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  1. .gitattributes +77 -0
  2. Conversetion_Data/Elder_mode(laxmikant)/ShenLab-MentalChat16K/Filterd/Interview_Data_6K.jsonl +3 -0
  3. Conversetion_Data/Elder_mode(laxmikant)/ShenLab-MentalChat16K/Filterd/Synthetic_Data_10K.jsonl +3 -0
  4. Conversetion_Data/Elder_mode(laxmikant)/SicariusSicariiStuff-text_adventures/Filterd/text_adventures2.jsonl +3 -0
  5. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)Kaggel(Inspirational Quotes)/Filterd/insparation.jsonl +0 -0
  6. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)NewEden-Orion-Completion-Sic-Text-Adventures/Filterd/rated-text-adventures_enriched.jsonl +0 -0
  7. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)ToastyPigeon-adventure-combined-no-slop-matches/Filterd/text_adventures.jsonl +0 -0
  8. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)gnumanth-dad-jokes/Filterd/test-00000-of-00001.jsonl +18 -0
  9. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)gnumanth-dad-jokes/Filterd/train-00000-of-00001.jsonl +44 -0
  10. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)kaggel(Highly Rated Children Books And Stories)/Filterd/children_books.jsonl +0 -0
  11. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)kaggel(Highly Rated Children Books And Stories)/Filterd/children_stories.jsonl +0 -0
  12. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)spoiled-ecqa_model_generate_roberta/Filterd/bart_base.jsonl +0 -0
  13. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)spoiled-ecqa_model_generate_roberta/Filterd/bart_large.jsonl +0 -0
  14. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)spoiled-ecqa_model_generate_roberta/Filterd/t5_base.jsonl +0 -0
  15. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)spoiled-ecqa_model_generate_roberta/Filterd/t5_large.jsonl +0 -0
  16. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)ziq-depression_advice/Filterd/test.jsonl +21 -0
  17. Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)ziq-depression_advice/Filterd/train.jsonl +81 -0
  18. Conversetion_Data/Elder_mode(laxmikant)/asoria-children-stories-dataset/Filterd/train-41658789-834c-4d9d-a9ad-d104e2a9906a.jsonl +4 -0
  19. Conversetion_Data/Elder_mode(laxmikant)/asoria-children-stories-dataset/Filterd/train-46f24301-8154-4859-8488-281adf930d19.jsonl +4 -0
  20. Conversetion_Data/Elder_mode(laxmikant)/asoria-children-stories-dataset/Filterd/train-66ded3f2-35e9-470a-85fb-925d03d498aa.jsonl +2 -0
  21. Conversetion_Data/Elder_mode(laxmikant)/emredeveloper-sentetic-data-children-stories-dataset/Filterd/train-00000-of-00001.jsonl +10 -0
  22. Conversetion_Data/Elder_mode(laxmikant)/kaggele(Dad-A-Base Of Jokes)/Filterd/dad_jokes.jsonl +418 -0
  23. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/all-processed_train.jsonl +3 -0
  24. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/chatdoctor_healthcaremagic_train.jsonl +3 -0
  25. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_cord19_train.jsonl +3 -0
  26. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_health_advice_train.jsonl +0 -0
  27. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_medical_flashcards_train.jsonl +3 -0
  28. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_mediqa_train.jsonl +3 -0
  29. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_medqa_train.jsonl +0 -0
  30. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_mmmlu_train.jsonl +0 -0
  31. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_pubmed_causal_train.jsonl +0 -0
  32. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_wikidoc_patient_information_train.jsonl +0 -0
  33. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/medical_meadow_wikidoc_train.jsonl +0 -0
  34. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/test-00000-of-00001-e85a5978cd03c7b2.jsonl +0 -0
  35. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/test-00000-of-00001-e85a5978cd03c7b2222.jsonl +0 -0
  36. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/text/(text)test-00000-of-00001-79ae06cf41235b55 (1).jsonl +0 -0
  37. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/text/(text)test-00000-of-00001-79ae06cf41235b55 (2).jsonl +0 -0
  38. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/text/(text)test-00000-of-00001-79ae06cf41235b55 (3).jsonl +0 -0
  39. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/text/(text)test-00000-of-00001-79ae06cf41235b55 (4).jsonl +94 -0
  40. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/text/(text)test-00000-of-00001.jsonl +0 -0
  41. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/train-00000-of-00001-4b2f461d6a9d40a9.jsonl +0 -0
  42. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/train-00000-of-00001-584fbfa2b2fb76d9.jsonl +3 -0
  43. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/train-00000-of-00001-5cef6b64f16aa96d.jsonl +0 -0
  44. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/train-00000-of-00003-bca4b34181d775cc.jsonl +3 -0
  45. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/train-00001-of-00003-a95d922a37bfc96e.jsonl +3 -0
  46. Conversetion_Data/Elder_mode(laxmikant)/lavita-medical-qa-datasets/Filterd/train-00002-of-00003-8a70cad4a213b11d.jsonl +3 -0
  47. Conversetion_Data/Elder_mode(laxmikant)/pandalla-Machine_Mindset_MBTI_dataset/Filterd/en_ENFJ_self_awareness.jsonl +0 -0
  48. Conversetion_Data/Elder_mode(laxmikant)/pandalla-Machine_Mindset_MBTI_dataset/Filterd/en_ENFP_self_awareness.jsonl +0 -0
  49. Conversetion_Data/Elder_mode(laxmikant)/pandalla-Machine_Mindset_MBTI_dataset/Filterd/en_ENTJ_self_awareness.jsonl +0 -0
  50. Conversetion_Data/Elder_mode(laxmikant)/pandalla-Machine_Mindset_MBTI_dataset/Filterd/en_ENTP_self_awareness.jsonl +0 -0
.gitattributes CHANGED
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  # Video files - compressed
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  *.mp4 filter=lfs diff=lfs merge=lfs -text
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+ {"text": "Astronomers got tired of watching the moon go round the earth for 24 hours, so they decided to call it a day."}
4
+ {"text": "What has twenty legs and flies? Five dead Horses."}
5
+ {"text": "What do you get hanging off banana trees? Sore arms."}
6
+ {"text": "What is Beethovens favorite fruit? A ba-na-na-na."}
7
+ {"text": "Found out I was colour blind the other day... That one came right out the purple."}
8
+ {"text": "Just read a few facts about frogs. They were ribbiting."}
9
+ {"text": "I was thinking about moving to Moscow but there is no point Russian into things."}
10
+ {"text": "How do you turn a duck into a soul singer? Put it in a microwave until its bill withers."}
11
+ {"text": "Whats big, red, and eats rocks? A big, red, rock-eater."}
12
+ {"text": "Where did Napoleon keep his armies? Up his sleevies."}
13
+ {"text": "What do you call a man with a rug on his head? Matt."}
14
+ {"text": "What did the pirate say on his 80th birthday? Aye matey"}
15
+ {"text": "What did the green grape say to the purple grape? Breathe, you fool, breathe!"}
16
+ {"text": "What do you call a sheep with no legs? A cloud."}
17
+ {"text": "Why do chicken coops only have two doors? Because if they had four, they would be chicken sedans."}
18
+ {"text": "What do you get if you cross the Atlantic with the Titanic? About halfway."}
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@@ -0,0 +1,44 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ {"text": "Where are the Andes? At the end of your armies."}
2
+ {"text": "I am terrified of elevators. Im going to start taking steps to avoid them."}
3
+ {"text": "Whats the difference between a jeweller and a prison warden? One sells watches, and the other watches cells."}
4
+ {"text": "Did you hear that the police have a warrant out on a midget psychic ripping people off? It reads Small medium at large."}
5
+ {"text": "My friends bakery burned down last night. Now his business is toast."}
6
+ {"text": "Who is the quickest draw in the ocean? Billy the Squid."}
7
+ {"text": "My cat just threw up on the carpet. I dont think its feline well."}
8
+ {"text": "I asked the checkout girl for a date. She said Theyre in the fruit aisle next to the bananas."}
9
+ {"text": "Whiteboards are remarkable."}
10
+ {"text": "What is the richest country in the world? Ireland. Its capital is always Dublin."}
11
+ {"text": "A red and a blue ship have just collided in the Caribbean. Apparently the survivors are marooned."}
12
+ {"text": "Why did the octopus beat the shark in a fight? Because it was well armed."}
13
+ {"text": "Ive deleted the phone numbers of all the Germans I know from my mobile phone. Now its Hans free."}
14
+ {"text": "I have kleptomania, but when it gets bad, I take something for it."}
15
+ {"text": "Why did the golfer bring two pairs of pants? In case he got a hole-in-one."}
16
+ {"text": "Where are average things built? In the satisfactory."}
17
+ {"text": "Yesterday a clown held a door open for me. I thought it was a nice jester."}
18
+ {"text": "What lies on the ocean floor and shivers? A nervous wreck."}
19
+ {"text": "What do you call a sketchy Italian neighbourhood? The Spaghetto."}
20
+ {"text": "What was Beethovens fifth favorite fruit? Ba-na-na-na."}
21
+ {"text": "How does a burglar get into your house? Intruder window."}
22
+ {"text": "People keep making apocalypse jokes like theres no tomorrow."}
23
+ {"text": "Singing in the shower is all fun and games until you get shampoo in your mouth. Then its a soap opera."}
24
+ {"text": "Last night me and my girlfriend watched three movies back to back. Luckily I was the one facing the TV."}
25
+ {"text": "Doorbells, dont knock em."}
26
+ {"text": "A proton, an electron, & a neutron walk into a bar. The proton orders a shot, drinks it, pulls out his wallet, and pays the bartender. The electron orders a shot, drinks it, pulls out his wallet, and pays the bartender. The neutron orders a shot, drinks it, then pulls out his wallet. The bartender stops him and says, for you, no charge..."}
27
+ {"text": "What do you get when you run over a bird with your lawnmower? Shredded tweet."}
28
+ {"text": "How do you count cows? A Cowculator"}
29
+ {"text": "Whats the advantage of living in Switzerland? Well, the flag is a big plus."}
30
+ {"text": "A Mexican magician says hell disappear on the count of 3; Uno... dos... poof.... He disappeared without a tres."}
31
+ {"text": "Milk is also the fastest liquid on earth. Its pasteurized before you even see it."}
32
+ {"text": "I used to be a banker but I lost interest"}
33
+ {"text": "What do you get if you drop a piano down a coal shaft? A flat minor."}
34
+ {"text": "Two guys walk into a bar, the third one ducks."}
35
+ {"text": "Today a girl said she recognized me from vegetarian club, but Im sure Ive never met herbivore."}
36
+ {"text": "A ham sandwich walks into a bar and orders a beer. The bartender looks at him and says, Sorry we dont serve food here."}
37
+ {"text": "How do you find Will Smith in the snow? You look for the fresh prints."}
38
+ {"text": "Whats the difference between a well dressed man on a a bicycle and a poorly dressed man on a tricycle? Attire!"}
39
+ {"text": "How do you make toast in the jungle? Pop your bread under a grilla."}
40
+ {"text": "I dreamed about drowning in an ocean made out of orange soda last night. It took me a while to work out it was just a Fanta sea."}
41
+ {"text": "I went to the doctor today and he told me I had type A blood, but it was a type O."}
42
+ {"text": "Why did the banana go to the doctors? He wasnt peeling very well."}
43
+ {"text": "Two atoms are walking down the street. One says, Oh no! I lost an electron!, The other asks him, Are you sure?, The first one says, Yeah, Im positive"}
44
+ {"text": "I hate perforated lines, theyre tearable."}
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@@ -0,0 +1,21 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ {"text": "Avoid alcohol and recreational drugs. It may seem like these make you feel better. But they can actually make it harder to treat your depression."}
2
+ {"text": "Don’t skip meals. Going too long between meals can make you feel irritable and tired, so aim to eat something at least every three to four hours."}
3
+ {"text": "Water is essential for all bodily functions. Drinking an adequate amount of water daily assists the body in removing toxins, improves the function of internal organs, and even enhances clear thinking."}
4
+ {"text": "Minimize sugar and refined carbs. You may crave sugary snacks, baked goods, or comfort foods such as pasta or French fries, but these “feel-good” foods quickly lead to a crash in mood and energy. Aim to cut out as much of these foods as possible."}
5
+ {"text": "Laughing is another method for increasing dopamine in the brain. Sitting down and watching comedy shows or movies, reading jokes, laughing with others, or merely thinking about amusing things that result in laughter can all boost dopamine levels and help with symptoms of depression."}
6
+ {"text": "Sleep is vital for our brain and body to regenerate, repair, and renew. Getting a good nights sleep each night improves overall health and energy levels, which can reduce symptoms of depression."}
7
+ {"text": "Notice good things. Depression affects a persons view of things. Things can seem dismal, negative, and hopeless. To shift your view, make it a goal to notice 3 good things in every day. The more you notice whats good, the more good you will notice."}
8
+ {"text": "Express yourself. With depression, your creativity and sense of fun may seem blocked. But it can help to do things that get your creative juices flowing. Paint, draw, or doodle. Sew, cook, or bake. Write, dance, or compose music. Chat with a friend or play with a pet. Find something to laugh about. Watch a funny movie. Do things you can enjoy. Even a little. That helps turn depression around."}
9
+ {"text": "One last important way that you can help yourself through any difficult situation is to be kind to yourself. Remember that it’s not your fault if you are feeling depressed. Be your own ally and show yourself plenty of compassion as you work through challenging situations and days where it seems like nothing will ever make you feel better. Depression is a highly treatable disorder and you can come out on the other side."}
10
+ {"text": "Dont dwell on problems. It can feel good to talk through a problem with a caring friend. But depression can lead people to complain, blame, and rehash problems too much. It can keep you focused on whats wrong."}
11
+ {"text": "Join a support group for depression. Being with others dealing with depression can go a long way in reducing your sense of isolation. You can also encourage each other, give and receive advice on how to cope, and share your experiences."}
12
+ {"text": "Try not to think too hard about the future, especially if this always leads to catastrophization, where you can only imagine the worst. Try and live in the moment whenever something positive is happening."}
13
+ {"text": "Talk to your therapist or doctor about medicine that can stop depression from coming back."}
14
+ {"text": "Make face-time a priority. Phone calls, social media, and texting are great ways to stay in touch, but they don’t replace good old-fashioned in-person quality time. The simple act of talking to someone face to face about how you feel can play a big role in relieving depression and keeping it away."}
15
+ {"text": "When a person is depressed, they often get into a routine that reinforces the symptoms of depression. For example, a depressed person may get up, go to work, come home, watch the same shows on TV each night, and then binge on unhealthy foods before going to bed. A schedule like this can keep a person feeling bad about themselves."}
16
+ {"text": "Practice relaxation techniques. A daily relaxation practice can help relieve symptoms of depression, reduce stress, and boost feelings of joy and well-being. Try yoga, deep breathing, progressive muscle relaxation, or meditation."}
17
+ {"text": "If you’re up for exercise, consider a walk around the block. On days when you feel as if you can’t get out of bed, exercise may seem like the last thing you’d want to do. However, exercise and physical activity can be powerful depression fighters. Research suggests that, for some people, exercise can be as effective as medication at relieving depression symptoms. It may also help prevent future depressive episodes. If you’re able to, take a walk around the block. Start with a five-minute walk and work your way up from there."}
18
+ {"text": "What you eat and drink can also affect how you feel. There’s no magic diet that will treat depression. But what you put into your body can have a real and significant impact on the way you feel. Some people also feel better and have more energy when they avoid sugar, preservatives, and processed foods. If you have the means, consider meeting with a doctor or registered dietitian for guidance."}
19
+ {"text": "Assess the parts instead of generalizing the whole. Depression can tinge recollections with negative emotions. You may find yourself focusing on the one thing that went wrong instead of the many things that went right. Try to stop this overgeneralization. Push yourself to recognize the good. If it helps, write down what was happy about the event or day. Then write down what went wrong. Seeing the weight you’re giving to one thing may help you direct your thoughts away from the whole and to the individual pieces that were positive."}
20
+ {"text": "Boost your mood with foods rich in omega-3 fatty acids. Omega-3 fatty acids play an essential role in stabilizing mood. The best sources are fatty fish such as salmon, herring, mackerel, anchovies, sardines, tuna, and some cold-water fish oil supplements."}
21
+ {"text": "Find exercises that are continuous and rhythmic. The most benefits for depression come from rhythmic exercise—such as walking, weight training, swimming, martial arts, or dancing—where you move both your arms and legs."}
Conversetion_Data/Elder_mode(laxmikant)/Text_Format_Data/(text)ziq-depression_advice/Filterd/train.jsonl ADDED
@@ -0,0 +1,81 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ {"text": "Dont think you can deal with depression on your own. Would you avoid medical help for a chronic physical disease? Talk to trusted friends and family, as well as seeking professional support."}
2
+ {"text": "Dont drink alcohol, especially not to excess. Although it can make you feel better in the short term, it doesnt solve anything, and can quickly introduce new issues. Also, it acts as a depressant, hindering other recovery efforts."}
3
+ {"text": "Know that today isn’t indicative of tomorrow. Today’s mood, emotions, or thoughts don’t belong to tomorrow. If you were unsuccessful at getting out of bed or accomplishing your goals today, remember that you haven’t lost tomorrow’s opportunity to try again. Give yourself the grace to accept that while some days will be difficult, some days will also be great. Try to look forward to tomorrow’s fresh start."}
4
+ {"text": "Find ways to support others. It’s nice to receive support, but research shows you get an even bigger mood boost from providing support yourself. So find ways—both big and small—to help others volunteer, be a listening ear for a friend, do something nice for somebody."}
5
+ {"text": "Take a dog for a walk. If you don’t own a dog, you can volunteer to walk homeless dogs for an animal shelter or rescue group. You’ll not only be helping yourself but also be helping to socialize and exercise the dogs, making them more adoptable."}
6
+ {"text": "Look for support from people who make you feel safe and cared for. The person you talk to doesn’t have to be able to fix you; they just need to be a good listener—someone who’ll listen attentively and compassionately without being distracted or judging you."}
7
+ {"text": "Many scientific studies on depression find that exercise is as useful for relieving mild to moderate depression as medication. Exercise has multiple positive benefits beyond helping with depression symptoms such as improved cardiovascular health, weight loss, and reduced risk for developing many chronic diseases."}
8
