A 39-year-old woman has bilateral hilar lymphadenopathy on employment chest x-ray. She has mild dry cough but no dyspnea, eye symptoms,

Question

A 39-year-old woman has bilateral hilar lymphadenopathy on employment chest x-ray. She has mild dry cough but no dyspnea, eye symptoms, hypercalcemia, or cardiac symptoms. Pulmonary function tests are normal. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Observe with periodic clinical and pulmonary assessment

Answer

Refer for lung transplantation

Answer

Treat with TB therapy without evidence of infection

Answer

Begin high-dose glucocorticoids indefinitely

Answer

Start chemotherapy

Sarcoidosis observation — USMLE Step 3 MCQ

A 39-year-old woman has bilateral hilar lymphadenopathy on employment chest x-ray. She has mild dry cough but no dyspnea, eye symptoms, hypercalcemia, or cardiac symptoms. Pulmonary function tests are normal. Which of the following would you recommend at the follow-up visit?