{"id":61,"date":"2015-08-14T14:15:44","date_gmt":"2015-08-14T18:15:44","guid":{"rendered":"http:\/\/wp.moldcme.uchc.uconn.edu\/?page_id=61"},"modified":"2017-06-20T15:35:48","modified_gmt":"2017-06-20T19:35:48","slug":"course-page","status":"publish","type":"page","link":"https:\/\/health.uconn.edu\/mold-moisture\/health-effects-mold-moisture-indoor\/course-page\/","title":{"rendered":"Health Effects Course Page"},"content":{"rendered":"<div id=\"pl-61\"  class=\"panel-layout\" ><div id=\"pg-61-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-61-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-61-0-0-0\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"textwidget\"><p><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/mold-moisture\/wp-json\/wp\/v2\/pages\/61#gf_1' data-formid='1' novalidate>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_1\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_1\" ><h2>Health Effects Related to Mold and Moisture in Indoor Environments<\/h2><\/li><li id=\"field_1_28\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_28\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_28'>\n                            \n                            <span id='input_1_28_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_28.3' id='input_1_28_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_28_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_28_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_28.6' id='input_1_28_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_28_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_29\" class=\"gfield gfield--type-select field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_29\" ><label class='gfield_label gform-field-label' for='input_1_29'>Degree<\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_1_29' class='medium gfield_select'  aria-describedby=\"gfield_description_1_29\"   aria-invalid=\"false\" ><option value='' ><\/option><option value='APRN' >APRN<\/option><option value='DrPH' >DrPH<\/option><option value='M.D.' >M.D.<\/option><option value='M.P.H.' >M.P.H.<\/option><option value='P.A.' >P.A.<\/option><option value='Ph.D.' >Ph.D.<\/option><option value='R.N.' >R.N.<\/option><option value='Multiple\/Other\/Prefer not to say' >Multiple\/Other\/Prefer not to say<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_1_29'>Select from the menu.<\/div><\/li><li id=\"field_1_41\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_41\" ><label class='gfield_label gform-field-label' for='input_1_41'>Specify Degree<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_1_41' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_41\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_1_41'>List degrees or leave blank.<\/div><\/li><li id=\"field_1_30\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_30\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Medical Specialty<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_30'><li class='gchoice gchoice_1_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Allergy'  id='choice_1_30_1'   aria-describedby=\"gfield_description_1_30\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_30_1' id='label_1_30_1' class='gform-field-label gform-field-label--type-inline'>Allergy<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_30_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.2' type='checkbox'  value='Family Medicine'  id='choice_1_30_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_30_2' id='label_1_30_2' class='gform-field-label gform-field-label--type-inline'>Family Medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_30_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.3' type='checkbox'  value='Internal Medicine'  id='choice_1_30_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_30_3' id='label_1_30_3' class='gform-field-label gform-field-label--type-inline'>Internal Medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_30_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.4' type='checkbox'  value='Occupational and Environmental Medicine'  id='choice_1_30_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_30_4' id='label_1_30_4' class='gform-field-label gform-field-label--type-inline'>Occupational and Environmental Medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_30_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.5' type='checkbox'  value='Pediatrics'  id='choice_1_30_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_30_5' id='label_1_30_5' class='gform-field-label gform-field-label--type-inline'>Pediatrics<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_30_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.6' type='checkbox'  value='Pulmonary Medicine'  id='choice_1_30_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_30_6' id='label_1_30_6' class='gform-field-label gform-field-label--type-inline'>Pulmonary Medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_30_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.7' type='checkbox'  value='Other'  id='choice_1_30_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_30_7' id='label_1_30_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_1_30'>Select all that apply.