input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 40 years old female currently on a drug for psychiatric illness and hypeension presents with NYHA class III hea failure with dyspnea, pedal edema and K+ levels of 5.5 mEq/L and creatinine 2.5 mg%. Which of the following drug is best avoided?   (A) Carvedilol   (B) Enalapril   (C) Spironolactone   (D) Digoxin
output: ['(C) Spironolactone <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Carvedilol  (B) Enalapril  (C) Spironolactone  (D) Digoxin <> possible answers', '  A 40 years old female currently on a drug for psychiatric illness and hypeension presents with NYHA class III hea failure with dyspnea, pedal edema and K+ levels of 5.5 mEq/L and creatinine 2.5 mg%. Which of the following drug is best avoided? <> context']