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: 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.

A: 2
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Q: Question: Pyruvate carboxylase is allosterically activated by one of the following compounds, what is it? 
 Options:  <1> Pyruvate. <2> Acetyl-CoA. <3> Malate. <4> Oxalacetate. <5> NAD +.

A: 2
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Q: Question: According to practically all of the nursing literature, which is considered the first secular school of regulated nurse training in the world: 
 Options:  <1> The Kaiserwerth Institute of Nursing Education. <2> The school of nurses of the Saint Thomas Hospital in London. <3> The Catalina de Siena Foundation for the teaching of nursing. <4> Royal School of Nurses of Saint Elizabeth of Hungary. <5> Civil Institution of the Nursing Sisters of La Merced.

A:
2
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