input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Which of the following is not transmitted by lice   (A) Q fever   (B) Trench fever   (C) Relapsing fever   (D) Epidemic typhus
output: ['(A) Q fever <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Q fever  (B) Trench fever  (C) Relapsing fever  (D) Epidemic typhus <> possible answers', '  Which of the following is not transmitted by lice <> context']