input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 69-year-old woman comes to the physician for a routine health maintenance examination. She feels well. Physical examination shows nontender cervical and axillary lymphadenopathy. The spleen is palpated 5 cm below the costal margin. Her leukocyte count is 12,000/mm3 and platelet count is 217,000/mm3. Further evaluation is most likely to show which of the following findings?   (A) Ringed sideroblasts   (B) Teardrop cells   (C) Smudge cells   (D) Hypergammaglobulinemia
output: ['(C) Smudge cells <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Ringed sideroblasts  (B) Teardrop cells  (C) Smudge cells  (D) Hypergammaglobulinemia <> possible answers', '  A 69-year-old woman comes to the physician for a routine health maintenance examination. She feels well. Physical examination shows nontender cervical and axillary lymphadenopathy. The spleen is palpated 5 cm below the costal margin. Her leukocyte count is 12,000/mm3 and platelet count is 217,000/mm3. Further evaluation is most likely to show which of the following findings? <> context']