+ {"text": "Boost your B vitamins. Deficiencies in B vitamins such as folic acid and B-12 can trigger depression. To get more, take a B-complex vitamin supplement or eat more citrus fruit, leafy greens, beans, chicken, and eggs."}
9
+ {"text": "Spend time with family and friends. Think about joining a support group. Do things that keep you connected to others."}
10
+ {"text": "Aim for eight hours of sleep. Depression typically involves sleep problems; whether you’re sleeping too little or too much, your mood suffers. Get on a better sleep schedule by learning healthy sleep habits."}
11
+ {"text": "Exercise helps with the symptoms of depression because it increases brain chemicals called endorphins. Even a few minutes a day of mild exercise can improve mood by elevating endorphin levels."}
12
+ {"text": "Practice gratitude. When you do something you love, or even when you find a new activity you enjoy, you may be able to boost your mental health more by taking time to be thankful for it. Research shows gratitude can have lasting positive effects on your overall mental health. What’s more, writing down your gratitude — including writing notes to others — can be particularly meaningful."}
13
+ {"text": "Starting these self-help actions may seem challenging at first to a depressed person. However, making even a small change each day can quickly build momentum and increase energy as symptoms of depression begin to subside. Taking small, daily steps toward a healthier life can have a significant effect on the reduction of mild to moderate symptoms of depression."}
14
+ {"text": "When someone is depressed, they often engage in negative thinking. Thoughts such as, Im a failure, No one likes me, or Ill always feel this way, are common in a depressed persons mind. Negative thoughts like these become an unconscious habit, reinforcing the feeling of depression."}
15
+ {"text": "Avoid comparing yourself, and your life, with other people. Youre almost certainly not seeing the reality, and it will only make you feel worse if you come up short. That is particularly true on social media, where most people just share the best parts of their lives."}
16
+ {"text": "Changing routines can help to rewire the pathways of dopamine in the brain, an important brain chemical linked to feelings of happiness. The changes in routine do not need to be large to have a positive effect."}
17
+ {"text": "Listening to music. Research shows music can be a great way to boost your mood and improve symptoms of depression. It may also help you strengthenTrusted Source your reception of positive emotions. Music may be especially beneficial when performed in group settings, such as a musical ensemble or band. You can also reap some of the same rewards simply by listening."}
18
+ {"text": "Try to keep up with social activities even if you don’t feel like it. Often when you’re depressed, it feels more comfortable to retreat into your shell, but being around other people will make you feel less depressed."}
19
+ {"text": "Avoid cigarettes and alcohol. They may feel like they’re helping at first, but they make things worse in the long run."}
20
+ {"text": "Don’t make big life decisions on a day when you’re feeling down."}
21
+ {"text": "There is a strong tendency when we are depressed to become self-absorbed. Our problems loom large in our minds, adding to the feeling of being overwhelmed. A simple solution is to do something helpful for another person or to take care of a pet animal."}
22
+ {"text": "Getting enough sleep can also have a noticeable effect. Sleep disturbances are common with depression. You may not sleep well, or you may sleep too much. Both can make depression symptoms worse. Aim for eight hours of sleep per night. Try to get into a healthy sleeping routine. Going to bed and waking up at the same time every day can help you with your daily schedule. Getting the proper amount of sleep may also help you feel more balanced and energized throughout your day."}
23
+ {"text": "Dont fixate on depressing news and media. Bad news sells but gives an unrealistically pessimistic view of the world."}
24
+ {"text": "If you need to wallow, wallow — but do so constructively. Suppressing your feelings and emotions may seem like a strategic way to cope with the negative symptoms of depression. But this technique is ultimately unhealthy. If you’re having a down day, have it. Let yourself feel the emotions — but don’t stay there. Consider writing or journaling about what you’re experiencing. Then, when the feelings lift, write about that, too. Seeing the ebb and flow of depressive symptoms can be instructive for both self-healing and hope."}
25
+ {"text": "Schedule times to visit with family and friends or plan to grab lunch with a coworker so you have a specific time and place where you can lean on others when you’re feeling blue. You might also find that some of these people have experienced depression themselves and they might be able to relate with you on the subject and share ideas of what has helped them in the past or just lend an open ear."}
26
+ {"text": "Consider mindfulness, a technique you can learn to be fully engaged in the present. Studies show it can help reduce the symptoms of depression."}
27
+ {"text": "Resist the urge to wallow in sad music. It might speak to your current mood, but its unlikely to do much to lift it."}
28
+ {"text": "You may find it helpful to create a routine. If depressive symptoms disrupt your daily routine, setting a gentle schedule may help you feel in control. But these plans don’t have to map out an entire day. Focus on times when you feel the most disorganized or scattered. Your schedule could focus on the time before work or right before bed. Perhaps it’s only for the weekends. Focus on creating a loose, but structured, routine that can help you keep your daily pace going."}
29
+ {"text": "Its OK to air your thoughts and feelings with people who care. But dont let problems be all you talk about. Talk about good things too. This can help your mood become more positive."}
30
+ {"text": "Even if you are experiencing mild depression or a “funk,” you might find yourself drawing away from others, avoiding social situations, or not wanting to burden people with your feelings. One of the hardest but most helpful things you can do to see yourself through depression is to find that strong support circle and spend time with the people you love."}
31
+ {"text": "The critical point is finding wholesome foods you enjoy and training yourself to reach for these when hungry or feeling down."}
32
+ {"text": "We often accept our thoughts as real without challenging them. However, there is much wisdom in the saying, Dont believe everything you think."}
33
+ {"text": "Building a healthy new routine can be simple. For example, simply getting up and getting dressed in the morning rather than lounging around in pajamas is a small, but potentially significant change to daily habits."}
34
+ {"text": "Try something new entirely. When you do the same thing day after day, you use the same parts of your brain. You can challenge your neurons and alter your brain chemistry by doing something entirely different. Research also shows doing new things can improve your overall well-being and strengthen your social relationships. To reap these benefits, consider trying a new sport, taking a creative class, or learning a new cooking technique."}
35
+ {"text": "Eat well. A healthy diet can lift your mood and maintain your mental health."}
36
+ {"text": "It can be quite challenging to exercise when feeling depressed, so it is best to start small and do something enjoyable. Taking a short walk each day, doing ten minutes of calisthenics at home, or putting on some music and dancing are all suitable types of exercise for reducing depression."}
37
+ {"text": "Know yourself. Pay attention to the things that seem to make your symptoms worse. Keep notes and tell your doctor or therapist about it."}
38
+ {"text": "Any level of depression should be taken seriously and the faster you address the symptoms, the less likely you are to develop a more severe type of depression. Seeking professional help is a sign of bravery and self-respect because it shows that you are dedicated to caring for your mind and body. A therapist can offer more clinical advice and guide you through treatment with approaches that are more tailored to your specific situation and needs. However, if you are experiencing suicidal thoughts, tell someone you trust and seek assistance immediately."}
39
+ {"text": "Stick with your treatment plan. If you are on medicine, take it as prescribed, whether you feel good or not. Don’t skip therapy sessions. Let your doctor know what is and isn’t working for you."}
40
+ {"text": "Do something you enjoy. Depression can push you to give into your fatigue. It may feel more powerful than happy emotions. Try to push back and do something you love — something that’s relaxing, but energizing. It could be playing an instrument, painting, hiking, or biking. These activities can provide subtle lifts in your mood and energy, which may help you overcome your symptoms."}
41
+ {"text": "Before experiencing depression, you probably had plenty of interests, hobbies, and favorite activities that occupied your free time. Although you might have lost interest in those things recently, it doesn’t mean your passion has completely disappeared. Even when you don’t feel like it or you feel too exhausted to engage with anything, try to spend a little time doing the things that once brought you joy. This could be cooking a delicious meal, making artwork, listening to music, journaling, or even working on your car. Eventually, you will find yourself enjoying these activities again and feeling more like yourself each day."}
42
+ {"text": "Try not to stay in bed or to let your sleep patterns become chaotic. Insomnia can make depression much worse, and sticking to a regular sleep routine is the best way to avoid this."}
43
+ {"text": "Incorporating meditation may help ground your thoughts. Stress and anxiety can prolong your depression symptoms. Finding relaxation techniques can help you lower stress and invite more joy and balance into your day. Research suggests activities like meditation, yoga, deep breathing, and even journaling may help you improve your sense of well-being and feel more connected to what’s happening around you."}
44
+ {"text": "Set attainable goals. A lengthy to-do list may be so weighty that you’d rather do nothing. Instead of compiling a long list of tasks, consider setting one or two smaller goals. When you’ve done a small thing, set your eyes on another small thing, and then another. This way, you have a list of tangible achievements and not an untouched to-do list."}
45
+ {"text": "Reward your efforts. All goals are worthy of recognition, and all successes are worthy of celebration. When you achieve a goal, do your best to recognize it. You may not feel like celebrating with a cake and confetti, but recognizing your own successes can be a very powerful weapon against depression’s negative weight. The memory of a job well-done may be especially powerful against negative talk and overgeneralization."}
46
+ {"text": "Your fatigue will improve if you stick with it. Starting to exercise can be difficult when you’re depressed and feeling exhausted. But research shows that your energy levels will improve if you keep with it. Exercise will help you to feel energized and less fatigued, not more."}
47
+ {"text": "Dont lose hope. Therell be a time when life feels immeasurably better, and no matter how youre feeling now, that day will come sooner than you think."}
48
+ {"text": "Exercise. Take a 15- to 30-minute brisk walk every day. Or you can dance, stretch, or do yoga. People who are depressed may not feel much like being active. But get yourself to do it anyway. If you need a push, ask a friend to do it with you. Getting any activity started helps boost your mood. Keep it going."}
49
+ {"text": "Volunteering can be a great way to do both. Knock out a few birds with one stone — spending time with other people and doing something new — by volunteering and giving your time to someone or something else. You may be used to receiving help from friends, but reaching out and providing help may actually improve your mental health more."}
50
+ {"text": "getting outside into the sunshine! Sunlight and darkness trigger different hormones in your brain and too much time spent inside can have a huge impact on your mood. Along with boosting your serotonin levels, spending some time outside can help increase Vitamin D production, lower your blood pressure, build stronger bones, and allow you to get more quality sleep."}
51
+ {"text": "Try ways to fight stress, like meditation and yoga."}
52
+ {"text": "Talk about how you’re feeling. Talking to someone you trust, or finding peer support, can help you feel better and less alone."}
53
+ {"text": "Pair up with an exercise partner. Not only does working out with others enable you to spend time socializing, it can also help to keep you motivated. Try joining a running club, taking a water aerobics or dance class, seeking out tennis partners, or enrolling in a soccer or volleyball league."}
54
+ {"text": "Spend time in nature. Mother Nature can have a powerful influence on depression. Research suggests people who spend time in nature have improved mental health. Exposure to sunlight may offer some of the same benefits. It can increase your serotonin levels, which can provide a temporary mood boost. Consider taking a walk at lunch among the trees or spending some time in your local park. Or plan a weekend hike. These activities can help you reconnect with nature and soak in some rays at the same time."}
55
+ {"text": "The solution is finding wholesome foods you like, making sure you have plenty on hand, and eating these foods every day. Fresh fruit, salads, lean meats, oily fish such as salmon, and whole-grain bread are all good options, as long as you do not have a food allergy or another adverse reaction to the food."}
56
+ {"text": "Dont lock yourself away indoors. Ideally, you should try to maintain social contact, but if you really cant face this, at least get some fresh air and sunshine. Studies repeatedly show that spending time outdoors is a powerful way of reducing depression and anxiety."}
57
+ {"text": "Other ideas are calling friend each day, taking a short walk, writing in a journal, or spending half an hour listening to pleasurable music. Establishing new habits and routines also increases dopamine levels, which can reduce feelings of depression."}
58
+ {"text": "A simple solution is challenging negative thoughts with positive thinking. For example, a challenge to the idea Ill always feel this way. might be, How do I know that? or by thinking of a time when you did feel differently about life."}
59
+ {"text": "Calling a friend to ask how they are doing, volunteering at a local charity, helping a neighbor with yard work, or adopting a pet are only a few examples. When we help others, it raises our self-esteem, and we also get our minds off of our troubles. Any reprieve from depressed feelings can assist in improving positive thinking and elevating mood."}
60
+ {"text": "Eat healthy foods. Some people with depression dont feel much like eating. Some may overeat. But what you eat can affect your mood and energy. So with depression, you need to be sure to eat right. For most people, that means plenty of fruits, vegetables, and whole grains. Limit simple carbs and foods with added sugar. Dont go for too long without eating. Even if you dont feel hungry, eat something light and healthy."}
61
+ {"text": "Do the opposite of what the ‘depression voice’ suggests. The negative, irrational voice in your head may talk you out of self-help. However, if you can learn to recognize it, you can learn to replace it. Use logic as a weapon. Address each thought individually as it occurs. If you believe an event won’t be fun or worth your time, say to yourself, “You might be right, but it’ll be better than just sitting here another night.” You may soon see the negative isn’t always realistic."}
62
+ {"text": "Spend time with loved ones. Depression can tempt you to isolate yourself and withdraw from your friends and family, but face-to-face time can help wash away those tendencies. If you’re unable to spend time together in person, phone calls or video chats can also be helpful. Try to remind yourself these people care about you. Resist the temptation to feel like you’re a burden. You need the interaction — and they likely do, too."}
63
+ {"text": "Making a change in routine does not need to be complicated. For example, instead of heading straight for the TV after getting home from work, commit to taking a short walk first. Instead of having an unhealthy dinner, make a small effort to eat a more healthy meal."}
64
+ {"text": "Many people do not drink enough water and instead fill up on soft drinks, caffeinated beverages, and alcoholic drinks. These types of beverages cause the body to lose water, leading to dehydration."}
65
+ {"text": "Keep stress in check. Not only does stress prolong and worsen depression, but it can also trigger it. Figure out all the things in your life that stress you out, such as work overload, money problems, or unsupportive relationships, and find ways to relieve the pressure and regain control."}
66
+ {"text": "For some depressed people, the problem is not having enough of a routine and structure to their day. In this case, establishing a more structured routine can be of benefit in alleviating the symptoms of depression."}
67
+ {"text": "Add a mindfulness element, especially if your depression is rooted in unresolved trauma or fed by obsessive, negative thoughts. Focus on how your body feels as you move—such as the sensation of your feet hitting the ground, or the feeling of the wind on your skin, or the rhythm of your breathing."}
68
+ {"text": "Stay physically active. Exercise may feel like the last thing you want to do, but it can ease the symptoms of depression. Research suggests it may be as effective as antidepressants in helping you feel better."}
69
+ {"text": "It might be tempting to escape into video games or other virtual distractions, but dont overdo this. At best its avoidance, but at worst it further isolates you from the outside world, giving your problems a space in which to grow out of proportion."}
70
+ {"text": "Consider clinical treatment. You may also find it helpful to speak to a professional about what you’re going through. A general practitioner may be able to refer you to a therapist or other specialist. They can assess your symptoms and help develop a clinical treatment plan tailored to your needs. This may include traditional options, such as medication and therapy, or alternative measures, such as acupuncture. Finding the right treatment for you may take some time, so be open with your provider about what is and isn’t working. Your provider will work with you to find the best option."}
71
+ {"text": "Both depression and anxiety can contribute to insomnia, which could include difficulty falling and staying asleep. Making changes in your routine may help with getting a more restful sleep throughout the night."}
72
+ {"text": "Never feel guilty about your depression. Its an illness with both genetic and environmental roots. Its not your fault, youre not weak, and you cant just snap out of it."}
73
+ {"text": "For optimal health, adults need about two to three quarts of liquid a day beyond what they get from food. Keeping your body healthy helps reduce feelings of depression."}
74
+ {"text": "Think carefully before embarking on a new relationship unless youve got a handle on your problems. Its not fair to the other person unless theyre entirely in the picture, and any relationship failure linked to your depression will hurt you both badly."}
75
+ {"text": "Meet yourself where you are. Depression is common. It affects millions of people, including some in your life. You may not realize they face similar challenges, emotions, and obstacles. The key to self-treatment for depression is to be open, accepting, and loving toward yourself and what you’re going through."}
76
