Table 1 Case vignette lists and appropriate semantic qualifiers

1

Transient ischemic attack

Transient, weakness, dysarthria

2

Pyelonephritis

Fever, lumbar back pain, bladder irritation symptoms

3

Panic disorder

Paroxysmal attack, two sympathetic symptoms such as palpitations and lightheadedness

4

Lumbar spinal stenosis

Numbness in the lower portion of both legs, improvement with forward bending, intermittent claudication

5

Benign paroxysmal positional vertigo

Paroxysmal attack, vertigo, changes in one’s head posture

6*

Acute sinusitis

Antecedent infection, facial pain, nasal discharge

7*

Acute epiglottitis

Acute, sore throat, drooling

8

Cholecystitis

Fever, postprandial symptoms, right upper quadrant pain

9

Pulmonary thromboembolism

Acute, dyspnea, unilateral leg edema

10

Acute angle-closure glaucoma

Acute, headache, visual abnormality