input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A child presented with abdominal distension, hepatomegaly, doll like facies and recurrent episodes of hypoglycemia. Which of the following is the most likely diagnosis?   (A) Menkes disease   (B) Down syndrome   (C) Von gierke disease   (D) Lesch nyhan syndrome
output: ['(C) Von gierke disease <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Menkes disease  (B) Down syndrome  (C) Von gierke disease  (D) Lesch nyhan syndrome <> possible answers', '  A child presented with abdominal distension, hepatomegaly, doll like facies and recurrent episodes of hypoglycemia. Which of the following is the most likely diagnosis? <> context']