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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. The nurses keep mentioning in the novel that the doctor is named after what?
(a) A bird of prey.
(b) A type of rock.
(c) A tree.
(d) A fish.

2. In Chapter 4, a pregnant woman comes to St. Cloud's and collapses in the dispensary from what?
(a) Heart attack.
(b) Eclampsia.
(c) Amnesia.
(d) Scurvy.

3. What do the nurses at the orphanage refer to the doctor as?
(a) A saint.
(b) A dictator.
(c) A martyr.
(d) A lecher.

4. Melony makes Homer promise that he will stay at the orphanage as long as what in Chapter 3?
(a) He is alive.
(b) Dr. Larch is in charge.
(c) She is there.
(d) She is alive.

5. The older of the two orphans think the couple is there to do what when Candy and Wally arrive in Chapter 5?
(a) Adopt a child.
(b) Deliver a baby.
(c) Have an abortion.
(d) Make a donation.

Short Answer Questions

1. The town in which the orphanage is set is described as what?

2. Homer packs his bag and says goodbye to the two nurses while Dr. Larch starts the autopsy on whom in Chapter 5?

3. By what age is Homer learning to be a doctor, seen a live birth, learned how to perform abortions, and having routine sex with Melony in Chapter 3?

4. In what historical era does the story begin?

5. Dr. Larch applies for an obstetrics position in his home town of what in Chapter 2?

Short Essay Questions

1. Why does Dr. Larch keep the women having abortions separate from the women giving birth in Chapter 3?

2. What is ironic about Wilbur's parents in Chapter 2? How is Wilbur's career shaped by his encounter with the prostitute?

3. How is Homer Wells described in Chapter 1? How is Homer viewed by Dr. Larch and the nurses?

4. What does the exposition reveal about Dr. Larch's past in Chapter 1?

5. Discuss the symbolism and foreshadowing in Chapter 4. What is foreshadowed by Candy's pregnancy?

6. Why does the prostitute's daughter come to Dr. Larch in Chapter 2?

7. What is symbolic about Dr. Larch's choices for the books read to the orphans in Chapter 3?

8. In what ways do the characters of Olive Worthington and Dr. Larch relate in Chapter 4?

9. Who helps Wally and Candy arrive at the orphanage in Chapter 5? What impression do these characters have?

10. How does the setting of Heart's Haven and Heart's Rock compare to the orphanage in Chapter 4?

(see the answer keys)

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