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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 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) 4 percent.
(b) 9 percent.
(c) 3 percent.
(d) 7 percent.

2. What violation finally got Goodman in trouble?
(a) Not attending the M&M conferences.
(b) Complaints from patients.
(c) Too many lawsuits.
(d) Complaints from other surgeons.

3. What is the fear of Friday the thirteenth called?
(a) Acrophobia.
(b) Ballistophobia.
(c) Zemmiphobia.
(d) Paraskevidekatriaphobia.

4. What type of a necklace did New York Mets' pitcher Turk Wendell always wear?
(a) Cross necklace.
(b) A silver four-leaf clover on a chain.
(c) Animal-fang necklace.
(d) A St. Christopher medal on a chain.

5. What type of surgery had the patient who needed a central line had a week earlier?
(a) Heart surgery.
(b) Removal of his appendix.
(c) Abdominal surgery.
(d) Hernia surgery.

Short Answer Questions

1. Who examined a stack of electrocardiograms to test his diagnostic skills against the computer?

2. How old was the patient Gawande saw while on trauma duty who had been shot in the buttock?

3. How late were clinical sessions lined up until at the surgeons convention?

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

5. How large was the fourth patient that Gawande had to insert a central line?

Short Essay Questions

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

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

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

4. Describe the technical exhibit hall.

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

6. What one study did Gawande find that linked increased traffic accidents to Friday the thirteenth?

7. What did Gawande have in his pockets during his first weeks of surgical training?

8. What is the Texas-sharpshooter fallacy?

9. How do surgeons learn to do new procedures once they are out of training?

10. Describe the Swedish study designed to see whether a computer could more accurately read an EKG than could a human.

(see the answer keys)

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