input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** In which of the following conditions would maternal serum alpha-fetoprotein values be the highest:   (A) Down's syndrome   (B) Omphalocele   (C) Gastroschisis   (D) Spina bifida occulta
output: ['(C) Gastroschisis <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', "(A) Down's syndrome  (B) Omphalocele  (C) Gastroschisis  (D) Spina bifida occulta <> possible answers", '  In which of the following conditions would maternal serum alpha-fetoprotein values be the highest: <> context']