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9588 Medicine

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 hyperophic cardiomyopathy, except :

AA crescendo-decrescendo systolic murmur
BMurmur radiating to neck
CBrisk carotid upstroke
DIncrease in murmur during valsalva or standing
Medicine
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