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'.

Q: Question: The pyruvate carboxylase activity depends on the positive allosteric effector: 
 Options:  <1> Succinate <2> AMP. <3> Isocitrate. <4> Citrate. <5> Acetyl CoA

A: 5
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Q: Question: Question linked to the image nº4 34-year-old man, athlete, who presents a picture of oppressive, continuous chest pain radiating to the back that is accentuated with deep inspiration, of 4 days of evolution, without fever. It refers to a picture of tonsillitis 2 months ago. Rhythmic cardiac auscultation without murmurs. It does not present data of hemodynamic alteration or heart failure. Normal analytical, except for discrete leukocytosis. When you arrive at the emergency room, an ECG is performed, shown in the figure. While waiting for the result of markers of myocardial injury, the most likely diagnosis in this patient is: 
 Options:  <1> Subacute myocardial infarction anteroseptal. <2> Tietze syndrome. <3> Osteomuscular thoracic pain with athlete's ECG. <4> Acute pericarditis <5> Unstable angina.

A: 4
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Q: Question: A 52-year-old patient who reported dyspnea of ​​medium effort for 6 months. He has not presented angina or syncopes. The physical examination and diagnostic tests show the existence of an average aortic transvalvular gradient of 55 mmHg and a calculated area of ​​0.7 cm2. Ejection fraction of 65%. The treatment that should be indicated to this patient is: 
 Options:  <1> Diuretics and more frequent controls by a specialist. <2> In case of increasing dyspnea on exertion, a percutaneous dilatation of the aortic valve with a balloon catheter should be performed. <3> Replacement of the aortic valve with a prosthesis / bioprosthesis. <4> Replacement of the aortic valve by a homograft. <5> Implantation of a percutaneous valve.

A:
3
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