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

Multiple Choice Questions

1. How many spoonfuls of Ganges water did Gawande drink, as part of his father’s funeral service?
(a) 1.
(b) 3.
(c) 4.
(d) 7.

2. What value did Thomas espouse in running his farm?
(a) Self-reliance.
(b) Efficiency.
(c) Sustainability.
(d) Stewardship.

3. What percent of Americans does Gawande say died in hospice in America in 2010?
(a) 64%.
(b) 45%.
(c) 24%.
(d) 32%.

4. Why does Gawande say he and his father preferred Doctor Benzel to the neurosurgeon at Gawande’s hospital?
(a) He was more of an expert.
(b) He paid close attention to their needs.
(c) He made the better promises for the outcome of a surgery.
(d) He had more experience with Gawande’s father’s type of tumor.

5. Which of Gawande’s patients showed him “how understanding the finitude of one’s time could be a gift” (209)?
(a) Jewel Douglas.
(b) Sara Monopoli.
(c) Joseph Lazaroff.
(d) Lou Sanders.

6. What was Thomas’ explanation for the decline in the death rate?
(a) Sicker patients avoided the facility.
(b) The animals gave people stronger antibodies.
(c) Laughter at the animals was therapeutic.
(d) He had given people a reason to live.

7. What is a pandit?
(a) A boatman.
(b) A holy man.
(c) A professional mourner.
(d) A funeral guide.

8. What does Gawande say happens in the third stage of a country’s health care development?
(a) Patients die in poor houses and nursing homes.
(b) Patients die in the hospital.
(c) Patients die at home for lack of access to health care.
(d) Patients return home to die in comfort.

9. How many varieties of chemotherapy did Sara Monopoli try?
(a) 3.
(b) 4.
(c) 5.
(d) 6.

10. How does Gawande characterize Thomas’ staff’s reaction to his plan to introduce pets to Chase Memorial?
(a) Optimistic.
(b) Reluctant.
(c) Hostile.
(d) Ambivalent.

11. How much of Medicare spending goes to the 5% of patients who are in their last year of life?
(a) 25%.
(b) 40%.
(c) 15%.
(d) 33%.

12. What does Gawande say is the “third type of doctor-patient relationship” (201)?
(a) The Interpretive Doctor.
(b) The Expert.
(c) The Companion.
(d) Mr. Information.

13. What does Jewel Douglas want Gawande to avoid in his operation?
(a) Risky chances.
(b) Long shots.
(c) Heroic measures.
(d) Painful moments.

14. How did Bill Thomas overcome the institutional inertia that might have complicated his plans to introduce animals?
(a) He overwhelmed people with big changes quickly.
(b) He talked to key opinion leaders and got buy-in.
(c) He fired anyone who refused to go along.
(d) He kept his plans secret and hatched them all at once.

15. Who did Gawande’s father want to see in his final bout of wakefulness?
(a) His father.
(b) Gawande’s sons.
(c) His wife.
(d) Gawande.

Short Answer Questions

1. What was the third place Gawande’s father wanted his ashes scattered?

2. What event does Jewel Douglas ask Gawande to help her get to?

3. How does Gawande characterize the people who spend the last days of their life in the ICU?

4. How does Gawande characterize the operation he ultimately performed on Jewel Douglas?

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

(see the answer keys)

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