input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Maximum thermic effect of food is seen with   (A) Carbohydrates   (B) Protein   (C) Fat   (D) Not dependent on macronutrients
output: ['(B) Protein <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Carbohydrates  (B) Protein  (C) Fat  (D) Not dependent on macronutrients <> possible answers', '  Maximum thermic effect of food is seen with <> context']