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# Patient: I have read that particles of my artificial hip can wear off

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Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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18 Nov 2014, 08:36
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65% (hard)

Question Stats:

58% (01:48) correct 42% (02:03) wrong based on 909 sessions

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Patient: I have read that particles of my artificial hip can wear off and be absorbed by surrounding tissues. I believe that this is responsible for the discomfort that I am now experiencing.

Surgeon: Your surgery was so recent that with normal use it is almost impossible for the artificial hip to have already begun to wear away. The reason for your current discomfort is due to routine post-operative inflammation which can be treated with a nonsteroidal anti-inflammatory drug.

Which of the following, if true, most strengthens the patient’s position regarding her discomfort?

(A) The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities.

(B) The inflammation that is common to people who have had replacement hip replacement surgery often needs to be treated with more potent drugs than the ones being recommended by the surgeon.

(C) The patient has an artificial hip that is made of a material that can begin to wear out after a few weeks when exposed to temperatures higher than 200 degrees.

(D) The patient read about the possibility of artificial hips wearing out in a respected medical journal.

(E) The surgeon has only been performing hip-replacement surgery for less than a year.

Solution: A

Explanation: The surgeon explains that it is almost impossible for the artificial hip to wear away so soon WITH NORMAL USE. However, if the patient was inappropriately engaged in vigorous activities, particles of her hip may very well be wearing off.

(B) The question is what is causing the discomfort, not how to treat it.

(C) There is no reason to think that the patient could have been exposed to such an extreme temperature.

(D) This lends strength to the idea that artificial hips CAN wear away, but does not strengthen the proposition that this is what happened to her.

(E) The surgeon’s lack of experience does not necessarily weaken his position or strengthen the patient’s.

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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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18 Nov 2014, 23:55
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Patient: I have read that particles of my artificial hip can wear off and be absorbed by surrounding tissues. I believe that this is responsible for the discomfort that I am now experiencing.
Surgeon: Your surgery was so recent that with normal use it is almost impossible for the artificial hip to have already begun to wear away. The reason for your current discomfort is due to routine post-operative inflammation which can be treated with a nonsteroidal anti-inflammatory drug.

Which of the following, if true, most strengthens the patient’s position regarding her discomfort?

P: Wearing-off of hip ---> Discomfort (WOH ---> DC) [ X --> Y ]
S: No, Post-operative Inflammation ---> Discomfort (POI ---> DC) [ No, Z --> Y ]

We have to strengthen the P's claim that WOH ---> DC

A) The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities.
- Not following the PO instuctions --->Wearing-off of Hip ---> Discomfort [P ---> X ---> Y]
It is in-line with our reasoning hence correct.

B) The inflammation that is common to people who have had replacement hip replacement surgery often needs to be treated with more potent drugs than the ones being recommended by the surgeon - Strengthen Surgeon claim.
C) The patient has an artificial hip that is made of a material that can begin to wear out after a few weeks when exposed to temperatures higher than 200 degrees - No mention of effects of high temperature.
D) The patient read about the possibility of artificial hips wearing out in a respected medical journal - Authenticity of source of patient's reading is not in question. The actual reason of discomfort after reading article is the issue.
E) The surgeon has only been performing hip-replacement surgery for less than a year - OFS.

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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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18 Nov 2014, 09:54
A,

for those who put C as an answer, who can expose his/her hip to 200 degrees and still come out good!
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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18 Nov 2014, 09:58
A it is: The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities.----------------->option A tells us that there is a possibility that the patient might have done some vigorous activities and hence the damage might have occurred .the patient is contending that the wear might have occurred . he has never said that the fact that he has been doing "normal" things has led to that wear ! in fact it the doctor who is proclaiming that fact
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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06 Dec 2014, 05:55
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aashu4uiit wrote:
Patient: I have read that particles of my artificial hip can wear off and be absorbed by surrounding tissues. I believe that this is responsible for the discomfort that I am now experiencing.

Surgeon: Your surgery was so recent that with normal use it is almost impossible for the artificial hip to have already begun to wear away. The reason for your current discomfort is due to routine post-operative inflammation which can be treated with a nonsteroidal anti-inflammatory drug.

Which of the following, if true, most strengthens the patient’s position regarding her discomfort?

The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities.

The inflammation that is common to people who have had replacement hip replacement surgery often needs to be treated with more potent drugs than the ones being recommended by the surgeon.

The patient has an artificial hip that is made of a material that can begin to wear out after a few weeks when exposed to temperatures higher than 200 degrees.

The patient read about the possibility of artificial hips wearing out in a respected medical journal.

The surgeon has only been performing hip-replacement surgery for less than a year.

The answer must strengthen the patient's position, not doctor's position. Option A is strengthening the doctors position as doctor has the reason why patient is feeling discomfort. And patient has no reason to doctor that doctor did something wrong with the surgery.
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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06 Dec 2014, 11:11
scofield1521 wrote:
aashu4uiit wrote:
Patient: I have read that particles of my artificial hip can wear off and be absorbed by surrounding tissues. I believe that this is responsible for the discomfort that I am now experiencing.

