input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Interdental papilla protruding from the rubber dam, most common cause is   (A) Inflammation of interdental papillae   (B) Use of light weight rubber dam   (C) Punch are placed too far   (D) Punch are placed too close
output: ['(D) Punch are placed too close <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Inflammation of interdental papillae  (B) Use of light weight rubber dam  (C) Punch are placed too far  (D) Punch are placed too close <> possible answers', '  Interdental papilla protruding from the rubber dam, most common cause is <> context']