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'.

Input: Consider Input: Question: Question linked to image no. 5 A 41-year-old man referred for presenting for more than 5 years bilateral alternating gluteal pain predominantly nocturnal, which interferes with sleep and relieves with mobilization. It is accompanied by stiffness for more than 1 hour after inactivity. Denies pain, swelling or deformity to another level. It provides elementary analytics without alterations except PCR 11.5 mg / dl (N <5) and the attached radiograph. The objective radiological alteration and the most probable diagnosis would be: 
 Options:  <1> Fracture of Looser- Osteomalacia. <2> Bilateral sacroiliitis - Ankylosing spondylitis. <3> Coexistence of lytic and blastic lesions Paget's disease. <4> Blastic lesions - Prostatic adenocarcinoma with bone metastases. <5> Osteosclerosis - Lymphoma.

Output: 2


Input: Consider Input: Question: What thrombophilia study would be of interest to a woman with repeat abortions? 
 Options:  <1> Determination of fibrinogen. <2> C-reactive protein. <3> PAI-1. <4> Lupus anticoagulant. <5> Reptile time.

Output: 4


Input: Consider Input: Question: What is the arrhythmia that most often triggers sudden death in a context of acute ischemic heart disease? 
 Options:  <1> Extrasist. <2> Ventricular tachycardia <3> Ventricular fibrillation. <4> Atrial fibrillation <5> Autrioventricular block.


Output: 3