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

2. How much of the population does Gawande say is over 65 in Germany, Italy and Japan in 2017?
(a) More than 20%.
(b) More than 26%.
(c) More than 28%.
(d) More than 24%.

3. In what way is Lou Sanders’ decision to move in with his daughter not successful?
(a) His care costs more than his family can afford.
(b) He cannot make friends.
(c) He is depressed and lonely.
(d) His care is taxing for Shelley.

4. What does Gawande say was the concept Wilson incorporated in her assisted living facility idea?
(a) That economies of scale require at least 86 residents per pod.
(b) That residents are happier when they help each other.
(c) That costs come down if people are happier.
(d) That each resident has the right to their own priorities.

5. Why does Gawande say we have not made a better system for caring for people near death?
(a) We do not have the imagination for it.
(b) People have not organized enough to demand it.
(c) There is not enough profit in it.
(d) Powerful interests prevent it.

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

7. Where was the first assisted living facility founded?
(a) California.
(b) Michigan.
(c) Oregon.
(d) Massachusetts.

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

9. How does Gawande characterize his exposure to death and the dying as a child?
(a) He was surrounded by rural poverty and high mortality.
(b) He had a period when a lot of his friends’ grandparents and relatives were sick or died in a cluster.
(c) He had a grandfather living with him and saw his decline in detail.
(d) He had almost no exposure.

10. What does Gawande say is the thing that strikes him most about Lazaroff’s case?
(a) His determination to live was otherworldly.
(b) His doctors knew he could not be cured.
(c) His determination to live was otherworldly.
(d) His chance of survival was so thin.

11. Why does Gawande say we do not have “the kind of old age” our grandfathers had (20)?
(a) Because our families have been broken by emigration.
(b) Because we do not want them.
(c) Because we have alienated generations of youth.
(d) Because we cannot afford them.

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

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

14. What does Gawande say Montaigne said about dying of old age?
(a) It is the cruelest form of dying.
(b) It is the most natural form of dying.
(c) It is the extremest form of dying.
(d) It is the kindest form of dying.

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

Short Answer Questions

1. How does Gawande characterize both Lazaroff and the doctors?

2. How many of the 100 people Mabel Nassau studied were able to support themselves?

3. What does Gawande say drives youth to seek their own opportunities as opposed to caring for their elders?

4. What does Gawande say older people’s diets tend to be richer in?

5. What does Gawande say tormented Ivan Ilych most?

(see the answer keys)

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