A 22-Year-Old Man Comes to the Office for an Exercise

question 62

Multiple Choice

A 22-year-old man comes to the office for an exercise evaluation.  He is an avid long-distance runner.  One of his team members was disqualified recently due to health issues, which made him worried about his health.  He has no medical history and does not take any medications or illicit drugs.  His maternal grandfather died suddenly at age 40.  Blood pressure is 125/75 mm Hg and pulse is 55/min.  Transthoracic echocardiogram results are as follows: The right ventricle appears normal and there are no valvular lesions.  Which of the following best explains this patient's echocardiogram findings?

• A)Anabolic steroid abuse
• B)Cardiac adaptation
• C)Hypertrophic cardiomyopathy
• D)Premature coronary artery disease
• E)Subclinical viral myocarditis

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Definitions:

Older Children

Refers to children in the later stages of childhood, typically from about 7 to 12 years old, just before adolescence.

Relational Bullying

A form of bullying that involves damaging someone's relationships or social status, often through exclusion, rumors, or manipulation.

Aggressive

Pertains to behavior, actions, or attitudes that are forceful, potentially harmful, or assertive in a confrontational manner.

Verbal Attack

The use of words to criticize, insult, or denigrate another person.