A 25-year-old woman complains of shortness of breath and palpitation after exercise for 3 years.PE：cardiac dullness shifted to the lower and left，narrow cardiac waist，the heart shaped like a boot，which should be considered the first diagnosis

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• 1A 29-year-old man came to the emergency room for dizziness.Echocardiography shows ventricular septum thickening，the part in left ventricle outflow tract protruding into left ventricle.Hypertrophic cardiomyopathy is considered.Which of the following is probably wrong

  A.Cardiac dullness mildly enlarged

  B.S4can be heard

  C.markedly increased A2

  D.3/6grade systolic murmur at apical area

  E.rough ejection systolic murmur in the 3rd-4th left intercostal space

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• 2A 34-year-old man complains of repeated precordial pain and shortness of breath for 3 years，BP：150/30mmHg，the cardiac dullness shaped as a boot，which of the following can’t be found in the physical examination

  A.systolic murmur in the 2nd right intercostal space

  B.pistol shot sound in brachial artery

  C.alternant

  D.diastolic murmur at apical area

  E.water-hammer pulse

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• 3患者女性，2岁。因出生1个月感冒发现心脏杂音来诊。查体于胸骨左缘第2肋间闻及收缩期3/6级柔和吹风样杂音，伴P2增强，S2分裂且不受呼吸影响，则最可能是

  A.S2通常分裂

  B.肺动脉瓣狭窄

  C.S2生理性分裂和生理性杂音

  D.房间隔缺损

  E.S2反常分裂

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• 4患者女性，55岁。体检发现血压增高1个月来诊，有高血压家族史。则最不可能出现的是

  A.A2减弱

  B.靴形心

  C.心尖区收缩期2/6级杂音

  D.脉压增大

  E.头痛

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• 5患者女性，30岁。怕热多食消瘦半年，多饮多汗2个月，则下列体征最不可能出现的是

  A.S1减弱

  B.脉搏短绌

  C.心尖区收缩期2/6级杂音

  D.脉压增大

  E.心动过速

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• 6Echocardiography for a 38-year-old man showed mitral valve prolapse.Which of the following can be found during physical examination

  A.early systolic click

  B.opening snap

  C.presystolic gallop rhythm

  D.mid and late systolic click

  E.mid and late diastolic click

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