{"id":36459,"date":"2026-04-03T22:41:06","date_gmt":"2026-04-03T17:11:06","guid":{"rendered":"https:\/\/atsixty.com\/?p=36459"},"modified":"2026-04-06T11:58:44","modified_gmt":"2026-04-06T06:28:44","slug":"pacemaker-patient-mcq","status":"publish","type":"post","link":"https:\/\/atsixty.com\/index.php\/2026\/04\/03\/pacemaker-patient-mcq\/","title":{"rendered":"Pacemaker Patient MCQ"},"content":{"rendered":"\n<!-- ============================================================\n     PACEMAKER SET 2 \u2014 PATIENT KNOWLEDGE QUIZ\n     Device focus: Abbott Assurity MRI\u2122 DDDR | Model PM2272\n     (formerly St. Jude Medical \u2014 acquired by Abbott 2017)\n     Audience: Knowledgeable \/ knowledge-seeking patients\n     For atsixty.com\n\n     WHAT'S DIFFERENT FROM SET 1\n     \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n     Set 1 targeted NEET-PG \/ medical students \u2014 clinical &\n     technical depth, MBBS register, diagnosis-management stems.\n     Set 2 targets informed patients \u2014 plain English, \"what does\n     this mean for me\" framing, device-specific facts (PM2272),\n     everyday life scenarios (travel, phones, surgery, follow-up).\n     Distractors are common patient misconceptions, not\n     differential diagnoses.\n\n     REGISTER RULES (applied throughout)\n     \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n     \u2022 No Latin abbreviations unexplained\n     \u2022 Medical terms always accompanied by plain-language gloss\n     \u2022 Options written as a patient might think, not as a doctor would\n     \u2022 Explanations: warm, clear, empowering \u2014 not clinical memos\n     \u2022 Where a question references \"your pacemaker\" it means PM2272\n\n     STRUCTURE \u2014 identical to Set 1 shell (see Set 1 for full\n     code commentary). ID namespace: \"pp-\" (patient pacemaker).\n\n     ANSWER BALANCE (pre-shuffle positions)\n     \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\n     Q1\u2192A  Q2\u2192B  Q3\u2192C  Q4\u2192D  Q5\u2192A\n     Q6\u2192B  Q7\u2192C  Q8\u2192D  Q9\u2192A  Q10\u2192B\n     Q11\u2192C Q12\u2192D Q13\u2192A Q14\u2192B Q15\u2192D\n     Distribution: A\u00d74, B\u00d74, C\u00d74, D\u00d73\n     Fisher-Yates shuffle randomises on every load.\n\n     SCORING \u2014 NEET-PG pattern (+4 \/ \u22121 \/ 0)\n     Score formula rendered without brackets: c \u00d7 4 \u2212 w\n     ============================================================ -->\n\n<div id=\"atsixty-pp-quiz\">\n<style>\n\/* \u2500\u2500 All CSS scoped to #atsixty-pp-quiz \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz {\n  --terra: #C0603A;\n  --terra-light: #d4795a;\n  --terra-pale: #fdf3ef;\n  --teal: #2A7A6F;\n  --teal-light: #3a9688;\n  --teal-pale: #eef6f5;\n  --ink: #1e1e1e;\n  --muted: #6b6b6b;\n  --rule: #e2d8d4;\n  --correct-bg: #e8f5e9;\n  --correct-border: #43a047;\n  --wrong-bg: #fdecea;\n  --wrong-border: #e53935;\n  --white: #fff;\n  --shadow: 0 2px 16px rgba(192,96,58,0.08);\n  font-family: Georgia, 'Times New Roman', serif;\n  color: var(--ink);\n  margin: 1rem 0 2rem;\n}\n#atsixty-pp-quiz * { box-sizing: border-box; margin: 0; padding: 0; }\n\n\/* \u2500\u2500 Outer shell \u2014 no overflow:hidden (sentinel needs observer) \u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .quiz-shell {\n  background: #f7f2ee;\n  border: 1px solid #eee3dd;\n  border-radius: 12px;\n}\n\n\/* \u2500\u2500 1px sentinel \u2014 IntersectionObserver trigger \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .quiz-sentinel { height: 1px; }\n\n\/* \u2500\u2500 Fixed status bar \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .status-bar {\n  position: fixed;\n  top: 0; left: 0; right: 0;\n  z-index: 99999;\n  background: var(--white);\n  border-bottom: 2px solid var(--rule);\n  border-left: 4px solid var(--terra);\n  box-shadow: 0 2px 12px rgba(0,0,0,0.11);\n  opacity: 0;\n  pointer-events: none;\n  transform: translateY(-110%);\n  transition: opacity 0.22s ease, transform 0.22s ease;\n}\n#atsixty-pp-quiz .status-bar.visible {\n  opacity: 1;\n  pointer-events: auto;\n  transform: translateY(0);\n}\n#atsixty-pp-quiz .progress-wrap { background: #e0d8d4; height: 5px; }\n#atsixty-pp-quiz .progress-bar {\n  height: 100%;\n  background: linear-gradient(90deg, var(--terra), var(--teal));\n  width: 0%;\n  transition: width 0.4s ease;\n}\n#atsixty-pp-quiz .stats {\n  display: flex;\n  align-items: center;\n  padding: 0.4rem 0.85rem;\n  font-size: 0.72rem;\n  color: var(--muted);\n  flex-wrap: nowrap;\n  overflow-x: auto;\n}\n#atsixty-pp-quiz .stat-item {\n  display: flex;\n  align-items: center;\n  gap: 0.22rem;\n  padding: 0.1rem 0.55rem;\n  border-right: 1px solid var(--rule);\n  white-space: nowrap;\n  line-height: 1;\n}\n#atsixty-pp-quiz .stat-item:last-child { border-right: none; }\n#atsixty-pp-quiz .dot {\n  width: 7px; height: 7px;\n  border-radius: 50%;\n  display: inline-block;\n  flex-shrink: 0;\n}\n#atsixty-pp-quiz .dot-correct { background: var(--correct-border); }\n#atsixty-pp-quiz .dot-wrong   { background: var(--wrong-border); }\n#atsixty-pp-quiz .dot-rem     { background: #aaa; }\n#atsixty-pp-quiz .dot-net     { background: var(--terra); }\n#atsixty-pp-quiz .stats strong { color: var(--ink); font-size: 0.82rem; font-weight: 700; }\n#atsixty-pp-quiz .sep { flex: 1; min-width: 0.3rem; }\n\n\/* \u2500\u2500 Quiz body \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .quiz-main {\n  padding: 0.75rem 0.65rem 2.5rem;\n  max-width: 700px;\n  margin: 0 auto;\n}\n\n\/* \u2500\u2500 Question cards \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .q-card {\n  background: var(--white);\n  border-radius: 8px;\n  box-shadow: var(--shadow);\n  margin-bottom: 0.95rem;\n  overflow: hidden;\n  border: 1px solid var(--rule);\n  transition: box-shadow 0.2s;\n}\n#atsixty-pp-quiz .q-card:hover { box-shadow: 0 4px 24px rgba(192,96,58,0.13); }\n#atsixty-pp-quiz .q-head {\n  display: flex;\n  align-items: flex-start;\n  gap: 0.55rem;\n  padding: 0.72rem 0.75rem 0.6rem;\n  border-bottom: 1px solid var(--rule);\n}\n\n\/* \u2500\u2500 Question number bubble \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .q-num {\n  flex-shrink: 0;\n  width: 24px; height: 24px;\n  border-radius: 50%;\n  background: var(--terra);\n  color: #fff;\n  font-size: 0.72rem;\n  font-weight: 700;\n  display: flex;\n  align-items: center;\n  justify-content: center;\n}\n#atsixty-pp-quiz .q-num.answered-c { background: var(--correct-border); }\n#atsixty-pp-quiz .q-num.answered-w { background: var(--wrong-border); }\n#atsixty-pp-quiz .q-text { font-size: 0.89rem; line-height: 1.58; color: var(--ink); }\n#atsixty-pp-quiz .q-text em { font-style: italic; color: var(--teal); }\n\n\/* \u2500\u2500 Answer options \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .options { padding: 0.35rem 0.6rem 0.6rem; }\n#atsixty-pp-quiz .opt {\n  display: flex;\n  align-items: flex-start;\n  gap: 0.5rem;\n  padding: 0.46rem 0.6rem;\n  margin: 0.28rem 0;\n  border-radius: 6px;\n  border: 1.5px solid var(--rule);\n  cursor: pointer;\n  font-size: 0.84rem;\n  line-height: 1.42;\n  color: var(--ink);\n  background: #fdfdfd;\n  transition: border-color 0.15s, background 0.15s;\n  -webkit-tap-highlight-color: transparent;\n}\n#atsixty-pp-quiz .opt:hover { border-color: var(--terra-light); background: var(--terra-pale); }\n#atsixty-pp-quiz .opt-letter {\n  flex-shrink: 0;\n  width: 20px; height: 20px;\n  border-radius: 50%;\n  border: 1.5px solid var(--rule);\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  font-size: 0.65rem;\n  font-weight: 700;\n  color: var(--muted);\n  transition: all 0.15s;\n  margin-top: 1px;\n}\n#atsixty-pp-quiz .opt.correct { background: var(--correct-bg); border-color: var(--correct-border); cursor: default; }\n#atsixty-pp-quiz .opt.correct .opt-letter { background: var(--correct-border); border-color: var(--correct-border); color: #fff; }\n#atsixty-pp-quiz .opt.wrong   { background: var(--wrong-bg);   border-color: var(--wrong-border);   cursor: default; }\n#atsixty-pp-quiz .opt.wrong .opt-letter   { background: var(--wrong-border);   border-color: var(--wrong-border);   color: #fff; }\n#atsixty-pp-quiz .opt.dimmed  { opacity: 0.45; cursor: default; }\n\n\/* \u2500\u2500 Explanation panel \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .explanation {\n  display: none;\n  background: var(--teal-pale);\n  border-top: 1px solid #b2d8d3;\n  padding: 0.65rem 0.75rem;\n  font-size: 0.8rem;\n  line-height: 1.6;\n  color: #1a4f49;\n}\n#atsixty-pp-quiz .explanation.show { display: block; animation: ppFadeIn 0.25s ease; }\n#atsixty-pp-quiz .exp-label {\n  display: flex;\n  align-items: center;\n  gap: 0.45rem;\n  font-size: 0.72rem;\n  font-weight: 700;\n  letter-spacing: 0.08em;\n  text-transform: uppercase;\n  color: var(--teal);\n  margin-bottom: 0.3rem;\n}\n#atsixty-pp-quiz .diff {\n  font-size: 0.6rem;\n  font-weight: 700;\n  letter-spacing: 0.07em;\n  text-transform: uppercase;\n  padding: 0.1rem 0.4rem;\n  border-radius: 3px;\n  line-height: 1.5;\n}\n#atsixty-pp-quiz .diff-easy   { background: #e8f5e9; color: #2e7d32; }\n#atsixty-pp-quiz .diff-medium { background: #fff8e1; color: #e65100; }\n#atsixty-pp-quiz .diff-hard   { background: #fdecea; color: #c62828; }\n#atsixty-pp-quiz .tag-concept {\n  font-size: 0.6rem;\n  font-weight: 700;\n  letter-spacing: 0.07em;\n  text-transform: uppercase;\n  padding: 0.1rem 0.4rem;\n  border-radius: 3px;\n  line-height: 1.5;\n  background: #e8eaf6;\n  color: #3949ab;\n}\n#atsixty-pp-quiz .explanation strong { color: var(--teal); }\n#atsixty-pp-quiz .explanation em { font-style: italic; }\n\n\/* \u2500\u2500 Score panel \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .score-panel {\n  display: none;\n  background: var(--white);\n  border-radius: 10px;\n  border: 2px solid var(--terra);\n  box-shadow: var(--shadow);\n  padding: 1.5rem 1.2rem;\n  margin: 1rem 0 1.2rem;\n  text-align: center;\n}\n#atsixty-pp-quiz .score-panel h2 { font-size: 1.4rem; color: var(--ink); margin-bottom: 0.3rem; }\n#atsixty-pp-quiz .score-num  { font-size: 3rem; font-weight: 700; color: var(--terra); line-height: 1.1; }\n#atsixty-pp-quiz .score-denom { font-size: 1.05rem; color: var(--muted); margin-bottom: 0.4rem; }\n#atsixty-pp-quiz .grade-bar  { height: 8px; border-radius: 4px; background: #eee; overflow: hidden; margin: 0.5rem auto 1rem; max-width: 260px; }\n#atsixty-pp-quiz .grade-fill { height: 100%; border-radius: 4px; background: linear-gradient(90deg, var(--terra), var(--teal)); transition: width 0.8s ease; }\n#atsixty-pp-quiz .score-breakdown { display: flex; justify-content: center; gap: 1rem; margin-bottom: 0.6rem; font-size: 0.78rem; color: var(--muted); text-align: center; flex-wrap: wrap; }\n#atsixty-pp-quiz .score-breakdown span { line-height: 1.5; }\n#atsixty-pp-quiz .score-breakdown span strong { display: block; font-size: 1.1rem; color: var(--ink); }\n#atsixty-pp-quiz .score-breakdown small { font-size: 0.7rem; color: var(--terra); }\n#atsixty-pp-quiz .score-formula { font-size: 0.78rem; color: var(--muted); background: #fdf3ef; border-radius: 6px; padding: 0.45rem 0.8rem; margin: 0.5rem auto 0.8rem; display: inline-block; line-height: 1.6; }\n#atsixty-pp-quiz .score-formula strong { color: var(--terra); }\n#atsixty-pp-quiz .score-msg { font-size: 0.9rem; color: var(--muted); margin-bottom: 1rem; font-style: italic; line-height: 1.6; }\n#atsixty-pp-quiz .btn-retry { background: var(--terra); color: #fff; border: none; padding: 0.6rem 1.6rem; border-radius: 6px; font-size: 0.9rem; cursor: pointer; transition: background 0.2s; }\n#atsixty-pp-quiz .btn-retry:hover { background: var(--terra-light); }\n\n\/* \u2500\u2500 Floating submit button \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n#atsixty-pp-quiz .submit-btn {\n  position: fixed;\n  bottom: 1.2rem; left: 50%;\n  transform: translateX(-50%);\n  background: var(--teal);\n  color: #fff;\n  border: none;\n  padding: 0.75rem 2.2rem;\n  border-radius: 50px;\n  font-size: 0.95rem;\n  font-weight: 700;\n  cursor: pointer;\n  box-shadow: 0 4px 20px rgba(42,122,111,0.35);\n  display: none;\n  z-index: 200;\n  transition: background 0.2s;\n}\n#atsixty-pp-quiz .submit-btn:hover { background: var(--teal-light); }\n#atsixty-pp-quiz .submit-btn.visible { display: block; animation: ppSlideUp 0.3s ease; }\n\n\/* \u2500\u2500 Keyframes \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n@keyframes ppFadeIn  { from { opacity:0; transform:translateY(-4px); } to { opacity:1; transform:translateY(0); } }\n@keyframes ppSlideUp { from { opacity:0; transform:translateX(-50%) translateY(12px); } to { opacity:1; transform:translateX(-50%) translateY(0); } }\n<\/style>\n\n<!-- \u2500\u2500 HTML \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 -->\n<div class=\"quiz-shell\">\n\n  <!-- Sentinel: scrolls away \u2192 triggers fixed status bar -->\n  <div class=\"quiz-sentinel\" id=\"pp-sentinel\"><\/div>\n\n  <!