A 16 year old male is referred by high school coach for a physical examination before joining the football team.His elder brother had died suddenly during football practise,no autopy was done.The patient has a loud systolic murmur on chest auscultation.All of the following would be constant with hypertrophic cardiomyopathy,except:

Question

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Brisk carotid upstroke

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A crescendo-decrescendo systolic murmur

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Murmur radiating to neck

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Increase in murmur during valsalva or standing

1.	A 16 year old male is referred by high school coach for a physical examination before joining the football team.His elder brother had died suddenly during football practise,no autopy was done.The patient has a loud systolic murmur on chest auscultation.All of the following would be constant with hypertrophic cardiomyopathy,except:
A.	A crescendo-decrescendo systolic murmur
B.	Murmur radiating to neck
C.	Brisk carotid upstroke
D.	Increase in murmur during valsalva or standing
Answer» C. Brisk carotid upstroke

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