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This quiz consists of 5 multiple choice and 5 short answer questions through Chapter 7 — Hard Conversations.

Multiple Choice Questions

1. How does Gawande characterize the onset of treatment for his father’s tumor?
(a) As a punishment for not having taken better care of his father.
(b) As a test for what he had learned about mortality.
(c) As a tragedy that struck too early.
(d) As an opportunity to practice what he had learned to preach.

2. How does Gawande characterize the decline of health for people with “chronic illnesses—emphysema, liver disease, and congestive heart failure”?
(a) A high line that ends abruptly.
(b) A series of minor decreases in a slow decline toward death.
(c) A high line that runs flat then falls quickly.
(d) A series of dips followed by recoveries that approach the horizontal axis of death.

3. What percent of Americans does Gawande say died in hospice in America in 2010?
(a) 64%.
(b) 45%.
(c) 24%.
(d) 32%.

4. By what factor does Gawande say the cost of living in a nursing home exceeds the cost of living in an assisted living facility?
(a) 2.
(b) 5.
(c) 3.
(d) 7.

5. What does Gawande say happens in the third stage of a country’s health care development?
(a) Patients return home to die in comfort.
(b) Patients die in poor houses and nursing homes.
(c) Patients die in the hospital.
(d) Patients die at home for lack of access to health care.

Short Answer Questions

1. Where does Gawande say his father’s pains began?

2. What percent of Americans does Gawande say died at home in the 1980s?

3. What does Gawande say is the “third type of doctor-patient relationship” (201)?

4. How does Gawande characterize the “newest view” about why we age (32)?

5. What does Gawande say Montaigne said about dying of old age?

(see the answer key)

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