Correct!
3. Obtain additional history about the shipping conditions for the birdhouse parts.

Bronchoscopy is invasive and very unlikely to produce any useful information in the absence of a clear-cut indication. She says that she is “not crazy” and will not keep the neuropsychological testing appointment (she is self-pay). The company where she worked was called and was very helpful. Beginning about the time as the start of her symptoms, the shipping containers containing the bird houses were fumigated with methyl bromide to prevent fungal and pest infestation.

Which of the is indicated as the next step in her work-up? (Click on the correct answer to be directed to the fifth of six pages)

  1. Methacholine Challenge Test
  2. Serum methyl bromide levels
  3. Spirometry before and after workplace exposure to the shipping containers
  4. 1 and 3
  5. All of the above

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