input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 35-year-old male presents to the emergency department for evaluation of hemoptysis. A chest X-ray reveals bilateral focal pulmonary consolidation. On further questioning, he admits having hematuria. Urinalysis shows RBC casts and 400 mL of urine is excreted in 24 hours. What is the most likely cause of hemoptysis and hematuria in this patient?   (A) Anti-Smith antibodies   (B) Anti-neutrophil antibodies   (C) Anti-mitochondrial antibodies   (D) Anti-glomerular basement membrane antibodies
output: ['(D) Anti-glomerular basement membrane antibodies <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Anti-Smith antibodies  (B) Anti-neutrophil antibodies  (C) Anti-mitochondrial antibodies  (D) Anti-glomerular basement membrane antibodies <> possible answers', '  A 35-year-old male presents to the emergency department for evaluation of hemoptysis. A chest X-ray reveals bilateral focal pulmonary consolidation. On further questioning, he admits having hematuria. Urinalysis shows RBC casts and 400 mL of urine is excreted in 24 hours. What is the most likely cause of hemoptysis and hematuria in this patient? <> context']