input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Local irritating factors in gingiva is most likely give rise to:   (A) Pyogenic granuloma   (B) Generalized fibrous hyperplasia of gingiva   (C) Mucosal cobblestoning   (D) Periapical abscess
output: ['(A) Pyogenic granuloma <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Pyogenic granuloma  (B) Generalized fibrous hyperplasia of gingiva  (C) Mucosal cobblestoning  (D) Periapical abscess <> possible answers', '  Local irritating factors in gingiva is most likely give rise to: <> context']