{"introPage":{"showIntroPage":false,"startButtonText":"Start Quiz","introduction":""},"progressType":"dots","passPercentage":80,"questions":[{"params":{"media":{"disableImageZooming":false},"answers":[{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

It primarily reduces heart rate and lowers systemic catabolism.<\/div>\n"},{"correct":true,"tipsAndFeedback":{"chosenFeedback":"

Spot on! Unmanaged acute pain triggers a systemic stress response, elevating cortisol, increasing cardiac workload, and weakening immune defenses, which delays tissue healing.<\/div>\n","tip":"","notChosenFeedback":"

Review Stage 1 of the module. Pain is not just localized; unmanaged severe pain activates stress pathways that increase cardiac workload and suppress immune function.<\/div>\n"},"text":"

It elevates cortisol levels, increases cardiac workload, and suppresses immune function<\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

It speeds up surgical wound healing by hyper-activating inflammation.<\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

It isolates nociception to peripheral nerves without affecting central spinal excitability.<\/div>\n"}],"overallFeedback":[{"from":0,"to":100}],"behaviour":{"enableRetry":true,"enableSolutionsButton":true,"enableCheckButton":true,"type":"single","singlePoint":false,"randomAnswers":true,"showSolutionsRequiresInput":true,"confirmCheckDialog":true,"confirmRetryDialog":true,"autoCheck":false,"passPercentage":100,"showScorePoints":true},"UI":{"checkAnswerButton":"Check","submitAnswerButton":"Submit","showSolutionButton":"Show solution","tryAgainButton":"Retry","tipsLabel":"Show tip","scoreBarLabel":"You got :num out of :total points","tipAvailable":"Tip available","feedbackAvailable":"Feedback available","readFeedback":"Read feedback","wrongAnswer":"Wrong answer","correctAnswer":"Correct answer","shouldCheck":"Should have been checked","shouldNotCheck":"Should not have been checked","noInput":"Please answer before viewing the solution","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again."},"confirmCheck":{"header":"Finish ?","body":"Are you sure you wish to finish ?","cancelLabel":"Cancel","confirmLabel":"Finish"},"confirmRetry":{"header":"Retry ?","body":"Are you sure you wish to retry ?","cancelLabel":"Cancel","confirmLabel":"Confirm"},"question":"

A postoperative patient's family member asks why controlling acute pain is necessary beyond simple comfort. Based on human stress physiology, how does unmanaged<\/strong> acute pain impact a patient's systemic recovery?<\/p>\n"},"library":"H5P.MultiChoice 1.16","metadata":{"contentType":"Multiple Choice","license":"U","title":"Understanding\/Analyzing - Pain Physiology & Systemic Effects"},"subContentId":"6b53816d-0e34-4be2-9ce5-6c9f25ccfc51"},{"params":{"media":{"disableImageZooming":false},"taskDescription":"