<\/div><\/li><li id=\"field_1_31\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_31\" ><label class='gfield_label gform-field-label' for='input_1_31'>Specify Other Specialty<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_1_31' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_1_32\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_32\" ><label class='gfield_label gform-field-label' for='input_1_32'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_32' id='input_1_32' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_1_33\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_33\" ><label class='gfield_label gform-field-label' for='input_1_33'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_33' id='input_1_33' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_34\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_34\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_1_34' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_34_1_container' >\n                                        <input type='text' name='input_34.1' id='input_1_34_1' value=''    aria-required='false'    \/>\n                                        <label for='input_1_34_1' id='input_1_34_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_34_3_container' >\n                                    <input type='text' name='input_34.3' id='input_1_34_3' value=''    aria-required='false'    \/>\n                                    <label for='input_1_34_3' id='input_1_34_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_1_34_4_container' >\n                                        <select name='input_34.4' id='input_1_34_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_1_34_4' id='input_1_34_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_1_34_5_container' >\n                                    <input type='text' name='input_34.5' id='input_1_34_5' value=''    aria-required='false'    \/>\n                                    <label for='input_1_34_5' id='input_1_34_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_34.6' id='input_1_34_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_1_2\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_2\" ><h3>Case Introduction<\/h3>\n\n<strong>A Middle School Teacher with Successive Respiratory Diseases<\/strong>\n\n<p>A 57-year-old woman middle school teacher presents with a 6-year history of cough that typically is worse during the school year and frequently clears completely during long vacations.  She has been treated for asthma over the preceding 18 months with oral and inhaled steroids as well as bronchodilators.  She at times notes musty smells in her classroom, and at times obtains relief by going outdoors.  The building has a history of roof leaks and water incursion in around the windows, and her classroom has stained ceiling tiles.  She also notes that at least one other teacher is having similar symptoms, and there are a number of asthmatic children in her classroom.<\/p><\/li><li id=\"field_1_3\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_3\" ><label class='gfield_label gform-field-label' for='input_1_3'>What do you think are the patient\u2019s main concerns?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_1_3' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_4\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_4\" ><label class='gfield_label gform-field-label' for='input_1_4'>What approach do you think the treating physician should take?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_1_4' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_5\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_5\" ><label class='gfield_label gform-field-label' for='input_1_5'>Aside from the immediate needs of the patient what are other considerations?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_1_5' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_7' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' data-js='page-field-id-7' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_9\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_9\" ><h2 class=\"gsection_title\">Video Lecture: Health Effects of Mold &amp; Moisture<\/h2><div class='gsection_description' id='gfield_description_1_9'>Speaker: Marc Croteau, M.D., M.P.H. <\/div><\/li><li id=\"field_1_8\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_8\" ><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/KL3fLEW3CNc\" frameborder=\"0\" allowfullscreen><\/iframe><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_10' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_10' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' data-js='page-field-id-10' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_11\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_11\" ><h3>Multiple Choice Questions<\/h3>\n<p>Choose the single best answer.<\/p>\n<\/li><li id=\"field_1_12\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_12\" ><label class='gfield_label gform-field-label' >1. Asthma is characterized by the following:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_12'>\n\t\t\t<li class='gchoice gchoice_1_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='gquiz12e3b95df0'  id='choice_1_12_0'    \/>\n\t\t\t\t<label for='choice_1_12_0' id='label_1_12_0' class='gform-field-label gform-field-label--type-inline'>A. Reversible airways obstruction<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='gquiz122a3ce075'  id='choice_1_12_1'    \/>\n\t\t\t\t<label for='choice_1_12_1' id='label_1_12_1' class='gform-field-label gform-field-label--type-inline'>B. Hyper-responsiveness<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_12_2'>\n\t\t\t\t<input name='input_12' type='radio' value='gquiz121e461471'  id='choice_1_12_2'    \/>\n\t\t\t\t<label for='choice_1_12_2' id='label_1_12_2' class='gform-field-label