{
  "group": [
    {
      "group_id": "1",
      "questions": [
        {
          "question_id": "1_1",
          "question_text": "In a pooled analysis of over 200,000 postmenopausal women from 17 studies in 7 countries, the average age at natural menopause was __________.<sup>4</sup>",
          "type": "regular",
          "correct_answers": [
            -1,
            -1,
            0,
            -1
          ],
          "answers": [
            "45.3 years",
            "48.6 years",
            "50.2 years",
            "55.8 years"
          ],
          "feedback": "",
          "guru_data": {}
        },
        {
          "question_id": "1_2",
          "question_text": "<u>True</u> or <u>False</u>? In postmenopause, the dominant circulating type of estrogen is estrone.<sup>3</sup>",
          "type": "regular",
          "correct_answers": [
            0,
            -1
          ],
          "answers": [
            "True",
            "False"
          ],
          "feedback": "",
          "guru_data": {}
        },
        {
          "question_id": "1_3",
          "question_text": "Which of the following are symptoms of menopause?<sup>1,6,7</sup> (Select all that apply.)",
          "type": "regular",
          "correct_answers": [
            0,
            0,
            0,
            0
          ],
          "answers": [
            "Hot flashes",
            "Menstrual cycle changes",
            "Vaginal dryness",
            "Sleep disturbances"
          ],
          "feedback": "",
          "guru_data": {}
        }
      ]
    },
    {
      "group_id": "2",
      "questions": [
        {
          "question_id": "2_1",
          "question_text": "<u>True</u> or <u>False</u>? Hot flashes are sudden and intense feelings of heat in the chest, neck, and face, with reddening of the skin.<sup>1,6</sup>",
          "type": "regular",
          "correct_answers": [
            0,
            -1
          ],
          "answers": [
            "True",
            "False"
          ],
          "feedback": "",
          "guru_data": {}
        },
        {
          "question_id": "2_2",
          "question_text": "Which of the following are risk factors for VMS?<sup>6,16</sup><sup> </sup> (Select all that apply.)",
          "type": "regular",
          "correct_answers": [
            -1,
            0,
            0,
            -1
          ],
          "answers": [
            "Higher economic status",
            "Cigarette smoking",
            "Earlier menopausal stage at onset",
            "Low-fat diet"
          ],
          "feedback": "",
          "guru_data": {}
        },
        {
          "question_id": "2_3",
          "question_text": "The median duration of VMS is _____ years.<sup>13</sup>",
          "type": "regular",
          "correct_answers": [
            -1,
            0,
            -1,
            -1
          ],
          "answers": [
            "3.2",
            "7.4",
            "8.9",
            "10.1"
          ],
          "feedback": "",
          "guru_data": {}
        },
        {
          "question_id": "2_4",
          "question_text": "Which part of the brain is involved in thermoregulation?<sup>6</sup>",
          "type": "regular",
          "correct_answers": [
            0,
            -1,
            -1,
            -1
          ],
          "answers": [
            "Hypothalamus",
            "Amygdala",
            "Cerebellum",
            "Prefrontal cortex"
          ],
          "feedback": "",
          "guru_data": {}
        }
      ]
    }
  ]
}