In this task, you are given a multiple-choice question about healthcare. Answer the question based on your information and classify your answers into '1', '2', '3', and '4'.

Question: A 67-year-old man, a schizophrenic in medical treatment, is treated in a city in southern Spain on August 15 for presenting fever and deteriorating levels of consciousness. On examination, she presented a Glasgow coma score of 5 points, tachypnea at 45 breaths per minute, oxygen saturation by pulse oximetry of 75%, rectal temperature of 41 ºC, and in the laboratory the CPK is 30,000 U / L. A lumbar puncture is performed that is normal. Point out the correct answer: 
 Options:  <1> Cooling by immersing the patient in a bathtub with ice is the safest method to reduce the temperature. <2> It is not necessary to sedate the patient, intubate them and connect them to mechanical ventilation. <3> Liver involvement is rare in this pathology. <4> In case of hypotension, dopamine should be used at doses higher than 10 micrograms / kg / minute. <5> The cerebellum is especially sensitive to elevated temperature above 40 degrees.
5

Question: Pseudomonas aeruginosa is typically: 
 Options:  <1> Sensitive to most antibiotics used in human medicine. <2> Pathogen obligated. <3> Opportunistic pathogen. <4> Commensal bacteria of the digestive tract. <5> Intracellular pathogen.
3

Question: A 37-year-old woman with an extensive ulcerative colitis has a severe outbreak where treatment with prednisone is started at a dose of 1 mg / kg. After a week of treatment, the patient does not show improvement. What is the next therapeutic measure to perform? 
 Options:  <1> Subtotal colectomy of urgency and in a second time proctectomy and ileoanal reservoir. <2> Associate an immunosuppressant such as azathioprine. <3> Associate mesalazine in doses of 4 grams per day oral and rectal triamcinolone 1 application every 12 hours <4> Endovenous cyclosporine 2 mg / Kg. <5> Treatment with etanercept (an anti-TNFa antibody) should be assessed.

4