Reading comp PrepTest 147 · Section 3 · Question 14
Passage
Passage walkthrough
Paragraph 1
- Paragraph note
- A problem is introduced, and a solution is named
- Views, minor Meta-Structures, and the author's attitude
- Problem - Running a clinical trial on treatments means that treatment is being withheld from some people, raising ethical issues
- Solution - Equipoise, where physicians have no opinion as to which of the treatments being tested is better
- Paragraph note
- A problem with that solution is noted
- Views, minor Meta-Structures, and the author's attitude
- "Theoretical equipoise" - impossible in practice, as physicians have a preference for one treatment over another, or will develop one as any results start coming back
- If it's impossible, then clinical trials couldn't be done
- Paragraph note
- Develop a new theory of the solution
- Views, minor Meta-Structures, and the author's attitude
- "Clinical equipoise" - Doctors disagree over which treatment is better, with both sides recognizing that the other side has a good faith belief in their treatment
- Still "rigorous" ethical standards, but not "unreasonably constricting"
- Paragraph note
- More discussion of the new theory of the solution
- Views, minor Meta-Structures, and the author's attitude
- Good-faith disagreement allows clinicians to have a preference but still ethically withhold that preferred treatment from some patients
Unlike "theoretical equipoise" which is impossible in practice, "clinical equipoise" allows for clinicians to ethically engage in clinical trials despite having a preference for one treatment over another, as long as they recognize a good faith argument from doctors who believe the other treatment is better.
Key Lines:
Lines 4-6 - The problem is stated
Lines 8-14 - The solution is introduced
Lines 16-20 - One "version" of the solution is criticized
Lines 35-38 - An alternative version of the solution is named
Lines 44-47 - The alternative version is defined
Lines 53-56 - The alternative version is further defined
Meta-Structure:
Problem/Solution - The passage notes an ethical issue with a certain type of research. She then brings up a solution, but then shows how it's problematic. However, she doesn't throw the underpinnings of it out—rather, she splits the solution into the problematic one (theoretical equipoise) and the one she argues for (clinical equipoise).
Distinction - The Author distinguishes between two types of equipoise, arguing that one is more appropriate in a specific situation than another.
Last Thoughts:
The fact that the Author explores two types of equipoise is likely going to create some difficulty in the answers—after all, if an answer refers to just equipoise, we won't know which one! Let's be sure to keep that in mind as we analyze them.
Question prompt
Why the credited answer is right
Credited answer: B
The notes below walk through why it fits the stem and how to eliminate the rest.
Question Type
Answer choices
-
Aexplain the difference between Remaining source text redacted.
Why choice A is not credited
Incorrect. (Line 35) The Author specifically notes that one of the two conceptions "should be developed," so she advocates for one over the other. This answer choice misses that advocacy. -
Bargue for a more Remaining source text redacted.
Why choice B matches the stem
Correct. Question Type:
Main Point
Strategy Overview:
Reiterate the main point and then abstract away from it to get at the purpose in writing the passage
Answer Anticipation/Relevant Lines:
The primary purpose of every passage is the same—to convey the main point. As such, we should start by reiterating the main point that we came up with after reading the passage. From there, we can abstract from the content to get the purpose behind the writing.
Here, the main point, as we stated it, was:
Unlike "theoretical equipoise" which is impossible in practice, "clinical equipoise" allows for clinicians to ethically engage in clinical trials despite having a preference for one treatment over another, as long as they recognize a good faith argument from doctors who believe the other treatment is better.
So the Author is arguing for one type of equipoise over another. Why is that? Because the one is "hardly attainable in practice" (Lines 20-21) while the other would "impose rigorous ethical standards . . . without unreasonably constricting" trials (Lines 36-38).
So the Author wrote this passage to argue for one interpretation of an ethical standard over another that's currently employed ("that is typically employed"; Lines 15-16)—let's find an answer reflecting that purpose.
Answer Explanation:
(Lines 15-17; Lines 33-38) The Author notes that the ethical requirement of equipoise as "typically employed" (Line 16) is too strict, and the one that "should be developed" (Line 35) would provide for ethical standards "without unreasonably constricting them" (Lines 37-38). This answer reflects that she's arguing for a more reasonable, less restrictive interpretation than the "unreasonably constrinting" one that is traditionally ("typically") employed, making it the correct answer.
Key Takeaway:
When the Author argues for a point, be sure that the answer to this type of Main Point question reflects that advocacy. Answers that are too neutral (e.g., "explain") won't fully capture the purpose of the passage! -
Cdemonstrate that a change Remaining source text redacted.
Why choice C is not credited
Incorrect. (Line 35) The Author advocates for a new standard to be developed, so she doesn't demonstrate that it would get in the way of clinical trials. -
Ddemonstrate the need for Remaining source text redacted.
Why choice D is not credited
Incorrect. (Lines 33-35) First, the Author's main point isn't that clinical researchers should examine their ethics—she wants them to develop and enact a specific change. That said, she argues for another interpretation of equipoise—which accepts the underlying standard of equipoise. So she doesn't really even want them to examine the conceptions underlying their ethics—just the practical applications of them! -
Eargue for a change Remaining source text redacted.
Why choice E is not credited
Incorrect. (Lines 29-32) This answer is tempting! It does discuss a change that needs to be made. However, the change is to the conception of ethics, not to the scientific methods. The stimulus suggests at the end of Paragraph 2 that the clinical methods are already yielding results—they're just doing so by not fully adhering to the theoretical ethics that they say they do.
What this tests
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Discussion
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Hypothethical as a Flaw? 0 replies
Started by mstabilej
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Please explain 6 replies
Started by Steph