Reading ComprehensionDifficulty: Easy

PT141 S3 P1 Q3 ExplanationPrions

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Passage

An organism is considered to have an infection when a disease-causing agent, called a pathogen, establishes a viable presence in the organism. This can occur only if the pathogenic agent is able to reproduce itself in the host organism. The only agents believed until recently to be responsible for infections—viruses, bacteria, fungi, thus widely assumed that all pathogens contain such genetic material in their cellular structure.

This assumption has been challenged, however, by scientists seeking to identify the pathogen that causes Creutzfeldt-Jakob disease (CJD), a degenerative form of dementia in humans. CJD causes the brain to become riddled with tiny holes, like a sponge (evidence of extensive nerve cell death). Its symptoms include impaired muscle control, loss of not exclusively, of protein. Researchers coined the term “prion” for this new type of protein pathogen.

Upon further study, scientists discovered that prions normally exist as harmless cellular proteins in many of the body’s tissues, including white blood cells and nerve cells in the brain; however, they possess the capability of converting their structures into a dangerous abnormal shape. Prions exhibiting this abnormal conformation were found to have though there are wide variations in pre-symptomatic incubation times and in how aggressively the disease progresses.

Although the discovery of the link between prions and CJD was initially received with great skepticism in the scientific community, subsequent research has supported the conclusion that prions are an entirely new class of infectious pathogens. Furthermore, it is now believed that a similar process of protein malformation may be involved in which prions reproduce themselves and cause cellular destruction have yet to be completely understood.

What this question is testing

Evaluate

Topic

The author is telling the story of a discovery that broke a long-held rule about what infections look like — and explaining how it works and what it might mean.

Framework

Highlight Noteworthy. The author isn't arguing against an opponent; they're showcasing a discovery and tracing its consequences.

Main Point

Here's the simpler version: scientists used to think every infectious agent had to carry genetic material — DNA or RNA — because that's how all the known ones reproduce. Then researchers studying CJD found something that breaks that rule: a pathogen made just of protein. They called it a "prion." Prions reproduce by changing the shape of other prions on contact, which is why they cause damage and why the body can't fight them. The discovery opened a whole new category of pathogen and might help explain other brain diseases too.

P1: The old rule

To count as a pathogen, an agent has to reproduce inside the host. Every known pathogen reproduced using DNA or RNA, so people assumed all pathogens contain genetic material.

P2: The exception

While hunting for the cause of CJD — a degenerative brain disease — scientists isolated something with no nucleic acid, just protein. They called it a prion.

P3: How prions cause harm

Prions are normally harmless proteins. But once one folds into the bad shape, it converts the next prion it touches into the same shape, which converts the next, and so on. That chain reaction creates plaques in the brain that kill nerve cells. Two important consequences: the body doesn't see prions as foreign (they're your own protein), and there's no therapy that stops the cascade — so CJD is always fatal.

Reading along? Open the full official question in LawHub — we show a fragment here and keep the reasoning in our own words.

The question
3.

If the hypothesis that CJD is caused by prions is correct, finding the answer to which one of the following questions would tend most to help a physician

Answer choices, explained

  1. Unsupported1% picked this

    Has the patient suffered a severe blow to the

    The passage does not discuss how a physical blow would impact the development of CJD.

  2. Too Weak5% picked this

    Does the patient experience occasional bouts

    Insomnia could be due to other causes.

  3. Unsupported Relationship2% picked this

    Has the patient been exposed to any forms of radiation that have a known tendency to cause certain

    According to the passage, CJD is theorized to be caused by prions rather than genetic material (first paragraph).

  4. Unsupported Relationship2% picked this

    Has any member of the patient's immediate family ever had a

    The passage does not suggest there are hereditary causes of CJD.

  5. Correct90% picked this

    Does the patient's brain tissue exhibit the presence of any abnormal

    Why this is right

    This is supported in the third paragraph.

    Skill tested: Evaluate · how this choice captures the passage's function is the move to repeat next time.

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