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: 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.

Ex Output:
2


Ex Input:
Question: A 65-year-old man with a history of pancreatic cancer undergoing chemotherapy. Emergency consultation for pain and edema of the entire lower limb from the groin. Which diagnostic test is more cost-effective to confirm the diagnostic suspicion? 
 Options:  <1> Dimer D. <2> Magnetic resonance. <3> Phlebography <4> Venous Doppler ultrasound. <5> Helical CT

Ex Output:
4


Ex 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.

Ex Output:

4