-- Fixed top bar: progress strip + live counters -->\n  <div class=\"status-bar\" id=\"pp-status-bar\">\n    <div class=\"progress-wrap\"><div class=\"progress-bar\" id=\"pp-progress\"><\/div><\/div>\n    <div class=\"stats\">\n      <div class=\"stat-item\"><span class=\"dot dot-correct\"><\/span> \u2713 <strong id=\"pp-sc\">0<\/strong><\/div>\n      <div class=\"stat-item\"><span class=\"dot dot-wrong\"><\/span> \u2717 <strong id=\"pp-sw\">0<\/strong><\/div>\n      <div class=\"stat-item\"><span class=\"dot dot-rem\"><\/span> Left <strong id=\"pp-sr\">15<\/strong><\/div>\n      <div class=\"sep\"><\/div>\n      <div class=\"stat-item\"><span class=\"dot dot-net\"><\/span> Net <strong id=\"pp-sn\">0<\/strong><\/div>\n      <div class=\"stat-item\">Max <strong id=\"pp-sm\">60<\/strong><\/div>\n    <\/div>\n  <\/div>\n\n  <!-- Main quiz area \u2014 cards injected by buildQuiz() -->\n  <div class=\"quiz-main\">\n    <div id=\"pp-container\"><\/div>\n    <button class=\"submit-btn\" id=\"pp-submit\">View Score \u2192<\/button>\n    <div class=\"score-panel\" id=\"pp-score\"><\/div>\n  <\/div>\n\n<\/div><!-- \/.quiz-shell -->\n\n<!-- \u2500\u2500 JS \u2014 IIFE, all logic self-contained \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 -->\n<script>\n(function () {\n\n  \/* \u2500\u2500 DOM refs \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  const Q = {\n    container : document.getElementById('pp-container'),\n    submit    : document.getElementById('pp-submit'),\n    score     : document.getElementById('pp-score'),\n    progress  : document.getElementById('pp-progress'),\n    sc: document.getElementById('pp-sc'),\n    sw: document.getElementById('pp-sw'),\n    sr: document.getElementById('pp-sr'),\n    sn: document.getElementById('pp-sn'),\n    sm: document.getElementById('pp-sm')\n  };\n\n  \/* \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n     QUESTION BANK \u2014 patient-facing, PM2272-specific\n     \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n     Audience: informed patients, not medical professionals.\n     Language: plain English + brief technical glosses.\n     Topics: device identity, daily life, remote monitoring,\n             MRI access, battery, activity, warning signs,\n             follow-up, AutoCapture, VIP, AF detection, travel.\n     \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 *\/\n  const BANK = [\n\n    \/* Q1 \u2014 correct: opts[0] = A\n       Topic: What DDDR actually means for the patient ----------- *\/\n    {\n      q: \"Your device card says your pacemaker is a <em>DDDR<\/em>. In simple terms, what does this mean for you day-to-day?\",\n      correctAnswer: \"It monitors and can pace both your upper and lower heart chambers, and it automatically speeds up your heart rate when you are physically active\",\n      opts: [\n        \"It monitors and can pace both your upper and lower heart chambers, and it automatically speeds up your heart rate when you are physically active\",\n        \"It only paces your lower chambers (ventricles) and keeps your heart at a fixed rate regardless of activity\",\n        \"It is a defibrillator \u2014 it delivers a shock if your heart stops, unlike a regular pacemaker\",\n        \"It paces only when your heart rate drops below zero, otherwise it stays completely switched off\"\n      ],\n      exp: \"<strong>DDDR decoded for patients:<\/strong> The four letters stand for: D = paces both chambers (atrium + ventricle), D = monitors (senses) both chambers, D = responds by either pacing or holding back depending on what it detects, R = Rate-responsive \u2014 a built-in motion sensor (accelerometer) speeds your heart up during exercise and slows it back down at rest, just as a healthy heart would. Your PM2272 is not a defibrillator \u2014 it cannot deliver a shock. It is a gentle electrical nudge to keep your heart from beating too slowly.\",\n      difficulty: \"easy\",\n      concept: \"DDDR \u2014 What It Means\"\n    },\n\n    \/* Q2 \u2014 correct: opts[1] = B\n       Topic: AutoCapture \u2014 what it does for the patient --------- *\/\n    {\n      q: \"Your Abbott Assurity MRI pacemaker has a feature called <em>AutoCapture\u2122<\/em>. Which statement best describes what this technology does for you?\",\n      correctAnswer: \"It checks after every single heartbeat whether the pacing pulse actually caused your heart to respond, and if not, it automatically delivers a stronger backup pulse within milliseconds\",\n      opts: [\n        \"It automatically captures and stores a video of your heartbeat to share with your doctor at each clinic visit\",\n        \"It checks after every single heartbeat whether the pacing pulse actually caused your heart to respond, and if not, it automatically delivers a stronger backup pulse within milliseconds\",\n        \"It captures your GPS location so your care team can find you quickly in a medical emergency\",\n        \"It locks your pacemaker settings so they cannot be changed without a password, preventing unauthorised reprogramming\"\n      ],\n      exp: \"<strong>AutoCapture\u2122<\/strong> is one of the PM2272's signature safety features. After every pacing pulse, the device checks \u2014 in real time \u2014 whether your heart muscle actually 'captured' (responded and contracted). If it didn't respond, the device immediately delivers a stronger backup pulse of 5.0 volts to ensure your heart beats. This happens beat-by-beat, invisibly, without you feeling anything. The practical benefit: your pacemaker can use the gentlest energy needed, saving battery life, while never leaving you without a heartbeat.\",\n      difficulty: \"medium\",\n      concept: \"AutoCapture\u2122\"\n    },\n\n    \/* Q3 \u2014 correct: opts[2] = C\n       Topic: MRI \u2014 can you have one? ----------------------------- *\/\n    {\n      q: \"You need an MRI scan of your spine. Your pacemaker is the Abbott Assurity MRI PM2272 with compatible Abbott leads. Which of the following is correct?