During a high school pre-sports participation event, you examine a generally healthy 16-year-old male.

During a high school pre-sports participation event, you examine a generally healthy 16-year-old male. Vitals are all within normal limits. The boy is normally developed and well nourished. He is alert x 3. Neck inspection and palpation negative for masses or tracheal deviations. Cardiovascular exam reveals carotid pulse amplitude 2/3 B/L, normal contour, no thrills. Carotid auscultation negative for bruits. There is no neck vein distention. The apical impulse is sustained. Heart auscultation is positive for S4 and a systolic murmur grade 4/6 along the Llower stemal border and the apex. The murmur almost disappears (grade 2/6) with leg lifting and while the patient squats. What is the best assessment of the patient’s status? Answers A-D А Risk for congenital aortic stenosis and sudden cardiac arrest during exercise o B Risk for exercise-induced asthma and sudden cardiac arrest during exercise o с Innocent heart murmur without risk for sudden cardiac arrest during exercise D Risk for hypertrophic cardiomyopathy and sudden cardiac arrest during exercise