input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A one year old child, who is earlier normal, is suffering from copious nasal discharge, coarse facial features, large tongue, bulging head and flattened nose. He is also having enlarged spleen and liver. What may be the cause?   (A) Hypothyroidism   (B) Beckwith widman syndrome   (C) Proteus syndrome   (D) Hurler syndrome
output: ['(D) Hurler syndrome <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Hypothyroidism  (B) Beckwith widman syndrome  (C) Proteus syndrome  (D) Hurler syndrome <> possible answers', '  A one year old child, who is earlier normal, is suffering from copious nasal discharge, coarse facial features, large tongue, bulging head and flattened nose. He is also having enlarged spleen and liver. What may be the cause? <> context']