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

Multiple Choice Questions

1. Who was the San Diego surgeon working without a license who bungled some sex-change operations and amputated the leg of a healthy man?
(a) Martin David White.
(b) Thomas Andrew Martinson.
(c) Samuel Grayson Phillips.
(d) John Ronald Brown.

2. How much did a robotic surgery device cost that Gawande's department purchased?
(a) $550,000.
(b) $1,000,000.
(c) $980,000.
(d) $750,000.

3. Who is the doctor who was convicted of murdering fifteen patients with lethal doses of narcotics?
(a) Harold Shipman.
(b) David Andreson.
(c) Henry Whitman.
(d) Gary Manson.

4. How many patients a day did Goodman's physician's assistant say the man would see and not spend more than five minutes with them?
(a) 35.
(b) 30.
(c) 25.
(d) 40.

5. How long is the apprenticeship at Shouldice Hospital?
(a) 6 months.
(b) 2 years.
(c) 1 year.
(d) 18 months.

6. How many surgeons attended the American College of Surgeons convention?
(a) 10,312.
(b) 7,648.
(c) 8,914.
(d) 9,312.

7. How old was the patient who needed a central line?
(a) In his forties.
(b) Fiftyish.
(c) In his sixties.
(d) In his thirties.

8. Who examined a stack of electrocardiograms to test his diagnostic skills against the computer?
(a) Henrich Wagner.
(b) John Brighton.
(c) Andrew Weaver.
(d) Hans Ohlin.

9. Who originated the explanation of pain that has dominated much of medical history?
(a) Henry K. Beecher.
(b) Rene Descartes.
(c) Gottfried Leibnitz.
(d) Baruch Spinoza.

10. How long did it take a man to examine a stack of electrocardiograms to test his diagnostic skills against a computer?
(a) 4 days.
(b) 2 days.
(c) A week.
(d) 3 weeks.

11. How many studies did Gawande find when doing a computer search to attempt to identify "circalunidian" cycles?
(a) 50.
(b) 100.
(c) 75.
(d) 25.

12. How many operating rooms are at Shouldice Hospital?
(a) 5.
(b) 3.
(c) 8.
(d) 9.

13. When was it first suggested that a computer could read an EKG better than a human could?
(a) 1990.
(b) 1984.
(c) 1991.
(d) 1987.

14. How much do hernia operations cost at Shouldice Hospital?
(a) About one-fourth of what they cost elsewhere.
(b) About twice what they cost elsewhere.
(c) About one-third of what they cost elsewhere.
(d) Half what they cost elsewhere.

15. What percent of Americans does a 1995 poll show believe that the moon alters individual behavior?
(a) 43 percent.
(b) 57 percent.
(c) 16 percent.
(d) 38 percent.

Short Answer Questions

1. What type of a local anesthetic did the chief resident use when she put in a central line?

2. What was wrong with Lee Tran?

3. At what hotel was Gawande staying for the surgeon's convention?

4. How old was the patient Gawande saw while on trauma duty who had been shot in the buttock?

5. What worked at first to ease Quinlan's pain?

(see the answer keys)

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