Surgeon: Your surgery was so recent that with normal use it is almost impossible for the artificial hip to have already begun to wear away. The reason for your current discomfort is due to routine post-operative inflammation which can be treated with a nonsteroidal anti-inflammatory drug.

Which of the following, if true, most strengthens the patient’s position regarding her discomfort?

The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities.

The inflammation that is common to people who have had replacement hip replacement surgery often needs to be treated with more potent drugs than the ones being recommended by the surgeon.

The patient has an artificial hip that is made of a material that can begin to wear out after a few weeks when exposed to temperatures higher than 200 degrees.

The patient read about the possibility of artificial hips wearing out in a respected medical journal.

The surgeon has only been performing hip-replacement surgery for less than a year.

The answer must strengthen the patient's position, not doctor's position. Option A is strengthening the doctors position as doctor has the reason why patient is feeling discomfort. And patient has no reason to doctor that doctor did something wrong with the surgery.

i agree with scofield......the answer is not convincing at all.....
the patient says that his discomfort is due to artificial hip wearing out..... the doctor says ... sorry ...your hip hasnt started wearing out.....there must be other reason for inflamation....
how can the patients statement be strengthened.......
example.....1. as per reports of scientists of NASA artificial hip tends to wear out immediately on being worn...
2. the material used in the artificial hip is highly reactive with the surrounding tissues.....
3. use of nonsteroidal anti-inflammatory drug did not help in reduction of inflamation in sample cases......
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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15 Dec 2014, 10:04
aashu4uiit wrote:
Patient: I have read that particles of my artificial hip can wear off and be absorbed by surrounding tissues. I believe that this is responsible for the discomfort that I am now experiencing.

Surgeon: Your surgery was so recent that with normal use it is almost impossible for the artificial hip to have already begun to wear away. The reason for your current discomfort is due to routine post-operative inflammation which can be treated with a nonsteroidal anti-inflammatory drug.

Which of the following, if true, most strengthens the patient’s position regarding her discomfort?

The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities.

The inflammation that is common to people who have had replacement hip replacement surgery often needs to be treated with more potent drugs than the ones being recommended by the surgeon.

The patient has an artificial hip that is made of a material that can begin to wear out after a few weeks when exposed to temperatures higher than 200 degrees.

The patient read about the possibility of artificial hips wearing out in a respected medical journal.

The surgeon has only been performing hip-replacement surgery for less than a year.

Hi karishma,

The answer must strengthen the patient's position, not doctor's position. Option A is strengthening the doctors position as doctor has the reason why patient is feeling discomfort. And patient has no reason to doctor that doctor did something wrong with the surgery.
Could you pls explain this.

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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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15 Dec 2014, 21:32
AbuRashid wrote:
A,

for those who put C as an answer, who can expose his/her hip to 200 degrees and still come out good!

Well... if it is Fahrenheit degrees it will be around half as bad as if it is Celsius...
Just kidding...
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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01 May 2015, 09:20
After scanning options multiple times the best I could think of was (E)

I hope we don't get such questions on the actual test!
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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25 Nov 2015, 08:50
Apparently option A strengthens the doctor's reasoning. The patient wouldn't have asked if she knowed the cause
I encountered this question in the Veritas CAT and had to pick C because none of the remaining made sense. Meanwhile it could very well be 200 F degrees
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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27 Nov 2015, 02:52
Hi,

The doctor says:"with normal use it is almost impossible for the artificial hip to have already begun to wear away"

Option A says that the patient did not follow the limits recommended on rigorous activity(basically going against the doctor/strengthening the patient's argument)..hence it is likely that the artificial hip has worn off.

Hence A.
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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27 Nov 2015, 08:24
Thanks for the responses guys.

Quote:
One way to STRENGTHEN the patient's conclusion is to WEAKEN the surgeon's conclusion.
The surgeon contends that with NORMAL USE it is almost impossible for the artificial hip to have already begun to wear away.
Answer choice A: The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities.
If the patient has engaged in vigorous activities -- the opposite of NORMAL USE -- then the surgeon CANNOT conclude that the artificial hip has not begun to wear away.
The result: the patient's contention that particles from the artificial hip are the reason for her pain is STRENGTHENED.

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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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06 Jun 2017, 12:00
souvik101990 wrote:
Thanks for the responses guys.

Quote:
One way to STRENGTHEN the patient's conclusion is to WEAKEN the surgeon's conclusion.
The surgeon contends that with NORMAL USE it is almost impossible for the artificial hip to have already begun to wear away.
Answer choice A: The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities.
If the patient has engaged in vigorous activities -- the opposite of NORMAL USE -- then the surgeon CANNOT conclude that the artificial hip has not begun to wear away.
The result: the patient's contention that particles from the artificial hip are the reason for her pain is STRENGTHENED.

I do not understand! Same reasoning can be applied with option (C).

Option C: The patient has an artificial hip that is made of a material that can begin to wear out after a few weeks when exposed to temperatures higher than 200 degrees.
Getting exposed to temperature higher than 200 degrees is the opposite of NORMAL USE-- then the surgeon CANNOT conclude that the artificial hip has not begun to wear away.

