input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 40-year-old female presents to your office complaining of a tender neck and general lethargy. Upon further questioning, she reports decreased appetite, fatigue, constipation, and jaw pain. Her pulse is 60 bpm and her blood pressure is 130/110 mm Hg. Biopsy of her thyroid reveals granulomatous inflammation and multinucleate giant cells surrounding fragmented colloid. Which of the following likely precipitated the patient’s condition:   (A) Iodine deficiency   (B) Thryoglossal duct cyst   (C) Infection   (D) Chronic renal disease
output: ['(C) Infection <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Iodine deficiency  (B) Thryoglossal duct cyst  (C) Infection  (D) Chronic renal disease <> possible answers', '  A 40-year-old female presents to your office complaining of a tender neck and general lethargy. Upon further questioning, she reports decreased appetite, fatigue, constipation, and jaw pain. Her pulse is 60 bpm and her blood pressure is 130/110 mm Hg. Biopsy of her thyroid reveals granulomatous inflammation and multinucleate giant cells surrounding fragmented colloid. Which of the following likely precipitated the patient’s condition: <> context']