input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Pegloticase is used in   (A) Chronic gout   (B) Paralytic ileus   (C) Psoriatic ahritis   (D) Rheumatoid ahritis
output: ['(A) Chronic gout <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Chronic gout  (B) Paralytic ileus  (C) Psoriatic ahritis  (D) Rheumatoid ahritis <> possible answers', '  Pegloticase is used in <> context']