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This test consists of 5 multiple choice questions, 5 short answer questions, and 10 short essay questions.

Multiple Choice Questions

1. What does Kahneman say are our two selves?
(a) Experiencing and remembering.
(b) Grieving and longing.
(c) Planning and executing.
(d) Desiring and regretting.

2. What does Gawande say his father always understood about life?
(a) That it was a gift and he could not be upset about losing it.
(b) That if it is lived well, there is no mourning, only celebration.
(c) That it was not his to lose or grieve.
(d) That it is short and his place in the world was small.

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

4. What event does Jewel Douglas ask Gawande to help her get to?
(a) A wedding.
(b) A holiday.
(c) A trip with family.
(d) A graduation.

5. How does Gawande characterize the people who spend the last days of their life in the ICU?
(a) A tragedy.
(b) A malpractice.
(c) A crime.
(d) A failure.

Short Answer Questions

1. What does Gawande say Jewel Douglas’ death showed him?

2. What does Gawande say doctors have to do as people get closer to death?

3. What does Gawande say is the priority for hospice care?

4. What does Gawande say has provided him with the most meaningful experiences as a doctor?

5. What did Gawande’s father make Gawande promise him?

Short Essay Questions

1. What technique does Atul Gawande learn from a palliative care physician, and use with Jewel Douglass?

2. How does Gawande characterize the work that remains to be done in medicine?

3. What definition of courage does Gawande arrive at, from his discussion of Plato’s Laches dialogue?

4. How does Gawande say that dealing with elderly patients changed his medical approach?

5. How does Gawande say that end-of-life care costs affect the American medical system?

6. How does Gawande characterize the ceremony for disposing of his father’s ashes?

7. How does Gawande characterize his faith in his people’s religion, and how does he describe his participation in the Hindu ritual for dispersing his father’s remains?

8. How did Bill Thomas’ idea play out?

9. How does Gawande say the western medical model is spreading throughout the world?

10. How did Gawande and his mother differ on the question of how to handle Gawande’s father’s care as death came closer?

(see the answer keys)

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