input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Sodium bicarbonate when given with local anaesthetics has which of the following effect?   (A) Increases speed and quality of anaesthesia   (B) Decreases diffusion of the anaesthetic drug   (C) Causes rapid elimination of the Local anesthetic   (D) Decreases speed and quality of anaesthesia
output: ['(A) Increases speed and quality of anaesthesia <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Increases speed and quality of anaesthesia  (B) Decreases diffusion of the anaesthetic drug  (C) Causes rapid elimination of the Local anesthetic  (D) Decreases speed and quality of anaesthesia <> possible answers', '  Sodium bicarbonate when given with local anaesthetics has which of the following effect? <> context']