Reading comp PrepTest 147 · Section 3 · Question 21

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

The author's argument in Remaining source text redacted.
Why the credited answer is right

Credited answer: A

The notes below walk through why it fits the stem and how to eliminate the rest.

Question Type

Humanities

Answer choices

  1. A
    In most comparative clinical Remaining source text redacted.
    Why choice A matches the stem
    Correct. Question Type:
    Weaken

    Strategy Overview:
    Review our notes on the last two paragraphs to define the Author's argument, then find an answer that undermines it

    Answer Anticipation/Relevant Lines:
    In general, Weaken questions in RC more directly attack the argument than they do in LR. In short, you should expect a more straightforward answer in RC.

    So what is the Author's argument in Paragraphs 3 and 4? Paragraph 3 introduces a new standard that "should be developed"—clinical equipoise. This standard provides adequate ethical protections while not being "unreasonably" constrictive. In it, instead of each clinician needing to have no opinion of the better treatment—a standard that's "hardly attainable"—there just needs to be an "absence of consensus" (Line 48) in the expert community.

    So, in short, the Author argues that a new ethical standard (clinical equipoise) should be developed that relies not on a lack of individual opinion but rather on a lack of consensus. Let's find an answer establishing that this standard wouldn't work.

    Answer Explanation:
    (Lines 48-50) This answer establishes that most trials are dealing with a consensus treatment. If that's the case, then clinical equipoise couldn't be applied since "[t]he very absence of consensus . . . is what makes clinical equipoise possible." In showing that the Author's standard wouldn't allow for ethical participation in most comparative trials, this answer undermines her argument, making it correct.

    Key Takeaway:
    In RC Weaken questions, look for answers that more directly attack the reasoning or support. They tend to have much more straightforward answers, so don't twist yourself in knots trying to make an answer work—defer on it, and then circle back only if needed. You'll probably end up finding an answer that's more directly undermining the argument!
  2. B
    Physicians participating in comparative Remaining source text redacted.
    Why choice B is not credited
    Incorrect. (Lines 29-32) The Author implies that this doesn't happen but that it violates theoretical equipoise so, if anything, it supports the development of an alternative ethical standard.
  3. C
    The number of comparative Remaining source text redacted.
    Why choice C is not credited
    Incorrect. The number of trials or the ethical oversight is out of scope of an argument about what ethical standard should apply.
  4. D
    Medical ethicists are more Remaining source text redacted.
    Why choice D is not credited
    Incorrect. Who supports which standard doesn't address arguments about the attainability or either or which should be adopted, so this answer is out of scope.
  5. E
    In clinical trials comparing Remaining source text redacted.
    Why choice E is not credited
    Incorrect. (Lines 21-25) The Author notes that it's common for researchers to have a preference, so it's unclear how many go into a study without such a preference, making this answer potentially about too small of a group to affect the argument. That said, these individuals not developing a preference before the study ends suggests that theoretical equipoise might be more realistic than the Author gives it credit for, which would weaken the Author's argument in Paragraph 2, not the one in Paragraphs 3 and 4 in favor of clinical equipoise.

What this tests

Question analytics

Based on historical answer selection rates for this question.

Answer choice distribution

  1. A Credited 38%
  2. B 10%
  3. C 9%
  4. D 9%
  5. E 35%

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