[
 {
  "id": 846,
  "path": "images/doc_5/page_419_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows a newborn with characteristic facial features described in the clinical vignette (short palpebrae, smooth philtrum, thin upper lip) that the examinees must observe to answer the questi"
 },
 {
  "id": 938,
  "path": "images/doc_5/page_709_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows a papular/maculopapular rash on skin that directly corresponds to the rash finding mentioned in the question stem's physical examination."
 },
 {
  "id": 947,
  "path": "images/doc_5/page_737_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows a retinal fundoscopic view displaying cherry-red spots, which is a key clinical finding explicitly mentioned in the question stem that the ophthalmologist noted during examination."
 },
 {
  "id": 951,
  "path": "images/doc_5/page_749_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The growth chart is referenced in the question stem as evidence of 'rapid height acceleration' and would be needed by the examinee to answer the question."
 },
 {
  "id": 1120,
  "path": "images/doc_6/page_38_img_0.jpeg",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "The image is a differential diagnosis table for molluscum contagiosum, which is completely unrelated to the cardiac arrest question stem and explanation about CPR and AED use."
 },
 {
  "id": 1125,
  "path": "images/doc_6/page_46_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The image is labeled 'ITEM C28C: Patient with CHARGE syndrome' which directly names a diagnosis, making it explanatory material that would give away the answer if shown during the test, rather than a "
 },
 {
  "id": 1143,
  "path": "images/doc_6/page_93_img_0.png",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "This is a citation/attribution line crediting the source material, not a clinical image, diagram, or content element used in either the question stem or explanation."
 },
 {
  "id": 1168,
  "path": "images/doc_6/page_152_img_0.jpeg",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "This image is anatomically inappropriate for a pediatric board exam and does not match any clinical finding described in the question stem about smoke inhalation or airway injury."
 },
 {
  "id": 1179,
  "path": "images/doc_6/page_189_img_0.png",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "This is a reference table about fat requirements by age from the American Academy of Pediatrics, unrelated to the clinical presentation or diagnosis of PTEN hamartoma tumor syndrome described in the q"
 },
 {
  "id": 1196,
  "path": "images/doc_6/page_213_img_0.jpeg",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "This is a pediatric growth chart showing body proportions at different ages, which is unrelated to the hepatitis C testing question and its explanation."
 },
 {
  "id": 1206,
  "path": "images/doc_6/page_251_img_0.jpeg",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "The image shows a table about pediatric craniofacial interventions by age group, which is completely unrelated to the HPV vaccine question and appears to be an extraction error."
 },
 {
  "id": 1213,
  "path": "images/doc_6/page_260_img_0.png",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The image shows a bulleted list of informed consent disclosure requirements, which is referenced in the explanation section as background context for understanding ethical medical practice, not as cli"
 },
 {
  "id": 1235,
  "path": "images/doc_6/page_316_img_0.jpeg",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "This table about delayed passage of stools in newborns is unrelated to the clinical scenario about a kidney laceration and bladder catheterization in an 11-year-old boy."
 },
 {
  "id": 1259,
  "path": "images/doc_7/page_20_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows a newborn's hand with visible digit abnormalities consistent with amniotic band syndrome, which is the clinical finding the question stem asks the examinee to identify and diagnose."
 },
 {
  "id": 1260,
  "path": "images/doc_7/page_22_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows an otoscopic view of a tympanic membrane that appears opaque, gray, and immobile, which directly corresponds to the clinical finding described in the question stem for diagnosing otiti"
 },
 {
  "id": 1285,
  "path": "images/doc_7/page_101_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows localized bullae and erosions on the feet and lower extremities of a neonate, which directly matches the clinical presentation described in the question stem that the examinee must eva"
 },
 {
  "id": 1418,
  "path": "images/doc_7/page_536_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows vesicles and papules in a linear arrangement on an infant's extremity, which directly matches the clinical presentation described in the question stem that the examinee must evaluate t"
 },
 {
  "id": 1425,
  "path": "images/doc_7/page_562_img_0.png",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The pedigree is annotated with diagnoses, ages, and genetic symbols that illustrate the inheritance pattern of fragile X syndrome described in the explanation, serving as a teaching diagram rather tha"
 },
 {
  "id": 1429,
  "path": "images/doc_7/page_576_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows the clinical presentation of petechial papulopurpuric rash on extremities (hands and legs) that directly corresponds to the patient presentation described in the question stem."
