input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** The initial pulpal response to any insult is:   (A) Necrosis   (B) Ulceration   (C) Calcification   (D) Inflammation
output: ['(D) Inflammation <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Necrosis  (B) Ulceration  (C) Calcification  (D) Inflammation <> possible answers', '  The initial pulpal response to any insult is: <> context']