\",\n      correctAnswer: \"You can have a full-body MRI at both 1.5 Tesla and 3 Tesla strength \u2014 and there is no minimum waiting period after implantation before you can have the scan\",\n      opts: [\n        \"You cannot have an MRI at all \u2014 any magnetic field will stop your pacemaker permanently\",\n        \"You can have an MRI, but you must wait at least 6 weeks after implantation before it is safe\",\n        \"You can have a full-body MRI at both 1.5 Tesla and 3 Tesla strength \u2014 and there is no minimum waiting period after implantation before you can have the scan\",\n        \"You can only have MRI scans of body parts below the waist \u2014 never of the chest or head\"\n      ],\n      exp: \"<strong>MRI access with PM2272:<\/strong> The Assurity MRI is specifically designed to be 'MR-Conditional' \u2014 meaning MRI is safe under defined conditions. With compatible Abbott leads (Tendril\u2122 STS or UltiPace\u2122), you can have full-body scans at both 1.5T and 3T. Importantly, there is <strong>no waiting period<\/strong> \u2014 you can have an MRI the day after implantation if needed. Before your scan, a radiographer or cardiac physiologist uses a small handheld device called the <em>MRI Activator\u2122<\/em> to put your pacemaker into a special 'MRI mode' temporarily. Always carry your device ID card and tell every MRI team you have a pacemaker.\",\n      difficulty: \"easy\",\n      concept: \"MRI Compatibility\"\n    },\n\n    \/* Q4 \u2014 correct: opts[3] = D\n       Topic: Merlin@home \u2014 remote monitoring --------------------- *\/\n    {\n      q: \"Your doctor has given you a bedside device called the <em>Merlin@home\u2122<\/em> transmitter. What is its primary purpose?\",\n      correctAnswer: \"It wirelessly reads data from your pacemaker while you sleep and sends it securely to your care team, so they can detect problems between clinic visits\",\n      opts: [\n        \"It recharges your pacemaker battery wirelessly each night while you sleep\",\n        \"It allows you to adjust your own pacemaker settings from home without visiting the clinic\",\n        \"It broadcasts your heart rhythm live on a screen so family members can monitor you at home\",\n        \"It wirelessly reads data from your pacemaker while you sleep and sends it securely to your care team, so they can detect problems between clinic visits\"\n      ],\n      exp: \"<strong>Merlin@home\u2122<\/strong> is your at-home link to your care team. You simply place it on your bedside table. Each night, it communicates with your PM2272 via the pacemaker's built-in <em>InvisiLink\u2122<\/em> wireless system \u2014 no wires, no effort on your part. It uploads data (battery status, lead performance, heart rhythm events, AF alerts) to Abbott's secure online network called Merlin.net\u2122, which your doctor can review. Think of it as a nightly health check that happens while you sleep. It does not recharge the battery (pacemaker batteries are not rechargeable) and it cannot change any settings.\",\n      difficulty: \"easy\",\n      concept: \"Merlin@home\u2122 Remote Monitoring\"\n    },\n\n    \/* Q5 \u2014 correct: opts[0] = A\n       Topic: VIP \u2014 why less pacing can be better ----------------- *\/\n    {\n      q: \"Your cardiologist mentions that your pacemaker uses a feature called <em>VIP\u2122 (Ventricular Intrinsic Preference)<\/em> to reduce how often it paces your right ventricle. Why is reducing unnecessary right-ventricular pacing considered beneficial?\",\n      correctAnswer: \"Excessive right-ventricular pacing can cause the two sides of the heart to beat out of sync, increasing the long-term risk of heart failure and hospitalisation\",\n      opts: [\n        \"Excessive right-ventricular pacing can cause the two sides of the heart to beat out of sync, increasing the long-term risk of heart failure and hospitalisation\",\n        \"Every pacing pulse uses a large burst of electricity, so reducing pacing dramatically extends battery life from 2 years to over 20 years\",\n        \"Right-ventricular pacing is painful for the patient \u2014 VIP\u2122 reduces it purely for comfort\",\n        \"The right ventricle can be permanently damaged by electrical pulses \u2014 VIP\u2122 prevents this scarring\"\n      ],\n      exp: \"<strong>VIP\u2122 (Ventricular Intrinsic Preference):<\/strong> Your heart's own natural conduction system (the electrical highway from top to bottom) is more efficient than artificial pacing. When the pacemaker artificially paces the right ventricle too often, the left ventricle gets the signal late \u2014 the two sides beat slightly out of step. Over years, this 'dyssynchrony' increases heart-failure hospitalisation risk. VIP\u2122 deliberately gives your natural rhythm a chance to conduct on its own, only stepping in when needed. The target is gentle support at 10\u201319% pacing. Battery life does benefit too, but that is a secondary gain.\",\n      difficulty: \"medium\",\n      concept: \"VIP\u2122 \u2014 Why Less Pacing Helps\"\n    },\n\n    \/* Q6 \u2014 correct: opts[1] = B\n       Topic: Rate response \u2014 exercise ---------------------------- *\/\n    {\n      q: \"You go for a brisk walk and notice your heart rate rises even though your pacemaker's lower rate limit is set at 60 beats per minute. You were told the lower limit 'keeps your heart from going below 60.' Why does it go higher during exercise?\",\n      correctAnswer: \"The R (rate-responsive) feature uses a motion sensor inside the pacemaker to detect physical activity and automatically raises your heart rate to meet your body's increased demand for oxygen\",\n      opts: [\n        \"Your pacemaker has malfunctioned \u2014 a rate rise above 60 means it needs urgent reprogramming\",\n        \"The R (rate-responsive) feature uses a motion sensor inside the pacemaker to detect physical activity and automatically raises your heart rate to meet your body's increased demand for oxygen\",\n        \"Exercise temporarily increases your blood pressure, which electronically forces the pacemaker to pace faster\",\n        \"The 60 bpm lower limit is actually a maximum limit \u2014 misreading it as a minimum is a common patient confusion\"\n      ],\n      exp: \"<strong>Rate response (the R in DDDR):<\/strong> Your PM2272 contains a tiny accelerometer \u2014 the same type of sensor that detects movement in your smartphone. When you walk, climb stairs, or exercise, the sensor detects the motion and signals the pacemaker to gradually increase your heart rate \u2014 exactly as a healthy heart's own rate-control system would. The 60 bpm is your <em>minimum<\/em> (floor) rate \u2014 your heart will never be allowed to drop below this. The pacemaker has a separate <em>maximum sensor rate<\/em> (typically 120\u2013130 bpm) as a ceiling during activity. This is normal, expected, and healthy.\",\n      difficulty: \"easy\",\n      concept: \"Rate Response \u2014 Exercise\"\n    },\n\n    \/* Q7 \u2014 correct: opts[2] = C\n       Topic: Battery \u2014 how long, what happens when it runs low --- *\/\n    {\n      q: \"How long does the battery in the Abbott Assurity MRI PM2272 typically last, and what happens when it eventually runs low?