 },
 {
  "id": 1523,
  "path": "images/doc_7/page_880_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows the clinical presentation of a rash on the trunk that matches the case description, allowing the examinee to visualize the lesions before answering the question."
 },
 {
  "id": 1617,
  "path": "images/doc_8/page_310_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows the clinical presentation of a bright red, elevated lesion on the eyelid that matches the stem's description of an erythematous plaque on the left upper eyelid, which is essential for "
 },
 {
  "id": 1624,
  "path": "images/doc_8/page_336_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows a clinical photograph of a patient with the craniofacial features described in the question stem (micrognathia, glossoptosis, cleft palate appearance) that the examinee needs to observ"
 },
 {
  "id": 1706,
  "path": "images/doc_8/page_629_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows the clinical presentation of tinea capitis with alopecia, black-dot hairs, and crusted erosions that directly correspond to the physical findings described in the question stem."
 },
 {
  "id": 1745,
  "path": "images/doc_8/page_770_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows the characteristic wrinkled abdominal wall appearance that is explicitly described in the question stem as a key clinical finding the examiner is evaluating."
 },
 {
  "id": 1838,
  "path": "images/doc_9/page_129_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows a firm, mobile, reddish nodule on the lateral forehead of a child that matches the clinical presentation described in the question stem, and would be necessary for the examinee to visu"
 },
 {
  "id": 1879,
  "path": "images/doc_9/page_272_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows a fundoscopic view of the retina with a cherry-red spot at the fovea, which is the key ophthalmologic finding mentioned in the stem that the pediatrician referred the patient for asses"
 },
 {
  "id": 2040,
  "path": "images/doc_9/page_823_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image directly illustrates the clinical presentation described in the question stem: abdominal contents herniated to the right of the umbilical cord without a covering membrane, which is the key d"
 },
 {
  "id": 2045,
  "path": "images/doc_9/page_842_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows ocular findings (conjunctivitis with discharge and swelling) that directly correspond to the clinical presentation described in the question stem, which asks about eye drainage and swe"
 },
 {
  "id": 2046,
  "path": "images/doc_9/page_846_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows the clinical finding (caf\u00e9 au lait macules) that the question stem describes the patient presenting with, and it is necessary for the examinee to visualize to answer the question."
 },
 {
  "id": 2054,
  "path": "images/doc_9/page_876_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The table provides diagnostic reference information about Wilms tumor syndromes that would give away the answer if shown during the test, making it part of the explanation rather than the clinical sce"
 },
 {
  "id": 2285,
  "path": "images/doc_10/page_647_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows an intraoral examination of the pharynx and throat, which directly corresponds to the physical examination findings described in the question stem regarding pharyngeal inspection."
 },
 {
  "id": 2491,
  "path": "images/doc_11/page_689_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows the clinical presentation of skin lesions on lower extremities that matches the stem's description of firm, indurated lesions with shiny, waxy appearance characteristic of morphea."
 },
 {
  "id": 2511,
  "path": "images/doc_12/page_3_img_0.png",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "The table shows infant feeding schedules and is unrelated to the HIV vaccination question in the stem and explanation."
 },
 {
  "id": 2514,
  "path": "images/doc_12/page_6_img_0.jpeg",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "The image shows a ventilator management diagram unrelated to medication dosing errors, weight documentation, or acetaminophen toxicity discussed in the question stem and explanation."
 },
 {
  "id": 2545,
  "path": "images/doc_12/page_126_img_0.png",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The run chart showing 4-week moving averages of previsit planning completion over time with an intervention marker at week 63 is the visual data the examinee must analyze to answer the question about "
 },
 {
  "id": 2756,
  "path": "images/doc_12/page_841_img_0.png",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "This is a risk stratification table that categorizes cardiovascular risk levels with specific conditions, which is referenced in the explanation to support the clinical decision-making process rather "
 },
 {
  "id": 2764,
  "path": "images/doc_12/page_869_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows the clinical findings described in the question stem: ulcerative mucosal lesions on lips and oral mucous membranes that are characteristic of the patient's presentation."
