input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Continues use of vibrator can leads to   (A) Random nodule formation   (B) Surface roughness   (C) Surface irregularities   (D) Discoloration
output: ['(B) Surface roughness <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Random nodule formation  (B) Surface roughness  (C) Surface irregularities  (D) Discoloration <> possible answers', '  Continues use of vibrator can leads to <> context']