\",\n      correctAnswer: \"Typically around 9\u201310 years or more; when the battery reaches its replacement indicator, you have approximately 6 months of safe operation remaining to schedule a generator change\",\n      opts: [\n        \"About 2\u20133 years; when it runs out the pacemaker stops abruptly without warning\",\n        \"Exactly 5 years to the day; it is recharged wirelessly by the Merlin@home device each night\",\n        \"Typically around 9\u201310 years or more; when the battery reaches its replacement indicator, you have approximately 6 months of safe operation remaining to schedule a generator change\",\n        \"The battery lasts a lifetime \u2014 it is nuclear-powered and never needs replacement\"\n      ],\n      exp: \"<strong>Battery life and ERI:<\/strong> Your PM2272 is designed for approximately 9\u201310 years of service under typical conditions (backed by an 8\u201310 year warranty). The battery cannot be recharged \u2014 it is a sealed lithium unit that slowly depletes. When it reaches a level called the <strong>ERI (Elective Replacement Indicator)<\/strong>, your device signals this to your clinic via Merlin@home or at a routine check. You then have a <strong>6-month window<\/strong> (the ERI-to-EOL interval) to schedule a generator replacement \u2014 a minor procedure, far simpler than the original implant, as the leads are usually reused. There is no sudden 'cut-off.' Your care team will plan well ahead.\",\n      difficulty: \"medium\",\n      concept: \"Battery Life & ERI\"\n    },\n\n    \/* Q8 \u2014 correct: opts[3] = D\n       Topic: Mobile phones \u2014 safe or not? ----------------------- *\/\n    {\n      q: \"A friend tells you that you must never use a mobile (cell) phone again now that you have a pacemaker. What is the current medical guidance?\",\n      correctAnswer: \"Modern smartphones are safe for pacemaker patients \u2014 simply avoid placing the phone directly over the pacemaker pocket; normal use (calls, texting, in a pocket on the opposite side) is fine\",\n      opts: [\n        \"All mobile phones must be avoided entirely \u2014 even being in the same room as someone using one is dangerous\",\n        \"Only older 2G phones are dangerous; 4G and 5G phones emit no electromagnetic field at all\",\n        \"You must switch to a landline permanently \u2014 any wireless device within 1 metre poses a serious risk\",\n        \"Modern smartphones are safe for pacemaker patients \u2014 simply avoid placing the phone directly over the pacemaker pocket; normal use (calls, texting, in a pocket on the opposite side) is fine\"\n      ],\n      exp: \"<strong>Mobile phones and pacemakers:<\/strong> This is one of the most common patient worries \u2014 and one of the most overstated. Current guidance from major cardiac societies is that <strong>modern smartphones are safe<\/strong>. The key precaution: don't put the phone in a breast pocket directly over your pacemaker, and don't hold it pressed tightly against the pacemaker site for extended periods. Normal use \u2014 calls held to the ear on the opposite side, texting, in a trouser pocket \u2014 poses no meaningful risk to your PM2272. Wireless earphones, smartwatches, and Bluetooth devices are also generally safe at normal distances.\",\n      difficulty: \"easy\",\n      concept: \"Mobile Phones \u2014 Safety\"\n    },\n\n    \/* Q9 \u2014 correct: opts[0] = A\n       Topic: AF detection \u2014 ASSERT trial significance ------------ *\/\n    {\n      q: \"Your doctor says the PM2272 can detect something called 'silent AF' \u2014 atrial fibrillation (an irregular heart rhythm) that you may not feel at all. Why does this matter?\",\n      correctAnswer: \"Undetected AF significantly increases stroke risk; catching it early allows your doctor to consider blood-thinning medication to reduce that risk before a stroke occurs\",\n      opts: [\n        \"Undetected AF significantly increases stroke risk; catching it early allows your doctor to consider blood-thinning medication to reduce that risk before a stroke occurs\",\n        \"Silent AF is harmless \u2014 it only matters if you experience palpitations, so detection is purely for academic interest\",\n        \"AF detected by a pacemaker automatically triggers the device to deliver a corrective shock to restore normal rhythm\",\n        \"The AF detection feature only works if you manually press a button on the Merlin@home device when you feel unwell\"\n      ],\n      exp: \"<strong>Silent AF and stroke risk:<\/strong> AF (atrial fibrillation \u2014 a chaotic quivering of the upper chambers) can occur with no symptoms at all. A landmark study called the <strong>ASSERT trial<\/strong> found that pacemaker patients with even brief, silent episodes of AF had a significantly higher risk of stroke. Your PM2272 is the only pacemaker with a specific indication for detecting and alerting on these subclinical AT\/AF episodes. When detected, the data goes to your doctor via Merlin@home. They can then decide whether anticoagulation (blood-thinning medication such as a DOAC) is appropriate \u2014 potentially preventing a stroke you never knew was coming.\",\n      difficulty: \"medium\",\n      concept: \"Silent AF & Stroke Prevention\"\n    },\n\n    \/* Q10 \u2014 correct: opts[1] = B\n       Topic: Airport security \u2014 metal detectors ----------------- *\/\n    {\n      q: \"You are about to travel internationally. What is the correct way to handle airport security screening with your pacemaker?