Call two rational numbers $N$-indistinguishable if they have the same $p$-adic order for every prime $p$ less than $N$. Write $\sim_N$ for the relation of being $N$-indistinguishable,
Say you are given two rational numbers $a$ and $b$ and are told that at least one of them is positive. For natural numbers $n$ and $k$, does there exist a large $N=N(n,k)$ such that if each of the following pairs of numbers are $N$-indistinguishable, then both $a$ and $b$ are positive:
$$a\sim_N \binom{n}{k}, b\sim_N \binom{n}{k+1}, a+b\sim_N \binom{n}{k}+\binom{n}{k+1}=\binom{n+1}{k+1} $$