input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A patient presents to the ER after a A with multiple rib injuries. He is conscious, speaking single words.RR= 40/ minute, BP= 90/40mm Hg. What is the next immediate step in management?   (A) Intubate the patient   (B) Urgent fluid infusion   (C) Chest X- ray   (D) Needle inseion in 2nd ICS
output: ['(D) Needle inseion in 2nd ICS <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Intubate the patient  (B) Urgent fluid infusion  (C) Chest X- ray  (D) Needle inseion in 2nd ICS <> possible answers', '  A patient presents to the ER after a A with multiple rib injuries. He is conscious, speaking single words.RR= 40/ minute, BP= 90/40mm Hg. What is the next immediate step in management? <> context']