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'.

Example Input: Question: The General Law of Health (Law 14/1986, of April 25) favored the psychiatric reform in Spain because: 
 Options:  <1> It gave a letter of nature to the model of the asylum. <2> Defined the biomedical model of assistance to the psychiatric patient. <3> Institutionalized the community structure formed by interdisciplinary teams. <4> Regulated the factors and elements of the quality of care. <5> He adopted a paternalistic model of protection for the mentally ill.
Example Output: 3

Example Input: Question: A colonoscopy of colorectal cancer screening is performed on a patient with ulcerative colitis with involvement up to the transverse colon. Colonoscopy shows no signs of inflammatory activity. Multiple biopsies were performed every 10 cm. The biopsies were reviewed by 2 expert pathologists demonstrating a focus of high grade dysplasia in one of the biopsies performed in the sigmoid colon. What would you indicate next? 
 Options:  <1> Repeat the colonoscopy to confirm the diagnosis. <2> Intensive surveillance with colonoscopy every 3 to 6 months. <3> Repeat the examination and perform a chromoendoscopy to identify the lesion and perform an endoscopic mucosectomy. <4> Total proctocolectomy. <5> Treatment with mesalazine at doses of 2-3 grams per day and repeat the scan at 3 to 6 months.
Example Output: 4

Example Input: Question: Parathymia is characterized by: 
 Options:  <1> Flexibility and emotional or affective modulation have been lost. <2> There are mixed feelings of love-hate. <3> There are rapid changes of mood. <4> There is an absence of control over the expression of affects. <5> Affective expression is discordant or inappropriate with the situation.
Example Output:
5