input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A Patient presented to emergence after A with multiple rib fractures. He is conscious speaking single words. On examination, respiratory rate was 40/minute and BP was 90/40 mmHg. What is immediate next step?   (A) Urgent IV fluid administration   (B) Intubate the patient   (C) Chest X-ray   (D) Needle inseion in 2nd intercostal space
output: ['(D) Needle inseion in 2nd intercostal space <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Urgent IV fluid administration  (B) Intubate the patient  (C) Chest X-ray  (D) Needle inseion in 2nd intercostal space <> possible answers', '  A Patient presented to emergence after A with multiple rib fractures. He is conscious speaking single words. On examination, respiratory rate was 40/minute and BP was 90/40 mmHg. What is immediate next step? <> context']