input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** The patients with class II division 1 malocclusion have   (A) Hypertonic Lower Lip   (B) Hypotonic Lower lip   (C) Hypertonic upper Lip   (D) Hypotonic upper lip
output: ['(D) Hypotonic upper lip <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Hypertonic Lower Lip  (B) Hypotonic Lower lip  (C) Hypertonic upper Lip  (D) Hypotonic upper lip <> possible answers', '  The patients with class II division 1 malocclusion have <> context']