\",\n      correctAnswer: \"Tell security staff before entering the scanner, show your pacemaker ID card, and request a hand-search or pat-down \u2014 walk through quickly if unavoidable, but avoid lingering in or leaning on the metal detector arch\",\n      opts: [\n        \"Airports are completely safe \u2014 walk through all scanners as normal, your pacemaker is shielded against all security equipment\",\n        \"Tell security staff before entering the scanner, show your pacemaker ID card, and request a hand-search or pat-down \u2014 walk through quickly if unavoidable, but avoid lingering in or leaning on the metal detector arch\",\n        \"You can never fly on a commercial aircraft \u2014 cabin air pressure and altitude will interfere with your pacemaker\",\n        \"Remove the pacemaker and put it in the tray with your laptop before going through security, then reattach it on the other side\"\n      ],\n      exp: \"<strong>Airport security:<\/strong> Walk-through metal detectors and full-body scanners can in principle interfere with pacemakers if you linger in them \u2014 but brief, normal passage is generally low-risk. The safest approach: <strong>carry your pacemaker ID card at all times<\/strong>, inform security staff proactively, and ask for a manual pat-down. Most airports are accustomed to this request. Hand-held wand detectors should also not be held over the pacemaker for more than a second or two. Flying is perfectly safe \u2014 cabin pressure at altitude has no effect on your device whatsoever. Also: NEVER attempt to remove a pacemaker yourself \u2014 the leads are sutured inside your heart.\",\n      difficulty: \"easy\",\n      concept: \"Air Travel & Security\"\n    },\n\n    \/* Q11 \u2014 correct: opts[2] = C\n       Topic: Warning signs \u2014 when to call the clinic ------------- *\/\n    {\n      q: \"Which of the following is the most important symptom that should prompt you to contact your pacemaker clinic or seek urgent medical attention?\",\n      correctAnswer: \"Returning episodes of blackout, fainting, or near-fainting (pre-syncope) \u2014 the same type that led to your pacemaker implant\",\n      opts: [\n        \"Mild tingling at the implant site in the first two weeks after surgery \u2014 this always means the leads have come loose\",\n        \"Feeling your heartbeat (being aware of it) during vigorous exercise \u2014 this is always abnormal in pacemaker patients\",\n        \"Returning episodes of blackout, fainting, or near-fainting (pre-syncope) \u2014 the same type that led to your pacemaker implant\",\n        \"Slight bruising around the pacemaker pocket six months after implantation \u2014 this is a medical emergency\"\n      ],\n      exp: \"<strong>Warning signs to act on:<\/strong> Syncope (fainting) or near-fainting returning is the most important red flag \u2014 it may mean the pacemaker is not sensing or pacing correctly, a lead has moved, or the battery is depleted. Other symptoms warranting prompt contact: prolonged hiccups synchronised with your heartbeat (possible lead perforation), swelling, redness, or warmth over the pocket (possible infection), and persistent unexplained rapid palpitations. Mild bruising in the first 1\u20132 weeks is normal. Being aware of a fast heartbeat during exercise is expected (rate response at work). When in doubt, call the clinic \u2014 that is exactly what it is there for.\",\n      difficulty: \"medium\",\n      concept: \"Warning Signs\"\n    },\n\n    \/* Q12 \u2014 correct: opts[3] = D\n       Topic: Driving restrictions after PPI ---------------------- *\/\n    {\n      q: \"You had your pacemaker implanted after an episode of syncope (loss of consciousness). When are you typically permitted to drive again in most countries?\",\n      correctAnswer: \"Usually after a waiting period of approximately 1 week (for elective pacing) to 4 weeks (post-syncope), once your doctor confirms the device is working well and no further syncope has occurred\",\n      opts: [\n        \"Immediately after discharge from hospital \u2014 a pacemaker fully restores normal driving fitness from day one\",\n        \"Never again \u2014 any history of syncope permanently disqualifies you from holding a driving licence\",\n        \"After exactly one year, and only if a full driving assessment at a specialist centre is passed\",\n        \"Usually after a waiting period of approximately 1 week (for elective pacing) to 4 weeks (post-syncope), once your doctor confirms the device is working well and no further syncope has occurred\"\n      ],\n      exp: \"<strong>Driving after pacemaker implantation:<\/strong> Rules vary by country and by the reason for implantation. As a general guide: if your pacemaker was implanted electively (e.g. for a slow heart rate without blackouts), you may drive again after about <strong>1 week<\/strong>. If it was implanted after syncope \u2014 as in your situation \u2014 the typical restriction is <strong>4 weeks<\/strong> without any further episodes. For private (non-commercial) driving, most patients return to the wheel within a month. Commercial vehicle and heavy goods vehicle licences have stricter rules. Always confirm with your cardiologist and check your country's specific regulations \u2014 do not rely on general guidance alone.\",\n      difficulty: \"medium\",\n      concept: \"Driving After Implant\"\n    },\n\n    \/* Q13 \u2014 correct: opts[0] = A\n       Topic: Clinic follow-up schedule \u2014 what happens ------------ *\/\n    {\n      q: \"What typically happens at a routine pacemaker follow-up appointment (device check), and how often do most patients need one after the first year?\",\n      correctAnswer: \"A technician places a programming wand over your chest to wirelessly interrogate the device \u2014 checking battery level, lead function, stored heart rhythm data, and pacing statistics \u2014 usually once or twice a year after the first year\",\n      opts: [\n        \"A technician places a programming wand over your chest to wirelessly interrogate the device \u2014 checking battery level, lead function, stored heart rhythm data, and pacing statistics \u2014 usually once or twice a year after the first year\",\n        \"A surgical procedure under local anaesthetic is performed each year to physically inspect the leads inside the heart\",\n        \"Follow-up consists only of a blood test \u2014 no equipment is needed to check a modern pacemaker\",\n        \"Follow-up is required daily in person for the first 5 years, then never again once the device is declared stable\"\n      ],\n      exp: \"<strong>Pacemaker follow-up (device check):<\/strong> It is entirely non-invasive and usually takes 20\u201330 minutes. A trained cardiac physiologist or pacemaker technician places the Merlin\u2122 programmer (a wand) lightly over your chest. This wirelessly reads everything stored in your PM2272: battery voltage and estimated remaining life, lead impedance (resistance \u2014 shows if leads are intact), pacing thresholds, how often the device has actually paced you, and any stored rhythm events (including AF episodes). Settings can be adjusted on the spot if needed. With Merlin@home, many routine checks happen remotely \u2014 your in-person visits may reduce to once a year. First check is usually 6\u20138 weeks post-implant.