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Medical College Admission Test: Verbal Reasoning, Biological Sciences, Physical Sciences, Writing Sample Questions 197–201 (page: 40)

Updated On: 9-Feb-2026

Saul Hoffman's scientific journal paper published in 2015 in Societies explores the relationship between two topics that at the surface are very distant from each other. As he goes on to state, "It is relatively easy, at least for an economist, to see why economists would be attracted to issues like teen pregnancy and teen childbearing, despite their apparent distance from the core topics of economics. First, economics ­ especially microeconomics ­ is fundamentally the study of choices that individuals make, traditionally and most often in formal markets with monetary prices, but now more and more frequently outside that sphere. Viewed from that perspective, choices involving sexual and fertility behavior among teens are an incredibly challenging, but inviting, target. Is it possible to identify the role of economic incentives, including government policy, on these behaviors? Is it sensible to apply traditional models of rational choice decision-making to teens?
Second, the traditional concern about teen fertility was predicated on the notion that it was an economically catastrophic act. In a famous and oft-quoted 1968 article, Arthur Campbell wrote that 'The girl who has an illegitimate child at the age of 16 suddenly has 90 percent of her life's script written for her,' including reduced opportunities for schooling, the labor market, and marriage. But it doesn't take too much reflection to appreciate that more may be going on in leading to these poor outcomes than just a teen birth. Disentangling the causal effect of teen childbearing on subsequent socio-economic outcomes from its correlational effect is another deliciously inviting and challenging target, this time well-suited for the applied economist or econometrician.
Just to make all this yet more inviting, the two research strands are closely related. Suppose it could be demonstrated that for some teens the socio-economic impact of a teen birth was negligible. For example, maybe future prospects for some teens were equally poor with or without a birth or perhaps government programs provided substantial benefits, so that the net impact on socio-economic well-being was consequently small or even positive. Then, it might well be 'rational' in an economic sense to have a teen birth in the first place, thereby linking the research on the causal impact of a teen birth with the research on the choice determinants of a teen birth. So what came to be known as the teen birth `causes' literature and the teen birth `consequences' literature were clearly interrelated.
And then, to add yet another layer of challenge, the teen fertility rate in the U.S. has fallen at a rate that is totally unprecedented. Teen fertility was once widespread, with most of it occurring within early and sometimes not entirely voluntary marriage. In 1960, the teen fertility rate was approximately 90 births per 1000, which implied that more than 40% of women ever had a teen birth. When I published my first article on teen births 25 years ago, the teen fertility rate was 60 births per 1000, down one-third from 1960, but it had increased six years in a row in what turned out to be a deviation from the downward trend. Since then the rate has declined every single year, except for a short but puzzling uptick between 2005 and 2007. In 2014, the teen fertility rate was 24.2 births per 1000, the lowest teen fertility rate ever recorded in the U.S., though still shockingly high by European standards. Thus, the rate fell by more than 50% during my professional association with the topic and by 70% since 1960. Of course, at the same time teen marital births largely disappeared, falling from 85% of teen births to 12%.
This adds yet another focus for economic research. Why did the rate fall? Did it have anything to do with changes in the costs of teen childbearing or changes in policy? Is it a good thing or not?
In this article I try to make sense out of these various research strands by providing a personal narrative through the economics literature on teen childbearing, with a special emphasis on the three issues discussed above. My goal is to make the literature, including some reasonably technical content, accessible and valuable to a non-economist."
Hoffman, S. (2015). Teen Childbearing and Economics: A Short History of a 25-Year Research Love Affair.
Societies, 5(3), 646-663. doi:10.3390/soc5030646
What does the author mean by the claim in paragraph 3 that "what came to be known as the teen birth 'causes' literature and the teen birth 'consequences' literature were clearly interrelated"?

  1. The question of why teens give birth is closely related to the question of how having a child affects their future prospects.
  2. The topic of teen birth has been overlooked, and so research on causes and consequences has been conducted by members of the same small research community.
  3. Causes and consequences literature have suffered from the same mistake of assuming teen birth is more catastrophic than it actually is.
  4. Researchers have created a false dichotomy between causes and effects, when actually researchers on these two topics are asking the same questions.

