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'.
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Question: Question: A 29-year-old woman with a history of abundant rules and long-standing iron-deficiency anemia who have required treatment with ferrotherapy since she was 17 years old. Consult because after a tooth extraction you have hemorrhage that has required local hemostatic treatment. He relates that a maternal aunt presents frequent epistaxis. In analytical presents: 8000 leukocytes / uL, Hb 10.7 g / dL, VCM 76 fL, 380,000 platelets / uL; the biochemistry is normal. Prothrombin activity 90%; INR 0.9; Activated Partial Thromboplastin Time (APTT) 48 sec (39 sec) with an APTT ratio of 1.3 and fibrinogen derivative 340 mg / dL. What is the most likely diagnostic suspicion and how would it confirm it? 
 Options:  <1> Hemophilia A and mixtures test. <2> Lupus anticoagulant and ANAS study. <3> Sideroblastic anemia and spinal aspiration. <4> Congenital thrombocytopathy and study of platelet aggregation. <5> Von Willebrand disease and determination of factor vW.

Answer: 5


Question: Question: In the health report of Mrs. P. T. of 83 years of age, it is reported that she has a depressive picture. Regarding depression in the elderly has been described that: 
 Options:  <1> It is uncommon for them to have somatic symptoms. <2> It is not characteristic that cognitive disorders appear. <3> The Yesavage scale is an instrument to establish a safe diagnosis of depression. <4> There is unanimity in stating that it has specific manifestations in the elderly. <5> There may be pictures of pseudodementia, with symptoms of dementia but caused by depressive states.

Answer: 5


Question: Question: The deficit of which of the following enzymes is NOT a cause of porphyria ?: 
 Options:  <1> Protoporphyrinogen oxidase. <2> Delta-amino levulinic synthetase. <3> Coproporphyrinogen III oxidase <4> Uroporphyrinogen decarboxylase. <5> Uroporphyrinogen III cosintetase.

Answer:
2