OK: normalize ok
OK: data array
OK: filters unchanged duplicate edit
OK: unsafe forces do_not_approve_yet
OK: TGA normalize ok
OK: detects stale TGA in justification
OK: consistency status flagged
OK: option edit requires tutor review after consistency check
OK: option edit risk raised
OK: COPD keyed mismatch normalize returns ok
OK: COPD keyed mismatch blocks suggested edits
OK: COPD dash marks suggested_edits_valid false
OK: COPD dash blocked reason mentions incomplete
OK: COPD distractor-only edit remains valid
OK: unchanged letter-only correct_answer edit filtered
OK: delirium duplicate normalize ok
OK: Lewy duplicate options block suggestions
OK: duplicate_options_detected flagged
OK: delirium duplicate marks suggested_edits_valid false
OK: delirium duplicate tutor message mentions overlap
OK: delirium duplicate tutor message uses not-applied wording
OK: delirium duplicate stores technical overlap detail
OK: delirium duplicate does not repeat banner in tutor_comments
OK: false-positive breathing air style concern filtered
OK: distinct replacement option allowed

All combined tutor review normalize tests passed.