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. 5 A 41-year-old man referred for presenting for more than 5 years bilateral alternating gluteal pain predominantly nocturnal, which interferes with sleep and relieves with mobilization. It is accompanied by stiffness for more than 1 hour after inactivity. Denies pain, swelling or deformity to another level. It provides elementary analytics without alterations except PCR 11.5 mg / dl (N <5) and the attached radiograph. The objective radiological alteration and the most probable diagnosis would be: 
 Options:  <1> Fracture of Looser- Osteomalacia. <2> Bilateral sacroiliitis - Ankylosing spondylitis. <3> Coexistence of lytic and blastic lesions Paget's disease. <4> Blastic lesions - Prostatic adenocarcinoma with bone metastases. <5> Osteosclerosis - Lymphoma.
Example Output: 2

Example Input: Question: A 29-year-old woman with a history of abundant rules and long-standing iron-deficiency anemia who have required treatment with ferrotherapy since she was 17 years old. Consult because after a tooth extraction you have hemorrhage that has required local hemostatic treatment. He relates that a maternal aunt presents frequent epistaxis. In analytical presents: 8000 leukocytes / uL, Hb 10.7 g / dL, VCM 76 fL, 380,000 platelets / uL; the biochemistry is normal. Prothrombin activity 90%; INR 0.9; Activated Partial Thromboplastin Time (APTT) 48 sec (39 sec) with an APTT ratio of 1.3 and fibrinogen derivative 340 mg / dL. What is the most likely diagnostic suspicion and how would it confirm it? 
 Options:  <1> Hemophilia A and mixtures test. <2> Lupus anticoagulant and ANAS study. <3> Sideroblastic anemia and spinal aspiration. <4> Congenital thrombocytopathy and study of platelet aggregation. <5> Von Willebrand disease and determination of factor vW.
Example Output: 5

Example Input: Question: What kind of memory can we use to plan what we have to do to arrive on time for an appointment next Tuesday? 
 Options:  <1> Prospective report. <2> Autobiographical memory <3> Episodic memory. <4> Semantic memory <5> Procedural memory.
Example Output:
1

