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General Medicine General 377e2c9b

A 68-year old man who has had a recent syncopal Episode is hospitalized with congestive hea failure failure. His blood pressure is 160/80 mm Hg. His pulse rate is 80 Beats minute,and there is agrade lll/lV harsh systolic murmur.

A
Radiation of the murmur to die neck.
B
Decrease of me murmur with handgrip
C
Delayed carotid upstroke
D
Reduced left ventricular ejection fraction

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