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'.

Input: Consider Input: 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.

Output: 2

Input: Consider Input: Question: A 63-year-old man, who has been receiving an antidepressant for 3 years. He comes to the emergency room due to an intense hypertensive crisis, with tachycardia and headache. The patient reports that the day before he was watching the football game in a bar, and that he has taken a sandwich of cheese and sausages, and over 3 glasses of beers. What antidepressant could it be?
Options: <1> Tranylcypromine <2> Fluoxetine. <3> Venlafaxine <4> Imipramine <5> Duloxetine

Output: 1

Input: Consider Input: Question: How would you define quality of care?
Options: <1> The quality of care is the set of rules to ensure that things are done well. <2> The quality of care can be defined as the absence of incidents in the care of the sick. <3> The quality of care can be defined as the satisfaction of the needs and aspirations of patients-clients, both real and perceived, with the least consumption of resources. <4> The quality of care is defined through the implementation of improvement actions that ensure compliance with the objectives of the Quality Plan of the Health Center. <5> The quality of care is to treat the sick with all possible means.
Output: 3