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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. Who is looking out the window when the car drives by leaving with Homer in the end of Chapter 5?
(a) Melony.
(b) Nurse Edna.
(c) Angel.
(d) Nurse Caroline.

2. Which nurse is in love with the doctor at the orphanage?
(a) Nurse Beth.
(b) Nurse Edna.
(c) Nurse Melissa.
(d) Nurse Angela.

3. Who is one of the nurses who works in the boys' division of the hospital orphanage and who tries to never repeat names when naming the babies?
(a) Nurse Beth.
(b) Nurse Edna.
(c) Nurse Melissa.
(d) Nurse Angela.

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

5. 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?
(a) 16.
(b) 14.
(c) 13.
(d) 18.

Short Answer Questions

1. While Dr. Larch permits Homer to deliver babies, he doesn't allow Homer to do what in Chapter 4?

2. The older of the two orphans think the couple is there to do what when Candy and Wally arrive in Chapter 5?

3. In Chapter 2, Dr. Larch returns to the hospital with a girl how old who is pregnant by her father?

4. Dr. Larch tells Wally and Candy about Homer's what, in Chapter 5?

5. Melony leads Homer to a picture on the wall where a woman is putting her mouth on what in Chapter 3?

Short Essay Questions

1. How is Melony described by the author in Chapter 3? What age is Melony?

2. Why does Dr. Larch ask Homer to perform an autopsy in Chapter 5? What does Homer find?

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

4. What is the setting of the novel established in Chapter 1? During what time period does the novel begin?

5. What imagery does the author use in describing Homer's walks from the girls' division at the orphanage in Chapter 3? What is symbolic about this imagery?

6. What is Dr. Larch's reaction to Homer's leaving the orphanage in Chapter 5? What is foreshadowed?

7. How does the author describe Wilbur Larch's early life in Chapter 2? What led to Wilbur's sexually transmitted disease?

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

9. In what ways is St. Cloud's symbolic? How does the author establish this in Chapter 1?

10. What does the character of Melony symbolize in Homer's life in Chapter 3?

(see the answer keys)

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