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'.
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Question: Question: The INR (international normalized ratio) of a patient with chronic atrial fibrillation treated with Acenocoumarol is 4. This result indicates that:
Options: <1> The appearance of ventricular arrhythmias should be controlled. <2> The patient is correctly anticoagulated. <3> Anticoagulation with heparin is more indicated. <4> There is a risk of thrombus formation. <5> Signs of bleeding should be assessed.

Answer: 5

Question: Question: In relation to the consumption of dietary fiber, it is true that:
Options: <1> It must be balanced (25% soluble and 75% insoluble, approximately). <2> The higher the consumption of fiber, the lower the water intake. <3> The products made with refined seeds have a high fiber content. <4> Legumes are a poor source of fiber. <5> In the adult, 10-15 g of fiber are recommended daily.

Answer: 1

Question: Question: Question linked to image n3 58-year-old liver transplant patient with HCV + cirrhosis. After an uncomplicated postoperative period, the patient is referred to his home. Six weeks after the transplant, he was visited in the outpatient clinic, with a low grade of fever, a worsening of the general condition, a GOT level of 60 IU / L (8-40) and a GPT of 65 IU / L (8-50). with a pattern of marked cholestasis (GGT x 10 and FA x 8) with total bilirubin of 1.7 mg / dL (0.3-1). Likewise, a high number of copies of the HCV was appreciated. It was decided to perform a Doppler ultrasound in which a complete arterial thrombosis was reported. In view of these data, a CT scan and a cholangioresonance were requested, the images of which are presented in the figures. For the clinical, analytical and radiological data, indicate which is the most probable diagnosis of the current problem:
Options: <1> Acute rejection mediated by antibodies with associated arterial thrombosis. <2> Early HCV recurrence. <3> Stenosis of the biliary anastomosis. <4> Extensive ischemic injury of intrahepatic bile ducts. <5> Complete thrombosis of intrahepatic portal branches.

Answer:
4