input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 21-year-old man with a past medical history significant for Down syndrome presents to the outpatient primary care clinic for a routine follow up and high risk screening. He is relatively high functioning and currently has no additional significant medical conditions. He feels well and a physical examination shows that he is within normal limits. He denies any current tobacco use, alcohol use, or illicit drug use. His vital signs include: temperature, 36.7°C (98.0°F); blood pressure, 126/74 mm Hg; heart rate, 87/min; and respiratory rate, 17/min. When considering possible conditions for which this patient is predisposed, which of the following neoplasms is associated with Down syndrome?   (A) Gastric adenocarcinoma   (B) Astrocytoma and cardiac rhabdomyoma   (C) Esophageal adenocarcinoma   (D) Acute lymphocytic leukemia
output: ['(D) Acute lymphocytic leukemia <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Gastric adenocarcinoma  (B) Astrocytoma and cardiac rhabdomyoma  (C) Esophageal adenocarcinoma  (D) Acute lymphocytic leukemia <> possible answers', '  A 21-year-old man with a past medical history significant for Down syndrome presents to the outpatient primary care clinic for a routine follow up and high risk screening. He is relatively high functioning and currently has no additional significant medical conditions. He feels well and a physical examination shows that he is within normal limits. He denies any current tobacco use, alcohol use, or illicit drug use. His vital signs include: temperature, 36.7°C (98.0°F); blood pressure, 126/74 mm Hg; heart rate, 87/min; and respiratory rate, 17/min. When considering possible conditions for which this patient is predisposed, which of the following neoplasms is associated with Down syndrome? <> context']