The result: the patient's contention that particles from the artificial hip are the reason for her pain is STRENGTHENED.

Thus, same reasoning can be applied with option (C) as well.
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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03 Jul 2017, 11:05
GMATNinja: your pearls of wisdom on this question.

I reached A by PoE but I agree with others. I was wondering if option (A) strengthened patient's PoV (point of view).

Patient thinks that there is something with the material but doctor suggests that "with Normal use" nothing could go wrong so soon. It is just an inflammation.

Option A says that it was not normal use. Since it is not normal use - can we isolate that to patient's PoV since she believes there is an issue with the material?

Let me know if I am overthinking this scenario.
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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03 Jul 2017, 14:48
C, surgeon: your @\$\$ is on fire
patient: it's a dry heat!
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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03 Jul 2017, 17:57
warriorguy wrote:

I reached A by PoE but I agree with others. I was wondering if option (A) strengthened patient's PoV (point of view).

Patient thinks that there is something with the material but doctor suggests that "with Normal use" nothing could go wrong so soon. It is just an inflammation.

Option A says that it was not normal use. Since it is not normal use - can we isolate that to patient's PoV since she believes there is an issue with the material?

Let me know if I am overthinking this scenario.

The surgeon says "Your surgery was so recent that with normal use it is almost impossible for the artificial hip to have already begun to wear away". Here, the surgeon considers normal use when he states that wear off is not the cause. A states that the patient has involved in rigorous activities. So the artificial hip may have worn away.
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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04 Jul 2017, 00:00
Thanks Vyshak.

So the focus is that the material did actually wear off and it is inflammation. It is not some inflammation as surgeon suggested.

Since the effect is true i.e discomfort due to wear off, so patient's stand is strengthened.

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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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05 Jul 2017, 09:50
Patient: I have read that particles of my artificial hip can wear off and be absorbed by surrounding tissues. I believe that this is responsible for the discomfort that I am now experiencing.

Surgeon: Your surgery was so recent that with normal use it is almost impossible for the artificial hip to have already begun to wear away. The reason for your current discomfort is due to routine post-operative inflammation which can be treated with a nonsteroidal anti-inflammatory drug.

Which of the following, if true, most strengthens the patient’s position regarding her discomfort?

(A) The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities. since the doctor says that the hip would not wear in normal usage but this point suggests that the patient has been doing regorous work. and thus the patient may be correct.

(B) The inflammation that is common to people who have had replacement hip replacement surgery often needs to be treated with more potent drugs than the ones being recommended by the surgeon.

(C) The patient has an artificial hip that is made of a material that can begin to wear out after a few weeks when exposed to temperatures higher than 200 degrees.surviving in 200 degree is not possible.

(D) The patient read about the possibility of artificial hips wearing out in a respected medical journal.this supports but only to some extent and not entirely because the the case of the patient may be differetn and may not specificaly match to the case in the medical journal.

(E) The surgeon has only been performing hip-replacement surgery for less than a year.
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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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22 Jan 2018, 04:56
My POE as below.

(A) The patient has not followed the post-operative instructions she was given regarding how much time she should spend engaged in vigorous activities. This choice gives a hint that patient would have been engaged in more vigorous activities than recommended and hence his artificial hip started to wear out. Makes sense.

(B) The inflammation that is common to people who have had replacement hip replacement surgery often needs to be treated with more potent drugs than the ones being recommended by the surgeon. Whether more potent drugs or those recommended by the surgeon, patient's argument is not supported here. Hence wrong choice.
(C) The patient has an artificial hip that is made of a material that can begin to wear out after a few weeks when exposed to temperatures higher than 200 degrees. Cannot be judged if the patient had been exposed to 200 F or C Need outside information. Hence wrong.
(D) The patient read about the possibility of artificial hips wearing out in a respected medical journal. Though what was mentioned in the journal could be right about the particles of artificial hip, Surgeon's argument could still be valid. Hence this choice is wrong.
(E) The surgeon has only been performing hip-replacement surgery for less than a year. Surgeon could be well trained to perform the surgery better than many other experienced surgeons in the industry. Hence no supporting the patient's argument and wrong choice.

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Re: Patient: I have read that particles of my artificial hip can wear off  [#permalink]

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02 Sep 2018, 05:22
The surgeon explains that it is almost impossible for the artificial hip to wear away so soon WITH NORMAL USE. However, if the patient was inappropriately engaged in vigorous activities, particles of her hip may very well be wearing off.

(B) The question is what is causing the discomfort, not how to treat it.

(C) There is no reason to think that the patient could have been exposed to such an extreme temperature.

(D) This lends strength to the idea that artificial hips CAN wear away, but does not strengthen the proposition that this is what happened to her.

(E) The surgeon’s lack of experience does not necessarily weaken his position or strengthen the patient’s.
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Re: Patient: I have read that particles of my artificial hip can wear off   [#permalink] 02 Sep 2018, 05:22

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