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The journalist's argument aims to counter the belief that the increase in thyroid cancer diagnoses is solely due to unnecessary testing. The argument implies that there's another reason for the increase. To complete the passage, we need to provide a reason that contradicts the notion of overtesting being the main cause. Let's analyze the options:

A. Exposure to certain chemicals appears to be associated with thyroid cancer.
- This option introduces a new factor, chemicals, that could contribute to the increase in thyroid cancer. It provides an alternative explanation that undermines the idea that overtesting is the only cause.

B. Patients do not usually have symptoms unless the cancer is at an advanced stage.
- This option doesn't directly address the issue of overtesting being the cause of the increase in diagnoses. It introduces a fact about symptom presentation.

C. The accuracy of diagnostic tests for thyroid cancer has not increased significantly.
- This option reinforces the idea that testing isn't the primary factor, but it doesn't provide an alternative cause for the increase in diagnoses.

D. The survival rate for thyroid cancer is higher than it is for most other cancers.
- This option provides information about survival rates but does not address the cause of the increase in diagnoses.

E. Thyroid tumors of all sizes are increasing significantly in number.
- This option directly supports the argument by stating that thyroid tumors of all sizes are increasing. This suggests that it's not just small tumors from over testing but tumors of all sizes that are becoming more common.

The option that most logically completes the passage and supports the argument's point is (E). It provides an alternative reason for the increase in thyroid cancer diagnoses, which is not solely due to unnecessary testing finding small tumors.
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Conclusion of the passage is that frequent testing is not the culprit of more and more people being diagnosed with thyroid cancer.
We need to find what is causing more and more people being diagnosed with thyroid cancer.

A. exposure to certain chemicals appears to be associated with thyroid cancer.
This answer choice provides an alternate to frequent testing, however this is not a new cause and hence cannot be associated with the rise in people being diagnosed with thyroid cancer.
Eliminate

B: patients do not usually have symptoms unless the cancer is at an advanced stage.
This answer choice does not explain why more people are being diagnosed with thyroid cancer.
Eliminate

C:the accuracy of diagnostic tests for thyroid cancer has not increased significantly.
This answer choice does not explain why more people are being diagnosed with thyroid cancer.
Eliminate

D: the survival rate for thyroid cancer is higher than it is for most other cancers.
this answer choice does not explain why more people are being diagnosed with thyroid cancer.
Eliminate

E: thyroid tumors of all sizes are increasing significantly in number
This provides the reason why more people are being diagnosed with thyroid cancer. Since thyroid tumors of all sizes are increasing significantly so more people are being diagnosed with thyroid cancer.
Correct
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Hi KarishmaB ,

Need your guidance with respect to this question.

Regards
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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 cancer

Are 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 stage

Irrelevant 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 significantly

Talks 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 cancers

Irrelevant

E. thyroid tumors of all sizes are increasing significantly in number

This 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)
­
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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
Conclusion of the argument: Overtesting (for thyroid cancer) is not really the culprit

The story:

  • More and more people are being diagnosed with thyroid cancer
  • Doctor's belief → This is solely due to unnecessary testing that finds small tumors
  • Journalist argument → Agrees that greater awareness has indeed prompted more-frequent testing, however, concludes that overtesting is not really the culprit (of the increase in numbers of cases of thyroid cancer)

We have to strengthen the conclusion, i.e. find a reason which helps conclude that the increase is not due to over-testing.

Answer:

A. exposure to certain chemicals appears to be associated with thyroid cancer

The cause of thyroid cancer is not related to the conclusion. The author concludes that the increase in the number of cases is not due to over-testing. The information presented in this option doesn't help strengthen the conclusion. Hence, we can eliminate A.

B. patients do not usually have symptoms unless the cancer is at an advanced stage

While this option may give us reasons to believe that why people were not diagnosed with thyroid cancer earlier, probably because they didn't get tested until the cancer was in its early stage, the option doesn't support the conclusion of the journalist. If at all it slightly weakens the conclusion because the information makes us believe that because of overtesting cancer is detected early. Hence, we can eliminate this option.

C. the accuracy of diagnostic tests for thyroid cancer has not increased significantly

This information weakens the conclusion. If the accuracy has not increased, probably some other cause is leading to an increase in numbers. Maybe over-testing ?
Hence, we can eliminate this option.

D. the survival rate for thyroid cancer is higher than it is for most other cancers

Not relevant to the conclusion. We can eliminate this option.

E. thyroid tumors of all sizes are increasing significantly in number

The only option left! Yes, this option provides us information that tells us thyroid tumors of all sizes are increasing significantly in number, hence the increase is not due to over-testing and finding small tumors that do not lead to complications but due to a 'significant' increase in the numbers of tumors of other sizes as well. The information strengthens the journalist's conclusion that overtesting is not really the culprit for the increase in the number of diagnosed with thyroid cancer.

Option E
I took option C and my view was that an increase in false positives must have increased the increased number of thyroid cancer patients which were not meant to be. That way, it will be the accuracy of tests and not the total number that will be the culprit­
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­A. exposure to certain chemicals appears to be associated with thyroid cancer
This introduces a potential environmental factor that could contribute to the thyroid cancer but does not explain for the increase in diagnoses.


B. patients do not usually have symptoms unless the cancer is at an advanced stage
While this statement provides information about symptoms related to thyroid cancer, it does not directly address the cause of the increase in diagnoses.

C. the accuracy of diagnostic tests for thyroid cancer has not increased significantly
This suggests that improvements in diagnostic accuracy are not driving the increase in diagnoses, which could support the argument against overtesting.

D. the survival rate for thyroid cancer is higher than it is for most other cancers
This statement provides information about survival rates but does not address the cause of the increase in diagnoses.

E. thyroid tumors of all sizes are increasing significantly in number
This supports the argument that the increase in diagnoses is due to a genuine rise in thyroid tumors, not just overtesting finding small tumors that do not lead to complications.

Therefore, E is the most appropriate choice to complete the passage logically.­
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Why A is incorrect:
It is a general statement (and thus has been always true).

It also fails to directly address the argument about overtesting:
The journalist's goal is to refute the idea that the rise in thyroid cancer is due solely to unnecessary testing of small tumors.
To do this effectively, the completion must demonstrate that the increase in diagnoses reflects a real increase in cases of cancer, not just a byproduct of more testing.
A mentions chemical exposure but does not provide evidence for a genuine increase in the number of tumors, which is the crucial point needed to refute the overtesting argument.

A is too speculative:

Saying "exposure to certain chemicals appears to be associated with thyroid cancer" is vague and indirect. It introduces a potential factor but doesn’t tie it to the specific rise in diagnoses or distinguish whether this rise is genuine versus an artifact of testing practices.
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