input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Two days after admission to the hospital for treatment of acute myelogenous leukemia, a 35-year-old man develops nausea, vomiting, fatigue, and muscle cramps. He has a history of diet-controlled type 2 diabetes mellitus. He has smoked one-half pack of cigarettes daily for 15 years and reports occasionally using marijuana. His temperature is 38.7°C (101.1°F), pulse is 85/min, respirations are 25/min, and blood pressure is 110/65 mm Hg. Laboratory studies show: Leukocyte count 16,000/mm3 Hemoglobin 13.4 g/dL Platelet count 180,000/mm3 Serum Na+ 134 mEq/L K+ 5.9 mEq/L Cl- 101 mEq/L HCO3- 24 mEq/L Urea nitrogen 27 mg/dL Uric acid 11.2 mg/dL Creatinine 2.2 mg/dL Glucose 134 mg/dL Ca2+ 6.8 mg/dL Mg2+ 1.8 g/dL Phosphorus 8.9 mg/dL Which of the following would have been most effective in preventing this patient's current symptoms?"   (A) Urine alkalinization   (B) Rasburicase   (C) Allopurinol   (D) Intravenous hydration
output: ['(D) Intravenous hydration <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Urine alkalinization  (B) Rasburicase  (C) Allopurinol  (D) Intravenous hydration <> possible answers', '  Two days after admission to the hospital for treatment of acute myelogenous leukemia, a 35-year-old man develops nausea, vomiting, fatigue, and muscle cramps. He has a history of diet-controlled type 2 diabetes mellitus. He has smoked one-half pack of cigarettes daily for 15 years and reports occasionally using marijuana. His temperature is 38.7°C (101.1°F), pulse is 85/min, respirations are 25/min, and blood pressure is 110/65 mm Hg. Laboratory studies show:\nLeukocyte count 16,000/mm3\nHemoglobin 13.4 g/dL\nPlatelet count 180,000/mm3\nSerum\nNa+ 134 mEq/L\nK+ 5.9 mEq/L\nCl- 101 mEq/L\nHCO3- 24 mEq/L\nUrea nitrogen 27 mg/dL\nUric acid 11.2 mg/dL\nCreatinine 2.2 mg/dL\nGlucose 134 mg/dL\nCa2+ 6.8 mg/dL\nMg2+ 1.8 g/dL\nPhosphorus 8.9 mg/dL\nWhich of the following would have been most effective in preventing this patient\'s current symptoms?" <> context']