Answer(s): A

Explanation:

This Reasoning-Within-the-Text question asks you to unpack a complex statement. The passage continues "maybe future prospects for some teens were equally poor with or without a birth or perhaps government programs provided substantial benefits, so that the net impact on socio-economic well-being was consequently small or even positive. Then, it might well be 'rational' in an economic sense to have a teen birth in the first place, thereby linking the research on the causal impact of a teen birth with the research on the choice determinants of a teen birth." The author is saying that the two topics are linked because the ultimate results of a birth, such as government benefits, could influence a person's motivation to have a child or avoid doing so.
Knowledge of consequences is thus a potential cause of behavior.
B ­ incorrect. The passage never describes the topic as underresearched or involving a small amount of
researchers.
C ­ incorrect. The context for the quote is not focused on mistakes, but on the way potential consequences influence decision-making as highlighted by the following phrase in paragraph 3: "linking the research on the causal impact of a teen birth with the research on the choice determinants of a teen birth." D ­ incorrect. The author does not see causes and consequences as the same thing, but as two things entangled with each other.



Saul Hoffman's scientific journal paper published in 2015 in Societies explores the relationship between two topics that at the surface are very distant from each other. As he goes on to state, "It is relatively easy, at least for an economist, to see why economists would be attracted to issues like teen pregnancy and teen childbearing, despite their apparent distance from the core topics of economics. First, economics ­ especially microeconomics ­ is fundamentally the study of choices that individuals make, traditionally and most often in formal markets with monetary prices, but now more and more frequently outside that sphere. Viewed from that perspective, choices involving sexual and fertility behavior among teens are an incredibly challenging, but inviting, target. Is it possible to identify the role of economic incentives, including government policy, on these behaviors? Is it sensible to apply traditional models of rational choice decision-making to teens?
Second, the traditional concern about teen fertility was predicated on the notion that it was an economically catastrophic act. In a famous and oft-quoted 1968 article, Arthur Campbell wrote that 'The girl who has an illegitimate child at the age of 16 suddenly has 90 percent of her life's script written for her,' including reduced opportunities for schooling, the labor market, and marriage. But it doesn't take too much reflection to appreciate that more may be going on in leading to these poor outcomes than just a teen birth. Disentangling the causal effect of teen childbearing on subsequent socio-economic outcomes from its correlational effect is another deliciously inviting and challenging target, this time well-suited for the applied economist or econometrician.
Just to make all this yet more inviting, the two research strands are closely related. Suppose it could be demonstrated that for some teens the socio-economic impact of a teen birth was negligible. For example, maybe future prospects for some teens were equally poor with or without a birth or perhaps government programs provided substantial benefits, so that the net impact on socio-economic well-being was consequently small or even positive. Then, it might well be 'rational' in an economic sense to have a teen birth in the first place, thereby linking the research on the causal impact of a teen birth with the research on the choice determinants of a teen birth. So what came to be known as the teen birth `causes' literature and the teen birth `consequences' literature were clearly interrelated.
And then, to add yet another layer of challenge, the teen fertility rate in the U.S. has fallen at a rate that is totally unprecedented. Teen fertility was once widespread, with most of it occurring within early and sometimes not entirely voluntary marriage. In 1960, the teen fertility rate was approximately 90 births per 1000, which implied that more than 40% of women ever had a teen birth. When I published my first article on teen births 25 years ago, the teen fertility rate was 60 births per 1000, down one-third from 1960, but it had increased six years in a row in what turned out to be a deviation from the downward trend. Since then the rate has declined every single year, except for a short but puzzling uptick between 2005 and 2007. In 2014, the teen fertility rate was 24.2 births per 1000, the lowest teen fertility rate ever recorded in the U.S., though still shockingly high by European standards. Thus, the rate fell by more than 50% during my professional association with the topic and by 70% since 1960. Of course, at the same time teen marital births largely disappeared, falling from 85% of teen births to 12%.
This adds yet another focus for economic research. Why did the rate fall? Did it have anything to do with changes in the costs of teen childbearing or changes in policy? Is it a good thing or not?
In this article I try to make sense out of these various research strands by providing a personal narrative through the economics literature on teen childbearing, with a special emphasis on the three issues discussed above. My goal is to make the literature, including some reasonably technical content, accessible and valuable to a non-economist."
Hoffman, S. (2015). Teen Childbearing and Economics: A Short History of a 25-Year Research Love Affair.
Societies, 5(3), 646-663. doi:10.3390/soc5030646
The author's main point could be most strongly undermined by a sociological or economic study showing that:

  1. statistics on teen birth make little apparent sense because even when there is an overall downward trend, the teen birth rate can unpredictably swing upward, and vice versa.
  2. many teens who give birth do so not out of desire to be parents, but because they lack access to birth control and effective sex education.
  3. in recent years, the economic and career results of teen pregnancy have been getting worse.
  4. potential teenage mothers are minimally influenced by economic considerations like career and financial prospects, but make choices based on irrational factors like community beliefs about morality.

