44. A 10-year-old girl of Hispanic descent is brought to the physician by her grandmother because of an intermittent nonproductive cough during the past 4 months. She eats mostly fast food and does not exercise. She lives in an inner city apartment near a highway. Family history includes debilitating multiple sclerosis in her mother and rheumatoid arthritis in her maternal grandmother. She is at the 10th percentile for height and 70th percentile for weight. Bilateral wheezes are heard on auscultation. Which of the following historic factors has most likely increased this patient's risk for this condition? A) Ethnicity B) Family history of autoimmune disease C) Gender D) Height and weight percentiles E) Location of home F) Poor diet and exercise

44. A 10-year-old girl of Hispanic descent is brought to the physician by her grandmother because of an intermittent nonproductive cough during the past 4 months. She eats mostly fast food and does not exercise. She lives in an inner city apartment near a highway. Family history includes debilitating multiple sclerosis in her mother and rheumatoid arthritis in her maternal grandmother. She is at the 10th percentile for height and 70th percentile for weight. Bilateral wheezes are heard on auscultation. Which of the following historic factors has most likely increased this patient's risk for this condition? A) Ethnicity B) Family history of autoimmune disease C) Gender D) Height and weight percentiles E) Location of home F) Poor diet and exercise