NBME Step 2 CK Form 7 Hypertrophic obstructive cardiomyopathy (NBME Answers)

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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 2/Question#36 (reveal difficulty score)
A 32-year-old man is brought to the emergency ...
Hypertrophic obstructive cardiomyopathy 🔍 / 📺 / 🌳 / 📖
tags: cardio

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submitted by ∗step_prep5(246)

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Young man with exertional syncope who has a systolic ejection murmur at the left sternal border that increases with decreased preload –> HOCM
Key idea: Only 2 heart murmurs that increase in intensity with decreased preload (sitting to standing, diuretics, etc.) are HOCM (decreased preload –> increased obstruction) and Mitral valve prolapse (decreased preload –> less taut chordae tendinae –> earlier prolapse)

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submitted by ∗link981(208)

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Update: It is now called Hypertrophic Cardiomyopathy

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