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This test consists of 15 multiple choice questions and 5 short answer questions.

Multiple Choice Questions

1. What does Gawande say Felix Silverstone’s wife found exasperating about being in a nursing home floor while her bones mended?
(a) Felix was no longer around to take care of her.
(b) The staff were unprofessional.
(c) The staff did not perform all the help she needed.
(d) The nurses did not comb her hair the way she preferred.

2. What was the event that triggered a readjustment in Felix Silverstone’s life?
(a) He was diagnosed with cancer.
(b) His wife lost her vision.
(c) His wife’s eardrum burst.
(d) He had a heart attack.

3. What does Ivan Ilych die of?
(a) Malnourishment.
(b) Tuberculosis.
(c) An unnamed disease.
(d) Cholera.

4. When does Gawande say he started to write about medical issues?
(a) Surgical residency.
(b) During a sabbatical.
(c) In college.
(d) First year of medical school.

5. How does Gawande say Alice’s family dealt with her depression?
(a) They brought her a cat and house plants.
(b) They put her on depression medication.
(c) They found her a better situation.
(d) They enrolled her in classes at the local university.

6. What does Gawande say modernization replaced the veneration of family with?
(a) Veneration of religious figures.
(b) Veneration of prosperity.
(c) Veneration of cultural traditions.
(d) Veneration of the independent self.

7. 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) 3.
(c) 5.
(d) 7.

8. How does Gawande characterize the similarity between nursing homes and prisons?
(a) They both house mostly poor people.
(b) They are both punitive.
(c) They are both state-run.
(d) They are both total institutions.

9. When did Keren Wilson open her first assisted living facility?
(a) 1968.
(b) 1983.
(c) 1991.
(d) 1976.

10. How does Gawande characterize the trend among geriatrics departments in hospitals?
(a) Closing more than opening.
(b) Opening in more and more hospitals.
(c) No change from the past 30 years.
(d) Mostly closing down.

11. How much of the population does Gawande say was over 65 in 2017?
(a) 14%.
(b) 31%.
(c) 29%.
(d) 22%.

12. What does Gawande say he felt about the dead people who showed up in his dreams?
(a) That they had come to kill him.
(b) That he had killed them.
(c) That he was responsible for their souls.
(d) That he had betrayed them.

13. When does Gawande say people started to go to doctors, instead of doctors coming to them?
(a) After World War II.
(b) During the Depression.
(c) After the 1970s.
(d) After World War I.

14. What does Gawande say he tried to impress on Lazaroff?
(a) The likelihood the treatment would fail.
(b) The risks of surgery.
(c) The chance of paralysis after surgery.
(d) The inevitability of death.

15. How many of the 100 people Mabel Nassau studied were able to support themselves?
(a) 65.
(b) 9.
(c) 27.
(d) 42.

Short Answer Questions

1. How does Gawande characterize family expectations, in regard to caring for elders?

2. What does Gawande say life expectancy was in the Roman Empire?

3. How does Gawande characterize the new developments in medicine, in talking about the case of Lazaroff?

4. What does Gawande say Ilych wanted?

5. What does Gawande say the nursing homes Wilson looked at were designed for?

(see the answer keys)

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