A 5-year-old has enlarged tonsils and has history of four throat infections in the previous year with fever, cervical lymphadenopathy, and positive Group A Streptococcus pyogenes (GABHS) cultures. The parent reports that the child snores at night and expresses concerns about the child's quality of sleep. The next step in managing this child's condition is to:

refer to a pulmonologist for polysomnography evaluation

Explanation:

Based on the information provided within the question it can be said that the next step in managing this child's condition is to refer to a pulmonologist for polysomnography evaluation. This is because the child has a high potential for having sleep apnea since the parents are reporting that the child snores and has frequent throat infections and he does not have a high enough number of GABHS throat infections to warrant tonsillectomy.

i'm pretty sure it's spores

a few examples of ethical concerns involving genetically engineering of humans include

-privacy of genetically tested people

- potential side effects

-long term effects