input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** 'There has been a gradual increase in number of non-communicable disease cases as compared to previous years. This trend is called:   (A) Seasonal   (B) Cyclical   (C) Periodical   (D) Secular
output: ['(D) Secular <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Seasonal  (B) Cyclical  (C) Periodical  (D) Secular <> possible answers', "  'There has been a gradual increase in number of non-communicable disease cases as compared to previous years. This trend is called: <> context"]