input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 67-year-old man who was diagnosed with arthritis 16 years ago presents with right knee swelling and pain. His left knee was swollen a few weeks ago, but now with both joints affected, he has difficulty walking and feels frustrated. He also has back pain which makes it extremely difficult to move around and be active during the day. He says his pain significantly improves with rest. He also suffers from dandruff for which he uses special shampoos. Physical examination is notable for pitting of his nails. Which of the following is the most likely diagnosis?   (A) Psoriatic arthritis   (B) Arthritis mutilans   (C) Rheumatoid arthritis   (D) Mixed connective tissue disease
output: ['(A) Psoriatic arthritis <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Psoriatic arthritis  (B) Arthritis mutilans  (C) Rheumatoid arthritis  (D) Mixed connective tissue disease <> possible answers', '  A 67-year-old man who was diagnosed with arthritis 16 years ago presents with right knee swelling and pain. His left knee was swollen a few weeks ago, but now with both joints affected, he has difficulty walking and feels frustrated. He also has back pain which makes it extremely difficult to move around and be active during the day. He says his pain significantly improves with rest. He also suffers from dandruff for which he uses special shampoos. Physical examination is notable for pitting of his nails. Which of the following is the most likely diagnosis? <> context']