input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 27 years old pregnant lady comes with severe jaundice and altered sensorium. On examination, the patient is deeply icteric, not responding to commands and pelvic sonogram reveals intrauterine fetal death. Serum bilirubin levels are 28.8 mg/dL (direct = 18.6 mg/dL), AST levels are 1063 and ALT levels are 1191. The viral markers are as follows. What is the likely diagnosis?Anti-HAV IgGReactiveAnti-HAV IgMNonreactiveHbSAgNon reactiveAnti-HbSAgNonreactiveAnti-HBc IgMNonreactiveAnti-HBc IgGReactiveAnti-HCV IgGNonreactiveAnti-HEV IgMReactiveAnti-HEV IgGNon reactive   (A) Acute hepatitis E superimposed on chronic liver failure due to hepatitis B   (B) Fulminant hepatitis due to hepatitis B infection   (C) Acute hepatitis E with chronic hepatitis A   (D) Fulminant hepatitis due to hepatitis E infection
output: ['(D) Fulminant hepatitis due to hepatitis E infection <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Acute hepatitis E superimposed on chronic liver failure due to hepatitis B  (B) Fulminant hepatitis due to hepatitis B infection  (C) Acute hepatitis E with chronic hepatitis A  (D) Fulminant hepatitis due to hepatitis E infection <> possible answers', '  A 27 years old pregnant lady comes with severe jaundice and altered sensorium. On examination, the patient is deeply icteric, not responding to commands and pelvic sonogram reveals intrauterine fetal death. Serum bilirubin levels are 28.8 mg/dL (direct = 18.6 mg/dL), AST levels are 1063 and ALT levels are 1191. The viral markers are as follows. What is the likely diagnosis?Anti-HAV IgGReactiveAnti-HAV IgMNonreactiveHbSAgNon reactiveAnti-HbSAgNonreactiveAnti-HBc IgMNonreactiveAnti-HBc IgGReactiveAnti-HCV IgGNonreactiveAnti-HEV IgMReactiveAnti-HEV IgGNon reactive <> context']