input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** In Ludwig's angina, the 1st step when patient report to emergency room   (A) Incision & drainage under local anaesthesia   (B) Tracheostomy under general anaesthesia   (C) Tracheostomy under local anaesthesia   (D) I/V antibiotics and fluids
output: ['(C) Tracheostomy under local anaesthesia <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Incision & drainage under local anaesthesia  (B) Tracheostomy under general anaesthesia  (C) Tracheostomy under local anaesthesia  (D) I/V antibiotics and fluids <> possible answers', "  In Ludwig's angina, the 1st step when patient report to emergency room <> context"]