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

Multiple Choice Questions

1. What percent of patients with heart attacks who are seen in emergency rooms are mistakenly discharged?
(a) About 10 percent.
(b) Between 1 and 5 percent.
(c) About 25 percent.
(d) Between 2 and 8 percent.

2. What type of a local anesthetic did the chief resident use when she put in a central line?
(a) Saxitoxin.
(b) Benzocaine.
(c) Lidocaine.
(d) Triocaine.

3. 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.

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

5. How old was the former orthopedic surgeon that Gawande writes about in "When Good Doctors Go Bad"?
(a) 51.
(b) 62.
(c) 48.
(d) 56.

6. How many hospital patients suffered complications from treatment that prolonged their hospital stay or resulted in disability or death according to a Harvard Medical Practice Study in 1991?
(a) 3 percent.
(b) 9 percent.
(c) 4 percent.
(d) 7 percent.

7. How much might it cost in most hospitals to repair a hernia?
(a) Around $5,500.
(b) Upward of $4,000.
(c) Around $3,000.
(d) Upward of $8,000.

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

9. How long do hernia operations take at Shouldice Hospital?
(a) About 90 minutes.
(b) 20-25 minutes.
(c) 30-45 minutes.
(d) About an hour.

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

11. When did a man examine a stack of electrocardiograms to test his diagnostic skills against a computer?
(a) 1994.
(b) 1990.
(c) 1992.
(d) 1996.

12. What was the average amount of time that a keyboard operator in Australia would lose from work due to disabling arm pain?
(a) 74 days.
(b) 53 days.
(c) 29 days.
(d) 64 days.

13. How many central lines did Gawande try before succeeding on his own?
(a) 1.
(b) 6.
(c) 8.
(d) 3.

14. When did Ronald Melzack and Patrick Wall propose that the pain model be replaced with what they called the Gate-Control Theory of Pain?
(a) 1971.
(b) 1945.
(c) 1953.
(d) 1965.

15. What was the woman's alcohol level that Gawande had to attend to on a crisp winter Friday?
(a) About twice the legal limit.
(b) A little over the legal limit.
(c) Just under the legal limit.
(d) 3 times the legal limit.

Short Answer Questions

1. What did Quinlan hurt when he fell off a plank at a construction site?

2. Who first proposed that a computer could read an EKG better than a human could?

3. What violation finally got Goodman in trouble?

4. How old was Rowland Scott Quinlan when he began having problems?

5. What type of a necklace did New York Mets' pitcher Turk Wendell always wear?

(see the answer keys)

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