Reading comp PrepTest 147 · Section 3 · Question 20

Passage

Questions 14-21  . The following passage is based on an article published  . in 1987.  .       Medical practitioners are ethically Remaining source text redacted.
Passage walkthrough
Passage SummaryTopic: Social Science

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 2
  • 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 3
  • 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 4
  • 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
Main Point:
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

According to the passage, Remaining source text redacted.
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

Humanities

Answer choices

  1. A
    Most clinical trials that Remaining source text redacted.
    Why choice A is not credited
    Incorrect. (Lines 29-32) The current ethical standard is theoretical equipoise, and the Author notes that, if it were strictly adhered to, few trials would start and fewer would finish. She must believe that most trials don't meet the current standard, and her alternative has yet to be developed. Even then, there's no indication that most current trials meet the new clinical equipoise standard.
  2. B
    Clinical trials would be Remaining source text redacted.
    Why choice B is not credited
    Incorrect. (Lines 15-21; Lines 29-30) The Author argues that the current standard of equipoise is not possible in practice, but she doesn't argue that it's preventing clinical trials from being carried out. She says this would be the case if the standard were strictly adhered to, but in calling it "hardly attainable in practice," she implies that it's not being strictly adhered to.
  3. C
    Theoretical equipoise imposes an Remaining source text redacted.
    Why choice C matches the stem
    Correct. Question Type:
    Must Be True

    Strategy Overview:
    Reiterate the main point of the passage, but then head straight to the answers and use our notes and the passage itself to evaluate them

    Answer Anticipation/Relevant Lines:
    This question stem gives no guidance as to what the correct answer is going to discuss, or where the information supporting it is going to come from. As such, we should reiterate the main point of the passage and prioritize analyzing answers that line up with that.

    In this passage, we said the main point 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.

    We could also have reread the main point answer we selected in Question #18. In either case, it's time to head to the answer choice.

    Answer Explanation:
    (Lines 17-21) The Author notes that theoretical equipoise may be "too strict" and the standard it imposes is "hardly attainable in practice," so this answer has direct support in the text and is therefore correct.

    Key Takeaway:
    A lot of the analysis here came down to logical force. Three of the wrong answers started with "most," and the correct answer had a "rarely" in it. This is a great sign that you should be spotting and noting when language like that shows up in the passage, as it's going to be mirrored in the answers!
  4. D
    Most physicians and ethicists Remaining source text redacted.
    Why choice D is not credited
    Incorrect. (Lines 8-14) This answer takes a chunk of the first paragraph that talks about the past ("Traditionally . . . have agreed") and brings it into the present. There's no guarantee that the traditional belief is still the belief, especially in light of questions being raised in the passage itself. Even then, the opening paragraph notes only that most physicians and ethicists have agreed on the equipoise standard—they may not believe it's adequate but still accept it as practical or as a compromise position.
  5. E
    Most comparative clinical trials Remaining source text redacted.
    Why choice E is not credited
    Incorrect. (Lines 38-42) The passage notes that this is "one reason" for conducting clinical trials, not the reason for most of them. Even then, it's about finding which of two treatments is better—that's not necessarily the same as finding the best treatment.

What this tests

Question analytics

Based on historical answer selection rates for this question.

Answer choice distribution

  1. A 3%
  2. B 12%
  3. C Credited 62%
  4. D 4%
  5. E 18%

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