{
 "looked_at": 327,
 "kept": 317,
 "detached": 0,
 "unsure": 10,
 "unreadable": 0,
 "described": 0,
 "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",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 1168,
   "path": "images/doc_6/page_152_img_0.jpeg",
   "shows": "An image of a child's groin area showing what appears to be a rash or skin irritation, with yellow arrows pointing to areas of skin discoloration on the lower abdomen.",
   "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 ",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 1579,
   "path": "images/doc_8/page_171_img_0.jpeg",
   "shows": "An ECG showing a regular rhythm with wide QRS complexes and ST-T wave changes.",
   "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 ",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 1838,
   "path": "images/doc_9/page_129_img_0.jpeg",
   "shows": "A close-up image of a raised, reddish-orange, fluid-filled blister or 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",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 1861,
   "path": "images/doc_9/page_209_img_0.jpeg",
   "shows": "A microscopic image of red blood cells, some of which are crescent-shaped (sickle cells) and some appear to be target cells or have central pallor.",
   "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",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 1882,
   "path": "images/doc_9/page_283_img_0.jpeg",
   "shows": "A posterior view of a child's torso, showing broad shoulders and a relatively short neck, with no obvious scoliosis or other spinal deformities visible from this angle.",
   "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",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 1898,
   "path": "images/doc_9/page_338_img_0.jpeg",
   "shows": "A child's face with a red, bumpy rash around the mouth and on the cheeks.",
   "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",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 2523,
   "path": "images/doc_12/page_15_img_0.jpeg",
   "shows": "An ultrasound image displaying a hypoechoic mass with a measurement of 1.08 cm.",
   "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",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 2957,
   "path": "images/doc_13/page_582_img_0.webp",
   "shows": "A close-up image of a scalp with a patch of hair loss, showing some inflammation and pustules.",
   "stem": "A 6-year-old girl is undergoing evaluation of a \"bald spot\" on her scalp that was first noted 3 weeks ago. Since then, the area has grown somewhat smaller. The ",
   "kind": "clinical",
   "verdict": "unsure"
  },
  {
   "question_id": 3053,
   "path": "images/doc_23/page_27_img_0.jpeg",
   "shows": "A close-up, black and white image of a person's eye and eyebrow.",
   "stem": "The parents of a healthy 15-month-old boy arrive at your office inquiring about a small lump near his eyebrow that they have noticed for several weeks. They sta",
   "kind": "clinical",
   "verdict": "unsure"
  }
 ]
}