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PSM · Study design
Sample itemWhat does random allocation in a clinical trial primarily aim to achieve?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Balance known and unknown confounders between groups
Random allocation makes treatment groups comparable on average for both measured and unmeasured baseline factors, strengthening causal inference.
Option by option
A. Remove the need for informed consent
Consent remains essential in research.
B. Guarantee that every participant improves
Treatment benefit is never guaranteed for each participant.
C. Balance known and unknown confounders between groups (correct)
Correct: randomization reduces systematic baseline imbalance.
D. Ensure investigators know the assigned treatment
Blinding, not randomization, limits knowledge of assignment.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.