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The alternative is to copy the paper and the questions. New questions identical to the originals are created and may be changed independently, even if the originals are locked. The link between paper and question is now unique to that paper until other papers start to reference the questions.
The dialog shows these options along with others:
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If the question is locked, Limited Save only is available.
You can add media to a question.
Information
Shows the Question Information dialog for the selected item.
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