input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** What is the first sign of pubey in a girl?   (A) Thelarche   (B) Menarche   (C) Adrenarche   (D) Pubarche
output: ['(A) Thelarche <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Thelarche  (B) Menarche  (C) Adrenarche  (D) Pubarche <> possible answers', '  What is the first sign of pubey in a girl? <> context']