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

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

3. What does Gawande say is the greatest threat elderly people face?
(a) Falling.
(b) Choking.
(c) Blindness.
(d) Heart attacks.

4. How does Gawande characterize both Lazaroff and the doctors?
(a) Miserable.
(b) Desperate.
(c) Faithful.
(d) Delusional.

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

6. What does Gawande say life expectancy was in the Roman Empire?
(a) 28.
(b) 32.
(c) 48.
(d) 56.

7. What does Gawande say Ilych wanted?
(a) To be pitied.
(b) To be lionized.
(c) To be celebrated.
(d) To be remembered.

8. Where did Del Webb, who popularized the term “retirement community” build his first development?
(a) Arizona.
(b) California.
(c) Florida.
(d) Alabama.

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

10. By what margin does Gawande say costs came down in Keren Wilson’s assisted living facility?
(a) 35%.
(b) 10%.
(c) 20%.
(d) 30%.

11. 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) 5.
(b) 2.
(c) 3.
(d) 7.

12. What does Gawande say led Keren Wilson to focus on assisted living facilities?
(a) Her mother’s stroke.
(b) Her child’s medical needs.
(c) Her own epilepsy.
(d) Her father’s dementia.

13. How does Gawande characterize Felix’ feelings when his wife dies?
(a) Dismembered.
(b) Discombobulated.
(c) Distraught.
(d) Disoriented.

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

15. What does Gawande say he and his fellow doctors hoped to do for Joseph Lazaroff?
(a) Provide an easy death.
(b) Demonstrate heroism in trying to save his life.
(c) Manage his condition.
(d) Cure him.

Short Answer Questions

1. What does Gawande say is the first part of the brain to shrink with aging?

2. What does Gawande say is the biggest difference between how people age today and how they used to age?

3. When does Gawande say he started to write about medical issues?

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

5. What diagnosis did Lou Sanders get after he had a fall at age 88?

(see the answer keys)

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