[2025-09-30T05:23:21.022592] [QUERYOME] Starting research for query 499: 'Instructions: 
 Answer the question below. First, respond with the single best option letter (A, B, C, or D). Then provide a concise reasoning (1–3 sentences). Use both the retrieved evidence and your own medical knowledge to choose the most accurate answer. 

Question:
All of the following indicate superimposed pre-eclampsia in a pregnant female of chronic hypeension except: (Asked twice) 

Options:
{'A': 'New onset proteinuria', 'B': 'Platelet count < 75,000', 'C': 'Increase in systolic BP by 30 mm Hg and diastolic by 15 mm Hg', 'D': 'Fresh retinal hypeensive changes'}'
[2025-09-30T05:23:21.118054] [PI] Starting research for query: 'Instructions: 
 Answer the question below. First, respond with the single best option letter (A, B, C, or D). Then provide a concise reasoning (1–3 sentences). Use both the retrieved evidence and your own medical knowledge to choose the most accurate answer. 

Question:
All of the following indicate superimposed pre-eclampsia in a pregnant female of chronic hypeension except: (Asked twice) 

Options:
{'A': 'New onset proteinuria', 'B': 'Platelet count < 75,000', 'C': 'Increase in systolic BP by 30 mm Hg and diastolic by 15 mm Hg', 'D': 'Fresh retinal hypeensive changes'}'
[2025-09-30T05:23:21.119741] Saving text to bench_final/run1/medmcqa/medmcqa_498/pi_initial_prompt.txt
[2025-09-30T05:23:21.127369] [PI] Calling o3 for initial analysis...
[2025-09-30T05:23:33.593085] [PI] Reasoning iteration 1
[2025-09-30T05:23:33.594890] [PI reasoning] **Analyzing pre-eclampsia indicators**

I need to answer a multiple-choice question about superimposed pre-eclampsia in a pregnant woman with chronic hypertension. Features indicating this condition include new proteinuria after 20 weeks, sudden blood pressure spikes, thrombocytopenia, or abnormal liver function. The threshold for severe features includes a platelet count under 100,000. Fresh retinal changes and significant increases in blood pressure were historically noted but might not be considered now. It's critical to identify the correct exceptions from these indicators.
[2025-09-30T05:23:33.597413] [PI] Executing function call 1: hybrid_search
[2025-09-30T05:23:33.599407] [PI] Function arguments: {'query': 'superimposed preeclampsia criteria chronic hypertension new onset proteinuria platelet thrombocytopenia 100000 increase 30 15 not part of criteria', 'k': 10, 'faiss_weight': 0.6, 'bm25_weight': 0.4, 'use_rrf': True}
[2025-09-30T05:23:33.609279] Saving JSON to bench_final/run1/medmcqa/medmcqa_498/pi_iteration_1_tool_call_2_hybrid_search.json
[2025-09-30T05:24:21.013536] [PI] Function hybrid_search executed successfully
[2025-09-30T05:24:21.015787] Saving JSON to bench_final/run1/medmcqa/medmcqa_498/pi_iteration_1_tool_result_2_hybrid_search.json
[2025-09-30T05:24:21.025629] [PI] Continuing reasoning with 1 function responses...
[2025-09-30T05:24:27.125465] [PI] Reasoning iteration 2
[2025-09-30T05:24:27.136909] [PI] Executing function call 1: hybrid_search
[2025-09-30T05:24:27.138594] [PI] Function arguments: {'query': 'increase in blood pressure by 30 15 mm hg no longer considered diagnostic of preeclampsia ACOG', 'k': 10, 'faiss_weight': 0.7, 'bm25_weight': 0.3, 'use_rrf': True}
[2025-09-30T05:24:27.140276] Saving JSON to bench_final/run1/medmcqa/medmcqa_498/pi_iteration_2_tool_call_2_hybrid_search.json
[2025-09-30T05:25:16.868583] [PI] Function hybrid_search executed successfully
[2025-09-30T05:25:16.870462] Saving JSON to bench_final/run1/medmcqa/medmcqa_498/pi_iteration_2_tool_result_2_hybrid_search.json
[2025-09-30T05:25:16.884168] [PI] Continuing reasoning with 1 function responses...
[2025-09-30T05:25:23.432955] [PI] Reasoning iteration 3
[2025-09-30T05:25:23.434670] [PI] Executing function call 1: hybrid_search
[2025-09-30T05:25:23.437132] [PI] Function arguments: {'query': 'ACOG task force 2013 chronic hypertension superimposed preeclampsia diagnostic criteria: platelet <100000 proteinuria new onset etc raise of 30/15 no longer used', 'k': 10, 'faiss_weight': 0.6, 'bm25_weight': 0.4, 'use_rrf': True}
[2025-09-30T05:25:23.438896] Saving JSON to bench_final/run1/medmcqa/medmcqa_498/pi_iteration_3_tool_call_2_hybrid_search.json
[2025-09-30T05:26:16.712693] [PI] Function hybrid_search executed successfully
[2025-09-30T05:26:16.714813] Saving JSON to bench_final/run1/medmcqa/medmcqa_498/pi_iteration_3_tool_result_2_hybrid_search.json
[2025-09-30T05:26:16.728366] [PI] Continuing reasoning with 1 function responses...
[2025-09-30T05:26:28.352621] [PI] Reasoning iteration 4
[2025-09-30T05:26:28.354416] [PI] No function calls found in response
[2025-09-30T05:26:28.357108] [PI] No more function calls - research complete
[2025-09-30T05:26:28.359362] Saving text to bench_final/run1/medmcqa/medmcqa_498/pi_final_answer.txt
[2025-09-30T05:26:28.364589] [QUERYOME] Query completed successfully
