input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Increased VDO results in   (A) Strained facial appearance   (B) Trauma to underlying tissues   (C) Clicking of teeth   (D) All of the above
output: ['(D) All of the above <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Strained facial appearance  (B) Trauma to underlying tissues  (C) Clicking of teeth  (D) All of the above <> possible answers', '  Increased VDO results in <> context']