input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** In a 30 years old female patient with polyahritis, testing reveals nucleolar pattern of ANA staining. What is the likely course of this patient?   (A) Malar rash, alopecia and renal failure   (B) Sclerodactyly, esophageal dysmotility and Raynaud's phenomenon   (C) Sjogren's syndrome   (D) Painful genital and oral blisters and ulcers
output: ["(B) Sclerodactyly, esophageal dysmotility and Raynaud's phenomenon <> answer", 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', "(A) Malar rash, alopecia and renal failure  (B) Sclerodactyly, esophageal dysmotility and Raynaud's phenomenon  (C) Sjogren's syndrome  (D) Painful genital and oral blisters and ulcers <> possible answers", '  In a 30 years old female patient with polyahritis, testing reveals nucleolar pattern of ANA staining. What is the likely course of this patient? <> context']