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"A dose equal to 50 milligrams" is not compared with "patients suffering the most extreme pain", but with the dose (which is removed) that the patients suffering the most extreme pain should take. You must take all the meaning of clause. Cutting the end part as you do is your wrongly assumption.
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The intended meaning of the topic is:

A dose equal to 50 milligrams of a popular painkiller is as much as (a dose) even those patients suffering the most extreme pain should take, and then only as absolutely necessary and under a doctor's direct supervision. Here a dose in brackets is elliptical. The comparison is clear now
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nice question just post to follow

so much as
is not idiomatic on gmat.

is that right

so much that shows effect of previous clause. not logic inhere
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Can you please explain why each of the answer choices is incorrect and A is the correct answer
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Can you please explain why each of the answer choices is incorrect and A is the correct answer
Go through this post you can appreciate the reasons for negating the other options and choosing answer as (A)

https://gmatclub.com/forum/idiom-use-so ... l#p1699475
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Quote:
A dose equal to 50 milligrams of a popular painkiller is as much as even those patients suffering the most extreme pain should take, and then only as absolutely necessary and under a doctor's direct supervision.

(A) as much as even
(B) so much as even
(C) even so much as
(D) even as much that
(E) even so much that

Hello mikemcgarry,

Could you please help me understand why option E is wrong here. I find as per your post https://gmatclub.com/forum/idiom-use-so ... l#p1699475, option E sets well here.
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Hello expert,
I was stuck between A and E, but finally I went with E. Could you help with E?
Is it because the usage of the word “even” ? Much thanks.
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Mavisdu1017
Hello expert,
I was stuck between A and E, but finally I went with E. Could you help with E?
Is it because the usage of the word “even” ? Much thanks.

It's wrong due to a few things. Part of the issue is the placement of 'even,' yes. What's the point of the sentence? To say that 50 milligrams of this painkiller is the maximum amount anyone should take, EVEN someone in the most pain. (Even in this usage means something like 'including this extreme case you might otherwise think should be an exception'). So I want that modifier to be close to the patients it is saying should not be exceptions! So putting 'even' at the end of that underline is a good idea.

Secondly, "so much that" is used to lay out the consequences of excess of something. "She ate so much breakfast that she was not hungry for dinner." It does not mean 'equal to a large amount of something,' as this sentence is trying to convey about the painkiller's dosage ("this amount of painkiller is equal to the amount that the people most in need of it should take").
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Mavisdu1017
Hello expert,
I was stuck between A and E, but finally I went with E. Could you help with E?
Is it because the usage of the word “even” ? Much thanks.

It's wrong due to a few things. Part of the issue is the placement of 'even,' yes. What's the point of the sentence? To say that 50 milligrams of this painkiller is the maximum amount anyone should take, EVEN someone in the most pain. (Even in this usage means something like 'including this extreme case you might otherwise think should be an exception'). So I want that modifier to be close to the patients it is saying should not be exceptions! So putting 'even' at the end of that underline is a good idea.

Secondly, "so much that" is used to lay out the consequences of excess of something. "She ate so much breakfast that she was not hungry for dinner." It does not mean 'equal to a large amount of something,' as this sentence is trying to convey about the painkiller's dosage ("this amount of painkiller is equal to the amount that the people most in need of it should take").

It’s clear and I understand now, thanks for your help expert!
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I think ans should be "so much as" because 50 mgs of painkiller cannot be compared to patients suffering from pain as it would as the answer depicts "as much as"
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