I pretty much agree with Orwell.
In my experience only low level science classes rely on trivial pursuit style exams.
Most of my worthwhile classes (sociology, anthropology, philosophy/ethics, history, literature) require demonstrating mastery of core concepts via extensive writing assignments and have exams that feature cause/effect short answer and essay questions.
Also, many of my instructors require students to correct answers they "got wrong" for fractional credit. This gives the students a second chance to learn the material rather than simply punishing them for failing to grasp it the first time.
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No man is free who is not master of himself.~Epictetus