Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            Cutaneous (or superficial) pain usually involves the subcutaneous tissue. It
produces sharp pain with a burning sensation.
(2) Deep somatic pain is diffused or scattered and originates in tendons, ligaments,
bones, blood vessels, and nerves.
(3) Visceral pain: is poorly localized and originates in body organs in the thorax,
cranium, and abdomen.
(4) Psychogenic pain: it is a pain where no physical pathology has been found or
where the pain appears to have a greater psychological basis than a
physiological one.
Pain can classify by category or onset and duration 
into:
Acute Pain

It characterized by generally rapid in onset, varies in intensity from mild to
severe, the cause is usually clear. It is usually easy to ‘see’ the pain, such as an
injury or infection, it lasts few days or weeks until healing occurred.
Chronic Pain

It characterized by constant or intermittent and it interferes with normal
functioning .It lasts for more than three months, or beyond normal healing time. It
is a persistent pain that can disrupt sleep, mood, and normal living. The cause is
not always clear.
Cancer-Related Pain

Pain associated with cancer may be acute or chronic.
Pain can classify by location

Pain can also be categorized according to location (eg,
pelvic
pain,
headache,
chest
pain).
This
type
of
categorization aids in communication about and treatment of
the pain. For example, chest pain may suggest acute coronary
syndrome (ACS).
Pain can classify by etiology
Pain can also be categorized by etiology. As burn pain, back pain, headache, and 
stomach.
Manifestation
of
pain:
1.Physiologic responses: observable physiological signs of acute pain include
changes in blood pressure, heart rate, respiratory rate, and metabolic responses as
increase blood pressure due to over activity of the sympathetic nervous system,
diaphoresis, and pallor, muscle tension for body especially of face, nausea and
vomiting if pain is severe.
2. Behavioral responses: -
V
erbal responses: as moaning, crying.
Nonverbal responses: as rubbing painful areas, rigid body position, restlessness, 
clenched teeth and fists.
Behavioral response
Vocalization
Facial
expression
Moaning,
crying
. &
gasp1ng
J c . S P l
J
Grimace,
clenched
teeth, tightly
closed eye &
lip biting &
wrinkle
forehead
Immobilization
,restlessness
&muscle
tension
Avoid the
conversation
or social
contacts
Factors Influencing Pain Response 
Experience
It is tempting to expect that people who had multiple or prolonged experiences with
pain will be less anxious and more tolerant of pain than those who have had little
experience with pain.
Anxiety and Depression
Anxiety that is relevant or related to the pain may increase the patient’s perception of 
pain.
Culture
Beliefs about pain and how to respond to it differ from one
culture to the next.
Gender
Men and women are thought to be socialized to respond
differently and differ in their expectations about pain.
The Nurse’s Role in Assessment 
and Care of Patients with Pain



            Quiz: