input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** The usefulness of a screening test depends upon it   (A) Sensitivity   (B) Specificity   (C) Reliability   (D) Predictive value
output: ['(A) Sensitivity <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Sensitivity  (B) Specificity  (C) Reliability  (D) Predictive value <> possible answers', '  The usefulness of a screening test depends upon it <> context']