{
  "module": "103.4",
  "title": "103.4 Hypertension, Heart Disease and Stroke",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "A reading of 134/78 falls in which category?",
        "options": [
          "Stage 1 high blood pressure",
          "Normal",
          "Elevated",
          "Stage 2 high blood pressure"
        ],
        "correct": 0,
        "explanation": "A top number of 130 to 139 is stage 1, even when the bottom number is under 80."
      },
      {
        "question": "What is the 2025 AHA and ACC blood pressure goal for most adults?",
        "options": [
          "Below 140/90",
          "Below 130/80",
          "Below 150/100",
          "Below 110/70"
        ],
        "correct": 1,
        "explanation": "The 2025 guideline sets a treatment goal below 130/80 for most adults."
      },
      {
        "question": "Why is high blood pressure called a silent problem?",
        "options": [
          "It only affects older people",
          "It always causes headaches",
          "It usually has no warning signs",
          "It goes away on its own"
        ],
        "correct": 2,
        "explanation": "CDC says high blood pressure usually has no symptoms, so measuring is the only way to know."
      },
      {
        "question": "Before a home blood pressure check, a person should rest quietly for about:",
        "options": [
          "30 seconds",
          "1 hour",
          "No rest is needed",
          "5 minutes"
        ],
        "correct": 3,
        "explanation": "Sitting with back supported for at least 5 minutes gives a more accurate reading."
      },
      {
        "question": "Which of these is a stroke warning sign in BE FAST?",
        "options": [
          "A slow, steady cough",
          "One side of the face droops",
          "Itchy skin",
          "Feeling hungry"
        ],
        "correct": 1,
        "explanation": "F stands for Face: drooping on one side is a stroke sign."
      },
      {
        "question": "A client at a health fair reads 188/124, rechecks the same, and has chest pain. What should the CHW do?",
        "options": [
          "Tell her to go home and rest",
          "Recheck again in an hour",
          "Call 911",
          "Give her water and salt-free crackers"
        ],
        "correct": 2,
        "explanation": "A reading over 180/120 with symptoms like chest pain is an emergency."
      },
      {
        "question": "A client says he stopped his blood pressure pill because he feels fine. What should the CHW do?",
        "options": [
          "Help him talk with his doctor or pharmacist soon",
          "Tell him that is fine if he feels well",
          "Tell him to take two pills tomorrow",
          "Say nothing to respect his privacy"
        ],
        "correct": 0,
        "explanation": "CDC advises not stopping blood pressure medicine without the care team, so the CHW connects him to them."
      },
      {
        "question": "A neighbor shows stroke signs and her son wants to drive her to the hospital. What should the CHW do?",
        "options": [
          "Let the son drive because it is faster",
          "Wait 30 minutes to see if it passes",
          "Call her doctor's office first",
          "Call 911 and note when symptoms started"
        ],
        "correct": 3,
        "explanation": "An ambulance can start treatment on the way, and the start time guides treatment."
      },
      {
        "question": "Which sign of a heart attack is more common in women?",
        "options": [
          "A rash on the arms",
          "Unusual tiredness and nausea",
          "A high fever",
          "Ringing in the ears"
        ],
        "correct": 1,
        "explanation": "CDC notes women more often have less typical signs such as unusual tiredness and nausea or vomiting."
      },
      {
        "question": "Which is an upstream cause of high blood pressure in a neighborhood?",
        "options": [
          "Forgetting a pill once",
          "A cuff that is too small",
          "Mostly salty processed food sold nearby",
          "Talking during a reading"
        ],
        "correct": 2,
        "explanation": "Upstream causes are conditions like the local food supply that shape health for a whole community."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "A client at a health fair reads 188/124, rechecks the same, and has chest pain. What should the CHW do?",
        "options": [
          "Tell her to go home and rest",
          "Recheck again in an hour",
          "Call 911",
          "Give her water and salt-free crackers"
        ],
        "correct": 2,
        "explanation": "A reading over 180/120 with symptoms like chest pain is an emergency."
      },
      {
        "question": "Why is high blood pressure called a silent problem?",
        "options": [
          "It only affects older people",
          "It always causes headaches",
          "It usually has no warning signs",
          "It goes away on its own"
        ],
        "correct": 2,
        "explanation": "CDC says high blood pressure usually has no symptoms, so measuring is the only way to know."
      },
      {
        "question": "Which sign of a heart attack is more common in women?",
        "options": [
          "A rash on the arms",
          "Unusual tiredness and nausea",
          "A high fever",
          "Ringing in the ears"
        ],
        "correct": 1,
        "explanation": "CDC notes women more often have less typical signs such as unusual tiredness and nausea or vomiting."
      },
      {
        "question": "A neighbor shows stroke signs and her son wants to drive her to the hospital. What should the CHW do?",
        "options": [
          "Let the son drive because it is faster",
          "Wait 30 minutes to see if it passes",
          "Call her doctor's office first",
          "Call 911 and note when symptoms started"
        ],
        "correct": 3,
        "explanation": "An ambulance can start treatment on the way, and the start time guides treatment."
      },
      {
        "question": "What is the 2025 AHA and ACC blood pressure goal for most adults?",
        "options": [
          "Below 140/90",
          "Below 130/80",
          "Below 150/100",
          "Below 110/70"
        ],
        "correct": 1,
        "explanation": "The 2025 guideline sets a treatment goal below 130/80 for most adults."
      },
      {
        "question": "A client says he stopped his blood pressure pill because he feels fine. What should the CHW do?",
        "options": [
          "Help him talk with his doctor or pharmacist soon",
          "Tell him that is fine if he feels well",
          "Tell him to take two pills tomorrow",
          "Say nothing to respect his privacy"
        ],
        "correct": 0,
        "explanation": "CDC advises not stopping blood pressure medicine without the care team, so the CHW connects him to them."
      },
      {
        "question": "Which of these is a stroke warning sign in BE FAST?",
        "options": [
          "A slow, steady cough",
          "One side of the face droops",
          "Itchy skin",
          "Feeling hungry"
        ],
        "correct": 1,
        "explanation": "F stands for Face: drooping on one side is a stroke sign."
      },
      {
        "question": "Which is an upstream cause of high blood pressure in a neighborhood?",
        "options": [
          "Forgetting a pill once",
          "A cuff that is too small",
          "Mostly salty processed food sold nearby",
          "Talking during a reading"
        ],
        "correct": 2,
        "explanation": "Upstream causes are conditions like the local food supply that shape health for a whole community."
      },
      {
        "question": "Before a home blood pressure check, a person should rest quietly for about:",
        "options": [
          "30 seconds",
          "1 hour",
          "No rest is needed",
          "5 minutes"
        ],
        "correct": 3,
        "explanation": "Sitting with back supported for at least 5 minutes gives a more accurate reading."
      },
      {
        "question": "A reading of 134/78 falls in which category?",
        "options": [
          "Stage 1 high blood pressure",
          "Normal",
          "Elevated",
          "Stage 2 high blood pressure"
        ],
        "correct": 0,
        "explanation": "A top number of 130 to 139 is stage 1, even when the bottom number is under 80."
      }
    ]
  }
}