input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** The effect of enlarged Adenoids on the maxillary growth is by   (A) Narrowing of maxilla   (B) Widening of maxilla   (C) Palatal plane tipped upwards at PNS   (D) Palate descends down
output: ['(A) Narrowing of maxilla <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Narrowing of maxilla  (B) Widening of maxilla  (C) Palatal plane tipped upwards at PNS  (D) Palate descends down <> possible answers', '  The effect of enlarged Adenoids on the maxillary growth is by <> context']