input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Tongue movement has its primary effect on   (A) Palatoglossus arch   (B) Facial musculature   (C) Lips   (D) Cheeks
output: ['(A) Palatoglossus arch <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Palatoglossus arch  (B) Facial musculature  (C) Lips  (D) Cheeks <> possible answers', '  Tongue movement has its primary effect on <> context']