Answer(s): D

Explanation:

This Reasoning-Beyond-the-Text question asks you to consider the effects of possible outside information on the passage. The author cites reasons to apply economic theory to teen pregnancy, writing "Viewed from that perspective, choices involving sexual and fertility behavior among teens are an incredibly challenging, but inviting, target. Is it possible to identify the role of economic incentives, including government policy, on these behaviors?" If such incentives had little or no effect on the behavior being studied, it would not make sense to apply the framework of economics to it.
A ­ incorrect. This would not undermine the author's claim since he describes the data as in need of explanation and cites times when the birth rate rose during periods of overall decline.
E. ­ incorrect. The author does not suggest that desire to be a parent is a key motive in teen childbirth.
C ­ incorrect. The passage states teen birth has been declining. If the potential consequences have been getting worse, this would reinforce the author's assumption that economic considerations influence behavior.



Saul Hoffman's scientific journal paper published in 2015 in Societies explores the relationship between two topics that at the surface are very distant from each other. As he goes on to state, "It is relatively easy, at least for an economist, to see why economists would be attracted to issues like teen pregnancy and teen childbearing, despite their apparent distance from the core topics of economics. First, economics ­ especially microeconomics ­ is fundamentally the study of choices that individuals make, traditionally and most often in formal markets with monetary prices, but now more and more frequently outside that sphere. Viewed from that perspective, choices involving sexual and fertility behavior among teens are an incredibly challenging, but inviting, target. Is it possible to identify the role of economic incentives, including government policy, on these behaviors? Is it sensible to apply traditional models of rational choice decision-making to teens?
Second, the traditional concern about teen fertility was predicated on the notion that it was an economically catastrophic act. In a famous and oft-quoted 1968 article, Arthur Campbell wrote that 'The girl who has an illegitimate child at the age of 16 suddenly has 90 percent of her life's script written for her,' including reduced opportunities for schooling, the labor market, and marriage. But it doesn't take too much reflection to appreciate that more may be going on in leading to these poor outcomes than just a teen birth. Disentangling the causal effect of teen childbearing on subsequent socio-economic outcomes from its correlational effect is another deliciously inviting and challenging target, this time well-suited for the applied economist or econometrician.
Just to make all this yet more inviting, the two research strands are closely related. Suppose it could be demonstrated that for some teens the socio-economic impact of a teen birth was negligible. For example, maybe future prospects for some teens were equally poor with or without a birth or perhaps government programs provided substantial benefits, so that the net impact on socio-economic well-being was consequently small or even positive. Then, it might well be 'rational' in an economic sense to have a teen birth in the first place, thereby linking the research on the causal impact of a teen birth with the research on the choice determinants of a teen birth. So what came to be known as the teen birth `causes' literature and the teen birth `consequences' literature were clearly interrelated.
And then, to add yet another layer of challenge, the teen fertility rate in the U.S. has fallen at a rate that is totally unprecedented. Teen fertility was once widespread, with most of it occurring within early and sometimes not entirely voluntary marriage. In 1960, the teen fertility rate was approximately 90 births per 1000, which implied that more than 40% of women ever had a teen birth. When I published my first article on teen births 25 years ago, the teen fertility rate was 60 births per 1000, down one-third from 1960, but it had increased six years in a row in what turned out to be a deviation from the downward trend. Since then the rate has declined every single year, except for a short but puzzling uptick between 2005 and 2007. In 2014, the teen fertility rate was 24.2 births per 1000, the lowest teen fertility rate ever recorded in the U.S., though still shockingly high by European standards. Thus, the rate fell by more than 50% during my professional association with the topic and by 70% since 1960. Of course, at the same time teen marital births largely disappeared, falling from 85% of teen births to 12%.
This adds yet another focus for economic research. Why did the rate fall? Did it have anything to do with changes in the costs of teen childbearing or changes in policy? Is it a good thing or not?
In this article I try to make sense out of these various research strands by providing a personal narrative through the economics literature on teen childbearing, with a special emphasis on the three issues discussed above. My goal is to make the literature, including some reasonably technical content, accessible and valuable to a non-economist."
Hoffman, S. (2015). Teen Childbearing and Economics: A Short History of a 25-Year Research Love Affair.
Societies, 5(3), 646-663. doi:10.3390/soc5030646
The author would likely view the choice of whether to use birth control as:

  1. a personal choice that should be governed by one's beliefs about the morality of using it.
  2. a decision governed by cost-benefit analyses including factors such as cost of the birth control.
  3. a sign of innate intelligence.
  4. an ethical choice involving having children only when one can provide them with a good life.

