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

Multiple Choice Questions

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

2. How does Gawande say Philip Roth characterizes old age?
(a) A warm bath.
(b) A massacre.
(c) A fuzzy puzzle.
(d) A series of dislocations.

3. What was the alternative Lazaroff was offered beside surgery?
(a) Assisted suicide.
(b) Comfort care.
(c) Doing nothing.
(d) Radiation.

4. What does Gawande say he and his fellow doctors never touched on, in talking about Lazaroff’s condition with him?
(a) The likelihood the treatment would fail.
(b) The reality of his disease.
(c) The side effects to chemotherapy.
(d) The cost of the treatment.

5. What does Gawande say the nursing homes Wilson looked at were designed for?
(a) Efficiency.
(b) Control.
(c) Warehousing the elderly.
(d) Cost containment.

6. What does Gawande say Lou Sanders was scared of?
(a) Dying.
(b) Suffering with cancer.
(c) Losing his ability to drive.
(d) Dying alone.

7. What event does Gawande say sparked a national revolution in elder care?
(a) The New Deal.
(b) The Great Depression.
(c) The Baby Boom.
(d) World War I.

8. How does Gawande characterize the new developments in medicine, in talking about the case of Lazaroff?
(a) Cruelty.
(b) Gambling.
(c) Blind groping
(d) Torture.

9. How old was Alice Hobson when she was widowed?
(a) 88.
(b) 56.
(c) 41.
(d) 72.

10. How does Gawande characterize the decline of health for the majority of people who age normally with modern medicine?
(a) A series of minor decreases in a slow decline toward death.
(b) A high line that runs flat then falls quickly.
(c) A series of dips followed by recoveries that approach the horizontal axis of death.
(d) A high line that ends abruptly.

11. How did Gawande’s grandfather and his wife avoid starving to death as newlyweds?
(a) They speculated in land and their gamble paid off.
(b) They harvested a bumper crop that paid their debts.
(c) They appealed to a wealth uncle who bailed them out.
(d) They came to America and worked their way up.

12. How does Gawande characterize the state of the medical profession in the face of scientific advances that prolonged life and made dying a medical decision?
(a) Unprepared.
(b) Partners.
(c) Reactive.
(d) Leading by example.

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

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

15. What does Gawande say Wilson’s assisted living facilities protected?
(a) Autonomy.
(b) Privacy.
(c) Public health.
(d) Community.

Short Answer Questions

1. What view does Gawande ultimately take, on the question of why we age?

2. What was Gawande’s father’s profession?

3. Who wrote The Death of Ivan Ilych?

4. What does Gawande say is the greatest threat elderly people face?

5. Where does Gawande say he witnessed the most hellish conditions of his life?

(see the answer keys)

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