A 24-Year-Old Man Comes to the Office for an Exercise

question 345

Multiple Choice

A 24-year-old man comes to the office for an exercise evaluation.  He is an avid long-distance runner.  One of his team members recently died suddenly in his sleep, which made the patient worried about his health.  He has no medical history, takes no medications, and does not use illicit drugs.  His maternal grandfather had a heart attack at age 40 and underwent coronary artery bypass surgery.  Blood pressure is 122/70 mm Hg and pulse is 49/min.  Transthoracic echocardiogram shows the following: The right ventricular cavity is slightly enlarged 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:

Concessions

Voluntary adjustments to one's position in negotiations, often made to reach an agreement or maintain a relationship.

Idiosyncratic Deal

Tailored agreements or conditions specific to an individual, usually within an employment context.

Denise Rousseau

A scholar known for her work on psychological contracts, organizational behavior, and human resources management.

Performance Criteria

Standards or benchmarks used to evaluate the effectiveness or success of a task, process, or individual’s performance.