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Medicine General 193d3a68

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 autopsy 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
High-Yield Explanation
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