Answer(s): B

Explanation:

This Reasoning-Beyond-the-Text question asks you to make inferences about the author's overall style of thought and how it might apply to a new topic. He describes economics as "fundamentally the study of choices that individuals make," with a focus on incentives, especially financial ones. A focus on incentives that prompt the choice to use birth control, and the factors that prevent them, could interest an economist.
A ­ incorrect. The author never describes behavior as moral or immoral, suggesting this is irrelevant to his explanatory framework in the passage.
C ­ incorrect. The passage does not discuss innate qualities of a person, but focuses on the outward forces that shape their choices.
D ­ incorrect. As with A, this choice focuses on ethics, while the passage discusses choices in an amoral way, as based on incentives.



Saul Hoffman's scientific journal paper published in 2015 in Societies explores the relationship between two topics that at the surface are very distant from each other. As he goes on to state, "It is relatively easy, at least for an economist, to see why economists would be attracted to issues like teen pregnancy and teen childbearing, despite their apparent distance from the core topics of economics. First, economics ­ especially microeconomics ­ is fundamentally the study of choices that individuals make, traditionally and most often in formal markets with monetary prices, but now more and more frequently outside that sphere. Viewed from that perspective, choices involving sexual and fertility behavior among teens are an incredibly challenging, but inviting, target. Is it possible to identify the role of economic incentives, including government policy, on these behaviors? Is it sensible to apply traditional models of rational choice decision-making to teens?
Second, the traditional concern about teen fertility was predicated on the notion that it was an economically catastrophic act. In a famous and oft-quoted 1968 article, Arthur Campbell wrote that 'The girl who has an illegitimate child at the age of 16 suddenly has 90 percent of her life's script written for her,' including reduced opportunities for schooling, the labor market, and marriage. But it doesn't take too much reflection to appreciate that more may be going on in leading to these poor outcomes than just a teen birth. Disentangling the causal effect of teen childbearing on subsequent socio-economic outcomes from its correlational effect is another deliciously inviting and challenging target, this time well-suited for the applied economist or econometrician.
Just to make all this yet more inviting, the two research strands are closely related. Suppose it could be demonstrated that for some teens the socio-economic impact of a teen birth was negligible. For example, maybe future prospects for some teens were equally poor with or without a birth or perhaps government programs provided substantial benefits, so that the net impact on socio-economic well-being was consequently small or even positive. Then, it might well be 'rational' in an economic sense to have a teen birth in the first place, thereby linking the research on the causal impact of a teen birth with the research on the choice determinants of a teen birth. So what came to be known as the teen birth `causes' literature and the teen birth `consequences' literature were clearly interrelated.
And then, to add yet another layer of challenge, the teen fertility rate in the U.S. has fallen at a rate that is totally unprecedented. Teen fertility was once widespread, with most of it occurring within early and sometimes not entirely voluntary marriage. In 1960, the teen fertility rate was approximately 90 births per 1000, which implied that more than 40% of women ever had a teen birth. When I published my first article on teen births 25 years ago, the teen fertility rate was 60 births per 1000, down one-third from 1960, but it had increased six years in a row in what turned out to be a deviation from the downward trend. Since then the rate has declined every single year, except for a short but puzzling uptick between 2005 and 2007. In 2014, the teen fertility rate was 24.2 births per 1000, the lowest teen fertility rate ever recorded in the U.S., though still shockingly high by European standards. Thus, the rate fell by more than 50% during my professional association with the topic and by 70% since 1960. Of course, at the same time teen marital births largely disappeared, falling from 85% of teen births to 12%.
This adds yet another focus for economic research. Why did the rate fall? Did it have anything to do with changes in the costs of teen childbearing or changes in policy? Is it a good thing or not?
In this article I try to make sense out of these various research strands by providing a personal narrative through the economics literature on teen childbearing, with a special emphasis on the three issues discussed above. My goal is to make the literature, including some reasonably technical content, accessible and valuable to a non-economist."
Hoffman, S. (2015). Teen Childbearing and Economics: A Short History of a 25-Year Research Love Affair.
Societies, 5(3), 646-663. doi:10.3390/soc5030646
What is the most likely reason for the author's use of quotation marks around "rational" in paragraph 3?

