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: When comparing the characteristics of pragmatic or confirmatory clinical studies with explanatory or exploratory clinical studies, which of the following is an advantage of the former? 
 Options:  <1> Information about subgroups of patients representative of the usual clinical practice. <2> Very homogeneous sample, with little variability. <3> Greater capacity to detect differences in the effectiveness of interventions. <4> Greater internal validity <5> Smaller sample size

Ex Output:
1


Ex Input:
Question: What do we mean when a doctor believes firmly in his treatment, even though controlled studies have proven ineffective, the results obtained with it will be better, his patients will be better, and will have more patients? 
 Options:  <1> The opposing process of Solomon. <2> The floor effect. <3> The Asher Paradox <4> The effect of contemplation of Prochaska. <5> The theory of the control door.

Ex Output:
3


Ex Input:
Question: A 73-year-old woman is brought to the emergency room accompanied by the family due to a picture of chills and a productive cough of purulent mucus that lasted about 2 days; they also report a tendency to drowsiness with a decrease in oral intake to both liquids and solids. As background we report that the patient is diagnosed with hypertension, DM type 2 and incipient dementia. The physical examination highlights a thin patient, with discrete mucous dryness, sleepy but reactive to verbal commands. Meningism or motor or sensory focality is not objective. Temperature 35.9ºC. Heart rate 118 bpm, BP 84/50 mmHg, respiratory rate 22 rpm. O2 Saturation 93%. Cardiac tachyarrhythmic auscultation without murmurs. Respiratory auscultation with crackles in the right base. Point out the TRUE answer: 
 Options:  <1> Among the measures to be taken when sepsis is suspected, antibiotic therapy is administered in the 1st hour of arrival, although this attitude has not been correlated with a decrease in mortality. <2> The early administration of IV fluids is essential to maintain adequate tissue perfusion, the goal being to maintain an average blood pressure> 65 mmHg. <3> Among the complementary tests that are received we observed a lactate> 5.6 mmol / L; it must be taken into account but as long as hemodynamic stability is maintained we should not worry. <4> In fact, the diagnosis of sepsis is not correct since the absence of fever rules out it. <5> The patient presents hypotension despite intensive administration of intravenous fluid therapy; It is time to administer vasoactive drugs, with isoproterenol being the choice.

Ex Output:

2