Task: Question Generation
Input (English): Background Paragraph: In exercises such as weight lifting, skeletal muscle contracts against a resisting force (see Figure below ). Using skeletal muscle in this way increases its size and strength. In exercises such as running, the cardiac muscle contracts faster and the heart pumps more blood. Using cardiac muscle in this way increases its strength and efficiency. Continued exercise is necessary to maintain bigger, stronger muscles. If you don’t use a muscle, it will get smaller and weaker—so use it or lose it. 
Story: David got five exercise tips from his personal trainer, tip A, tip B, tip C, tip D, and tip E. Tip A involves weight lifting, but tip B does not involve weight lifting. Tip C involves running, but tip D does not involve running. Finally, tip E does not involve any exercise at all. David has to find out which tips are most useful for him.
Output (English): Would tip D make the cardiac muscle more efficient or not more efficient than tip C?