Hypertrophic cardiomyopathy Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 13-year-old boy presents to his primary care physician for evaluation of recurrent chest pain for the past month. The symptoms occur primarily with exertion, such as walking up a flight of stairs. He also has trouble breathing and notes associated palpitations with exertion. The patient has no significant past medical or surgical history. Temperature is 37.0 °C (98.6 °F), pulse is 84/min, respirations are 18/min, blood pressure is 117/5 mm Hg, and oxygen saturation is 99% on room air. On physical exam, a loud systolic ejection murmur is heard at the lower left sternal border that decreases in intensity with squatting and increases with standing. Lungs are clear to auscultation bilaterally. Upon further questioning, which of the following additional findings is most likely to be present?

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History of high intensity exercise over many years

Recent viral infection

Family history of sudden cardiac death

Untreated prior strep pharyngitis

Family history of bicuspid aortic valve