input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Biofilm forming bacteria causes antimicrobial resist-ance by all of the following except:   (A) Mechanical barrier   (B) Increased excretion of antibiotics   (C) Altered metabolism   (D) Adherence
output: ['(D) Adherence <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Mechanical barrier  (B) Increased excretion of antibiotics  (C) Altered metabolism  (D) Adherence <> possible answers', '  Biofilm forming bacteria causes antimicrobial resist-ance by all of the following except: <> context']