  1. The author disagrees with the idea that teen birth is rational and wishes to distance himself from it.
  2. The author disagrees with the way the term "rational" is used to indicate that economists might perceive teen birth as financially beneficial.
  3. The possible benefits of a teen birth are so small that it is not necessarily meaningful to describe them as "rational."
  4. The choice of having a teen birth might not have been thought out methodically, but makes sense according to a monetary cost/benefit analysis.

Answer(s): D

Explanation:

This Reasoning-Within-the-Text question asks you to make sense of a stylistic choice in the passage. The author writes that "maybe future prospects for some teens were equally poor with or without a birth or perhaps government programs provided substantial benefits, so that the net impact on socio-economic well-being was consequently small or even positive. Then, it might well be 'rational' in an economic sense to have a teen birth in the first place..." The author thus clarifies that he is using "rational" in a specialized sense. He is trying to express that having a child could be financially advantageous, while distancing this sense of "rationality" from a
more commonsensical one.
A ­ incorrect. The author does not express a strong personal opinion on the matter as opposed to what this answer choice suggests. Rather, the author seems to agree that it is meaningful to analyze behavior in terms of how it affects financial prospects. In saying that the author wishes to distance himself from it, it implies more of a moral than an economic approach.
B ­ incorrect. The author actually agrees with the use of the term "rational" within the context of teen birth.
C ­incorrect. The author does suggest the hypothetical benefits of a teen birth may be small, but the focus of his argument is on why giving birth may not be financially catastrophic ­ not that the benefits are rational.



Hemoglobin (Hb) and myoglobin (Mb) are the O2-carrying proteins in vertebrates. Hb, which is contained within red blood cells, serves as the O2 carrier in blood and also plays a vital role in the transport of CO2 and H+. Vertebrate Hb consists of four polypeptides (subunits) each with a heme group. The four chains are held together by noncovalent attractions. The affinity of Hb for O2 varies between species and within species depending on such factors as blood pH, stage of development, and body size. For example, small mammals give up O2 more readily than large mammals because small mammals have a higher metabolic rate and require more O2 per gram of tissue.
The binding of O2 to Hb is also dependent on the cooperativity of the Hb subunits. That is, binding at one heme facilitates the binding of O2 at the other hemes within the Hb molecule by altering the conformation of the entire molecule. This conformational change makes subsequent binding of O2 more energetically favorable. Conversely, the unloading of O2 at one heme facilitates the unloading of O2 at the others by a similar mechanism.
Figure 1 depicts the O2-dissociation curves of Hb (Curves A, B, and C) and myoglobin (Curve D), where saturation, Y, is the fractional occupancy of the O2-binding sites. The fraction of O2 that is transferred from Hb as the blood passes through the tissue capillaries is called the utilization coefficient. A normal value is approximately 0.25.

Figure 1
Myoglobin facilitates transport in muscle and serves as a reserve store of O2. Mb is a single polypeptide chain containing a heme group, with a molecular weight of 18 kd. As can be seen in Figure 1, Mb (Curve D) has a greater affinity for than Hb.
The llama is a warm-blooded mammal that lives in regions of unusually high altitudes, and has evolved a type of Hb that adapts it to such an existence. If Curve B represents the O2-dissociation curve for horse Hb, which curve would most closely resemble the curve for llama Hb?

  1. Curve A
  2. Curve B
  3. Curve C
  4. Curve D

Answer(s): A

Explanation:

The key to answering this question lies in knowing that at high altitudes, atmospheric pressure is low, meaning that there is less oxygen in the air than at sea level. We're told that the llama has adapted to life at high altitudes by evolving a different type of hemoglobin. Since the partial pressure of oxygen is lower up in the mountains, llama hemoglobin must be able to bind oxygen MORE readily at low partial pressures of oxygen.
And this means that for a given value of oxygen pressure on the X-axis of Figure 1, the llama's hemoglobin will be more saturated with oxygen than the horse's hemoglobin, since horses don't typically live in regions of unusually high altitude. In terms of Figure 1, this means that the llama oxygen-dissociation curve will be to the left of the horse's. So if Curve B is the horse curve, then the llama curve most closely resembles Curve A.
Thus, choices B and C are wrong. As for Curve D; remember, we're told in the passage that Curves A, B, and C are hemoglobin curves, while Curve D is the myoglobin curve. So, choice D is wrong.



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