Very suboptimal testing conditions at the Roanoke, Virginia Prometric Test Center. I have been there three times this year and I have developed acute conjunctivitis probably atopic or toxic every time. My eyes develop a watery discharge with pain and swelling of the eyelids and decreased visual acuity. I have been unable to finish the exam I was taking two out three times. I have spent $4,100 in exam fees, wasted hundreds of hours of studying for the exams, and lost thousands of dollars because of not being able to work in my profession as a physician. I have called the Roanoke Prometric Test Center twice telling them about an environmental pollutant or pollutants that I assume are the result of contaminated permanent or disposable air filters. I should be compensated for this avoidable problem. The rating for this test site should be less than one 🌟 star. I would strongly recommend that any potential test candidate consider taking their exam somewhere else. Sincerely, Alan F. Knull, MD