Drag the correct numerical values into the spaces below to complete the findings regarding patient perceptions and postoperative pain management.<\/p>\n","overallFeedback":[{"from":0,"to":100}],"checkAnswer":"Check","submitAnswer":"Submit","tryAgain":"Retry","showSolution":"Show solution","dropZoneIndex":"Drop Zone @index.","empty":"Drop Zone @index is empty.","contains":"Drop Zone @index contains draggable @draggable.","ariaDraggableIndex":"@index of @count draggables.","tipLabel":"Show tip","correctText":"Correct!","incorrectText":"Incorrect!","resetDropTitle":"Reset drop","resetDropDescription":"Are you sure you want to reset this drop zone?","grabbed":"Draggable is grabbed.","cancelledDragging":"Cancelled dragging.","correctAnswer":"Correct answer:","feedbackHeader":"Feedback","behaviour":{"enableRetry":true,"enableSolutionsButton":true,"enableCheckButton":true,"instantFeedback":true},"scoreBarLabel":"You got :num out of :total points","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again.","textField":"Clinical surveys reveal that *91.4%* of postoperative patients experience moderate to severe pain. However, *51.6%* receive no pharmacological treatment, and *14.9%* receive no timely intervention even after reporting discomfort. \n\nA major barrier to care is patient misunderstanding: *38.7%* of untreated patients believe endurable pain does not require management, while *15.3%* refrain from taking medication due to exaggerated fears of addiction."},"library":"H5P.DragText 1.10","metadata":{"contentType":"Drag the Words","license":"U","title":"Remembering\/ Identifying - Postoperative Statistics & Patient Myths"},"subContentId":"165773f5-8b97-4e15-8c90-ea3dd6db650e"},{"params":{"media":{"disableImageZooming":false},"answers":[{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Honor the request and withhold all analgesics until pain reaches 10\/10.<\/div>\n"},{"correct":true,"tipsAndFeedback":{"chosenFeedback":"
Excellent choice! An NRS 6\/10 represents moderate pain. Educating patients to manage pain early prevents central sensitization and avoids severe sleep and mobility disruption.<\/div>\n","tip":"","notChosenFeedback":""},"text":"
Explain that an NRS score of 6 indicates moderate pain that should be managed early to promote mobility, sleep, and recovery.<\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"
Administer a high-dose strong opioid immediately without patient consent.<\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"
Document the pain as mild because the patient is willing to endure it.<\/div>\n"}],"overallFeedback":[{"from":0,"to":100}],"behaviour":{"enableRetry":true,"enableSolutionsButton":true,"enableCheckButton":true,"type":"auto","singlePoint":false,"randomAnswers":true,"showSolutionsRequiresInput":true,"confirmCheckDialog":true,"confirmRetryDialog":true,"autoCheck":false,"passPercentage":100,"showScorePoints":true},"UI":{"checkAnswerButton":"Check","submitAnswerButton":"Submit","showSolutionButton":"Show solution","tryAgainButton":"Retry","tipsLabel":"Show tip","scoreBarLabel":"You got :num out of :total points","tipAvailable":"Tip available","feedbackAvailable":"Feedback available","readFeedback":"Read feedback","wrongAnswer":"Wrong answer","correctAnswer":"Correct answer","shouldCheck":"Should have been checked","shouldNotCheck":"Should not have been checked","noInput":"Please answer before viewing the solution","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again."},"confirmCheck":{"header":"Finish ?","body":"Are you sure you wish to finish ?","cancelLabel":"Cancel","confirmLabel":"Finish"},"confirmRetry":{"header":"Retry ?","body":"Are you sure you wish to retry ?","cancelLabel":"Cancel","confirmLabel":"Confirm"},"question":"
You are reviewing a patient on Day 1 post-abdominal surgery. The patient rates their pain as a 6 on the 0\u201310 Numerical Rating Scale (NRS-11) but states, \"I can tough it out until tonight.\" What is the most appropriate clinical response?<\/p>\n"},"library":"H5P.MultiChoice 1.16","metadata":{"contentType":"Multiple Choice","license":"U","title":"Applying - Standardized Bedside Assessment"},"subContentId":"e66120d8-6f87-4d41-921e-9ac3d9aaa753"}],"disableBackwardsNavigation":true,"randomQuestions":true,"endGame":{"showResultPage":true,"showSolutionButton":true,"showRetryButton":true,"noResultMessage":"Finished","message":"Your result:","scoreBarLabel":"You got @finals out of @totals points","overallFeedback":[{"from":0,"to":100}],"solutionButtonText":"Show solution","retryButtonText":"Retry","finishButtonText":"Finish","submitButtonText":"Submit","showAnimations":false,"skippable":false,"skipButtonText":"Skip video"},"override":{"checkButton":true},"texts":{"prevButton":"Previous question","nextButton":"Next question","finishButton":"Finish","submitButton":"Submit","textualProgress":"Question: @current of @total questions","jumpToQuestion":"Question %d of %total","questionLabel":"Question","readSpeakerProgress":"Question @current of @total","unansweredText":"Unanswered","answeredText":"Answered","currentQuestionText":"Current question","navigationLabel":"Questions","questionSetInstruction":"Choose question to display"}}