Task: Question Generation
Input (English): Context: Howard moved his hips only slightly , up and down , while Vince removed his finger , leant down , and with his mouth open made contact with Howard 's entrance , pressing his tongue up and inside him . Howard let loose with a long stuttering groan , and then began to shout in panic , " It 's a dream ! It 's a dream ! Not real !.
Output (English): What could have led to this ?