No Significant Bronchodilator Response in Medicine / Internal Medicine — 16yo Child | Respiratory / Pulmonology | SMLE Q#1158

SMLE Question #1158

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-123

Last updated: February 2026
A 16-year-old boy reports episodic shortness of breath, chest tightness, and cough that occur only during sprinting in soccer. He is asymptomatic at rest in clinic. Physical examination is normal. Baseline spirometry is normal with no significant bronchodilator response. What is the most appropriate next diagnostic step?

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