\",\n      difficulty: \"medium\",\n      concept: \"Follow-up & Device Check\"\n    },\n\n    \/* Q14 \u2014 correct: opts[1] = B\n       Topic: Household appliances \u2014 what to actually avoid ------- *\/\n    {\n      q: \"Which of the following household or everyday items genuinely requires caution or a minimum safe distance for someone with a pacemaker?\",\n      correctAnswer: \"Large induction hobs (cooktops) at very close range and powerful cordless power tools held directly over the pacemaker \u2014 normal household appliances like microwaves, TVs, and computers are safe\",\n      opts: [\n        \"Microwave ovens \u2014 standing within 2 metres while one is operating can reprogram your pacemaker\",\n        \"Large induction hobs (cooktops) at very close range and powerful cordless power tools held directly over the pacemaker \u2014 normal household appliances like microwaves, TVs, and computers are safe\",\n        \"Wired landline telephones \u2014 the electrical current in the wire can travel up your arm to the device\",\n        \"LED light bulbs \u2014 their high-frequency flickering interferes with pacemaker sensing circuits\"\n      ],\n      exp: \"<strong>Household EMI (electromagnetic interference) \u2014 facts vs myths:<\/strong> <em>Microwave ovens<\/em>: completely safe for pacemaker patients \u2014 modern microwaves are well-shielded and operate at frequencies that do not affect pacemakers. <em>Televisions, computers, fans, refrigerators<\/em>: all safe. <em>Induction hobs<\/em>: emit a stronger electromagnetic field \u2014 it is prudent to keep the pacemaker side at least 30\u201360 cm away, or use a gas or standard electric hob if concerned. <em>Cordless power tools, electric drills held against the chest<\/em>: possible interference \u2014 keep the motor away from the pocket. <em>Anti-theft gates in shops<\/em>: walk through at a normal pace without lingering. Your PM2272 is well-shielded but not invincible \u2014 sensible habits cover the rest.\",\n      difficulty: \"medium\",\n      concept: \"Household EMI \u2014 Myths & Facts\"\n    },\n\n    \/* Q15 \u2014 correct: opts[3] = D\n       Topic: Generator replacement \u2014 what it involves ------------ *\/\n    {\n      q: \"After approximately 9\u201310 years, your pacemaker generator (the box, not the wires\/leads) will need to be replaced. Which statement best describes what this procedure involves?\",\n      correctAnswer: \"It is a relatively minor day-case procedure under local anaesthetic \u2014 the old generator is removed from the same pocket, the leads are tested and reconnected to the new generator, and you usually go home the same day or the next morning\",\n      opts: [\n        \"It is a full open-heart operation requiring a heart-lung bypass machine and a week in intensive care\",\n        \"The entire system \u2014 generator and both leads \u2014 must be replaced simultaneously, as reusing old leads is never permitted\",\n        \"The procedure requires general anaesthesia and a 4\u20136 week recovery period identical to the original implant\",\n        \"It is a relatively minor day-case procedure under local anaesthetic \u2014 the old generator is removed from the same pocket, the leads are tested and reconnected to the new generator, and you usually go home the same day or the next morning\"\n      ],\n      exp: \"<strong>Generator replacement (box change):<\/strong> Far simpler than the original implant. The surgeon reopens the same small incision over your pacemaker pocket, disconnects the old generator from the leads, tests the leads to confirm they are still functioning well, plugs them into the new generator, and closes. It is typically done under <strong>local anaesthetic<\/strong> as a day case or with one overnight stay. The leads \u2014 which are the wires threading through your vein into the heart \u2014 are almost always reused (they are designed to last far longer than the battery). Recovery is measured in days, not weeks. Your PM2272 comes with an 8\u201310 year warranty that covers this eventuality.\",\n      difficulty: \"easy\",\n      concept: \"Generator Replacement\"\n    }\n\n  ]; \/* \u2500\u2500 end BANK[] \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n\n\n  \/* \u2500\u2500 Fisher-Yates shuffle \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function shuffle(arr) {\n    const a = [...arr];\n    for (let i = a.length - 1; i > 0; i--) {\n      const j = Math.floor(Math.random() * (i + 1));\n      [a[i], a[j]] = [a[j], a[i]];\n    }\n    return a;\n  }\n\n  \/* \u2500\u2500 Session state \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  let session = [],   \/\/ shuffled question objects (options also shuffled)\n      answered = [],  \/\/ null | 'correct' | 'wrong' per question\n      total    = 0;   \/\/ running count of answered questions\n\n  \/* \u2500\u2500 prepareSession \u2014 shuffle bank + options, reset state \u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function prepareSession() {\n    session = shuffle(BANK).map(q => {\n      const opts = shuffle(q.opts);\n      return { ...q, opts, ansIdx: opts.indexOf(q.correctAnswer) };\n    });\n    answered = new Array(session.length).fill(null);\n    total = 0;\n    Q.sn.textContent = '0';\n    Q.sm.textContent = session.length * 4;\n  }\n\n  \/* \u2500\u2500 Badge helpers \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function diffBadge(d) {\n    return d ? `<span class=\"diff diff-${d}\">${d}<\/span>` : '';\n  }\n  function conceptBadge(c) {\n    return c ? `<span class=\"tag-concept\">${c}<\/span>` : '';\n  }\n\n  \/* \u2500\u2500 buildQuiz \u2014 render all cards into #pp-container \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function buildQuiz() {\n    Q.container.innerHTML = '';\n    Q.sr.textContent = session.length;\n\n    session.forEach((q, i) => {\n      const card = document.createElement('div');\n      card.className = 'q-card';\n\n      const letters = ['A','B','C','D'];\n      const optsHTML = q.opts.map((opt, j) => `\n        <div class=\"opt\" id=\"pp-o-${i}-${j}\">\n          <span class=\"opt-letter\">${letters[j]}<\/span>\n          <span>${opt}<\/span>\n        <\/div>`).join('');\n\n      card.innerHTML = `\n        <div class=\"q-head\">\n          <div class=\"q-num\" id=\"pp-n-${i}\">${i + 1}<\/div>\n          <div class=\"q-text\">${q.q}<\/div>\n        <\/div>\n        <div class=\"options\">${optsHTML}<\/div>\n        <div class=\"explanation\" id=\"pp-e-${i}\">\n          <div class=\"exp-label\">Explanation ${diffBadge(q.difficulty)}${conceptBadge(q.concept)}<\/div>\n          ${q.exp}\n        <\/div>`;\n\n      Q.container.appendChild(card);\n\n      \/* Attach click handler to each option button *\/\n      q.opts.forEach((_, j) => {\n        document.getElementById(`pp-o-${i}-${j}`)\n          .addEventListener('click', () => answer(i, j));\n      });\n    });\n\n    Q.submit.classList.remove('visible');\n  }\n\n  \/* \u2500\u2500 answer \u2014 score on click, reveal explanation \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function answer(qi, oi) {\n    if (answered[qi] !