 },
 {
  "id": 2813,
  "path": "images/doc_13/page_12_img_0.jpeg",
  "belongs": "neither",
  "confidence": 0.95,
  "reason": "The image is a clinical reference table about glomerulonephritides and complement levels, which is completely unrelated to the question stem about adolescent sexual orientation and identity developmen"
 },
 {
  "id": 2819,
  "path": "images/doc_13/page_66_img_0.jpx",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The image is a reference table of developmental milestones that serves as a diagnostic standard to compare against the patient's findings, which is typical of explanation material that supports the cl"
 },
 {
  "id": 2866,
  "path": "images/doc_13/page_250_img_0.jpx",
  "belongs": "explanation",
  "confidence": 0.85,
  "reason": "The image shows a poison ivy plant with characteristic three leaflets, which illustrates the diagnosis discussed in the explanation rather than depicting the patient's rash described in the stem."
 },
 {
  "id": 2924,
  "path": "images/doc_13/page_468_img_0.jpx",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The image is a labeled anatomical diagram showing different types of inguinal masses (normal, inguinal hernia, complete inguinal hernia, hydrocele, communicating hydrocele) with annotations, which is "
 },
 {
  "id": 3077,
  "path": "images/doc_23/page_103_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image shows the clinical presentation of a foot rash with scaling and interdigital involvement that matches the patient's described symptoms in the question stem, and would be necessary for the ex"
 },
 {
  "id": 3114,
  "path": "images/doc_23/page_220_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The table directly illustrates the desired properties of oral rehydration solutions discussed in the explanation, comparing appropriate solutions to inappropriate beverages."
 },
 {
  "id": 3169,
  "path": "images/doc_23/page_405_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.85,
  "reason": "The image appears to show a newborn with an abdominal wall defect (omphalocele), which is the key clinical finding described in the question stem that the examinee must observe to answer the question."
 },
 {
  "id": 3360,
  "path": "images/doc_23/page_704_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.85,
  "reason": "The image shows a close-up of scaly skin texture with 'SFS' watermark, appearing to be a clinical photograph illustrating the characteristic scaling of ichthyosis rather than a diagnostic image the ex"
 },
 {
  "id": 3646,
  "path": "images/doc_15/page_327_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The table directly illustrates the medication side effects discussed in the explanation, particularly showing that stimulants and SNRIs increase blood pressure while alpha-agonists decrease it, which "
 },
 {
  "id": 3648,
  "path": "images/doc_15/page_335_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "This is a clinical guideline table showing ROP screening timing recommendations that directly supports the explanation's discussion of when to screen for retinopathy of prematurity."
 },
 {
  "id": 3651,
  "path": "images/doc_15/page_345_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "This is an algorithm flowchart for screening newborns for critical congenital heart disease using pulse oximetry, which directly illustrates the management approach discussed in the explanation rather"
 },
 {
  "id": 3742,
  "path": "images/doc_15/page_679_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The image is a reference table listing contraindications to breastfeeding that directly supports the educational content and answer critique, not a clinical finding described in the stem."
 },
 {
  "id": 3746,
  "path": "images/doc_15/page_695_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.95,
  "reason": "The table illustrates the stepwise return-to-sport protocol described in the explanation, showing the progressive stages of activity that the patient should follow."
 },
 {
  "id": 3749,
  "path": "images/doc_15/page_706_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows multiple hyperpigmented macules on the chest and back, which directly corresponds to the caf\u00e9-au-lait spots described in the question stem as a key clinical finding."
 },
 {
  "id": 3750,
  "path": "images/doc_15/page_710_img_0.jpeg",
  "belongs": "explanation",
  "confidence": 0.85,
  "reason": "These are MRI images of the spine showing spinal cord compression, which illustrate the diagnosis discussed in the explanation rather than a finding the examinee must interpret from the stem."
 },
 {
  "id": 3751,
  "path": "images/doc_15/page_713_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows the clinical presentation of a maculopapular rash on the torso, arms, and legs with excoriation that matches the rash described in the question stem, which the examinee must evaluate t"
 },
 {
  "id": 3790,
  "path": "images/doc_15/page_860_img_0.jpeg",
  "belongs": "stem",
  "confidence": 0.95,
  "reason": "The image shows the clinical finding of ambiguous genitalia with virilization (phallic structure and fused labioscrotal folds) that is directly described in the question stem for the examinees to eval"
 }
]