input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** The most effective way of preventing tetanus is :   (A) Surgical debridement and toilet   (B) Hyperbaric oxygen   (C) Antibiotics   (D) Tetanus toxoid
output: ['(D) Tetanus toxoid <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Surgical debridement and toilet  (B) Hyperbaric oxygen  (C) Antibiotics  (D) Tetanus toxoid <> possible answers', '  The most effective way of preventing tetanus is : <> context']