+ {"text": "Spend time in nature. Research shows that being in nature can make us feel happier, feel our lives are more worthwhile, and reduce our levels of depression."}
77
+ {"text": "Everyone experiences low points in their life and their mental health, but depression is a treatable mental illness and you can recover. Whether you or a loved one is feeling depressed, every person’s experience with mental illness is different but help is available. Visit our Key Services page to learn more about the treatment methods we offer and to explore our list of additional health and wellness classes to support your overall mental health."}
78
+ {"text": "When a person is depressed, they often tend to eat poorly. Sugary, salty, and high-fat junk food can bring a temporary feeling of comfort, but ultimately these foods cause spikes in blood sugar, weight gain, and bring on bad moods."}
79
+ {"text": "Dont ignore your issues. They wont solve themselves. Seeking help and addressing your problems is the only way forward, even though it can be painful to begin the journey."}
80
+ {"text": "Try talking therapy to stay well."}
81
+ {"text": "Care for a pet. While nothing can replace the human connection, pets can bring joy and companionship into your life and help you feel less isolated. Caring for a pet can also get you outside of yourself and give you a sense of being needed—both powerful antidotes to depression."}
Conversetion_Data/Elder_mode(laxmikant)/asoria-children-stories-dataset/Filterd/train-41658789-834c-4d9d-a9ad-d104e2a9906a.jsonl ADDED
@@ -0,0 +1,4 @@
 
 
 
 
 
1
+ {"person1": "Every Saturday, Rachel and her family would go for a walk in the park near their house. They would explore the trails, spot birds and squirrels, and breathe in the fresh air. Rachel loved running up and down the hills and chasing butterflies. After their walk, she always felt energized and happy. Going to the park each weekend was Rachels favorite part of the week.", "person2": "Appreciating nature and staying physically active"}
2
+ {"person1": "Sammy the seahorse loved to swim in the ocean every day. He knew that swimming was good for building his muscles and keeping his heart healthy. Each morning, Sammy would wake up early and do laps around the coral reef. Sometimes he would race with his friends, the clownfish and the starfish. Other times, he would practice his spinning and twirling moves. Sammy always felt so energized and happy after his daily swim. He encouraged all his underwater friends to join him, because he knew how important it was to stay active and fit.", "person2": "Daily swimming"}
3
+ {"person1": "Emma was excited for her weekly playdate with her friends. They gathered at the park and decided to play a fun cooperative game - building a fort together. Emma worked with her friends to gather sticks, leaves, and blankets to construct their fort. They worked as a team, sharing ideas and helping each other. Once the fort was complete, they played pretend games inside, laughing and having a great time. Emma learned that working together with her friends made the game much more enjoyable.", "person2": "Cooperation"}
4
+ {"person1": "In a cozy bedroom, Timmy snuggled under his blankets as his mother sat by his side. Time for your bedtime story, she said with a warm smile. Timmy listened eagerly as his mom read about a brave knight who conquered the monsters lurking in the dark. As the story unfolded, Timmys eyelids grew heavy, and soon he drifted off to sleep, dreaming of his own nighttime adventures. The next morning, Timmy felt well-rested and ready to start his day.", "person2": "Consistent bedtime routine, including reading a book"}
Conversetion_Data/Elder_mode(laxmikant)/asoria-children-stories-dataset/Filterd/train-46f24301-8154-4859-8488-281adf930d19.jsonl ADDED
@@ -0,0 +1,4 @@
 
 
 
 
 
1
+ {"person1": "Once upon a time, there was a group of children who loved to play all kinds of games. Their favorite was a game called Simon Says. In this game, one child would be the leader, known as Simon, and give instructions like Simon says touch your nose or Simon says jump up and down. The other children had to listen carefully and only follow the instructions when Simon said Simon says. If Simon just said jump up and down without saying Simon says first, the children had to stay still. The children who followed the wrong instructions were out of the game.Playing Simon Says helped the children practice paying close attention and remembering the rules. Over time, they found that their attention spans grew longer and they could remember things better, both at home and at school. The children realized that the fun game of Simon Says was actually helping them develop important skills for learning and life.", "person2": "Paying attention and improving memory"}
2
+ {"person1": "Timmy loved to draw and paint, but he often got distracted and would only do it once in a while. One day, a magical paintbrush appeared in his room. Whenever Timmy picked up the paintbrush, he felt a surge of inspiration and creativity. The paintbrush would guide his hand, helping him create beautiful pictures. Timmy started drawing and painting every day, and his skills kept improving. He discovered that the more he practiced, the better he became at expressing his ideas through art. Soon, Timmys room was filled with his colorful masterpieces, and he felt proud of his accomplishments.", "person2": "Encouraging daily drawing and painting"}
3
+ {"person1": "In a cozy home, there lived a family who loved to gather around the dinner table every evening. As they sat together, they would take turns sharing the highlights of their day - the funny moments, the challenges they faced, and the things they learned.Sitting together and talking openly helped the family members feel closer to one another. They were able to support each other, learn new things, and grow in their understanding of each others lives. The family dinner was a special time that promoted social interaction and communication skills for everyone.After the meal, the family would sometimes play games or read stories together, strengthening their bond even further. They knew that these family dinners were more than just a meal - they were a time to connect, share, and build lifelong relationships.", "person2": "Social interaction and communication skills"}
4
+ {"person1": "Timmy loved solving puzzles! Every day, he would sit with his parents and work on crosswords, sudoku, and other brain teasers. At first, some of the puzzles seemed really tough, but Timmy didnt give up. He would think carefully, try different strategies, and work through the challenges step-by-step. Soon, Timmys problem-solving skills got sharper and sharper. He started spotting patterns more easily and coming up with creative solutions. Timmys parents were so proud of how his mind was growing stronger with all the puzzle practice. They knew that regularly exercising his brain this way would help Timmy become an even better thinker and problem-solver.", "person2": "Regularly solving math puzzles and crosswords to sharpen problem-solving and analytical thinking skills"}
Conversetion_Data/Elder_mode(laxmikant)/asoria-children-stories-dataset/Filterd/train-66ded3f2-35e9-470a-85fb-925d03d498aa.jsonl ADDED
@@ -0,0 +1,2 @@
 
 
 
1
+ {"person1": "Once upon a time, there was a young boy named Timmy who loved to play all day long. But one morning, Timmys mom said he had to eat a healthy breakfast before running off to play. But Im not hungry! Timmy complained. You need to fuel your body with the right foods to have energy and focus all day, his mom explained. She served him a plate with scrambled eggs, whole wheat toast, and fresh fruit. At first, Timmy wasnt sure about the strange new foods. But as he took a bite, his taste buds were delighted! The eggs were fluffy, the toast was crunchy, and the fruit was sweet and juicy. Timmy finished every bite and felt ready to take on the day. From that day on, Timmy made sure to eat a balanced breakfast every single morning. He had more energy to play, and he could concentrate better in school. Timmy realized that a healthy breakfast was the key to being his best self!", "person2": "Eating a balanced breakfast every morning"}
2
+ {"person1": "In a cozy little cottage, there lived a young boy named Timmy who loved puzzles more than anything. Every day, he would sit at his desk, surrounded by a variety of puzzles - from jigsaw puzzles to logic puzzles and everything in between. Timmy was determined to solve them all, and he quickly discovered that the more puzzles he completed, the better he became at problem-solving. He learned to think critically, analyze patterns, and develop new strategies to overcome the challenges he faced.One day, Timmys friends came over to play, and they were amazed by his puzzle-solving skills. They begged him to teach them how to be as good as he was. Timmy happily agreed, and soon, the whole group was engrossed in puzzles, working together to find the solutions.As the days passed, Timmy and his friends noticed that their problem-solving abilities had improved significantly. They could tackle more complex puzzles with ease and even started using their new skills to solve problems in their everyday lives.The Puzzle Wizards love for puzzles had not only enriched his own life but also inspired his friends to develop their cognitive abilities and become better problem-solvers. And thats the power of engaging in age-appropriate puzzle-solving activities!", "person2": "Developing problem-solving skills and cognitive abilities"}
Conversetion_Data/Elder_mode(laxmikant)/emredeveloper-sentetic-data-children-stories-dataset/Filterd/train-00000-of-00001.jsonl ADDED
@@ -0,0 +1,10 @@
 
 
 
 
 
 
 
 
 
 
 
1
+ {"person1": "Once upon a time, in a small village, there lived a little girl named Lily. She loved to draw and paint, and her room was filled with colorful pictures of animals, flowers, and fantastical creatures. One day, Lilys grandmother gave her a magical paintbox that would bring her paintings to life. Every day, Lily would paint something new, and to her amazement, her creations would come alive. She painted a beautiful butterfly, and it fluttered out of the window. She painted a happy sun, and it shone brightly in the sky. As Lily continued to paint daily, she discovered that her creations were not only bringing joy to herself but also to the people around her. The villagers would gather around her window to watch her paintings come to life, and soon, the whole village was filled with colorful, vibrant artwork. Lilys daily painting habit had not only fostered her creativity but also brought happiness to her community.", "person2": "Drawing or painting for at least 30 minutes every day to develop fine motor skills and creativity."}
2
+ {"person1": "Once upon a time, in a small village, there lived a family of four - John, Mary, and their two children, Emily and Jack. They were always busy with their daily routines and barely had time to talk to each other. One day, Mary decided that they should start having dinner together every night, just like they used to when the kids were younger. At first, the kids were hesitant, but as they started sharing their days experiences and listening to each others stories, they realized how much they had been missing out. Emily would talk about her day at school, and Jack would share his adventures in the playground. John and Mary would share their experiences at work and the challenges they faced. As they sat together, they laughed, supported, and encouraged each other. The family dinner table became a magical place where they connected, shared, and created memories. As time passed, the family noticed a significant change in their relationships - they were closer, more supportive, and understood each other better. The kids grades improved, and John and Mary became better partners. The family dinner table had become the heart of their home, where love, laughter, and communication flowed freely.", "person2": "Having a regular family dinner where everyone shares their days experiences and listens to each other."}
3
+ {"person1": "Once upon a time, in a cozy little house, lived a young boy named Benny. Benny loved to play outside with his friends and have exciting adventures, but he often had trouble falling asleep at night. His parents noticed that he would stay up late, watching TV or playing games, and then feel tired and grumpy the next day. One evening, Bennys parents decided to help him establish a consistent bedtime routine. They started by setting a regular bedtime schedule, and then they added a special activity to help Benny wind down reading a book together before bed. Benny loved listening to stories and looking at pictures, and soon he found himself feeling sleepy and relaxed after their nightly reading sessions. As the days went by, Benny began to sleep better and feel more energized during the day. He could play with his friends, ride his bike, and have lots of fun without feeling tired. Benny learned that having a consistent bedtime routine, including reading a book, was like having a magical key to a good nights sleep and a happy, healthy life.", "person2": "Establishing a consistent bedtime routine that includes reading a book before sleep to improve sleep quality and overall health."}
4
+ {"person1": "Benny was a curious and energetic five-year-old who loved playing games with his friends. One sunny day, his teacher, Mrs. Thompson, introduced them to a classic game called Simon Says. In this game, Simon would give commands starting with Simon says followed by an action, such as Simon says touch your toes. However, if Simon didnt say Simon says before the action, the kids should not follow the command. Benny found this game incredibly fun and engaging. As they played, he noticed that he had to pay close attention to what Simon was saying to avoid doing the wrong action. This helped him improve his focus and memory, as he remembered which actions were said with Simon says and which werent. After a while, Benny realized that playing Simon Says wasnt just enjoyable, but it also helped him concentrate better in class and remember his lessons more effectively.", "person2": "Engaging in interactive games that challenge attention and memory, like Simon Says, on a regular basis to enhance cognitive skills."}
5
+ {"person1": "Benny was a young boy who loved playing video games and watching TV. However, his parents wanted him to spend more time outdoors and appreciate nature. So, every weekend, they would take him to the park for a walk. At first, Benny was hesitant, but as they started walking, he noticed the beautiful flowers, the singing birds, and the fresh air. He saw children playing tag, couples having picnics, and dogs running around. Bennys parents encouraged him to explore and play, and soon he was climbing trees, chasing butterflies, and making new friends. As the weeks went by, Benny looked forward to their weekend walks and started to notice the changing seasons, the different types of leaves, and the various animals that lived in the park. He learned about the importance of exercise, the value of spending time with family, and the beauty of nature.", "person2": "Establishing a regular weekend routine of taking children for a walk in the park to boost their physical activity levels and appreciation for nature."}
6
+ {"person1": "Benny was a curious and adventurous six-year-old who loved playing with puzzles. One day, his grandmother gave him a new puzzle book with different types of puzzles, such as mazes, word searches, and logic games. Benny was excited to start solving them. As he worked on each puzzle, he encountered challenges and obstacles, but he didnt give up. With each solved puzzle, he felt a sense of accomplishment and pride. His grandmother encouraged him to keep practicing and trying different types of puzzles. As Benny continued to engage in puzzle-solving activities, he noticed that he was getting better at solving problems in other areas of his life, such as building with blocks and playing strategy games with his friends. Benny realized that puzzle-solving was not only fun, but it also helped him develop important skills that he could use in many different situations.", "person2": "Engage in puzzle-solving activities for at least 15-20 minutes daily to improve problem-solving skills and cognitive development."}
7
+ {"person1": "Benny was a happy and energetic kid who loved playing with his friends. One day, he had an idea to organize a weekly playdate with his peers. He invited his friends, Emma, Max, and Olivia, to come over to his house every Friday afternoon. They would play cooperative games like building a big Lego castle, working together to solve puzzles, and playing team sports like soccer and basketball. Bennys friends loved the idea, and soon, his house became the go-to place for fun Fridays. They would take turns choosing the games and activities, and Bennys mom would provide them with yummy snacks and drinks. As they played together, they learned important skills like teamwork, communication, and problem-solving. They also made sure to clean up after themselves and put away the toys and games, so everything was organized and ready for the next playdate. Benny and his friends had the best time together, laughing and having fun, and they looked forward to their weekly playdate every week.", "person2": "Organizing regular playdates with peers to engage in cooperative games and activities, promoting teamwork, communication, and social skills."}
8
+ {"person1": "Once upon a time, in a sunny little town, there lived a young boy named Benny. Benny loved playing outside with his friends, but he often found himself feeling tired and sluggish in the mornings. One day, his mother sat him down and explained the importance of eating a balanced breakfast to kickstart his day. She told him that a mix of fruits, grains, and proteins would give him the energy he needed to play, learn, and have fun. Benny was excited to try this new approach. His mother prepared a delicious breakfast plate with scrambled eggs, whole-grain toast, and a variety of fresh fruits. Benny took a bite and was amazed at how tasty and fulfilling it was. From that day on, Benny made sure to eat a balanced breakfast every morning. He noticed a significant change in his energy levels and concentration, and he was able to focus better in school and have more fun with his friends. As the days went by, Benny became known as the most energetic and focused kid in his class, all thanks to his nutritious breakfast habit.", "person2": "Encourage children to develop a daily habit of eating a balanced breakfast that includes a variety of foods such as fruits, grains, and proteins to help them stay focused and energized throughout the day."}
9
+ {"person1": "Benny was a curious and bright 8-year-old who loved playing games and solving puzzles. One day, his grandfather, a retired math teacher, introduced him to the world of math puzzles and crosswords. Together, they started solving problems and filling out crosswords every weekend. At first, Benny found it challenging, but with each passing day, he became more confident and skilled. He began to enjoy the process of figuring out the answers and the sense of accomplishment when he solved a difficult puzzle. As they worked on these puzzles, Bennys grandfather explained the logic and reasoning behind each problem, helping Benny develop his analytical thinking skills. Soon, Benny started applying these skills to his everyday life, solving problems at school and even helping his friends with their math homework. Bennys parents and teachers noticed a significant improvement in his problem-solving abilities, and he became known as the puzzle master in his class.", "person2": "Regularly solving math puzzles and crosswords with a parent or guardian to sharpen problem-solving and analytical thinking skills."}
10
