input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 63-year-old man comes to the physician for the evaluation of an unintentional 10-kg (22-lb) weight loss over the past 6 months. During this period, the patient has had recurrent episodes of high-grade fever, night sweats, and feelings of fatigue. Two months ago, he had herpes zoster that was treated with acyclovir. He appears pale. Temperature is 38.5°C (101.3°F), pulse is 90/min, and blood pressure 130/80 mm Hg. Physical examination shows generalized painless lymphadenopathy. The liver and the spleen are palpated 2–3 cm below the right and the left costal margin, respectively. Laboratory studies show: Hematocrit 42% Leukocyte count 15,000/mm3 Segmented neutrophils 46% Eosinophils 1% Lymphocytes 50% Monocytes 3% Platelet count 120,000/mm3 Blood smear shows mature lymphocytes that rupture easily and appear as artifacts on a blood smear. Flow cytometry shows lymphocytes expressing CD5, CD19, CD20, and CD23. Which of the following is the most appropriate treatment?"   (A) All-trans retinoic acid   (B) Fludarabine, cyclophosphamide, rituximab   (C) Observation and disease progression monitoring   (D) Imatinib only "
output: ['(B) Fludarabine, cyclophosphamide, rituximab <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) All-trans retinoic acid  (B) Fludarabine, cyclophosphamide, rituximab  (C) Observation and disease progression monitoring  (D) Imatinib only" <> possible answers', '  A 63-year-old man comes to the physician for the evaluation of an unintentional 10-kg (22-lb) weight loss over the past 6 months. During this period, the patient has had recurrent episodes of high-grade fever, night sweats, and feelings of fatigue. Two months ago, he had herpes zoster that was treated with acyclovir. He appears pale. Temperature is 38.5°C (101.3°F), pulse is 90/min, and blood pressure 130/80 mm Hg. Physical examination shows generalized painless lymphadenopathy. The liver and the spleen are palpated 2–3 cm below the right and the left costal margin, respectively. Laboratory studies show:\nHematocrit 42%\nLeukocyte count 15,000/mm3\nSegmented neutrophils 46%\nEosinophils 1%\nLymphocytes 50%\nMonocytes 3%\nPlatelet count 120,000/mm3\nBlood smear shows mature lymphocytes that rupture easily and appear as artifacts on a blood smear. Flow cytometry shows lymphocytes expressing CD5, CD19, CD20, and CD23. Which of the following is the most appropriate treatment?" <> context']