Task: Question Answering
Input (English): Question: A 76-year-old woman came to the emergency room referring to pain in the right groin and vomiting for about 6 hours. On examination, a hard consistency tumor is palpable just below the line joining the anterosuperior iliac spine and the pubis (which corresponds to the location of the inguinal ligament). Most likely, it is one: 
 Options:  <1> Direct inguinal hernia. <2> Spiegel hernia. <3> Indirect inguinal hernia. <4> Femoral hernia (crural). <5> Obturator hernia
Output (English): 4