A 68-year old man who has had a recent syncopal episode is hospitalized with congestive heart failure.His blood pressure is 160/80mmHg.His pulse rate is 80 beats per minute,and there is a grade III/IV harsh systolic murmur.An echocardiogram shows a disproportionately thickened ventricular septum and systolic anterior motion of the mitral valve.Which of the following findings would most likely be present in this man:

Question

TuteeHUB · Accepted Answer

Delayed carotid upstroke

TuteeHUB · Answer

Radiation of the murmur to the neck

TuteeHUB · Answer

Decrease of the murmur with hand grip

TuteeHUB · Answer

Reduced left ventricular ejection fraction

1.	A 68-year old man who has had a recent syncopal episode is hospitalized with congestive heart failure.His blood pressure is 160/80mmHg.His pulse rate is 80 beats per minute,and there is a grade III/IV harsh systolic murmur.An echocardiogram shows a disproportionately thickened ventricular septum and systolic anterior motion of the mitral valve.Which of the following findings would most likely be present in this man:
A.	Radiation of the murmur to the neck
B.	Decrease of the murmur with hand grip
C.	Delayed carotid upstroke
D.	Reduced left ventricular ejection fraction
Answer» C. Delayed carotid upstroke

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