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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 did Alice Hobson lose her car?
(a) She left the keys in it and it was stolen.
(b) She forgot to make her car payments.
(c) She got in a small accident and lost her license.
(d) She parked it in the wrong parking lot.

2. How many oncologists does Gawande admit to providing treatments they know will not work?
(a) 60%.
(b) 40%.
(c) 50%.
(d) 30%.

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

4. What does Gawande say his father’s chance of being paralyzed by surgery were?
(a) 1 in 10.
(b) 1 in 6
(c) 1 in 4.
(d) 1 in 20.

5. How does Gawande say insurance companies respond after the Nelene Fox case found insurance companies at fault for not paying for expensive treatments?
(a) They started to demand accountability from drug companies.
(b) They hid cost controls in finer small print.
(c) They made hospice care available.
(d) They developed complex algorithms to make their decisions less personal.

Short Answer Questions

1. By what factor does Gawande say the cost of living in a nursing home exceeds the cost of living in an assisted living facility?

2. How much of Medicare spending goes to the 5% of patients who are in their last year of life?

3. How does Gawande say he answered when his patient’s family asked if his patient was dying?

4. By what margin does Gawande say costs came down in Keren Wilson’s assisted living facility?

5. How many parakeets did Bill Thomas introduce to Chase Memorial?

(see the answer key)

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