TASK DEFINITION: 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'.
PROBLEM: Question: 78-year-old man with poorly controlled rheumatoid arthritis (RA). A history of 2 admissions for heart failure and atrial fibrillation in the last 6 months. In current treatment with infliximab, prednisone, furosemide, enalapril, carvedilol and acenocoumarol. Enter again for biventricular heart failure clinic. The ECG showed atrial fibrillation at 102 bpm and advanced left bundle branch block. An echocardiogram shows biatrial dilation, thickening of the left ventricular wall with ejection fraction of 45% and restrictive pattern. The analytical highlights: Hb 10 gr / dL, creatinine 2.1 mg / dL (FG 20 mL / min), CRP 124 mg / L, rheumatoid factor 240 U / L, BNP 980 ng / L, proteinuria 4.8 g / 24h. What is the most likely diagnosis? 
 Options:  <1> Cardio-renal syndrome type 2. <2> Amyloidosis AA. <3> Myocarditis of giant cells. <4> Toxicity due to infliximab. <5> Membranous glomerulonephritis associated with RA.

SOLUTION: 2

PROBLEM: Question: 84-year-old man with severe respiratory failure secondary to carcinomatous lymphangitis associated with gastric cancer. A companion of his service has begun, that same day, treatment with oral morphine 10 mg / 4 hours. The patient is restless, at 34 breaths per minute, O2 saturation is 80% with an FiO2 of 28%. What should his attitude be? 
 Options:  <1> Withdraw treatment because it may worsen respiratory failure. <2> Increase the doses up to 20 mg / 4 hours according to evolution. <3> Increase oxygen flow to 35%. <4> Change the treatment of morphine by scopolamine. <5> To add to a treatment of a risperidon.

SOLUTION: 2

PROBLEM: Question: In protein biosynthesis, base pairing takes place during the translation process between: 
 Options:  <1> RNA and DNA. <2> DNA and ribosomal RNA. <3> The transfer RNA and the ribosomal RNA. <4> The messenger RNA and the transfer RNA. <5> 18S ribosomal RNA and 5S ribosomal RNA.

SOLUTION:
4