gform-field-label--type-inline'>C. Airway inflammation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_12_3'>\n\t\t\t\t<input name='input_12' type='radio' value='gquiz1228126b71'  id='choice_1_12_3'    \/>\n\t\t\t\t<label for='choice_1_12_3' id='label_1_12_3' class='gform-field-label gform-field-label--type-inline'>D. Only A and B are correct<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_12_4'>\n\t\t\t\t<input name='input_12' type='radio' value='gquiz123e666c19'  id='choice_1_12_4'    \/>\n\t\t\t\t<label for='choice_1_12_4' id='label_1_12_4' class='gform-field-label gform-field-label--type-inline'>E. A, B, and C are all correct<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_13\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_13\" ><label class='gfield_label gform-field-label' >2. Inspiratory stridor is most consistent with the following condition:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_13'>\n\t\t\t<li class='gchoice gchoice_1_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='gquiz13ee265b57'  id='choice_1_13_0'    \/>\n\t\t\t\t<label for='choice_1_13_0' id='label_1_13_0' class='gform-field-label gform-field-label--type-inline'>Asthma<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='gquiz13cc4ce2aa'  id='choice_1_13_1'    \/>\n\t\t\t\t<label for='choice_1_13_1' id='label_1_13_1' class='gform-field-label gform-field-label--type-inline'>Hypersensitivity Pneumonitis<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_13_2'>\n\t\t\t\t<input name='input_13' type='radio' value='gquiz134885ba61'  id='choice_1_13_2'    \/>\n\t\t\t\t<label for='choice_1_13_2' id='label_1_13_2' class='gform-field-label gform-field-label--type-inline'>Paradoxical Vocal Cord Motion<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_13_3'>\n\t\t\t\t<input name='input_13' type='radio' value='gquiz13273ddd29'  id='choice_1_13_3'    \/>\n\t\t\t\t<label for='choice_1_13_3' id='label_1_13_3' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_13_4'>\n\t\t\t\t<input name='input_13' type='radio' value='gquiz139d0d0247'  id='choice_1_13_4'    \/>\n\t\t\t\t<label for='choice_1_13_4' id='label_1_13_4' class='gform-field-label gform-field-label--type-inline'>All of the above<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_14\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_14\" ><label class='gfield_label gform-field-label' >3. Limiting exposure to environmental triggers is an appropriate treatment approach to:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_14'>\n\t\t\t<li class='gchoice gchoice_1_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='gquiz14a8528d2b'  id='choice_1_14_0'    \/>\n\t\t\t\t<label for='choice_1_14_0' id='label_1_14_0' class='gform-field-label gform-field-label--type-inline'>Allergic rhinitis<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='gquiz14195d85b0'  id='choice_1_14_1'    \/>\n\t\t\t\t<label for='choice_1_14_1' id='label_1_14_1' class='gform-field-label gform-field-label--type-inline'>Hypersensitivity Pneumonitis<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_14_2'>\n\t\t\t\t<input name='input_14' type='radio' value='gquiz1445d0db36'  id='choice_1_14_2'    \/>\n\t\t\t\t<label for='choice_1_14_2' id='label_1_14_2' class='gform-field-label gform-field-label--type-inline'>Occupational Asthma<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_14_3'>\n\t\t\t\t<input name='input_14' type='radio' value='gquiz146a5341cb'  id='choice_1_14_3'    \/>\n\t\t\t\t<label for='choice_1_14_3' id='label_1_14_3' class='gform-field-label gform-field-label--type-inline'>Paradoxical Vocal Cord Motion<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_14_4'>\n\t\t\t\t<input name='input_14' type='radio' value='gquiz147e37dbd7'  id='choice_1_14_4'    \/>\n\t\t\t\t<label for='choice_1_14_4' id='label_1_14_4' class='gform-field-label gform-field-label--type-inline'>All of the above<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_15\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_15\" ><label class='gfield_label gform-field-label' >4. Variable patterns of centrilobular ground-glass or micronodular opacities and mediastinal lymphadenopathy found on high resolution CAT scans of the chest is most consistent with the following:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_15'>\n\t\t\t<li class='gchoice gchoice_1_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='gquiz151d7bbaf9'  id='choice_1_15_0'    \/>\n\t\t\t\t<label for='choice_1_15_0' id='label_1_15_0' class='gform-field-label gform-field-label--type-inline'>Asthma<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='gquiz15e8698a3d'  id='choice_1_15_1'    \/>\n\t\t\t\t<label for='choice_1_15_1' id='label_1_15_1' class='gform-field-label gform-field-label--type-inline'>Paradoxical Vocal Cord Motion<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_15_2'>\n\t\t\t\t<input name='input_15' type='radio' value='gquiz15ee9fafbe'  id='choice_1_15_2'    \/>\n\t\t\t\t<label for='choice_1_15_2' id='label_1_15_2' class='gform-field-label gform-field-label--type-inline'>Acute Hypersensitivity Pneumonitis<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_15_3'>\n\t\t\t\t<input name='input_15' type='radio' value='gquiz1586717635'  id='choice_1_15_3'    \/>\n\t\t\t\t<label for='choice_1_15_3' id='label_1_15_3' class='gform-field-label gform-field-label--type-inline'>Inhalational Fevers<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_15_4'>\n\t\t\t\t<input name='input_15' type='radio' value='gquiz15fccc791c'  