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3440 Medicine

A 35-year-old farmer consulted a local medical practitioner for recurrent attacks of chest pain. His elder brother had similar complaints and had died suddenly at the age of 40 years. The farmer was advised to take nitroglycerine sublingually at the time of pain. However, the patient finds that the intensity of pain is increased by nitroglycerine. Most probably, he is suffering from :

ASubacute bacterial endocarditis involving the aoic valve.
BHyperophic obstructive cardiomyopathy.
CDegenerative mitral regurgitation
DChronic Type A dissection of aoa.
Medicine
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