Correct!
2. Continue to follow the patient

Her symptoms are mild and there has been little apparent change compared to 5 years earlier. Therefore, a decision was made to follow the patient. Ventilation-perfusion scanning might show multiple pulmonary emboli but this seems unlikely. Cryobiopsy might show pathology suggesting an interstitial lung disease but seems overly aggressive at this point.

She is again followed and returns 3 years later with her symptoms slightly worsened.

What should be done at this time? (Click on the correct answer to proceed to the fourth of five pages)

  1. Repeat pulmonary function testing
  2. Consider video-assisted thorascopic biopsy
  3. High resolution CT scan with expiratory views
  4. 1 and 3
  5. All of the above

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