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 Best of Five 141

 

   

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BOF: 141

An 18-year-old male presents with a history of syncope related to exercise. There is a family history of sudden cardiac death.

General examination does not reveal any abnormality, his pulse rate is 70 beats per minutia regular, the carotid pulse is jerky, there is a double apical pulsation. On auscultation there is a fourth heart sound, an ejection systolic murmur heard at the base of the heart and a pan systolic murmur heard at the apex.

The inheritance of this condition is:

a)      Autosomal dominant

b)      Autosomal recessive

c)      X-linked recessive

d)      X-linked dominant

e)      Polygenic inheritance 

 

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