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: Question linked to image no. 9 To rule out situations that may simulate the patient's manifestations and establish a differential diagnosis, we must continue with the interrogation. One of the following habits or antecedents would be difficult to relate to the facial alterations observed. Point out which one. 
 Options:  <1> Habit of stretching the hairs (trichotillomania). <2> A sexually transmitted disease <3> Contact with people or geographic areas with leprosy. <4> Drug intake. <5> History of hyperuricemia.
Example Output: 5

Example Input: Question: The reordering of Cope is a reordering: 
 Options:  <1> From an allyl vinyl ether. <2> [1,3] -sigmatropic. <3> [1,2] -sigmatropic. <4> [3,3] -sigmatropic. <5> It is a cycloaddition [4 + 2].
Example Output: 4

Example Input: Question: When you assess the nutritional status of the patient in the preoperative period, you should know that if he suffers from a deficit of Vitamin C, he may present in the postoperative period: 
 Options:  <1> Problems in the synthesis of prothrombin. <2> Tachycardia. <3> Leukopenia <4> Healing problems in the wound. <5> Alteration in the metabolism of carbohydrates.
Example Output:
4