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

2. How large was the fourth patient that Gawande had to insert a central line?
(a) Over 300 pounds.
(b) About 195 pounds.
(c) About 250 pounds.
(d) About 380 pounds.

3. 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) 40.
(b) 35.
(c) 25.
(d) 30.

4. What was wrong with the woman who Gawande saw in the emergency room on his first day as a surgical resident?
(a) Had a 3-inch screw in her foot.
(b) Had a piece of wire in her hand.
(c) Had a fractured finger.
(d) Had a fractured ankle.

5. What worked at first to ease Quinlan's pain?
(a) Vicodin.
(b) Epidural injections.
(c) OxyContin.
(d) Demerol.

Short Answer Questions

1. What color did Duke Ellington and his band members not wear during a show?

2. How many electrocardiograms did a man examine to test his diagnostic skills against a computer?

3. At the beginning of Chapter 1, how many weeks had Gawande been in training?

4. How long might it take in most hospitals to repair a hernia?

5. What book did British psychologist James Reason write about errors?

Short Essay Questions

1. How is Shouldice Hospital designed for hernia patients?

2. Why did Gawande recommend removing the appendix of a thirty-nine-year-old woman who did not fit the pattern for appendicitis?

3. What was Hank Goodman's reputation before he lost his license?

4. What did Gawande watch during the afternoon of his first day at the surgeons convention?

5. Where can doctors candidly discuss medical mistakes?

6. What is a Terribly Quiet Chat and how effective can one be?

7. What is the secret of Shouldice Hospital's success with hernia repairs?

8. Why aren't compassion and technology necessarily incompatible?

9. What is the Texas-sharpshooter fallacy?

10. Why do many experts believe that the M&M is a shabby approach to analyzing error and improving performance in medicine?

(see the answer keys)

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