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

Multiple Choice Questions

1. When did Gawande’s father become a U.S. citizen?
(a) July 4, 1976.
(b) Easter, 1986.
(c) Memorial Day, 1972.
(d) Christmas, 1982.

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

3. What arrangement did Felix have to make when he brought Bella back home from the nursing home?
(a) He had to return to practicing medicine to pay for her care.
(b) He invited his daughters to live at home to help him.
(c) He hired an army of nurses and aides.
(d) He had to have contractors make modifications of their home.

4. Which finger does Gawande say has 40% of the hand’s muscles?
(a) The pointer finger.
(b) The pinky finger.
(c) The middle finger.
(d) The thumb.

5. What does Gawande say is the biggest difference between how people age today and how they used to age?
(a) They used to be cared for in multi-generational systems.
(b) They used to be much more private.
(c) They used to die much earlier.
(d) They used to be much more independent.

6. What made the Harry Truman Gawande describes a hero in his townspeople’s eyes?
(a) He saved his neighbors from the fallout when Mt. Saint Helens erupted.
(b) He used being-buried-by-a-volcano as a retirement plan.
(c) He weathered out the eruption of Mt. Saint Helens.
(d) He defied the odds and survived a deadly cancer.

7. What system did the U.S. join Europe in implementing in 1935?
(a) Social Security.
(b) Medicare.
(c) The New Deal.
(d) Medicaid.

8. Who does Keren Wilson say assisted living facilities are ultimately built for?
(a) Investors.
(b) Older people’s children.
(c) Administrators.
(d) Elderly people.

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

10. Where does Gawande say Lou Sanders had grown up?
(a) Boston.
(b) Chicago.
(c) Cleveland.
(d) Baltimore.

11. What does Gawande say is the first part of the brain to shrink with aging?
(a) Parietal lobe.
(b) Temporal lobe.
(c) Frontal lobe.
(d) Occipital lobe.

12. Who wrote The Death of Ivan Ilych?
(a) Leo Tolstoy.
(b) Fyodor Dostoevsky.
(c) Ivan Turgenev.
(d) Mikhail Lermontov.

13. What view does Gawande ultimately take, on the question of why we age?
(a) Things are degraded.
(b) Things are not well cared for.
(c) Things shut down.
(d) Things break down.

14. When does Gawande say he started to experience dead people?
(a) In visits to his father’s village.
(b) As a young child.
(c) In college.
(d) In medical school.

15. What does Gawande say has increased along with our reluctance to honestly examine the experience of aging and dying?
(a) The indifference caretakers can feel.
(b) The cruelty we inflict on people.
(c) The sterility family members feel in the face of their loved ones dying.
(d) The compassion doctors can show.

Short Answer Questions

1. By what age does Gawande say most people have functional dementia?

2. What does Gawande say was the concept Wilson incorporated in her assisted living facility idea?

3. What was the alternative Lazaroff was offered beside surgery?

4. What event does Gawande say sparked a national revolution in elder care?

5. What does Ivan Ilych die of?

(see the answer keys)

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