Reading comp PrepTest 147 · Section 3 · Question 18
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: D
The notes below walk through why it fits the stem and how to eliminate the rest.
Question Type
Answer choices
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AThe ethical requirement that Remaining source text redacted.
Why choice A is not credited
Incorrect. (Lines 33-36) The Author does believe that a less strict version of equipoise should be developed. However, first, this answer doesn't say that! It instead focuses on the problems with theoretical equipoise, not the advocacy for an alternative. And, second, the ethical requirement itself isn't jeopardized—rather, the ethical practice of clinical trials is jeopardized! -
BMedical research conducted through Remaining source text redacted.
Why choice B is not credited
Incorrect. (Lines 29-32) The passage suggests that theoretical equipoise should shut down trials more frequently, but there's no sign that it actually does. The volume of output isn't discussed in the passage in anything other than hypothetical terms, so this answer is incorrect. It also doesn't say that a less restrictive ethical requirement should be adopted! This answer would make sense in a descriptive passage that looked at output under different ethics regimes. -
CIt is sometimes ethically Remaining source text redacted.
Why choice C is not credited
Incorrect. (Lines 50-53) This answer brings up an implication of the adoption of clinical equipoise, but the main point was that that version of equipoise should be adopted—not that it would allow for this situation to be ethical. -
DClinical equipoise should be Remaining source text redacted.
Why choice D matches the stem
Correct. Question Type:
Main Point
Strategy Overview:
Reiterate the main point of the passage as we summarized it after reading
Answer Anticipation/Relevant Lines:
Weird! A Main Point question as the fifth question in a passage? Whatever—let's roll with it.
The Author spends Paragraph 1 highlighting an ethical problem in clinical trials and how it's traditionally addressed. In Paragraph 2, she highlights why that traditional solution (theoretical equipoise) is problematic, before posing a new conception of equipoise that "should be developed" to address these problems.
From this, we said that the main point of the passage 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.
Let's find an answer lining up with that.
Answer Explanation:
(Line 17; Lines 20-21; Lines 33-36) Should statements tend to be main points, and we get one in Lines 33-36. There, it's stated that clinical equipoise should be adopted. Why? Because it's not unreasonably restrictive, as theoretical equipoise is, but it still imposes rigorous ethical standards. This answer reflects the reasoning, the rationale, and the opposing viewpoint, so it's the perfect main point answer.
Key Takeaway:
Should statements generally reflect the main point—even if just a portion of it. Pay particular attention to ones put forward by the Author in an RC passage. -
EEven though comparative clinical Remaining source text redacted.
Why choice E is not credited
Incorrect. (Lines 33-36) Hello? Clinical equipoise? Anyone? Anyone? This answer completely fails to mention the type of equipoise the Author advocates developing and adopting, so it can't be the main point of the passage.
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Discussion
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Why is A wrong? 1 reply
Started by devinjax14
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Help 2 replies
Started by Batman