input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 26-year-old primigravida with juvenile myoclonic epilepsy comes to you at 4 months with concern regarding continuing sodium-valproate treatment. Your advice is:   (A) Add lamotrigine to sodium valproate   (B) Taper sodium valproate and add lamotrigine   (C) Switch on to carbamazepine   (D) Continue sodium valproate with regular monitoring of serum levels
output: ['(D) Continue sodium valproate with regular monitoring of serum levels <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Add lamotrigine to sodium valproate  (B) Taper sodium valproate and add lamotrigine  (C) Switch on to carbamazepine  (D) Continue sodium valproate with regular monitoring of serum levels <> possible answers', '  A 26-year-old primigravida with juvenile myoclonic epilepsy comes to you at 4 months with concern regarding continuing sodium-valproate treatment. Your advice is: <> context']