id='choice_1_15_4'    \/>\n\t\t\t\t<label for='choice_1_15_4' id='label_1_15_4' class='gform-field-label gform-field-label--type-inline'>All of the above<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_16\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_16\" ><label class='gfield_label gform-field-label' >5. Rhinosinusitis may co-exist with<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_16'>\n\t\t\t<li class='gchoice gchoice_1_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='gquiz16893c2460'  id='choice_1_16_0'    \/>\n\t\t\t\t<label for='choice_1_16_0' id='label_1_16_0' class='gform-field-label gform-field-label--type-inline'>A. Asthma<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='gquiz160c6c0465'  id='choice_1_16_1'    \/>\n\t\t\t\t<label for='choice_1_16_1' id='label_1_16_1' class='gform-field-label gform-field-label--type-inline'>B. Paradoxical Vocal Cord Motion<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_16_2'>\n\t\t\t\t<input name='input_16' type='radio' value='gquiz1684008a8a'  id='choice_1_16_2'    \/>\n\t\t\t\t<label for='choice_1_16_2' id='label_1_16_2' class='gform-field-label gform-field-label--type-inline'>C. Both A and B are correct<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_16_3'>\n\t\t\t\t<input name='input_16' type='radio' value='gquiz16410a8edb'  id='choice_1_16_3'    \/>\n\t\t\t\t<label for='choice_1_16_3' id='label_1_16_3' class='gform-field-label gform-field-label--type-inline'>D. Neither A nor B are correct<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_17\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_17\" ><label class='gfield_label gform-field-label' >6. The pathophysiology of Organic Dust Toxic Syndrome involves sensitization.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_17'>\n\t\t\t<li class='gchoice gchoice_1_17_0'>\n\t\t\t\t<input name='input_17' type='radio' value='gquiz1701a6224d'  id='choice_1_17_0'    \/>\n\t\t\t\t<label for='choice_1_17_0' id='label_1_17_0' class='gform-field-label gform-field-label--type-inline'>True<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_17_1'>\n\t\t\t\t<input name='input_17' type='radio' value='gquiz17cd8c328b'  id='choice_1_17_1'    \/>\n\t\t\t\t<label for='choice_1_17_1' id='label_1_17_1' class='gform-field-label gform-field-label--type-inline'>False<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_18\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_18\" ><label class='gfield_label gform-field-label' >7. Mold does not have to be living to have an immunologic effect on building occupants<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_18'>\n\t\t\t<li class='gchoice gchoice_1_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='gquiz1894d475e7'  id='choice_1_18_0'    \/>\n\t\t\t\t<label for='choice_1_18_0' id='label_1_18_0' class='gform-field-label gform-field-label--type-inline'>True<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='gquiz18dae79185'  id='choice_1_18_1'    \/>\n\t\t\t\t<label for='choice_1_18_1' id='label_1_18_1' class='gform-field-label gform-field-label--type-inline'>False<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_19\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_19\" ><label class='gfield_label gform-field-label' >8. Bronchoprovocative testing with methacholine is a useful tool when the diagnosis of asthma is uncertain.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_19'>\n\t\t\t<li class='gchoice gchoice_1_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='gquiz19beaece70'  id='choice_1_19_0'    \/>\n\t\t\t\t<label for='choice_1_19_0' id='label_1_19_0' class='gform-field-label gform-field-label--type-inline'>True<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='gquiz19dd8e97a2'  id='choice_1_19_1'    \/>\n\t\t\t\t<label for='choice_1_19_1' id='label_1_19_1' class='gform-field-label gform-field-label--type-inline'>False<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_20\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_20\" ><label class='gfield_label gform-field-label' >9. Fit testing is typically not necessary for effective use of N95 respirators.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_20'>\n\t\t\t<li class='gchoice gchoice_1_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='gquiz203bca57b8'  id='choice_1_20_0'    \/>\n\t\t\t\t<label for='choice_1_20_0' id='label_1_20_0' class='gform-field-label gform-field-label--type-inline'>True<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='gquiz20734310e8'  id='choice_1_20_1'    \/>\n\t\t\t\t<label for='choice_1_20_1' id='label_1_20_1' class='gform-field-label gform-field-label--type-inline'>False<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_21\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_1_21\" ><label class='gfield_label gform-field-label' >10. Qualitative assessments of visible dampness, water damage, visible mold, or mold odor have more consistent associations with health effects than quantitative measurements such as culture counts of airborne molds.