+ {"person1": "Benny was a young boy who loved playing outside, but he never thought about swimming as a way to stay healthy and strong. One day, his parents enrolled him in a daily swim session at the local pool. At first, Benny was hesitant, but as he started swimming, he realized how much fun it was. He made new friends, learned different strokes, and even got to play water games with his instructor. As the days went by, Benny noticed that he could run faster, jump higher, and had more energy to play with his friends. He also learned about the importance of muscle strengthening and cardiovascular health, and how swimming was helping him achieve these benefits. Bennys daily swim sessions became his favorite part of the day, and he looked forward to splashing around in the pool every morning.", "person2": "Establishing a daily swim routine to improve physical health and well-being."}
Conversetion_Data/Elder_mode(laxmikant)/kaggele(Dad-A-Base Of Jokes)/Filterd/dad_jokes.jsonl ADDED
@@ -0,0 +1,418 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ {"person1": "Did you hear about the guy whose whole left side was cut off?", "person2": "Hes all right now."}
2
+ {"person1": "Why didn’t the skeleton cross the road?", "person2": "Because he had no guts."}
3
+ {"person1": "What did one nut say as he chased another nut?", "person2": "Im a cashew!"}
4
+ {"person1": "Where do fish keep their money?", "person2": "In the riverbank"}
5
+ {"person1": "How come the stadium got hot after the game?", "person2": "Because all of the fans left."}
6
+ {"person1": "Why do seagulls fly over the ocean?", "person2": "Because if they flew over the bay, wed call them bagels."}
7
+ {"person1": "Why was it called the dark ages?", "person2": "Because of all the knights."}
8
+ {"person1": "Why did the tomato blush?", "person2": "Because it saw the salad dressing."}
9
+ {"person1": "Did you hear the joke about the wandering nun?", "person2": "She was a roman catholic."}
10
+ {"person1": "What creature is smarter than a talking parrot?", "person2": "A spelling bee."}
11
+ {"person1": "Why did the kid cross the playground?", "person2": "To get to the other slide."}
12
+ {"person1": "Why do birds fly south for the winter?", "person2": "Because its too far to walk."}
13
+ {"person1": "What is a centipedess favorite Beatle song?", "person2": "I want to hold your hand, hand, hand, hand..."}
14
+ {"person1": "Why does a Moon-rock taste better than an Earth-rock?", "person2": "Because its a little meteor."}
15
+ {"person1": "What do you call two barracuda fish?", "person2": "A Pairacuda!"}
16
+ {"person1": "What did the father tomato say to the baby tomato whilst on a family walk?", "person2": "Ketchup."}
17
+ {"person1": "Why is Peter Pan always flying?", "person2": "Because he Neverlands."}
18
+ {"person1": "What do you do on a remote island?", "person2": "Try and find the TV island it belongs to."}
19
+ {"person1": "Did you know that protons have mass?", "person2": "I didnt even know they were catholic."}
20
+ {"person1": "Wife Honey I’m pregnant. Me Well…. what do we do now?", "person2": "Wife Well, I guess we should go to a baby doctor. Me Hm.. I think I’d be a lot more comfortable going to an adult doctor."}
21
+ {"person1": "Have you heard the story about the magic tractor?", "person2": "It drove down the road and turned into a field."}
22
+ {"person1": "When will the little snake arrive?", "person2": "I dont know but he wont be long..."}
23
+ {"person1": "Why was Pavlovs beard so soft?", "person2": "Because he conditioned it."}
24
+ {"person1": "Do I enjoy making courthouse puns?", "person2": "Guilty"}
25
+ {"person1": "Why did the kid throw the clock out the window?", "person2": "He wanted to see time fly!"}
26
+ {"person1": "Hear about the new restaurant called Karma?", "person2": "There’s no menu You get what you deserve."}
27
+ {"person1": "Why couldnt the kid see the pirate movie?", "person2": "Because it was rated arrr!"}
28
+ {"person1": "What did the traffic light say to the car as it passed?", "person2": "Dont look Im changing!"}
29
+ {"person1": "Why did the man run around his bed?", "person2": "Because he was trying to catch up on his sleep!"}
30
+ {"person1": "What did one wall say to the other wall?", "person2": "Ill meet you at the corner!"}
31
+ {"person1": "How many South Americans does it take to change a lightbulb?", "person2": "A Brazilian"}
32
+ {"person1": "What do you call two guys hanging out by your window?", "person2": "Kurt & Rod."}
33
+ {"person1": "Why was the robot angry?", "person2": "Because someone kept pressing his buttons!"}
34
+ {"person1": "Which is the fastest growing city in the world?", "person2": "Dublin"}
35
+ {"person1": "What do you call a snake who builds houses?", "person2": "A boa constructor!"}
36
+ {"person1": "What is the difference between ignorance and apathy?", "person2": "I dont know and I dont care."}
37
+ {"person1": "Why did the sentence fail the driving test?", "person2": "It never came to a full stop."}
38
+ {"person1": "Whats the difference between a rooster and a crow?", "person2": "A rooster can crow but a crow cannot rooster."}
39
+ {"person1": "What do you get when you cross a pig and a pineapple?", "person2": "A porky pine"}
40
+ {"person1": "What did Romans use to cut pizza before the rolling cutter was invented?", "person2": "Lil Caesars"}
41
+ {"person1": "Why did the banana go to the doctor?", "person2": "He was not peeling well."}
42
+ {"person1": "Why are oranges the smartest fruit?", "person2": "Because they are made to concentrate."}
43
+ {"person1": "Why is it always hot in the corner of a room?", "person2": "Because a corner is 90 degrees."}
44
+ {"person1": "What did the beaver say to the tree?", "person2": "Its been nice gnawing you."}
45
+ {"person1": "How do you fix a damaged jack-o-lantern?", "person2": "You use a pumpkin patch."}
46
+ {"person1": "Why do cows not have toes?", "person2": "They lactose!"}
47
+ {"person1": "What did the late tomato say to the early tomato?", "person2": "I’ll ketch up"}
48
+ {"person1": "When is a door not a door?", "person2": "When its ajar."}
49
+ {"person1": "Why did Mozart kill all his chickens?", "person2": "Because when he asked them who the best composer was, theyd all say Bach bach bach!"}
50
+ {"person1": "How do you find Will Smith in the snow?", "person2": "Look for fresh prints."}
51
+ {"person1": "Why do trees seem suspicious on sunny days?", "person2": "Dunno, theyre just a bit shady."}
52
+ {"person1": "What did the drummer name her twin daughters?", "person2": "Anna One, Anna Two..."}
53
+ {"person1": "Whats large, grey, and doesnt matter?", "person2": "An irrelephant."}
54
+ {"person1": "What did the dog say to the two trees?", "person2": "Bark bark."}
55
+ {"person1": "Why cant your nose be 12 inches long?", "person2": "Because then itd be a foot!"}
56
+ {"person1": "Have you ever heard of a music group called Cellophane?", "person2": "They mostly wrap."}
57
+ {"person1": "What do you call a boy who stopped digging holes?", "person2": "Douglas."}
58
+ {"person1": "What did the mountain climber name his son?", "person2": "Cliff."}
59
+ {"person1": "Why should you never trust a pig with a secret?", "person2": "Because its bound to squeal."}
60
+ {"person1": "Why are mummys scared of vacation?", "person2": "Theyre afraid to unwind."}
61
+ {"person1": "What kind of dinosaur loves to sleep?", "person2": "A stega-snore-us."}
62
+ {"person1": "What has three letters and starts with gas?", "person2": "A Car."}
63
+ {"person1": "What’s Forest Gump’s Facebook password?", "person2": "1forest1"}
64
+ {"person1": "What kind of tree fits in your hand?", "person2": "A palm tree!"}
65
+ {"person1": "How many tickles does it take to tickle an octopus?", "person2": "Ten-tickles!"}
66
+ {"person1": "Me If humans lose the ability to hear high frequency volumes as they get older, can my 4 week old son hear a dog whistle?", "person2": "Doctor No, humans can never hear that high of a frequency no matter what age they are. Me Trick question... dogs cant whistle."}
67
+ {"person1": "What musical instrument is found in the bathroom?", "person2": "A tuba toothpaste."}
68
+ {"person1": "What was the pumpkin’s favorite sport?", "person2": "Squash."}
69
+ {"person1": "What do you call corn that joins the army?", "person2": "Kernel."}
70
+ {"person1": "Why dont skeletons ride roller coasters?", "person2": "They dont have the stomach for it."}
71
+ {"person1": "Is there a hole in your shoe?", "person2": "No… Then how’d you get your foot in it?"}
72
+ {"person1": "Whats the difference between a guitar and a fish?", "person2": "You can tune a guitar but you cant tuna fish!"}
73
+ {"person1": "Did you hear that the police have a warrant out on a midget psychic ripping people off?", "person2": "It reads “Small medium at large.”"}
74
+ {"person1": "Why dont sharks eat clowns?", "person2": "Because they taste funny."}
75
+ {"person1": "What do you call a fish with no eyes?", "person2": "A fsh."}
76
+ {"person1": "What do you get if you put a duck in a cement mixer?", "person2": "Quacks in the pavement."}
77
+ {"person1": "Where’s the bin?", "person2": "Dad I haven’t been anywhere!"}
78
+ {"person1": "Why did the knife dress up in a suit?", "person2": "Because it wanted to look sharp"}
79
+ {"person1": "Why do bears have hairy coats?", "person2": "Fur protection."}
80
+ {"person1": "What do you get when you cross a bee and a sheep?", "person2": "A bah-humbug."}
81
+ {"person1": "What did one snowman say to the other snow man?", "person2": "Do you smell carrot?"}
82
+ {"person1": "Dad, do you think its going to snow this winter?", "person2": "I dont know, its all up in the air"}
83
+ {"person1": "Why do bees hum?", "person2": "Because they dont know the words."}
84
+ {"person1": "What do you call a troublesome Canadian high schooler?", "person2": "A poutine."}
85
+ {"person1": "Where do bees go to the bathroom?", "person2": "The BP station."}
86
+ {"person1": "What is the best way to carve?", "person2": "Whittle by whittle."}
87
+ {"person1": "Whats a ninjas favorite type of shoes?", "person2": "Sneakers!"}
88
+ {"person1": "Why did the tree go to the dentist?", "person2": "It needed a root canal."}
89
+ {"person1": "Why do bananas have to put on sunscreen before they go to the beach?", "person2": "Because they might peel!"}
90
+ {"person1": "What do you call a bee that lives in America?", "person2": "A USB."}
91
+ {"person1": "Whats the difference between a hippo and a zippo?", "person2": "One is really heavy, the other is a little lighter."}
92
+ {"person1": "What concert costs only 45 cents?", "person2": "50 cent featuring Nickelback."}
93
+ {"person1": "What did the green grape say to the purple grape?", "person2": "BREATH!!"}
94
+ {"person1": "What do you call a dad that has fallen through the ice?", "person2": "A Popsicle."}
95
+ {"person1": "Bad at golf?", "person2": "Join the club."}
96
+ {"person1": "What do you call a pile of cats?", "person2": "A Meowtain."}
97
+ {"person1": "How do hens stay fit?", "person2": "They always egg-cercise!"}
98
+ {"person1": "Can a kangaroo jump higher than the Empire State Building?", "person2": "Of course. The Empire State Building cant jump."}
99
+ {"person1": "What do you give a sick lemon?", "person2": "Lemonaid."}
100
+ {"person1": "What do you call an old snowman?", "person2": "Water."}
101
+ {"person1": "Why don’t skeletons ever go trick or treating?", "person2": "Because they have nobody to go with."}
102
+ {"person1": "What does a female snake use for support?", "person2": "A co-Bra!"}
103
+ {"person1": "Child Dad, make me a sandwich. Dad Poof!", "person2": "Youre a sandwich."}
104
+ {"person1": "which flower is most fierce?", "person2": "Dandelion"}
105
+ {"person1": "Why are graveyards so noisy?", "person2": "Because of all the coffin."}
106
+ {"person1": "What kind of bagel can fly?", "person2": "A plain bagel."}
107
+ {"person1": "How many apples grow on a tree?", "person2": "All of them!"}
108
+ {"person1": "What do you call a careful wolf?", "person2": "Aware wolf."}
109
+ {"person1": "Why do valley girls hang out in odd numbered groups?", "person2": "Because they cant even."}
110
+ {"person1": "“My Dog has no nose.” “How does he smell?", "person2": "” “Awful”"}
111
+ {"person1": "What do you call a cow with no legs?", "person2": "Ground beef."}
112
+ {"person1": "Why are snake races so exciting?", "person2": "Theyre always neck and neck."}
113
+ {"person1": "Why did the half blind man fall in the well?", "person2": "Because he couldnt see that well!"}
114
+ {"person1": "What do bees do after they are married?", "person2": "They go on a honeymoon."}
115
+ {"person1": "Why doesnt the Chimney-Sweep call out sick from work?", "person2": "Because hes used to working with a flue."}
116
+ {"person1": "Why did Dracula lie in the wrong coffin?", "person2": "He made a grave mistake."}
117
+ {"person1": "What did one plate say to the other plate?", "person2": "Dinner is on me!"}
118
+ {"person1": "what do you call a dog that can do magic tricks?", "person2": "a labracadabrador"}
119
+ {"person1": "Doctor Do you want to hear the good news or the bad news?", "person2": "Patient Good news please. Doctor were naming a disease after you."}
120
+ {"person1": "What do computers and air conditioners have in common?", "person2": "They both become useless when you open windows."}
121
+ {"person1": "What do you call a monkey in a mine field?", "person2": "A babooooom!"}
122
+ {"person1": "How do you steal a coat?", "person2": "You jacket."}
123
+ {"person1": "Why dont you find hippopotamuses hiding in trees?", "person2": "Theyre really good at it."}
124
+ {"person1": "what happens when you cross a sheep with a kangaroo ?", "person2": "A woolly jumper!"}
125
+ {"person1": "Want to hear a joke about construction?", "person2": "Nah, Im still working on it."}
126
+ {"person1": "Why do choirs keep buckets handy?", "person2": "So they can carry their tune"}
127
+ {"person1": "Did you hear about the kidnapping at school?", "person2": "Its ok, he woke up."}
128
+ {"person1": "Did you hear about the two thieves who stole a calendar?", "person2": "They each got six months."}
129
+ {"person1": "Why cant eggs have love?", "person2": "They will break up too soon."}
130
+ {"person1": "Have you ever seen fruit preserves being made?", "person2": "Its jarring."}
131
+ {"person1": "Have you heard about the owl sanctuary job opening?", "person2": "It’s all night shifts but they’re all a hoot over there."}
132
+ {"person1": "Why cant you use Beef stew as a password?", "person2": "Because its not stroganoff."}
133
+ {"person1": "What did the piece of bread say to the knife?", "person2": "Butter me up."}
134
+ {"person1": "Why couldnt the lifeguard save the hippie?", "person2": "He was too far out, man."}
135
+ {"person1": "Why did the girl smear peanut butter on the road?", "person2": "To go with the traffic jam."}
136
+ {"person1": "How much does a hipster weigh?", "person2": "An instagram."}
137
+ {"person1": "A woman is on trial for beating her husband to death with his guitar collection. Judge says, ‘First offender?", "person2": "’ She says, ‘No, first a Gibson! Then a Fender!’"}
138
+ {"person1": "What kind of dog lives in a particle accelerator?", "person2": "A Fermilabrador Retriever."}
139
+ {"person1": "Whats blue and not very heavy?", "person2": "Light blue."}
140
+ {"person1": "Where did you learn to make ice cream?", "person2": "Sunday school."}
141
+ {"person1": "Where does Napoleon keep his armies?", "person2": "In his sleevies."}
142
+ {"person1": "What do you get if you cross a turkey with a ghost?", "person2": "A poultry-geist!"}
143
+ {"person1": "What is the tallest building in the world?", "person2": "The library – it’s got the most stories!"}
144
+ {"person1": "What kind of magic do cows believe in?", "person2": "MOODOO."}
145
+ {"person1": "What’s the longest word in the dictionary?", "person2": "Smiles. Because there’s a mile between the two S’s."}
146
+ {"person1": "Why dont eggs tell jokes?", "person2": "Theyd crack each other up"}
147
+ {"person1": "How many kids with ADD does it take to change a lightbulb?", "person2": "Lets go ride bikes!"}
148
+ {"person1": "Where do hamburgers go to dance?", "person2": "The meat-ball."}
149
+ {"person1": "I invented a new word!", "person2": "Plagiarism!"}
150
+ {"person1": "What do you call a cow with two legs?", "person2": "Lean beef."}
151
+ {"person1": "What did the big flower say to the littler flower?", "person2": "Hi, bud!"}
152
+ {"person1": "Why do pumpkins sit on people’s porches?", "person2": "They have no hands to knock on the door."}
153
+ {"person1": "Who is the coolest Doctor in the hospital?", "person2": "The hip Doctor!"}
154
+ {"person1": "Why was ten scared of seven?", "person2": "Because seven ate nine."}
155
+ {"person1": "What do you get when you cross a rabbit with a water hose?", "person2": "Hare spray."}
156
+ {"person1": "Why do nurses carry around red crayons?", "person2": "Sometimes they need to draw blood."}
157
+ {"person1": "Why was the shirt happy to hang around the tank top?", "person2": "Because it was armless"}
158
+ {"person1": "Why does a chicken coop only have two doors?", "person2": "Because if it had four doors it would be a chicken sedan."}
159
+ {"person1": "Why did the teddy bear say “no” to dessert?", "person2": "Because she was stuffed."}
160
+ {"person1": "Did you hear the one about the giant pickle?", "person2": "He was kind of a big dill."}
161
+ {"person1": "Breaking news!", "person2": "Energizer Bunny arrested – charged with battery."}
162
+ {"person1": "How many bones are in the human hand?", "person2": "A handful of them."}
163
+ {"person1": "Can February march?", "person2": "No, but April may."}
164
+ {"person1": "What is a witchs favorite subject in school?", "person2": "Spelling!"}
165
+ {"person1": "What do you call a crowd of chess players bragging about their wins in a hotel lobby?", "person2": "Chess nuts boasting in an open foyer."}
166
+ {"person1": "Which side of the chicken has more feathers?", "person2": "The outside."}
167
+ {"person1": "Why are fish easy to weigh?", "person2": "Because they have their own scales."}
168
+ {"person1": "What did the scarf say to the hat?", "person2": "You go on ahead, I am going to hang around a bit longer."}
169
+ {"person1": "Did you hear about the scientist who was lab partners with a pot of boiling water?", "person2": "He had a very esteemed colleague."}
170
+ {"person1": "What did the sea say to the sand?", "person2": "We have to stop meeting like this."}
171
+ {"person1": "Why is it so windy inside an arena?", "person2": "All those fans."}
172
+ {"person1": "A panda walks into a bar and says to the bartender “I’ll have a Scotch and . . . . . . . . . . . . . . Coke thank you”. “Sure thing” the bartender replies and asks “but what’s with the big pause?", "person2": "” The panda holds up his hands and says “I was born with them”"}
173
+ {"person1": "Where was the Declaration of Independence signed?", "person2": "At the bottom!"}
174
+ {"person1": "What’s the difference between an African elephant and an Indian elephant?", "person2": "About 5000 miles."}
175
+ {"person1": "What did the Zen Buddist say to the hotdog vendor?", "person2": "Make me one with everything."}
176
+ {"person1": "Why did the clown have neck pain?", "person2": "- Because he slept funny"}
177
+ {"person1": "What did the digital clock say to the grandfather clock?", "person2": "Look, no hands!"}
178
+ {"person1": "A weasel walks into a bar. The bartender says, Wow, Ive never served a weasel before. What can I get for you?", "person2": "Pop, goes the weasel."}
179
+ {"person1": "How was the snow globe feeling after the storm?", "person2": "A little shaken."}
180
+ {"person1": "Did you hear the one about the guy with the broken hearing aid?", "person2": "Neither did he."}
181
+ {"person1": "Did you hear about the campsite that got visited by Bigfoot?", "person2": "It got in tents."}
182
+ {"person1": "What did the Red light say to the Green light?", "person2": "Dont look at me Im changing!"}
183
+ {"person1": "What did the ocean say to the beach?", "person2": "Thanks for all the sediment."}
184
+ {"person1": "What did the left eye say to the right eye?", "person2": "Between us, something smells!"}
185
+ {"person1": "What do you call a fly without wings?", "person2": "A walk."}
186
+ {"person1": "Why did the melons plan a big wedding?", "person2": "Because they cantaloupe!"}
187
+ {"person1": "What is the least spoken language in the world?", "person2": "Sign Language"}
188
+ {"person1": "What do birds give out on Halloween?", "person2": "Tweets."}
