Bunuel
Journalist: More and more people are being diagnosed with thyroid cancer. Many doctors have long believed that this is solely due to unnecessary testing that finds small tumors that do not lead to complications. However, while greater awareness of this cancer, especially its tendency to strike younger women, has indeed prompted more-frequent testing, overtesting is not really the culprit, because
Which of the following most logically completes the passage?
A. exposure to certain chemicals appears to be associated with thyroid cancer
B. patients do not usually have symptoms unless the cancer is at an advanced stage
C. the accuracy of diagnostic tests for thyroid cancer has not increased significantly
D. the survival rate for thyroid cancer is higher than it is for most other cancers
E. thyroid tumors of all sizes are increasing significantly in number
The problem: More and more people are being diagnosed with thyroid cancer.
The supposed culprit: overtesting (these cases existed before too but never gave any problem so they were not diagnosed but now they are diagnosed because of increased testing and hence the number of diagnosed cases has increased)
Author's opinion: overtesting is not really the culprit,
The sentence ends with "because" which means we are looking to support that "overtesting is not really the culprit."
We need to find something that tells us that increase in number of cases of thryroid cancer is not due to increase in testing, that the number has actually risen or something like that.
A. exposure to certain chemicals appears to be associated with thyroid cancerAre people getting more exposed to these chemicals - not given. Hence cannot say if actually the cases are increasing.
B. patients do not usually have symptoms unless the cancer is at an advanced stageIrrelevant when the symptoms occur. Point is "does more testing explain increase in number of cases?"
C. the accuracy of diagnostic tests for thyroid cancer has not increased significantlyTalks about what has not changed. Doesn't explain why more tests are not responsible for more diagnosis.
D. the survival rate for thyroid cancer is higher than it is for most other cancersIrrelevant
E. thyroid tumors of all sizes are increasing significantly in numberThis makes sense. It tells us that actually tumors of all sizes are increasing in number. So its not just that the additional tests are identifying small tumors which were ignored earlier.
e.g. Say previously 100 people used to come with symptoms and hence tested and revealed large tumors. At that time, no small tumors were detected since they were ignored. So 100 cases were diagnosed.
Now say 1000 tests are conducted before symptoms and 200 cases are detected. If 100 of these are large and 100 small, then overtesting seems to be a problem. But what if 150 of these are large? Then is overtesting the problem? No. The cases seem to be on the rise in reality.
Answer (E)