== null) return;  \/\/ ignore repeat clicks\n    const q  = session[qi];\n    const ok = oi === q.ansIdx;\n    answered[qi] = ok ? 'correct' : 'wrong';\n    total++;\n\n    q.opts.forEach((_, j) => {\n      const el = document.getElementById(`pp-o-${qi}-${j}`);\n      if (j === q.ansIdx)       el.classList.add('correct');\n      else if (j === oi && !ok) el.classList.add('wrong');\n      else                      el.classList.add('dimmed');\n    });\n\n    document.getElementById(`pp-e-${qi}`).classList.add('show');\n    document.getElementById(`pp-n-${qi}`).classList.add(ok ? 'answered-c' : 'answered-w');\n\n    updateStats();\n    updateProgress();\n    if (total === session.length) Q.submit.classList.add('visible');\n  }\n\n  \/* \u2500\u2500 updateStats \u2014 refresh all live counters \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function updateStats() {\n    const c = answered.filter(a => a === 'correct').length;\n    const w = answered.filter(a => a === 'wrong').length;\n    const r = answered.filter(a => a === null).length;\n    const n = c * 4 - w;   \/\/ no brackets \u2014 house style\n    Q.sc.textContent = c;\n    Q.sw.textContent = w;\n    Q.sr.textContent = r;\n    Q.sn.textContent = n >= 0 ? '+' + n : n;\n    Q.sm.textContent = session.length * 4;\n  }\n\n  \/* \u2500\u2500 updateProgress \u2014 widen progress bar \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function updateProgress() {\n    Q.progress.style.width = (total \/ session.length * 100) + '%';\n  }\n\n  \/* \u2500\u2500 showScore \u2014 render final score panel \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function showScore() {\n    const c  = answered.filter(a => a === 'correct').length;\n    const w  = answered.filter(a => a === 'wrong').length;\n    const sk = answered.filter(a => a === null).length;\n    const mx = session.length * 4;\n    const ns = c * 4 - w;               \/\/ no brackets \u2014 house style\n    const pc = Math.round(ns \/ mx * 100);\n    const bw = Math.max(0, Math.min(100, pc));\n\n    const msg = pc >= 85 ? 'Outstanding \u2014 you know your device inside out.' :\n                pc >= 65 ? 'Well informed \u2014 a few areas worth revisiting.' :\n                pc >= 50 ? 'Good start \u2014 the explanations will fill the gaps.' :\n                pc >= 0  ? 'Keep reading the explanations \u2014 knowledge is the best follow-up.' :\n                           'Negative score \u2014 avoid guessing; each explanation is worth re-reading.';\n\n    \/* Score formula: c \u00d7 4 \u2212 w  (no brackets, per house style) *\/\n    Q.score.innerHTML = `\n      <h2>Quiz Complete<\/h2>\n      <div class=\"score-num\">${ns < 0 ? ns : '+' + ns}<\/div>\n      <div class=\"score-denom\">Net Score &nbsp;|&nbsp; Max Marks: ${mx}<\/div>\n      <div class=\"grade-bar\"><div class=\"grade-fill\" style=\"width:${bw}%\"><\/div><\/div>\n      <div class=\"score-breakdown\">\n        <span><strong>${c}<\/strong><br>Correct<br><small>(+${c * 4})<\/small><\/span>\n        <span><strong>${w}<\/strong><br>Wrong<br><small>(\u2212${w})<\/small><\/span>\n        <span><strong>${sk}<\/strong><br>Skipped<br><small>(0)<\/small><\/span>\n        <span><strong>${Math.max(0, pc)}%<\/strong><br>Score%<\/span>\n      <\/div>\n      <div class=\"score-formula\">\n        Net = ${c} \u00d7 4 \u2212 ${w} = <strong>${ns}<\/strong>\n        &nbsp;|&nbsp; ${ns} \u00f7 ${mx} \u00d7 100 = <strong>${pc}%<\/strong>\n      <\/div>\n      <div class=\"score-msg\">${msg}<\/div>\n      <button class=\"btn-retry\" id=\"pp-retry\">\u21ba Reshuffle &amp; Retry<\/button>`;\n\n    Q.score.style.display = 'block';\n    Q.submit.classList.remove('visible');\n    Q.score.scrollIntoView({ behavior: 'smooth' });\n    document.getElementById('pp-retry').addEventListener('click', retryQuiz);\n  }\n\n  \/* \u2500\u2500 retryQuiz \u2014 full reshuffle and rebuild \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  function retryQuiz() {\n    Q.score.style.display = 'none';\n    prepareSession();\n    updateStats();\n    updateProgress();\n    buildQuiz();\n    window.scrollTo({ top: 0, behavior: 'smooth' });\n  }\n\n  \/* \u2500\u2500 Init \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  Q.submit.addEventListener('click', showScore);\n  prepareSession();\n  buildQuiz();\n  updateStats();\n\n  \/* \u2500\u2500 IntersectionObserver \u2014 show\/hide fixed status bar \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n  new IntersectionObserver(\n    ([e]) => document.getElementById('pp-status-bar')\n                      .classList.toggle('visible', !e.isIntersecting),\n    { threshold: 0 }\n  ).observe(document.getElementById('pp-sentinel'));\n\n})(); \/* \u2500\u2500 end IIFE \u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500 *\/\n<\/script>\n<\/div><!-- \/#atsixty-pp-quiz -->\n\n\n<ul class=\"wp-block-latest-posts__list wp-block-latest-posts\"><li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/08\/cms-2020-p1-part-4\/\">CMS 2020 P1 Part-4<\/a><\/li>\n<li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/07\/cms-2020-p1-part-3\/\">CMS 2020 P1 Part-3<\/a><\/li>\n<li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/07\/cms-2020-p1-part-2\/\">CMS 2020 P1 Part-2<\/a><\/li>\n<li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/07\/cms-2020-p1-part-1\/\">CMS 2020 P1 Part-1<\/a><\/li>\n<li><a class=\"wp-block-latest-posts__post-title\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/06\/gerd-oesophageal-disorders\/\">GERD Oesophageal Disorders<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2713 0 \u2717 0 Left 15 Net 0 Max 60 View Score \u2192<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-36459","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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