Question: This question has options. Does the word "pain" have the same definition in the next 2 sentences?

The patient developed severe pain and distension.

That kid is a terrible pain.
Answer: different meanings

Question: This question has options. Does the word "confluence" have the same definition in the next 2 sentences?

We encountered an abandoned boat at the confluence of the Mississippi and Ohio Rivers.

Pittsburgh is located at the confluence of the Allegheny and Monongahela rivers.
Answer: the same meaning

Question: This question has options. Does the word "shade" have the same definition in the next 2 sentences?

After several trials he mixed the shade of pink that she wanted.

I've painted my room in five lovely shades of pink and chartreuse.
Answer:
the same meaning