189
+ {"person1": "Have you heard the rumor going around about butter?", "person2": "Never mind, I shouldnt spread it."}
190
+ {"person1": "Every morning when I go out, I get hit by bicycle. Every morning!", "person2": "Its a vicious cycle."}
191
+ {"person1": "What happens to a frogs car when it breaks down?", "person2": "It gets toad."}
192
+ {"person1": "What do you get when you cross a chicken with a skunk?", "person2": "A fowl smell!"}
193
+ {"person1": "Where do you take someone who’s been injured in a peek-a-boo accident?", "person2": "To the I.C.U."}
194
+ {"person1": "How many hipsters does it take to change a lightbulb?", "person2": "Oh, its a really obscure number. Youve probably never heard of it."}
195
+ {"person1": "Where do sheep go to get their hair cut?", "person2": "The baa-baa shop."}
196
+ {"person1": "Why did the miner get fired from his job?", "person2": "He took it for granite..."}
197
+ {"person1": "What did the hat say to the scarf?", "person2": "You can hang around. Ill just go on ahead."}
198
+ {"person1": "Where do cats write notes?", "person2": "Scratch Paper!"}
199
+ {"person1": "Why is the new Kindle screen textured to look like paper?", "person2": "So you feel write at home."}
200
+ {"person1": "What’s the advantage of living in Switzerland?", "person2": "Well, the flag is a big plus."}
201
+ {"person1": "Why did the cookie cry?", "person2": "It was feeling crumby."}
202
+ {"person1": "What did Yoda say when he saw himself in 4K?", "person2": "HDMI"}
203
+ {"person1": "How do you make a one disappear?", "person2": "You add a g and its gone"}
204
+ {"person1": "Where do you learn to make banana splits?", "person2": "At sundae school."}
205
+ {"person1": "What was a more important invention than the first telephone?", "person2": "The second one."}
206
+ {"person1": "What do you get when you cross a snowman with a vampire?", "person2": "Frostbite."}
207
+ {"person1": "What do you do when your bunny gets wet?", "person2": "You get your hare dryer."}
208
+ {"person1": "Did you know crocodiles could grow up to 15 feet?", "person2": "But most just have 4."}
209
+ {"person1": "Why did the fireman wear red, white, and blue suspenders?", "person2": "To hold his pants up."}
210
+ {"person1": "What do you call someone with no nose?", "person2": "Nobody knows."}
211
+ {"person1": "What do you call a girl between two posts?", "person2": "Annette."}
212
+ {"person1": "What do you call a criminal going down the stairs?", "person2": "Condescending"}
213
+ {"person1": "What do you call a fat psychic?", "person2": "A four-chin teller."}
214
+ {"person1": "Why cant a bicycle stand on its own?", "person2": "Its two-tired."}
215
+ {"person1": "What does a pirate pay for his corn?", "person2": "A buccaneer!"}
216
+ {"person1": "Is the pool safe for diving?", "person2": "It deep ends."}
217
+ {"person1": "Why do scuba divers fall backwards into the water?", "person2": "Because if they fell forwards they’d still be in the boat."}
218
+ {"person1": "How are false teeth like stars?", "person2": "They come out at night!"}
219
+ {"person1": "What time did the man go to the dentist?", "person2": "Tooth hurt-y."}
220
+ {"person1": "Did you hear about the cheese factory that exploded in France?", "person2": "There was nothing left but de Brie."}
221
+ {"person1": "How does a penguin build it’s house?", "person2": "Igloos it together."}
222
+ {"person1": "What is this movie about?", "person2": "It is about 2 hours long."}
223
+ {"person1": "Why are pirates called pirates?", "person2": "Because they arrr!"}
224
+ {"person1": "Where does Fonzie like to go for lunch?", "person2": "Chick-Fil-Eyyyyyyyy."}
225
+ {"person1": "How does a dyslexic poet write?", "person2": "Inverse."}
226
+ {"person1": "What did the pirate say on his 80th birthday?", "person2": "Aye Matey!"}
227
+ {"person1": "Why did the A go to the bathroom and come out as an E?", "person2": "Because he had a vowel movement."}
228
+ {"person1": "Why did the opera singer go sailing?", "person2": "They wanted to hit the high Cs."}
229
+ {"person1": "Whats a penguins favorite relative?", "person2": "Aunt Arctica."}
230
+ {"person1": "What do you call an elephant that doesn’t matter?", "person2": "An irrelephant."}
231
+ {"person1": "What do you call a group of disorganized cats?", "person2": "A cat-tastrophe."}
232
+ {"person1": "What is breads favorite number?", "person2": "Leaven."}
233
+ {"person1": "Why can’t you hear a pterodactyl go to the bathroom?", "person2": "The p is silent."}
234
+ {"person1": "How do you know if there’s an elephant under your bed?", "person2": "Your head hits the ceiling!"}
235
+ {"person1": "How do you teach a kid to climb stairs?", "person2": "There is a step by step guide."}
236
+ {"person1": "Where do owls go to buy their baby clothes?", "person2": "The owlet malls."}
237
+ {"person1": "Why does Norway have barcodes on their battleships?", "person2": "So when they get back to port, they can Scandinavian."}
238
+ {"person1": "Whats the worst part about being a cross-eyed teacher?", "person2": "They cant control their pupils."}
239
+ {"person1": "What do you call a fashionable lawn statue with an excellent sense of rhythmn?", "person2": "A metro-gnome"}
240
+ {"person1": "Why did the coffee file a police report?", "person2": "It got mugged."}
241
+ {"person1": "Why was the strawberry sad?", "person2": "Its parents were in a jam."}
242
+ {"person1": "Why are ghosts bad liars?", "person2": "Because you can see right through them!"}
243
+ {"person1": "Why does it take longer to get from 1st to 2nd base, than it does to get from 2nd to 3rd base?", "person2": "Because there’s a Shortstop in between!"}
244
+ {"person1": "What do you do when you see a space man?", "person2": "Park your car, man."}
245
+ {"person1": "Where do you take someone who has been injured in a Peek-a-boo accident?", "person2": "To the I.C.U."}
246
+ {"person1": "How do you make Lady Gaga cry?", "person2": "Poker face."}
247
+ {"person1": "What do you call a group of killer whales playing instruments?", "person2": "An Orca-stra."}
248
+ {"person1": "What did Michael Jackson name his denim store?", "person2": "Billy Jeans!"}
249
+ {"person1": "People saying boo!", "person2": "to their friends has risen by 85% in the last year.... Thats a frightening statistic."}
250
+ {"person1": "Why does Han Solo like gum?", "person2": "Its chewy!"}
251
+ {"person1": "Have you heard of the band 1023MB?", "person2": "They havent got a gig yet."}
252
+ {"person1": "What happens when you anger a brain surgeon?", "person2": "They will give you a piece of your mind."}
253
+ {"person1": "Q What did the spaghetti say to the other spaghetti?", "person2": "A Pasta la vista, baby!"}
254
+ {"person1": "Why is the ocean always blue?", "person2": "Because the shore never waves back."}
255
+ {"person1": "Why did the feline fail the lie detector test?", "person2": "Because he be lion."}
256
+ {"person1": "Why did the man put his money in the freezer?", "person2": "He wanted cold hard cash!"}
257
+ {"person1": "Why do ducks make great detectives?", "person2": "They always quack the case."}
258
+ {"person1": "What does a clock do when its hungry?", "person2": "It goes back four seconds!"}
259
+ {"person1": "What do I look like?", "person2": "A JOKE MACHINE!?"}
260
+ {"person1": "What is a tornados favorite game to play?", "person2": "Twister!"}
261
+ {"person1": "You know that cemetery up the road?", "person2": "People are dying to get in there."}
262
+ {"person1": "What do you call a fish wearing a bowtie?", "person2": "Sofishticated."}
263
+ {"person1": "Did you hear about the Mexican train killer?", "person2": "He had loco motives"}
264
+ {"person1": "Can I watch the TV?", "person2": "Dad Yes, but don’t turn it on."}
265
+ {"person1": "What is worse then finding a worm in your Apple?", "person2": "Finding half a worm in your Apple."}
266
+ {"person1": "What do vegetarian zombies eat?", "person2": "Grrrrrainnnnnssss."}
267
+ {"person1": "What is the hardest part about sky diving?", "person2": "The ground."}
268
+ {"person1": "Why did the cowboy have a weiner dog?", "person2": "Somebody told him to get a long little doggy."}
269
+ {"person1": "Who did the wizard marry?", "person2": "His ghoul-friend"}
270
+ {"person1": "How many seconds are in a year?", "person2": "12. January 2nd, February 2nd, March 2nd, April 2nd.... etc"}
271
+ {"person1": "Ever wondered why bees hum?", "person2": "Its because they dont know the words."}
272
+ {"person1": "How many optometrists does it take to change a light bulb?", "person2": "1 or 2? 1... or 2?"}
273
+ {"person1": "Did you hear about the cow who jumped over the barbed wire fence?", "person2": "It was udder destruction."}
274
+ {"person1": "Where does astronauts hangout after work?", "person2": "At the spacebar."}
275
+ {"person1": "What do you call a bear with no teeth?", "person2": "A gummy bear!"}
276
+ {"person1": "What do you call your friend who stands in a hole?", "person2": "Phil."}
277
+ {"person1": "How do you tell the difference between a crocodile and an alligator?", "person2": "You will see one later and one in a while."}
278
+ {"person1": "What do you call a fake noodle?", "person2": "An impasta."}
279
+ {"person1": "What do you call a droid that takes the long way around?", "person2": "R2 detour."}
280
+ {"person1": "Whats the best thing about elevator jokes?", "person2": "They work on so many levels."}
281
+ {"person1": "Where do rabbits go after they get married?", "person2": "On a bunny-moon."}
282
+ {"person1": "Why do cows wear bells?", "person2": "Because their horns dont work."}
283
+ {"person1": "Why is it a bad idea to iron your four-leaf clover?", "person2": "Cause you shouldnt press your luck."}
284
+ {"person1": "What did the fish say when it swam into a wall?", "person2": "Damn!"}
285
+ {"person1": "Why does Waldo only wear stripes?", "person2": "Because he doesnt want to be spotted."}
286
+ {"person1": "Why did the scarecrow win an award?", "person2": "Because he was outstanding in his field."}
287
+ {"person1": "Why does Superman get invited to dinners?", "person2": "Because he is a Supperhero."}
288
+ {"person1": "Why is no one friends with Dracula?", "person2": "Because hes a pain in the neck."}
289
+ {"person1": "What is the leading cause of dry skin?", "person2": "Towels"}
290
+ {"person1": "Did you know the first French fries werent actually cooked in France?", "person2": "They were cooked in Greece."}
291
+ {"person1": "Where did Captain Hook get his hook?", "person2": "From a second hand store."}
292
+ {"person1": "Where do young cows eat lunch?", "person2": "In the calf-ateria."}
293
+ {"person1": "How does a French skeleton say hello?", "person2": "Bone-jour."}
294
+ {"person1": "Why was the big cat disqualified from the race?", "person2": "Because it was a cheetah."}
295
+ {"person1": "What do prisoners use to call each other?", "person2": "Cell phones."}
296
+ {"person1": "What’s E.T. short for?", "person2": "He’s only got little legs."}
297
+ {"person1": "What kind of award did the dentist receive?", "person2": "A little plaque."}
298
+ {"person1": "Do you know where you can get chicken broth in bulk?", "person2": "The stock market."}
299
+ {"person1": "Whats orange and sounds like a parrot?", "person2": "A Carrot."}
300
+ {"person1": "What do you get hanging from Apple trees?", "person2": "Sore arms."}
301
+ {"person1": "How do you organize a space party?", "person2": "You planet."}
302
+ {"person1": "How do you make holy water?", "person2": "You boil the hell out of it."}
303
+ {"person1": "What does an angry pepper do?", "person2": "It gets jalapeño face."}
304
+ {"person1": "Hostess Do you have a preference of where you sit?", "person2": "Dad Down."}
305
+ {"person1": "Did you hear about the submarine industry?", "person2": "It really took a dive..."}
306
+ {"person1": "How do you get a baby alien to sleep?", "person2": "You rocket."}
307
+ {"person1": "Why do pirates not know the alphabet?", "person2": "They always get stuck at C."}
308
+ {"person1": "Did you hear about the chameleon who couldnt change color?", "person2": "They had a reptile dysfunction."}
309
+ {"person1": "Why did the house go to the doctor?", "person2": "It was having window panes."}
310
+ {"person1": "What do you call a dictionary on drugs?", "person2": "High definition."}
311
+ {"person1": "How do robots eat guacamole?", "person2": "With computer chips."}
312
+ {"person1": "Today, my son asked Can I have a book mark?", "person2": "and I burst into tears. 11 years old and he still doesnt know my name is Brian."}
313
+ {"person1": "When does a joke become a dad joke?", "person2": "When it becomes apparent."}
314
+ {"person1": "What’s brown and sounds like a bell?", "person2": "Dung!"}
315
+ {"person1": "What has a bed that you can’t sleep in?", "person2": "A river."}
316
+ {"person1": "Why do crabs never give to charity?", "person2": "Because they’re shellfish."}
317
+ {"person1": "What do you call a pig with three eyes?", "person2": "Piiig"}
318
+ {"person1": "How do you make a hankie dance?", "person2": "Put a little boogie in it."}
319
+ {"person1": "Sgt. Commissar!", "person2": "Commissar! The troops are revolting! Commissar Well, you’re pretty repulsive yourself."}
320
+ {"person1": "What dont watermelons get married?", "person2": "Because they cantaloupe."}
321
+ {"person1": "Did you hear about the cheese who saved the world?", "person2": "It was Legend-dairy!"}
322
+ {"person1": "What do you call cheese by itself?", "person2": "Provolone."}
323
+ {"person1": "How do you fix a broken pizza?", "person2": "With tomato paste."}
324
+ {"person1": "Whats red and bad for your teeth?", "person2": "A Brick."}
325
+ {"person1": "Why did the chicken get a penalty?", "person2": "For fowl play."}
326
+ {"person1": "Why did the burglar hang his mugshot on the wall?", "person2": "To prove that he was framed!"}
327
+ {"person1": "Why do we tell actors to “break a leg?", "person2": "” Because every play has a cast."}
328
+ {"person1": "How does a scientist freshen their breath?", "person2": "With experi-mints!"}
329
+ {"person1": "What has ears but cannot hear?", "person2": "A field of corn."}
330
+ {"person1": "How did Darth Vader know what Luke was getting for Christmas?", "person2": "He felt his presents."}
331
+ {"person1": "Whats the difference between a seal and a sea lion?", "person2": "An ion!"}
332
+ {"person1": "What did the Dorito farmer say to the other Dorito farmer?", "person2": "Cool Ranch!"}
333
+ {"person1": "Why do wizards clean their teeth three times a day?", "person2": "To prevent bat breath!"}
334
+ {"person1": "Someone asked me, whats the ninth letter of the alphabet?", "person2": "It was a complete guess, but I was right."}
335
+ {"person1": "Why are fish so smart?", "person2": "Because they live in schools!"}
336
+ {"person1": "How does the moon cut his hair?", "person2": "Eclipse it."}
337
+ {"person1": "Why did the worker get fired from the orange juice factory?", "person2": "Lack of concentration."}
338
+ {"person1": "Dad, can you put my shoes on?", "person2": "I dont think theyll fit me."}
339
+ {"person1": "How do you get two whales in a car?", "person2": "Start in England and drive West."}
340
+ {"person1": "What do you call an Argentinian with a rubber toe?", "person2": "Roberto"}
341
+ {"person1": "What did the ocean say to the shore?", "person2": "Nothing, it just waved."}
342
+ {"person1": "Did you hear the news?", "person2": "FedEx and UPS are merging. They’re going to go by the name Fed-Up from now on."}
343
+ {"person1": "Why didnt the number 4 get into the nightclub?", "person2": "Because he is 2 square."}
344
+ {"person1": "What do you call a sheep with no legs?", "person2": "A cloud."}
345
+ {"person1": "Why did the m&m go to school?", "person2": "Because it wanted to be a Smartie!"}
346
+ {"person1": "Did you hear that David lost his ID in prague?", "person2": "Now we just have to call him Dav."}
347
+ {"person1": "Why are basketball players messy eaters?", "person2": "Because they are always dribbling."}
348
+ {"person1": "Why do mathematicians hate the U.S.?", "person2": "Because its indivisible."}
349
+ {"person1": "Did you hear about the bread factory burning down?", "person2": "They say the business is toast."}
350
+ {"person1": "Whats black and white and read all over?", "person2": "The newspaper."}
351
+ {"person1": "Why are skeletons so calm?", "person2": "Because nothing gets under their skin."}
352
+ {"person1": "Did you know Albert Einstein was a real person?", "person2": "All this time, I thought he was just a theoretical physicist!"}
353
+ {"person1": "Why did the barber win the race?", "person2": "He took a short cut."}
354
+ {"person1": "Why did the octopus beat the shark in a fight?", "person2": "Because it was well armed."}
355
+ {"person1": "What did the doctor say to the gingerbread man who broke his leg?", "person2": "Try icing it."}
356
+ {"person1": "What did the judge say to the dentist?", "person2": "Do you swear to pull the tooth, the whole tooth and nothing but the tooth?"}
357
+ {"person1": "What time is it?", "person2": "I dont know... it keeps changing."}
358
+ {"person1": "What are the strongest days of the week?", "person2": "Saturday and Sunday...the rest are weekdays."}
359
+ {"person1": "Where does batman go to the bathroom?", "person2": "The batroom."}
360
+ {"person1": "What do you call a cow on a trampoline?", "person2": "A milk shake!"}
361
+ {"person1": "What do you call a nervous javelin thrower?", "person2": "Shakespeare."}
362
+ {"person1": "What do you call an eagle who can play the piano?", "person2": "Talonted!"}
363
+ {"person1": "What do you call a boomerang that wont come back?", "person2": "A stick."}
364
+ {"person1": "What do you call a duck that gets all As?", "person2": "A wise quacker."}
365
+ {"person1": "Why don’t seagulls fly over the bay?", "person2": "Because then they’d be bay-gulls!"}
366
+ {"person1": "Why do fish live in salt water?", "person2": "Because pepper makes them sneeze!"}
367
+ {"person1": "When do doctors get angry?", "person2": "When they run out of patients."}
368
+ {"person1": "What did the shy pebble wish for?", "person2": "That she was a little boulder."}
369
+ {"person1": "Why did the belt go to prison?", "person2": "He held up a pair of pants!"}
370
+ {"person1": "What cheese can never be yours?", "person2": "Nacho cheese."}
371
+ {"person1": "What is a vampires favorite fruit?", "person2": "A blood orange."}
372
+ {"person1": "Why did the cookie cry?", "person2": "Because his mother was a wafer so long"}
373
+ {"person1": "Want to hear my pizza joke?", "person2": "Never mind, its too cheesy."}
374
+ {"person1": "What did the grape do when he got stepped on?", "person2": "He let out a little wine."}
375
+ {"person1": "What did the 0 say to the 8?", "person2": "Nice belt."}
376
+ {"person1": "Why was the picture sent to prison?", "person2": "It was framed."}
377
+ {"person1": "How can you tell a vampire has a cold?", "person2": "They start coffin."}
378
+ {"person1": "Hey, dad, did you get a haircut?", "person2": "No, I got them all cut."}
379
+ {"person1": "Why is there always a gate around cemeteries?", "person2": "Because people are always dying to get in."}
380
+ {"person1": "What do Alexander the Great and Winnie the Pooh have in common?", "person2": "Same middle name."}
381
+ {"person1": "What kind of music do planets listen to?", "person2": "Nep-tunes."}
382
+ {"person1": "Why was the broom late for the meeting?", "person2": "He overswept."}
383
+ {"person1": "Why do you never see elephants hiding in trees?", "person2": "Because theyre so good at it."}
384
+ {"person1": "What do you call an alligator in a vest?", "person2": "An in-vest-igator!"}
385
+ {"person1": "What did celery say when he broke up with his girlfriend?", "person2": "She wasnt right for me, so I really dont carrot all."}
386
+ {"person1": "Whats brown and sticky?", "person2": "A stick."}
387
+ {"person1": "What biscuit does a short person like?", "person2": "Shortbread."}
388
+ {"person1": "Why was Santas little helper feeling depressed?", "person2": "Because he has low elf esteem."}
389
+ {"person1": "Why did Sweden start painting barcodes on the sides of their battleships?", "person2": "So they could Scandinavian."}
390
+ {"person1": "Want to hear a chimney joke?", "person2": "Got stacks of em! First ones on the house"}
391
+ {"person1": "What do you call a pig that knows karate?", "person2": "A pork chop!"}
392
+ {"person1": "Whats the worst thing about ancient history class?", "person2": "The teachers tend to Babylon."}
393
+ {"person1": "What type of music do balloons hate?", "person2": "Pop music!"}
394
+ {"person1": "Do you want a brief explanation of what an acorn is?", "person2": "In a nutshell, its an oak tree."}
395
+ {"person1": "How come a man driving a train got struck by lightning?", "person2": "He was a good conductor."}
396
+ {"person1": "How does Darth Vader like his toast?", "person2": "On the dark side."}
397
+ {"person1": "Why didn’t the orange win the race?", "person2": "It ran out of juice."}
398
+ {"person1": "Did you hear about the runner who was criticized?", "person2": "He just took it in stride"}
399
+ {"person1": "What animal is always at a game of cricket?", "person2": "A bat."}
400
+ {"person1": "Why did the Clydesdale give the pony a glass of water?", "person2": "Because he was a little horse!"}
401
+ {"person1": "What did the Buffalo say to his little boy when he dropped him off at school?", "person2": "Bison."}
402
+ {"person1": "Why do bees have sticky hair?", "person2": "Because they use honey combs!"}
403
+ {"person1": "Did you know you should always take an extra pair of pants golfing?", "person2": "Just in case you get a hole in one."}
404
+ {"person1": "How do the trees get on the internet?", "person2": "They log on."}
405
+ {"person1": "What lies at the bottom of the ocean and twitches?", "person2": "A nervous wreck."}
406
+ {"person1": "What is red and smells like blue paint?", "person2": "Red paint!"}
407
+ {"person1": "How do locomotives know where theyre going?", "person2": "Lots of training"}
408
+ {"person1": "How did the hipster burn the roof of his mouth?", "person2": "He ate the pizza before it was cool."}
409
+ {"person1": "Did you hear about the new restaurant on the moon?", "person2": "The food is great, but there’s just no atmosphere."}
410
+ {"person1": "What do you call a beehive without the bs?", "person2": "An eehive."}
411
+ {"person1": "What kind of pants do ghosts wear?", "person2": "Boo jeans."}
412
+ {"person1": "Did you hear about the guy who invented Lifesavers?", "person2": "They say he made a mint."}
413
+ {"person1": "Whats the difference between a poorly dressed man on a tricycle and a well dressed man on a bicycle?", "person2": "Attire."}
414
+ {"person1": "Why are giraffes so slow to apologize?", "person2": "Because it takes them a long time to swallow their pride."}
415
+ {"person1": "What do you call a guy lying on your doorstep?", "person2": "Matt."}
416
+ {"person1": "What did the calculator say to the student?", "person2": "You can count on me."}
417
+ {"person1": "What do you call a gorilla wearing headphones?", "person2": "Anything youd like, it cant hear you."}
418
+ {"person1": "Have you heard about corduroy pillows?", "person2": "Theyre making headlines!"}
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1
+ {"text": "Serum LDL-cholesterol concentrations are maeasured in blood samples collected from 25 healthy volunteers. The data follow a normal distribution. The mean and standard deviation for this group are 130 mgdL and 25 mgdL, respectively. The standard error of the mean is 5.0. With a 95% confidence level, the true mean for the population from which this sample was drawn falls within which of the following ranges in mgdL?"}
2
+ {"text": "A 48-year-old man dies suddenly of a cardiac arrhythmia. Six weeks ago, he was resuscitated from a cardiac arrestcaused by coronary artery disease and developed oliguric renal failure. Five weeks ago 1 week after beingresuscitated, his serum urea nitrogen BUN concentration was 40 mgdL, his serum creatinine concentration was 3.5mgdL, and his urine contained granular casts. Four weeks ago, his oliguria resolved, and his BUN and serumcreatinine concentrations returned to normal. Examination of his kidneys at autopsy is most likely to show which ofthe following?"}
3
+ {"text": "In a sample of 100 individuals, the mean leukocyte count is 7500mm³, with a standard deviation of 1000mm³. If the leukocyte counts in this population follow a normal gaussian distribution, approximately 50% of individuals will have which of the following total leukocyte counts?"}
4
+ {"text": "A 55-year-old woman comes to the clinic because of a 2-month history of increasingly severe vaginal pain and itching during sexual intercourse. She avoids intercourse with her husband because of the symptoms. She has been in a monogamous relationship with her husband for the past 25 years. She has type 2 diabetes mellitus. Her vital signs are within normal limits. Pelvic examination shows edematous and erythematous vaginal mucosa with white discharge. A photomicrograph of a vaginal smear is shown. Which of the following is the most likely causal infectious agent?"}
5
+ {"text": "A 39-year-old man comes to the physician because of a 6-month history of progressive shortness of breath. He has had a cough productive of white sputum for 2 years. He smoked 1 pack of cigarettes daily for 16 years but quit 10 years ago. He is in mild respiratory distress with pursed lips and a barrel chest; he is using the accessory muscles of respiration. Breath sounds are distant and crackles are present in the lower lung fields bilaterally. Pulmonary function tests show a decreased FEV1FVC ratio, increased residual volume, and decreased diffusion capacity. An x-ray of the chest shows hyperinflation and hypertranslucency of the lower lobes of both lungs. Which of the following is the most likely diagnosis?"}
6
+ {"text": "A previously healthy 33-year-old woman is brought to the emergency department by the Secret Service for stalkingthe president of the USA for 2 months. She claims to be married to the presidents twin brother and states that thepresident just had his twin kidnapped to avoid competition. She speaks rapidly and is difficult to interrupt. Herassociations are often loose. She says, I havent slept for days, but I wont even try to sleep until my husband isrescued. God has been instructing me to take over the White House. I cant wait to be reunited with my husband. I hear his voice telling me what to do. When asked about drug use, she says she uses only natural substances. Sherefuses to permit blood or urine tests, saying, I dont have time to wait for the results. Which of the following is themost likely diagnosis?"}
7
+ {"text": "A 53-year-old man comes to the physician because of a dry scaly rash on his body for the past year. He has had a 15-kg 33-lb weight loss during the past year. He is 178 cm 5 ft 10 in tall and now weighs 54 kg 120 lb; BMI is 17 kgm². His stools have a large volume and float. Which of the following nutrient deficiencies is most likely?"}
8
+ {"text": "In screening for prostate cancer, the current serum prostate-specific antigen concentration at which biopsy is recommended is 4.1 ngmL. If the threshold for recommending a biopsy procedure were lowered to 2.0 ngmL, which of the following changes would occur to the positive and negative predictive values of the test?"}
9
+ {"text": "In informing a couple that their newborn has Down syndrome, there is a specific, relatively limited amount ofinformation that the consulting physician should give immediately. The rest can be discussed at a later time. Whichof the following best explains the purpose of using this approach to disclosure?"}
10
+ {"text": "A 62-year-old man comes to the physician because of a 6-month history of urinary hesitancy and dribbling afterurination. He has to urinate two to three times nightly. Physical examination shows a diffusely enlarged, firm, andnontender prostate. Which of the following is most likely to have contributed to the development of this patientscondition?"}
11
+ {"text": "An 18-year-old woman with sickle cell disease is brought to the emergency department by her parents because of a 2-hour history of severe abdominal pain and nausea. Her parents say that she had a cheeseburger, milk shake, andchocolate bar for lunch. Her temperature is 37��C 98.6°F. Physical examination shows tenderness over the right upperquadrant of the abdomen, radiating to the right shoulder. Ultrasonography of the right upper quadrant of the abdomenshows gallstones. Which of the following is the most likely underlying cause of this patients current condition?"}
12
+ {"text": "A 45-year-old man is brought to the emergency department 30 minutes after the sudden onset of crushing chest pain.His father, maternal aunt, and paternal uncle all died of myocardial infarctions under the age of 50 years. Physicalexamination shows tendinous xanthomas on the hands and thickened Achilles tendons. Serum lipid studies show a total cholesterol concentration of 410 mgdL, HDL-cholesterol concentration of 30 mgdL, and triglycerideconcentration of 140 mgdL. The diagnosis of myocardial infarction is made. This patient most likely has a deficiencyof which of the following?"}
13
+ {"text": "An experimental animal is created in which the germinal centers of the reactive lymph nodes show shrinkage of cells,cytoplasmic budding, no adjacent inflammation, and intact plasma membranes. These cellular findings are most likelycaused by which of the following mechanisms?"}
14
+ {"text": "Investigators conduct a study that evaluates the effect of finasteride on the incidence of prostate cancer in 500 patients.The investigators recruit an additional 1000 patients for the study. Which of the following effects will this have on theresearch study?"}
15
+ {"text": "A 76-year-old man dies of a massive cerebral infarction shortly after admission to the hospital. During the past 10years, he has had several smaller cerebral infarctions and two transient ischemic attacks. Examination of a cerebralcortex specimen obtained at autopsy shows extensive gliosis. This finding is most likely caused by the growth andproliferation of which of the following?"}
16
+ {"text": "A previously healthy 52-year-old woman comes to the physician because of a 2-month history of fatigue, constipation,and frequent urination. Her temperature is 37.1°C 98.8°F, pulse is 80min, respirations are 14min, and bloodpressure is 14090 mm Hg. Diffuse crackles are heard bilaterally. Her serum calcium concentration is 11.1 mgdL,and serum parathyroid hormone concentration is decreased. A chest x-ray shows bilateral hilar lymphadenopathy andinterstitial infiltrates. Which of the following is the most likely cause of this patients hypercalcemia?"}
17
+ {"text": "A 66-year-old man who was recently diagnosed with Parkinson disease comes to the physician for a follow-upexamination. Carbidopa-levodopa therapy was initiated at the time of diagnosis. The patient tells the physician that hestill has episodes during which he freezes. He has a clumsy gait, and there is rigidity of his upper extremities andhands. An adjunct therapy designed to inhibit which of the following enzymes is most likely indicated in this patient?"}
18
+ {"text": "A 46-year-old woman comes to the physician because of a 3-day history of intermittent pain with urination andincreased urinary frequency. She says that she had one similar episode during the past 6 months. She also has hadirregular menses, and her last menstrual period occurred 2 months ago. She has not had fever, nausea, vomiting, orblood in her urine. She is sexually active with one male partner. Physical examination shows no abnormalities.Urinalysis showsRBC 3–5hpfWBC 10–20hpfNitrites positiveLeukocyte esterase positiveBacteria positive Which of the following is the strongest predisposing risk factor for the development of this patients condition?"}
19
+ {"text": "A 28-year-old man comes to the physician because of a 2-month history of a rash on his wrists and hands. He is afirst-year mortuary science student. He also works on his grandfathers farm each weekend. His hobbies include raisinghoming pigeons and repairing vintage motorcycles. He recently changed to a different type of laundry detergent tosave money. Physical examination shows a diffuse erythematous rash involving both hands up to the wrist creases.The rash does not extend over any other parts of the body. Which of the following is the most likely cause of thispatients rash?"}
20
+ {"text": "A 10-year-old boy is brought to the emergency department in the middle of summer because of fever, headache, andphotophobia. Several of his camp mates have had a similar illness. Physical examination shows mild nuchal rigidity.A lumbar puncture is performed. Laboratory studies showSerum glucose 90 mgdLCerebrospinal fluidPressure, opening 50 mm H2OGlucose 65 mgdLTotal protein 70 mgdLLeukocyte count 43mm³95% lymphocytesWhich of the following infectious agents is the most likely cause of these findings?"}
21
+ {"text": "A healthy 30-year-old woman participates in a study of the relationship between cardiovascular function and posture. Placed in a room with a comfortable temperature 72°F and humidity 40%, she moves from a standing to a supine position. Which of the following sets of changes is most likely in the reflex control of this womans cardiovascularsystem?"}
22
+ {"text": "A 31-year-old woman with a 5-year history of fatigue comes to the physician for an initial visit. She has seen fourother physicians for the same condition within the past 6 months, but no abnormalities were found. She gives thephysician a large folder that contains her medical records. She says, I can barely get out of bed most mornings, butnobody can figure out why because all of my tests turn out normal. I really think I have chronic fatigue syndrome.What do you know about this condition? The physician has not treated any patient with chronic fatigue syndromebefore. Which of the following initial statements by the physician is most appropriate to establish rapport with thispatient?"}
23
+ {"text": "A 3-week-old girl delivered at term with no complications is brought to the physician by her mother because of a 1-week history of yellow eyes and skin, tan-colored stools, and dark brown urine. The newborn has been breast-feedingwithout difficulty. She is alert and appears to be in no distress. She is at the 50th percentile for length and weight.Physical examination shows scleral icterus and jaundice. There is mild hepatomegaly; the spleen is not palpable.Laboratory studies showHemoglobin 14.4 gdLHematocrit 43%Leukocyte count 8000mm³Serum Albumin 3.5 gdLSerum Total Bilirubinc14 mgdLDirect Bilirubin 12.5 mgdLAST 50 ULALT 45 ULWhich of the following is the most likely diagnosis?"}
24
+ {"text": "A 65-year-old woman comes to the physician for a follow-up examination after blood pressure measurements were175105 mm Hg and 185110 mm Hg 1 and 3 weeks ago, respectively. She has well-controlled type 2 diabetesmellitus. Her blood pressure now is 175110 mm Hg. Physical examination shows no other abnormalities.Antihypertensive therapy is started, but her blood pressure remains elevated at her next visit 3 weeks later. Laboratorystudies show increased plasma renin activity; the erythrocyte sedimentation rate and serum electrolytes are within thereference ranges. Angiography shows a high-grade stenosis of the proximal right renal artery; the left renal arteryappears normal. Which of the following is the most likely diagnosis?"}
25
+ {"text": "Results of a study that examined the impact of risk factors on cardiovascular health are being evaluated. In the study,serum LDL-cholesterol LDL concentration is found to have a correlation of 0.6 with serum high-sensitivity C-reactive protein hs-CRP concentration. Which of the following statements best describes the relationship betweenLDL concentration and hs-CRP concentration based on this finding?"}
26
+ {"text": "A 72-year-old man comes to the physician for a health maintenance examination. He has no personal or family historyof major medical illnesses. He has never smoked cigarettes. Pulse oximetry on room air shows an oxygen saturationof 98%. Physical examination shows plethoric skin and splenomegaly. Laboratory studies showHemoglobin 21.1 gdLHematocrit 61%Leukocyte count 15,000mm³Segmented neutrophils 68%Basophils 4%Lymphocytes 28%Platelet count 501,000mm³Leukocyte alkaline phosphatase increasedA peripheral blood smear shows occasional giant platelets. The primary hematologic defect in this patient most likely occurred in which of the following cells?"}
27
+ {"text": "A 21-year-old man comes to the emergency department in the winter because of headache, nausea, and dizziness for4 hours. He has not had fever, chills, or shortness of breath. He has no history of major medical illness. He lives in abasement apartment of a three-story house. He smokes 1½ packs of cigarettes daily. Physical examination shows noabnormalities. It is most appropriate for the physician to ask the patient for more information about which of thefollowing historical factors?"}
28
+ {"text": "A 25-year-old woman comes to the physician because of a long history of pain with menses. The pain occurs on thefirst day of her 5-day menstrual period and lasts all day. She rates the pain as 10 on a 10-point scale. The mostappropriate initial pharmacotherapy to relieve this patients pain has which of the following mechanisms of action?"}
29
+ {"text": "A 3800-g 8-lb 6-oz newborn is delivered vaginally at 39 weeks gestation after an uncomplicated pregnancy. Apgar scores are 9 and 9 at 1 and 5 minutes, respectively. The newborn is crying, has pink skin, and appears vigorous. Physical examination shows a vagina and also a structure that appears to be a penis, with the urethra located at the base near the opening of the vagina. Chromosomal analysis is ordered. Which of the following is the most likely cause of the intersex findings in this newborn if the karyotype is found to be 46,XX?"}
30
+ {"text": "A 65-year-old man is admitted to the hospital because of a 12-hour history of chest pain. Physical examination showsno abnormalities. Serum studies show an increased troponin I concentration. The diagnosis of myocardial infarctionis made. It is suspected that this patients condition deteriorated as a result of ischemia-reperfusion injury. Theincreased serum troponin I concentration in this patient most likely occurred as a result of which of the followingprocesses?"}
31
+ {"text": "A randomized clinical trial is conducted to compare wound healing and cosmetic differences between two surgicalprocedures for closing skin wounds following cesarean delivery. A total of 1000 women undergoing cesarean deliveryduring a 6-month period are enrolled in the study, which was 85% of the total number of patients undergoing theprocedure. The results show a wound infection rate of 12 cases per 1000 women for Procedure A and 18 cases per1000 women for Procedure B. Which of the following is the best estimate of the absolute risk reduction for woundinfection following Procedure A compared with Procedure B?"}
32
+ {"text": "A 4-year-old girl with type 1 diabetes mellitus is brought to the emergency department by her father because of a 4-hour episode of restlessness, sweating, and confusion that occurred during the night. Yesterday, he allowed her to eatcupcakes and cotton candy at a county fair. At her bedtime that evening, he increased her dose of subcutaneousintermediate-acting and long-acting insulin. Her symptoms began 6 hours later, then resolved spontaneously. Afterbeing informed this morning of this nighttime episode, the mother insisted the father bring the patient to the hospital.On arrival, the patient is alert. Her vital signs are within normal limits. Examination shows no abnormalities. Herfingerstick blood glucose concentration is 72 mgdL. Urinalysis is negative for glucose and ketones. Which of thefollowing is the most likely explanation for this patients nighttime symptoms?"}
33
+ {"text": "A male newborn is delivered at term to a 28-year-old primigravid woman. Physical examination shows a broad, flatnose; low-set ears; a receding chin; prominent infraorbital folds; and bilateral abdominal masses. The newborndevelops cyanosis, difficulty breathing, and polyuria and dies 24 hours after birth. At autopsy, examination showspulmonary hypoplasia and enlarged, polycystic kidneys. Genetic testing shows two copies of a gene having apathogenic mutation with a disease incidence rate in the general population of 1 in 10,000. Which of the followingbest describes the mutation occurrence rate for this newborns disease?"}
