Extreme is related to Pain. Pain is related to Like. Like is a synonym of Elect. Elect is a synonym of Elite. 
Instruction is part of Program. Call is a type of Instruction. Call is related to Question. Question is a synonym of Consideration. 
Extreme <--RelatedTo--> Pain <--RelatedTo--> Like <--Synonym--> Elect <--Synonym--> Elite 
Program <--PartOf-- Instruction <--IsA-- Call <--RelatedTo--> Question <--Synonym--> Consideration 