Instructions: After reading the patient summary, click on the stethoscope head to listen to the heart sound. Then click on the diagram that best matches what you hear.
A 20-year-old woman, 12 weeks pregnant. She is having occasional mild dizziness and recurrent morning nausea. No other symptoms. FH. Mother has hypertension. ROS. Nocturia x1 otherwise neg. PMH. and SH. Nothing of note. Physical Examination: BP 130/60, P 82, R. 16, WT. 124, HT. 5' 6". General exam shows no abnormality. Jugular venous pulse normal but prominent. Carotid pulse normal but bounding. No cardiac enlargement. The following was heard on auscultation.
APEX, BELL (Left Decubitus)
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INCORRECT
The patient does not have an split S1. The heart sound matching this diagram is playing now. Please try again.
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CORRECT
This is a dactylic metre.
Play the phono and then, if you wish, click on the incorrect diagrams to compare heart sounds.
Move on.
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INCORRECT
The patient does not have an S4. The heart sound matching this diagram is playing now. Please try again.