34
+ {"text": "A previously healthy 64-year-old man is brought to the emergency department 3 hours after the sudden onset of severeflank pain. He has no history of similar pain or serious illness. He takes no medications. He appears to be in distress.His pulse is 100min, and blood pressure is 16892 mm Hg. Physical examination shows a soft abdomen with left sided tenderness. Urinalysis shows microscopic hematuria. A CT scan of the abdomen shows a small ureteric calculus.Analgesic therapy is initiated and the pain resolves 1 hour later. The urine is then strained and a uric acid calculus isfound. Which of the following processes is most likely impaired in this patient?"}
35
+ {"text": "A 32-year-old woman with hypothyroidism comes to the physician because of a 6-week history of cold intolerance, constipation, and severe fatigue. She also has had a 4.5-kg 10-lb weight gain during this period. Her current medication is daily levothyroxine. She also started taking calcium carbonate supplements 2 months ago for osteopenia of the lumbar spine. At that time, serum concentrations of thyroid-stimulating hormone TSH and free thyroxine FT4 were within the reference ranges. Today, physical examination shows coarse, dry skin. Serum studies show a TSH concentration of 16.6 μUmL and FT4 concentration of 0.3 ngdL. Which of the following pharmacokinetic changes of levothyroxine is the most likely cause of this patient’s current condition?"}
36
+ {"text": "A 19-year-old man undergoes splenectomy because of crush injuries sustained in a motor vehicle collision. During the operation, two small accessory spleens are seen adjacent to the ruptured spleen. The most likely origin of this patients congenital anomaly is thickening of an embryologic layer at which of the following sites?"}
37
+ {"text": "A 48-year-old man comes to the physician requesting treatment for alcohol withdrawal. He reports a 30-year history of consuming 6 to 10 beers daily. He has had two citations for driving while intoxicated. He has previously experienced alcohol-associated seizures and withdrawal symptoms. His vital signs are within normal limits. Physical examination shows palmar erythema. The most appropriate pharmacotherapy in this patient most likely has which of the following mechanisms?"}
38
+ {"text": "A 48-year-old woman with type 2 diabetes mellitus comes to the physician for a follow-up examination. Current medications are metformin and once-daily insulin. She travels frequently and works long hours. She says that her meals are usually fast food. She leads a sedentary lifestyle. She often forgets to measure her blood glucose concentration. Her last hemoglobin A1c was measured as 8.4%. Which of the following is the most appropriate action by the physician to help this patient improve her diabetic control?"}
39
+ {"text": "A 19-year-old man who is a college freshman comes to the office because of a 4-day history of tender, swollen glands. He also has a 6-day history of fever, malaise, and decreased appetite. His temperature is 38.7°C 101.7°F. Physical examination shows swelling of the parotid glands. Which of the following infectious agents is the most likely cause of these findings?"}
40
+ {"text": "A 38-year-old woman who is a veteran comes to the emergency department because of a 4-hour history of a sensation of tightness in her throat and swelling of her face, lips, and tongue. She has not had itching. During the past 3 weeks, she has had two similar, milder episodes that resolved without treatment within 24 to 72 hours. Six weeks ago, she began treatment with an ACE inhibitor for hypertension. She has seasonal allergies. Her temperature is 37.1°C 98.8°F, pulse is 80min, respirations are 20min, and blood pressure is 13881 mm Hg. Physical examination shows angioedema of the lips and tongue. There is no evidence of urticaria. Which of the following is the most likely cause of the angioedema in this patient?"}
41
+ {"text": "A 48-year-old woman comes to the physician because of a 2-month history of fatigue and poor appetite; she has had a 3-kg 6.6-lb weight loss during this period. Abdominal examination shows moderate splenomegaly. Laboratory studies show a leukocyte count of 185,000mm³ 65% segmented neutrophils with 6% blasts and promyelocytes. Cytogenetic analysis of a bone marrow aspirate shows the presence of the Philadelphia Ph¹ chromosome in myelocytes. Which of the following mechanisms best accounts for the formation of the Philadelphia Ph¹ chromosome in this patient?"}
42
+ {"text": "A 2-year-old boy is brought to the physician because of failure to thrive. He also has had loose, fatty, foul-smelling stools and a cough during the past 2 weeks. He is at the 30th percentile for height and 10th percentile for weight. Physical examination shows no other abnormalities. Laboratory studies show steatorrhea and a sweat chloride concentration of 80 mmolL. A chest x-ray shows hyperinflation. Sputum culture grows Haemophilus influenzae and Staphylococcus aureus. Secretion of which of the following substances is most likely to be decreased in this patient?"}
43
+ {"text": "A 10-year-old boy is brought to the physician because of a 3-week history of nosebleeds and easy bruisability. His older brother has had similar episodes. He is at the 30th percentile for height and weight. Physical examination shows nasal and gingival bleeding and several ecchymoses over the trunk and upper and lower extremities in various stages of healing. Laboratory studies show a platelet count of 300,000mm³ N=150,000–400,000. Platelet adhesion testing shows a normal response to ristocetin, but aggregation does not occur in response to thrombin; platelet morphology is normal. Prothrombin time and activated partial thromboplastin time are within the reference ranges. A defect in which of the following is the most likely cause of the findings in this patient?"}
44
+ {"text": "A previously healthy 45-year-old woman who works as a park ranger comes to the physician because of a 1-week history of shortness of breath, even at rest. She has lived in the mountains at 10,000 feet above sea level for 2 years; the physician’s office is located at sea level. Her pulse is 85min, respirations are 18min, and blood pressure is 12590 mm Hg. Physical examination while sitting upright shows jugular venous distention and 2+ pedal edema. During the past 2 years, which of the following has most likely decreased in this patient?"}
45
+ {"text": "A 25-year-old woman comes to the physician because of a 4-month history of cough and unintentional weight loss. Rhonchi are heard posteriorly over the right upper thorax. A chest x-ray shows an 8-cm cavity in the right upper lobe and hilar lymphadenopathy. Ziehl-Neelsen staining of an induced sputum specimen shows acid-fast bacilli. The patient begins treatment with four antimycobacterial drugs, including rifampin. Synthesis of which of the following components of the suspected pathogen is most likely directly inhibited by the rifampin in this patients medication regimen?"}
46
+ {"text": "A 34-year-old man is brought to the emergency department 30 minutes after being hit by a motor vehicle while walking. His temperature is 36°C 96.8°F, pulse is 140min, respirations are 24min, and blood pressure is 9060 mm Hg. During an exploratory laparotomy, a large laceration is found that includes the right and left lobes of the liver. Active bleeding is present. Compression of which of the following ligaments is most likely to decrease bleeding from the liver in this patient?"}
47
+ {"text": "A 1-month-old boy is brought to the emergency department because of a 1-day history of fever and cough. His temperature is 38.2°C 100.8°F, pulse is 140min, and respirations are 54min. Physical examination shows intercostal retractions. Wheezes are heard in all lung fields. A blood culture grows coagulase-negative, catalase-positive, gram-positive cocci in clusters. Which of the following best represents the infectious agent in this patients blood culture?"}
48
+ {"text": "A new drug, Drug X, is being investigated to determine its pharmacokinetic properties in humans. A male participant who weighs 85 kg 187 lb with 50 L of total body water begins treatment with an intravenous infusion of Drug X at the rate of 100 mgh. This drug is known to distribute in total body water. The plasma concentrations of the drug are measured. Results show that the steady-state plasma concentration of Drug X is 50 mgL. Based on this information, which of the following is the clearance rate of this drug in this man?"}
49
+ {"text": "A 78-year-old woman is admitted to the intensive care unit because of diverticulitis complicated by Escherichia coli sepsis. Treatment with ciprofloxacin is started. Three days later, her serum creatinine concentration has increased from 0.7 mgdL on admission to 1.3 mgdL. Urinalysis shows muddy brown casts. The most likely cause of the findings in this patient is ischemia of which of the following structures?"}
50
+ {"text": "A 34-year-old woman with myasthenia gravis comes to the emergency department because of a 2-day history of increasing weakness, shortness of breath, and abdominal cramping. Current medications are prednisone and pyridostigmine. Her temperature is 37°C 98.6°F, pulse is 45min, and respirations are 25min and shallow. Her voice is soft and hypernasal, and she coughs weakly when swallowing water. Breath and heart sounds are normal. Pulmonary testing shows inability to generate a normal negative inspiratory force during forced inspiration. The abdomen is soft and nontender, with increased bowel sounds. Muscle strength is 45 diffusely, with severe, continuous, and diffuse fasciculations. Deep tendon reflexes are sluggish, but symmetric. Which of the following is the most likely cause of this patients weakness?"}
51
+ {"text": "A 35-year-old woman comes to the office because she has had three first-trimester spontaneous abortions during the past 3 years. Physical examination shows no abnormalities. Laboratory studies show no endocrine abnormalities. Chromosomal analysis shows a paracentric inversion of the long arm of chromosome 1. Which of the following best describes this patient’s risk for early spontaneous abortions and a liveborn child with aneuploidy?"}
52
+ {"text": "A 12-year-old boy is brought to the office by his parents for genetic counseling because of a family history of genetic disorders. He has no symptoms or history of major medical illness. The patient’s maternal grandfather died of Huntington disease at the age of 35 years. Genetic testing of the mother showed 19 triplet repeats on each huntingtin HTT allele N=10–20. The patient’s paternal grandfather had colon cancer at the age of 30 years, and the father had numerous colon polyps at the age of 20 years treated with a colectomy. Genetic testing of the father shows heterozygosity for a frame-shift mutation in the APC gene. Physical examination of the patient shows abnormalities. Based on this patient’s risk for genetic disease, it is most appropriate for the physician to order which of the following genetic tests at this time?"}
53
+ {"text": "A 25-year-old man comes to the office because of a 4-hour history of irritability, restlessness, tremor, and palpitations. He is a known user of amphetamines. His pulse is 120min, respirations are 25min, and blood pressure is 150100 mm Hg. Physical examination shows no abnormalities. The most likely cause of this patients symptoms is sympathomimetic activity arising from which of the following?"}
54
+ {"text": "A 5-year-old girl is brought to the office by her mother because of a 6-hour history of bloody diarrhea. She is interactive and in no acute distress. Her blood pressure is 9055 mm Hg. Abdominal examination shows normoactive bowel sounds. Stool cultures are obtained, and the patients mother is advised to give the girl plenty of fluids. Five days later, the patient develops decreased urine output and is brought back to the office. Her blood pressure is now 13588 mm Hg. Physical examination shows pallor. Laboratory studies showHemoglobin 8.5 gdL N=11–15Hematocrit 26% N=28%–45%Platelet count 45,000mm³ N=150,000–400,000Serum creatinine 3.3 mgdL N=0.3–0.7Which of the following infectious agents is the most likely cause of these findings?"}
55
+ {"text": "A 78-year-old woman is admitted to the hospital because of a 1-week history of jaundice. CT scan of the abdomen shows a mass suggestive of pancreatic cancer. Three hours later, the on-call physician enters the patients room to discuss the prognosis and obtain consent for a biopsy scheduled for the next morning. On entering the room, the physician greets the patient and her husband. The physician then learns that the patient speaks only Mandarin. Her husband is fluent in Mandarin and English. The hospital interpreter is not available until tomorrow morning. The patients husband appears anxious and insists that the physician speaks to him and allows him to serve as an interpreter for his wife. Which of the following is the most appropriate next step in management?"}
56
+ {"text": "A 4-year-old boy develops fever 3 weeks after being admitted to the hospital for induction chemotherapy for treatment of acute lymphoblastic leukemia. Chemotherapy medications are L-asparaginase, dexamethasone, doxorubicin, and vincristine. His temperature is 38.2°C 100.8°F, pulse is 122min, and respirations are 24min. Physical examination shows pallor, alopecia, and ulcerations over the gums. A central venous catheter with entry site in the right upper chest is present but has no surrounding erythema. A blood culture grows gram-negative rods after 36 hours. Which of the following underlying mechanisms is the most likely cause of this patients susceptibility to infection?"}
57
+ {"text": "A 65-year-old woman comes to the office for a follow-up examination 1 year after she underwent operative resection of the right colon and chemotherapy for stage III colon cancer. She reports fatigue. Physical examination shows no abnormalities. A staging CT scan of the chest and abdomen shows five new 2- to 3-cm masses in the liver and both lungs. This patients cancer most likely spread to the lungs via which of the following structures?"}
58
+ {"text": "A 6-year-old boy with acute lymphoblastic leukemia is brought to the office for a follow-up examination. He is receiving high-dose methotrexate therapy. A drug is added to the patients medication regimen to decrease the toxicity of this therapy to normal cells. The beneficial effect of this new drug on normal cells is most likely achieved by bypassing the cellular requirement for which of the following enzymes?"}
59
+ {"text": "A 4082-g 9-lb male newborn is delivered in the hospital at 40 weeks gestation to a 28-year-old primigravid woman. Pregnancy and delivery were uncomplicated. Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. Examination of the newborns tongue shows a small blind pit in the midline located near the intersection of the anterior two-thirds and the posterior one-third. Ultrasonography of the neck shows a mass attached to the hyoid bone. Cells in the mass produce a hormone that binds to which of the following?"}
60
+ {"text": "An investigator is studying how mice respond to filarial parasitic infections. Mice deficient in a specific protein found in eosinophils Group X are compared with wild-type mice Group Y. Biopsies of lymph nodes from Group X mice show more adult worms than lymph nodes from Group Y mice. Group X mice most likely lack which of the following?"}
61
+ {"text": "A 50-year-old man comes to the office because of a 2-month history of increasing daytime somnolence. He has obstructive sleep apnea for which he has only intermittently used a continuous positive airway pressure device. He is 170 cm 5 ft 7 in tall and weighs 181 kg 400 lb; BMI is 63 kgm2. His temperature is 37°C 98.6°F, pulse is 100min, respirations are 12min, and blood pressure is 13580 mm Hg. Physical examination shows a gray-blue tinge to the lips, earlobes, and nail beds. Cardiac examination shows no other abnormalities. Arterial blood gas analysis on room air shows a pH of 7.31, PCO2 of 70 mm Hg, and PO2 of 50 mm Hg. Which of the following additional findings would be most likely in this patient?"}
62
+ {"text": "An obese 35-year-old man comes to the office for a follow-up examination. He has chronic kidney disease and was told to keep a record of his meals until this follow-up visit. His daily diet consists of chocolate milk and a peanut butter sandwich for breakfast; pizza and cola for lunch; a chocolate bar as a snack; and a foot-long deli meat sandwich for dinner. He is 165 cm 5 ft 5 in tall and weighs 113 kg 250 lb; BMI is 42 kgm². His pulse is 100min, respirations are 23min, and blood pressure is 155100 mm Hg. Physical examination shows diaphoresis. Serum studies show a creatinine concentration of 4.1 mgdL and phosphorus concentration of 6 mgdL. Which of the following patterns is most likely in this patient?"}
63
+ {"text": "A 60-year-old woman is nearing the completion of a half marathon. Because she experiences esophageal regurgitation, she does not drink any liquid during the race. This womans physical state at the end of the race will most likely activate which of the following renal segments at this time?"}
64
+ {"text": "An investigator is studying heart development in an experimental animal model. The animal model is genetically modified so that no cardiac neural crest cells develop. This animal model is most likely to have which of the following cardiac abnormalities?"}
65
+ {"text": "A 78-year-old woman undergoes an outpatient laparoscopic cholecystectomy. During the procedure, ligation of the cystic artery is planned. It is most appropriate to ligate this artery at its junction with which of the following arteries?"}
66
+ {"text": "A 32-year-old man comes to the office because of a 2-week history of fever and throat pain. He is 173 cm 5 ft 8 in tall and weighs 63 kg 140 lb; BMI is 21 kgm2. His pulse is 110min, respirations are 16min, and blood pressure is 9868 mm Hg. Physical examination shows scattered 2- to 4-cm lymph nodes in the neck, axillae, and inguinal regions. There is a bilateral tonsillar exudate but no ulcerations. Results of laboratory studies are shown Hemoglobin 9.6 gdLHematocrit 29%Leukocyte count 1500mm³Platelet count 60,000mm³A heterophile antibody test result is negative. Which of the following is the most likely diagnosis?"}
67
+ {"text": "A 51-year-old man with a 10-year history of gastroesophageal reflux and suspected Barrett esophagus comes to the office because his omeprazole dose doesnt work around the Christmas holidays. He states that he prides himself on having a large appetite and holding his liquor during the holidays. He currently takes the maximum dose of omeprazole. Which of the following is the most appropriate initial action by the physician?"}
68
+ {"text": "A 60-year-old man comes to the office because of weakness, tingling of his hands and feet, irritability, and forgetfulness for 4 months. Physical examination shows pallor, weakness, and spasticity. Deep tendon reflexes are increased. Sensation to vibration is absent in the lower extremities. Laboratory studies show megaloblastic anemia, serum antiparietal cell antibodies, and increased serum concentrations of methylmalonic acid and total homocysteine. The synthesis of which of the following amino acids is most likely impaired in this patient?"}
69
+ {"text": "A 12-year-old girl is brought to the office because of a 2-day history of chest pain. She also had a 3-day history of fever that has since resolved. When she lies down, the pain worsens and she has shortness of breath. Her temperature is 37°C 98.6°F. A friction rub is heard. Which of the following is the most likely causal infectious agent?"}
70