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_21'>\n\t\t\t<li class='gchoice gchoice_1_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='gquiz21cccdaaef'  id='choice_1_21_0'    \/>\n\t\t\t\t<label for='choice_1_21_0' id='label_1_21_0' class='gform-field-label gform-field-label--type-inline'>True<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='gquiz21b66ceca7'  id='choice_1_21_1'    \/>\n\t\t\t\t<label for='choice_1_21_1' id='label_1_21_1' class='gform-field-label gform-field-label--type-inline'>False<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_22' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_1_22' class='gform_next_button gform-theme-button button' value='Next: Case Conclusion'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page' data-js='page-field-id-22' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_23\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_23\" ><strong>Case Conclusion: A Middle School Teacher with Successive Respiratory Diseases<\/strong>\n<p>To determine if the building is contributing to her symptoms, you suggest that she take an additional two weeks off after the December holiday recess.  During this time her symptoms disappear and she is able to stop her asthma medications.  During her absence, the carpeting is removed from her classroom, the crawl space under the building is cleaned and the stained ceiling tiles are replaced. Before she returns to work, you obtain lung function testing with spirometry.  You repeat the test after she returns to work for one week.  The initial FEV1 (forced expiratory volume exhaled during the first second) is normal, but the repeat study after being back at school shows a 20% decrease.<\/p><\/li><li id=\"field_1_24\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_24\" ><label class='gfield_label gform-field-label' for='input_1_24'>What can one conclude from these results?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_1_24' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_25\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_25\" ><label class='gfield_label gform-field-label' for='input_1_25'>What should you recommend now?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_25' id='input_1_25' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_26\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_26\" ><label class='gfield_label gform-field-label' for='input_1_26'>What concerns do you have about the other teachers and students exposed to this environment?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_26' id='input_1_26' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_37\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_37\" ><h2>Teaching Points<\/h2>\n<p> Mold and other environmental allergens can sensitize in two ways.  The most common is via an allergic mechanism involving IgE antibody possibly resulting in asthma, and the other is a delayed response involving IgG possibly resulting in hypersensitivity pneumonitis.  Once sensitized, symptoms result from further exposure, and the more an individual is exposed, the more reactive they may become.  This means that over time, a lesser degree of exposure can trigger symptoms.  Because of this risk, sensitized individuals should be removed from the exposure to prevent worsening of symptoms.  When symptoms first develop, they tend to be self-remitting shortly after removal from exposure.  However, as individuals become more sensitized, the symptoms do not revert as quickly, and it may take weeks or months of removal from exposure before symptoms remit.  Because temporal associations are stronger early in the course, it may be harder to identify environmental causation when individuals present late.  This makes the association harder to establish.<\/P>\n\n<p>When the environment is involved in illness, the scope of the problem for the physician may become larger than treating the individual patient.  The physician may be called upon to respond to concerns about others potentially exposed to that environment, and address the building environmental problems.  This undertaking could involve interaction with building administrators, and the public.  Tools such as building occupant health surveys, building inspections and intervention planning may be helpful.   Although often handled by occupational\/environmental health specialists, the provider may need assistance and public health resources from state, and local and community health departments.<\/p>\n\n<h2>In Brief<\/h2>\n\n<p>  A career elementary school teacher with adult-onset asthma was evaluated and diagnosed with building-related respiratory disease.  Leaving the environment for a few months (under doctor\u2019s orders) led to nearly complete resolution of symptoms.  After returning to work and moving to a second school building contaminated with mold, the teacher became quite ill with respiratory disease, the pattern being more consistent with hypersensitivity pneumonitis.  The case description demonstrates (1) some of the essential factors in recognizing and treating environmentally related respiratory disease including consideration of temporal relationships in clinical evaluations, (2) the importance of managing the illness by changing the environment, and (3) the difficulties inherent in \u201cfixing\u201d environmental exposures.<\/p>\n<\/li><li id=\"field_1_42\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_1_42\" ><label class='gfield_label gform-field-label' for='input_1_42'>Comments<\/label><div class='ginput_container'><input name='input_42' id='input_1_42' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_1_42'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_1\"]){return false;}  if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_1\"]){return false;} if( !jQuery(\"#gform_1\")[0].checkValidity || jQuery(\"#gform_1\")[0].checkValidity()){window[\"gf_submitting_1\"]=true;}  jQuery(\"#gform_1\").trigger(\"submit\",[true]); 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