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'.

[EX Q]: Question: The process of bacterial sporulation occurs: 
 Options:  <1> Both Gram positive and Gram negative bacteria. <2> After the depletion of certain essential nutrients. <3> When unfavorable environmental factors such as UV light or heat appear. <4> During the exponential growth. <5> By budding of a stem cell.
[EX A]: 2

[EX Q]: Question: The limitation of the therapeutic effort refers to: 
 Options:  <1> Palliative sedation <2> Assisted suicide. <3> To the rejection to the treatment. <4> To the non-therapeutic fierceness. <5> To double effect therapy.
[EX A]: 4

[EX Q]: Question: A patient reporting chest and cervicobrachial pain. Physical examination reveals miosis and unilateral enophthalmos. Chest X-ray shows opacity at the apex and erosion of the first ribs. What is your diagnosis? 
 Options:  <1> Pancoast tumor. <2> Mediastinal tumor. <3> Localized pleural mesothelioma. <4> Bronchioloalveolar tumor. <5> Small cell lung cancer with brain metastases.
[EX A]:
1