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Ans choices B,C & D are incorrect as the phrase "at that time" is placed incorrectly. Contextually "at that time" refers to the year 1918 which is not made apparent in these incorrect ans choices.
Ans E states the flu did two things, provoked and overproduced. However, the correct ans should be provoked the healthy immune system TO overproduce - hence ans A is correct
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We can easily eliminate options B, D and E because they mean that Flu strains are producing Cytokines but in fact it is our own immune system that is producing them. Hence the answer is in between A & C. In C - at the time is awkward. By process of elimination, anwser is A
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In my opinion, the main sense-related split here is:

- provoke the immune system and overproduce (B, D, E)

- provoke the immune system to overproduce (A, C)

In my opinion, when the system is just provoked (not to do sth), it doesn't make any sense - so I choose options A and C. And between those, in option С the placement of at that time is really awkward - therefore, the option A is the correct answer.
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(A) due to the fact that the predominant flu strain at that time provoked healthy immune systems to overproduce certain molecules, called cytokines, that are necessary for normal immune function
-> seems correct, though I wonder if the sentence isn't trying to refer to the 'predominant flue strain'.

(B) due to the fact that the predominant flu strain provoked healthy immune systems and overproduced certain molecules, called cytokines, that are necessary for normal immune function at that time
-> the strain isn't producing the cytokines, the immune system is; at that time presumably makes referene to the date, though this doesn't make sense within the sentence, as cytokines are presumably necessary for normal immune function at all times, not just in 1918.

(C) because the predominant flu strain provoked healthy immune systems to overproduce certain molecules, called cytokines, at that time that are necessary for normal immune function
-> again with at that time

(D) because the predominant flu strain provoked healthy immune systems and overproduced certain molecules, called cytokines, at that time that are necessary for normal immune function

(E) because the predominant flu strain at that time provoked healthy immune systems and overproduced certain molecules, called cytokines, that are necessary for normal immune function
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The 1918 flu pandemic is thought to have been unusually virulent due to the fact that the predominant flu strain at that time provoked healthy immune systems to overproduce certain molecules, called cytokines, that are necessary for normal immune function but can lead to multisystem organ failure when present in large quantities.


(A) due to the fact that the predominant flu strain at that time provoked healthy immune systems to overproduce certain molecules, called cytokines, that are necessary for normal immune function

(B) due to the fact that the predominant flu strain provoked healthy immune systems and overproduced certain molecules, called cytokines, that are necessary for normal immune function at that time

(C) because the predominant flu strain provoked healthy immune systems to overproduce certain molecules, called cytokines, at that time that are necessary for normal immune function

(D) because the predominant flu strain provoked healthy immune systems and overproduced certain molecules, called cytokines, at that time that are necessary for normal immune function

(E) because the predominant flu strain at that time provoked healthy immune systems and overproduced certain molecules, called cytokines, that are necessary for normal immune function


Took me 2:25 to answer this one. I was very confused between A and E and ended up choosing E, though now I feel the answer should be A. So my explanation below is for why A must be correct.

A: due to correctly modifies the fact. The location of "at that time" is correct here as it mentions information about the flu strain in 1918. The main point of distinction among all options is between the usage of "and" and "to". Since the flu strain could not have overproduced the molecules it must have provoked the healthy immune system to do so. Hence, "to" is correct and the meaning seems to be pretty clear here.

B: "and" is used. As mentioned above, "to" must be used.

C: If you remove "called cytokins" between the commas and read the sentence as "......to overproduce certain molecules, at that time that are necessary for normal immune function.....", the placement of "at that time" seems awkward and wrong. Frankly, doesn't make sense to me.

D: Use of "and" and placement of "at that time" seems wrong.

E: Though I chose this as the answer, I now understand that the use of "and" is wrong here. I hadn't fully understood the meaning of the sentence when I had clicked on E. This shows how important meaning is in SC.

Experts, please let me know if my explanation and understanding of the question is correct.
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I just want to comment on the "because of" vs "due to part".

I think "due to" is wrong here.

thought (to be x) because (xyz). Because here modifies thought - which is a verb. Hence "due to" is wrong here.

Please correct me just on this part GMATNinja ExpertsGlobal5 egmat VeritasPrepRon EducationAisle
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Navaneethcs
I just want to comment on the "because of" vs "due to part".

I think "due to" is wrong here.

thought (to be x) because (xyz). Because here modifies thought - which is a verb. Hence "due to" is wrong here.

Please correct me just on this part GMATNinja ExpertsGlobal5 egmat VeritasPrepRon EducationAisle

Hello Navaneethcs,

We hope this finds you well.

To answer your query, "because of" and "due to" are both used to refer to the cause of some action and are said to modify that cause; in Option A, "due to" is correct because the cause is expressed through the noun phrase "the fact that...".

Another way to look at it is that "because of" must be followed by a verb or clause and "due to" must be followed by a noun.

We hope this helps.
All the best!
Experts' Global Team
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What does "due to" modify here? Is it modifying "virulent"?

Also in option C, time is singular and after that we have "are", which is plural, so logically it should modify molecules.
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What does "due to" modify here? Is it modifying "virulent"?

Also in option C, time is singular and after that we have "are", which is plural, so logically it should modify molecules.

The 'due to...' answers 'why?' and hence works as an adverbial.
Normally, 'due to' works as an adjective but the options with 'because' certainly don't work.
Since it is not an official question, I won't worry too much about it.
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