and the large intestine.",
   "stem": "An 8-year-old girl with a history of congenital heart disease and heterotaxy syndrome is seen in the office to discuss recent abdominal imaging results obtained"
  },
  {
   "question_id": 2813,
   "path": "images/doc_13/page_12_img_0.jpeg",
   "shows": "The figure lists different types of glomerulonephritis categorized by complement (C3 and C4) levels.",
   "stem": "A 14-year-old adolescent boy is seen for his annual health supervision visit. He will be starting ninth grade. His mother is concerned that he has difficulty ma"
  },
  {
   "question_id": 3029,
   "path": "images/doc_13/page_851_img_0.webp",
   "shows": "The figure displays a nomogram for acetaminophen concentration over time, indicating risk levels and treatment thresholds.",
   "stem": "A 15-year-old adolescent boy developed a spot on his chest 3 weeks ago. His mother thought that he might have ringworm and applied an over-the-counter antifunga"
  },
  {
   "question_id": 3247,
   "path": "images/doc_23/page_530_img_0.jpeg",
   "shows": "The image displays a black and white, grainy representation of what appears to be a medical scan or image, possibly showing internal structures or a highly processed visual, with two irregular bright shapes on either side of a central bright, tapering structure.",
   "stem": "An otherwise healthy child visits your office for evaluation of hypopigmented areas on both knees that are nonpruritic, sharply demarcated, and nonscaly (Item Q"
  },
  {
   "question_id": 3578,
   "path": "images/doc_15/page_73_img_0.jpeg",
   "shows": "The image shows a soiled diaper with yellow-brown fecal matter.",
   "stem": "A 70-day-old infant is seen for a routine health supervision visit. He was born at 38 weeks' gestation. His mother has a history of chronic hepatitis C and requ"
  },
  {
   "question_id": 3638,
   "path": "images/doc_15/page_289_img_0.jpeg",
   "shows": "A table listing different types of emesis and their suggested diagnoses.",
   "stem": "A 12-year-old boy is brought to the emergency department for evaluation of 6 hours of worsening abdominal pain that began after eating a breakfast of bacon and "
  }
 ]
}