input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** In a polytrauma patient, chest tube insertion caused sudden drainage of 1,500 mL blood from left side. Oxygen saturation is 92%. What should be the immediate next step:   (A) Transfer to trauma center   (B) Prepare for immediate open thoracotomy   (C) Auscultate for left chest breath sounds and wait for saturation to rise   (D) Clamp the chest tube
output: ['(D) Clamp the chest tube <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Transfer to trauma center  (B) Prepare for immediate open thoracotomy  (C) Auscultate for left chest breath sounds and wait for saturation to rise  (D) Clamp the chest tube <> possible answers', '  In a polytrauma patient, chest tube insertion caused sudden drainage of 1,500 mL blood from left side. Oxygen saturation is 92%. What should be the immediate next step: <> context']