input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** 23 serotypes pneumococcal vaccine Most useful in   (A) Cystic fibrosis   (B) Recurrent otitis media & sinusitis   (C) Child less than 2 years   (D) Sickle cell anaemia
output: ['(D) Sickle cell anaemia <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Cystic fibrosis  (B) Recurrent otitis media & sinusitis  (C) Child less than 2 years  (D) Sickle cell anaemia <> possible answers', '  23 serotypes pneumococcal vaccine Most useful in <> context']