input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 3.5 kg male infant born at term after an uncomplicated pregnancy and delivery develops respiratory distress sholy after bih and requires mechanical ventilation. The chest radiograph reveals a normal cardiothymic silhouette but a diffuse ground glass appearance to the lung fields. Surfactant replacement fails to improve gas exchange. Over the first week life, the hypoxemia worsens. Results of routing culture and echocardiographic findings are negative. A term female sibling died at 1 month of age with respiratory distress. Which of the following is the most likely diagnosis?   (A) Neonatal pulmonary alveolar proteinosis   (B) Meconium aspiration   (C) Total anomalous pulmonary venous return   (D) Disseminated herpes simplex infection
output: ['(A) Neonatal pulmonary alveolar proteinosis <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Neonatal pulmonary alveolar proteinosis  (B) Meconium aspiration  (C) Total anomalous pulmonary venous return  (D) Disseminated herpes simplex infection <> possible answers', '  A 3.5 kg male infant born at term after an uncomplicated pregnancy and delivery develops respiratory distress sholy after bih and requires mechanical ventilation. The chest radiograph reveals a normal cardiothymic silhouette but a diffuse ground glass appearance to the lung fields. Surfactant replacement fails to improve gas exchange. Over the first week life, the hypoxemia worsens. Results of routing culture and echocardiographic findings are negative. A term female sibling died at 1 month of age with respiratory distress. Which of the following is the most likely diagnosis? <> context']