drdg
Forum Senior
Topics: 31
Posts: 176
|
A 18-year-old college football player presents to the outpatient for an annual PE. He has just been accepted to a distinguished university on a sports scholarship, and the scholarship is contingent upon a full history and PE. He feels well and has no specific complaints. His breath sounds are clear to auscultation. heart sounds are regular un rate and rhythm with a fourth sound. A harsh midsystolic murmur is heart at the apex, radaiting to the carotids. The murmur becomes worse when the patients is asked to perfrom the Valsalva maneuver, and it get better when the patients is asked to squat. What is the most common presentation of this condition?
A. Angia
B. Dyspnea
C. Palpitations
D. Sudden death
E. Syncope
Diagnosis?
|
| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
|
D
___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.
|
| darkhorse
Forum Elite
Topics: 56
Posts: 275
|
subaortic stenosis, hypertrophic
bbbb is the most common presenting symtom...90%
___________________
When going gets tough, the tough gets going
|
| darkhorse
Forum Elite
Topics: 56
Posts: 275
|
asyymetrical septal hypertrophy with ASMMV is the cause of midsystolic harsh murmur
___________________
When going gets tough, the tough gets going
|
| dr19
Forum Senior
Topics: 11
Posts: 116
|
B)dyspnea
|
| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
|
A. angina pain.
|
| aaroho
Forum Junior
Topics: 8
Posts: 75
|
D-HOCM(IHSS)-sudden death
___________________
Life is wonderful when doctors all around
|
| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
|
  NO WAY... dead person will be the most common presentation...NOOOOOOOOOOOOOOOOOOO
|
| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
|
ANGINA--- CHEST PAIN BECAUSE coronary ostia are lie above the stenotic aortic vavlve,so decreased blood flow thru ostia to coronary vessles which supplies mass of heart...so is the PAIN most common presentation
|
| aaroho
Forum Junior
Topics: 8
Posts: 75
|
u r right neuroblastoma i was confused.
Answer is B-dyspnea
IHSS is the most common cause of sudden death in healthy athletes.
___________________
Life is wonderful when doctors all around
|
| drdg
Forum Senior
Topics: 31
Posts: 176
|
This is a kaplan qbank question. The correct answer is B-dyspnea .
The most common symptom for HOCM is dyspnea
The most fatal symptom is sudden death.
|
|
| |
| | | | | | | | | | | |
