The bike wouldn't run and you would bend valves.
Before setting the cam timing, there is no compression/exhaust stroke, there's only TDC.
Since 180 degree twins tend to "run by" at the top of the compression stroke, Honda designed the cam to be installed in the "off stroke" position, making it easier for one guy to do.
There is a little pin on the end of the cam, the advancer keys into it.
When cam timing, that pin should be pointing straight down.
When doing valve lash/ignition timing at TDC of the compression stroke, that pin will point straight up.
Hope this helps,