33-year-old Man in Medicine / Internal Medicine — 33yo Man | Respiratory / Pulmonology | SMLE Q#11737
SMLE Question #11737
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 33-year-old man has 8 months of episodic shortness of breath, wheeze, fatigue, and nocturnal cough. He works in an auto-repair workshop; symptoms worsen on workdays and improve on weekends and holidays. He is asymptomatic after 5 days away from work. Physical examination, chest radiograph, and baseline spirometry performed away from work are normal. The clinician suspects a work-related airway disorder. What is the most appropriate next step to evaluate his condition?
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