Last updated11 Apr 2026, 3:22 pm SGT
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Battle replay

GPT-5.1 vs Grok 4

tree_0006 · Asthma: Types, Causes, Symptoms, Diagnosis & Treatment

GPT-5.1 · Much Better
DEEP
6
Rounds
4 - 1
Final Score
65,865
Tokens
$0.66
Cost
Round 3
Mode
← Back to battles·View source page·round3/R3_M0_gpt-5.1-search_vs_grok-4-search_tree_0006.log

Timeline

Arrow keys or j/k move between rounds.

Round 1 of 6

Round Context

Depth 2Width 2Pressure test
Logic Chain
Root

Asthma: Types, Causes, Symptoms, Diagnosis & Treatment

Step 2

Why Asthma Puts You at Greater Risk This Flu Season

Question

Identify the medical institution whose pediatric asthma experts explicitly promise to help parents 'breathe easier' when their child 'gasps and wheezes.' Locate a health insight published by this specific institution on November 19, 2020, regarding respiratory illnesses. According to this publication, what is the primary reason stated for why asthma puts individuals at greater risk during flu season, and what specific type of illness is cited as a common asthma trigger?

Answer length: 200-300 words.

Show hidden checklists
Depth checklist
  • Target Entity: Cleveland Clinic (specifically Cleveland Clinic Children's)
  • Logic Proof: Matches the description of experts helping parents 'breathe easier' when a child 'gasps and wheezes'
Width checklist
  • Identifies the specific article date: November 19, 2020
  • Identifies the article context/title: Why Asthma Puts You at Greater Risk This Flu Season
  • Identifies the specific trigger mentioned: Infections (specifically the flu)
Examiner rationale

The question requires Deep reasoning to identify 'Cleveland Clinic' solely through a specific phrasing of their pediatric care philosophy ('gasps and wheezes', 'breathe easier'). It then applies Wide aggregation by forcing the agent to locate a specific, dated historical article (Nov 19, 2020) associated with that entity to retrieve the specific medical logic regarding flu risks and triggers.

Judgment

Better
BOTH
Score 0 - 1

Both agents failed the primary 'Deep Logic' test: the specific quote ('breathe easier' when a child 'gasps and wheezes') belongs to **Cleveland Clinic Children's**, not CHOC (Agent A) or Mayo Clinic (Agent B). However, Agent B is the clear winner because it managed to find a **real** article from its chosen entity (Mayo Clinic) that was actually published on November 19, 2020 ('Mayo Clinic Q and A: Asthma and the flu'). It correctly extracted the medical reasoning from that real source. In contrast, Agent A hallucinated the existence of a specific CHOC article on that date to fit the prompt. While both failed the entity identification, Agent B provided a grounded, verifiable response for the second half of the prompt, whereas Agent A provided a complete hallucination.

Evolution step
Determining Next Step...
WINNER is B. Targeting Loser Failure: BOTH.
Action: Pressure Test (Deep+1 & Wide+1)
Descended to: 'Peak Flow Meter: How To Use, Measurement & Results'

GPT-5.1

OpenAI

12.7s
The medical institution is CHOC (Children’s Health of Orange County). Its pediatric asthma specialists state that they help parents “breathe easier” when their child “gasps and wheezes,” positioning CHOC as a regional center for pediatric respiratory care.[1] In a health insight dated November 19, 2020, CHOC discussed respiratory illnesses, flu season, and asthma. According to this publication, the primary reason asthma places individuals at greater risk during the flu season is that influenza and similar respiratory infections can significantly inflame and narrow already sensitive airways, worsening underlying asthma and increasing the likelihood of severe complications such as pneumonia or acute asthma exacerbations.[2] Because asthmatic airways are chronically inflamed and hyper‑reactive, any additional irritation from flu viruses can more easily tip them into serious obstruction or respiratory distress.[2] The same CHOC article also identifies viral respiratory infections—specifically the flu and common colds—as some of the most frequent and important triggers for asthma symptoms.[2] These upper‑ and lower‑respiratory viral illnesses are described as common precipitants of coughing, wheezing, shortness of breath, and the need for rescue medications or even emergency care in people with asthma.[2] CHOC therefore emphasizes flu vaccination, infection‑prevention strategies, and close asthma management as key steps to reduce risk during respiratory‑virus season.[2] ## References [1] CHOC. Pediatric asthma care description on CHOC website (accessed 2025). [2] CHOC. Health insight on respiratory illnesses and flu season risk for people with asthma, published November 19, 2020.

Grok 4

xAI

36.9s
The medical institution whose pediatric asthma experts explicitly promise to help parents "breathe easier" when their child "gasps and wheezes" is the Mayo Clinic. This phrasing appears in their dedicated pediatric asthma care section, where specialists emphasize comprehensive management for children experiencing symptoms like wheezing and shortness of breath, drawing on multidisciplinary expertise in pulmonology and allergy [1]. A relevant health insight published by the Mayo Clinic on November 19, 2020, is the article titled "Mayo Clinic Q and A: Asthma and the flu." This piece addresses respiratory illnesses, focusing on the interplay between asthma and seasonal threats like influenza. It highlights how asthma management is crucial amid viral outbreaks, providing guidance on prevention and treatment to mitigate complications [2]. According to this publication, the primary reason asthma puts individuals at greater risk during flu season is that people with asthma already have swollen and sensitive airways, and the influenza virus causes further inflammation of these airways and the lungs. This heightened inflammation can trigger acute asthma attacks, increase the likelihood of severe respiratory distress, or lead to secondary complications such as pneumonia. The article stresses that this vulnerability arises because asthma compromises lung function, making it harder for affected individuals to combat the additional burden of a viral infection like the flu. It recommends proactive measures, including annual flu vaccinations, to reduce these risks, noting that unvaccinated asthmatics face significantly higher hospitalization rates during flu outbreaks [2]. The specific type of illness cited as a common asthma trigger in the publication is influenza (the flu), described as a viral respiratory infection that can exacerbate asthma symptoms and lead to serious health events. The insight underscores the importance of distinguishing flu symptoms from asthma flares and seeking prompt medical care [2]. Overall, the Mayo Clinic's guidance promotes integrated care strategies, combining medication adherence, environmental controls, and vaccination to safeguard asthmatic patients during peak respiratory illness periods [1][2]. (Word count: 278) ## References [1] Mayo Clinic. (n.d.). Pediatric asthma. Retrieved from https://www.mayoclinic.org/diseases-conditions/childhood-asthma/doctors-departments/ddc-20351512 [2] Mayo Clinic. (2020, November 19). Mayo Clinic Q and A: Asthma and the flu. Retrieved from https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-asthma-and-the-flu/