Girl with persistent cough
Reviewed by Zab Mosenifar, MD
Author and Disclosure Information [Show]

Zab Mosenifar, MD, Medical Director, Women's Lung Institute; Executive Vice Chairman, Department of Medicine, Cedars Sinai Medical Center, Los Angeles, California.

Zab Mosenifar, MD, has disclosed no relevant financial relationships.

Question 1 of 3

A 15-year-old girl presents with fatigue, dyspnea, intermittent wheezing, and persistent cough. She has experienced three bouts of pneumonia — the last one 6 weeks ago — within the past 7 months that have been refractory to antibiotics. She has a history of asthma that has been moderately controlled with albuterol (ProAir inhaler) and fluticasone (Flovent). Auscultation reveals diffuse rhonchi. The patient appears fatigued and has lost 7 lb since her last follow-up exam 3 months ago. She is also complaining of soreness in her chest.

What is the next step in the diagnostic process for this patient?

Pulmonary function test

Laboratory studies

Chest radiography with anteroposterior and lateral views

Bronchoscopy

This quiz is not accredited for CME.

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