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

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

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

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

5. 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) A week.
(c) 2 days.
(d) 3 weeks.

Short Answer Questions

1. How old was the woman that Gawande saw in the emergency room his first day as a surgical resident?

2. What violation finally got Goodman in trouble?

3. How long after Bryce Shouldice left medical school did he begin performing hernia operations at Shouldice?

4. What would Wade Boggs, the Boton Red Sox's former star third baseman, always eat before a game?

5. What was wrong with Lee Tran?

Short Essay Questions

1. What is the Texas-sharpshooter fallacy?

2. Why did Gawande have to leave a teenage knifing victim and go tend to another emergency?

3. What type of complications had occurred from residents putting in a central line?

4. What was it like at Gawande's hospital when it was time for the annual surgeons convention?

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

6. How is Shouldice Hospital designed for hernia patients?

7. Why did Rowland Scott Quinlan have to give up his firm to his partners?

8. What is the most important criteria for becoming a surgeon?

9. What is the physician's dodge and why is it necessary?

10. Where can doctors candidly discuss medical mistakes?

(see the answer keys)

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