Reading comp PrepTest 147 · Section 3 · Question 16
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: C
The notes below walk through why it fits the stem and how to eliminate the rest.
Question Type
Answer choices
-
AComparative clinical trials that Remaining source text redacted.
Why choice A is not credited
Incorrect. (Line 6) The passage notes that "special issues arise" in clinical trials, but it never states that the issues addressed by theoretical equipoise are all of the ethical issues. This answer is too extreme in stating that there are "no ethical problems," even if it meets the stricter standard of theoretical equipoise. -
BClinical researchers are often Remaining source text redacted.
Why choice B is not credited
Incorrect. (Lines 27-32) The passage notes that such evidence could tip the evidence in favor of one treatment. From there it says "if the standard of theoretical equipoise is adhered to" (Lines 29-30) then the clinical trial would need to shut down. However, the passage argues that the standard isn't adhered to as it's "hardly attainable in practice" (Lines 20-21). If this answer said that theoretical equipoise would suggest it should be shut down, then this answer would be correct. But there's no sign that this actually happens in practice. -
CA clinical trial comparing Remaining source text redacted.
Why choice C matches the stem
Correct. Question Type:
Must Be True
Strategy Overview:
Use what we know about the passage overall to analyze answers, and for the ones that line up with our understanding, use our notes and the passage itself to confirm/rule them out
Answer Anticipation/Relevant Lines:
This question stem gives us no guidance as to the topic of the correct answer, so we'll have to head straight to the choices and analyze them as we go. Let's prioritize ones that line up with our understanding of the passage's main point, and then head to the passage to find details that back up or allow us to eliminate each one.
Answer Explanation:
(Lines 50-53) Our note for the last paragraph said that it discussed good-faith disagreement allowing ethical participation in a clinical trial. Digging in, we find that in Lines 50-53, where the Author notes that having a "decided treatment preference" is "no ethical bar" to participating. This answer paraphrases that idea, making it the correct answer.
Key Takeaway:
Note that several wrong answers here don't really line up with the point of the passage. (A) makes theoretical equipoise sound good. (D) says that clinical equipoise presents stricter standards than theoretical equipoise. When working through a question like this under time constraints, those are great answers to defer on, investing your time in looking for details confirming the answers that do line up with the main point of the passage instead. -
DA comparative clinical trial Remaining source text redacted.
Why choice D is not credited
Incorrect. (Line 17; Lines 37-38) The Author notes that theoretical equipoise might be "too strict," and that clinical equipoise is preferable because it maintains ethical standards while not "unreasonably constricting" trials. As such, the passage argues that theoretical equipoise is stricter than clinical equipoise, and thus trials that meet the former might not meet the latter. (In fact, that's kinda the whole point of developing clinical equipoise!) -
EMedical researchers generally try Remaining source text redacted.
Why choice E is not credited
Incorrect. (Lines 35) The Author says that clinical equipoise "should be developed"—in other words, it doesn't exist yet. It'd be hard to try to conduct comparative clinics to a standard that doesn't yet exist!
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Discussion
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Confused about A 1 reply
Started by Veda-Bhadharla
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Started by masonnavarrete