Many thanks @anthony_harris @milesl and @Steven_S
I have tested this again. The procedure I followed and results below.
I used two Sandbox courses (A and B), each with the same two test students enrolled (X and Y).
In Course A, I created a New Quiz with two 4-answer option MCQs. I created both questions in the quiz and I added both of these questions to an Item Bank. I then acted as Student X and completed the quiz.
In Course B, I imported (not copied) the quiz. I renamed the quiz and then I edited one of the questions to add a 5th answer option.
The messages I received when editing the question below.


(As an aside, something I hadn´t noticed before when importing, the quiz did not appear in the Quizzes folder when Selecting Content, rather in the relevant Assignment Group folder.)
When I returned to Course A, in Teacher view, the edit I had made was mirrored there i.e. one of the MCQs now had a 5th answer option. I then acted as Student Y and started the quiz. Student Y received the updated version of the quiz. As Student Y, I left but did not submit the quiz.
I returned to Course B and edited the second MCQ, again adding a 5th answer option and receiving the same messages as above.
I then returned to Course A, where my Teacher view had updated to reflect the latest version of the quiz i.e. both questions with a 5th answer option. I acted as Student Y and resumed taking the quiz. Student Y returned to the quiz version presented when she started the quiz i.e the change to the 2nd MCQ was not mirrored. Student Y submitted the quiz.
In SpeedGrader, Student X´s submission reflects the original version of the quiz (2 x 4-answer option MCQs). Student Y´s submission reflects the first edit made to the quiz in Course B (1 x 4-answer option and 1 x 5-answer option).
I then repeated the test above with one difference: when I created the questions in the quiz I did not add them to an Item Bank. I imported etc. to Course B and when I then made edits to the questions, these were not mirrored in Course A.
So, in summary:
It appears that the mirroring is occurring because the questions are linked to an Item Bank as @Steven_S identified in his test. Is this intended behaviour? If it is, it raises a number of worrying issues with regard to using Item Banks in New Quizzes.
In Classic Quizzes, when you create a question directly in a quiz, that question is added to a ´Unfiled Questions´ question bank. Is there an ´Unfiled Questions´ question bank in New Quizzes? I could not locate one. If there is not, do questions "go" anywhere or do they reside solely in the quiz itself?
Many thanks to all for any further thoughts on this.
Best Wishes,
jb