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Medicine
A 23-year-old woman has had several episodes of severe wheezing over the past 3 years. She is a nonsmoker and feels well in between episodes. She has no personal or family history of atopy. The wheezing episodes are most likely to occur in spring. Which of the following is the most likely mechanism of wheezing in this woman?
elevated IgE levels
mast cell instability
nonspecific hyperirritability of the tracheobronchial tree
disordered immediate hypersensitivity
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