Mikeland
Forum Senior
Topics: 24
Posts: 109
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I have not aswer I am thinking in one..... My test is in 4 days.
Look easy but I am not sure
A high school basketball player passes out in the middle of a game. He is rushed to the emergency room, where he regains consciousness. He claims that just before he fainted, he had difficulty breathing and experienced palpitations. On physical exam, he has a bifid apical impulse and a coarse systolic murmur at the left sternal border. The echocardiogram reveals ventricular hypertrophy with asymmetric septal thickening. Which of the following would increase the intensity of his heart murmur?
A. Elevating his legs
B. Increasing sympathetic tone
C. Performing the Valsalva maneuver
D. Squatting
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| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
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C. Performing the Valsalva maneuver -->>> Hypertrophic Cardiomyopathy >> From Goljan Spiral Notes.
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| Luckyall
Forum Guru
Topics: 11
Posts: 593
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anything decr. preload should do it---> C
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| faezah
Forum Newbie
Topics: 1
Posts: 3
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decrease or increase preload squatting increase preload and HOCM gets worse if preload increase??? plzzz correct me if im worong
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| keepgoing
Forum Guru
Topics: 63
Posts: 1,679
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yes c i guess b/c its IHSS..MC in young athlets rest of the options will decrease intensity .
all the best for exam!
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| drduck
Forum Guru
Topics: 82
Posts: 529
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yup decreasing the preload........decrease filling........PROBLEMS...........fainting sudden death,
HOCM.......ATHELETES.....M/C cause of sudden death.
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| drhouse
Forum Senior
Topics: 21
Posts: 192
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its C.... performing valsalva
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everybody can do it.... its just matter of time
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