this certainly is one of the harder questions - feels like a mix of reading comprehension & critical thinking; below is my note to self and hopefully helps someone else as well
understanding the logic here is the key consideration
1) "appendicitis is potentially fatal" -> have to be addressed
2) "strongly suggesting appendicitis almost always have their appendix removed" -> patients need to do the procedure
3) "producing two misdiagnoses for every 98 correct diagnoses" -> very low error rate (2%)
Clearly, using this test, doctors can largely avoid unnecessary removals of the appendix without, however, performing any fewer necessary ones than before, since __________.
key logic of the sentence in bold (question sentence) is:
1) the test is very good and can
largely avoid unnecessary removals (
98% success rate) -> largely = 98%
2) we cannot perform any fewer necessary ones than before -> prefer removing appendix for someone who is misdiagnosed of appendicitis over not removing / addressing appendicitis for someone who does in fact have it
so now we understand the 2% error rate is not 2), missing to identify someone who does have appendicitis and instead is attributing appendicitis to someone who doesnt have it (more preferred option we learned in 1)
going through the option list, we see (B) is the right choice
GMBA85
Which of the following most logically completes the passage?
Appendicitis (inflammation of the appendix) is potentially fatal; consequently, patients with symptoms strongly suggesting appendicitis almost always have their appendix removed. The appropriate surgery is low-risk but performed unnecessarily in about 20 percent of all cases. A newly developed internal scan for appendicitis is highly accurate, producing two misdiagnoses for every 98 correct diagnoses. Clearly, using this test, doctors can largely avoid unnecessary removals of the appendix without, however, performing any fewer necessary ones than before, since __________.
(A) the patients who are correctly diagnosed with this test as not having appendicitis invariably have medical conditions that are much less serious than appendicitis
(B) the misdiagnoses produced by this test are always instances of attributing appendicitis to someone who does not, in fact, have it
(C) all of the patients who are diagnosed with this test as having appendicitis do, in fact, have appendicitis
(D) every patient who is diagnosed with this test as having appendicitis has more than one of the symptoms generally associated with appendicitis
(E) the only patients who are misdiagnosed using this test are patients who lack one or more of the symptoms that are generally associated with appendicitis
Can someone also explain what does the last line mean?