input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 33-year-old man presents to the emergency department after a motor vehicle collision. He was the front seat unrestrained driver in a head-on collision. The patient has a Glasgow Coma Scale of 5 and is subsequently intubated. Physical exam is notable for subcutaneous emphysema in the clavicular area. Needle decompression and chest tube placement are performed, and the patient is stabilized after receiving 2 units of blood and 2 liters of fluid. Chest radiography demonstrates proper tube location and resolution of the pneumothorax. The patient is transferred to the trauma intensive care unit. On the unit, a repeat chest radiograph is notable for a recurrent pneumothorax with the chest tube in place. Which of the following is the most likely diagnosis?   (A) Inappropriate chest tube placement   (B) Spontaneous pneumothorax   (C) Tension pneumothorax   (D) Tracheobronchial rupture
output: ['(D) Tracheobronchial rupture <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Inappropriate chest tube placement  (B) Spontaneous pneumothorax  (C) Tension pneumothorax  (D) Tracheobronchial rupture <> possible answers', '  A 33-year-old man presents to the emergency department after a motor vehicle collision. He was the front seat unrestrained driver in a head-on collision. The patient has a Glasgow Coma Scale of 5 and is subsequently intubated. Physical exam is notable for subcutaneous emphysema in the clavicular area. Needle decompression and chest tube placement are performed, and the patient is stabilized after receiving 2 units of blood and 2 liters of fluid. Chest radiography demonstrates proper tube location and resolution of the pneumothorax. The patient is transferred to the trauma intensive care unit. On the unit, a repeat chest radiograph is notable for a recurrent pneumothorax with the chest tube in place. Which of the following is the most likely diagnosis? <> context']