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 Input:
Question: A 16-year-old boy who consulted due to pultulose tonsillitis, fever up to 38.5ºC, painful cervical adenopathies, non-pruritic macular exanthema in the thorax and mild hepatosplenomegaly, 4-5 days old. The Paul-Bunnell test and the IgM for the Epstein-Barr virus are positive. During his admission he develops a continuous fever of up to 40ºC, pancytopenia, icteric hepatitis and coagulopathy of progressive intensity. One week after admission, he was transferred to the ICU due to confusion and respiratory failure. The blood cultures and a urine culture are negative, the CSF is normal and the chest plate does not show infiltrates. Procalcitonin is normal, but PCR and ferritin are very high. From the statements below, what would be the most correct diagnostic and therapeutic approach? 
 Options:  <1> It has a bacterial sepsis of undetermined origin and should be administered ceftriaxone and supportive treatment. <2> It has a bacterial sepsis of undetermined origin and should be administered vancomycin, ceftacidime and supportive treatment. <3> It is an infectious mononucleosis of severe course and glucocorticoids must be administered. <4> It is an infectious mononucleosis of severe course and treatment with acyclovir should be started. <5> Perform a biopsy / aspirate of bone marrow and if hemophagocytosis is confirmed, start treatment with immunosuppressants.

Ex Output:
5


Ex Input:
Question: Question linked to image nº11 49-year-old patient without a history of interest. He reports a 2-week history of diffuse abdominal pain independent of ingestion and deposition and accompanied by occasional vomiting, malaise and profuse sweating. Analytical: Hb 12 gr / dL. Leucocytes 10x10 ^ 9 / L (Neutrophil 80%, Lymphocytes 15%, Monocytes 3%, Eosinophils 1%). Platelets 270x10 ^ 9 / L. Glucose 100 mg / dL, Urea 80 mg / dL, Creatinine 1.5 mg / dL, A. Uric 12 mg / dL, LDH 7800 IU / L; GOT, GPT and normal alkaline phosphatase. CT: Large mass (16cm) in retroperitoneum infiltrating pancreas, small bowel loops and right kidney. The biopsy is the one shown in the image. Immunohistochemistry: CD20 (+) CD3 (-) bcl 2 (-), CD10 +, bcl 6 (+), P53 (-), TDT (-) Mib1 (proliferation index) 100%. Genetics: rearrangement of 8q24, c-myc gene. Which is the diagnosis? 
 Options:  <1> Diffuse B-cell large lymphoma. <2> Lymphocytic lymphoma <3> Follicular lymphoma 3b. <4> T-cell lymphoma of the intestinal type. <5> Burkitt lymphoma.

Ex Output:
5


Ex Input:
Question: Mrs. H. H. 69 years old complains that she does not sleep well. Regarding sleep in the elderly, it has been proven that: 
 Options:  <1> The non-pharmacological approach to insomnia has proved ineffective in this population. <2> The aging process is one of the main causes of insomnia. <3> They have a worse quality sleep, more fragmented and with early awakenings. <4> For the treatment of insomnia, the benzodiazepines of long half-life are those with the least side effect. <5> All hypnotics have the same side effects in the elderly.

Ex Output:

3