+ {"text": "A 32-year-old man comes to the office because of a 1-day history of cough productive of small amounts of blood and a 2-day history of shortness of breath and swelling of his ankles. He also has a 2-week history of progressive fatigue and episodes of dark urine. He has no history of major medical illness and takes no medications. His temperature is 37°C 98.6°F, pulse is 90min, respirations are 18min, and blood pressure is 175110 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 91%. Diffuse inspiratory crackles are heard over all lung bases. There is 2+ pitting edema of both ankles. Results of laboratory studies are shownHemoglobin 8.9 gdLHematocrit 27%Serum Urea nitrogen 55 mgdL Creatinine 2.9 mgdLUrine RBC 20–40hpf Urinalysis also shows some dysmorphic RBCs and rare RBC casts. Examination of a kidney biopsy specimen shows crescentic glomerulonephritis and linear deposition of IgG along the glomerular capillaries. This patient most likely has antibodies directed against which of the following antigens?"}
71
+ {"text": "A 58-year-old man with chronic obstructive pulmonary disease comes to the clinic with his wife for a follow-up examination. He has smoked one pack of cigarettes daily for 35 years. He has tried to quit smoking twice but was unsuccessful both times. At today’s visit, when the physician asks the patient about smoking cessation, he says he is not ready to do so. The patient’s wife states her husband’s smoking makes her cough and gives her chest tightness. Which of the following is the most appropriate physician statement?"}
72
+ {"text": "A 26-year-old man comes to the office because of a 1-week history of increased urinary frequency accompanied by excessive thirst. He says he has been urinating hourly. Physical examination shows no abnormalities. Serum chemistry studies are within the reference ranges. Urine osmolality is 50 mOsmolkg H2O. After administration of ADH vasopressin, his urine osmolality is within the reference range. The most likely cause of this patients symptoms is dysfunction of which of the following structures?"}
73
+ {"text": "A 19-year-old man who is in the US Army is brought to the emergency department 45 minutes after he sustained a knife wound to the right side of his chest during an altercation. He has no history of major medical illness and takes no medications. His temperature is 36.9°C 98.4°F, pulse is 110min, respirations are 24min, and blood pressure is 11476 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 94%. On physical examination, the trachea appears to be shifted to the left. Pulmonary examination of the right chest is most likely to show which of the following findings?"}
74
+ {"text": "A 45-year-old man comes to the office for a follow-up examination 1 month after routine urinalysis showed an increased protein concentration. He has a 15-year history of type 2 diabetes mellitus and a 10-year history of hypertension. Current medications include hydrochlorothiazide, insulin, and metformin. His blood pressure is 15080 mm Hg. Physical examination shows no other abnormalities. Daily lisinopril therapy is started. Which of the following sets of changes in glomerular hemodynamics is most likely to occur in this patient as a result of this pharmacotherapy?"}
75
+ {"text": "A 3438-g 7-lb 9-oz female newborn is delivered in the hospital at term to a 24-year-old primigravid woman after an uncomplicated pregnancy. Apgar scores are 8 and 9 at 1 and 5 minutes, respectively. Examination of the newborn shows ambiguous genitalia. Results of a blood analysis show markedly increased serum concentrations of 17- hydroxyprogesterone. Genetic analysis shows a karyotype of 46,XX. Further testing of this newborn is most likely to show a deficiency of which of the following enzymes?"}
76
+ {"text": "A 27-year-old woman comes to the emergency department because of a 1-hour history of severe shortness of breath. She has just returned from a cross-country flight. She has a history of borderline hypertension. Her temperature is 36.9°C 98.5°F, pulse is 113min, respirations are 28min, and blood pressure is 13885 mm Hg. Physical examination shows that the right calf has an increased circumference compared with the left calf, and there is tenderness behind the right knee. Which of the following is the most likely underlying cause of this patients condition?"}
77
+ {"text": "A 17-year-old boy is brought to the clinic for a follow-up examination. He has been evaluated for three episodes of full-body weakness at the ages of 13, 16, and 17 years. Each episode occurred when he lay down after playing in a football scrimmage. The weakness improved spontaneously during the next 6 hours; he was asymptomatic by the time he was evaluated by medical personnel. The patient attributes the episodes to eating a lot of pasta and salty foods prior to playing football. Results of a complete blood count and comprehensive metabolic profile following each episode have been within the reference ranges. He has no history of serious illness and takes no medications. Vital signs are within normal limits. Physical and neurologic examinations disclose no abnormalities. Which of the following serum concentrations is most likely to be abnormal if measured during one of this patients episodes?"}
78
+ {"text": "A 20-year-old woman is brought to the urgent care center because of a 2-month history of progressive weakness of her arms. She also has a 1-week history of moderate back pain and headache. Her only medication is ibuprofen as needed for pain. Muscle strength is 35 in the upper extremities. Sensation to pinprick is decreased over the upper extremities. MRI of the spine shows a central syrinx in the cervical spinal cord. It is most appropriate to obtain specific additional history regarding which of the following in this patient?"}
79
+ {"text": "A 15-year-old girl is brought to the rehabilitation facility for physical therapy. Two months ago, she was involved in a motor vehicle collision in which she sustained a crush injury to the ulnar nerve at the right elbow. Neurologic examination shows severe weakness and atrophy of the intrinsic muscles of the right hand. When the patient is asked to grasp the therapist’s fingers, right handgrip is noticeably weaker than left handgrip. Sensation to pinprick and fine touch is decreased at the palmar aspect of the ring and small fingers of the right hand. No other deficits are noted. Which of the following cell types is critical for recovery of neurologic function in this patient?"}
80
+ {"text": "A 3-year-old boy is brought to the office because of a 2-day history of bulging of his left eye. He says his eye hurts. He has no history of major medical illness or recent trauma to the area, and he receives no medications. Vital signs are within normal limits. Physical examination shows exophthalmos of the left eye. MRI of the brain shows a 2-cm mass involving the ocular muscles of the left eye. A biopsy specimen of the mass shows malignant cells, some of which have striations. Which of the following is the most likely diagnosis?"}
81
+ {"text": "An 11-year-old girl is brought to the emergency department by her parents because of a 1-week history of breast enlargement. She has not had pain or nipple discharge. She has asthma treated with inhaled albuterol as needed. She does not smoke cigarettes, drink alcoholic beverages, or use illicit drugs. She is at the 50th percentile for height and weight. Vital signs are within normal limits. Examination of the breasts shows minimal enlargement under the areolae and mild enlargement of the diameter of the areolae without nipple discharge; no masses are palpated. There is scant pubic hair. Which of the following best describes the sexual maturity rating for this patient?"}
82
+ {"text": "A 5-year-old boy is brought to the emergency department by his mother because of an episode of bloody stool 3 hours ago. The mother says the stool was hard like pebbles and she noted bright red blood on the tissue when the patient cleaned himself. His previous bowel movement was 5 days ago. The patient has no abdominal or rectal pain now, but he did have abdominal pain during his bowel movement 5 days ago. He has no history of major medical illness and receives no medications. Vaccinations are up-to-date. The patient has no recent history of travel. He is at the 5th percentile for height and the 10th percentile for weight; BMI is at the 50th percentile. Vital signs are within normal limits. Abdominal examination shows hypoactive bowel sounds and a soft, slightly distended abdomen that is not tender to palpation. Rectal examination shows 1 cm of bright red rectal mucosa protruding from the right side of the anus; there is no rectal bleeding. The remainder of the examination shows no abnormalities. Which of the following is the most likely cause of this patients physical findings?"}
83
+ {"text": "An 80-year-old woman is brought to the emergency department ED 30 minutes after she fell out of her wheelchair at home. This is the second visit to the ED for a fall during the past 3 months. She lives with her daughter and son-in- law, who say they “do the best we can.” The patient has dementia, Alzheimer type, coronary artery disease, type 2 diabetes mellitus, and hypertension. Current medications are amlodipine, aspirin, atorvastatin, donepezil, long-acting insulin, and lisinopril. Five years ago, she underwent bilateral below-the-knee amputations because of infected ulcers of the feet. She uses a wheelchair for ambulation. Ten years ago, she underwent three-vessel coronary artery bypass grafting. She has smoked one-half pack of cigarettes daily for 60 years. She drinks one shot of whiskey nightly. She is thin and appears ill and disheveled. Her temperature is 37.2°C 99.0°F, pulse is 80min, respirations are 20min, and blood pressure is 12080 mm Hg. Pulse oximetry on 2 Lmin of oxygen by nasal cannula shows an oxygen saturation of 95%. Physical examination shows temporal wasting. There are scattered ecchymoses over the abdomen and all extremities. No other abnormalities are noted. Which of the following is the most appropriate initial history to obtain from this patient?"}
84
+ {"text": "An investigator is studying the impact of glucocorticoids on leukocyte dynamics in an experimental animal model. After dexamethasone administration, the total number of circulating neutrophils increases. Most of the additional neutrophils in circulation are detached; these neutrophils were previously loosely adherent and rolling along the endothelium. The expression of which of the following cell adhesion molecules is most likely decreased in this animal model after dexamethasone administration?"}
85
+ {"text": "A 67-year-old man comes to the office because he is concerned about memory loss. He says he sometimes forgets the names of acquaintances he sees while he is out shopping. He also has occasional word-finding difficulty and forgets to buy some items when he goes shopping unless he makes a list. He lives alone and is able to manage his finances, cook, and shop without help. He works part-time as an accountant. He has gastroesophageal reflux disease and hypertension. Current medications are hydrochlorothiazide and omeprazole. Vital signs are within normal limits. Physical and neurologic examinations show no abnormalities. On mental status examination, he is fully oriented. His speech is normal, and thoughts are organized. His mood is euthymic, and he has a full range of affect. His concentration is intact, and he is able to perform calculations quickly and accurately. He can name objects accurately and follow written and verbal commands. He recalls three of four objects after 5 minutes. Which of the following is the most appropriate physician response to this patient’s concern?"}
86
+ {"text": "A 30-year-old woman comes to the office because of a 4-day history of an increasingly severe, painful rash over her body and in her mouth. The rash began over her trunk area but spread within a day to her face and extremities. Two days before development of the rash, she had flu-like symptoms with muscle aches and fatigue as well as a nonproductive cough, sore throat, and runny nose. Ten days ago, she began treatment with trimethoprim- sulfamethoxazole for a urinary tract infection; she takes no other medications. Temperature is 39.0°C 102.2°F, pulse is 120min, respirations are 25min, and blood pressure is 165105 mm Hg. Physical examination shows diffuse brownish red macular exanthema with bullous lesions. Epidermis at an uninvolved site can be removed with mild tangential pressure. Examination of a biopsy specimen of one of the lesions shows necrosis of keratinocytes throughout the epidermis. There is minimal lymphocytic infiltration within the superficial dermis. Which of the following is the most likely diagnosis?"}
87
+ {"text": "A 45-year-old woman comes to the office for a follow-up examination 2 weeks after she sustained a vertebral fracture at L1. The fracture occurred spontaneously and there is no history of trauma to the area or other fractures. She gained 27 kg 60 lb during the 6 months before the fracture occurred. Her only medication is hydromorphone as needed for pain. She is 163 cm 5 ft 4 in tall and now weighs 100 kg 220 lb; BMI is 38 kgm2. Temperature is 37.0°C 98.6°F, pulse is 86min, respirations are 12min, and blood pressure is 14598 mm Hg. Physical examination shows central obesity and purple striae over the abdomen bilaterally. The lower extremities appear thin. Results of laboratory studies are shownPlasma Renin activity 5.0 ngmLhr N=0.6–4.0 Metanephrine 0.3 nmolL N<0.4SerumCortisol, random 43 μgdLAdrenocorticotropic hormone 120 pgmL N<120Aldosterone 8 ngdL N=2–9Urine 24-hour free cortisol excretion 340 μg24 h N=3.5–45 The most likely cause of the fracture in this patient is an increase in which of the following processes?"}
88
+ {"text": "A 25-year-old woman comes to the emergency department because of a 3-hour history of fever, severe headache, light-headedness, dizziness, shaking chills, and muscle aches. Five hours ago, she was diagnosed with Lyme disease and began doxycycline therapy. She has no other history of serious illness and takes no other medications. Menses occur at regular 28-day intervals. She is currently menstruating and using a tampon. She appears anxious. Temperature is 37.0°C 98.6°F, pulse is 120min, respirations are 30min, and blood pressure is 9060 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 94%. Physical examination shows flushing and diaphoresis. Cardiopulmonary examination shows no other abnormalities. Which of the following is the most likely mechanism of this patient’s current condition?"}
89
+ {"text": "A 2-week-old male newborn is brought to the office for a well-child examination. He was delivered following an uncomplicated, spontaneous vaginal delivery at 41 weeks gestation. The mother has no history of serious illness and did not receive prenatal care. Her only medication is a prenatal vitamin. She has consumed large amounts of vodka nightly for 10 years. Which of the following examination findings is most likely to be present in this patient?"}
90
+ {"text": "A 15-year-old boy is brought to the office by his parents to discuss results of a biopsy done 3 days ago for a rapidly enlarging neck mass. He first noted the mass 1 month ago. Two weeks ago, he was evaluated for an episode of prolonged epistaxis and was found to have a right ear effusion, which was treated with amoxicillin-clavulanic acid. He has no other history of serious illness and takes no medications. Height is at the 10th percentile, weight is at the 50th percentile, and BMI is at the 75th percentile. Vital signs are within normal limits. Physical examination shows a right ear effusion and a 4-cm, firm mass in the right posterior triangle of the neck. Results of a biopsy specimen show squamous epithelium with indistinct cell margins, enlarged atypical nuclei, and absent keratin formation. Which of the following infectious agents is the most likely underlying cause of this patients current condition?"}
91
+ {"text": "A 14-year-old boy is brought to the emergency department by his parents because of a 1-month history of intermittent right knee pain that has worsened during the past day. He rates his current pain as a 6 on a 10-point scale and says that it worsens when he walks and lessens when he sits. During the past 2 weeks, he has been walking 1 mile daily in preparation for participation in the school marching band. He has not taken any medications for his pain. He sustained a right tibia and fibula fracture at the age of 8 years after a skateboarding accident, which was treated with internal fixation and casting. He has asthma treated with inhaled budesonide daily and inhaled albuterol as needed. His mother has type 2 diabetes mellitus, and his maternal grandmother has osteoporosis. The patient is 170 cm 5 ft 7 in; 77th percentile tall and weighs 88 kg 195 lb; >95th percentile; BMI is 31 kgm² 98th percentile. Temperature is 37.0°C 98.6°F, pulse is 95min, and blood pressure is 13080 mm Hg. Physical examination shows hyperpigmented, thickened skin at the nape of the neck. There is tenderness to palpation of the anterior aspect of the right hip and limited range of motion on abduction, internal rotation, and flexion of the right hip. The left hip and knees are nontender; range of motion is full in all directions. The remainder of the examination discloses no abnormalities. Which of the following factors in this patient’s history most increased his risk for developing this condition?"}
92
+ {"text": "A 38-year-old woman comes to the clinic to discuss results of a biopsy specimen of a mass in the right breast obtained 1 week ago. She has no history of serious illness and takes no medications. Vital signs are within normal limits. Examination of the right breast shows a well-healing biopsy incision. The remainder of the examination discloses no abnormalities. Results of the biopsy specimen disclose ductal carcinoma in situ. The physician informs the patient he has some bad news to share and tells her the diagnosis. He explains her treatment options, including mastectomy, breast-conserving surgery, radiation therapy, chemotherapy, and any combination of these options. The patient appears afraid but listens attentively before responding, Youre the doctor. My children are still little. Tell me what I should do. In addition to expressing empathy, which of the following is the most appropriate physician response?"}
93
+ {"text": "A 36-year-old woman with hypertension comes to the office because she thinks she may be “going through early menopause.” She has not had a menstrual period since her most recent office visit 6 months ago. During this time, she also has been “gaining weight around the middle” despite increased exercise; she has had a 6.3-kg 14-lb weight gain. She has no other history of major medical illness. Her only medication is lisinopril. She does not smoke, drink alcohol, or use illicit drugs. She is 168 cm 5 ft 6 in tall and weighs 107 kg 236 lb; BMI is 38 kgm². Vital signs are within normal limits. Examination shows a uterus consistent in size with a 24-week gestation. Pelvic ultrasonography shows oligohydramnios and a fetus with a misshapen cranium, pericardial effusion, small bladder, and echogenic bowel. The most likely cause of the fetal abnormalities in this patient’s pregnancy is interference with which of the following?"}
94
+ {"text": "A 25-year-old woman, gravida 1, para 1, comes to the office because of a 2-week history of palpitations and heat intolerance. She delivered her child 3 months ago following an uncomplicated pregnancy and delivery. She is breast- feeding. She has no history of serious illness and takes no medications. She is 163 cm 5 ft 4 in tall and weighs 54 kg 120 lb; BMI is 21 kgm². Temperature is 37°C 98.6°F, pulse is 106min, respirations are 20min, and blood pressure is 12468 mm Hg. Examination shows moist palms and bilateral lid lag. No exophthalmos is noted. The thyroid gland is enlarged and nontender. No murmurs are heard on cardiac examination. Deep tendon reflexes are 3+. Serum studies show an undetectable TSH concentration, thyroxine T₄ concentration of 20 μgdL, and triiodothyronine T₃ concentration of 275 ngdL. Which of the following is the most likely mechanism of this patients symptoms?"}
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