input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Peau d'orange in carcinoma breast is due to:   (A) Obstruction of sub-dermal lymphatics   (B) Infiltration of Cooper's ligament   (C) Hematogenous dissemination   (D) Hematogenous dissemination
output: ['(A) Obstruction of sub-dermal lymphatics <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', "(A) Obstruction of sub-dermal lymphatics  (B) Infiltration of Cooper's ligament  (C) Hematogenous dissemination  (D) Hematogenous dissemination <> possible answers", "  Peau d'orange in carcinoma breast is due to: <> context"]