var init = { 
     'questions': [ 
		{
			'question': 'In Roux-en-Y Gastric Bypass, what is being bypassed?',
			'answers': ['The majority of the small bowel','The entire stomach but nothing else','Only the duodenum, where the digestive enzymes are found','The majority of the stomach and all the duodenum'],
			'correctAnswer': 4
		},
		{
			'question': 'The Roux-en-Y Gastric Bypass is',
			'answers': ['Not reversible','Easily reversible','Fully reversible although somewhat technically challenging','Only partially reversible'],
			'correctAnswer': 3
		},
		{
			'question': 'Gastric bypass surgery for obesity has been performed for around',
			'answers': ['5 years','10 years','20 years','50 years'],
			'correctAnswer': 4
		},
		{
			'question': 'A Roux-en-Y Gastric Bypass involves',
			'answers': ['Removal of most of the stomach so that food does not enter it','Connection of the oesophagus (gullet) directly to the small bowel to bypass the stomach','A gastric pouch connected to a segment of bowel which is re-joined further down by the bowel carrying digestive enzymes','Connection of the stomach to the colon to bypass the small bowel'],
			'correctAnswer': 3
		},
		{
			'question': 'A gastric bypass performed with keyhole surgery rather than open surgery has a lower incidence of post-operative',
			'answers': ['Hernias','Leaks','Bleeding','Bowel obstruction'],
			'correctAnswer': 1
		},
		{
			'question': 'Which of the following operations is most likely to be associated with severe malnutrition in the long term',
			'answers': ['Gastric banding','Biliopancreatic diversion','Sleeve gastrectomy','Gastric Bypass'],
			'correctAnswer': 2
		},
		{
			'question': 'The percentage of <strong>excess weight loss</strong> achieved with gastric bypass surgery is approximately',
			'answers': ['40-50%','50-60%','60-70%','80-90%'],
			'correctAnswer': 3
		},
		{
			'question': 'The re-operation rate with gastric bypass is',
			'answers': ['Lower than gastric banding surgery','Lower than sleeve gastrectomy surgery','Higher than stomach stapling surgery','You cannot re-operate after a gastric bypass'],
			'correctAnswer': 1
		},
		{
			'question': 'Vomiting blood after a gastric bypass may be due to ',
			'answers': ['A marginal ulcer','A fistula between the pouch and the remnant stomach','An incomplete small bowel obstruction','Stomal stenosis (narrowing at the join between stomach and bowel)'],
			'correctAnswer': 1
		},
		{
			'question': 'Gastro-oesophageal reflux after gastric bypass',
			'answers': ['Is worse because the protective mechanisms of the stomach are disrupted','Effectively disappears because very little stomach juice and no bile can get into the oesophagus','Will only improve if there is no hiatus hernia','Is worse because acid can now make its way up the Roux limb into the gastric pouch'],
			'correctAnswer': 2
		},
		{
			'question': 'It is useful to perform a gastroscopy to examine the stomach before performing a gastric bypass procedure because',
			'answers': ['You can fix hiatus hernias with the endoscope before the bypass is performed','You can ensure the stomach is the correct shape for gastric bypass surgery','You can remove any stomach cancers with the endoscope before bypass is performed','You will no longer be able to access most of the stomach with the endoscope after the gastric bypass is performed'],
			'correctAnswer': 4
		},
		{
			'question': 'The "Roux" limb in a gastric bypass is',
			'answers': ['A portion of stomach shaped into a pouch','A loop of small bowel hooked up to the gastric pouch only','A segment of small bowel joined to the gastric pouch and re-joined to the jejunum','A segment of small bowel placed out of circuit so no food or digestive enzymes go through it '],
			'correctAnswer': 3
		},
		{
			'question': 'Within the Roux limb of the gastric bypass',
			'answers': ['Food passes through but there is very little digestive enzyme','Digestive enzymes pass through but very little food','Both food and digestive enzymes pass throug','Neither food nor digestive enzymes pass through'],
			'correctAnswer': 1
		},
		{
			'question': 'Significant <strong>weight regain</strong> after gastric bypass may potentially be treated with',
			'answers': ['A gastric band placed around the pouch ','Conversion to a .long limb. gastric bypass','Fixing of technical problems such as gastro-gastric fistula or stomal widening','All of the above'],
			'correctAnswer': 4
		},
		{
			'question': 'A gastric bypass will lead to resolution of type II diabetes in approximately',
			'answers': ['25% of cases','50% of cases','75% of cases','90% of cases'],
			'correctAnswer': 3
		},
		{
			'question': 'Compared to gastric banding, gastric bypass surgery is associated with',
			'answers': ['Less weight loss overall','Less nutritional deficiencies','More oesophageal dysfunction','Less food intolerance and vomiting'],
			'correctAnswer': 4
		},
		{
			'question': 'Dumping syndrome ',
			'answers': ['Does not occur with gastric bypass','May discourage consumption of high calorie, high sugar drinks and foods','Occurs with most patients after gastric bypass','Cannot be controlled with dietary modification'],
			'correctAnswer': 2
		},
		{
			'question': 'Which of the following is <strong>NOT</strong> an advantage of gastric bypass over sleeve gastrectomy',
			'answers': ['Gastric bypass is reversible','Gastric bypass is technically easier to perform','Gastric bypass has been studied for longer','Gastric bypass can be made into a .long limb. bypass if weight loss is poor'],
			'correctAnswer': 2
		},
		{
			'question': 'Nutritional deficiencies after gastric bypass',
			'answers': ['Are rare and routine vitamin supplements are not required','May occur because iron and calcium absorption is impaired','Are less than after gastric banding','Are less than after sleeve gastrectomy'],
			'correctAnswer': 2
		},
		{
			'question': 'The death rate from having a gastric bypass is approximately',
			'answers': ['0.1%','0.3-0.5%','2-5%','5-10%'],
			'correctAnswer': 2
		}
     ],
	 'resultComments' :  
	 {
		perfect: 'Excellent. ',
		excellent: 'Excellent. ',
		good: 'Good. ',
		average: 'Fair. ',
		worst: 'Keep reading! '
	 }
 };