input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Least complication in outlet forceps is:   (A) Complete perinea! tear   (B) Vulval hematoma   (C) Extension of episiotomy   (D) Cervical tear
output: ['(D) Cervical tear <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Complete perinea! tear  (B) Vulval hematoma  (C) Extension of episiotomy  (D) Cervical tear <> possible answers', '  Least complication in outlet forceps is: <> context']