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Retired NBME 18 Answers

nbme18/Block 1/Question#23 (reveal difficulty score)
22 yo man, professional cyclist
Eccentric hypertrophy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—niboonsh(409)
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CONcentric - CONstricts ventricle

ECCentric - ECCpands ventricle (expands)

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jmangels  Also, he's an endurance athlete. It would most likely be a physiological adaptation. "Volume overload-induced cardiac hypertrophy is known as eccentric hypertrophy. In endurance training, the volume load is a predominant factor; therefore, the endurance-trained heart develops eccentric hypertrophy" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2300466/ +3
cbreland  Also, the patient has nothing wrong with him, no symptoms, so the other options are a no go +



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